DA Form 5988-e Blank Fillable

Annex A to Lesson Plan

DK02

DATE: 15-JUN-97

UIC:

EQUIPMENT MAINTENANCE AND INSPECTION WORKSHEET

W1L4E1

DA FORM 5988-E

HHT 5-15TH CAV 1ATB

-------------------------------------------------- EQUIPMENT DATA -----------------------------------------------ADMIN NUM: EQUIP MODEL: EQUIP NOUN: EQUIP NSN:

EQUIP SERIAL NUM: REGISTRATION NUM: TYPE INSPECTION: CURRENT READING: NUMBER

DATE

CHANGE NUMBER

PUBLICATION: PUBLICATION: INSPECTOR LIC#:_______________ TIME:______ SIGNATURE:_________________ TIME:______ --------------------------------------------------- PARTS REQUESTED ----------------------------------------------

FAULT

DOC NUM

NIIN

QTY DUE/REC

STATUS DATE

DATE COMP PRI

DLC

------------------------------------------------ MAINTENANCE FAULTS -----------------------------------------ITEM FAULT NUM DATE ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____

_________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________

6L1MAR99DK02

FAULT STATUS ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

FAULT DESCRIPTION

_____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________

A-6

CORRECTIVE ACTION

INITIALS

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VIEWGRAPH #5