-
Onsite repair scheduled for (date), signature of shop office NCO.
-
Owner to return item on (date) for repair, signature of shop office NCO.
-
Block 35a will be completed by support only when onsite repair is started or the deferred item
is brought back to support. The receipt copy will be sent to the support unit. The owning unit
keeps all other copies until the onsite repair is started or deferred item is taken back to
support.
Section VII - Action Signatures.
(34a) Submitted By: The person sending in the DA Form 2407 enters first initial and last name in this
block.
(34b) The person signing the forms enters the original ordinal date the form was given to support.
PART C - VERIFICATION THAT BEFORE-, DURING-, AND AFTER-
OPERATION PMCS ON EQUIPMENT HAS BEEN CORRECTLY DONE AND
CORRECTLY ANNOTATED ON DA FORM 2404
DA Form 2404 (Fig. 4-2) is used to report any faults or malfunctions discovered by an equipment operator. It
is also used by organizational maintenance personnel to record periodic maintenance services and spot-
check inspections. This form is a temporary record of needed and completed repairs. DA Form 2404 should
be destroyed after uncorrected faults have been recorded on DA Forms 2402 and 2407 or action has been
taken to request repair parts. However, if equipment is not combat-ready because of needed repairs, DA
Form 2404 should be kept on file until the equipment has been repaired.
Purpose. DA Form 2404 has three major purposes. Operators and crews, firstline leaders, maintenance
supervisors, and commanders are equally responsible for keeping information current and correct on the DA
Form 2404. This form is the central record for managing and controlling maintenance as follows:
It is a record of faults found during an inspection. These faults include PMCS, maintenance activity
inspections, diagnostic checks, and spot-checks (unless otherwise noted).
It shows faults and repairs required for ECOD reports.
It shows Battlefield Damage and Assessment Repair (BDAR) performed.
Use. DA Form 2404 will be used by personnel performing inspections, maintenance services, diagnostic
checks, technical evaluations, marine condition surveys on watercraft, and PMCS (unless otherwise noted):
To inspect all components or subsystems that make up one equipment system, you may use one DA
Form 2404 or separate forms for each subsystem.
To inspect several like items of equipment; e.g., one DA Form 2404 to inspect 25 M16A1 rifles.
As a temporary record of required and completed maintenance.
To list faults that operators or crews cannot fix and list parts replaced.
By unit maintenance during periodic services to list all faults found and action taken to fix faults. When
used to inspect several like items, the DA Form 2404 will list all deficiencies, shortcomings, and
corrective action taken.
General instructions. The way to complete some blocks and columns on DA Form 2404 varies with
the form use. Make sure to read the instructions that apply to the use of the form. When more than one DA
Form 2404 is needed for an inspection or service, print the page number on the right side of the form's title
block. (Put 1 of 2 on the first page and 2 of 2 on the second, etc.) Parts on order or actions pending under
Anticipated Not-Mission-Capable (ANMC) conditions may go on the DA Form 2408-1-4 with a diagonal status
symbol. Administrative motor pools, using ADP cards or other automated forms, do not need the DA Form
2404.
Disposition. The DA Form 2404 will be kept in the equipment record folder or in a protected cover until it
is completed if no faults have been found. If faults are found during an operator's or crew's PMCS, it will be
given to the maintenance supervisor for action. Maintenance section leaders will review the DA Form 2404
prior to destruction to ensure all corrective actions have been completed. Transfer faults that must be fixed
at support maintenance to the DA Form 2407 and attach DA Form 2404. Faults that cannot be fixed until a
part comes in or action(s) that must be deferred will be entered on the DA Form 2408-1-4.
4-7
QM 5181
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