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Transcript of CH-47D 9100268 HELICOPTER, CARGO HISTORICAL ...
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 1 of 21
BOEING HELICOPTERSAIRCAFT S/N 61-02419, CH-47A, INDUCTEDAND CONVERTED TO CH-47D, S/N 91-0268 ON27 AUG 1992, TOTAL TIME AT MODIFICATION:4340.0 HRS. BOEING HELICOPTERS, PHILA,PA. S/ K.L.MRUK, CIV. (KM0000)
27-Aug-1992 1
PHILADELPHIA, PA.
brian.b.tims
BOEING HELICOPTERSAIRCRAFT S/N 91-0268 TEST FLOWN ANDACCEPTED AT 4349.6 HRS. BOEINGHELICOPTERS, PHILA, PA. S/ K.L. MRUK, CIV.(KM0000)
14-Oct-1992 1
PHILADELPHIA, PA.
brian.b.tims
BOEING HELICOPTERSCH-47-93-02; UNGROUNDING OF U.S. ARMYCH-47D, MH-47D AND MH-47E AIRCRAFT (TB1-1520-240-20-63) COMPLIED WITH. 6 NOV 1992,BOEING HELICOPTERS, PHILA, PA. S/ V.HOLMES. CIV. (KM0000)
06-Nov-1992 1
PHILADELPHIA, PA.
brian.b.tims
AASFACFT PICKED UP AT BOEING HELICOPTER,PHILA, PA. BY AASF, MERIDIAN, MS. ON 24NOV 92 AT 4354.6 ACFT. HRS. ENTERED BYB.A. GIBSON, T.I., AASF, MERIDIAN, MS.(BG8488)
24-Nov-1992 1
MERIDIAN, MS.
brian.b.tims
AASFCH-47-93-ASAM-03; ONE TIME INSP. OF HYD.PUMP, NSN 1650-01-240-4341, C/W 15 MAR 93AT 4413.0 ACFT. HRS. AT AASF, MERIDIAN,MS. S/ B.A. GIBSON, T.I. (BG8488)
17-May-1993 1
MERIDIAN, MS.
brian.b.tims
AASFCH-47-93-ASAM-02, INSP OF HI-LOCKFASTENERS AT FUSELAGE STATION 83 TO120 ENTERED AT AASF, MERIDIAN, MS. S/ B.A.GIBSON, T.I. (BG8488)
01-Jun-1993 1
MERIDIAN, MS.
brian.b.tims
AASFSOF CH-47-93-03, RECORDS CHECK OFENGINE TRANSMISSIONS P/N 145D6300SERIES TO IDENTIFY UNSERVISEABLETRANSMISSIONS C/W. (BG8488)
19-Jul-1993 1
MERIDIAN, MS.
brian.b.tims
AASFPHASE #1 COMPLETED AT 4539.9 ACFT. HRS.NEXT PHASE NO. 2 DUE AT 4739.9 ACFT. HRS.(BG8488)
30-Sep-1993 1
MERIDIAN, MS.
brian.b.tims
AASFCH-47-94-ASAM-01, ON TIME AND RECURRINGINSP OF ROTARY WING HEAD BUSHINGS (TB1-1520-240-20-67) C/W AT 4561.1 ACFT. HRS.(BG8488)
28-Oct-1993 1
MERIDIAN, MS.
brian.b.tims
AASFCH-47-94-ASAM-02, AMMENDMENT TO CH-47-94-ASAM-01 (BG8488)
04-Nov-1993 1
MERIDIAN, MS.
brian.b.tims
OCM SECTIONOCM/ ACE PERFORMED AT 4570.0 ACFT. HRS.AT MERIDIAN, MS. BY "A". (AB0000)
23-Nov-1993 1
ST. LOUIS, MO.
brian.b.tims
AASFCH-47-94-ASAM-03, MAINTENANCEMANDATORY, ONE TIME AND RECURRINGINSP OF CERTAIN RIGID CONNECTING LINKS,P/N 145C3340-10 UNTIL REPLACEMENT (TB 1-1520-240-20-68) (BG8488)
26-Jan-1994 1
MERIDIAN, MS..
brian.b.tims
AASFCH-47-94-ASAM-04, ONE TIME INSP OF PILOTSAND COPILOTS SEAT BELT BUCKLE C/W ATAASF, MEI. (BG8488)
17-Feb-1994 1
MERIDIAN, MS..
brian.b.tims
AASFCH-47-94-ASAM-05, ONE TIME INSP OF 5000 LBTIE DOWN RECEPTACLE ASSY C/W AT AASF,MEI. (BG8488)
03-May-1994 1
MERIDIAN, MS..
brian.b.tims
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 2 of 21
AASFCH-47-94-ASAM-06, ONE TIME ANDRECURRING INSP OF HYD PUMPING UNIT, C/WAT AASF, MEI. (BG8488)
03-May-1994 2
MERIDIAN, MS..
brian.b.tims
AASFSOF CH-47-95-01, ONE TIME VISUAL INSP OFUPPER BOOST ACT S/N'S TO ENSUREPROPER SREWS ARE INSTALLED (TB 1-1520-243-20-2) C/W AT 4739.6 ACFT.HRS. (BG8488)
14-Dec-1994 1
MERIDIAN, MS..
brian.b.tims
AASFCH-47-95-ASAM-01, ONE TIME ANDRECURRING DAILY INSPECTION OF THRUSTIDLER ASSY (TB 1-1520-243-20-1) C/W AT4739.6 HRS. (BG8488)
04-Jan-1995 1
MERIDIAN, MS..
brian.b.tims
AASFOCM/ ACE PERFORMED AT 4740 ACFT HRS ATMERIDIAN, MS. BY "W", OCM SECTION, STLOUIS, MO. (AB0000)
09-Jan-1995 1
MERIDIAN, MS..
brian.b.tims
AASFCH-47-95-ASAM-02, ONE TIME TORQUE CHECKOF PTU MOTOR PUMP NUTS, TB 1-1520-243-20-4, C/W AT 4739.6 HRS. (BG8488)
08-Feb-1995 1
MERIDIAN, MS..
brian.b.tims
AASFPHASE #2 COMPLETED AT 4739.6 ACFT. HRS.PHASE #3 DUE AT 4939.6 ACFT. HRS. (BG8488)
13-Feb-1995 1
MERIDIAN, MS..
brian.b.tims
AASFCH-47-95-ASAM-04, ALL CH-47DHELICOPTERS, ONE TIME INSP FORSTRATOPOWER PUMPS NSN: 1650-01-249-4341 AND REPORTING FOR TURN AROUNDPROGRAM (TB 1-1520- 240-20-75) AT 4778.6ACFT. HRS. (BG8488)
31-Mar-1995 1
MERIDIAN, MS..
brian.b.tims
AASFSOF CH-47-95-02, ONE TIME VISUAL INSP ANDTORQUE CHECK OF LOWER DRIVE LINK TOSWASHPLATE RETAINING HARDWARE AT4817 ACFT HRS. (BG8488)
12-May-1995 1
MERIDIAN, MS.
brian.b.tims
AASFCH-47-95-ASAM-05, INSP. AND LUBRICATIONOF THE FLT CONTROL ROD END BEARINGS(ROLLING ELEMENT) TB 1- 1520-240-20-77 AT4852.7 ACFT. HRS. (BG8488)
02-Jun-1995 1
MERIDIAN, MS.
brian.b.tims
AASFCH-47-95-ASAM-06, REVISION TO CH-47-95-ASAM-05 (TB 1-1520-240-20-77) AT 4933.0ACFT. HRS. (BG8488)
05-Sep-1995 1
MERIDIAN, MS.
brian.b.tims
AASFCH-47-95-ASAM-07, ALL CH-47D ACFT,ONETIME RECORDS CHECK FOR MWO 1-1520-240-50-69, REINSTALLATION OF MWO 1-1520-240-50-69FOR ROTOR HEADS MODIFIED INEUROPE AND RECURRING VISUAL INSP. FORSLIPPED BUSHINGS AND OR CRACKED PITCHHOUSING LUGS FOR HEAD WITH MWO 1-1520-240-50-69 APPLIED (TB 1-1520-240- 20-79) AT4934.9 ACFT. HRS. (BG8488)
21-Sep-1995 1
MERIDIAN, MS.
brian.b.tims
DYNCORP OLRENGINE AFT MOUNT LINK INSTALLEDDIMENSIONS AFTER COMPLETION OF MWO1-1520-240-50-60. L/H 6.360 IN. R/H 6.430 INCHES.(LB2657)
26-Sep-1995 1
FT. HOOD, TX.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-95-ASAM-08, ALL CH47D ACFT,INSPECTION 0F AFT VERTICAL SHAFT (TB1-1520-240-20-78) AT 4934.9 ACFT HRS. (RL8391)
26-Sep-1995 2
MERIDIAN, MS.
brian.b.tims
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 3 of 21
AASF/ CO. G 185THAVN.
CH-47-96-ASAM-01 (TB1-1520-240-20-80) ALLCH-47D HELICOPTERS REPLACEMENT OF AFTLANDING GEAR DRAG LINK ASSY'SSUSCEPTIBLE TO STRESS CORROSIONCRACKING. (RL8391)
08-Nov-1995 1
MERIDIAN, MS
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-96-ASAM-03 (TB1-1520-240-20-82)MAINT. MANDATORY, ONE TIME VISUAL INSP.OF PRESSURE GUAGE FOR I. D. TAPE LOC. AT4937.7 ACFT HRS. (RL8391)
31-Jan-1996 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
# 1 ENGINE AIRFRAME FWD MOUNT NDI INSPCOMPLETED AT 4937.7 ACFT HRS. 28 NOV 95(BG8488)
23-Feb-1996 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
PHASE #3 COMPLETED 96-02-14 AT 4937.7ACFT HRS. PHASE #4 WILL BE DUE AT 5137.7ACFT HRS. (BG8488)
24-Feb-1996 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-96-ASAM-04 (TB1-1520-240-20-83) ONETIME INSPECTION OF FWD & AFT ROTARYWING HEADS FOR HORIZONTAL HINGE PINBEARING OIL FLOW. (RL8391)
06-Jun-1996 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-96-ASAM-05 (TB1-1520-240-84)MAINTENANCE MANDATORY, ALL CH-47DACFT, ONE TIME INSPECTION OF THEFORWARD CONTROL INSTALLATION FOR THEMFG. OF P/N 114R3650-3 BOLT ASSY, (TB1-1520-240-84) C/W @ 5015.7 ACFT. HRS. RLUKE, AASF MEI, MS. (RL8391)
12-Jul-1996 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-96-ASAM-06 MAINTENANCEMANDATORY, ALL CH-47DACFT, ONE TIMEVISUAL INSPECTION & RECORDS CHECK OFTHE UPPER BOOST ACTUATOR & PULL TESTOF SWASHPLATES C/W @ 5015.7 ACFT. HRS.R. LUKE, MEI. MS. (TB1-1520-240-20-85)(RL8391)
12-Jul-1996 8
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-96-ASAM-07 INSPECT THE BOND LINESON THE 114P8079-2 & -3 STRAP ASSY'S FORLOOSENESS AROUND THE EDGES (TB1-1520-240-20-86). (RL8391)
13-Jul-1996 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-96-ASAM-08 (TB1-1520-240-20-88) ONETIME VISUAL INSPECTION FOR AND REMOVALOF CERTAIN S/N 145DS102-3 FWD XMSN MAINLUBE PUMPS. (RL8391)
23-Aug-1996 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
ACE/AACE PERFORMED AT 5110 A/C HRS BYDYN CORP FT HOOD, TX. OLR PROFILER 'N'(DS0000)
10-Sep-1996 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-96-ASAM-09 (TB1-1520-240-20-89)INSPECT & REPAIR AFT PYLON CLAM SHELLDOOR LOWER LATCH C/W @ 5130.5 ACFT.HRS. (RL8391)
16-Sep-1996 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-01 (TB1-1520-240-20-90) ONETIME RECORDS CK., VISUAL INSPECTION FOR& REMOVAL OF CERTAIN S/N 145D3400-23, -25, -32 SYNC D/S C/W . (RL8391)
11-Oct-1996 1
MERIDIAN, MS.
brian.b.tims
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 4 of 21
AASF/ CO. G 185THAVN.
SOF MSG CH-47-97-01 (TB1-1520-240-20-91)ONE TIME VISUAL INSPECTION OF FORWARDTRANSMISSION MOUNTING (BARREL) NUTS.(RL8391)
14-Nov-1996 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-02 (TB1-1520-240-20-92)MAINTENANCE MANDATORY, VISUAL INSP.FOR WINCH/HOIST CONTROL GRIP SWITCHGUARD. COMPLETED 9 JAN 97 (DT2810)
12-Jan-1997 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
GEN-97-ASAM-03 (AN/ASN-149 GLOBALPOSITIONING SYS) NOT INSTALLED ON ACFTDOES NOT APPLY AS OF PRESENT TIME(BG8488)
14-Jan-1997 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-03 (TB1-1520-240-20-94), ONETIME & RECCURING INSP. OF CABIN FLOOR &RAMP 5000# TIE- DOWN FITTINGS. (RL8391)
07-Feb-1997 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-05 (TB1-1520-240-20-93) ONETIME INSPECTION & REPLACEMENT OF AN320-12 CASTELLATED NUTS. (RL8391)
19-Mar-1997 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-04 (TB1-1520-240-20-96) ONETIME VISUAL INSPECTION & REPLACEMENTOF CERTAIN P/N 4C3074 CRISSAIR CHECKVALVES. (RL8391)
19-Mar-1997 17
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-08 (TB1-1520-240-20-97)MAINTENANCE MANDATORY, INSP. & LUBEOF FLT CONTROL ROD END BEARINGS.(RL8391)
24-Apr-1997 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-06 (AN/ASN-149 GLOBALPOSITIONING SYS) NOT INSTALLED ON ACFT,DOES NOT APPLY AS OF PRESENT TIME.(RL8391)
24-Apr-1997 2
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-07 (TB1-1520-240-20-95) ONETIME AND RECURRING INSP OF PDP FEEDERWIRE/CBS. AND INSTALLATION OF CB.COVERS/SEALS. (RL8391)
06-May-1997 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-09 OPERATION OF T-62-T-2BAPU & APU FLT HRS. (RL8391)
05-Jun-1997 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-10 (TB 1-1520-240-20-99) ONETIME INSPECTION OF ANVIS/HUD POWERSUPPLY C/W. (RL8391)
02-Oct-1997 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-98-ASAM-01, UNCOMMANDEDCONTROL INPUTS, C/W (RL8391)
22-Oct-1997 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-98-ASAM-02 (TB1-1520-240-20-100)EXTENSION OF (CH-47-96-ASAM-01)REPLACEMENT OF AFT LANDING GEAR DRAGLINK ASSY (-3 IF INSTALLED) TO 30 APR 99(RL8391)
27-Nov-1997 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-98-01 (TB 1-1520-240-20-103) ONE TIMEINSP OF AFT UPPER BOOST ACTUATORS TOSTATIONARY SWASHPLATE RETAININGHARDWARE. (RL8391)
24-Mar-1998 1
MERIDIAN, MS.
brian.b.tims
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 5 of 21
AASF/ CO. G 185THAVN.
CH-47-98-ASAM-03 (TB1-2835-205-20-3)MANDATORY TORQUE CHECK ANDREPLACEMENT OF APU BOLTS COMPLIEDWITH AT 5242.7 ACFT. HRS. (TE7467)
03-May-1998 1
MERIDIAN, MS.
brian.b.tims
AASF/CO. G 185TH AVN.ACE/CPC PERFORMED AT 5254 A/C HRS. BYTEAM MEMBER "K" AMCOM OLR/MWOBRANCH HUNTSVILLE, AL. DANNY MEYERS.(DM5698)
13-May-1998 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-98-ASAM-04 (TB1-1520-240-20-102) ONETIME INSPECTION FOR AFT TRANSMISSIONSWITH SUSPECTED IMPROPERLY SHIMMEDINPUT PINION GEAR ASSY C/W. (DT2810)
19-May-1998 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
SOF CH-47-98-02, FLIGHT RESTRICTIONS ANDMAINTENANCE INSPECTION PROCEDURESFOR ACFT WITH MWO 1-1520-240-50-67APPLIED(NONMETALLIC C-BOX SPLINEDADAPTERS) C/W. (JS5030)
20-Jul-1998 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-98-ASAM-05, REVISION TO CH-47-98-ASAM-02, RESCINDING ROLL ON LANDINGRESTRICTION FOR -3 DRAG LINK ASSYS.(DT2810)
24-Sep-1998 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
#2 ENGINE AIRFRAME MOUNT 600 HR.INSPECTION COMPLETED AT 5333.9 ACFT.HRS. (RL8391)
10-Dec-1998 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-99-ASAM-02 (TB1-1520-240-20-107)ACTIONS TO REDUCE SUSCEPTIBILITY TOFLIGHT CONTROL LOCKUP AND/ORUNCOMMANDED MANEUVERS COMPLIEDWITH. (DT2810)
24-Feb-1999 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
#1 EMER. POWER TIMER INDICATES 1 MIN. NOACTUAL EMER. POWER TIME ON INSTALLEDENGINE. TO BE CONSIDERED 0 TIME. 5333.9ACFT. HRS. (DT2810)
27-Feb-1999 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
#2 EMER. POWER TIMER INDICATES 1 MIN. NOACTUAL EMER. POWER TIME ON INSTALLEDENGINE. TO BE CONSIDERED 0 TIME. 5333.9ACFT. HRS. (DT2810)
27-Feb-1999 2
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-99-ASAM-01 (TB1-1520-240-20-106)MAINTENANCE MANDATORY, ALL CH-47ACFT. ONE TIME INSP OF LAG DAMPENERSCOMPLIED WITH. (DT2810)
02-Mar-1999 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-99-ASAM-04 (TB1-1520-240-20-109)MAINTENANCE MANDATORY; ALL H-47 ACFT;FWD AND AFT LCT YOKE BUSHING INSP. ANDACFT. MAINT. MANUAL CHANGES C/W.(DT2810)
16-Mar-1999 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-99-ASAM-03, MAINT. MANDATORY; ALLCH-47 ACFT ONE TIME AND RECURRING INSP.OF THE HOIST/CARGO HOOK CONTROLPANEL AND WATER INTRUSION IN COCKPITCOMPLIED WITH. (TB55-1520-240-20-108)(DT2810)
17-Mar-1999 1
MERIDIAN, MS.
brian.b.tims
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 6 of 21
AASF/ CO. G 185THAVN.
PHASE #1 COMPLETED 19 MAR 99 AT 5333.9ACFT. HRS. PHASE #2 WILL BE DUE AT 5533.9ACFT. HRS. (RL8391)
19-Mar-1999 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
ACE/CPC PERFORMED AT 5342 ACFT. HRS. BYTEAM MEM- BER "N" AMCOM OLR/MWOBRANCH, KILLEEN, TX. S/DON E.SCHROEDER. (DS5651)
15-Apr-1999 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-99-ASAM-05 (TB1-1520-240-20-110)MAINTENANCE MANDATORY;ALL CH-47ACFT,EXTENSION FOR REPLACEMENT OFAFT LANDING GEAR DRAG LINK ASSY'S C/W.(DT2810)
30-Apr-1999 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
SOF MESSAGE CH-47-99-01 (TB1-1520-240-20-111) ONE TIME INSP. OF SYNC SHAFTMOUNTING BRACKETS FOR PROPERCLEARANCE TO SYNC SHAFTS (DT2810)
07-Jul-1999 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
SOF CH-47-99-02 EMERGENCY;IMMEDIATEGROUNDING OF ALL H-47 SERIES AIRCRAFT.(JS5030)
10-Aug-1999 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
SOF CH-47-99-03, TB 55-1520-240-20-113,TECHNICAL, ALL H-47 SERIES AIRCRAFT,INSPECTION OF H-47 AIRCRAFT FORWARDAND AFT TRANSMISSIONS GEAR/BEARINGASSEMBLIES REQ'D. TO BE C/W N/L/T 7 SEP99 (JS5030)
25-Aug-1999 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
SOF CH-47-99-04 (TB 1-1520-240-20-114),TECHNICAL , CH-47D, MH-47D, MH-47EAIRCRAFT, INSPECTION OF H-47 AIRCRAFTFOR FORWARD AND AFT TRANSMISSIONGEAR/BEARING ASSEMBLIES IDENTIFIED BYSERIAL NUMBER PREFIX "VB" (JS5030)
27-Aug-1999 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
SOF CH-47-99-05;TB 1-1520-240-20-115:TECHNICAL,ALL H-47 SERIES AIRCRAFT,REPLACEMENT OF SUSPECT FOR WARD ANDAFT TRANSMISSION ASSEMBLIES WITH ONESTHAT HAVE BEEN INSPECTED AND CLEAREDFOR OPERATION (CM6742)
14-Sep-1999 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
SOF CH-47-00-01/ TB 1-2835-205-20-4, ONETIME RECORDS INSP TO DETERMINE IF APUCOMPRESSOR WHEEL HAS BEEN NDI ANDADD # OF STARTS TO APU. APU S/N877548.048. (JS5030)
12-Oct-1999 1
MERIDIAN, MS.
brian.b.tims
AASF/CO G. 185TH AVN.SOF CH-47-00-02; CORRECTION TO SOF CH-47-00-01, PARA 10D, 9A, 9B, & 12C. (JS5030)
10-Nov-1999 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
SOF CH-47 00-03/ TB 1-1520-240-20-116; ALL H-47 SERIES AIRCRAFT, INCREASE OFOPERATING LIMITATIONS FOR FORWARDAND AFT TRANSMISSION GEAR/ BEARINGASSEMBLIES IDENTIFIED BY SERIAL # PREFIX"VB" (JS5030)
06-Dec-1999 1
MERIDIAN, MS.
brian.b.tims
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 7 of 21
AASF/ CO.G 185TH AVN.SOF CH-47-00-04/ TB1-1520-240-20-117; ONETIME INSPECTION OF ENGINE TRANSMISSIONHISTORICAL RECORDS FOR SUSPECT GEARSAND REPLACEMENT OF SUSPECTTRANSMISSIONS. (JS5030)
31-Jan-2000 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
ACFT SUBJECTED TO HIGH WIND ORMICROBURST ON 10 MARCH 00, ACFT WASINSPECTED FOR HIGH WIND DAMAGE IAW TM55-1520-240-23-1 AND TASK 5-63.3. ACFTSUSTAINED DAMAGE TO THE AFT ROTORHEAD RED UPPER PITCH HOUSING STOPSAND THE FWD ROTOR HEAD UPPER YELLOWAND RED UPPER PITCH HOUSING STOPS. AFTAND FWD ROTOR HEADS WERE REMOVEDAND SENT TO OVERHAUL. P/C LINKS WEREREMOVED AND DESTROYED. ACFT WASINSPECTED IAW MEMORANDUM FROMAMCOM ENGINEERING DIVISION AND BOEINGHELICOPTERS. (JS5030)
31-Mar-2000 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
SOF CH 47-00-05/(TB 1-1520-240-20-120); ONETIME INSPECTION OF PITCH HOUSINGS, P/N145R2075-13/-14/-15/-16. (CM6742)
02-May-2000 1
MERIDIAN, MS
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-ASAM-00-01/TB 1-1520-240-20-119;INITIAL AND RECURRING INSPECTION OFFUEL PODS FOR CORROSION ANDELECTRICAL BONDING. (CM6742)
02-May-2000 2
MERIDIAN, MS
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-00-ASAM-02: 10 MAY 00,INITIAL ANDRECURRING INSPECTIONS ANDREPLACEMENT OF HORIZONTAL HINGE PINSHOULDER BOLTS P/N 114R2201-1. (CM6742)
11-May-2000 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
SOF CH-47-00-06; AUTHORIZATION FOR ACFTWITH APU CONTAINMENT DEVICE TOOPERATE WITHOUT RESTRICTIONS IMPOSEDBY SOF CH-47-00-01 (JS5030)
11-May-2000 2
MERIDIAN,MS
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-00-ASAM-03: 13 JUN 2000, IMMEDIATEAND PERIODIC HYDRAULIC FLUID SAMPLINGOF H-47 SERIES AIRCRAFT. ACFT HRS 5485.0(CM6742)
13-Jun-2000 1
MERIDIAN,MS
brian.b.tims
AASF/ CO. G 185THAVN.
ACE/CPC PERFORMED AT 5485.0 ACFT. HRS.BY TEAM MEMBER "W" AMCOM OLR MWOBRANCH, KILLEEN, TX. (JP2527)
20-Jun-2000 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-00-ASAM-04; ONE TIME INSPECTION OFROTOR HEAD HISTORICAL RECORDS FORCERTAIN S/N HORIZONTAL HINGE PINS.(JS5030)
27-Jul-2000 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-00-ASAM-05; ONE TIME INSPECTION OFFORWARD AND AFT SLIDER SHAFT SEALSFOR PROPER CONSTRUCTION HINGE PINS.(JS5030)
27-Jul-2000 2
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-00-ASAM-07;(TB 1-1520-240-20-125) ONETIME INSPECTION AND REPLACEMENT OFUNTESTED AFT LCT ACTUATOR AND FIXEDLINK BOLT P/N 114R3650-7.ES. BEARINGASSEMBLIES REQ'D TO BO C/W N/L/T 7 SEP99REFIX "VB" (CM6742)
26-Sep-2000 1
MERIDIAN, MS
brian.b.tims
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 8 of 21
AASF/ CO. G 185THAVN.
SOF CH-47-00-07/ (TB 1-1520-240-20-129)INITIAL AND RECURRING INSPECTION OFCOMBINING TRANSMISSION COOLING FANDRIVE SHAFT AND DRIVE GEAR SPLINES.(CM6742)
26-Sep-2000 2
MERIDIAN, MS
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-00-ASAM-06/ TB 1-1520-240-20-126; ONETIME INSPECTION OF H-47 SERIES AIRCRAFTFOR DEFECTIVE FADEC P3 DRAINCARTRIDGE. (CM6742)
27-Sep-2000 1
MERIDIAN, MS
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-00-ASAM-08/ TB 1-1520-240-20-128;INSPECTION OF FWD YOKE SHAFT, P/N145C3051-1, FOR CORROSION. (JS5030)
29-Sep-2000 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-01/ TB 1-1520-240-20-127; ONETIME INSPECTION FOR MA-16 INERTIA REELSP/N 015-870145-3-16. (JS5030)
18-Oct-2000 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-02/ TB 1-1520-240-20-130; ONETIME INSPECTION FOR UNTESTED FSP P/N114R3650-6 & 114R3650-11 BOLTS. (JS5030)
31-Oct-2000 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-03/ TB 1-1520-240-131; INITIAL& RECURRING INSPECTION OF FWD & AFTROTOR HUB LIGHTENING HOLES. (JS5030)
28-Nov-2000 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-04/ TB 1-1520-240-20-133; ONETIME INSPECTION FOR UNTESTED FSP TIEBAR PIN ASSEMBLIES P/N 114R268-3 & -4 C/WAT 5485.0 ACFT.HRS. (JS5030)
19-Dec-2000 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-05/ TB 1-1520-240-20-132; ONETIME INSPECTION OF ROTOR HEADASSEMBLY DROOP STOP BOLTS FORPROPER LENGTH C/W AT 5065.0 ACFT.HRS.(JS5030)
19-Dec-2000 2
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
SOF CH-47-01-01/ TB 1-1520-240-20-134; ONETIME INSPECTION OF AFT ROTOR HEADASEMBLIES AND ENGINE CROSS SHAFTADAPTER ASSEMBLIES FOR MH-47E CLOSEDLOOP ESCAPEMENTS C/W AT 5065.9 ACFTHRS. (JS5030)
02-Jan-2001 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-06/ TB 1-1520-240-20-133;ADDITIONAL CAGE CODE ADDED TOINSPECTION REQUIREMENTS OF CH-47-01-ASAM-04 C/W AT 5065.9 ACFT. HRS. (JS5030)
03-Jan-2001 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
#1 & #2 FWD AIRFRAME ENGINE MOUNTSEDDY CURRENT COMPLETED @ 5485.0 ACFT.HRS. (JS5030)
30-Jan-2001 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
SOF CH-47-01-02/ TB 1-1520-240-20-136; ONETIME INSPECTION OF FIXED DROOP STOPSFOR PROPER INSTALLATION C/W AT 5485.0ACFT.HRS. (JS5030)
06-Feb-2001 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-07/ TB 1-1520-240-20-135; ONETIME INSPECTION FOR UNTESTED FSP P/N114R3650-13/-15 P/C/L BOLTS C/W @ 5485.0ACFT.HRS. (JS5030)
13-Feb-2001 1
MERIDIAN, MS.
brian.b.tims
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 9 of 21
AASF/ CO. G 185THAVN.
