DA2404.pdf

PDF 70 KB Posted

Attached to
Generator Maintenance Services at KCS Federal contract opportunity
Solicitation number
FA5209-15-R-0031
Issued by
Department of the Air Force Pacific Air Forces

About this file

Appendix 2 DA 2404

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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:
STAT_3:
STAT_4:
STAT_5:
STAT_6:
STAT_7:
STAT_8:
STAT_9:
STAT_10:
STAT_11:
STAT_12:
STAT_13:
DEFIC:
DEFIC_1:
DEFIC_2:
DEFIC_3:
DEFIC_4:
DEFIC_5:
DEFIC_6:
DEFIC_7:
DEFIC_8:
DEFIC_9:
DEFIC_10:
DEFIC_11:
DEFIC_12:
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:
STAT_B_14:
STAT_B_15:
STAT_B_16:
STAT_B_17:
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:
DEF_B_6:
DEF_B_7:
DEF_B_8:
DEF_B_9:
DEF_B_10:
DEF_B_11:
DEF_B_12:
DEF_B_13:
DEF_B_14:
DEF_B_15:
DEF_B_16:
DEF_B_17:
DEF_B_18:
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:
COR_B_10:
COR_B_11:
COR_B_12:
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:
signature_BUTTON37:
signature_BUTTON39:
signature_BUTTON41:
signature_BUTTON42:
signature_BUTTON40:
signature_BUTTON38:
signature_BUTTON36:
signature_BUTTON34:
signature_BUTTON32:
signature_BUTTON30:
signature_BUTTON28:
signature_BUTTON26:
signature_BUTTON24:
signature_BUTTON22:
signature_BUTTON20:
signature_BUTTON18:
signature_BUTTON16:

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