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Page Title:
Appendix B: PRESERVATION / DEPRESERVATION WORKSHEET |
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 TM 55-1520-238-S
PRESERVATION / DEPRESERVATION WORKSHEET
Worksheet shall reflect exactly what work was performed for the specific transport mode.
EQUIPMENT INSPECTION AND MAINTENACNE WORKSHEET
For use of this form, see TM 38-750; the proponent agency is the Office of the Deputy Chief of Staff for Logistics.
1. ORGANIZATION
2. NOMENCLATURE AND MODEL
3. REGISTRATION/SERIAL/NSN
5. DATE
4a. MILES
b. HOURS
c. ROUNDS
d. HOT
6. TYPE INSPECTION
FIRED
STARTS
7.
APPLICABLE REFERENCE
TM DATE
TM NUMBER
TM NUMBER
TM DATE
COLUMN d - Show corrective action for deficiency or
COLUMN
a-Enter TM item number.
shortcoming listed in Column C.
COLUMN b-Enter the applicable condition status symbol.
COLUMN e - Individual ascertaining completed corrective
action initial in this column.
COLUMN c-Enter deficiencies and shortcomings.
X" - Indicates a deficiency in the equipment that places
STATUS SYMBOLS
it in an inoperable status.
DIAGONAL (/)" -Indicates a materiel defect other
than a deficiency which must be corrected to in-
CIRCLED X" i Indicated a deficiency, however, the equip-
crease efficiency or to make the item completely
ment may be operated under specific limitations as
serviceable.
directed by higher authority or as prescribed locally,
until corrective action can be accomplished.
LAST NAME INITIAL IN BLACK, BLUE-BLACK INK,
OR PENCIL-Indicated that a completely satisfactory
HORIZONTAL DASH (-)" -Indicated that a required inspec-
condition exists.
tion, component replacement, maintenance operation check.
or test flight is due but has not been accomplished, or an
FOR AIRCRAFT-Status symbols will be recorded in red.
overdue MWO has not been accomplished.
ALL INSPECTIONS AND EQUIPMENT CONDITIONS RECORDED ON THIS FORM HAVE BEEN DETERMINED
IN ACCORDANCE WITH DIAGNOSITC PROCEDURES AND STANDARDS IN THE TM CITED HEREON.
8a. SIGNATURE (Person(s) performing inspection)
9a. SIGNATURE (Maintenence Supervisor)
8b. TIME
9b. TIME
10.MANHOURS
REQUIRED
TM
INITIAL
ITEM
WREN COR
H
STATUS
DEFICIENCIES AND SHORTCOMINGS
CORRECTIVE ACTION
NO.
ECTED
a
c
b
c
d
DA
FORM
2404
Replaces edition of 1 Jan 64, which will be used
M05-071
1 APR 79
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