Exhbit_Ba_DA_FORM_2404_-_Maintenence_Worksheet.pdf

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Tactical Wheeled Vehicle (TWV) Maintenance
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W91QVN-17-R-0097
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Exhibit BA.

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4a. MILES b. HOURS d. HOT

STARTS

8b. TIME 9a. SIGNATURE (Maintenance Supervisor) 10. MANHOURS

REQUIRED

TM INITIAL

ITEM STATUS WHEN

NO CORRECTED

a b e

CORRECTIVE ACTION

d directed by higher authority or as prescribed locally, until corrective action can be accomplished.

CIRCLED "X" - Indicates a deficiency, however, the or an overdue MWO has not been accomplished.

1. ORGANIZATION

COLUMN a - Enter TM item number.

COLUMN b - Enter the applicable condition status symbol.

equipment may be operated under specific limitations as

TM DATE

COLUMN c - Enter deficiencies and shortcomings.

"X" - Indicates a deficiency in the equipment that places it in an inoperable status.

Replaces edition of 1 Jan 64, which will be used USAPPC V1.10 inspection, component replacement, mainenance operation check, or test flight is due but has not been accomplished, DEFICIENCIES AND SHORTCOMNGS

LAST NAME INITIAL IN BLACK, BLUE-BLACK INK,

FOR AIRCRAFT - Status symbols will be recorded in red.

efficiency or to make the item completely serviceable.

action initial in this column.

shortcoming listed in Column c.

COLUMN e - Individual ascertaining completed corrective

TM DATE

7. APPLICABLE REFERENCE

c. ROUNDS

FIRED

5. DATE

TM NUMBER

COLUMN d - Show corrective action for deficiency or

ALL INSPECTIONS AND EQUIPMENT CONDITIONS RECORDED ON THIS FORM HAVE BEEN DETERMINED

IN ACCORDANCE WITH DIAGNOSTIC PROCEDURES AND STANDARDS IN THE TM CITED HEREON.

OR PENCIL - Indicates that a completely satisfactory

TM NUMBER

than a deficiency which must be corrected to increase

9b. TIME8a. SIGNATURE (Person(s) performing inspection)

HORIZONTAL DASH "(-)" - Indicates that a required condition exist.

DA FORM 2404, APR 79

EQUIPMENT INSPECTION AND MAINTENANCE WORKSHEET

For use of this form, see DA PAM 738-750 and 738-751; the proponent agency is DCSLOG

STATUS SYMBOLS

DIAGONAL."(/)"- Indicates a material defect other

2. NOMENCLATURE AND MODEL

6. TYPE INSPECTION3. REGISTRATION/SERIAL/NSN

c

TM

ITEM STATUS DEFICIENCIES AND SHORTCOMNGS CORRECTIVE ACTION

NO

a b c d

INITIAL

WHEN

CORRECTED

e

USAPPC V1.10

PAGE 1
PAGE 2

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