SOF CH-47-01-03/ TB 1-1520-240-20-137;UNGROUNDING REQUIREMENTS FORAIRCRAFT WITH IMPROPERLY INSTALLEDDROOP STOPS C/W @ 5485.0 ACFT.HRS.(JS5030)
22-Feb-2001 1
MERIDAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
EMC TEST COMPLETED FOR INSTALLATIONOF APU P/N 160150-10A IAW AWR DTD 9 FEB2000 @ 5485.7 ACFT. HRS. (JS5030)
19-Jul-2001 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-08/ TB 1-1520-240-20-138; ONETIME INSPECTION OF FLIGHT & UTILITYBOOST HYDRAULIC CONTROL MODULES FORSHUT-OFF DIAPHRAGM HARDWAREINSTALLATION C/W @ 5490.6 ACFT. HRS.(JS5030)
09-Aug-2001 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-09/ TB 1-1520-240-20-139; ONETIME INSPECTION FOR UNTESTED FSP114R3650-9 AND BACB30ST10-40 BOLTS C/W@ 5501.0 ACFT. HRS. (JS5030)
07-Sep-2001 1
MERIDIAN, MS.
brian.b.tims
AASF MERIDIANCH-47-02-ASAM-01/TB 1-1520-240-20-142; ONETIME INSPECTION OF TUNNEL COVERSTRUTS C/W @ 5502.8 ACFT HOURS. (CM6742)
09-Oct-2001 1
MERIDIAN, MS
brian.b.tims
DYNCORP OLRACE-CPCE PERFORMED AT 5526 ACFT HRSBY TEAM "K" MEMBERS & II, AMCOM OLRBRANCH, KILLEEN, TX. LARRY LEWIS (LL2629)
15-Nov-2001 1
AASF MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-02-ASAM-02/ TB 1-1520-240-143;FORWARD YOKE SHAFT REPLACEMENT DATEEXTENSION C/W @ 5525.6 ACFT HRS. (JS5030)
02-Jan-2002 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
SOF CH-47-02-01/ TB 1-1520-240-20-144; ONETIME INSPECTION OF LOWER SWASHPLATERETAINER SELF- LOCKING NUTS C/W @5525.6 ACFT. HRS. (JS5030)
27-Jan-2002 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
SOF CH-47-02-02/ TB 1-1520-240-20-141;REWORK OF ALL ROTOR TACHOMETERS C/W@ 5525.6 ACFT. HRS. (JS5030)
28-Jan-2002 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
SOF CH-47-02-03/ TB 1-1520-240-20-141;REWORK OF ALL ROTOR TACHOMETERS C/W@ 5525.6 AFT. HRS. (JS5030)
29-Jan-2002 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
SOF CH-47-02-04/ TB 1-1520-240-20-145; ONETIME INSPECTION OF FORWARD PIVOTINGACTUATOR TO SWASHPLATE ATTACHMENTHWARE FOR PROPER INSTALLATIO C/W @5525.6 ACFT. HRS. (JS5030)
07-Feb-2002 1
MERIDIAN, MS.
brian.b.tims
1109TH AVCRADSOF CH-47-02-05/ TB 1-1520-240-20-146; ONETIME INSPECTION OF ALL TIE BARASSEMBLIES FOR SERVICEABILITY ANDCHANGE OF O/H AND RETIREMENT TIME C/W@ 5533.9 ACFT. HRS. (DO7847)
25-Mar-2002 1
GROTON, CT.
brian.b.tims
ACE TEAMACE COMPLETED AT 5534 ACFT HRS. BY ACEMEMBER "L" PID EH9090 OLR/MWO BRANCH(EH9090)
13-May-2002 1
GROTON, CT
brian.b.tims
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 10 of 21
CT AVCRAD 1109THSOF CH-47-02-06/TB 1-1520-240-20-148; ONETIME INSPECTION OF COMBINING XMSNSHISTORICAL RECORDS FOR CERTAIN S/N'S &O/H DATES C/W @ 5533.9 ACFT. HRS. (DO7847)
19-Jun-2002 1
GROTON, CT.
brian.b.tims
CT AVCRAD 1109THCH-47-02-ASAM-04/TB 1-1520-240-20-149;INSPECT FOR ALL UNTESTED CSI AFT YOKESUPPORT SHAFTS P/N 114C3044-2 C/W @5533.9 ACFT. HRS. (DO7847)
25-Jul-2002 1
GROTON, CT.
brian.b.tims
CT AVCRAD 1109THCH-47-02-ASAM-03/TB-1-1520-240-20-148INSPECT FOR IMPROPERLY MANUFACTURED/ ASSEMBLED FUEL CONTROL RELAY BOXESC/W @ 5533.9 ACFT HRS. (DO7847)
10-Oct-2002 1
GROTON, CT.
brian.b.tims
CT AVCRAD 1109THCH-47 SOF CH-47-03-01 INSP FWD AND AFTSWASHPLATE BEARINGS AND GREASESAMPLES C/W @ 5533.9 ACFT HRS. (DO7847)
18-Oct-2002 1
GROTON, CT.
brian.b.tims
DYNCORPACE/CPCE PERFORMED @ ACFT HRS BYTEAM MEMBER "K& W" AMCOM PROJECTOLR, KILLEEN TX. DERRY D PARKS (JP2527)
13-Nov-2002 1
KILLEEN TEXAS
brian.b.tims
AASF/ CO. G 185THAVN. MERIDIAN, MS
GEN-03-ASAM-01; ONE TIME INSPECTION OFSINCGARS BATTERY BOX FOR DAMAGE &BATTERY CONDITION. (JS5030)
16-Dec-2002 1
MERIDIAN, MS.
brian.b.tims
CT AVCRAD 1109THPHASE # 2 COMPLETED AT CT AVCRAD 30DEC 2002 @ 5533.9 ACFT HRS. (DO7847)
30-Dec-2002 1
GROTON, CT
brian.b.tims
AASF/ CO. G 185THAVN.
CH-47-03-ASAM-01;ONE TIME INSPECTION OFHISTORICAL RECORDS FOR CERTAIN S/NENGINE DRIVE SHAFTS AND ADJUSTMENT OFRETIREMENT LIFE C/W AT 5563.3 ACFT HRS.(JS5030)
02-Apr-2003 1
MERIDIAN, MS.
brian.b.tims
AASF/ CO. G 185THAVN.
ACE\CPCE PERFORMED @ 5628 ACFT HRS. BYTEAM MEMBER"K" & "I" AMCOM PROJECTOLR, KILLEEN, TX. (JL7296)
17-Jun-2003 1
MERIDIAN, MS.
brian.b.tims
CO.G 185TH AVNCH-47-04-ASAM-01; AFT FUSELAGEBELLCRANK FASTENER FOR CORRECTINSTALLATION C/W @ 5709.2 ACFT. HRS(PP3896)
08-Feb-2004 1
MERIDIAN,MS
brian.b.tims
CO G 185TH HHSOF CH-47-04-01 DELETION OF 50 HOURRECURRNIG AOAP GREASE SAMPLE OF THEFWD AND AFT SWASHPLATE C/W @5719.2 A/CHRS M. WILKINSON, TI, FT BENNING, GA(MW7796)
12-Feb-2004 1
FT BENNING, GA
brian.b.tims
CO.G 185TH AVNSOF CH-47-04-01 DELETION OF 50 HRSRECURRING AOAP GREASE SAMPLE OF THEFWD & AFT SWASHPLATE C/W (AB2458)
12-Feb-2004 2
FORT BENNING, GA.
brian.b.tims
CO.G 185TH AVNAIRCRAFT DEPLOYED OVERSEAS TO BALADIRAQ MARCH 2004 SOEICAL INSPECTION ANDCLEANING ACFT PERSEVED AND SHINKWRAPPED (MW7796)
13-Apr-2004 1
FT. BENNING GA.
brian.b.tims
CO. G 185TH AVN. 1ST-244TH
COMPLY WITH REQUIREMENTS OF CH-47-04-ASAM-02 BEFORE_5743.5_ AIRCRAFT HOURS.BUT N/L/T 13 MAY 2004 SSG MICHAELWILKINSON T.I. BALAD IRAQ (MW7796)
30-Apr-2004 1
BALAD IQ.
brian.b.tims
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 11 of 21
CO. G 185TH ACNCH-47-04-ASAM-02 BEFORE ______ AIRCRAFTHRS BUT NLT 13 MAY 2004 COMPLIED WITH(MW7796)
13-May-2004 1
BALAD IRAQ
brian.b.tims
L-151 AVIMPHASE #3 COMPLETED AT 5733.8 ACFT HRS,PHASE #4 DUE AT 5937,8 ACFT HRS (PP3896)
28-May-2004 1
BALAD IQ
brian.b.tims
CO,G. 185TH AVNBLUE FORCE TRACKER MOD INSTALLEDJUNE 2004 (AB2458)
11-Jul-2004 1
BALAD, IRAQ
brian.b.tims
L3 AEROTECHPHASE #4 COMPLETED AT 5937.8 ACFT HRS,PHASE #1 DUE AT 6137.8 ACFT HRS (SZ7514)
18-Sep-2004 1
BALAD,IRAQ
brian.b.tims
L3 AEROTECHTB 1-1520-240-20-155 C/W @ 5937.8ENHANCED DESERT MAINT. (SZ7574)
18-Sep-2004 2
BALAD,IRAQ
brian.b.tims
L3 AEROTECHUTILITY HYD PRESS + RETURN FILTERSREPLACED 5937.8 ACFT HRS. 6737.8 ACFTHRS (SZ7574)
18-Sep-2004 3
BALAD IRAQ
brian.b.tims
CO. G 185TH AVNCH-47-05-ASAM-01; AFT CRITICAL DYNAMICCOMPONENT. C/ @ 5968.7 AIRCRAFT HOURS20041015 (AB2458)
15-Oct-2004 1
BALAD, IRAQ
brian.b.tims
CO. G 185THCOMPLY WITH REQUIREMENTS OF CH-47-05-SOF-01 BEFORE6147.8 AIRCRAFT HOURS BUTNLT 19 JAN. 2005 (MW7796)
05-Jan-2005 1
BALAD IRAQ
brian.b.tims
CO. G 185TH AVNNDI COMPLETED TO COMPLY WITH CH-47-05-SOF-01 20050109 (MW7796)
09-Jan-2005 1
BALAD IRAQ
brian.b.tims
G.CO. 185HT AVNCOMPLIED WITH REQUIREMENTS OF TB 1-1500-200-20-31,AIRCRAFT DESERTOPERATIONS CLEANING
20-Mar-2005 1
KUWAIT
PP213896
AASF MERIDIAN,MSCH-47-05-ASAM-02 COMPLIED WITH @ 6213ACFT. HRS. ON 20050721 (TE7467)
23-Jul-2005 1
MERIDIAN,MS
brian.b.tims
AASF MERIDIAN,MSCH-47-05-ASAM-03 COMPLIED WITH @ 6213ACFT. HRS. ON 20050722 (TE7467)
23-Jul-2005 2
MERIDIAN,MS
brian.b.tims
AASF#3/CO.G 185 AVNCH-47-05-SOF-02; INSP.ROTOR BLADES FORROOT END FIBER DISTORTION C/W @ 6212.6ACFT.HRS (TE7467)
27-Jul-2005 1
MERIDIAN MS
brian.b.tims
AASF/CO. G 185 AVNREQUIREMENTS OF CH-47-05-ASAM-06 C/WT,EZELL TI. AASF MERIDIAN MS. 15 SEPT.2005(TE7467)
15-Sep-2005 1
MERIDIAN MS.
brian.b.tims
AASF # 3 / B CO 1/111THAVN
CH-47-06-ASAM-01: INSPECTION OF ALL 4UBA'S FOR SWAPPED END CAPS (RETURNPORT). (AB2458)
09-Jan-2006 1
MERIDIAN, MS
brian.b.tims
AASF # 3 B CO. 1/111THAVN
CH-47-06-SOF-01: INSPECT ALL M24 DOORMOUNTED GUN MOUNTS. C/W @ 6330.2 ACFTHRS. (AB2458)
17-Jan-2006 1
MERIDIAN, MS
brian.b.tims
AASF # 3 / B CO.1/111TH AVN
CH-47-06-SOF-02: INSPECT APU FOR PN160150-10A C/W @6330.2 ACFT HRS.
14-Feb-2006 1
MERIDIAN, MS
brian.b.tims
AMCOM PROJECT OLRACE/CPCE PERFORMED AT 6030 ACFT HRSBY AMCOM PROJECT OLR FT LEWIS WA.DURING RESET
21-Feb-2006 1
FT LEWIS WA.
JD415449
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 12 of 21
AASF # 3 / B CO.1/111TH AVN
CH-47-06-ASAM-02 (CH-47 SERIES AIRCRAFT,M24/M240H CAM FOLLOWER (AB2458)
27-Feb-2006 1
MERIDIAN, MS
brian.b.tims
AASF #3 / B CO.1/111ATH AVN
CH-47-06-SOF-SOF-03: TEMPORARY FLIGHTRESTRICTION DUE TO AFT BLADE FIBERDISTORTION. C/W 6330.2 ACFT HRS. (AB2458)
08-Mar-2006 1
MERIDIAN, MS
brian.b.tims
OLR/LSIMEC CONTROL # F6554 WORK PLATFORMDELAMINATION COMPLIED WITH @ 6330.2AIRCRAFT HRS. LETTER DATED 2006-02-06
16-Mar-2006 1
FT LEWIS WA.
MS068034
OLR/LSIMEC CONTROL # F47462 FLIGHT CONTROLSUPPORT ASSY INSTALATION OF OVERSIZEDBUSHING COMPLIED WITH @ 6330.2 ACFTHRS. LETTER DATED 2006-03-06
17-Mar-2006 1
FT LEWIS WA.
MS068034
OLR/LSICH-47-05-ASAM-05 REPLACEMENT OF CHECKVALVES COMPLIED WITH @ 6330.2 ACFT HRS.ON 2006-03-10
19-Mar-2006 1
FT LEWIS WA.
MS068034
OLR/LSICH-47-05-ASAM-04 XMSN SEAL RETAININGRING COMPLIED WITH @ 6330.2 AIRCRAFTHRS. ON 2006-03-10
19-Mar-2006 2
FT LEWIS WA.
MS068034
AASF #3 / B,CO. 1/111THAVN
CH-47-06-ASAM-03 (AFT LONGITUDINALCYCLIC TRIM (LCT) ACTUATOR) CW @6337.3ACFT HRS ON 12 MAY 2006
11-May-2006 1
MERIDIAN, MS
arthur.g.brown
B CO 1/111TH AVNCH-47-06-SOF-04 AFT ROTOR BLADE S/NCHECK COMPLIED WITH @6340.3 ACFT HRSJD415449
26-May-2006 1
MERIDIAN MS
JD415449
AASF 3PHASE 1-4 COMPLETED BY RESET TEAMOLR/LSI FT LEWIS WA. AT 6330.2 ACFT HRS,NEXT PHASE DUE AT 6530.2 ACFT HRS
15-Jun-2006 1
MERIDIAN MS
JD415449
AASF#3CH-47-06-SOF-05 FWD ROTOR BLADE S/NCHECK COMPLIED WITH @ 6374.0 ACFT HRS
23-Aug-2006 1
MERIDIAN,MS
PP213896
AASF#3CH-47-070ASAM-01 ARC-220/KY-100 START-UPPROCEDURES C/W @ 6405.0 ACFT HRS.
17-Jan-2007 1
MERIDIAN,MS
PP213896
AASF#3CH-47-07-SOF-02 SUSPECT ROTOR BLADESS/N CHECK COMPLIED WITH @ 6404.8 ACFTHRS
24-Jan-2007 1
MERIDIAN,MS
PP213896
AASF#3CH-47-07-ASAM-02,RIGID CONNECTINGLINKS,COMPLIED WITH @ 6404.8 ACFT HRS.
05-Mar-2007 1
MERIDIAN,MS
PP213896
AASF #3AIRWORTHINESS RELEASE FOR FLIGHTOPERATIONS ON US ARMY CH-47DHELICOPTERS WITH T55-GA-714A ENGINESDTD 2 APR 03
15-Mar-2007 1
MERIDIAN MS
ace.j.arias
AASF#3CH-47-07-SOF-03 SUSPECT ROTOR BLADESCOMPLIED WITH @ 6440.1 ACFT HRS.
28-Sep-2007 1
MERIDIAN,MS
PP213896
AMCOM PROJECT OLRANNUAL ACE EVALUATION COMPLETED AT6452 ACFT HRS AT MERIDIAN, MS BY TEAMMEMBERS RR & W
06-Nov-2007 1
KILLEEN, TX
AS425855
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 13 of 21
AASF#3AWR FOR CH-47D HELICOPTERS TOCONDUCT FLIGHT OPERATIONS WITH THEOREGON AERO,INC,PILOT/CO-PILOT SEATCUSHION PART#34MCHOF INSTALLED(DATED7 DEC 07)
06-Jan-2008 1
MERIDIAN MS 39304
PP213896
AASF#3EMC COMPLETED FOR AWR TO AUTHORIZEUSE OF GARMAN GPSMAP 496,396,296,&295ON ALL CH-47D HELICOPTERS(AWR 48553)
01-Feb-2008 1
MERIDIAN MS 39304
PP213896
AASF#3EMC COMPLETED FOR AWR FOR OPERATIONOF CH-47D HELICOPTERS WITH ERFS 2 FUELCONTROL PANEL (P/N HM022-367-11)INSTALLED (TTS 42779A)
01-Mar-2008 1
MERIDIAN MS 39304
PP213896
AASF #3COMPLIED WITH REQUIREMENTS OF H-47-08-AMAM-03(DOPPLER GPS NAVIGATION SET
27-Mar-2008 1
MERIDIAN MS 39304
PP213896
FT. HOOD, PROJECTOLR.
MWO 1-1520-240-50-95 APPENDIX A, HSI MODESELECT MODIFICATION COMPLETED ON THISDATE @ 6528.4 AIRCRAFT HOURS. HSI SERIALNUMBER 398 RE-IDENTIFIED WITH THEFOLLOWING PART NUMBERS; 1005390-65,1005390-67, AND 1005390-69.A.PARKERPROJECT OLR., INSPECTOR
20-May-2008 1
MERIDIAN MS 39304
albert.d.parker
FT. HOOD PROJECTOLR
MWO 1-1520-240-50-95 APPENDIX A, HSI MODESELECT MODIFICATION COMPLETED ON THISDATE @ 6528.4 AIRCRAFT HOURS. HSI SERIALNUMBER 479 RE-IDENTIFIED WITH THEFOLLOWING PART NUMBERS; 1005390-65,1005390-67, AND 1005390-69.A.PARKERPROJECT OLR., INSPECTOR
20-May-2008 2
MERIDIAN MS 39304
albert.d.parker
AASF#3200 HR. CYCLE SERVICE COMPLETED @6528.1 ACFT HRS.NEXT SERVICE DUE 400HR.PMS @6728.1 ACFT HRS.
23-May-2008 1
MERIDIAN MS 39304
PP213896
AMCOM FT HOODPROJECT OLR
ACE/CPCE PERFORMED AT 6663 AIRCRAFTHOURS BY TEAM MEMBERS K & Q.
12-Nov-2008 1
MERIDIAN MS 39304
wilfredo.santiago
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-09-SOF-02 ENG DRIVE SHAFT AND ADAPTERSTIME CHECK
17-Dec-2008 1
MERIDIAN MS 39304
PP213896
AASF#3AWR FOR INSTALLATION OF EBC-406HMEMERGENCY LOCATOR TRANSMITTER DATED13 FEB 09
12-Mar-2009 1
MERIDIAN MS 39304
PP213896
AASF#3400 HR. CYCLE SERVICE COMPLETED @6728.1 ACFT. HRS. NEXT SERVICE DUE 200HR.PMS @ 6928.1 ACFT. HRS.
15-May-2009 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-09-AMAM-02,AFT SLIDER SHAFT ASSEMBLYRETIREMENT LIFE.
17-Jul-2009 1
MERIDIAN MS 39304
PP213896
AASF#3AWR FOR CH-47D HELICOPTERS TONCONDUCT FLIGHT OPERATIONS WITHOREGON AERO,PILOT/CO-PILOT SEATCUSHION PART#34MCHOF INSTALLED (TTS48786,REV B)
07-Aug-2009 1
MERIDIAN MS 39304
PP213896
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 14 of 21
AASF#3AWR FOR CH-47D/F HELICOPTERS TOCONDUCT FLIGHT OPERATIONS WITHOREGON AERO,PILOT/CO-PILOT SEATCUSHION PART NUMBER 34MCHOF AND/OR31046-1-A1 INSTALLED(TTS 71417A)
23-Sep-2009 1
MERIDIAN MS 39304
PP213896
1108TH AVCRADCOMPLIED WITH THE REQUIREMENTS OF H-47-09-AMAM-03 HELON HANDHELD FIREEXTINGUSHER
07-Oct-2009 1
MERIDIAN MS 39304
joe.pittman
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-09-AMAM-03(HALON HAND HELD FIREEXTENGUISHER)
07-Oct-2009 2
MERIDIAN MS 39304
PP213896
FT HOOD AFMAAIRCRAFT 9100268 ACE COMPLETED AT 6812ACFT HRS AT GULFPORT, MS BY TEAMMEMBERS RR & W
09-Oct-2009 1
GULFPORT, MS
AS425855
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-AMAM-02,(ULLS-AE CHG. 60B)
08-Dec-2009 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIANCE WITH REQUIREMENTS H-47-10-ASAM-02 (FORWARD PYLON HYDRAULIC LINECLAMPING)
04-Jan-2010 1
MERIDIAN MS 39304
PP213896
CSC RASM-EAWR TTS 69499A, DATED 5 NOV. 2009, FOROPERATION OF CH-47D HELICOPTERS WITHTHE BLUE FORCED TRACKING(BFT) SYSTEMAND AIR WARRIOR SINGLE EDM INSTALLED.
23-Feb-2010 1
MERIDIAN MS 39304
JS501134
CSC RASM-EAWR, TN 67638, DATED 10 APR 2009, FOROPERATION OF CH-47D HELICOPTERSEQUIPPED WITH THE AN/AAR-57(V)5CMWS/ICMD INSTALLED. PLUS 5TH EOMSSENSOR.
23-Feb-2010 2
MERIDIAN MS 39304
JS501134
CSC RASM-EAWR, TTS 70944, DATED 25 JUNE 2009, FORTHE FLEET WIDE INSTALLATION OF THE P3CHECK VALVE AND OVERBOARD DRAIN LINEFROM THE DIGITAL ELECTRONIC CONTROLUNIT ON CH-47D HELICOPTERS.
23-Feb-2010 3
MERIDIAN MS 39304
JS501134
CSC RASM-EAWR, 32395, DATED 17 AUG. 2006, FOR CH-47D HELICOPTERS WITH THE ADVANCEDHEADS UP DISPLAY(HUD) SYSTEM SIGNALDATA CONVERTER(SDC) PART NUMBER125110-007 INSTALLED.
23-Feb-2010 4
MERIDIAN MS 39304
JS501134
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-AMAM-03 NLT 29 MAR 10. FWD ROTOR HUBRETIREMENT.
16-Mar-2010 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-AMAM-04. SLIDER SHAFT RETIREMENT.
07-Apr-2010 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-ASAM-04. CHROMALLOY ROTOR HUB.
16-Jul-2010 1
MERIDIAN MS 39304
PP213896
AASF#3200 HR. SERVICE COMPELTED @ 6928.1 ACFT.HRS. ,NEXT SERVICE DUE 400 HR [email protected] ACFT. HRS.
23-Jul-2010 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-ASAM-07. 5000 LB. TIE-DOWN.
30-Sep-2010 1
MERIDIAN MS 39304
PP213896
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 15 of 21
CSC RASM-EOCM/ACE PERFORMED AT 6968.7 ACFT HRSBY TEAM MEMBER UU & QQ AMCOM RASM-E
04-Oct-2010 1
FT. CAMPBELL KY.42223
HM009565
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-11-ASAM-01. AN960-1016 ALUMINUM WASHERS.
15-Oct-2010 1
MERIDIAN MS 39304
PP213896
CSC RASM-EAWR, 41283, DATED 26 MAY 2010, FOR CH-47DHELICOPTERS TO OPERATE MODERNIZEDSIGNAL PROCESSING UNIT (MSPU)EQUIPMENT.
19-Oct-2010 1
MERIDIAN MS 39304
JS501134
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-11-AMAM-01. LCF CHANGE 61.
11-Jan-2011 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH H-47-11-ASAM-03(CORRODED CONNECTING LINKS)
07-Apr-2011 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-11-ASAM-04(BLADE LAG DAMPNER ROD ENDBEARING)
19-Apr-2011 1
MERIDIAN MS 39304
PP213896
1-111TH AVN GSABAIRCRAFT RELOCATED TO FT HOOD TX FORPREPARATION OF OPERATION NEW DAWN @7055.0 ACFT.HRS
01-Sep-2011 1
LONGHORN AAF NORTHFT HOOD TX.
DR536665
CO D, 111TH AVN (QC)COMPLIED WITH H-47-11-AMAM-O4. ASN-128BSUITE "D" SOFTWARE UPDATE NOTINSTALLED @ 7055.0
24-Sep-2011 1
LONGHORN AAF, N FTHOOD TX.
christopher.sanchez
AASF #3H-47-11-AMAM-03 UNIT LEVEL LOGISTICSSYSTEM - AVAITION (ENHANCED) (ULLS-A(E))INTEGRATED MATERIEL MANAGEMENTCENTER (IMMC) LEGITIMATE CODE FILE (LCF)CHANGE 62 REQUIREMENTS C/W AT 7104.2ACFT HOURS.
21-Oct-2011 1
Davenport, IA
stephen.p.galvin
B CO. 1-111TH. AVN.AIRCRAFT TRANSFERED IAW TM 55-1500-328-25 AT 3078.1 ACFT. HRS. FROM B CO. 1-111TH.AVN GSAB (WYDGBO) TO B CO. 2-211TH.AVN. GSAB (WP7TBO) ON 23 OCT. 2011.
23-Oct-2011 1
FT HOOD TX.
james.r.gill
AASF - DVN1GARMIN GPSMAP 696, 496, 396, 296, AND 295ARE AUTHORIZED FOR USE ON ALL CH-47DHELICOPTERS PER THE LIMITATIONS ANDRESTRICTIONS OF AWR TTS 48553A DATED 19JULY 2010 R1. THIS AWR SUPERSEDES AWR48553 DATED 5 OCT 2007 AND TERMINATESUPON CHANGES IN CONFIGURATION OF THESUBJECT EQUIPMENT OR UNTILSUPERSEDED OR REVOLKED, WHICHEVEROCCURS FIRST.
31-Oct-2011 1
Davenport, IA
stephen.p.galvin
AASF - DVNAN/AVS-6 SERIES NIGHT VISION GOGGLES(NVG'S) ARE AUTHORIZED FOR USE ON ALLCH-47D HELICOPTERS PER THE LIMITATIONSAND RESTRICTIONS OF AWR TN 93334 DATED10 MAR 2011. THIS AWR SUPERSEDES AWRDATED 26 JUN 2006 AND TERMINATES UPONCHANGES IN CONFIGURATION OF THESUBJECT EQUIPMENT, OR UPON ISSUANCEOF A LATER AWR FOR THE SUBJECTEQUIPMENT, WHICHEVER OCCURS FIRST.
31-Oct-2011 2
Davenport, IA
stephen.p.galvin
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 16 of 21
AASF - DVNELECTRICALLY POWERED HYDRAULICACCUMULATOR PUMP INSTALLED. ACFT ISAUTHORIZED TO BE OPERATED WITHIN THELIMITATIONS AND RESTRICTIONS PER AWRTTS 49400 DATED 16 OCT 2007 R1. THIS AWRSUPERSEDES AWR TTS 39748 DATED 17 JAN2007 AND TERMINATES UPON ISSUANCE OF ALATER REVISION TO THIS AWR OR CHANGESIN CONFIGURATION TO THE SUBJECTEQUIPMENT.
31-Oct-2011 3
Davenport, IA
stephen.p.galvin
AASF - DVNAUTHORIZATION TO USE MILTOPE MSDLAPTOP COMPUTER TO CONDUCT ENGINETROUBLESHOOTING BY MONITORING ENGINEPARAMETERS FROM THE DEGITIALELECTRONIC CONTROL UNIT (DECU) ON T55-GA-714A ENGINES IAW AWR TTS 27259BDATED 09 NOV 09 R2. THIS AWRSUPERCEDES AWR TTS 27259A DATED 28AUG 09 AND TERMINATES UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATER MILTOPE MSD AWR, WHICHEVEROCCURS FIRST.
31-Oct-2011 4
Davenport, IA
stephen.p.galvin
AASF - DVNAVIATION VIBRATION ANALYZER (AVA)SINGLE CAMARA BRACKET IS AUTHORIZEDFOR USE ON ALL CH-47D HELICOPTERS PERTHE LIMITATIONS AND RESTRICTIONS OFAWR TTS 54785 DATED 26 MAR 2008. THISAWR TERMINATES UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATERAWR, WHICHEVER OCCURS FIRST.
