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

Department of the Army Form PDF 96 KB Posted Feb 23, 2026

Attached to: Mobile and Stationary Equipment Maintenance - Amendment 0001 (To provide the Government's responses to questions submitted in response to the RFQ)
Solicitation number: W911QX26QA021
Issued by: Department of the Army Materiel Command Army Contracting Command Aberdeen Proving Ground

About this file

Written by GovTribe AI · Feb 23, 2026

This is DA Form 2404, an Equipment Inspection and Maintenance Worksheet used by the U.S. Army for documenting equipment inspections and maintenance activities. The form is governed by DA PAM 750-8 with the proponent agency being DCS, G-4.

The form provides a standardized template for recording inspection findings and maintenance actions on military equipment. It captures organizational information, equipment nomenclature and model, registration/serial numbers, National Stock Numbers (NSN), mileage, hours, rounds fired, and hot starts. The inspection type (such as Annual PM) and applicable Technical Manual (TM) references are documented with TM numbers and dates. The form uses five columns to structure findings: Column a for TM item numbers, Column b for condition status symbols, Column c for deficiencies and shortcomings, Column d for corrective actions, and Column e for inspector initials upon completion of corrections. Status symbols include "X" for inoperable deficiencies, circled "X" for operable-with-limitations deficiencies, horizontal dash for overdue maintenance, diagonal slash for material defects affecting efficiency, and initials for satisfactory conditions. The form requires signatures from personnel performing the inspection and the maintenance supervisor, with corresponding timestamps and manhours required. The template includes example inspection items such as greasing and lubricating vehicles, checking fluids, lights, battery, oil, filters, tire pressure, and anti-freeze testing, with blank rows available for additional items.

View the file

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 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 Same revision and size as this file	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
Attach 3 DA Form 2404 Equipment Inspection and Maintenance Worksheet.pdf	Revision not stated	Mar 2, 2022	Overhead Cranes Maint & Repair, Area I & II
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
W911QX26QA021 Questions Summary Sheet - Government Response.xlsx	XLSX spreadsheet	Mar 16, 2026
PWS_Attachment 2 Stationary Equipment List - REDACTED.xlsx	XLSX spreadsheet	Feb 23, 2026
PWS_Attachment 4 ARL Modified DA Form 2404 (SEMI-ANNUAL PM).pdf	PDF	Feb 23, 2026
Combination Synopsis-Solicitation for Commercial Purchases - W911QX26QA021.docx	DOCX document	Feb 23, 2026
Provisions and Clauses Full-Text Attachment (for Combo Synopsis-Solicitation).docx	DOCX document	Feb 23, 2026
Wage Determination 2015-4265_ Rev-32.pdf	PDF	Feb 23, 2026
Evaluation Criteria - Comparative.docx	DOCX document	Feb 23, 2026
PWS-W911QX26QA021.pdf	PDF	Feb 23, 2026
PWS_Attachment 1 Mobile Equipment List - REDACTED.xlsx	XLSX spreadsheet	Feb 23, 2026
DD1423 (Solicitation).doc	DOC document	Feb 23, 2026

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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:

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: 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:

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: 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:

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: TESTED ANIT-FREEZE

DEF_B_1:

DEF_B_2: OTHER

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:

File details come from the government source that posted it. Updated Feb 23, 2026.