Attachment 0025 - DA 2404 Equipment Inspection and Maintance Worksheet.pdf

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Attached to
M870A4 Semitrailer, Lowbed, Construction Equipment Transporter (SLCET) 40-Ton
Solicitation number
W912CH24R0025
Issued by

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This document is a Request for Proposals (RFP) for the procurement of M870A4 Semitrailer, Lowbed, Construction Equipment Transporter (SLCET), 40-Ton. The solicitation is issued by the Department of the Army Materiel Command TACOM Life Cycle Management Command and is a 100% Small Business set-aside. The contract will be a five-year with two option year Fixed Price (FP) with Economic Price Adjustment (EPA), Indefinite Delivery/Indefinite Quantity (IDIQ) contract, with a guaranteed minimum quantity of 10 and a maximum of 840 units. The M870A4 SLCET is a low-bed semitrailer with a rated payload of 40 tons, capable of transporting a variety of Engineering Construction Equipment, tracked and wheeled vehicles, and other payloads. The trailer must satisfy applicable standards of SAE, DOT, FMVSS, and FMCSR, and be transportable by highway, rail, marine, and air modes worldwide.

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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

c.

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

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. 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.

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

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 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.

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 1.00

DA FORM 2404, FEB 2011

EQUIPMENT INSPECTION AND MAINTENANCE WORKSHEET

APD

TIME_B:
TIME_A:
MANHOURS:
ORGANIZ:
REGISTRAT:
NOMENMODEL:
TYPEINSPEC:
TMNO:
TMNO_1:
TMNO_2:
TMNO_3:
TMNO_4:
TMNO_5:
TMNO_6:
TMNO_7:
TMNO_8:
TMNO_9:
TMNO_10:
TMNO_11:
TMNO_12:
TMNO_13:
STAT:
STAT_1:
STAT_2:
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STAT_6:
STAT_7:
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STAT_11:
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DEFIC:
DEFIC_1:
DEFIC_2:
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DEFIC_6:
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DEFIC_13:
CORRECT:
CORRECT_1:
CORRECT_2:
CORRECT_3:
CORRECT_4:
CORRECT_5:
CORRECT_6:
CORRECT_7:
CORRECT_8:
CORRECT_9:
CORRECT_10:
CORRECT_11:
CORRECT_12:
CORRECT_13:
TMNUM_A:
TMNUM_B:
MILES:
ROUNDS:
HOURS:
HOTSTARTS:
INITIALS1:
INITIALS2:
INITIALS3:
INITIALS4:
INITIALS5:
INITIALS6:
INITIALS7:
INITIALS8:
INITIALS9:
INITIALS10:
INITIALS11:
INITIALS12:
INITIALS13:
INITIALS14:
TMDATE_B:
TMDATE_A:
DATE:
signature_BUTTON43:
signature_BUTTON44:
signature_BUTTON1:
signature_BUTTON2:
signature_BUTTON3:
signature_BUTTON4:
signature_BUTTON5:
signature_BUTTON6:
signature_BUTTON7:
signature_BUTTON8:
signature_BUTTON9:
signature_BUTTON10:
signature_BUTTON11:
signature_BUTTON12:
signature_BUTTON13:
signature_BUTTON14:
DateField1:
TM_B:
TM_B_1:
TM_B_2:
TM_B_3:
TM_B_4:
TM_B_5:
TM_B_6:
TM_B_7:
TM_B_8:
TM_B_9:
TM_B_10:
TM_B_11:
TM_B_12:
TM_B_13:
TM_B_14:
TM_B_15:
TM_B_16:
TM_B_17:
TM_B_18:
TM_B_19:
TM_B_20:
TM_B_21:
TM_B_22:
TM_B_23:
TM_B_24:
TM_B_25:
TM_B_26:
TM_B_27:
STAT_B:
STAT_B_1:
STAT_B_2:
STAT_B_3:
STAT_B_4:
STAT_B_5:
STAT_B_6:
STAT_B_7:
STAT_B_8:
STAT_B_9:
STAT_B_10:
STAT_B_11:
STAT_B_12:
STAT_B_13:
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STAT_B_18:
STAT_B_19:
STAT_B_20:
STAT_B_21:
STAT_B_22:
STAT_B_23:
STAT_B_24:
STAT_B_25:
STAT_B_26:
STAT_B_27:
DEF_B:
DEF_B_1:
DEF_B_2:
DEF_B_3:
DEF_B_4:
DEF_B_5:
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DEF_B_7:
DEF_B_8:
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DEF_B_11:
DEF_B_12:
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DEF_B_14:
DEF_B_15:
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DEF_B_19:
DEF_B_20:
DEF_B_21:
DEF_B_22:
DEF_B_23:
DEF_B_24:
DEF_B_25:
DEF_B_26:
DEF_B_27:
COR_B:
COR_B_1:
COR_B_2:
COR_B_3:
COR_B_4:
COR_B_5:
COR_B_6:
COR_B_7:
COR_B_8:
COR_B_9:
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COR_B_11:
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COR_B_13:
COR_B_14:
COR_B_15:
COR_B_16:
COR_B_17:
COR_B_18:
COR_B_19:
COR_B_20:
COR_B_21:
COR_B_22:
COR_B_23:
COR_B_24:
COR_B_25:
COR_B_26:
COR_B_27:
INITIALS16:
INITIALS18:
INITIALS20:
INITIALS22:
INITIALS24:
INITIALS26:
INITIALS28:
INITIALS30:
INITIALS32:
INITIALS34:
INITIALS36:
INITIALS38:
INITIALS40:
INITIALS42:
INITIALS41:
INITIALS39:
INITIALS37:
INITIALS35:
INITIALS33:
INITIALS31:
INITIALS29:
INITIALS27:
INITIALS25:
INITIALS23:
INITIALS21:
INITIALS19:
INITIALS17:
INITIALS15:
signature_BUTTON15:
signature_BUTTON17:
signature_BUTTON19:
signature_BUTTON21:
signature_BUTTON23:
signature_BUTTON25:
signature_BUTTON27:
signature_BUTTON29:
signature_BUTTON31:
signature_BUTTON33:
signature_BUTTON35:
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signature_BUTTON39:
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signature_BUTTON40:
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signature_BUTTON30:
signature_BUTTON28:
signature_BUTTON26:
signature_BUTTON24:
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File details come from the government source that posted it. Updated .