31-Oct-2011 5
Davenport, IA
stephen.p.galvin
AASF #3H-47-12-SOF-01 ALL H-47 SERIES AIRCRAFT,DIGITAL ELECTRONIC CONTROL UNIT (DECU)RECALL, C/W AT 7104.2 ACFT HOURS.
23-Nov-2011 1
DAVENPORT, IA
stephen.p.galvin
AASF DAVENPORT#1 AND #2 AIRFRAME FWD ENGINE MOUNTNDI INSPECTION COMPLETED. #1 AND #2ENGINE MOUNT DRAG LINK INSPECTIONCOMPLETED. THESE INSPECTIONS WERECONDUCTED @ 7104.2 ACFT HOURS.
23-Jan-2012 1
Davenport, IA
roger.k.garrett
AASF DAVENPORTMEC # F139922A, AUTHORIZATION FOR MO-TASMG TO REPAIR INBOARD ENGINE MOUNTLUG ON THE #1 ENGINE SIDE OF THEAIRFRAME. THE FORWARD/INBOARD LUG (BLUG) HAS A GOUGED AREA ON THE INBOARDSPOT FACE. THE DAMAGED LUG AND SLEEVEWILL BE REPAIRED IAW THIS MEC AND DMWR1-1520-240 DATED 25 JAN 2005.
22-Feb-2012 1
Davenport, IA
roger.k.garrett
AASF - DVNH-47-11-ASAM-03 ALL H-47 SERIES AIRCRAFT,CORRODED CONNECTING LINKS, C/W AT7104.2 ACFT HOURS
03-Apr-2012 1
Davenport, IA
stephen.p.galvin
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 17 of 21
AASF - DVNAN/ASN-128D DGNS CONFIGURED WITHSOFTWARE SUITE B, C, AND D INSTALLED.ACFT IS AUTHORIZED TO BE OPERATEDWITHIN THE LIMITATIONS AND RESTRICTIONSPER AWR TN 98912A DATED 12 MAR 2012.THIS AWR SUPERSEDES AWR TN 98912DATED 4 AUG 2011. THIS AWR IS TERMINATEDON 12 MAR 2013 OR UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATER AWR FOR THE SUBJECT EQUIPMENT,WHICHEVER OCCURS FIRST.
03-Apr-2012 2
Davenport, IA
stephen.p.galvin
AASF - DVNH-47-11-AMAM-04 ALL CH-47D AND UH-60A/LSERIES AIRCRAFT, AN-ASN-128D DOPPLERAND AVIATION MISSION PLANNING SYETEM(AMPS) SOFTWARE UPGRADE, C/W AT 7104.2ACFT HOURS.
26-Apr-2012 1
Davenport, IA
stephen.p.galvin
AASF #3PMS 3 (400 HR) WAS COMPLETED OUTSIDEOF THE WINDOW AND CONDUCTED @ 7104.2ACFT HRS. NEXT INSP DUE IS PMS2 (200 HR)@ 7304.2 ACFT HRS.
02-May-2012 1
Davenport, IA
roger.k.garrett
AASF - DVNDUAL ELECTRONIC DATA MANAGER (EDM)AND ENCRYPTED BLUE FORCE TRACKING(EBFT) SYSTEM WITH GPS MESSAGE ROUTER(GMR) AND KGV-72 ENCRYPTION DEVICEINSTALLED. AIRCRAFT IS TO BE OPERATEDWITHIN THE LIMITATIONS AND RESTRICTIONSPER AWR TN 106093 DATED 02 MAY 12. THISAWR TERMINATES ON 31 OCT 2013, UPONTRANSFER OF THE HELICOPTER, CHANGESIN CONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATER SUPERSEEDING AWR, WHICHEVEROCCURS FIRST.
16-May-2012 2
Davenport, IA
stephen.p.galvin
AASF - DVNH-47-12-AMAM-02, ALL H-47 SERIESAIRCRAFT, TRANSMISSION OIL SAMPLEINTERVAL CHANGE. C/W AT 7110.9 ACFTHOURS.
29-May-2012 1
Davenport, IA
stephen.p.galvin
AASF - DVNAIRCRAFT WIRELESS INTERCOM SYSTEM(AWIS)/ ENCRYPTED AIRCRAFT WIRELESSINTERCOM SYSTEM (EAWIS) INSTALLED.ACFT IS AUTHORIZED TO BE OPERATEDWITHIN THE LIMITATIONS AND RESTRICTIONSPER AWR TN 107597 DATED 21 JUN 12. THISAWR TERMINATES UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ASUPERSEDING AWR, WHICHEVER OCCURSFIRST.
21-Jun-2012 1
Davenport, IA
stephen.p.galvin
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 18 of 21
AASF - DVNNCS MAGNUS MODEL RNM101 LAPTOP ISAUTHORIZED TO BE OPERATED ONBOARDCH-47D AND CH-47F HELICOPTERS DURINGAIRCRAFT FLIGHTS AND GROUNDMAINTENANCE OPERATIONS WITHIN THELIMITATIONS AND RESTRICTIONS PER AWR16 MAY 2012 R1. THIS AWR SUPERSEDESAWR 83544 DATED 21 JUNE 2010. THIS AWR ISTERMINATED UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, UPON ISSUANCE OF A LATERAWR, OR 15 JUNE 2014, WHICHEVER COMESFIRST.
21-Jun-2012 2
Davenport, IA
stephen.p.galvin
FT HOOD AFMAACE COMPLETED AT 7182 AIRCRAFT HOURSA DAVENPORT, IA BY TEAM MEMBERS W & Q.
31-Jul-2012 1
Davenport, IA
wilfredo.santiago
AASF - DVNH-47-12-ASAM-01, ALL H-47 SERIESAIRCRAFT, YAW INTEGRATED LOWERCONTROL ACTUATOR INPUT CONTROLHARDWARE / HYDRAULIC PRESSURE TUBECLEARANCE C/W AT 7181.9 ACFT HOURS.
16-Aug-2012 1
Davenport, IA
stephen.p.galvin
AASF - DVNMODERNIZED SIGNAL PROCESSING UNIT(MSPU) INSTALLED. ACFT IS AUTHORIZED TOBE OPERATED WITHIN THE LIMITATIONS ANDRESTRICTIONS PER AWR DATED 24 JUL 12R15. THIS AWR SUPERSEDES AWR TTS 41283REVISION 14 DATED 26 MAY 10. THIS AWR ISTERMINATED UPON CHANGE INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATER AWR, WHICHEVER OCCURS FIRST.
16-Aug-2012 3
Davenport, IA
stephen.p.galvin
AASF #3MEC #F152009 ONE TIME AUTHORIZATIONFOR THE MO-TASMG TO REPLACE RH STRAP@ STA. 482, W/L 40, B/L 43R.
30-Aug-2012 1
Davenport, IA
roger.k.garrett
AASF - DVNH-47-12-AMAM-04, ALL H-47 SERIESAIRCRAFT, FULL AUTHORITY DIGITAL ENGINECONTROLS (FADEC) EMERGENCYPROCEDURE CHANGE C/W AT 7181.9 ACFTHOURS.
13-Sep-2012 1
Davenport, IA
stephen.p.galvin
AASF - DVNINSPECTION OF #1 ENGINE SN: 07PGA010754TH STAGE POWER TURBINE ROTORLOCKING CUP FOR CORROSION AND CRACKSWAS COMPLETED AT 7104.2 ACFT HOURSIAW AWR DATED 9 MAR 2012 T55-GA-714AENGINE TBO EXTENSION (TTS 107314).POWER TURBINE LOCKING CUP WASREPLACED WITH PN: 2-141-222-08.
09-Oct-2012 1
Davenport, IA
stephen.p.galvin
AASF - DVNNSPECTION OF #2 ENGINE SN: 06PGA009344TH STAGE POWER TURBINE ROTORLOCKING CUP FOR CORROSION AND CRACKSWAS COMPLETED AT 7104.2 ACFT HOURSIAW AWR DATED 9 MAR 2012 T55-GA-714AENGINE TBO EXTENSION (TTS 107314).POWER TURBINE LOCKING CUP WASREPLACED WITH PN: 2-141-222-08.
09-Oct-2012 2
Davenport, IA
stephen.p.galvin
AASF #3COMPLIED WITH ASAM: [email protected] ACFT. HOURS (CORRODEDCONNECTING LINKS)
26-Nov-2012 1
Davenport, IA
roger.k.garrett
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 19 of 21
OHIO AASF #1H-47-13-AMAM-02 ULLS-A(E) LCF CHANGE 63C/W 10 DEC 2012 (MISSING ENTRY)
10-Dec-2012 1
NORTH CANTON, OH44720
RL765610
AASF - DVNAIRCRAFT WIRELESS INTERCOM SYSTEM(AWIS)/ENCRYPTED AIRCRAFT WIRELESSINTERCOM SYSTEM (EAWIS) INSTALLED.AIRCRAFT IS AUTHORIZED TO BE OPERATEDWITHIN THE LIMITATIONS AND RESTRICTIONSPER AWR TN 107597B DATED 07 AUG 12 R1.THIS AWR TERMINATES UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ASUPERSEDING AWR, WHICHEVER COMESFIRST.
11-Dec-2012 1
Davenport, IA
stephen.p.galvin
AASF #3H-47-13-ASAM-02, ALL H-47 AIRCRAFT, MID-CABIN HATCH CARGO HOOK. INITIALREPORTING COMPLETED @ 7196.3 AIRCRAFTHOURS. UNIT HAS DECIDED NOT TOPROCURE THE REPLACEMENT RESCUEHOOK AND HARDWARE.
18-Dec-2012 1
Davenport, IA
roger.k.garrett
AASF #3H-47-13-ASAM-03, ALL CH-47 SERIESAIRCRAFT, INFRARED SUPPRESSOR SYSTEMC/W @ 7196.3 AIRCRAFT HOURS.
18-Dec-2012 2
Davenport, IA
roger.k.garrett
AASF#3FUEL CELL SYSTEM INSP A-460 DUE @ 7363.4ACFT HRS. L/H MAIN FUEL CELL AND TANKCOMPLETE ASSEMBLY WAS CONTROLEXCHANGED FROM ANOTHER AIRFRAME @7196.3 ACFT HRS. INSP " TILL DUE " TIMEREMAINING ON TRANSFERRED FUEL CELLAND TANK WAS 167.1 HRS.
30-Jan-2013 1
Davenport, IA
roger.k.garrett
AASF - DVNAIRCRAFT WIRELESS INTERCOM SYSTEM(AWIS) ENCRYPTED AIRCRAFT WIRELESSINTERCOM SYSTEM (EAWIS) INSTALLED.AIRCRAFT IS AUTHORIZED TO BE OPERATEDWITHIN TH LIMITATIONS AND RESTRICTIONSPER AWR TN 107597C DATED 22 JAN 13 R2.THIS AWR TERMINATES UPONCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ASUPERSEDING AWR, WHICHEVER OCCURSFIRST.
01-Feb-2013 1
Davenport, IA
stephen.p.galvin
AASF #1AIRCRAFT TRANSFERRED IAW TM55-1500-238-25 AT 7193.8 ACFT HRS. FROM B CO. 2-211THAVN. GSAB (WP7TBO) TO B CO. 3-238TH GSAB(WTQVBO) ON 22 FEB 2013.
22-Feb-2013 1
NORTH CANTON, OH44720
james.p.shirey
AASF#1 OHIOCOMPLIED WITH GEN-13-AMAM-02, UPDATEDOF THE ULLS-A LCF @7197.8 AIRCRAFTHOURS.
20-Mar-2013 1
NORTH CANTON, OH44720
james.p.shirey
OHIO AASF #1H-47-13-SOF-02, ALL H-47 SERIES AIRCRAFT,SYNCHRONIZATION SHAFT BOLTSINSPECTION C/W WITH AT 7287.7 ACFT HRS.
19-Jun-2013 1
NORTH CANTON, OH44720
RL765610
1108TH TASMGH-47-13-AMAM-04, LEGITIMATE CODE FILE(LCF) CHANGE 64 REQUIREMENTS COMPLIEDWITH
04-Nov-2013 1
GULFPORT, MS
joey.sharplin
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 20 of 21
1108TH TASMGACE/OCM PERFORMED AT 7300.5 ACFT. HRS.BY TEAM MEMBERS UU & QQ AMCOM RASM-C
22-Nov-2013 1
GULFPORT, MS. 39505
KS372668
1108TH TASMGPMS 2 (200 HR) WAS COMPLETED @ 7304.2ACFT HRS. NEXT INSP DUE IS PMS4 (400 HR)@ 7504.2 ACFT HRS.
13-Jan-2014 1
GULFPORT, MS
joey.sharplin
1108TH TASMGH-47-13-ASAM-06, REPLACE AFT UPPERBBOOST PIVOTING SERVOCYLINDER MOUNTFASTENERS COMPLIED WITH
07-Feb-2014 1
GULFPORT, MS
joey.sharplin
1108TH TASMGCOMPLIED WITH H-47-14-AMAM-02 @ 7309.7ACFT HOURS (LCF CHANGE 65REQUIREMENTS)
07-Mar-2014 1
GULFPORT, MS
joey.sharplin
AASF#1AIRCRAFT TRANSFERED IAW TM 1-1500-328-23 FROM MISSISSIPPI NATIONAL GUARD TOFLORIDA NATIONAL ON 12 JUN 14 @ 7328.2A/C HOURS
13-Jun-2014 1
JACKSONVILLE, FL
michael.l.carson
AASF#1 1/111TH AVNPMS2 (200 HR) COMPLETED AT 7300.5 ACFTHRS PER END ITEM ADMIN SCREEN.MULTIPLE PHASE COMPLETED 13-1 ENTRIES(22 AUG 13, 17 OCT 13, 17 JAN 14, 22 JAN 14,AND 23 JAN 14) MULTIPLE COMPLETED ACFTTIMES NOTED FOR PHASE COMPLETION.NEXT PHASE DUE @ 7500.5 ACFT HRS. A-460 -18 INSPECTION ( INSPECT FUEL TANKASSEMBLIES ) COMPLETED DURING PHASEINSPECTION. NEXT A-460 DUE @ 8500.5 ACFTHRS.
27-Jun-2014 1
JACKSONVILLE, FL
robert.l.wilson
AASF#1 FLARNGH-47-14-AMAM-03) ULLSA(E) ALC LCFCHANGE 66 COMPLIED WITH
27-Aug-2014 1
JACKSONVILLE, FL
JE569883
AASF # 1, FLARNGH-47-15-AMAM-01) ENGINE CHIP DETECTOR,COMPLIED WITH @ 7392 A/C HRS. (ML399295)
29-Jan-2015 1
JACKSONVILLE, FL
michael.lee
AASF #1 1/111TH AVNGSAB
H-47-15-AMAM-02) IDENTIFICATION OFAVIATION SURVIVABILITY EQUIPMENTCOMPLIED WITH @ 7404.4 ACFT HRS
17-Feb-2015 1
JACKSONVILLE, FL
robert.l.wilson
AASF#1 FLARNGH-47-15-SOF-01) DRIVE SHAFT TUNNELCOVER HINGE ASSEMBLY COMPLIED WITH @7438.5 ACFT HRS.
09-Apr-2015 1
JACKSONVILLE, FL
JE569883
AASF#1MEC# F199630 COMPLETED @ 7444 A/CHOURS. DURING A POST FLIGHT INSP. ANOUT OF ROUND CONDITION WAS FOUND ATTHE #2 UPPER IDLER ARM LUG (STA 200)THAT ACCEPTS BUSHING NAS 75-5-008 ONSTRINGER (PN 114S2503-163). THE LARGESTMEASUREMENT ACROSS THE ELONGATION IS.440 WHICH IS OUT OF TOERANCE.
08-May-2015 1
JACKSONVILLE, FL
michael.l.carson
AASF#1 FLARNGH-47-15-AMAM-03) PILOT CYCLIC WIREHARNESS FOR CHRONOLOGICAL ORDERONLY
26-May-2015 1
JACKSONVILLE, FL
JE569883
AASF#1 FLARNGH-47-15-AMAM-04) COCKPIT VOICE DATARECORDER UPGRADE FOR CHRONOLOGICALORDER ONLY
15-Jun-2015 1
JACKSONVILLE, FL
JE569883
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
NUMBER PIDENTRY
ORGANIZATION LOCATION8.7.
DATE6.
REMARKS4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Page 21 of 21
AASF#1 FLARNGH-47-15-AMAM-05) STEP CABLEREPLACEMENT FOR CHRONOLOGICALORDER ONLY
15-Jun-2015 2
JACKSONVILLE, FL
JE569883
1/111TH GSABH-47-15-SOF-02, SOF TECHNICAL FWD, AFT,COMBINING AND ENG XSMS C/W @ 7486.1ACFT HRS.
16-Jun-2015 1
JACKSONVILLE, FL
robert.l.wilson
AASF #1 FLARNGAASF #1 FLARNG TRANSFERRED AIRCRAFT9100268 TO SUMMIT AVIATION FORINDUCTION INTO CH-47F MODEL PROGRAM @7493.1 ACFT. HRS
15-Jul-2015 1
JACKSONVILLE, FL32221
DR536665
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETEHISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15, OCT 1991
Inspection #
7500.49100268CH-47D
Till DueShelf LifeSerial NumberMFG DateLot #NarrativePart NumberDODIC
PROJECTEDDAYS: CURRENT HRS: Ser No.MDS:
Sorted By: Days to InspectionAUTOMATED CADS & PADS PROJECTIONSReport Date: Page 1 of 113-Oct-2015
MA690 22219701-Jul-2007ESD07G017-004CARTRIGE,FIRE EXTINGUSHER,POWERDEVICE
1.37701E+12MH92 992
MA699 22220001-Jul-2007ESD07G017-004CARTRIDGE, FIRE EXTINGUISHER POWERDEVICE
1.37701E+12MH92 992
MA700 22219601-Jul-2007ESD07G017-004CARTRIDG, FIRE EXTINGUISHER POWERDEVICE
1.37701E+12MH92 992
MA710 22219901-Jul-2007ESD07G017-004CARTRIDGE, FIRE EXTINGUISHER POWERDEVICDE
1.37701E+12MH92 992
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 1 of 1713-Oct-2015
DR01-May-2000
AASF#3 89815-Mar-2007
J, DMODIFICATION INSTRUCTIONS FORINSTALLATION OF FULL AUTHORITYDIGITAL ENGINE CONTROLS (FADEC)ON CH-47D HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD)
1-1520-240-50-83MWO:
Mnt LevelPriority
DT07-Aug-2010
AASF#3 12013-Aug-2010
P, PMWO 1-1520-240-50-126 INSTALATIONOF THE ENCRYPTED AIRCRAFTWIRELESS INTERCOMSYSTEM(EAWIS)
1-1520-240-50-126MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 2 of 1713-Oct-2015
DN01-Jul-2003
CSC RASM-E 923-Feb-2010
J, SADVANCED HEADS UP DISPLAY (HUD)AN/AVS-7(V) AND T55-GA-714AENGINE TORQUE INDICATINGSYSTEM
1-1520-240-50-88MWO:
Mnt LevelPriority
DR17-Nov-2004
CSC RASM-E 7223-Feb-2010
J, SMODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE AN/APX-118 MODE S TRANSPONDER (CXP) ONTHE CH-47D AIRCRAFT (NSN 1520-01-088-3669) (EIC RCD)
1-1520-240-50-90MWO:
Mnt LevelPriority
DR02-Mar-2005
CSC RASM-E 90023-Feb-2010
J, SMODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE COMMONMISSILE WARNING SYSTEM (CMWS)ON THE CH-47D AIRCRAFT W/ALE-47(NSN 1520-01-088-3669) (EIC RCD)
1-1520-240-55-14MWO:
Mnt LevelPriority
DR04-May-2005
CSC RASM-E 24023-Feb-2010
J, SMODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE AIRWARRIOR MICROCLIMATE COOLINGAND MASK BLOWER SYSTEMS ON CH-47D HELICOPTERS (NSN 1520-01-088-3669) (EIC RCD)
1-1520-240-50-91 C1MWO:
Mnt LevelPriority
DN09-Jun-2005
CSC RASM-E 63723-Feb-2010
J, SINSTALLATION OF THE ELECTRICALAND AIRFRAME PROVISIONS FORENGINE AIR PARTICLE SEPARATORSHORT RAIL FOR CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC RCD)
1-1520-240-50-93 C1MWO:
Mnt LevelPriority
DR23-May-2006
CSC RASM-E 1923-Feb-2010
J, SINSTALLATION OF THE FUELCROSSFEED BREAKAWAY FITTING
1-1520-240-50-98MWO:
Mnt LevelPriority
DR06-Jun-2006
CSC RASM-E 14023-Feb-2010
J, SBLUE FORCE TRACKING SYSTEM1-1520-240-50-BFT47-002MWO:Mnt LevelPriority
DR07-Sep-2006
CSC RASM-E 24023-Feb-2010
J, SINSTALLATION OF THE AIR WARRIORMICRO CLIMATE COOLING AND MASKBLOWER SYSTEM
1-1520-240-50-91-C2MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 3 of 1713-Oct-2015
DR10-Oct-2006
CSC RASM-E 623-Feb-2010
J, SINSTALLATION OF DUAL ELECTRONICDATA MANAGEMENT (EDM) SYSTEMWITH ETHERNET HUB
1-1520-240-50-100MWO:
Mnt LevelPriority
DR04-Apr-2008
CSC RASM-E 7323-Feb-2010
J, SMODIFICATION OF CH-47DHELICOPTERS FOR THEINSTALLATION OF THE 5 TH ELECTRO-OPTIC MISSILE SENSOR ON CH-47DAIRCRAFT
1-1520-240-50-120MWO:
Mnt LevelPriority
DR25-Apr-2008
CSC RASM-E 123-Feb-2010
J, SMODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF AFT PYLONACCESS PANELS ON CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)
1-1520-240-50-118MWO:
Mnt LevelPriority
DR10-Jun-2008
CSC RASM-E 6523-Feb-2010
J, SINSTALLATION OF THE CMWS P31UPGRADE TO THE MISCELLANEOUSCONTROL PANEL AND ASSOCIATEDWIRING.
