Fillable Printable Equipment Inspection And Maintenance Worksheet
Fillable Printable Equipment Inspection And Maintenance Worksheet
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 HEREON.
EQUIPMENT INSPECTION AND MAINTENANCE WORKSHEET
For use of this form, see DA PAM 750-8; the proponent agency is DCS, G-4.
HOT
STARTS
d.
b. HOURS
ROUNDS
FIRED
c.
10.
9a. SIGNATURE
3. REGISTRATION/SERIAL/NSN
1. ORGANIZATION
2. NOMENCLATURE AND MODEL
5. DATE 6. TYPE INSPECTION
APPLICABLE REFERENCE
7.
TM NUMBER TM DATE TM NUMBER TM DATE
COLUMN a
COLUMN b
COLUMN c
Enter TM item number.
Enter the applicable condition status symbol.
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
Indicates a deficiency in the equipment that places"X"
it in an inoperable status.
Indicates a deficiency, however, the CIRCLED "X"
Indicates that a required
HORIZONTAL DASH "(-)"
Indicates a material defect otherDIAGONAL "(/)"
LAST NAME INITIAL IN BLACK, BLUE-BLACK INK,
FOR AIRCRAFT - Status symbols will be recorded in red.
(Maintenance Supervisor)
MANHOURS
REQUIRED
TM
ITEM
NO.
a
STATUS
b
DEFICIENCIES AND SHORTCOMINGS
c
INITIAL
WHEN
CORRECTED
e
CORRECTIVE ACTION
d
DA FORM 2404, FEB 2011
PREVIOUS EDITIONS ARE OBSOLETE.
APD LC v1.00ES
4a. MILES
8b. TIME 9b. TIME
8a. 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 accomplished.
inspection, component replacement, maintenance operation
check, or test flight is due but has not been accomplished,
or an overdue MWO has not been accomplished.
OR PENCIL - Indicates that a completely satisfactory
condition exists.
than a deficiency which must be corrected to increase
efficiency or to make the item completely serviceable.
DEFICIENCIES AND SHORTCOMINGS
TM
ITEM
NO.
a
STATUS
b c
INITIAL
WHEN
CORRECTED
e
CORRECTIVE ACTION
d
DA FORM 2404, FEB 2011
APD LC v1.00ES
