Attachment_0002_-_DA_Form_2404.xlsx
XLSX spreadsheet 13 KB Posted
- Attached to
- M110 Semi-automatic Sniper System (SASS)
- Solicitation number
- W56HZV17R0026
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Attachment 0002 - DA Form 2404
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Sheet1 M110 Test, Tear Down and Evaluation & DA 2404 Combination Report/Checklist
| Organization: Knight's Armarment Company Titusville, FL | Nomenclature and Model: M110 Semi-Automatic Sniper System | |
| Serial Number: | DATE: | |
| Explanation of Information Requirements to Complete Column Entries | ||
| Column a. - Item number is pre-entered |
Column b. - Enter the applicable condition status symbol Column c. - Item to be Inspected Description Column d. - Explanation of what constitutes "Condition Code A" - No action required Column e. - Enter deficiencies and shortcomings Column f. - Show corrective action for deficiency or shortcoming from Column e.
Column g. - Individual ascertaining completed corrective action initial in this column Column h . Initials of inspector
| Explanation and Guidance for Entering Status Symbols |
| "X" - Indicates a deficiency in the equipment that places it in an inoperable status. |
CIRCLED "X" - Not applicable HORIZONTAL DASH "(-)" - Indicates that a requrired inspection, component replacement, or maintenance operation check is due but has not been accomplished, or an overdue Modified Work Order has not been accomplished DIAGONAL "(/)" - Indicates a material defect other than a deficiency which must be corrected to increase efficiency or to make the item completely serviceable.
INITIALS OF INSPECTOR - Indicates that a completely satisfactory condition exists
| Signature of Inspector | Time of Inspection | Signature of Supervisor | Time | Manhours Required |
| INSP. REPAIR |
| a | b | c | d | e | f | g |
| Item Number | Status | Item To Be Inspected and Replaced | Equipment Not Condition Code A If | Deficiencies and Shortcomings | ||
| Corrective Action Required | ||||||
| Inspectors initials | ||||||
| 1 | Ensure Case, Rifle and Magazine are clear of Ammunition | NA | ||||
| 2 | Inspect weapon case for all equipment. (Rifle, Suppressor, Leupold Scope, BII, COEI) | NA | ||||
| Verify Weapon Serial Number 24123-R | ||||||
| 3 | Verify Suppressor Serial number 24611 | |||||
| 4 | Scope Cover & Crown Cover Assy. 20298 | |||||
| 5 | One-Piece Scope Mount Assy. 30mm 24755 | |||||
| 6 | 200 - 600 Meter Folding Rear Sight 98474 | |||||
| 7 | Pouch, Tan Nylon, for 10-Round Mag 24722 | |||||
| 8 | Pouch, Tan Nylon, Single Pocket for 20-Round Magazines 24721 | |||||
| 9 | Pouch, Tan Nylon, Double Pocket for 20-Round Magazines 24724 | |||||
| 10 | Zippered Soft Scope Carrying Case, Tan Nylon 20297 | |||||
| 11 | Lower Receiver 25198 | |||||
| 12 | Rifle Hard Case 24761 | |||||
| 13 | Foam Upper 24760 | |||||
| 14 | Foam Lower 24759 | |||||
| 15 | SASS Optics Case 24720 | |||||
| 16 | Laser Filter Unit 13010579 | |||||
| 17 | Anti-Reflection Device 13027735-2 | |||||
| 18 | Leupold Scope 67940 |
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