1-1520-240-50-116MWO:
Mnt LevelPriority
DR08-Mar-2010
CSC RASM-E 17019-Oct-2010
J, SINSTALLATION OF THE MODERNIZEDSIGNAL PROCESSING UNIT. (MSPU)
1-1520-MSPU-CH47-50-1REV1
MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 4 of 1713-Oct-2015
DR26-Mar-2008
CSC RASM-E` 4.523-Feb-2010
J, SMODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF AVA TRACKERBRACKET ON CH-47 HELICOPTERS(NSN 1520-01-088-3669)(EIC:RCD)(NSN 1520-01-457-5179)(EIC: ECH
1-1520-240-50-117MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 5 of 1713-Oct-2015
DR01-Apr-1994
DYNCORP OLRFT HOOD TX(LB0000)
1827-Sep-1995
SSG SKINNER,JEFFERY
MODIFICATION INSTRUCTIONS FORAFT ENGINE FAIRING MODIFICATIONTO ALLEVIATE CORROSION FOR CH-47D HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD)
1-1520-240-50-49MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 6 of 1713-Oct-2015
DR01-Feb-1991
DYNCORP OLR,FT. HOOD, TX(LB0000)
1627-Sep-1995
SSG SKINNER,JEFFERY
WIRING MODIFICATION AND AN/APR-39A(V)1 RADAR WARNING SYSTEMINSTALLATION IN CH-47DHELICOPTER
1-1520-240-50-54MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 7 of 1713-Oct-2015
DN31-Jan-1989
DYNCORP OLR,FT. HOOD, TX(LB2657)
10011-Apr-1997
SSG SKINNER,JEFFERY
INSTALLATION OF THE SINGLECHANNEL GROUND RADIO/AIRBORNERADIO SYSTEM (SINCGARS) VHF FMHOMING AN/ARC-201 COMPLETEPROVISIONS ONLY RADIO SYSTEM INCH-47D HELICOPTERS
55-1520-240-50-28MWO:
Mnt LevelPriority
DN01-Mar-1989
DYNCORP OLR,FT. HOOD, TX(LB2657)
15011-Apr-1997
SSG SKINNER,JEFFERY
INSTALLATION OF AN/ARC-199, HF-SSB, RADIO SET COMPLETEPROVISION ONLY IN CH-47DHELICOPTERS
55-1520-240-50-29MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 8 of 1713-Oct-2015
DR30-Nov-1998
DYNCORP OLR,FT. HOOD, TX(LH6989)
17204-May-2001
SSG SKINNER,JEFFERY
INSTALLATION OF AN/ARC-220 ANDTSEC/KY-100 IN CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)
1-1520-240-50-74MWO:
Mnt LevelPriority
DR30-Sep-1999
DYNCORP OLR,FT. HOOD, TX(LH6989)
1604-May-2001
SSG SKINNER,JEFFERY
ADDITION OF VACUUM RELIEF VALVETO THE PRESSURE REFUELINGSYSTEM FOR CH-47D HELICOPTERS(NSN 1520-01-088-3669) (EIC: RCD)
1-1520-240-50-81MWO:
Mnt LevelPriority
DR01-Feb-2000
DYNCORP OLR,FT. HOOD, TX(LH6989)
804-May-2001
SSG SKINNER,JEFFERY
MODIFICATION INSTRUCTIONS FORINSTALLING A HAND HOLD IN THECENTER CARGO HOOKCOMPARTMENT ON CH-47D AND MH-47E HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD) AND (NSN 1520-01-282-3747) (EIC: RCE)
1-1520-240-50-79MWO:
Mnt LevelPriority
DR01-Feb-2000
DYNCORP OLR,FT. HOOD, TX(LH6989)
804-May-2001
SSG SKINNER,JEFFERY
MODIFICATION INSTRUCTION TORETROFIT IMPROVED AFT PYLONCLAMSHELL DOOR LATCHCONFIGURATION ON CH-47D AND MH-47E HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD) AND (NSN 1520-01-282-3747) (EIC: RCE)
1-1520-240-50-80MWO:
Mnt LevelPriority
DU17-Mar-2000
DYNCORP OLR,FT. HOOD, TX(LH6989)
1504-May-2001
SSG SKINNER,JEFFERY
MODIFICATION INSTRUCTIONS FORIMPROVED NVG LIGHTING BEZEL FORTURN AND SLIP INDICATOR, RADARALTIMETER, AND VERTICAL GYROINDICATOR AND MODIFICATIONINSTRUCTIONS OF FORWARD PYLONDRAIN HOLES AND REPLACEMENT OFNO. 1 AND NO.2 PDP AC BUS THECIRCUIT BREAKE
1-1520-240-50-71MWO:
Mnt LevelPriority
DR31-Mar-2000
DYNCORP OLR,FT. HOOD, TX(LH6989)
18004-May-2001
SSG SKINNER,JEFFERY
MODIFICATION INSTRUCTIONS FOREXTENDED RANGES FUEL SYSTEMON CH-47D HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD)
1-1520-240-50-84MWO:
Mnt LevelPriority
DR01-Jul-2000
DYNCORP OLR,FT. HOOD, TX(LH6989)
804-May-2001
SSG SKINNER,JEFFERY
MODIFICATION INSTRUCTIONS FORON/OFF SWITCH FOR THE AFT WHITEPOSITION LIGHT ON CH-47D AND MH-47E HELICOPTERS (NSN 1520-01-088-3669) AND(EIC: RCD) (NSN 1520-01-282-3747) (EIC: RCE)
1-1520-240-50-75MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 9 of 1713-Oct-2015
DR31-Dec-1993
DYNCORP OLR,FT. HOOD, TX(LM0000)
1727-Sep-1995
SSG SKINNER,JEFFERY
MODIFICATION INSTRUCTIONS FORHELICOPTER INTERNAL CARGOHANDLING SYSTEM (HICHS) RAMPCENTERLINE ATTACHMENT FORCH47D HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD)
1-1520-240-50-59MWO:
Mnt LevelPriority
DR01-Apr-1994
DYNCORP OLR,FT. HOOD, TX(LM0000)
10427-Sep-1995
SSG SKINNER,JEFFERY
IMPROVED/ADJUSTABLE ENGINE AFTMOUNT LINK ASSEMBLY FOR CH-47DAND MH-47E HELICOPTERS) (NSN1520-01-088-3669) (EIC: RCD) AND(NSN 1520-01-282-3747) (EIC: RCE)
1-1520-240-50-60MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 10 of 1713-Oct-2015
DN15-Jul-1991
DYNCORP OLR,FT. HOOD, TX(LB2657)
2.511-Apr-1997
SSG SKINNER,JEFFERY
INSTALLATION OF IMPROVEDFREQUENCY MODULATION (IFM)BYPASS IN CH-47D HELICOPTER
1-1520-240-50-46MWO:
Mnt LevelPriority
DR31-Oct-1995
DYNCORP OLR,FT. HOOD, TX(LB2657)
7811-Apr-1997
SSG SKINNER,JEFFERY
MODIFICATION INSTRUCTIONS FORINSTALLATION OF NVG/ANVISLIGHTING UPDATE CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)
1-1520-240-50-52MWO:
Mnt LevelPriority
DR31-Jan-1996
DYNCORP OLR,FT. HOOD, TX(LB2657)
27411-Apr-1997
SSG SKINNER,JEFFERY
INSTALLATION OF HEADS UP DISPLAY(HUD) AN/AVS-7 IN CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC:RCD)
1-1520-240-50-56MWO:
Mnt LevelPriority
DR31-May-1996
DYNCORP OLR,FT. HOOD, TX(LB2657)
3617-Sep-1998
SSG SKINNER,JEFFERY
INSTALLATION OF ALTITUDE VOICEWARNING SYSTEM RADARALTIMETER AN/APN-209(V) IN CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)
1-1520-240-50-61MWO:
Mnt LevelPriority
DR14-Apr-1997
DYNCORP OLR,FT. HOOD, TX(LB2657)
3617-Sep-1998
SSG SKINNER,JEFFERY
MODIFICATION INSTRUCTIONS FORINSTALLING THE COCKPITEMERGENCY RAMP CONTROLSYSTEM ON CH-47D HELICOPTERS(NSN 1520-01-088-3669) (EIC: RCD)
1-1520-240-50-48MWO:
Mnt LevelPriority
DR29-Aug-1997
DYNCORP OLR,FT. HOOD, TX(LB2657)
14607-Oct-1999
SSG SKINNER,JEFFERY
INSTALLATION OF AN/ASN-128BDOPPLER/GPS NAVIGATION SYSTEMIN CH-47D HELICOPTERS (NSN 1520-01-088-3669 (EIC: RCD)
1-1520-240-50-73MWO:
Mnt LevelPriority
DR29-Aug-1997
DYNCORP OLR,FT. HOOD, TX(LB2657)
6411-Apr-1997
SSG SKINNER,JEFFERY
MODIFICATION INSTRUCTIONS FOREASILY REPLACEABLE CABIN ESCAPEHATCH FOR CH-47D HELICOPTER,NSN 1520-01-088-3669 (EIC:RCD) ANDMH-47E HELICOPTER, NSN 1520-01-282-4787 (EIC:RCE)
1-1520-240-50-76MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 11 of 1713-Oct-2015
DR04-Apr-1997
DYNCORP OLR,FT. HOOD, TX(LH6989)
1622-Aug-2000
SSG SKINNER,JEFFERY
MODIFICATION INSTRUCTIONS FORINSTALLATION OF STAINLESS STEELBELLCRANKS IN COMBININGTRANSMISSION AREA FOR CH-47DAND MH-47E HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD) (NSN 1520-01-282-3747) (EIC: RCE)
1-1520-240-50-65MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 12 of 1713-Oct-2015
DR01-Sep-2002
DYNCORPOLR,KILLEEN76543 (RV4789)
2512-Jan-2004
SSG SKINNER,JEFFERY
MODIFICATION INSTRUCTIONS FORSEALED LEAD ACID BATTERYINSTALLATION ON CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD)
1-1520-240-50-82MWO:
Mnt LevelPriority
DR01-Sep-2002
DYNCORPOLR,KILLEEN76543 (RV4789)
62012-Jan-2004
SSG SKINNER,JEFFERY
MODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE AN/ALE-147 COUNTERMEASURES DISPENSERSYSTEM (CMDS) ON THE CH-47DAIRCRAFT (NSN 1520-01-088-3669)(EIC RCD)
1-1520-240-55-12MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 13 of 1713-Oct-2015
DR22-Aug-2005
FT. HOOD,PROJECT OLR
2109-May-2008
CIV PARKER,ALBERT D
MODIFICATION INSTRUCTIONS FORINSTALLATION OF THECRASHWORTHYCREW CHIEF SEATAND FRAME KIT ON CH-47DHELICOPTERS (NSN 1520-01-088-3669)
1-1520-240-50-96MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 14 of 1713-Oct-2015
DN29-Aug-2005
FT. HOOD,PROJECT OLR.,KILLEEN, TX
3409-May-2008
CIV PARKER,ALBERT D
INSTALLATION INSTRUCTIONS FORTHE FLUX VALVE RELOCATION
1-1520-240-50-103MWO:
Mnt LevelPriority
DR14-Mar-2006
FT. HOOD,PROJECT OLR.,KILLEEN, TX
709-May-2008
CIV PARKER,ALBERT D
INSTALLATION OF THE NEW BRACKETFOR THE MA-16 INERTIA REELINSTALLED ON THE PILOT AND CO-PILOT SEATS FOR THE CH-47DHELICOPTERS (NSN 1520-01-088-3669)(EIC:RCD)
1-1520-240-50-97MWO:
Mnt LevelPriority
DR15-Mar-2006
FT. HOOD,PROJECT OLR.,KILLEEN, TX
609-May-2008
CIV PARKER,ALBERT D
INSTALLATION INSTRUCTIONS FORMASTER CAUTION PROTECTIVESHIELD ON CH-47D HELICOPTERS(NSN 1520-01-088-3669) (EIC: RCD)
1-1520-240-50-101MWO:
Mnt LevelPriority
DR18-Apr-2006
FT. HOOD,PROJECT OLR.,KILLEEN, TX
1709-May-2008
CIV PARKER,ALBERT D
M4 RIFLE MOUNT INSTALLATION FORTHE CH-47D HELICOPTERS (NSN 1520-01-088-3669) (EIC: RCD)
1-1520-240-50-104MWO:
Mnt LevelPriority
DR16-Oct-2006
FT. HOOD,PROJECT OLR.,KILLEEN, TX
3409-May-2008
CIV PARKER,ALBERT D
INSTALLATION OF ELECTRICALHYDRAULIC PUMP SYSTEM ON CH-47D HELICOPTERS
1-1520-240-50-109MWO:
Mnt LevelPriority
DM01-Jan-2007
FT. HOOD,PROJECT OLR.,KILLEEN, TX
1609-May-2008
CIV PARKER,ALBERT D
INSTALLATION OF LEFT HANDCRASHWORTHY SEAT SYSTEM
1-1520-240-50-99MWO:
Mnt LevelPriority
DR19-Feb-2007
FT. HOOD,PROJECT OLR.,KILLEEN, TX
20209-May-2008
CIV PARKER,ALBERT D
MODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE DOPPLERGPS NAVIGATION SET PREPLANNEDPRODUCT IMPROVEMENT (DGNS P3I)ON THE CH-47D HELICOPTER (NSN1520-01-088-3669) (EIC RCD)
1-1520-240-50-95MWO:
Mnt LevelPriority
DR04-Sep-2007
FT. HOOD,PROJECT OLR.,KILLEEN, TX
209-May-2008
CIV PARKER,ALBERT D
MODIFICATION INSTRUCTIONS FORINSTALLATION OF THE RECESSEDHEADREST RETROFIT ON THECRASHWORTHY CREW CHIEF SEATON CH47D AIRCRAFT
1-1520-240-50-114MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 15 of 1713-Oct-2015
DR04-Sep-2007
FT. HOOD,PROJECT OLR.,KILLEEN, TX
309-May-2008
CIV PARKER,ALBERT D
MODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE ARMORSEAT COMPENSATOR FOR THECOCKPIT SEATS ON THE H47HELICOPTERS
1-1520-240-50-115MWO:
Mnt LevelPriority
DR26-Oct-2007
FT. HOOD,PROJECT OLR.,KILLEEN, TX
1009-May-2008
CIV PARKER,ALBERT D
MODIFICATION INSTRUCTIONS FORTHE INSTALLATION OF THE AFTPYLON STEP DOUBLER ON THE CH-47D HELICOPTERS
1-1520-240-50-111MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 16 of 1713-Oct-2015
DR06-Apr-2001
OLR/LSI FTLEWIS WA(TM9262)
5420-Apr-2006
J, DMODIFICATION INSTRUCTIONS FORINSTALLING IMPROVED AFT PYLONWORK PLATFORM DOOR LATCHESON CH-47D AND MH-47EHELICOPTERS (NSN 1520-01-088-3669)(EIC: RCD) (NSN 1520-01-282-3747)(EIC: RCE)
1-1520-240-50-77MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
9100268CH-47DHELICOPTER, CARGO
3. AIRCRAFT SERIAL NUMBER2. MODEL1. NOMENCLATURE
Report Date: Page 17 of 1713-Oct-2015
DR18-Feb-2004
OLR/LSI FTLEWIS WA.(TM9262)
6520-Apr-2006
J, DMODIFICATION INSTRUCTIONS FORCARGO LOADMASTER RADARALTIMETER INSTALLATION ON CH-47DHELICOPTERS (NSN 1520-01-282-3747)(EIC: RCD)
1-1520-240-50-72 C1MWO:
Mnt LevelPriority
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-5 E, OCT 91 EQUIPMENT MODIFICATION RECORD
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
BLADE ASSY ROT WING FWD 9100268A119031. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 1/6013-Oct-2015
21-Jul-2005 DT
GM215017-Sep-2010
0BOEING PHILA.H-47 SERIES AIRCRAFT, ROTORBLADE, ROOT END FIBERDISTORTION
SOF CH-47-05-SOF-02MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
BLADE ASSY ROT WING FWD 9100268A1890E1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 2/6013-Oct-2015
21-Jul-2005 DT
GM251008-Dec-2010
0BOEING PHILA.H-47 SERIES AIRCRAFT, ROTORBLADE, ROOT END FIBERDISTORTION
CH-47-05-SOF-02MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
BLADE ASSY ROT WING AFT 9100268A2-28301. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 3/6013-Oct-2015
21-Jul-2005 OT
JD41544927-Jul-2005
1AASF MERIDIAN,MS. (TE7467)
H-47 SERIES AIRCRAFT, ROTORBLADE, ROOT END FIBERDISTORTION
CH-47-05-SOF-02MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
BLADE ASSY ROT WING AFT 9100268A2-28301. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 4/6013-Oct-2015
23-Jan-2007 OT
PP21389624-Jan-2007
1AASF#3ALL H-47 SERIES ACFT, SUSPECTROTOR BLADES
CH-47-07-SOF-02MWO:
Priority Mnt Level
27-Sep-2007 OT
PP21389621-Mar-2008
1AASF#3ALL H-47 SERIES AIRCRAFT,SUSPECT ROTOR BLADES
CH-47-07-SOF-03MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
BLADE ASSY ROT WING AFT 9100268A2-28301. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 5/6013-Oct-2015
26-May-2006 OT
JD41544926-May-2006
0.1LSI FT LEWIS,WA (GL0998)
H-47 SERIES AIRCRAFT, SUSPECTAFT ROTOR BLADES
CH-47-06-SOF-04MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
BLADE ASSY ROT WING AFT 9100268A2-28301. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 6/6013-Oct-2015
27-Jan-2012 DR
LH90452727-Jan-2012
4MO-TASMGREPLACED ROOT SOCKET LINERIAW SRA: AX210711
DMWRMWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
BLADE ASSY ROT WING AFT 9100268A216171. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 7/6013-Oct-2015
23-Jan-2007 OT
PP21389624-Jan-2007
1AASF#3ALL H-47 SERIES ACFT, SUSPECTROTOR BLADES
CH-47-07-SOF-02MWO:
Priority Mnt Level
27-Sep-2007 OT
PP21389621-Mar-2008
1AASF#3ALL H-47 SERIES AIRCRAFT,SUSPECT ROTOR BLADES
CH-47-07-SOF-03MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
BLADE ASSY ROT WING AFT 9100268A216171. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 8/6013-Oct-2015
21-Jul-2005 OT
MS06803415-Feb-2006
1BOEING PHILAH-47 SERIES AIRCRAFT, ROTORBLADE, ROOT END FIBERDISTORTION
CH-47-05-SOF-02MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
BLADE ASSY ROT WING AFT 9100268A216171. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 9/6013-Oct-2015
26-May-2006 OT
JD41544926-May-2006
0.4LSI FT LEWISWA
H-47 SERIES AIRCRAFT, SUSPECTAFT ROTOR BLADES
CH-47-06-SOF-04MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
HUB ROTARY WING AFT 9100268FM03721. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 10/6013-Oct-2015
15-Dec-2000 DU
EL995208-Jun-2007
4CCAD C.C.TEXAS 78419-5260
ALL H-47 SERIES AIRCRAFT,FORWARD AND AFT HUB LIGHTNINGHOLE INSPECTIONS.
1-1520-240-20-131MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
TIE BAR ASSY 9100268A203701. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 11/6013-Oct-2015
20-Jan-2002 DU
EL995208-Jun-2007
2CCAD C.C.TEXAS 78419-5260
ALL H-47 SERIES A/C, INSPECTIONOF THE ROTARY WING HEAD TIEBAR ASSY
1-1520-240-20-146MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
TIE BAR ASSY 9100268A53571. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 12/6013-Oct-2015
20-Jan-2002 DU
EL995208-Jun-2007
2CCAD C.C.TEXAS 78419-5260
ALL H-47 SERIES A/C, INSPECTIONOF THE ROTARY WING HEAD TIEBAR ASSY
1-1520-240-20-146MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
TIE BAR ASSY 9100268A99751. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 13/6013-Oct-2015
20-Jan-2002 DU
EL995208-Jun-2007
2CCAD C.C.TEXAS 78419-5260
ALL H-47 SERIES A/C, INSPECTIONOF THE ROTARY WING HEAD TIEBAR ASSY
1-1520-240-20-146MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
PIN HORIZ. AFT, ROTATE/SHOTPEEN 9100268TZ456*1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 14/6013-Oct-2015
28-Jul-2000 OU
EL995208-Jun-2007
4CCAD C.C.TEXAS 78419-5260
MANDATORY INSPECTION OFHORIZONTAL HINGE PIN ON ALL CH-47D, MH-47D AND MH-47E AIRCRAFT
1-1520-240-20-122MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
PIN HORIZ. AFT, REPLACE 9100268AF780*1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 15/6013-Oct-2015
28-Jul-2000 DU
EL995208-Jun-2007
4CCAD C.C.TEXAS 78419-5260
MANDATORY INSPECTION OFHORIZONTAL HINGE PIN ON ALL CH-47D, MH-47D AND MH-47E AIRCRAFT
1-1520-240-20-122MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
PIN HORIZ. AFT, REPLACE 9100268TZ1300*1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 16/6013-Oct-2015
28-Jul-2000 DU
EL9956208-Jun-2007
4CCAD C.C.TEXAS 78419-5260
MANDATORY INSPECTION OFHORIZONTAL HINGE PIN ON ALL CH-47D, MH-47D AND MH-47E AIRCRAFT
1-1520-240-20-122MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
FORWARD TRANSMISSION 9100268A7-5741. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 17/6013-Oct-2015
26-Aug-1999 DT
JD41544930-Aug-1999
0.5AASF -MERIDIAN, MS.(CM6742)
CH-47D, MH-47D, AND MH-47EAIRCRAFT, INSPECTION OF H-47AIRCRAFT FOR FORWARD AND AFTTRANSMISSION GEAR/BEARINGASSEMBLIES IDENTIFIED BY SERIALNUMBER PREFIX "VB"
CH-47-99-04MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
FORWARD TRANSMISSION 9100268A7-5741. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 18/6013-Oct-2015
23-Oct-2014 FM
ML39928523-Oct-2014
0.5AASF #1,JACKSONVILLE,FL.32225,FLARNG
MEC # F191330 A, ONE TIMEAUTHORIZATION TO REPAIRDAMAGED THREADS ON THELOWER THIRD OF THE SHAFTTHREADS. AUTHORIZED BY MR.SCOTT T. KREPPS([email protected])PER MR.PHILLIP (KEITH) HERNDON;AEROSPACE ENGINEER, AED,CARGO SYSTEMS DIVISION.
F191330 AMWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
AFT TRANSMISSION 9100268A9-5761. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 19/6013-Oct-2015
26-Aug-1999 DT
JD41544930-Aug-1999
0.5AASF MEI. MS.(CM6742)
CH-47D, MH-47D, AND MH-47EAIRCRAFT, INSPECTION OF H-47AIRCRAFT FOR FORWARD AND AFTTRANSMISSION GEAR/BEARINGASSEMBLIES IDENTIFIED BY SERIALNUMBER PREFIX "VB"
CH-47-99-04MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
AFT TRANSMISSION 9100268A9-5761. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 20/6013-Oct-2015
14-May-1998 OM
JD41544919-May-1998
0.5AASF MEI. MS.(DT2810)
C/MH-47D/E, ONE TIME INSPECTIONFOR AFT TRANSMISSIONS WITHSUSPECTED IMPROPERLY SHIMMEDINPUT PINION GEAR ASSEMBLY
CH-47-98-ASAM-04MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
AFT TRANSMISSION 9100268A9-5761. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 21/6013-Oct-2015
08-Nov-2007 OM
PP21389612-May-2008
6AASF#3,MERIDIAN,MS
INSPECT AFT XMSN ROTOR SHAFTSEAL RETAINER ASSY OIL JET THRUPASSAGES FOR THE PRESENCE OFSEALANT
H-47-08-AMAM-01MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
AFT TRANSMISSION 9100268A9-5761. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 22/6013-Oct-2015
28-Jul-2005 OM
JD41544919-Mar-2006
5OLR/LSI FTLEWIS WA
H-47 SERIES AIRCRAFT, AFTTRANSMISSION RETAINER
CH-47-05-ASAM-04MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
SHAFT ASSY, AFT VERTICAL 9100268A-10111. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 23/6013-Oct-2015
15-Sep-2006 OT
PP21389618-Sep-2006
2AASF,MERIDIAN,MS
H-47 AIRCRAFT, AFT CRITICALDYNAMIC COMPONENTS
CH-47-06-SOF-06MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
SHAFT ASSY, AFT VERTICAL 9100268A-10111. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 24/6013-Oct-2015
30-Apr-1987 DM
MS06803404-Jan-2006
89.8CCAD C.CTEXAS 78419-5260
NATIONAL MAINTENANCE REPIARSTANDARDS FOR DRIVE SHAFTING;SHAFT ASSEMBLY, FORWARDSYNCHRONIZING DRIVE, PN:145D3400-23 (NSN 1615-01-113-0248),PN: 145D3400-24 (NSN 1615-01-112-5895), 145D3400-31 (NSN 1615-01-112-5897), PN: 145D3400-32 (NSN 1615-01-112-5897); SHAFT ASSEMBLY, AFTSYNCHRONIZING DRIVE, PN:145D3400-25 (NSN 1615-01-113-0292),PN: 145D3400-26 (NSN 1615-01-119-3359); ADAPTER ASSEMBLY,SYNCHRONIZING DRIVE SHAFT, PN:145D3407-6 (NSN 1615-01-113-0249),PN: 145D3407-7 (NSN: 1615-01-140-6703), PN: 145D3407-8 (NSN 1615-01-119-3360), PN: 145D3407-9 (NSN 1615-01-114-0845); SHAFT ASSEMBLY,ENGINE TO COMBININGTRANSMISSION DRIVE, PN:145D3504-2 (NSN 3010-01-316-2661);ADAPTER ASSEMBLY, ENGINETRANSMISSION DRIVE, PN:145D3500-16 (NSN 1615-01-319-5091);ADAPTER ASSEMBLY, COMBININGTRANSMISSION DRIVE, PN:145D3500-17 (NSN 1615-01-319-5092);SHAFT ASSEMBLY, AFT ROTOR, PN:145D3300-6 (NSN 1680-01-320-1191)
55-1615-322MWO:
Priority Mnt Level
26-Jul-2000 FM
MS06803404-Jan-2006
0.1CCAD C.CTEXAS 78419-5260
ALL H-47 SERIES AIRCRAFT,INSPECTION OF FORWARD AND AFTSLIDER SHAFT SEALS
CH-47-00-ASAM-05MWO:
Priority Mnt Level
14-Oct-2004 DM
MS06803404-Jan-2006
2CCAD C.CTEXAS 78419-5260
CH-47 AIRCRAFT, AFT CRITICALDYNAMIC COMPONENTS
CH-47-05-ASAM-01MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
SEC 1 DRIVE SHAFT ASSY 9100268A-48481. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 25/6013-Oct-2015
10-Oct-1996 OM
AB30245811-Oct-1996
1AASF MERIDIAN,MS. (RL9391)
ALL CH-47D, MH-47D, AND MH-47EAIRCRAFT, ONE TIME RECORDSCHECK, VISUAL INSPECTION FOR,AND REMOVAL OF CERTAIN SERIALNUMBERED 145D3400-23/-25/-32FORWARD SYNCHRONIZING DRIVESHAFT ASSEMBLIES
CH-47-97-ASAM-01MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
DRIVESHAFT ASSY, SEC 2-6 9100268A45691. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 26/6013-Oct-2015
29-Sep-2000 DT
JL906423-Aug-2011
22CCAD, W0MUAARECAPPEDDMWR 55-1615-322 CH-10MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
DRIVESHAFT ASSY, SEC 2-6 9100268A86621. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 27/6013-Oct-2015
29-Sep-2000 DT
FR462627-Aug-2011
22CCAD/WOMUAARECAPPEDDMWR 55-1615-322 CH-10MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
ADAPTER ASSY ENG D/S OUTB 9100268A-60311. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 28/6013-Oct-2015
22-Dec-2000 OT
JD41544909-Jan-2001
1AASF-MERIDIAN,MS. (JS5030)
CH/MH-47D AIRCRAFT, ONE TIMEINSPECTION OF AFT ROTOR HEADASSEMBLIES AND ENGINE CROSSSHAFT ADAPTER ASSEMBLIES
CH-47-01-01MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
ADAPTER ASSY ENG D/S OUTB 9100268A62461. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 29/6013-Oct-2015
01-Oct-2002 DR
GA344001-Sep-2011
17CCAD/W0MUAARECAPPED55-1650-322,C 10 22MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
ADAPTER ASSY ENG D/S INB 9100268A-60591. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 30/6013-Oct-2015
22-Dec-2000 DU
JD41544909-Jan-2001
1AASF-MERIDIAN, MS.(JS5030)
CH/MH-47D AIRCRAFT, ONE TIMEINSPECTION OF AFT ROTOR HEADASSEMBLIES AND ENGINE CROSSSHAFT ADAPTER ASSEMBLIES
CH-47-01-01MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
ADAPTER ASSY ENG D/S INB 9100268A60941. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 31/6013-Oct-2015
22-Oct-2002 DR
FR462622-Apr-2013
12CCADRECAPPEDDMWR 55-1615-322 C 10MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
TMSN ASSY ENGINE MECH 9100268A11-4681. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 32/6013-Oct-2015
23-May-2008 MM
PP21389627-May-2008
1AASF#3ENGINE TRANSMISSION PINIONGEAR
H-47-08-SOF-01MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
TMSN ASSY ENGINE MECH 9100268A11-4681. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 33/6013-Oct-2015
27-Jan-2000 OT
MS06803431-Jan-2000
1AASF-MERIDIANMS.
ALL CH-47D, MH-47D AND MH-47ESERIES AIRCRAFT, ONE-TIMEINSPECTION OF ENGINETRANSMISSIONS RECORDS FORSUSPECT GEARS ANDREPLACEMENT OF SUSPECTTRANSMISSIONS
CH-47-00-04MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
GEARSHAFT, BEVEL 9100268M1092DRGI1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 34/6013-Oct-2015
23-May-2008 OR
PP21389627-May-2008
0.1AASF#3,MERIDIAN,MS
ENGINE TRANSMISSION PINIONGEAR
H-47-08-SOF-01MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
GEARSHAFT, BEVEL 9100268M9671. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 35/6013-Oct-2015
23-May-2008 OR
PP21389627-May-2008
0.1AASF#3,MERIDIAN,MS
ENGINE TRANSMISSION PINIONGEAR
H-47-08-SOF-01MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
CYLINDER ASSY PIVOT AFT 9100268BCS420BSA1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 36/6013-Oct-2015
09-Jan-2006 OM
JD41544910-Jan-2006
1AASF #3MERIDIAN, MS.(TE7467)
H-47 SERIES AIRCRAFT, UPPERBOOST ACTUATORS (UBA)
CH-47-06-ASAM-01MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
CYLINDER ASSY PIVOT AFT 9100268BCS420BSA1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 37/6013-Oct-2015
22-Jul-1996 OU
JD41544912-Jul-1996
32AASF,MERIDIAN, MS(RL8391)
ONE TIME VISUAL INSPECTION ANDRECORDS CHECK OF THE UPPERBOOST ACTUATORS AND PULL TESTOF SWASHPLATE FOR ALL CH-47D,MH-47D, AND MH-47E AIRCRAFT
1-1520-240-20-85MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
CYLINDER ACT SWIVEL AFT 9100268UR-480BAN1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 38/6013-Oct-2015
09-Jan-2006 OM
JD41544910-Jan-2006
1AASF #3MERIDIAN, MS.(TE7467)
H-47 SERIES AIRCRAFT, UPPERBOOST ACTUATORS (UBA)
CH-47-06-ASAM-01MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
CYLINDER ACT SWIVEL FWD 9100268UR951BAN1. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 39/6013-Oct-2015
09-Jan-2006 OM
LU605222-Dec-2010
1CCAD/WOMUAAH-47 SERIES AIRCRAFT, UPPERBOOST ACTUATORS (UBA)
CH-47-06-ASAM-01MWO:
Priority Mnt Level
16-Jan-2008 DM
LU605222-Dec-2010
57CCAD/WOMUAARECAPPEDDMWR 55-1650-400MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
HEAD ASSY ROT WING FWD 9100268A4-2931. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 40/6013-Oct-2015
08-Jul-2010 OM
PP21389609-Jul-2010
0.5AASF#3,MERIDIAN
ALL H-47 SERIES AIRCRAFT,CHROMALLOY ROTOR HUBS
H-47-10-ASAM-04MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
HEAD ASSY ROT WING FWD 9100268A4-2931. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 41/6013-Oct-2015
11-May-2000 DU
JD41544905-Dec-2005
0.5CCAD C.C. TX78419-5260(RS7369)
CH-47D, MH-47D AND MH-47EAIRCRAFT, ONE TIME INSPECTIONOF PITCH HOUSINGS, P/N 145R2075-13/-14/-15/-16
1-1520-240-20-120MWO:
Priority Mnt Level
28-Jul-2000 DU
JD41544905-Dec-2005
4CCAD C.C. TX78419-5260(RS7369)
MANDATORY INSPECTION OFHORIZONTAL HINGE PIN ON ALL CH-47D, MH-47D AND MH-47E AIRCRAFT
1-1520-240-20-122MWO:
Priority Mnt Level
15-Dec-2000 DU
JD41544905-Dec-2005
4CCAD C.C. TX78419-5260(RS7369)
MANDATORY INSPECTION OFFORWARD AND AFT ROTOR HUBLIGHTENING HOLES ON ALL CH-47D,MH-47D AND MH-47E AIRCRAFT
1-1520-240-20-131MWO:
Priority Mnt Level
15-Dec-2000 DU
JD41544905-Dec-2005
0.5CCAD C.C. TX78419-5260(RS7369)
MANDATORY ONE TIME INSPECTIONOF ROTOR HEAD ASSEMBLY DROOPSTOP BOLTS FOR PROPER LENGTH,ON ALL CH-47D, MH-47D AND MH-47E AIRCRAFT
1-1520-240-20-132MWO:
Priority Mnt Level
15-Dec-2000 DU
JD41544905-Dec-2005
0.5CCAD C.C. TX78419-5260(RS7369)
MANDATORY INSPECTION FORUNTESTED FLIGHT SAFETY PARTS(FSP) TIE BAR PIN ASSEMBLIES, P/N114R2168-3 AND 114R2168-4, ON ALLCH-47D, MH-47D AND MH-47EAIRCRAFT
1-1520-240-20-133MWO:
Priority Mnt Level
15-Dec-2000 DU
JD41544905-Dec-2005
0.1CCAD C.C. TX78419-5260(RS7369)
ONE TIME INSPECTION OF AFTROTOR HEAD ASSEMBLIES ANDENGINE CROSS SHAFT ADAPTERASSEMBLIES ON ALL CH-47D ANDMH-47D AIRCRAFT
1-1520-240-20-134MWO:
Priority Mnt Level
06-Feb-2001 DU
JD41544905-Dec-2005
0.5CCAD C.C. TX78419-5260(RS7369)
ONE TIME INSPECTION FORPROPER INSTALLATION OF DROOPSTOPS ON ALL CH-47D, MH-47D ANDMH-47E AIRCRAFT
1-1520-240-20-136MWO:
Priority Mnt Level
20-Feb-2001 DU
JD41544905-Dec-2005
0.5CCAD C.C. TX78419-5260(RS7369)
UNGROUNDING REQUIREMENTSFOR ALL CH-47D, MH-47D AND MH-47E AIRCRAFT WITH INCORRECTLYINSTALLED DROOP STOPS
1-1520-240-20-137MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
HEAD ASSY ROT WING FWD 9100268A4-2931. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 42/6013-Oct-2015
20-Jan-2002 DU
JD41544905-Dec-2005
2CCAD C.C. TX,78419-5260(RS7369)
INSPECTION OF THE ROTARY WINGHEAD TIE BAR ASSEMBLY ON ALLCH-47D, MH-47D AND MH-47EAIRCRAFT
1-1520-240-20-146MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
HEAD ASSY ROT WING FWD 9100268A4-2931. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 43/6013-Oct-2015
11-May-2000 DU
JD41544905-Dec-2005
0.5CCAD C.C.TX78419-5260 (RS7369)
INITIAL AND RECURRINGINSPECTIONS AND REPLACEMENTOF HORIZONTAL HINGE PINSHOULDERED BOLTS FOR ALL CH-47D, MH-47D AND MH-47E SERIESAIRCRAFT
1-1520-240-20-118MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
HEAD ASSY ROT WING FWD 9100268A4-2931. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 44/6013-Oct-2015
30-Jan-2003 DM
MS06803425-Jan-2005
45CCAD, C.C. TX78419-5260
FWD AND AFT ROTARY WING HEADASSEMBLIES; P/N 145R2003-10(FWD) P/N 145R2004-20 (AFT)
T3332MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
HEAD ASSY ROT WING FWD 9100268A4-2931. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 45/6013-Oct-2015
01-Apr-1994 DU
JD41544905-Dec-2005
17CCAD, C.C. TX.78419-5260(RS7369)
MODIFICATIONS INSTRUCTIONSFOR INSTALLING ROTARY WINGHEAD PITCH HOUSING/LAG DAMPERIMPROVED BOLTS AND BUSHINGSTO REPLACE THE BOLTS ANDBUSHINGS INSTALLED AT THEFACTORY/DEPOT AND VIA MWO 1-1520-240-50-37, PART NUMBERSSK33346-2 (UPPER BUSHING),SK33346
1-1520-240-50-69MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
HEAD ASSY ROT WING AFT 9100268A5-8691. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 46/6013-Oct-2015
15-Dec-2000 DU
EL995212-Jun-2007
0.5CCAD C.CTEXAS 78419-5260
ONE TIME INSPECTION OF AFTROTOR HEAD ASSEMBLIES ANDENGINE CROSS SHAFT ADAPTERASSEMBLIES ON ALL CH-47D ANDMH-47D AIRCRAFT
1-1520-240-20-134MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
HEAD ASSY ROT WING AFT 9100268A5-8691. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 47/6013-Oct-2015
01-Apr-1994 DU
EL995212-Jun-2007
17CCAD C.C.TEXAS 78419-5260
MODIFICATIONS INSTRUCTIONSFOR INSTALLING ROTARY WINGHEAD PITCH HOUSING/LAG DAMPERIMPROVED BOLTS AND BUSHINGSTO REPLACE THE BOLTS ANDBUSHINGS INSTALLED AT THEFACTORY/DEPOT AND VIA MWO 1-1520-240-50-37, PART NUMBERSSK33346-2 (UPPER BUSHING),SK33346
1-1520-240-50-69MWO:
Priority Mnt Level
11-May-2000 DU
EL995212-Jun-2007
0.5CCAD C.C.TEXAS 78419-5260
CH-47/MH-47/MH-47E ACFT INITALAND RECURRING INSP ANDREPLACEMENT OF HORIZONTALHINGE PIN SHOULDER BOLT P/N114R2201-1
1-1520-240-20-118 / CH-47-MWO:
Priority Mnt Level
28-Jul-2000 DU
EL995212-Jun-2007
4CCAD C.C.TEXAS 78419-5260
MANDATORY INSPECTION OFHORIZONTAL HINGE PIN ON ALL CH-47D, MH-47D AND MH-47E AIRCRAFT
1-1520-240-20-122MWO:
Priority Mnt Level
15-Dec-2000 DU
EL995212-Jun-2007
4CCAD C.C.TEXAS 78419-5260
MANDATORY INSPECTION OFFORWARD AND AFT ROTOR HUBLIGHTENING HOLES ON ALL CH-47D,MH-47D AND MH-47E AIRCRAFT
1-1520-240-20-131MWO:
Priority Mnt Level
15-Dec-2000 DU
EL995212-Jun-2007
0.5CCAD C.C.TEXAS 78419-5260
MANDATORY ONE TIME INSPECTIONOF ROTOR HEAD ASSEMBLY DROOPSTOP BOLTS FOR PROPER LENGTH,ON ALL CH-47D, MH-47D AND MH-47E AIRCRAFT
1-1520-240-20-132MWO:
Priority Mnt Level
15-Dec-2000 DU
EL995212-Jun-2007
0.5CCAD C.C.TEXAS 78419-5260
MANDATORY INSPECTION FORUNTESTED FLIGHT SAFETY PARTS(FSP) TIE BAR PIN ASSEMBLIES, P/N114R2168-3 AND 114R2168-4, ON ALLCH-47D, MH-47D AND MH-47EAIRCRAFT
1-1520-240-20-133MWO:
Priority Mnt Level
06-Feb-2001 DU
EL995212-Jun-2007
0.5CCAD C.C.TEXAS 78419-5260
ONE TIME INSPECTION FORPROPER INSTALLATION OF DROOPSTOPS ON ALL CH-47D, MH-47D ANDMH-47E AIRCRAFT
1-1520-240-20-136MWO:
Priority Mnt Level
EL995212-Jun-2007
0.5CCAD C.C.TEXAS 78419-5260
UNGROUNDING REQUIREMENTSFOR ALL CH-47D, MH-47D AND MH-47E AIRCRAFT WITH INCORRECTLYINSTALLED DROOP STOPS
1-1520-240-20-137MWO:
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
HEAD ASSY ROT WING AFT 9100268A5-8691. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 48/6013-Oct-2015
20-Feb-2001 DU
Priority Mnt Level
20-Jan-2002 DU
EL995212-Jun-2007
2CCAD C.C.TEXAS 78419-5260
INSPECTION OF THE ROTARY WINGHEAD TIE BAR ASSEMBLY ON ALLCH-47D, MH-47D AND MH-47EAIRCRAFT
1-1520-240-20-146MWO:
Priority Mnt Level
30-Jan-2003 DU
EL995212-Jun-2007
45CCAD C.C.TEXAS 78419-5260
RECAP FOR CH-47 FWD & AFTROTARY WING HEAD ASSY, P/N:145R2003-10 (FWD) AND P/N:145R2004-20 (AFT).
