Attach 3 DA Form 2404 Equipment Inspection and Maintenance Worksheet.pdf

Department of the Army Form PDF 89 KB Posted Mar 2, 2022

Attached to: Overhead Cranes Maint & Repair, Area I & II
Solicitation number: W90VN822R0003
Issued by: Department of the Army Materiel Command Army Contracting Command

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Other versions and copies of DA Form 2404

14 government files on GovTribe name DA Form 2404. Different revisions are separate documents; copies of this exact file point search engines to its first posting.

File	Revision	Posted	Attached to
PWS_Attachment 4 ARL Modified DA Form 2404 (SEMI-ANNUAL PM).pdf	Revision not stated	Feb 23, 2026	Mobile and Stationary Equipment Maintenance - Amendment 0001 (To provide the Government's responses to questions submitted in response to the RFQ)
PWS_Attachment 3 ARL Modified DA Form 2404 (ANNUAL PM).pdf	Revision not stated	Feb 23, 2026	Mobile and Stationary Equipment Maintenance - Amendment 0001 (To provide the Government's responses to questions submitted in response to the RFQ)
PWS_Attachment 4 ARL Modified DA Form 2404 (SEMI-ANNUAL PM).pdf	Revision not stated	Jan 20, 2026	Sources Sought for one (1) base year with two (2) option year performance periods for Preventive Maintenance and Repair Services of Mobile & Stationary Equipment at Aberdeen Proving Ground (APG), MD.
PWS_Attachment 3 ARL Modified DA Form 2404 (ANNUAL PM).pdf	Revision not stated	Jan 20, 2026	Sources Sought for one (1) base year with two (2) option year performance periods for Preventive Maintenance and Repair Services of Mobile & Stationary Equipment at Aberdeen Proving Ground (APG), MD.
A02 PWS 4.6.2. Exhibit B - DA Form 2404.pdf	Revision not stated	Jun 11, 2023	Repaint and Repair of Vehicles at 2ID Museum. Amendment 0003
W91QVN22R0137_Exhibit B- Form A. DA Form 2404.pdf	Revision not stated	Nov 16, 2022	Tactical Wheeled Vehicle (TWV) Maintenance, Amendment 0003
Attachment_0002_-_DA_Form_2404.xlsx	Revision not stated	Mar 26, 2018	M107 LONG RANGE SNIPER RIFLE (LRSR)
Attachment_0002_-_DA_Form_2404.xlsx	Revision not stated	Jan 11, 2018	M110 Semi-automatic Sniper System (SASS)
Attachment_0002_-_DA_Form_2404.xlsx	Revision not stated	Jan 4, 2018	M110 Semi-automatic Sniper System (SASS)
Exhbit_Ba_DA_FORM_2404_-_Maintenence_Worksheet.pdf	Revision not stated	Oct 24, 2017	Tactical Wheeled Vehicle (TWV) Maintenance
ATTACHMENT-03_DA-FORM_2404.pdf	Revision not stated	Apr 6, 2017	Inspection, Testing, and Maintenance of Overhead Lifting Devices USAG Yongsan
Attach_4_-_DA_Form_2404-Equipment_Inspection_and_Maintenance_Worksheet.pdf	Revision not stated	Mar 31, 2017	Inspection, Testing, and Maintenance of Overhead Lifting Devices at USAG Casey/CRC
DA_Form_2404.pdf	Revision not stated	Dec 6, 2012	Refrigerated Truck Supply

Show all 13

Who attaches DA Form 2404

Agency	Files
Department of the Army Materiel Command Army Contracting Command Aberdeen Proving Ground	4
Department of the Army Materiel Command Contracting Command Detroit Arsenal	3
Department of the Army Materiel Command Army Contracting Command	3
Department of the Army Materiel Command Expeditionary Contracting Command Regional Contracting Office Yongsan 411th CSB	3
Department of the Army Materiel Command Mission and Installation Contracting Command Fort Polk	1

Other files

File	Type	Posted
Attach 4 Load Test and Check List.xls	XLS spreadsheet	Mar 2, 2022
W90VN822R0003 Overhead Cranes Maint and Repair for ROK Area I and II.pdf	PDF	Mar 2, 2022
Attach 1 List of Overhead Cranes in USAG Yongsan Casey.xls	XLS spreadsheet	Mar 2, 2022
TE 1 Unit Price for Annual Inspection Load Testing and On Call CLINs X001 X002 X003.xls	XLS spreadsheet	Mar 2, 2022
TE 2 Unit Price for Identified Task Items CLIN X004.XLS	XLS spreadsheet	Mar 2, 2022
Attach 2 Checklist for Inspection and Preventative Maintenance Service.docx	DOCX document	Mar 2, 2022

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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 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

10.9a. SIGNATURE

3. REGISTRATION/SERIAL/NSN

1. ORGANIZATION 2. NOMENCLATURE AND MODEL

5. DATE 6. TYPE INSPECTION

APPLICABLE REFERENCE7.

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 requiredHORIZONTAL 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

ITEM

NO.

STATUS

DEFICIENCIES AND SHORTCOMINGS

INITIAL

WHEN

CORRECTED

CORRECTIVE ACTION

DA FORM 2404, FEB 2011 PREVIOUS EDITIONS ARE OBSOLETE. APD LC v1.00ES

4a. MILES

8b. TIME 9b. 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 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.

songhyon.yi Typewritten Text songhyon.yi Typewritten Text songhyon.yi Typewritten Text Attachment 3 - DA Form 2404, Equipment Inspection and Maintenance Worksheet

DEFICIENCIES AND SHORTCOMINGS

ITEM

NO.

STATUS

b c

INITIAL

WHEN

CORRECTED

CORRECTIVE ACTION

DA FORM 2404, FEB 2011 APD LC v1.00ES

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

b. HOURS

ROUNDS FIRED

10.

9a. SIGNATURE

3. REGISTRATION/SERIAL/NSN

1. ORGANIZATION

2. NOMENCLATURE AND MODEL

5. DATE

6. TYPE INSPECTION

APPLICABLE REFERENCE

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 other

DIAGONAL "(/)"

LAST NAME INITIAL IN BLACK, BLUE-BLACK INK,

FOR AIRCRAFT - Status symbols will be recorded in red.

(Maintenance Supervisor)

MANHOURS REQUIRED

TM ITEM NO.

STATUS

DEFICIENCIES AND SHORTCOMINGS

INITIAL

WHEN

CORRECTED

CORRECTIVE ACTION

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.

STATUS

b c

INITIAL

WHEN CORRECTED

CORRECTIVE ACTION

DA FORM 2404, FEB 2011

APD LC v1.00ES 1.00

DA FORM 2404, FEB 2011

EQUIPMENT INSPECTION AND MAINTENANCE WORKSHEET

APD

TIME_B:

TIME_A:

MANHOURS:

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File details come from the government source that posted it. Updated Mar 2, 2022.