Transcription of EQUIPMENT INSPECTION AND MAINTENANCE WORKSHEET
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ALL INSPECTIONS AND EQUIPMENT CONDITIONS RECORDED ON THIS FORM HAVE BEEN DETERMINED IN ACCORDANCE WITH DIAGNOSTIC PROCEDURES AND STANDARDS IN THE TM CITED INSPECTION AND MAINTENANCE WORKSHEET For use of this form, see DA PAM 750-8; the proponent agency is DCS, HOURSROUNDS SIGNATURE3. REGISTRATION/SERIAL/NSN1. ORGANIZATION2. NOMENCLATURE AND MODEL5. DATE6. TYPE INSPECTIONAPPLICABLE NUMBERTM DATETM NUMBERTM DATECOLUMN aCOLUMN bCOLUMN cEnter TM item the applicable condition status deficiencies and dshortcoming listed in Column corrective action for deficiency orSTATUS SYMBOLSCOLUMN eaction initial in this ascertaining completed correctiveIndicates a deficiency in the EQUIPMENT that places"X"it in an inoperable a deficiency, however, the CIRCLED "X"Indicates that a requiredHORIZONTAL DASH "(-)"Indicates a material defect otherDIAGONAL "(/)"LAST NAME INITIAL IN BLACK, BLUE-BLACK INK,FOR AIRCRAFT - Status symbols will be recorded in red.
Enter deficiencies and shortcomings. COLUMN d. shortcoming listed in Column c. Show corrective action for deficiency or. STATUS SYMBOLS COLUMN e. action initial in this column. Individual ascertaining completed corrective "X" Indicates a deficiency in the equipment that places.
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