1. DATE 2 MODEL
3. SERIAL NO.
4 NAME OF CREW CHIEF/MECHANIC 5 STATlON
6 PAGE NO.
6a NO. OF PAGES
I
7
STATUS TODAY
8
AIRCRAFT TIME
9
NEXT INSPECTION DUE
HOT STARTS
AIRCRAFT
ELEC-
ARMA-
OTHER
TIME TO
INTMED
LANDINGS
OTHER
TRONIC
MENT
N0.1
DATE
ENGINE
ENGINE
b
c
1
4
P.E. NO.
PREVIOUS
TIME TO-
2
DAY
5
TODAY
TOTAL
3
OTHER
6 TIME
TOTAL
11
FUEL (Gals or Lbs)
12
OIL ( Quarts)
13
14
15
SERVICED
ANTl-
SERV-
0XYGEN
ICING
TOTAL
ADDED
TOTAL
GRADE
ADDED
ADDED
TOTAL
FLUID
IN
GRADE
N0.
1
IN
TANKS
N0. 2
ENG
APU
TANKS
ENG
TANKS
(Gals)
BY
STATION
1
2
3
4
5
6
7
TOTAL
16
STATUS
17
FAULTS AND/OR REMARKS
18.
ACTION TAKEN
19
SIGNATURE
ICE
NO.
NO. 2
NO.
IN
(PSI)
I
I
I
1
DA FORM 2408-13, 1 DEC 66
REPLACES EDITION OF 1 JAN 64, WHICH WILL BE USED
AIRCRAFT INSPECTION AND MAINTENANCE RECORD
For use of this form see DA PAM 738-751, the proponent army is DCSLOG
TM 55-1520-228-BD
GENERAL INFORMATION
Figure 1-1. DA Form 2408-13
1-7
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