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EQUIPMENT INSPECTION AND MAINTENANCE WORKSHEET

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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Transcription of EQUIPMENT INSPECTION AND MAINTENANCE WORKSHEET

1 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.

2 ( MAINTENANCE Supervisor)MANHOURS REQUIREDTM ITEM AND SHORTCOMINGScINITIAL WHEN CORRECTEDeCORRECTIVE ACTIONdDA FORM 2404, FEB 2011 PREVIOUS EDITIONS ARE LC MILES8b. TIME9b. TIME8a. SIGNATURE (Person(s) performing INSPECTION ) EQUIPMENT may be operated under specific limitations as directed by higher authority or as prescribed locally, until corrective action can be , component replacement, MAINTENANCE operation check, or test flight is due but has not been accomplished, or an overdue MWO has not been PENCIL - Indicates that a completely satisfactory condition a deficiency which must be corrected to increase efficiency or to make the item completely AND SHORTCOMINGSTM ITEM WHEN CORRECTEDeCORRECTIVE ACTIONdDA FORM 2404, FEB 2011 APD LC


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