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JOINT AIRLIFT INSPECTION RECORD/CHECKLIST

If not applicable, Enter" - "(Dash)16. DEPLOYING FORCE REPRESENTATIVE (Print Name/Rank/Signature)17. MOBILITY FORCE INSPECTOR (Print Name/Rank/Signature) JOINT AIRLIFT INSPECTION record /CHECKLISTPage of Pages(Reference DTR Part III Appendix O For Form Completion)1. DEPLOYING FORCE:2. DEPARTURE AIRFIELD:3. DATE:Circle the " X " for items that have been correctedLEGEND (Mark blocks after each item as follows) = SatisfactoryX = Unsatisfactory4. AIRCRAFT TYPE AND MISSION NUMBER:5. LOAD/CHALK START TIME:7. COMPLETE TIME:8. MOBILITY FORCE:9. CHAPTER 3 MOVEMENT Yes No 14. PALLETS/PALLET TRAINS/ISU'Sd. Special Loading Equipment (Tow bars, etc.)f. Keys/Combinations (All Locks)d. Dimensions (Fits Aircraft Contour)e. Center of Balance (Marked on Both Sides)b. Configuration ( Letter)j. Accompanying Load (w/in Rated Capacity and Secured)15. HELICOPTERS (Flyaway)a.

Title: DD Form 2133, Joint Airlift Inspection Record/Checklist, 20130415 draft Author: WHS/ESD/IMD Created Date: 5/22/2012 8:44:26 AM

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  Checklist, Record, Joint, Inspection, Airlift, Joint airlift inspection record checklist

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Transcription of JOINT AIRLIFT INSPECTION RECORD/CHECKLIST

1 If not applicable, Enter" - "(Dash)16. DEPLOYING FORCE REPRESENTATIVE (Print Name/Rank/Signature)17. MOBILITY FORCE INSPECTOR (Print Name/Rank/Signature) JOINT AIRLIFT INSPECTION record /CHECKLISTPage of Pages(Reference DTR Part III Appendix O For Form Completion)1. DEPLOYING FORCE:2. DEPARTURE AIRFIELD:3. DATE:Circle the " X " for items that have been correctedLEGEND (Mark blocks after each item as follows) = SatisfactoryX = Unsatisfactory4. AIRCRAFT TYPE AND MISSION NUMBER:5. LOAD/CHALK START TIME:7. COMPLETE TIME:8. MOBILITY FORCE:9. CHAPTER 3 MOVEMENT Yes No 14. PALLETS/PALLET TRAINS/ISU'Sd. Special Loading Equipment (Tow bars, etc.)f. Keys/Combinations (All Locks)d. Dimensions (Fits Aircraft Contour)e. Center of Balance (Marked on Both Sides)b. Configuration ( Letter)j. Accompanying Load (w/in Rated Capacity and Secured)15. HELICOPTERS (Flyaway)a.

2 Serviceable (Pallet and Tiedown Rings)g. Shoring (Floor/Roller Limitations)h. Vehicle Equipment Securedi. Tire Pressure13. VEHICLES/NON-POWERED EQUIPMENTb. Brakes Operational (Service/Emergency)b. Correctly Built/Items Securedc. Dunnage (3 Pieces Per Pallet or ISU)a. Fuel Quantity (As Required)e. Accompanying Load (w/in Rated Capacity and Secured)c. Battery (Disconnected, Covered/Taped)I certify that all items, including hazards, have been declared, properly prepared, DD FORM 2133, JUN 2013 PREVIOUS EDITION IS OBSOLETE. b. Manifest/ Load List/Packing Listc. Shippers Declaration for Dangerous Goods (SDDG)d. DD Form 1387-2 k. Lox/Nitrogen Cart (Vent Kit)h. Hazardous Materials Preparation/Packaginga. Mechanical Condition (Engine Runs)a. Clean12. GENERAL REQUIREMENTS (Applicable to Blocks 13, 14, 15)10. INCREMENT/SERIAL/BUMPER NUMBER AND TYPE/TCNb. Fluid Leaks (Reference DTR Part III, App O)c.

3 Scale Weight (GW, Axle Weight, Marked on Both Sides)c. Battery (Secured, Terminals Protected, No Leaks)d. Fuel Tank(s), Level, Capse. Jerricans (Secure, Fuel Level, Seal)(1) DOT 5L (Metal) MUST BE EMPTY(2) UN Specification (Plastic)f. Tiedown Points/Clevises (Serviceable)a. Pre-Load Plane. Military Shipping Label/DD Form 1387f. ATTLA Certification (Reference DTR Part III, App O)11. DOCUMENTATIONg. Pintle Hooks (If Used)and presented for AIRLIFT in accordance with all applicable directives. I certify the above declared items have been inspected and properly prepared for AIRLIFT in accordance with all applicable directives. LEGEND (Mark blocks after each item as follows) = SatisfactoryX = UnsatisfactoryCircle the " X " for items that have been correctedIf not applicable, Enter" - "(Dash)Adobe Professional X18. ADDITIONAL INFORMATIONDD FORM 2133 (BACK), JUN 2013


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