PWS_Attachment 3 ARL Modified DA Form 2404 (ANNUAL PM).pdf

PDF 96 KB Posted Jan 20, 2026

Attached to: 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.
Solicitation number: W911QX26QA021
Issued by: Department of the Army Materiel Command Army Contracting Command Aberdeen Proving Ground

About this file

Written by GovTribe AI · Jan 20, 2026

This is DA Form 2404, an Equipment Inspection and Maintenance Worksheet used by the Department of the Army for documenting equipment condition assessments and maintenance activities. The form serves as a standardized template for recording inspection results in accordance with diagnostic procedures and technical manual (TM) standards referenced in DA PAM 750-8.

The form captures essential inspection data including organization, equipment nomenclature and model, registration/serial number, National Stock Number (NSN), mileage/hours/rounds fired, inspection date, and inspection type (e.g., Annual PM). Inspectors document findings using five columns: TM item number, condition status symbols, deficiencies and shortcomings, corrective actions, and initials confirming completion of corrections. Status symbols include "X" for inoperable deficiencies, circled "X" for deficiencies allowing limited operation, horizontal dash for overdue maintenance, diagonal slash for material defects affecting efficiency, and initials indicating satisfactory condition. The form requires signatures from personnel performing the inspection and maintenance supervisor, along with time entries and manhours required. For aircraft, status symbols are recorded in red ink. The form includes pre-populated inspection items such as greasing/lubricating, fluid checks, light inspection, battery cleaning, oil changes, filter replacement, tire pressure testing, and anti-freeze verification, with additional space for other maintenance items. This is a template document without specific contract requirements, response dates, or pricing information.

View the file

Other files

File	Type	Posted
PWS_Attachment 4 ARL Modified DA Form 2404 (SEMI-ANNUAL PM).pdf	PDF	Jan 20, 2026
PWS_Attachment 1 Mobile Equipment List - REDACTED.xlsx	XLSX spreadsheet	Jan 20, 2026
PWS_Attachment 2 Stationary Equipment List - REDACTED.xlsx	XLSX spreadsheet	Jan 20, 2026
PWS-W911QX26QA021.docx	DOCX document	Jan 20, 2026
Sources Sought - 26QA021.doc	DOC document	Jan 20, 2026

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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.

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:

ORGANIZ:

REGISTRAT:

NOMENMODEL:

TYPEINSPEC: ANNUAL PM

TMNO: 1

TMNO_1:

TMNO_2: 2

TMNO_3:

TMNO_4: 3

TMNO_5:

TMNO_6: 4

TMNO_7:

TMNO_8: 5

TMNO_9:

TMNO_10: 6

TMNO_11:

TMNO_12: 7

TMNO_13:

STAT:

STAT_1:

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STAT_8:

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STAT_13:

DEFIC: GREASED AND LUBRICATED VEHICLE

DEFIC_1:

DEFIC_2: CHECKED ALL FLUIDS

DEFIC_3:

DEFIC_4: CHECKED LIGHTS

DEFIC_5:

DEFIC_6: CLEANED BATTERY

DEFIC_7:

DEFIC_8: CHANGED OIL

DEFIC_9:

DEFIC_10: CHANGED FILTERS

DEFIC_11:

DEFIC_12: CHECKED TIRE PSI

DEFIC_13:

CORRECT:

CORRECT_1:

CORRECT_2:

CORRECT_3:

CORRECT_4:

CORRECT_5:

CORRECT_6:

CORRECT_7:

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CORRECT_9:

CORRECT_10:

CORRECT_11:

CORRECT_12:

CORRECT_13:

TMNUM_A:

TMNUM_B:

MILES:

ROUNDS:

HOURS:

HOTSTARTS:

INITIALS1:

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TMDATE_B:

TMDATE_A:

DATE:

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DateField1:

TM_B: 8

TM_B_1:

TM_B_2: 9

TM_B_3:

TM_B_4:

TM_B_5:

TM_B_6:

TM_B_7:

TM_B_8:

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TM_B_21:

TM_B_22:

TM_B_23:

TM_B_24:

TM_B_25:

TM_B_26:

TM_B_27:

STAT_B:

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STAT_B_27:

DEF_B: TESTED ANIT-FREEZE

DEF_B_1:

DEF_B_2: OTHER

DEF_B_3:

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COR_B:

COR_B_1:

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INITIALS16:

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INITIALS28:

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INITIALS15:

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File details come from the government source that posted it. Updated Jan 20, 2026.