AED T3332 DMWR 55-16MWO:
Priority Mnt Level
14-Oct-2004 DM
EL995212-Jun-2007
0.5CCAD C.C.TEXAS 78419-5260
ALL H-47 SERIES AIRCRAFT, AFTROTARY WING HEAD
CH-47-05-ASAM-02MWO:
Priority Mnt Level
14-Oct-2004 DU
EL995212-Jun-2007
2CCAD C.C.TEXAS 78419-5260
INSP -16 FOR SPECIFIC S/N'S DURTO CRUISE GUIDE INDICATORENCOUNTERED.
UMD-CH47-X1159 (CH47-0MWO:
Priority Mnt Level
05-Jul-2005 DU
EL995212-Jun-2007
1CCAD C.C.TEXAS 78419-5260
CH-47D AIRCRAFT, VERTICAL HINGEPIN BEARINGS (CH-47-05-ASAM-03)
1-1520-240-20-159MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
HEAD ASSY ROT WING AFT 9100268A5-8691. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 49/6013-Oct-2015
11-May-2000 DU
EL995212-Jun-2007
0.5CCAD C.C.TEXAS 78419-5260
CH-47D, MH-47D AND MH-47EAIRCRAFT, ONE TIME INSPECTIONOF PITCH HOUSINGS, P/N 145R2075-13/-14/-15/-16
1-1520-240-20-120MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
PITCH HOUSING 9100268AM12571. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 50/6013-Oct-2015
11-Feb-2008 OM
PP21389613-Feb-2008
0AASF#3ALL H-47 AIRCRAFT, PITCH HORNBUSHING
H-47-08-ASAM-01MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
PITCH HOUSING 9100268AM14591. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 51/6013-Oct-2015
11-Feb-2008 OM
PP21389613-Feb-2008
0AASF#3ALL H-47 AIRCRAFT, PITCH HORNBUSHING
H-47-08-ASAM-01MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
PITCH HOUSING, AFT 9100268GA34881. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 52/6013-Oct-2015
12-May-2000 DU
EL995208-Jun-2007
0.5CCAD C.C.TEXAS 78419-5260
CH-47D, MH-47D AND MH-47EAIRCRAFT, ONE TIME INSPECTIONOF PITCH HOUSINGS, P/N 145R2075-13/-14/-15/-16
1-1520-240-20-120MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
PITCH HOUSING, AFT 9100268ILS2451. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 53/6013-Oct-2015
12-May-2000 DU
EL995208-Jun-2007
0.5CCAD C.C.TEXAS 78419-5260
CH-47D, MH-47D AND MH-47EAIRCRAFT, ONE TIME INSPECTIONOF PITCH HOUSINGS, P/N 145R2075-13/-14/-15/-16
1-1520-240-20-120MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
PITCH HOUSING, AFT 9100268TZ-9821. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 54/6013-Oct-2015
12-May-2000 DU
EL995208-Jun-2007
0.5CCAD C.C.TEXAS 78419-5280
CH-47D, MH-47D AND MH-47EAIRCRAFT, ONE TIME INSPECTIONOF PITCH HOUSINGS, P/N 145R2075-13/-14/-15/-16
1-1520-240-20-120MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
SWASHPLATE ASSY FWD 9100268A841221. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 55/6013-Oct-2015
25-Jan-2002 DU
BB420118-Oct-2012
1CCADSWASHPLATE LOWER SEALRETAINER SELF-LOCKING NUTINSPECTION
CH-47-02-01 TB 1-1520-24MWO:
Priority Mnt Level
05-Jun-2005 DU
BB420118-Oct-2012
1CCADSWASHPLATE ROTATING RINGEDDY CURRENT INSPECTION
CH-47-06-SOF-01 TB 1-15MWO:
Priority Mnt Level
12-Jun-2008 OM
BB420118-Oct-2012
0.5CCADFWD & AFT SWASHPLATE ASSYRETAINING SPACERS
H-47-08-AMAN-04MWO:
Priority Mnt Level
14-Aug-2008 DU
BB420118-Oct-1012
10CCADRECAP REQUIREMENTSDMWR 55-1615-297 / TB 1-MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
SWASHPLATE ASSY FWD 9100268A846841. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 56/6013-Oct-2015
24-Jan-2002 OT
EG564130-Oct-2013
2CCADH-47, SWASHPLATE LOWER SEALRETAINER SELF-LOCKING NUTINSPECTION
SOF CH-47-02-01MWO:
Priority Mnt Level
25-Mar-2002 DR
EG564130-Oct-2013
10CCADRECAPPED55-1615-297 C/7MWO:
Priority Mnt Level
05-Jan-2005 DU
EG564130-Oct-2013
1CCADH-47 SERIES AIRCRAFT,SWASHPLATE ROTATING RING
CH-47-05-SOF-01MWO:
Priority Mnt Level
12-Jun-2008 OR
EG564130-Oct-2013
5CCADSWASHPLATE ASSEMBLYRETAINING SPACERS
CH-47-08-AMAM-04MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
SWASHPLATE ASSY AFT 9100268A8413481. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 57/6013-Oct-2015
30-Apr-1985 DM
FC792929-Jan-2009
10CCADFORWARD AND AFTCONTROLLABLE SWASHPLATEASSMEBLIES; PART NUMBERS145R3551-19 (NSN 1615-01-473-4376),145R3551-20 (NSN 1615-01-475-9838)
55-1615-297MWO:
Priority Mnt Level
24-Jan-2002 OT
FC792929-Jan-2009
2CCADH-47, SWASHPLATE LOWER SEALRETAINER SELF-LOCKING NUTINSPECTION
CH-47-02-01MWO:
Priority Mnt Level
31-Jan-2002 OU
FC792929-Jan-2009
2CCADINSPECTION OF SWASHPLATELOWER SEAL RETAINER SELF-LOCKING NUT ON ALL CH-47D, MH-47D AND MH-47E AIRCRAFT
1-1520-240-20-144MWO:
Priority Mnt Level
04-Feb-2004 DU
FC792929-Jan-2009
10CCADALL H-47 CHINOOK AIRCRAFT,SWASHPLATE BEARING, FWD ANDAFT
CH-47-03-01MWO:
Priority Mnt Level
12-Feb-2004 OU
FC792929-Jan-2009
10CCADINSPECTION OF SWASHPLATEBEARING, FORWARD AND AFT ONALL H-47 SERIES AIRCRAFT
1-1520-240-20-152MWO:
Priority Mnt Level
04-Jan-2005 FT
FC792929-Jan-2009
10CCADH-47 SERIES AIRCRAFT,SWASHPLATE ROTATING RING
CH-47-05-SOF-01MWO:
Priority Mnt Level
31-Jan-2005 DU
FC792929-Jan-2009
10CCADREQUIREMENT FOR INITIAL ANDRECURRING EDDY CURRENTINSPECTION FOR ALL FORWARDAND AFT SWASHPLATE ROTATINGRINGS ON ALL CH-47D, MH-47F, MH-47D AND MH-47E AIRCRAFT
1-1520-240-20-156MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
ENGINE ASSY, TURBINE 910026806PGA009341. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 58/6013-Oct-2015
27-Jan-2015 FM
ML39928529-Jan-2015
0.5AASF # 1,FLARNG,JACKSONVILLE,FL 32221
H-47-AMAM-01 ENGINE CHIPDETECTOR
H-47-15-AMAM-01MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
ENGINE ASSY, TURBINE 910026807PGA010751. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 59/6013-Oct-2015
27-Jan-2015 FM
ML39928529-Jan-2015
0.5AASF # 1,FLARNG,JACKSONVILLE,FL 32221
H-47-AMAM-01 ENGINE CHIPDETECTOR
H-47-15-AMAM-01MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
PIDMWODATE HRS
DATEORAPPLYINGMWO TITLEAND MAN
8.NAME7.6. ORGANIZATION5.MWO NUMBER 9.4.
VIBRATION ABSORBER 9100268YT6581. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER2. COMPONENT SERIAL NUMBER
Report Date: 60/6013-Oct-2015
11-Jun-1997 DR
AA754002-Aug-2011
35CCAD/W0MUAARECAPPEDDMWR 55-1560-275MWO:
Priority Mnt Level
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
EQUIPMENT MODIFICATION RECORD (COMPONENT)DA FORM 2408-5-1-E, OCT 91
Report Date: 13-Oct-2015 1/1
7500.4
7500.4
9259.722972243.6
13. LOCAL USE
0
c. NEXT PHASE/SCHEDULED INSP DUE AT PID
INSPECTION2 7498.17/14/2015 8:35:51 LAST GENERATION PHASE/SCHEDULED
HOURS COMPLETEDOPERATION SINCE OPERATION TO NEXT DATE COMPLETEDPMD DUEe.b. NEXT PHASE/SCHEDULED INSP (NO.)a. HOURS OF d. HOURS OF
SCHEDULED INSPECTION INFORMATION12.
TOTALOTHER
/ELECT
TODAYARM
032645CURRENT
XHOURSACFT CYCLESAUTOSTD
LANDINGS HSF/AIRCRAFTFLIGHT DATASYSTEM STATUS 11.10.
TOTAL
TODAY
0CURRENT
DATE STARTSHOURSNO. 2NO. 1 HR METER NO. 2NO. 1FRAMEFIRED AIR-
ENGINE HIT READINGS APU HISTORY 8. ROUNDS6. 7. 9. ENGINE STARTS
Summit Aviation
1. AIRCRAFT SERIAL NUMBER 2. MODEL 4. STATION 5. NAME OF CE/MECH3. UIC
9100268 CH-47D K6U666
EDITION OF DEC 66 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
AIRCRAFT STATUS INFORMATION RECORDDA FORM 2408-13 E, OCT 91
PART I - FAULT INFORMATION
9100268 1/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17500.4 O
02A
PHASE INSPECTION was due at 7500.4. Status changed to Red X at7500.4
PID
SYS DATE ACFT HRSNO
X WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 5 01:07:31
HOUR
COMGEN14-Jul-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 27493.1 O
19
AFCT REST FROM NIGHT/NVG/NVD FLT DUE TO PILOTS SIDERADAR ALTIMETER BEING INTERMITTANT AND ERATIC
PID
SYS DATE ACFT HRSNO
V WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 8 06:35:00
HOUR
WB49328308-Jul-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 2/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27208.9 X
00
Operate within the limitations prescribed in the enclosed AWR'sdated: (EAWIS)22Jan12, (EDM)4Nov08R3, (Alt. Maint.)27Aug04,(Ambient Temp)18Jul03, (CMWS)10Apr09, (PRC-117F)20Nov08R4,(ANVIS)10Mar12, (APU Barrier)03Mar05, (Bambi Bucket)01Jun09,(Bubble Window)28Nov03, (CCCS)29 Jun05, (CCHS)20May09, (HoverPower)1Feb07, (Single EDM)4Nov08, (EBC-406HM)13Feb09R1,(EPUSHA)16Oct07, (ERFSII Panel)18Jan08,(ERFSII Roller)12Dec01,(Flare Cable)26Nov03, (Flux Valve)22Jul05, (Magnus)16May12,(Garman GPSMAP)19Jul10, (GPS Product Improv.)12Jan10,(Hud)17Aug06, (IR Strobe)01Nov04, (M240 Gun Mount)08Aug08,(Miltop)12Feb10, (Mod Seal)30Sep05, (Oregon Aero)10Sep09, (P3Check Valve)25Jun09,(PPC Software)15Apr09, (Clam Shell)31Oct05,(Duel EDM)02May12, (MSPU)24Jun12, (Wireless Intercom)17May04.
PID
SYS DATE ACFT HRSNO
V WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 3 09:29:00
HOUR
JS84006611-Mar-2013
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 16956.3 A
04
AIRCRAFT RESTRICTED TO FLIGHT OPERATIONS AT A MAXIMUMOF 100% DUAL ENG. TORQUE I.A.W. SOF CH-47-00-03TB1-1520-240-20-116
PID
SYS DATE ACFT HRSNO
V WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 4 01:50:00
HOUR
PP21389616-Aug-2010
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 3/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17498.1 O
05B01J
INSP A400 - REPLACE HORIZONTAL HINGE PIN BOLT (PN114R2201-1). Due at: 7500.4 Hours. Upgrade to Red X Status on7500.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 2 08:32:05
HOUR
COMGEN14-Jul-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17498.1 O
02
INSP A868 - MSPU (MOD SIG PROCESS UNIT) 10HR/14 DAYDOWNLOAD. Due at: 7503.1 Hours. Upgrade to Red X Status on7504.2 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 3 08:32:05
HOUR
COMGEN14-Jul-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17498.1 X
00
PREVENTIVE MAINTENANCE DAILY
PMS 1 MOD 1 DUE AFTER NEXT MSNDAY
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 4 08:36:00
HOUR
COMGEN14-Jul-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 4/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17493.1 O
09B01A
INSP A092 - 30 DAY SLAB BATTERY INSPECTION ( M8565/11-1).Due at: 17-Jul-2015. Upgrade to Red X Status on 21-Jul-2015
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 1 10:12:00
HOUR
COMGEN09-Jul-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17493.1 O
05
INSP A121 - LUBRICATE FWD AFT SWASHPLATE BEARING. Dueat: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 2 05:16:25
HOUR
COMGEN08-Jul-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17493.1 O
00
INSP A177 - 90 DAY REVIEW/UPDATE OF 365-4 ENTRIES. Due at:21-Jul-2015. Upgrade to Red X Status on 31-Jul-2015
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 3 05:16:25
HOUR
COMGEN08-Jul-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 5/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17493.1 O
05A03A02A
INSP A190 - INSPECT FWD AFT SWASHPLATE ROTATING RING CH-47-07-SOF-1EDDY CURRENT INSPECTION. Due at: 7500.4 Hours. Upgrade toRed X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 2 04:02:48
HOUR
COMGEN02-Jul-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27493.1 O
02
COMPLY WITH REQUIREMENTS OF H-47-15-AMAM-06 ULLS-A (E)LCF CHANGE 67 BY 31 AUG 15
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 1 12:01:00
HOUR
JE56988329-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17493.1 O
06H04B
INSP A040 - VISUAL INSPECT OUTBOARD DRIVE SHAFT LUGSADAPTER. Due at: 7500.4 Hours. Upgrade to Red X Status on7503.0 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 3 11:46:13
HOUR
COMGEN23-Jun-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 6/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17493.1 O
04A08E
INSP A128 - #1 ENGINE DUAL CHIP DETECTOR FOR CONTINUITY.Due at: 7500.4 Hours. Upgrade to Red X Status on 7503.0 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 4 11:46:13
HOUR
COMGEN23-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17493.1 O
04A08E
INSP A129 - #2 ENGINE DUAL CHIP DETECTOR FOR CONTINUITY.Due at: 7500.4 Hours. Upgrade to Red X Status on 7503.0 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 5 11:46:13
HOUR
COMGEN23-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
00
INSP A088 - PERFORM LUBRICATION IAW LUBRICATION CHARTS.Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 10 12:49:31
HOUR
COMGEN19-Jun-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 7/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
04A
INSP A115 - PERFORM ENGINE WATER WASH IAW IETM. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 11 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
05
INSP A121 - SAMPLE LUB FWD AFT SWASHPLATE BEARING. Dueat: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 12 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
06D07
INSP A131 - COMBINING XMSN COOLER FAN VIBRATION TEST.Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 13 12:49:31
HOUR
COMGEN19-Jun-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 8/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
06C01J
INSP A133 - AFT XMSN COOLER FAN VIBRATION TEST. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 14 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
05A03A
INSP A142 - FWD AND AFT SWASHPLATE GREASE SAMPLE. Dueat: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 15 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
00
INSP A180 - PERFORM LUBRICATION REQUIREMENTS IAW LUBECHARTS. Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 16 12:49:31
HOUR
COMGEN19-Jun-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 9/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
05
INSP A182 - INSP FWD AFT SWASHPLATE BEARING IAW SOF CH-47-04-01. Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 17 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
05A03A02A
INSP A190 - INSPECT FWD AFT SWASHPLATE ROTATING RING CH-47-07-SOF-. Due at: 7500.4 Hours. Upgrade to Red X Status on7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 18 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
02C11
INSP A191 - 5000LB TIE DOWN ADAPTER RINGS INSP. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 19 12:49:31
HOUR
COMGEN19-Jun-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 10/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
02C
INSP A196 - #1 #2 ENGINE XMSN FAIRING (WP 0124 OPERATINGSPECIAL TIME INSP 100HR). Due at: 7500.4 Hours. Upgrade to RedX Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 20 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
05A03C
INSP A202 - TORQUE CHECK FWD PITCH LINK BOLTS. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 21 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
05B03B
INSP A204 - TORQUE CHECK AFT PITCH LINK BOLTS. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 22 12:49:31
HOUR
COMGEN19-Jun-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 11/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
04A06A
INSP A210 - PERFORM 50 HR ENGINE DECU DOWNLOAD. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 23 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
06D01
INSP A216 - INSPECT THE COMBINING XMSN COOLING FAN SHAFTPER TASK. Due at: 7500.4 Hours. Upgrade to Red X Status on7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 24 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
06D01
INSP A217 - CHECK COMBINING XMS COOLING FAN SHAFTOUTPUT GEAR SPLIN. Due at: 7500.4 Hours. Upgrade to Red XStatus on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 25 12:49:31
HOUR
COMGEN19-Jun-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 12/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
02C10B02
INSP A262 - INSPECTION OF AFT CONNECTING LINK (TASK 4-37).Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 26 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
00
INSP A264 - PERFORM LUBRICATION REQUIREMENTS IAW LUBECHARTS. Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 27 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
00
INSP A290 - VISUAL INSPECTION OF BEND AREAS APPENDIX D-15THRU D-26. Due at: 7500.4 Hours. Upgrade to Red X Status on7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 28 12:49:31
HOUR
COMGEN19-Jun-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 13/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
05B01L
INSP A365 - INSP HORIZONTAL HINGE PIN BEARING (AFT HEAD).Due at: 7500.4 Hours or 02-Jan-2016. Upgrade to Red X Status on7505.5 Hours or 02-Feb-2016
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 29 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
04A08
INSP A070 - #1 ENGINE OIL SAMPLE. Due at: 7500.4 Hours.Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 3 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
05A01Q
INSP A366 - INSP HORIZONTAL HINGE PIN BEARING (FWD HEAD).Due at: 7500.4 Hours or 02-Jan-2016. Upgrade to Red X Status on7505.5 Hours or 02-Feb-2016
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 30 12:49:31
HOUR
COMGEN19-Jun-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 14/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
00
INSP A370 - PERFORM LUBRICATION REQUIREMENT IAW LUBECHART. Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 31 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
06
INSP A817 - AFT XSMN OIL SAMPLE DUE. Due at: 7500.4 Hours.Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 32 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
06
INSP A818 - FWD XSMN OIL SAMPLE DUE. Due at: 7500.4 Hours.Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 33 12:49:31
HOUR
COMGEN19-Jun-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 15/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
06
INSP A819 - #2 ENG MECHANICAL XSMN OIL SAMPLE DUE. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 34 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
06
INSP A820 - ENG COMBINING XSMN OIL SAMPLE DUE. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 35 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
06
INSP A821 - #1 ENG MECHANICAL XSMN OIL SAMPLE DUE . Dueat: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 36 12:49:31
HOUR
COMGEN19-Jun-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 16/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
04A08
INSP A071 - #2 ENGINE OIL SAMPLE. Due at: 7500.4 Hours.Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 4 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
06C01
INSP A072 - AFT XMSN OIL SAMPLE DUE. Due at: 7500.4 Hours.Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 5 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
06B02
INSP A073 - FWD XMSN OIL SAMPLE DUE. Due at: 7500.4 Hours.Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 6 12:49:31
HOUR
COMGEN19-Jun-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 17/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
06E01
INSP A074 - #2 ENGINE MECHANICAL XMSN OIL SAMPLE DUE.Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 7 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
06D01
INSP A075 - ENGINE COMBINING XMSN OIL SAMPLE DUE. Due at:7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 8 12:49:31
HOUR
COMGEN19-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17492.4 O
06E01
INSP A081 - #1 ENGINE MECHANICAL XMSN OIL SAMPLE DUE.Due at: 7500.4 Hours. Upgrade to Red X Status on 7505.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 9 12:49:31
HOUR
COMGEN19-Jun-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 18/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
O 17485.5 O
00
INSP A380 - PERFORM PMS3 CYCLE INSPECTION (PHASE). Dueat: 7500.4 Hours. Upgrade to Red X Status on 7510.5 Hours
PID
SYS DATE ACFT HRSNO
- WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 3 11:06:11
HOUR
COMGEN10-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27493.1 K
19
HUD SDC SN: E01782 REMOVED FOR AIRCRAFT TURN-IN
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
E 1 04:17:00
HOUR
EW87627409-Jul-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27493.1 K
19
TSEC/KY-100 PROCESSOR SN: 7214 REMOVED FOR AIRCRAFTTURN-IN
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
E 2 04:24:00
HOUR
EW87627409-Jul-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 19/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27493.1 K
19
APR-39 PROCESSOR SN: 2792AA REMOVED FOR AIRCRAFT TURN-IN
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
E 3 04:27:00
HOUR
EW87627409-Jul-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27493.1 K
19
KY-58 MOUNT SN: E01698 REMOVED FOR AIRCRAFT TURN-IN
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
E 4 04:30:00
HOUR
EW87627409-Jul-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27493.1 K
19
ARC-220 RT-1749 HF RECEIVER TRANSMITTER SN: 2398AAREMOVED FOR AIRCRAFT TURN-IN
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
E 5 04:32:00
HOUR
EW87627409-Jul-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 20/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27493.1 K
19
KY-58 RCU A-AHP SN: 006100 REMOVED FOR AIRCRAFT TURN-IN
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
E 6 04:35:00
HOUR
EW87627409-Jul-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27493.1 K
19
KY-58 PROCESSOR/TSEC SN: 15504 REMOVED FOR AIRCRAFTTURN-IN
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
E 7 04:37:00
HOUR
EW87627409-Jul-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27493.1 G
19
PILOTS SIDE RADAR ALTIMETER IS INTERMITTANT AND ERATIC
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 7 06:31:00
HOUR
WB49328308-Jul-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 21/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27493.1 X
02
FWD UPPER STEP RELEASE KNOB IS BROKEN OFF. KNOBTHREADS ARE BROKEN OFF IN GUIDE PIN REQUIERING GUIDEPIN TO BE REPLACED.
PARTS ON ORDER / DOC #W81XFC51764201
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 1 02:50:00
HOUR
WB49328324-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27485.5 K
08A05
PILOTS CHRONOMETER BATTERY MOUNT TABS WORN OUT.
