Attachment_0016_-_MEO_C6980.pdf

C6980

2 OCT 22, 2010 3

Component Data Form (CDF) AMSAM-MMC Form 723

NO

YES

AH64-EE DAA

DMWR 1-6130-296 dated 24 January 2007

TN 88643

Remove the existing PSA check list and replace with the Component Data Form (CDF).

Tri Tran Dinh Luu Ron Walterick

3-3

3-7

3-12

3-2

Revise to read as follows:

"COMPONENT DATA FORM (CDF). A Component Data Form (ASAM-MMC Form 723, 1 July 2006) of Table 3-2 will be completed for each assembly overhauled. In completing the data form, provide a qualifying statement encompassing the location and degree of each observed discrepancy, defect, or failure. Copies of the Component Data Form and if applicable, DA Form 2410, will be forwarded to the following organization for each processed unit:

U.S. Army Aviation & Missile Command Maintenance Information Operation Branch

ATTN: AMSAM-MMC-MA-NM

Redstone Arsenal, AL 35898-5000

For government activities with the appropriate credentials and login authorization, an electronic copy of the CDF is available at the following website: https://tamms-a.redstone.army.mil/MCDS/mcdsFS.asp.

Delete the PSA checklist and replace with CDF located in pages 2 & 3 of this

MEO.

2 3

1. NOUN 2. PART NO. 3. SERIAL NO. 4. SEQUENCE 5. DATE

8. O/H 9. TSN 10. TSO

14. FAILED P/N

14A. FAILED P/N

14B. FAILED P/N

14C. FAILED P/N

14D. FAILED P/N

14E. FAILED P/N

14F. FAILED P/N

AMSAM-MMC Form 723, 1 Jul 06

15F. CONDITION/DISCREPANCY

16. OTHER REMARKS

15B. CONDITION/DISCREPANCY

15C. CONDITION/DISCREPANCY

15D. CONDITION/DISCREPANCY

15E. CONDITION/DISCREPANCY

12. PRIMARY CAUSE OF FAILURE

13. SECONDARY FAILURE(S)

15. CONDITION/DISCREPANCY

15A. CONDITION/DISCREPANCY

COMPONENT DATA FORM

6. PREPARED BY

11. DESCRIPTION OF ACTUAL COMPONENT FAILURE(S)

7. CUSTOMER'S REASON FOR RETURN

3 3

1. NOUN - Nomenclature for component being inducted.

2. PART NO. - Part number of component being inducted.

3. SERIAL NO. - Serial number of component being inducted.

4. SEQUENCE - Sequence number is the identification code for processed items.

5. DATE - Date that the component was inducted.

6. PREPARED BY - Name of person that prepared this form.

7. CUSTOMER'S REASON FOR RETURN - Stated reason for return per field tag or other documentation.

8. O/H - Number of previous overhauls, if known.

9. TSN - Time since component was new, if known.

10. TSO - Time since last overhaul, if applicable.

11. DESCRIPTION OF COMPONENT FAILURE(S) - Description of specific actual failure mode(s) for the component as observed during the overhaul process. The actual reason(s) the unit was returned for maintenance. This data will not necessary match the data for box 7 since a more detailed analysis can be performed as the component is disassembled for overhaul.

12. PRIMARY CAUSE OF FAILURE - Determination of the primary cause of failure.

13. SECONDARY FAILURE(S) - Description of damage that may have occurred as a result of primary failure.

14. FAILED P/N - Part Number for each failed or nonconforming part. Additional boxes (14 A-F) are available for each failed or nonconforming part found during the inspection process.

15. CONDITION / DISCREPANCY - Condition of and/or discrepancies for each failed or nonconforming part as discovered during the overhaul inspection process. Additional boxes (15 A-F) are available for each failed or nonconforming part found during the inspection process.

16. OTHER REMARKS - Other comments related to the particular unit not covered elsewhere.

A copy of this Component Data Form will be forwarded to the following address for each unit processed:

U.S. Army Aviation and Missile Command Maintenance Information Operations Branch

ATTN: AMSAM-MMC-MA-NM

Redstone Arsenal, AL 35898-5000

Reverse of AMSAM-MMC Form 723, 1 Jul 06

INSTRUCTIONS FOR COMPONENT DATA FORM

The component data form shall be completed for each unit processed. Fill in each box with the required data as applicable. Boxes for which data is not applicable or not available may be marked with "N/A."

DMWR 1-6130-296 24 January 2007 AH64-EE

C6980

No Significant Airworthiness Impact-Implement per standard procedures

Tri Tran, DSN 861.3542, 361.961.3542