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A 8b. TIME Maintenance Supervisor DEFICIENCIES AND SHORTCOMINGS CORRECTIVE ACTION b c d DA FORM 2404 FEB 2011 PREVIOUS EDITIONS ARE OBSOLETE. 10. EQUIPMENT INSPECTION AND MAINTENANCE WORKSHEET For use of this form see DA PAM 750-8 the proponent agency is DCS G-4. 1. ORGANIZATION 2. NOMENCLATURE AND MODEL 3. REGISTRATION/SERIAL/NSN 4a* MILES b. HOURS TM NUMBER TM DATE COLUMN a c* ROUNDS d. HOT FIRED STARTS 5. DATE APPLICABLE REFERENCE Enter TM item number. Enter the applicable condition status symbol* Enter deficiencies and shortcomings. 6. TYPE INSPECTION COLUMN d Show corrective action for deficiency or shortcoming listed in Column c* COLUMN e Individual ascertaining completed corrective action initial in this column* STATUS SYMBOLS X Indicates a deficiency in the equipment that places DIAGONAL / Indicates a material defect other it in an inoperable status. than a deficiency which must be corrected to increase efficiency or to make the item completely serviceable. CIRCLED X Indicates a deficiency however the equipment may be operated under specific limitations as LAST NAME INITIAL IN BLACK BLUE-BLACK INK directed by higher authority or as prescribed locally until OR PENCIL - Indicates that a completely satisfactory corrective action can be accomplished* condition exists. HORIZONTAL DASH - Indicates that a required inspection component replacement maintenance operation FOR AIRCRAFT - Status symbols will be recorded in red* check or test flight is due but has not been accomplished or an overdue MWO has not been accomplished* ALL INSPECTIONS AND EQUIPMENT CONDITIONS RECORDED ON THIS FORM HAVE BEEN DETERMINED IN ACCORDANCE WITH DIAGNOSTIC PROCEDURES AND STANDARDS IN THE TM CITED HEREON* 8a* SIGNATURE Person s performing inspection TM ITEM NO. EQUIPMENT INSPECTION AND MAINTENANCE WORKSHEET For use of this form see DA PAM 750-8 the proponent agency is DCS G-4. 1. ORGANIZATION 2. NOMENCLATURE AND MODEL 3. REGISTRATION/SERIAL/NSN 4a* MILES b. HOURS TM NUMBER TM DATE COLUMN a c* ROUNDS d. 1. ORGANIZATION 2. NOMENCLATURE AND MODEL 3. REGISTRATION/SERIAL/NSN 4a* MILES b. HOURS TM NUMBER TM DATE COLUMN a c* ROUNDS d. HOT FIRED STARTS 5. DATE APPLICABLE REFERENCE Enter TM item number. Enter the applicable condition status symbol* Enter deficiencies and shortcomings. HOT FIRED STARTS 5. DATE APPLICABLE REFERENCE Enter TM item number. Enter the applicable condition status symbol* Enter deficiencies and shortcomings. 6. TYPE INSPECTION COLUMN d Show corrective action for deficiency or shortcoming listed in Column c* COLUMN e Individual ascertaining completed corrective action initial in this column* STATUS SYMBOLS X Indicates a deficiency in the equipment that places DIAGONAL / Indicates a material defect other it in an inoperable status. 6. TYPE INSPECTION COLUMN d Show corrective action for deficiency or shortcoming listed in Column c* COLUMN e Individual ascertaining completed corrective action initial in this column* STATUS SYMBOLS X Indicates a deficiency in the equipment that places DIAGONAL / Indicates a material defect other it in an inoperable status. than a deficiency which must be corrected to increase efficiency or to make the item completely serviceable. .

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