DOC # W81XFC51754202 P.O.C.EARL WICKS
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 1 12:33:00
HOUR
EW87627411-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 17477.4 V
07
AFT SWILIVING SERVO # 2 DBA SEEPING
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 3 12:04:00
HOUR
IM57668905-Jun-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 22/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27479.9 X
02
AFT RIGHT SIDE OF LOWER DOG HOUSE HAS TWO MISSINGRIVITS
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 5 04:07:00
HOUR
TW04222705-Jun-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27444 X
02
DOG HOUSE UPPER SCREENS(FWD AND AFT) CRUSHED
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 1 04:44:00
HOUR
MM54368501-May-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27441.4 X
02
C-BOX TOILET BOWL LOOSE AT #1 AND #2 SIDE AFT MOUNTBRACKETS
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 7 12:09:00
HOUR
RD53283530-Apr-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 23/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27441.4 X
02
CRACK IN L- BRACKET, #1 SIDE AFT PYLON
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 8 12:23:00
HOUR
RD53283530-Apr-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27438.5 X
02
C-BOX TOILET BOWL IS CHAFFING IN MULTIPLE PLACES
PART HAS BEEN REQUESTED FROMSUMMIT AVIATION
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 2 09:26:00
HOUR
WB49328323-Apr-2015
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT
G 27438.5 X
02
#6 TUNNEL COVER AND TOILET BOWL ARE CHAFFING CAUSING#6 TUNNEL COVER TO NEED REPAIR WHERE THE TWO MEET
PID
SYS DATE ACFT HRSNO
/ WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
A 3 09:28:00
HOUR
WB49328323-Apr-2015
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
PART I - FAULT INFORMATION
9100268 24/2413-Oct-2015CH-47D
2. MODEL1. AIRCRAFT SERIAL NUMBER
PART II - CORRECTING INFORMATION
4. PAGE3. DATE
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT PID
SYS DATE ACFT HRSNO
WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
HOUR
DELAY WUC
ACFT HRS MAL EFF
TIPID TI MAN-HOURS
PID HOURSPID HOURS CATHOW RECWHEN DISC CATCAT PID
SYS DATE ACFT HRSNO
WUC
FAULT/REMARKS:
ROUNDS ACT CODE
STATUS DATE TIMEPIDTIME
ACTION TAKEN:
HOUR
DA FORM 2408-13-1, OCT 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-13-1 E, OCT 97 AIRCRAFT INSPECTION AND MAINTENANCE RECORD
Report Date: 13-Oct-2015 Page 1 of 1
12. CAT 13. MMH8. STATUS 9. RELATED MAINTENANCE ACTIONS 10. ACTION TAKEN 11. PID
PREVENTIVE MAINTENANCE DAILY
7. FAULT
CH-47D 414-Jul-20154 6. FAULT NUMBER5. FAULT DATE
2. SERIAL NUMBER AMDS 3. SYSTEM CODE1. STATUS 4. TIME9100268
PERFORM INSPECTION PRIOR TO FLIGHT PER APPENDIX B,PARAGRAPH 2A(1) AND 2A(12) REQUIRED BY THE ENCLOSEDAWR DATED 05-NOV-09. (BLUE FORCE TRACKING)4PERFORM DAILY VISUAL INSPECTION REQUIRED BY THEENCLOSED AWR DATED 05-NOV-09. (BLUE FORCETRACKING)4DAILY VISUAL INSP OF # 1 & # 2 ECU INSTALLATIONS FORPROGRESSIVE AIRCRAFT STRUCTURAL DETERIORATION.4PERFORM VISUAL INSPECTION AS REQUIRED BY ENCLOSEDAWR, DTD 13 FEB 09.(ELT)4
DA FORM 2408-13-2, NOV 91, MAY BE USED. For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-13-2 E, OCT 97 RELATED MAINTENANCE ACTIONS RECORDS
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 1 of 7513-Oct-2015
1/111TH GSABH-47-15-SOF-02, SOF TECHNICAL FWD, AFT,COMBINING AND ENG XSMS C/W @ 7486.1ACFT HRS.
16-Jun-2015 1
JACKSONVILLE, FL
RW500223
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 2 of 7513-Oct-2015
1108TH AVCRADCOMPLIED WITH THE REQUIREMENTS OF H-47-09-AMAM-03 HELON HANDHELD FIREEXTINGUSHER
07-Oct-2009 1
MERIDIAN MS 39304
JP830124
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 3 of 7513-Oct-2015
1108TH TASMGH-47-13-AMAM-04, LEGITIMATE CODE FILE(LCF) CHANGE 64 REQUIREMENTS COMPLIEDWITH
04-Nov-2013 1
GULFPORT, MS
JS191142
1108TH TASMGACE/OCM PERFORMED AT 7300.5 ACFT. HRS.BY TEAM MEMBERS UU & QQ AMCOM RASM-C
22-Nov-2013 1
GULFPORT, MS. 39505
KS372668
1108TH TASMGPMS 2 (200 HR) WAS COMPLETED @ 7304.2ACFT HRS. NEXT INSP DUE IS PMS4 (400 HR)@ 7504.2 ACFT HRS.
13-Jan-2014 1
GULFPORT, MS
JS191142
1108TH TASMGH-47-13-ASAM-06, REPLACE AFT UPPERBBOOST PIVOTING SERVOCYLINDER MOUNTFASTENERS COMPLIED WITH
07-Feb-2014 1
GULFPORT, MS
JS191142
1108TH TASMGCOMPLIED WITH H-47-14-AMAM-02 @ 7309.7ACFT HOURS (LCF CHANGE 65REQUIREMENTS)
07-Mar-2014 1
GULFPORT, MS
JS191142
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 4 of 7513-Oct-2015
1109TH AVCRADSOF CH-47-02-05/ TB 1-1520-240-20-146; ONETIME INSPECTION OF ALL TIE BARASSEMBLIES FOR SERVICEABILITY ANDCHANGE OF O/H AND RETIREMENT TIME C/W@ 5533.9 ACFT. HRS. (DO7847)
25-Mar-2002 1
GROTON, CT.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 5 of 7513-Oct-2015
1-111TH AVN GSABAIRCRAFT RELOCATED TO FT HOOD TX FORPREPARATION OF OPERATION NEW DAWN @7055.0 ACFT.HRS
01-Sep-2011 1
LONGHORN AAF NORTHFT HOOD TX.
DR536665
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 6 of 7513-Oct-2015
AASFACFT PICKED UP AT BOEING HELICOPTER,PHILA, PA. BY AASF, MERIDIAN, MS. ON 24NOV 92 AT 4354.6 ACFT. HRS. ENTERED BYB.A. GIBSON, T.I., AASF, MERIDIAN, MS.(BG8488)
24-Nov-1992 1
MERIDIAN, MS.
BT020392
AASFCH-47-93-ASAM-03; ONE TIME INSP. OF HYD.PUMP, NSN 1650-01-240-4341, C/W 15 MAR 93AT 4413.0 ACFT. HRS. AT AASF, MERIDIAN,MS. S/ B.A. GIBSON, T.I. (BG8488)
17-May-1993 1
MERIDIAN, MS.
BT020392
AASFCH-47-93-ASAM-02, INSP OF HI-LOCKFASTENERS AT FUSELAGE STATION 83 TO120 ENTERED AT AASF, MERIDIAN, MS. S/ B.A.GIBSON, T.I. (BG8488)
01-Jun-1993 1
MERIDIAN, MS.
BT020392
AASFSOF CH-47-93-03, RECORDS CHECK OFENGINE TRANSMISSIONS P/N 145D6300SERIES TO IDENTIFY UNSERVISEABLETRANSMISSIONS C/W. (BG8488)
19-Jul-1993 1
MERIDIAN, MS.
BT020392
AASFPHASE #1 COMPLETED AT 4539.9 ACFT. HRS.NEXT PHASE NO. 2 DUE AT 4739.9 ACFT. HRS.(BG8488)
30-Sep-1993 1
MERIDIAN, MS.
BT020392
AASFCH-47-94-ASAM-01, ON TIME AND RECURRINGINSP OF ROTARY WING HEAD BUSHINGS (TB1-1520-240-20-67) C/W AT 4561.1 ACFT. HRS.(BG8488)
28-Oct-1993 1
MERIDIAN, MS.
BT020392
AASFCH-47-94-ASAM-02, AMMENDMENT TO CH-47-94-ASAM-01 (BG8488)
04-Nov-1993 1
MERIDIAN, MS.
BT020392
AASFCH-47-94-ASAM-03, MAINTENANCEMANDATORY, ONE TIME AND RECURRINGINSP OF CERTAIN RIGID CONNECTING LINKS,P/N 145C3340-10 UNTIL REPLACEMENT (TB 1-1520-240-20-68) (BG8488)
26-Jan-1994 1
MERIDIAN, MS..
BT020392
AASFCH-47-94-ASAM-04, ONE TIME INSP OF PILOTSAND COPILOTS SEAT BELT BUCKLE C/W ATAASF, MEI. (BG8488)
17-Feb-1994 1
MERIDIAN, MS..
BT020392
AASFCH-47-94-ASAM-06, ONE TIME ANDRECURRING INSP OF HYD PUMPING UNIT, C/WAT AASF, MEI. (BG8488)
03-May-1994 2
MERIDIAN, MS..
BT020392
AASFCH-47-94-ASAM-05, ONE TIME INSP OF 5000 LBTIE DOWN RECEPTACLE ASSY C/W AT AASF,MEI. (BG8488)
03-May-1994 1
MERIDIAN, MS..
BT020392
AASFSOF CH-47-95-01, ONE TIME VISUAL INSP OFUPPER BOOST ACT S/N'S TO ENSUREPROPER SREWS ARE INSTALLED (TB 1-1520-243-20-2) C/W AT 4739.6 ACFT.HRS. (BG8488)
14-Dec-1994 1
MERIDIAN, MS..
BT020392
AASFCH-47-95-ASAM-01, ONE TIME ANDRECURRING DAILY INSPECTION OF THRUSTIDLER ASSY (TB 1-1520-243-20-1) C/W AT4739.6 HRS. (BG8488)
04-Jan-1995 1
MERIDIAN, MS..
BT020392
AASFOCM/ ACE PERFORMED AT 4740 ACFT HRS ATMERIDIAN, MS. BY "W", OCM SECTION, STLOUIS, MO. (AB0000)
09-Jan-1995 1
MERIDIAN, MS..
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 7 of 7513-Oct-2015
AASFCH-47-95-ASAM-02, ONE TIME TORQUE CHECKOF PTU MOTOR PUMP NUTS, TB 1-1520-243-20-4, C/W AT 4739.6 HRS. (BG8488)
08-Feb-1995 1
MERIDIAN, MS..
BT020392
AASFPHASE #2 COMPLETED AT 4739.6 ACFT. HRS.PHASE #3 DUE AT 4939.6 ACFT. HRS. (BG8488)
13-Feb-1995 1
MERIDIAN, MS..
BT020392
AASFCH-47-95-ASAM-04, ALL CH-47DHELICOPTERS, ONE TIME INSP FORSTRATOPOWER PUMPS NSN: 1650-01-249-4341 AND REPORTING FOR TURN AROUNDPROGRAM (TB 1-1520- 240-20-75) AT 4778.6ACFT. HRS. (BG8488)
31-Mar-1995 1
MERIDIAN, MS..
BT020392
AASFSOF CH-47-95-02, ONE TIME VISUAL INSP ANDTORQUE CHECK OF LOWER DRIVE LINK TOSWASHPLATE RETAINING HARDWARE AT4817 ACFT HRS. (BG8488)
12-May-1995 1
MERIDIAN, MS.
BT020392
AASFCH-47-95-ASAM-05, INSP. AND LUBRICATIONOF THE FLT CONTROL ROD END BEARINGS(ROLLING ELEMENT) TB 1- 1520-240-20-77 AT4852.7 ACFT. HRS. (BG8488)
02-Jun-1995 1
MERIDIAN, MS.
BT020392
AASFCH-47-95-ASAM-06, REVISION TO CH-47-95-ASAM-05 (TB 1-1520-240-20-77) AT 4933.0ACFT. HRS. (BG8488)
05-Sep-1995 1
MERIDIAN, MS.
BT020392
AASFCH-47-95-ASAM-07, ALL CH-47D ACFT,ONETIME RECORDS CHECK FOR MWO 1-1520-240-50-69, REINSTALLATION OF MWO 1-1520-240-50-69FOR ROTOR HEADS MODIFIED INEUROPE AND RECURRING VISUAL INSP. FORSLIPPED BUSHINGS AND OR CRACKED PITCHHOUSING LUGS FOR HEAD WITH MWO 1-1520-240-50-69 APPLIED (TB 1-1520-240- 20-79) AT4934.9 ACFT. HRS. (BG8488)
21-Sep-1995 1
MERIDIAN, MS.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 8 of 7513-Oct-2015
AASF - DVNAVIATION VIBRATION ANALYZER (AVA)SINGLE CAMARA BRACKET IS AUTHORIZEDFOR USE ON ALL CH-47D HELICOPTERS PERTHE LIMITATIONS AND RESTRICTIONS OFAWR TTS 54785 DATED 26 MAR 2008. THISAWR TERMINATES UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATERAWR, WHICHEVER OCCURS FIRST.
31-Oct-2011 5
Davenport, IA
SG507187
AASF - DVNAUTHORIZATION TO USE MILTOPE MSDLAPTOP COMPUTER TO CONDUCT ENGINETROUBLESHOOTING BY MONITORING ENGINEPARAMETERS FROM THE DEGITIALELECTRONIC CONTROL UNIT (DECU) ON T55-GA-714A ENGINES IAW AWR TTS 27259BDATED 09 NOV 09 R2. THIS AWRSUPERCEDES AWR TTS 27259A DATED 28AUG 09 AND TERMINATES UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATER MILTOPE MSD AWR, WHICHEVEROCCURS FIRST.
31-Oct-2011 4
Davenport, IA
SG507187
AASF - DVNELECTRICALLY POWERED HYDRAULICACCUMULATOR PUMP INSTALLED. ACFT ISAUTHORIZED TO BE OPERATED WITHIN THELIMITATIONS AND RESTRICTIONS PER AWRTTS 49400 DATED 16 OCT 2007 R1. THIS AWRSUPERSEDES AWR TTS 39748 DATED 17 JAN2007 AND TERMINATES UPON ISSUANCE OF ALATER REVISION TO THIS AWR OR CHANGESIN CONFIGURATION TO THE SUBJECTEQUIPMENT.
31-Oct-2011 3
Davenport, IA
SG507187
AASF - DVNAN/AVS-6 SERIES NIGHT VISION GOGGLES(NVG'S) ARE AUTHORIZED FOR USE ON ALLCH-47D HELICOPTERS PER THE LIMITATIONSAND RESTRICTIONS OF AWR TN 93334 DATED10 MAR 2011. THIS AWR SUPERSEDES AWRDATED 26 JUN 2006 AND TERMINATES UPONCHANGES IN CONFIGURATION OF THESUBJECT EQUIPMENT, OR UPON ISSUANCEOF A LATER AWR FOR THE SUBJECTEQUIPMENT, WHICHEVER OCCURS FIRST.
31-Oct-2011 2
Davenport, IA
SG507187
AASF - DVN1GARMIN GPSMAP 696, 496, 396, 296, AND 295ARE AUTHORIZED FOR USE ON ALL CH-47DHELICOPTERS PER THE LIMITATIONS ANDRESTRICTIONS OF AWR TTS 48553A DATED 19JULY 2010 R1. THIS AWR SUPERSEDES AWR48553 DATED 5 OCT 2007 AND TERMINATESUPON CHANGES IN CONFIGURATION OF THESUBJECT EQUIPMENT OR UNTILSUPERSEDED OR REVOLKED, WHICHEVEROCCURS FIRST.
31-Oct-2011 1
Davenport, IA
SG507187
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 9 of 7513-Oct-2015
AASF - DVNAN/ASN-128D DGNS CONFIGURED WITHSOFTWARE SUITE B, C, AND D INSTALLED.ACFT IS AUTHORIZED TO BE OPERATEDWITHIN THE LIMITATIONS AND RESTRICTIONSPER AWR TN 98912A DATED 12 MAR 2012.THIS AWR SUPERSEDES AWR TN 98912DATED 4 AUG 2011. THIS AWR IS TERMINATEDON 12 MAR 2013 OR UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATER AWR FOR THE SUBJECT EQUIPMENT,WHICHEVER OCCURS FIRST.
03-Apr-2012 2
Davenport, IA
SG507187
AASF - DVNH-47-11-ASAM-03 ALL H-47 SERIES AIRCRAFT,CORRODED CONNECTING LINKS, C/W AT7104.2 ACFT HOURS
03-Apr-2012 1
Davenport, IA
SG507187
AASF - DVNH-47-11-AMAM-04 ALL CH-47D AND UH-60A/LSERIES AIRCRAFT, AN-ASN-128D DOPPLERAND AVIATION MISSION PLANNING SYETEM(AMPS) SOFTWARE UPGRADE, C/W AT 7104.2ACFT HOURS.
26-Apr-2012 1
Davenport, IA
SG507187
AASF - DVNDUAL ELECTRONIC DATA MANAGER (EDM)AND ENCRYPTED BLUE FORCE TRACKING(EBFT) SYSTEM WITH GPS MESSAGE ROUTER(GMR) AND KGV-72 ENCRYPTION DEVICEINSTALLED. AIRCRAFT IS TO BE OPERATEDWITHIN THE LIMITATIONS AND RESTRICTIONSPER AWR TN 106093 DATED 02 MAY 12. THISAWR TERMINATES ON 31 OCT 2013, UPONTRANSFER OF THE HELICOPTER, CHANGESIN CONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATER SUPERSEEDING AWR, WHICHEVEROCCURS FIRST.
16-May-2012 2
Davenport, IA
SG507187
AASF - DVNH-47-12-AMAM-02, ALL H-47 SERIESAIRCRAFT, TRANSMISSION OIL SAMPLEINTERVAL CHANGE. C/W AT 7110.9 ACFTHOURS.
29-May-2012 1
Davenport, IA
SG507187
AASF - DVNNCS MAGNUS MODEL RNM101 LAPTOP ISAUTHORIZED TO BE OPERATED ONBOARDCH-47D AND CH-47F HELICOPTERS DURINGAIRCRAFT FLIGHTS AND GROUNDMAINTENANCE OPERATIONS WITHIN THELIMITATIONS AND RESTRICTIONS PER AWR16 MAY 2012 R1. THIS AWR SUPERSEDESAWR 83544 DATED 21 JUNE 2010. THIS AWR ISTERMINATED UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, UPON ISSUANCE OF A LATERAWR, OR 15 JUNE 2014, WHICHEVER COMESFIRST.
21-Jun-2012 2
Davenport, IA
SG507187
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 10 of 7513-Oct-2015
AASF - DVNAIRCRAFT WIRELESS INTERCOM SYSTEM(AWIS)/ ENCRYPTED AIRCRAFT WIRELESSINTERCOM SYSTEM (EAWIS) INSTALLED.ACFT IS AUTHORIZED TO BE OPERATEDWITHIN THE LIMITATIONS AND RESTRICTIONSPER AWR TN 107597 DATED 21 JUN 12. THISAWR TERMINATES UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ASUPERSEDING AWR, WHICHEVER OCCURSFIRST.
21-Jun-2012 1
Davenport, IA
SG507187
AASF - DVNMODERNIZED SIGNAL PROCESSING UNIT(MSPU) INSTALLED. ACFT IS AUTHORIZED TOBE OPERATED WITHIN THE LIMITATIONS ANDRESTRICTIONS PER AWR DATED 24 JUL 12R15. THIS AWR SUPERSEDES AWR TTS 41283REVISION 14 DATED 26 MAY 10. THIS AWR ISTERMINATED UPON CHANGE INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ALATER AWR, WHICHEVER OCCURS FIRST.
16-Aug-2012 3
Davenport, IA
SG507187
AASF - DVNH-47-12-ASAM-01, ALL H-47 SERIESAIRCRAFT, YAW INTEGRATED LOWERCONTROL ACTUATOR INPUT CONTROLHARDWARE / HYDRAULIC PRESSURE TUBECLEARANCE C/W AT 7181.9 ACFT HOURS.
16-Aug-2012 1
Davenport, IA
SG507187
AASF - DVNH-47-12-AMAM-04, ALL H-47 SERIESAIRCRAFT, FULL AUTHORITY DIGITAL ENGINECONTROLS (FADEC) EMERGENCYPROCEDURE CHANGE C/W AT 7181.9 ACFTHOURS.
13-Sep-2012 1
Davenport, IA
SG507187
AASF - DVNNSPECTION OF #2 ENGINE SN: 06PGA009344TH STAGE POWER TURBINE ROTORLOCKING CUP FOR CORROSION AND CRACKSWAS COMPLETED AT 7104.2 ACFT HOURSIAW AWR DATED 9 MAR 2012 T55-GA-714AENGINE TBO EXTENSION (TTS 107314).POWER TURBINE LOCKING CUP WASREPLACED WITH PN: 2-141-222-08.
09-Oct-2012 2
Davenport, IA
SG507187
AASF - DVNINSPECTION OF #1 ENGINE SN: 07PGA010754TH STAGE POWER TURBINE ROTORLOCKING CUP FOR CORROSION AND CRACKSWAS COMPLETED AT 7104.2 ACFT HOURSIAW AWR DATED 9 MAR 2012 T55-GA-714AENGINE TBO EXTENSION (TTS 107314).POWER TURBINE LOCKING CUP WASREPLACED WITH PN: 2-141-222-08.
09-Oct-2012 1
Davenport, IA
SG507187
AASF - DVNAIRCRAFT WIRELESS INTERCOM SYSTEM(AWIS)/ENCRYPTED AIRCRAFT WIRELESSINTERCOM SYSTEM (EAWIS) INSTALLED.AIRCRAFT IS AUTHORIZED TO BE OPERATEDWITHIN THE LIMITATIONS AND RESTRICTIONSPER AWR TN 107597B DATED 07 AUG 12 R1.THIS AWR TERMINATES UPON CHANGES INCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ASUPERSEDING AWR, WHICHEVER COMESFIRST.
11-Dec-2012 1
Davenport, IA
SG507187
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 11 of 7513-Oct-2015
AASF - DVNAIRCRAFT WIRELESS INTERCOM SYSTEM(AWIS) ENCRYPTED AIRCRAFT WIRELESSINTERCOM SYSTEM (EAWIS) INSTALLED.AIRCRAFT IS AUTHORIZED TO BE OPERATEDWITHIN TH LIMITATIONS AND RESTRICTIONSPER AWR TN 107597C DATED 22 JAN 13 R2.THIS AWR TERMINATES UPONCONFIGURATION OF THE SUBJECTEQUIPMENT, OR UPON ISSUANCE OF ASUPERSEDING AWR, WHICHEVER OCCURSFIRST.
01-Feb-2013 1
Davenport, IA
SG507187
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 12 of 7513-Oct-2015
AASF # 1, FLARNGH-47-15-AMAM-01) ENGINE CHIP DETECTOR,COMPLIED WITH @ 7392 A/C HRS. (ML399295)
29-Jan-2015 1
JACKSONVILLE, FL
ML399285
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 13 of 7513-Oct-2015
AASF # 3 / B CO 1/111THAVN
CH-47-06-ASAM-01: INSPECTION OF ALL 4UBA'S FOR SWAPPED END CAPS (RETURNPORT). (AB2458)
09-Jan-2006 1
MERIDIAN, MS
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 14 of 7513-Oct-2015
AASF # 3 / B CO.1/111TH AVN
CH-47-06-SOF-02: INSPECT APU FOR PN160150-10A C/W @6330.2 ACFT HRS.
14-Feb-2006 1
MERIDIAN, MS
BT020392
AASF # 3 / B CO.1/111TH AVN
CH-47-06-ASAM-02 (CH-47 SERIES AIRCRAFT,M24/M240H CAM FOLLOWER (AB2458)
27-Feb-2006 1
MERIDIAN, MS
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 15 of 7513-Oct-2015
AASF # 3 B CO. 1/111THAVN
CH-47-06-SOF-01: INSPECT ALL M24 DOORMOUNTED GUN MOUNTS. C/W @ 6330.2 ACFTHRS. (AB2458)
17-Jan-2006 1
MERIDIAN, MS
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 16 of 7513-Oct-2015
AASF #1AIRCRAFT TRANSFERRED IAW TM55-1500-238-25 AT 7193.8 ACFT HRS. FROM B CO. 2-211THAVN. GSAB (WP7TBO) TO B CO. 3-238TH GSAB(WTQVBO) ON 22 FEB 2013.
22-Feb-2013 1
NORTH CANTON, OH44720
JS840066
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 17 of 7513-Oct-2015
AASF #1 1/111TH AVNGSAB
H-47-15-AMAM-02) IDENTIFICATION OFAVIATION SURVIVABILITY EQUIPMENTCOMPLIED WITH @ 7404.4 ACFT HRS
17-Feb-2015 1
JACKSONVILLE, FL
RW500223
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 18 of 7513-Oct-2015
AASF #1 FLARNGAASF #1 FLARNG TRANSFERRED AIRCRAFT9100268 TO SUMMIT AVIATION FORINDUCTION INTO CH-47F MODEL PROGRAM @7493.1 ACFT. HRS
15-Jul-2015 1
JACKSONVILLE, FL32221
DR536665
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 19 of 7513-Oct-2015
AASF #3COMPLIED WITH REQUIREMENTS OF H-47-08-AMAM-03(DOPPLER GPS NAVIGATION SET
27-Mar-2008 1
MERIDIAN MS 39304
PP213896
AASF #3H-47-11-AMAM-03 UNIT LEVEL LOGISTICSSYSTEM - AVAITION (ENHANCED) (ULLS-A(E))INTEGRATED MATERIEL MANAGEMENTCENTER (IMMC) LEGITIMATE CODE FILE (LCF)CHANGE 62 REQUIREMENTS C/W AT 7104.2ACFT HOURS.
21-Oct-2011 1
Davenport, IA
SG507187
AASF #3H-47-12-SOF-01 ALL H-47 SERIES AIRCRAFT,DIGITAL ELECTRONIC CONTROL UNIT (DECU)RECALL, C/W AT 7104.2 ACFT HOURS.
23-Nov-2011 1
DAVENPORT, IA
SG507187
AASF #3PMS 3 (400 HR) WAS COMPLETED OUTSIDEOF THE WINDOW AND CONDUCTED @ 7104.2ACFT HRS. NEXT INSP DUE IS PMS2 (200 HR)@ 7304.2 ACFT HRS.
02-May-2012 1
Davenport, IA
RG546546
AASF #3MEC #F152009 ONE TIME AUTHORIZATIONFOR THE MO-TASMG TO REPLACE RH STRAP@ STA. 482, W/L 40, B/L 43R.
30-Aug-2012 1
Davenport, IA
RG546546
AASF #3H-47-13-ASAM-03, ALL CH-47 SERIESAIRCRAFT, INFRARED SUPPRESSOR SYSTEMC/W @ 7196.3 AIRCRAFT HOURS.
18-Dec-2012 2
Davenport, IA
RG546546
AASF #3H-47-13-ASAM-02, ALL H-47 AIRCRAFT, MID-CABIN HATCH CARGO HOOK. INITIALREPORTING COMPLETED @ 7196.3 AIRCRAFTHOURS. UNIT HAS DECIDED NOT TOPROCURE THE REPLACEMENT RESCUEHOOK AND HARDWARE.
18-Dec-2012 1
Davenport, IA
RG546546
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 20 of 7513-Oct-2015
AASF #3AIRWORTHINESS RELEASE FOR FLIGHTOPERATIONS ON US ARMY CH-47DHELICOPTERS WITH T55-GA-714A ENGINESDTD 2 APR 03
15-Mar-2007 1
MERIDIAN MS
AA821847
AASF #3COMPLIED WITH ASAM: [email protected] ACFT. HOURS (CORRODEDCONNECTING LINKS)
26-Nov-2012 1
Davenport, IA
RG546546
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 21 of 7513-Oct-2015
AASF #3 / B CO.1/111ATH AVN
CH-47-06-SOF-SOF-03: TEMPORARY FLIGHTRESTRICTION DUE TO AFT BLADE FIBERDISTORTION. C/W 6330.2 ACFT HRS. (AB2458)
08-Mar-2006 1
MERIDIAN, MS
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 22 of 7513-Oct-2015
AASF #3 / B,CO. 1/111THAVN
CH-47-06-ASAM-03 (AFT LONGITUDINALCYCLIC TRIM (LCT) ACTUATOR) CW @6337.3ACFT HRS ON 12 MAY 2006
11-May-2006 1
MERIDIAN, MS
AB302458
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 23 of 7513-Oct-2015
AASF 3PHASE 1-4 COMPLETED BY RESET TEAMOLR/LSI FT LEWIS WA. AT 6330.2 ACFT HRS,NEXT PHASE DUE AT 6530.2 ACFT HRS
15-Jun-2006 1
MERIDIAN MS
JD415449
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 24 of 7513-Oct-2015
AASF DAVENPORT#1 AND #2 AIRFRAME FWD ENGINE MOUNTNDI INSPECTION COMPLETED. #1 AND #2ENGINE MOUNT DRAG LINK INSPECTIONCOMPLETED. THESE INSPECTIONS WERECONDUCTED @ 7104.2 ACFT HOURS.
