Appendix C. PROCEDURE FOR RECORDING DISCREPANCIES AND COST ESTIMATES ON DA FORM 2404, BASED ON TECHNICAL INSPECTION

TB 750-99-69

Appendix C

PROCEDURE FOR RECORDING DISCREPANCIES AND COST ESTIMATES

ON DA FORM 2404, BASED ON TECHNICAL INSPECTION

1. DA Form 2404 (Equipment Inspection and Maintenance Worksheet) will be utilized for recording all technical

inspections, as described in this technical bulletin. Preparation of this form will be accomplished in conjunction with TM

38-750 and as follows:

a. Column c (Deficiencies and Shortcomings). List each discrepancy in exact descriptive language.

Also, indicate generally the maintenance required to correct the discrepancy, e.g., "Brushes Worn, Need

Replacement."

b. Column d (Corrective Action). List direct maintenance man-hours required to correct each discrepancy and also

itemize repair parts required to correct the discrepancy. Repair parts will be listed by part number, nomenclature and

Federal stock number.

c. Column c (Initial When Corrected). This column will be used to reflect dollar cost of maintenance man-hours and

necessary repair parts adjacent to the applicable items in column d .

d. Below the completed columns, c, d, and e, as above, include entries as follows:

(1) Total cost of direct maintenance man-hours.

(2) Total cost of repair parts. Refer to applicable supply manuals.

(3) Total cost of indirect maintenance man-hours.

(4) Total cost of general and administrative expenses.

(5) Total cost of transportation as described in paragraph 9d.

(6) Any other cost required to accomplish the required maintenance which can be identified to the repair will be

included.

2. Where the repair/overhaul of the item is accomplished within the maintenance activity that performed the technical

inspection, the DA Form 2407 .(copy #5) and disposed of in accordance with TM 38-750. Where the item is evacuated

through supply channels, after performing a technical inspection, the DA Form 2404 will accompany the item to supply

and be retained with the item until it is delivered to the maintenance activity performing the repair, or to the property

disposal officer when forwarded for disposal.

3. Requests for disposition will be submitted on DA Form 2404, with cover letter to Commander, US Army Aviation

Systems Command, ATTN: AMSAV-F, P. O. Box 209, St. Louis, Missouri 63166.

4. Prepare the DA Form 2404 as follows:

a. Block 1. Enter organization and station to which the equipment is assigned.

b. Block 2. Enter equipment nomenclature.

c. Block 3. Enter equipment serial number (if known or applicable).

d. Block 4. Enter hours of operation in block b (if known or applicable). Leave blocks 4a, c and d blank.

e. Block 5. Enter the Julian date the DA Form 2404 was prepared.

f. Block 6. Enter TB 750-99-69.

g. Block 7. Leave blank.

h. Block 8a. Enter name, grade, title, signature and organization of the technical inspector preparing the DA Form

2404.

i. Block 8b. Enter N/A.

j. Block 9a. Enter name, grade, title, signature and organization of supervising officer or authorized representative.

k. Block 9b. Enter N/A.

l. Block 10. Enter total cost to restore equipment to prescribed serviceability. Total cost will include those factors

outlined in paragraph 8 of this technical bulletin.

m. Complete remainder of form in accordance with paragraph (1) above.