23-Jan-2012 1
Davenport, IA
RG546546
AASF DAVENPORTMEC # F139922A, AUTHORIZATION FOR MO-TASMG TO REPAIR INBOARD ENGINE MOUNTLUG ON THE #1 ENGINE SIDE OF THEAIRFRAME. THE FORWARD/INBOARD LUG (BLUG) HAS A GOUGED AREA ON THE INBOARDSPOT FACE. THE DAMAGED LUG AND SLEEVEWILL BE REPAIRED IAW THIS MEC AND DMWR1-1520-240 DATED 25 JAN 2005.
22-Feb-2012 1
Davenport, IA
RG546546
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 25 of 7513-Oct-2015
AASF MERIDIANCH-47-02-ASAM-01/TB 1-1520-240-20-142; ONETIME INSPECTION OF TUNNEL COVERSTRUTS C/W @ 5502.8 ACFT HOURS. (CM6742)
09-Oct-2001 1
MERIDIAN, MS
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 26 of 7513-Oct-2015
AASF MERIDIAN,MSCH-47-05-ASAM-03 COMPLIED WITH @ 6213ACFT. HRS. ON 20050722 (TE7467)
23-Jul-2005 2
MERIDIAN,MS
BT020392
AASF MERIDIAN,MSCH-47-05-ASAM-02 COMPLIED WITH @ 6213ACFT. HRS. ON 20050721 (TE7467)
23-Jul-2005 1
MERIDIAN,MS
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 27 of 7513-Oct-2015
AASF#1AIRCRAFT TRANSFERED IAW TM 1-1500-328-23 FROM MISSISSIPPI NATIONAL GUARD TOFLORIDA NATIONAL ON 12 JUN 14 @ 7328.2A/C HOURS
13-Jun-2014 1
JACKSONVILLE, FL
MC437003
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 28 of 7513-Oct-2015
AASF#1MEC# F199630 COMPLETED @ 7444 A/CHOURS. DURING A POST FLIGHT INSP. ANOUT OF ROUND CONDITION WAS FOUND ATTHE #2 UPPER IDLER ARM LUG (STA 200)THAT ACCEPTS BUSHING NAS 75-5-008 ONSTRINGER (PN 114S2503-163). THE LARGESTMEASUREMENT ACROSS THE ELONGATION IS.440 WHICH IS OUT OF TOERANCE.
08-May-2015 1
JACKSONVILLE, FL
MC437003
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 29 of 7513-Oct-2015
AASF#1 FLARNGH-47-15-AMAM-03) PILOT CYCLIC WIREHARNESS FOR CHRONOLOGICAL ORDERONLY
26-May-2015 1
JACKSONVILLE, FL
JE569883
AASF#1 FLARNGH-47-15-AMAM-05) STEP CABLEREPLACEMENT FOR CHRONOLOGICALORDER ONLY
15-Jun-2015 2
JACKSONVILLE, FL
JE569883
AASF#1 FLARNGH-47-15-AMAM-04) COCKPIT VOICE DATARECORDER UPGRADE FOR CHRONOLOGICALORDER ONLY
15-Jun-2015 1
JACKSONVILLE, FL
JE569883
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 30 of 7513-Oct-2015
AASF#1 FLARNGH-47-14-AMAM-03) ULLSA(E) ALC LCFCHANGE 66 COMPLIED WITH
27-Aug-2014 1
JACKSONVILLE, FL
JE569883
AASF#1 FLARNGH-47-15-SOF-01) DRIVE SHAFT TUNNELCOVER HINGE ASSEMBLY COMPLIED WITH @7438.5 ACFT HRS.
09-Apr-2015 1
JACKSONVILLE, FL
JE569883
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 31 of 7513-Oct-2015
AASF#1 1/111TH AVNPMS2 (200 HR) COMPLETED AT 7300.5 ACFTHRS PER END ITEM ADMIN SCREEN.MULTIPLE PHASE COMPLETED 13-1 ENTRIES(22 AUG 13, 17 OCT 13, 17 JAN 14, 22 JAN 14,AND 23 JAN 14) MULTIPLE COMPLETED ACFTTIMES NOTED FOR PHASE COMPLETION.NEXT PHASE DUE @ 7500.5 ACFT HRS. A-460 -18 INSPECTION ( INSPECT FUEL TANKASSEMBLIES ) COMPLETED DURING PHASEINSPECTION. NEXT A-460 DUE @ 8500.5 ACFTHRS.
27-Jun-2014 1
JACKSONVILLE, FL
RW500223
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 32 of 7513-Oct-2015
AASF#1 OHIOCOMPLIED WITH GEN-13-AMAM-02, UPDATEDOF THE ULLS-A LCF @7197.8 AIRCRAFTHOURS.
20-Mar-2013 1
NORTH CANTON, OH44720
JS840066
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 33 of 7513-Oct-2015
AASF#3CH-47-06-SOF-05 FWD ROTOR BLADE S/NCHECK COMPLIED WITH @ 6374.0 ACFT HRS
23-Aug-2006 1
MERIDIAN,MS
PP213896
AASF#3CH-47-070ASAM-01 ARC-220/KY-100 START-UPPROCEDURES C/W @ 6405.0 ACFT HRS.
17-Jan-2007 1
MERIDIAN,MS
PP213896
AASF#3CH-47-07-SOF-02 SUSPECT ROTOR BLADESS/N CHECK COMPLIED WITH @ 6404.8 ACFTHRS
24-Jan-2007 1
MERIDIAN,MS
PP213896
AASF#3CH-47-07-ASAM-02,RIGID CONNECTINGLINKS,COMPLIED WITH @ 6404.8 ACFT HRS.
05-Mar-2007 1
MERIDIAN,MS
PP213896
AASF#3CH-47-07-SOF-03 SUSPECT ROTOR BLADESCOMPLIED WITH @ 6440.1 ACFT HRS.
28-Sep-2007 1
MERIDIAN,MS
PP213896
AASF#3AWR FOR CH-47D HELICOPTERS TOCONDUCT FLIGHT OPERATIONS WITH THEOREGON AERO,INC,PILOT/CO-PILOT SEATCUSHION PART#34MCHOF INSTALLED(DATED7 DEC 07)
06-Jan-2008 1
MERIDIAN MS 39304
PP213896
AASF#3EMC COMPLETED FOR AWR TO AUTHORIZEUSE OF GARMAN GPSMAP 496,396,296,&295ON ALL CH-47D HELICOPTERS(AWR 48553)
01-Feb-2008 1
MERIDIAN MS 39304
PP213896
AASF#3EMC COMPLETED FOR AWR FOR OPERATIONOF CH-47D HELICOPTERS WITH ERFS 2 FUELCONTROL PANEL (P/N HM022-367-11)INSTALLED (TTS 42779A)
01-Mar-2008 1
MERIDIAN MS 39304
PP213896
AASF#3200 HR. CYCLE SERVICE COMPLETED @6528.1 ACFT HRS.NEXT SERVICE DUE 400HR.PMS @6728.1 ACFT HRS.
23-May-2008 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-09-SOF-02 ENG DRIVE SHAFT AND ADAPTERSTIME CHECK
17-Dec-2008 1
MERIDIAN MS 39304
PP213896
AASF#3AWR FOR INSTALLATION OF EBC-406HMEMERGENCY LOCATOR TRANSMITTER DATED13 FEB 09
12-Mar-2009 1
MERIDIAN MS 39304
PP213896
AASF#3400 HR. CYCLE SERVICE COMPLETED @6728.1 ACFT. HRS. NEXT SERVICE DUE 200HR.PMS @ 6928.1 ACFT. HRS.
15-May-2009 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-09-AMAM-02,AFT SLIDER SHAFT ASSEMBLYRETIREMENT LIFE.
17-Jul-2009 1
MERIDIAN MS 39304
PP213896
AASF#3AWR FOR CH-47D HELICOPTERS TONCONDUCT FLIGHT OPERATIONS WITHOREGON AERO,PILOT/CO-PILOT SEATCUSHION PART#34MCHOF INSTALLED (TTS48786,REV B)
07-Aug-2009 1
MERIDIAN MS 39304
PP213896
AASF#3AWR FOR CH-47D/F HELICOPTERS TOCONDUCT FLIGHT OPERATIONS WITHOREGON AERO,PILOT/CO-PILOT SEATCUSHION PART NUMBER 34MCHOF AND/OR31046-1-A1 INSTALLED(TTS 71417A)
23-Sep-2009 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-09-AMAM-03(HALON HAND HELD FIREEXTENGUISHER)
07-Oct-2009 2
MERIDIAN MS 39304
PP213896
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 34 of 7513-Oct-2015
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-AMAM-02,(ULLS-AE CHG. 60B)
08-Dec-2009 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIANCE WITH REQUIREMENTS H-47-10-ASAM-02 (FORWARD PYLON HYDRAULIC LINECLAMPING)
04-Jan-2010 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-AMAM-03 NLT 29 MAR 10. FWD ROTOR HUBRETIREMENT.
16-Mar-2010 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-AMAM-04. SLIDER SHAFT RETIREMENT.
07-Apr-2010 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-ASAM-04. CHROMALLOY ROTOR HUB.
16-Jul-2010 1
MERIDIAN MS 39304
PP213896
AASF#3200 HR. SERVICE COMPELTED @ 6928.1 ACFT.HRS. ,NEXT SERVICE DUE 400 HR [email protected] ACFT. HRS.
23-Jul-2010 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-10-ASAM-07. 5000 LB. TIE-DOWN.
30-Sep-2010 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-11-ASAM-01. AN960-1016 ALUMINUM WASHERS.
15-Oct-2010 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-11-AMAM-01. LCF CHANGE 61.
11-Jan-2011 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH H-47-11-ASAM-03(CORRODED CONNECTING LINKS)
07-Apr-2011 1
MERIDIAN MS 39304
PP213896
AASF#3COMPLIED WITH REQUIREMENTS OF H-47-11-ASAM-04(BLADE LAG DAMPNER ROD ENDBEARING)
19-Apr-2011 1
MERIDIAN MS 39304
PP213896
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 35 of 7513-Oct-2015
AASF#3FUEL CELL SYSTEM INSP A-460 DUE @ 7363.4ACFT HRS. L/H MAIN FUEL CELL AND TANKCOMPLETE ASSEMBLY WAS CONTROLEXCHANGED FROM ANOTHER AIRFRAME @7196.3 ACFT HRS. INSP " TILL DUE " TIMEREMAINING ON TRANSFERRED FUEL CELLAND TANK WAS 167.1 HRS.
30-Jan-2013 1
Davenport, IA
RG546546
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 36 of 7513-Oct-2015
AASF#3/CO.G 185 AVNCH-47-05-SOF-02; INSP.ROTOR BLADES FORROOT END FIBER DISTORTION C/W @ 6212.6ACFT.HRS (TE7467)
27-Jul-2005 1
MERIDIAN MS
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 37 of 7513-Oct-2015
AASF/ CO. G 185THAVN.
CH-47-95-ASAM-08, ALL CH47D ACFT,INSPECTION 0F AFT VERTICAL SHAFT (TB1-1520-240-20-78) AT 4934.9 ACFT HRS. (RL8391)
26-Sep-1995 2
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-96-ASAM-01 (TB1-1520-240-20-80) ALLCH-47D HELICOPTERS REPLACEMENT OF AFTLANDING GEAR DRAG LINK ASSY'SSUSCEPTIBLE TO STRESS CORROSIONCRACKING. (RL8391)
08-Nov-1995 1
MERIDIAN, MS
BT020392
AASF/ CO. G 185THAVN.
CH-47-96-ASAM-03 (TB1-1520-240-20-82)MAINT. MANDATORY, ONE TIME VISUAL INSP.OF PRESSURE GUAGE FOR I. D. TAPE LOC. AT4937.7 ACFT HRS. (RL8391)
31-Jan-1996 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
# 1 ENGINE AIRFRAME FWD MOUNT NDI INSPCOMPLETED AT 4937.7 ACFT HRS. 28 NOV 95(BG8488)
23-Feb-1996 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
PHASE #3 COMPLETED 96-02-14 AT 4937.7ACFT HRS. PHASE #4 WILL BE DUE AT 5137.7ACFT HRS. (BG8488)
24-Feb-1996 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-96-ASAM-04 (TB1-1520-240-20-83) ONETIME INSPECTION OF FWD & AFT ROTARYWING HEADS FOR HORIZONTAL HINGE PINBEARING OIL FLOW. (RL8391)
06-Jun-1996 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-96-ASAM-06 MAINTENANCEMANDATORY, ALL CH-47DACFT, ONE TIMEVISUAL INSPECTION & RECORDS CHECK OFTHE UPPER BOOST ACTUATOR & PULL TESTOF SWASHPLATES C/W @ 5015.7 ACFT. HRS.R. LUKE, MEI. MS. (TB1-1520-240-20-85)(RL8391)
12-Jul-1996 8
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-96-ASAM-05 (TB1-1520-240-84)MAINTENANCE MANDATORY, ALL CH-47DACFT, ONE TIME INSPECTION OF THEFORWARD CONTROL INSTALLATION FOR THEMFG. OF P/N 114R3650-3 BOLT ASSY, (TB1-1520-240-84) C/W @ 5015.7 ACFT. HRS. RLUKE, AASF MEI, MS. (RL8391)
12-Jul-1996 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-96-ASAM-07 INSPECT THE BOND LINESON THE 114P8079-2 & -3 STRAP ASSY'S FORLOOSENESS AROUND THE EDGES (TB1-1520-240-20-86). (RL8391)
13-Jul-1996 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-96-ASAM-08 (TB1-1520-240-20-88) ONETIME VISUAL INSPECTION FOR AND REMOVALOF CERTAIN S/N 145DS102-3 FWD XMSN MAINLUBE PUMPS. (RL8391)
23-Aug-1996 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
ACE/AACE PERFORMED AT 5110 A/C HRS BYDYN CORP FT HOOD, TX. OLR PROFILER 'N'(DS0000)
10-Sep-1996 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-96-ASAM-09 (TB1-1520-240-20-89)INSPECT & REPAIR AFT PYLON CLAM SHELLDOOR LOWER LATCH C/W @ 5130.5 ACFT.HRS. (RL8391)
16-Sep-1996 1
MERIDIAN, MS.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 38 of 7513-Oct-2015
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-01 (TB1-1520-240-20-90) ONETIME RECORDS CK., VISUAL INSPECTION FOR& REMOVAL OF CERTAIN S/N 145D3400-23, -25, -32 SYNC D/S C/W . (RL8391)
11-Oct-1996 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF MSG CH-47-97-01 (TB1-1520-240-20-91)ONE TIME VISUAL INSPECTION OF FORWARDTRANSMISSION MOUNTING (BARREL) NUTS.(RL8391)
14-Nov-1996 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-02 (TB1-1520-240-20-92)MAINTENANCE MANDATORY, VISUAL INSP.FOR WINCH/HOIST CONTROL GRIP SWITCHGUARD. COMPLETED 9 JAN 97 (DT2810)
12-Jan-1997 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
GEN-97-ASAM-03 (AN/ASN-149 GLOBALPOSITIONING SYS) NOT INSTALLED ON ACFTDOES NOT APPLY AS OF PRESENT TIME(BG8488)
14-Jan-1997 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-03 (TB1-1520-240-20-94), ONETIME & RECCURING INSP. OF CABIN FLOOR &RAMP 5000# TIE- DOWN FITTINGS. (RL8391)
07-Feb-1997 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-04 (TB1-1520-240-20-96) ONETIME VISUAL INSPECTION & REPLACEMENTOF CERTAIN P/N 4C3074 CRISSAIR CHECKVALVES. (RL8391)
19-Mar-1997 17
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-05 (TB1-1520-240-20-93) ONETIME INSPECTION & REPLACEMENT OF AN320-12 CASTELLATED NUTS. (RL8391)
19-Mar-1997 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-06 (AN/ASN-149 GLOBALPOSITIONING SYS) NOT INSTALLED ON ACFT,DOES NOT APPLY AS OF PRESENT TIME.(RL8391)
24-Apr-1997 2
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-08 (TB1-1520-240-20-97)MAINTENANCE MANDATORY, INSP. & LUBEOF FLT CONTROL ROD END BEARINGS.(RL8391)
24-Apr-1997 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-07 (TB1-1520-240-20-95) ONETIME AND RECURRING INSP OF PDP FEEDERWIRE/CBS. AND INSTALLATION OF CB.COVERS/SEALS. (RL8391)
06-May-1997 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-09 OPERATION OF T-62-T-2BAPU & APU FLT HRS. (RL8391)
05-Jun-1997 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-97-ASAM-10 (TB 1-1520-240-20-99) ONETIME INSPECTION OF ANVIS/HUD POWERSUPPLY C/W. (RL8391)
02-Oct-1997 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-98-ASAM-01, UNCOMMANDEDCONTROL INPUTS, C/W (RL8391)
22-Oct-1997 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-98-ASAM-02 (TB1-1520-240-20-100)EXTENSION OF (CH-47-96-ASAM-01)REPLACEMENT OF AFT LANDING GEAR DRAGLINK ASSY (-3 IF INSTALLED) TO 30 APR 99(RL8391)
27-Nov-1997 1
MERIDIAN, MS.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 39 of 7513-Oct-2015
AASF/ CO. G 185THAVN.
CH-47-98-01 (TB 1-1520-240-20-103) ONE TIMEINSP OF AFT UPPER BOOST ACTUATORS TOSTATIONARY SWASHPLATE RETAININGHARDWARE. (RL8391)
24-Mar-1998 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-98-ASAM-03 (TB1-2835-205-20-3)MANDATORY TORQUE CHECK ANDREPLACEMENT OF APU BOLTS COMPLIEDWITH AT 5242.7 ACFT. HRS. (TE7467)
03-May-1998 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-98-ASAM-04 (TB1-1520-240-20-102) ONETIME INSPECTION FOR AFT TRANSMISSIONSWITH SUSPECTED IMPROPERLY SHIMMEDINPUT PINION GEAR ASSY C/W. (DT2810)
19-May-1998 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF CH-47-98-02, FLIGHT RESTRICTIONS ANDMAINTENANCE INSPECTION PROCEDURESFOR ACFT WITH MWO 1-1520-240-50-67APPLIED(NONMETALLIC C-BOX SPLINEDADAPTERS) C/W. (JS5030)
20-Jul-1998 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-98-ASAM-05, REVISION TO CH-47-98-ASAM-02, RESCINDING ROLL ON LANDINGRESTRICTION FOR -3 DRAG LINK ASSYS.(DT2810)
24-Sep-1998 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
#2 ENGINE AIRFRAME MOUNT 600 HR.INSPECTION COMPLETED AT 5333.9 ACFT.HRS. (RL8391)
10-Dec-1998 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-99-ASAM-02 (TB1-1520-240-20-107)ACTIONS TO REDUCE SUSCEPTIBILITY TOFLIGHT CONTROL LOCKUP AND/ORUNCOMMANDED MANEUVERS COMPLIEDWITH. (DT2810)
24-Feb-1999 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
#2 EMER. POWER TIMER INDICATES 1 MIN. NOACTUAL EMER. POWER TIME ON INSTALLEDENGINE. TO BE CONSIDERED 0 TIME. 5333.9ACFT. HRS. (DT2810)
27-Feb-1999 2
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
#1 EMER. POWER TIMER INDICATES 1 MIN. NOACTUAL EMER. POWER TIME ON INSTALLEDENGINE. TO BE CONSIDERED 0 TIME. 5333.9ACFT. HRS. (DT2810)
27-Feb-1999 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-99-ASAM-01 (TB1-1520-240-20-106)MAINTENANCE MANDATORY, ALL CH-47ACFT. ONE TIME INSP OF LAG DAMPENERSCOMPLIED WITH. (DT2810)
02-Mar-1999 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-99-ASAM-04 (TB1-1520-240-20-109)MAINTENANCE MANDATORY; ALL H-47 ACFT;FWD AND AFT LCT YOKE BUSHING INSP. ANDACFT. MAINT. MANUAL CHANGES C/W.(DT2810)
16-Mar-1999 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-99-ASAM-03, MAINT. MANDATORY; ALLCH-47 ACFT ONE TIME AND RECURRING INSP.OF THE HOIST/CARGO HOOK CONTROLPANEL AND WATER INTRUSION IN COCKPITCOMPLIED WITH. (TB55-1520-240-20-108)(DT2810)
17-Mar-1999 1
MERIDIAN, MS.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 40 of 7513-Oct-2015
AASF/ CO. G 185THAVN.
PHASE #1 COMPLETED 19 MAR 99 AT 5333.9ACFT. HRS. PHASE #2 WILL BE DUE AT 5533.9ACFT. HRS. (RL8391)
19-Mar-1999 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
ACE/CPC PERFORMED AT 5342 ACFT. HRS. BYTEAM MEM- BER "N" AMCOM OLR/MWOBRANCH, KILLEEN, TX. S/DON E.SCHROEDER. (DS5651)
15-Apr-1999 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-99-ASAM-05 (TB1-1520-240-20-110)MAINTENANCE MANDATORY;ALL CH-47ACFT,EXTENSION FOR REPLACEMENT OFAFT LANDING GEAR DRAG LINK ASSY'S C/W.(DT2810)
30-Apr-1999 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF MESSAGE CH-47-99-01 (TB1-1520-240-20-111) ONE TIME INSP. OF SYNC SHAFTMOUNTING BRACKETS FOR PROPERCLEARANCE TO SYNC SHAFTS (DT2810)
07-Jul-1999 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF CH-47-99-02 EMERGENCY;IMMEDIATEGROUNDING OF ALL H-47 SERIES AIRCRAFT.(JS5030)
10-Aug-1999 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF CH-47-99-03, TB 55-1520-240-20-113,TECHNICAL, ALL H-47 SERIES AIRCRAFT,INSPECTION OF H-47 AIRCRAFT FORWARDAND AFT TRANSMISSIONS GEAR/BEARINGASSEMBLIES REQ'D. TO BE C/W N/L/T 7 SEP99 (JS5030)
25-Aug-1999 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF CH-47-99-04 (TB 1-1520-240-20-114),TECHNICAL , CH-47D, MH-47D, MH-47EAIRCRAFT, INSPECTION OF H-47 AIRCRAFTFOR FORWARD AND AFT TRANSMISSIONGEAR/BEARING ASSEMBLIES IDENTIFIED BYSERIAL NUMBER PREFIX "VB" (JS5030)
27-Aug-1999 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF CH-47-99-05;TB 1-1520-240-20-115:TECHNICAL,ALL H-47 SERIES AIRCRAFT,REPLACEMENT OF SUSPECT FOR WARD ANDAFT TRANSMISSION ASSEMBLIES WITH ONESTHAT HAVE BEEN INSPECTED AND CLEAREDFOR OPERATION (CM6742)
14-Sep-1999 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF CH-47-00-01/ TB 1-2835-205-20-4, ONETIME RECORDS INSP TO DETERMINE IF APUCOMPRESSOR WHEEL HAS BEEN NDI ANDADD # OF STARTS TO APU. APU S/N877548.048. (JS5030)
12-Oct-1999 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF CH-47 00-03/ TB 1-1520-240-20-116; ALL H-47 SERIES AIRCRAFT, INCREASE OFOPERATING LIMITATIONS FOR FORWARDAND AFT TRANSMISSION GEAR/ BEARINGASSEMBLIES IDENTIFIED BY SERIAL # PREFIX"VB" (JS5030)
06-Dec-1999 1
MERIDIAN, MS.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 41 of 7513-Oct-2015
AASF/ CO. G 185THAVN.
ACFT SUBJECTED TO HIGH WIND ORMICROBURST ON 10 MARCH 00, ACFT WASINSPECTED FOR HIGH WIND DAMAGE IAW TM55-1520-240-23-1 AND TASK 5-63.3. ACFTSUSTAINED DAMAGE TO THE AFT ROTORHEAD RED UPPER PITCH HOUSING STOPSAND THE FWD ROTOR HEAD UPPER YELLOWAND RED UPPER PITCH HOUSING STOPS. AFTAND FWD ROTOR HEADS WERE REMOVEDAND SENT TO OVERHAUL. P/C LINKS WEREREMOVED AND DESTROYED. ACFT WASINSPECTED IAW MEMORANDUM FROMAMCOM ENGINEERING DIVISION AND BOEINGHELICOPTERS. (JS5030)
31-Mar-2000 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-ASAM-00-01/TB 1-1520-240-20-119;INITIAL AND RECURRING INSPECTION OFFUEL PODS FOR CORROSION ANDELECTRICAL BONDING. (CM6742)
02-May-2000 2
MERIDIAN, MS
BT020392
AASF/ CO. G 185THAVN.
SOF CH 47-00-05/(TB 1-1520-240-20-120); ONETIME INSPECTION OF PITCH HOUSINGS, P/N145R2075-13/-14/-15/-16. (CM6742)
02-May-2000 1
MERIDIAN, MS
BT020392
AASF/ CO. G 185THAVN.
SOF CH-47-00-06; AUTHORIZATION FOR ACFTWITH APU CONTAINMENT DEVICE TOOPERATE WITHOUT RESTRICTIONS IMPOSEDBY SOF CH-47-00-01 (JS5030)
11-May-2000 2
MERIDIAN,MS
BT020392
AASF/ CO. G 185THAVN.
CH-47-00-ASAM-02: 10 MAY 00,INITIAL ANDRECURRING INSPECTIONS ANDREPLACEMENT OF HORIZONTAL HINGE PINSHOULDER BOLTS P/N 114R2201-1. (CM6742)
11-May-2000 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-00-ASAM-03: 13 JUN 2000, IMMEDIATEAND PERIODIC HYDRAULIC FLUID SAMPLINGOF H-47 SERIES AIRCRAFT. ACFT HRS 5485.0(CM6742)
13-Jun-2000 1
MERIDIAN,MS
BT020392
AASF/ CO. G 185THAVN.
ACE/CPC PERFORMED AT 5485.0 ACFT. HRS.BY TEAM MEMBER "W" AMCOM OLR MWOBRANCH, KILLEEN, TX. (JP2527)
20-Jun-2000 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-00-ASAM-05; ONE TIME INSPECTION OFFORWARD AND AFT SLIDER SHAFT SEALSFOR PROPER CONSTRUCTION HINGE PINS.(JS5030)
27-Jul-2000 2
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-00-ASAM-04; ONE TIME INSPECTION OFROTOR HEAD HISTORICAL RECORDS FORCERTAIN S/N HORIZONTAL HINGE PINS.(JS5030)
27-Jul-2000 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF CH-47-00-07/ (TB 1-1520-240-20-129)INITIAL AND RECURRING INSPECTION OFCOMBINING TRANSMISSION COOLING FANDRIVE SHAFT AND DRIVE GEAR SPLINES.(CM6742)
26-Sep-2000 2
MERIDIAN, MS
BT020392
AASF/ CO. G 185THAVN.
CH-47-00-ASAM-07;(TB 1-1520-240-20-125) ONETIME INSPECTION AND REPLACEMENT OFUNTESTED AFT LCT ACTUATOR AND FIXEDLINK BOLT P/N 114R3650-7.ES. BEARINGASSEMBLIES REQ'D TO BO C/W N/L/T 7 SEP99REFIX "VB" (CM6742)
26-Sep-2000 1
MERIDIAN, MS
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 42 of 7513-Oct-2015
AASF/ CO. G 185THAVN.
CH-47-00-ASAM-06/ TB 1-1520-240-20-126; ONETIME INSPECTION OF H-47 SERIES AIRCRAFTFOR DEFECTIVE FADEC P3 DRAINCARTRIDGE. (CM6742)
27-Sep-2000 1
MERIDIAN, MS
BT020392
AASF/ CO. G 185THAVN.
CH-47-00-ASAM-08/ TB 1-1520-240-20-128;INSPECTION OF FWD YOKE SHAFT, P/N145C3051-1, FOR CORROSION. (JS5030)
29-Sep-2000 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-01/ TB 1-1520-240-20-127; ONETIME INSPECTION FOR MA-16 INERTIA REELSP/N 015-870145-3-16. (JS5030)
18-Oct-2000 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-02/ TB 1-1520-240-20-130; ONETIME INSPECTION FOR UNTESTED FSP P/N114R3650-6 & 114R3650-11 BOLTS. (JS5030)
31-Oct-2000 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-03/ TB 1-1520-240-131; INITIAL& RECURRING INSPECTION OF FWD & AFTROTOR HUB LIGHTENING HOLES. (JS5030)
28-Nov-2000 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-05/ TB 1-1520-240-20-132; ONETIME INSPECTION OF ROTOR HEADASSEMBLY DROOP STOP BOLTS FORPROPER LENGTH C/W AT 5065.0 ACFT.HRS.(JS5030)
19-Dec-2000 2
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-04/ TB 1-1520-240-20-133; ONETIME INSPECTION FOR UNTESTED FSP TIEBAR PIN ASSEMBLIES P/N 114R268-3 & -4 C/WAT 5485.0 ACFT.HRS. (JS5030)
19-Dec-2000 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF CH-47-01-01/ TB 1-1520-240-20-134; ONETIME INSPECTION OF AFT ROTOR HEADASEMBLIES AND ENGINE CROSS SHAFTADAPTER ASSEMBLIES FOR MH-47E CLOSEDLOOP ESCAPEMENTS C/W AT 5065.9 ACFTHRS. (JS5030)
02-Jan-2001 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-06/ TB 1-1520-240-20-133;ADDITIONAL CAGE CODE ADDED TOINSPECTION REQUIREMENTS OF CH-47-01-ASAM-04 C/W AT 5065.9 ACFT. HRS. (JS5030)
03-Jan-2001 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
#1 & #2 FWD AIRFRAME ENGINE MOUNTSEDDY CURRENT COMPLETED @ 5485.0 ACFT.HRS. (JS5030)
30-Jan-2001 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF CH-47-01-02/ TB 1-1520-240-20-136; ONETIME INSPECTION OF FIXED DROOP STOPSFOR PROPER INSTALLATION C/W AT 5485.0ACFT.HRS. (JS5030)
06-Feb-2001 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-07/ TB 1-1520-240-20-135; ONETIME INSPECTION FOR UNTESTED FSP P/N114R3650-13/-15 P/C/L BOLTS C/W @ 5485.0ACFT.HRS. (JS5030)
13-Feb-2001 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF CH-47-01-03/ TB 1-1520-240-20-137;UNGROUNDING REQUIREMENTS FORAIRCRAFT WITH IMPROPERLY INSTALLEDDROOP STOPS C/W @ 5485.0 ACFT.HRS.(JS5030)
22-Feb-2001 1
MERIDAN, MS.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 43 of 7513-Oct-2015
AASF/ CO. G 185THAVN.
EMC TEST COMPLETED FOR INSTALLATIONOF APU P/N 160150-10A IAW AWR DTD 9 FEB2000 @ 5485.7 ACFT. HRS. (JS5030)
19-Jul-2001 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-08/ TB 1-1520-240-20-138; ONETIME INSPECTION OF FLIGHT & UTILITYBOOST HYDRAULIC CONTROL MODULES FORSHUT-OFF DIAPHRAGM HARDWAREINSTALLATION C/W @ 5490.6 ACFT. HRS.(JS5030)
09-Aug-2001 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-01-ASAM-09/ TB 1-1520-240-20-139; ONETIME INSPECTION FOR UNTESTED FSP114R3650-9 AND BACB30ST10-40 BOLTS C/W@ 5501.0 ACFT. HRS. (JS5030)
07-Sep-2001 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-02-ASAM-02/ TB 1-1520-240-143;FORWARD YOKE SHAFT REPLACEMENT DATEEXTENSION C/W @ 5525.6 ACFT HRS. (JS5030)
02-Jan-2002 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF CH-47-02-01/ TB 1-1520-240-20-144; ONETIME INSPECTION OF LOWER SWASHPLATERETAINER SELF- LOCKING NUTS C/W @5525.6 ACFT. HRS. (JS5030)
27-Jan-2002 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF CH-47-02-02/ TB 1-1520-240-20-141;REWORK OF ALL ROTOR TACHOMETERS C/W@ 5525.6 ACFT. HRS. (JS5030)
28-Jan-2002 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF CH-47-02-03/ TB 1-1520-240-20-141;REWORK OF ALL ROTOR TACHOMETERS C/W@ 5525.6 AFT. HRS. (JS5030)
29-Jan-2002 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
SOF CH-47-02-04/ TB 1-1520-240-20-145; ONETIME INSPECTION OF FORWARD PIVOTINGACTUATOR TO SWASHPLATE ATTACHMENTHWARE FOR PROPER INSTALLATIO C/W @5525.6 ACFT. HRS. (JS5030)
07-Feb-2002 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
CH-47-03-ASAM-01;ONE TIME INSPECTION OFHISTORICAL RECORDS FOR CERTAIN S/NENGINE DRIVE SHAFTS AND ADJUSTMENT OFRETIREMENT LIFE C/W AT 5563.3 ACFT HRS.(JS5030)
02-Apr-2003 1
MERIDIAN, MS.
BT020392
AASF/ CO. G 185THAVN.
ACE\CPCE PERFORMED @ 5628 ACFT HRS. BYTEAM MEMBER"K" & "I" AMCOM PROJECTOLR, KILLEEN, TX. (JL7296)
17-Jun-2003 1
MERIDIAN, MS.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 44 of 7513-Oct-2015
AASF/ CO. G 185THAVN. MERIDIAN, MS
GEN-03-ASAM-01; ONE TIME INSPECTION OFSINCGARS BATTERY BOX FOR DAMAGE &BATTERY CONDITION. (JS5030)
16-Dec-2002 1
MERIDIAN, MS.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 45 of 7513-Oct-2015
AASF/ CO.G 185TH AVN.SOF CH-47-00-04/ TB1-1520-240-20-117; ONETIME INSPECTION OF ENGINE TRANSMISSIONHISTORICAL RECORDS FOR SUSPECT GEARSAND REPLACEMENT OF SUSPECTTRANSMISSIONS. (JS5030)
31-Jan-2000 1
MERIDIAN, MS.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 46 of 7513-Oct-2015
AASF/CO G. 185TH AVN.SOF CH-47-00-02; CORRECTION TO SOF CH-47-00-01, PARA 10D, 9A, 9B, & 12C. (JS5030)
10-Nov-1999 1
MERIDIAN, MS.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 47 of 7513-Oct-2015
AASF/CO. G 185 AVNREQUIREMENTS OF CH-47-05-ASAM-06 C/WT,EZELL TI. AASF MERIDIAN MS. 15 SEPT.2005(TE7467)
15-Sep-2005 1
MERIDIAN MS.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 48 of 7513-Oct-2015
AASF/CO. G 185TH AVN.ACE/CPC PERFORMED AT 5254 A/C HRS. BYTEAM MEMBER "K" AMCOM OLR/MWOBRANCH HUNTSVILLE, AL. DANNY MEYERS.(DM5698)
13-May-1998 1
MERIDIAN, MS.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 49 of 7513-Oct-2015
ACE TEAMACE COMPLETED AT 5534 ACFT HRS. BY ACEMEMBER "L" PID EH9090 OLR/MWO BRANCH(EH9090)
13-May-2002 1
GROTON, CT
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 50 of 7513-Oct-2015
AMCOM FT HOODPROJECT OLR
ACE/CPCE PERFORMED AT 6663 AIRCRAFTHOURS BY TEAM MEMBERS K & Q.
12-Nov-2008 1
MERIDIAN MS 39304
WS244328
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 51 of 7513-Oct-2015
AMCOM PROJECT OLRACE/CPCE PERFORMED AT 6030 ACFT HRSBY AMCOM PROJECT OLR FT LEWIS WA.DURING RESET
21-Feb-2006 1
FT LEWIS WA.
JD415449
AMCOM PROJECT OLRANNUAL ACE EVALUATION COMPLETED AT6452 ACFT HRS AT MERIDIAN, MS BY TEAMMEMBERS RR & W
06-Nov-2007 1
KILLEEN, TX
AS425855
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 52 of 7513-Oct-2015
B CO 1/111TH AVNCH-47-06-SOF-04 AFT ROTOR BLADE S/NCHECK COMPLIED WITH @6340.3 ACFT HRSJD415449
26-May-2006 1
MERIDIAN MS
JD415449
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 53 of 7513-Oct-2015
B CO. 1-111TH. AVN.AIRCRAFT TRANSFERED IAW TM 55-1500-328-25 AT 3078.1 ACFT. HRS. FROM B CO. 1-111TH.AVN GSAB (WYDGBO) TO B CO. 2-211TH.AVN. GSAB (WP7TBO) ON 23 OCT. 2011.
23-Oct-2011 1
FT HOOD TX.
JG816346
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 54 of 7513-Oct-2015
BOEING HELICOPTERSAIRCAFT S/N 61-02419, CH-47A, INDUCTEDAND CONVERTED TO CH-47D, S/N 91-0268 ON27 AUG 1992, TOTAL TIME AT MODIFICATION:4340.0 HRS. BOEING HELICOPTERS, PHILA,PA. S/ K.L.MRUK, CIV. (KM0000)
27-Aug-1992 1
PHILADELPHIA, PA.
BT020392
BOEING HELICOPTERSAIRCRAFT S/N 91-0268 TEST FLOWN ANDACCEPTED AT 4349.6 HRS. BOEINGHELICOPTERS, PHILA, PA. S/ K.L. MRUK, CIV.(KM0000)
14-Oct-1992 1
PHILADELPHIA, PA.
BT020392
BOEING HELICOPTERSCH-47-93-02; UNGROUNDING OF U.S. ARMYCH-47D, MH-47D AND MH-47E AIRCRAFT (TB1-1520-240-20-63) COMPLIED WITH. 6 NOV 1992,BOEING HELICOPTERS, PHILA, PA. S/ V.HOLMES. CIV. (KM0000)
06-Nov-1992 1
PHILADELPHIA, PA.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 55 of 7513-Oct-2015
CO D, 111TH AVN (QC)COMPLIED WITH H-47-11-AMAM-O4. ASN-128BSUITE "D" SOFTWARE UPDATE NOTINSTALLED @ 7055.0
24-Sep-2011 1
LONGHORN AAF, N FTHOOD TX.
CS583538
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 56 of 7513-Oct-2015
CO G 185TH HHSOF CH-47-04-01 DELETION OF 50 HOURRECURRNIG AOAP GREASE SAMPLE OF THEFWD AND AFT SWASHPLATE C/W @5719.2 A/CHRS M. WILKINSON, TI, FT BENNING, GA(MW7796)
12-Feb-2004 1
FT BENNING, GA
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 57 of 7513-Oct-2015
CO,G. 185TH AVNBLUE FORCE TRACKER MOD INSTALLEDJUNE 2004 (AB2458)
11-Jul-2004 1
BALAD, IRAQ
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 58 of 7513-Oct-2015
CO. G 185THCOMPLY WITH REQUIREMENTS OF CH-47-05-SOF-01 BEFORE6147.8 AIRCRAFT HOURS BUTNLT 19 JAN. 2005 (MW7796)
05-Jan-2005 1
BALAD IRAQ
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 59 of 7513-Oct-2015
CO. G 185TH ACNCH-47-04-ASAM-02 BEFORE ______ AIRCRAFTHRS BUT NLT 13 MAY 2004 COMPLIED WITH(MW7796)
13-May-2004 1
BALAD IRAQ
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 60 of 7513-Oct-2015
CO. G 185TH AVNCH-47-05-ASAM-01; AFT CRITICAL DYNAMICCOMPONENT. C/ @ 5968.7 AIRCRAFT HOURS20041015 (AB2458)
15-Oct-2004 1
BALAD, IRAQ
BT020392
CO. G 185TH AVNNDI COMPLETED TO COMPLY WITH CH-47-05-SOF-01 20050109 (MW7796)
09-Jan-2005 1
BALAD IRAQ
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 61 of 7513-Oct-2015
CO. G 185TH AVN. 1ST-244TH
COMPLY WITH REQUIREMENTS OF CH-47-04-ASAM-02 BEFORE_5743.5_ AIRCRAFT HOURS.BUT N/L/T 13 MAY 2004 SSG MICHAELWILKINSON T.I. BALAD IRAQ (MW7796)
30-Apr-2004 1
BALAD IQ.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 62 of 7513-Oct-2015
CO.G 185TH AVNCH-47-04-ASAM-01; AFT FUSELAGEBELLCRANK FASTENER FOR CORRECTINSTALLATION C/W @ 5709.2 ACFT. HRS(PP3896)
08-Feb-2004 1
MERIDIAN,MS
BT020392
CO.G 185TH AVNSOF CH-47-04-01 DELETION OF 50 HRSRECURRING AOAP GREASE SAMPLE OF THEFWD & AFT SWASHPLATE C/W (AB2458)
12-Feb-2004 2
FORT BENNING, GA.
BT020392
CO.G 185TH AVNAIRCRAFT DEPLOYED OVERSEAS TO BALADIRAQ MARCH 2004 SOEICAL INSPECTION ANDCLEANING ACFT PERSEVED AND SHINKWRAPPED (MW7796)
13-Apr-2004 1
FT. BENNING GA.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 63 of 7513-Oct-2015
CSC RASM-EAWR, 32395, DATED 17 AUG. 2006, FOR CH-47D HELICOPTERS WITH THE ADVANCEDHEADS UP DISPLAY(HUD) SYSTEM SIGNALDATA CONVERTER(SDC) PART NUMBER125110-007 INSTALLED.
23-Feb-2010 4
MERIDIAN MS 39304
JS501134
CSC RASM-EAWR, TTS 70944, DATED 25 JUNE 2009, FORTHE FLEET WIDE INSTALLATION OF THE P3CHECK VALVE AND OVERBOARD DRAIN LINEFROM THE DIGITAL ELECTRONIC CONTROLUNIT ON CH-47D HELICOPTERS.
23-Feb-2010 3
MERIDIAN MS 39304
JS501134
CSC RASM-EAWR, TN 67638, DATED 10 APR 2009, FOROPERATION OF CH-47D HELICOPTERSEQUIPPED WITH THE AN/AAR-57(V)5CMWS/ICMD INSTALLED. PLUS 5TH EOMSSENSOR.
23-Feb-2010 2
MERIDIAN MS 39304
JS501134
CSC RASM-EAWR TTS 69499A, DATED 5 NOV. 2009, FOROPERATION OF CH-47D HELICOPTERS WITHTHE BLUE FORCED TRACKING(BFT) SYSTEMAND AIR WARRIOR SINGLE EDM INSTALLED.
23-Feb-2010 1
MERIDIAN MS 39304
JS501134
CSC RASM-EOCM/ACE PERFORMED AT 6968.7 ACFT HRSBY TEAM MEMBER UU & QQ AMCOM RASM-E
04-Oct-2010 1
FT. CAMPBELL KY.42223
HM009565
CSC RASM-EAWR, 41283, DATED 26 MAY 2010, FOR CH-47DHELICOPTERS TO OPERATE MODERNIZEDSIGNAL PROCESSING UNIT (MSPU)EQUIPMENT.
19-Oct-2010 1
MERIDIAN MS 39304
JS501134
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 64 of 7513-Oct-2015
CT AVCRAD 1109THSOF CH-47-02-06/TB 1-1520-240-20-148; ONETIME INSPECTION OF COMBINING XMSNSHISTORICAL RECORDS FOR CERTAIN S/N'S &O/H DATES C/W @ 5533.9 ACFT. HRS. (DO7847)
19-Jun-2002 1
GROTON, CT.
BT020392
CT AVCRAD 1109THCH-47-02-ASAM-04/TB 1-1520-240-20-149;INSPECT FOR ALL UNTESTED CSI AFT YOKESUPPORT SHAFTS P/N 114C3044-2 C/W @5533.9 ACFT. HRS. (DO7847)
25-Jul-2002 1
GROTON, CT.
BT020392
CT AVCRAD 1109THCH-47-02-ASAM-03/TB-1-1520-240-20-148INSPECT FOR IMPROPERLY MANUFACTURED/ ASSEMBLED FUEL CONTROL RELAY BOXESC/W @ 5533.9 ACFT HRS. (DO7847)
10-Oct-2002 1
GROTON, CT.
BT020392
CT AVCRAD 1109THCH-47 SOF CH-47-03-01 INSP FWD AND AFTSWASHPLATE BEARINGS AND GREASESAMPLES C/W @ 5533.9 ACFT HRS. (DO7847)
18-Oct-2002 1
GROTON, CT.
BT020392
CT AVCRAD 1109THPHASE # 2 COMPLETED AT CT AVCRAD 30DEC 2002 @ 5533.9 ACFT HRS. (DO7847)
30-Dec-2002 1
GROTON, CT
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 65 of 7513-Oct-2015
DYNCORPACE/CPCE PERFORMED @ ACFT HRS BYTEAM MEMBER "K& W" AMCOM PROJECTOLR, KILLEEN TX. DERRY D PARKS (JP2527)
13-Nov-2002 1
KILLEEN TEXAS
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 66 of 7513-Oct-2015
DYNCORP OLRENGINE AFT MOUNT LINK INSTALLEDDIMENSIONS AFTER COMPLETION OF MWO1-1520-240-50-60. L/H 6.360 IN. R/H 6.430 INCHES.(LB2657)
26-Sep-1995 1
FT. HOOD, TX.
BT020392
DYNCORP OLRACE-CPCE PERFORMED AT 5526 ACFT HRSBY TEAM "K" MEMBERS & II, AMCOM OLRBRANCH, KILLEEN, TX. LARRY LEWIS (LL2629)
15-Nov-2001 1
AASF MERIDIAN, MS.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 67 of 7513-Oct-2015
FT HOOD AFMAAIRCRAFT 9100268 ACE COMPLETED AT 6812ACFT HRS AT GULFPORT, MS BY TEAMMEMBERS RR & W
09-Oct-2009 1
GULFPORT, MS
AS425855
FT HOOD AFMAACE COMPLETED AT 7182 AIRCRAFT HOURSA DAVENPORT, IA BY TEAM MEMBERS W & Q.
31-Jul-2012 1
Davenport, IA
WS244328
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 68 of 7513-Oct-2015
FT. HOOD PROJECTOLR
MWO 1-1520-240-50-95 APPENDIX A, HSI MODESELECT MODIFICATION COMPLETED ON THISDATE @ 6528.4 AIRCRAFT HOURS. HSI SERIALNUMBER 479 RE-IDENTIFIED WITH THEFOLLOWING PART NUMBERS; 1005390-65,1005390-67, AND 1005390-69.A.PARKERPROJECT OLR., INSPECTOR
20-May-2008 2
MERIDIAN MS 39304
AP787196
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 69 of 7513-Oct-2015
FT. HOOD, PROJECTOLR.
MWO 1-1520-240-50-95 APPENDIX A, HSI MODESELECT MODIFICATION COMPLETED ON THISDATE @ 6528.4 AIRCRAFT HOURS. HSI SERIALNUMBER 398 RE-IDENTIFIED WITH THEFOLLOWING PART NUMBERS; 1005390-65,1005390-67, AND 1005390-69.A.PARKERPROJECT OLR., INSPECTOR
20-May-2008 1
MERIDIAN MS 39304
AP787196
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 70 of 7513-Oct-2015
G.CO. 185HT AVNCOMPLIED WITH REQUIREMENTS OF TB 1-1500-200-20-31,AIRCRAFT DESERTOPERATIONS CLEANING
20-Mar-2005 1
KUWAIT
PP213896
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 71 of 7513-Oct-2015
L-151 AVIMPHASE #3 COMPLETED AT 5733.8 ACFT HRS,PHASE #4 DUE AT 5937,8 ACFT HRS (PP3896)
28-May-2004 1
BALAD IQ
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 72 of 7513-Oct-2015
L3 AEROTECHUTILITY HYD PRESS + RETURN FILTERSREPLACED 5937.8 ACFT HRS. 6737.8 ACFTHRS (SZ7574)
18-Sep-2004 3
BALAD IRAQ
BT020392
L3 AEROTECHTB 1-1520-240-20-155 C/W @ 5937.8ENHANCED DESERT MAINT. (SZ7574)
18-Sep-2004 2
BALAD,IRAQ
BT020392
L3 AEROTECHPHASE #4 COMPLETED AT 5937.8 ACFT HRS,PHASE #1 DUE AT 6137.8 ACFT HRS (SZ7514)
18-Sep-2004 1
BALAD,IRAQ
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 73 of 7513-Oct-2015
OCM SECTIONOCM/ ACE PERFORMED AT 4570.0 ACFT. HRS.AT MERIDIAN, MS. BY "A". (AB0000)
23-Nov-1993 1
ST. LOUIS, MO.
BT020392
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 74 of 7513-Oct-2015
OHIO AASF #1H-47-13-AMAM-02 ULLS-A(E) LCF CHANGE 63C/W 10 DEC 2012 (MISSING ENTRY)
10-Dec-2012 1
NORTH CANTON, OH44720
RL765610
OHIO AASF #1H-47-13-SOF-02, ALL H-47 SERIES AIRCRAFT,SYNCHRONIZATION SHAFT BOLTSINSPECTION C/W WITH AT 7287.7 ACFT HRS.
19-Jun-2013 1
NORTH CANTON, OH44720
RL765610
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
NUMBERLOCATIONPIDENTRYORGANIZATION
8.7.DATE
6.REMARKS
4. 5.
CH-47D 9100268HELICOPTER, CARGO2. NOMENCLATURE 3. AIRCRAFT SERIAL NUMBER1. AIRCRAFT MODEL
Report Date: Page 75 of 7513-Oct-2015
OLR/LSIMEC CONTROL # F6554 WORK PLATFORMDELAMINATION COMPLIED WITH @ 6330.2AIRCRAFT HRS. LETTER DATED 2006-02-06
16-Mar-2006 1
FT LEWIS WA.
MS068034
OLR/LSIMEC CONTROL # F47462 FLIGHT CONTROLSUPPORT ASSY INSTALATION OF OVERSIZEDBUSHING COMPLIED WITH @ 6330.2 ACFTHRS. LETTER DATED 2006-03-06
17-Mar-2006 1
FT LEWIS WA.
MS068034
OLR/LSICH-47-05-ASAM-04 XMSN SEAL RETAININGRING COMPLIED WITH @ 6330.2 AIRCRAFTHRS. ON 2006-03-10
19-Mar-2006 2
FT LEWIS WA.
MS068034
OLR/LSICH-47-05-ASAM-05 REPLACEMENT OF CHECKVALVES COMPLIED WITH @ 6330.2 ACFT HRS.ON 2006-03-10
19-Mar-2006 1
FT LEWIS WA.
MS068034
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
HISTORICAL RECORD FOR AIRCRAFTDA FORM 2408-15 E, OCT 91
DATE AC HRS SHAFT VERTICAL REASON FOR VIB CHECKLONGITUDINALLATERAL
IPS READINGS4.
9100268HELICOPTER, CARGOCH-47D3. AIRCRAFT SERIAL NUMBER2. NOMENCLATURE1. AIRCRAFT MODEL
Report Date: 13-Oct-2015 1/5
50HR26-Mar-2005 AFT FAN 0.1300.046190.6
50HR26-Mar-2005 SYNC 00.190.296190.6
50HR26-Mar-2005 C-BOX 00.070.116190.6
50HR26-Mar-2005 CROSS 00.50.436190.6
100 HR04-Sep-2005 AFT FAN 0.100.136235.9
100 HR04-Sep-2005 SYNC 00.150.16235.9
100 HR04-Sep-2005 C-BOX 00.0606235.9
100 HR04-Sep-2005 CROSS 00.870.746235.9
50HR01-Nov-2005 SYNC 00.190.266284.6
50HR01-Nov-2005 C-BOX 00.050.076284.6
50HR01-Nov-2005 CROSS 00.440.196284.6
50HR01-Nov-2005 AFT FAN 0.1300.066284.6
PHASE/ RESET03-May-2006 AFT FAN 0.1500.176330.2
PHASE/RESET03-May-2006 SYNC 00.290.316330.2
PHASE/RESET03-May-2006 C-BOX 00.050.046330.2
PHASE/RESET03-May-2006 CROSS 00.610.386330.2
50 HR25-Aug-2006 AFTFAN 0.200.176379.4
50 HR25-Aug-2006 SYNC 00.280.216379.4
50 HR25-Aug-2006 CBOX 00.040.046379.4
50 HR25-Aug-2006 CROSS 00.550.566379.4
714 MOD09-Mar-2007 CROSS 000.496410.9
714 MOD09-Mar-2007 SYNC 00.1706410.9
714 MOD09-May-2007 SYNC 000.376410.9
714 MOD09-May-2007 FAN SHAFT 000.056410.9
714 MOD09-May-2007 FAN SHAFT 00.0406410.9
714 MOD09-May-2007 CROSS 00.4106410.9
50 HR.16-Aug-2007 SYNC 000.356430.1
EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-15-2 E, OCT 91 AIRCRAFT VIBRATION RECORD
DATE AC HRS SHAFT VERTICAL REASON FOR VIB CHECKLONGITUDINALLATERAL
IPS READINGS4.
9100268HELICOPTER, CARGOCH-47D3. AIRCRAFT SERIAL NUMBER2. NOMENCLATURE1. AIRCRAFT MODEL
Report Date: 13-Oct-2015 2/5
50 HR.16-Aug-2007 FAN 000.036430.1
50 HR.16-Aug-2007 CROSS 000.596430.1
50 HR.16-Aug-2007 SYNC 00.2606430.1
50 HR.16-Aug-2007 FAN 00.0206430.1
50 HR.16-Aug-2007 CROSS 00.4506430.1
200 HR28-May-2008 AFT FAN 000.226528.4
200 HR28-May-2008 AFT FAN 0.2006528.4
200 HR28-May-2008 SYNC 000.236528.4
200 HR28-May-2008 FAN 000.056528.4
200 HR28-May-2008 CROSS 000.636528.4
200 HR28-May-2008 SYNC 00.306528.4
200 HR28-May-2008 FAN 00.0206528.4
200 HR28-May-2008 CROSS 00.5806528.4
50 HR04-Sep-2008 AFT FAN 000.016618
50 HR04-Sep-2008 AFT FAN 0.02006618
50 HR04-Sep-2008 SYNC 000.036618
50 HR04-Sep-2008 FAN 000.026618
50 HR04-Sep-2008 CROSS 000.046618
50 HR04-Sep-2008 SYNC 00.0506618
50 HR04-Sep-2008 FAN 0006618
50 HR04-Sep-2008 CROSS 00.1706618
50 HR16-Sep-2008 SYNC 000.316625.7
50 HR16-Sep-2008 FAN 000.076625.7
50 HR16-Sep-2008 CROSS 000.56657.7
50 HR16-Sep-2008 SYNC 00.2506625.7
50 HR16-Sep-2008 FAN 00.0406625.7
50 HR16-Sep-2008 CROSS 00.3506625.7
EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-15-2 E, OCT 91 AIRCRAFT VIBRATION RECORD
DATE AC HRS SHAFT VERTICAL REASON FOR VIB CHECKLONGITUDINALLATERAL
IPS READINGS4.
9100268HELICOPTER, CARGOCH-47D3. AIRCRAFT SERIAL NUMBER2. NOMENCLATURE1. AIRCRAFT MODEL
Report Date: 13-Oct-2015 3/5
50 HR05-Jan-2009 AFT FAN 000.26677.1
50 HR05-Jan-2009 AFT FAN 0.23006677.1
50 HR05-Jan-2009 SYNC 000.256677.1
50 HR05-Jan-2009 FAN 000.086677.1
50 HR05-Jan-2009 CROSS 000.726677.1
50 HR05-Jan-2009 SYNC 00.1706677.1
50 HR05-Jan-2009 FAN 00.0606677.1
50 HR05-Jan-2009 CROSS 00.4706677.1
50 HR20-May-2009 AFT FAN 0006728.1
50 HR20-May-2009 AFT FAN 0.03006728.1
50 HR20-May-2009 SYNC 000.156728.1
50 HR20-May-2009 FAN 000.016728.1
50 HR20-May-2009 CROSS 000.16728.1
50 HR20-May-2009 SYNC 00.0506728.1
50 HR20-May-2009 FAN 0006728.1
50 HR20-May-2009 CROSS 00.1906728.1
ENG CROSS SHAFT REMOVAL18-Nov-2009 AFT FAN 000.216812.1
ENG CROSS SHAFT REMOVAL18-Nov-2009 AFT FAN 0.22006812.1
ENG CROSS SHAFT REMOVAL18-Nov-2009 SYNC 000.216812.1
ENG CROSS SHAFT REMOVAL18-Nov-2009 FAN 000.036812.1
ENG CROSS SHAFT REMOVAL18-Nov-2009 CROSS 000.516812.1
ENG CROSS SHAFT REMOVAL18-Nov-2009 SYNC 00.4906812.1
ENG CROSS SHAFT REMOVAL18-Nov-2009 FAN 00.0306812.1
ENG CROSS SHAFT REMOVAL18-Nov-2009 CROSS 00.6506812.1
50 HR23-Jul-2010 AFT FAN 000.246927.4
50 HR23-Jul-2010 AFT FA N 0.12006927.4
50 HR23-Jul-2010 SYNC 000.196927.4
EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-15-2 E, OCT 91 AIRCRAFT VIBRATION RECORD
DATE AC HRS SHAFT VERTICAL REASON FOR VIB CHECKLONGITUDINALLATERAL
IPS READINGS4.
9100268HELICOPTER, CARGOCH-47D3. AIRCRAFT SERIAL NUMBER2. NOMENCLATURE1. AIRCRAFT MODEL
Report Date: 13-Oct-2015 4/5
50 HR23-Jul-2010 FAN 000.036927.4
50 HR23-Jul-2010 CROSS 000.426927.4
50 HR23-Jul-2010 SYNC 00.0906927.4
50 HR23-Jul-2010 FAN 00.0406927.4
50 HR23-Jul-2010 CROSS 00.6506927.4
50 HR19-Nov-2010 AFT FAN 000.266977.6
50 HR19-Nov-2010 AFT FAN 0.19006977.6
50 HR19-Nov-2010 C BOX FAN 000.046977.6
50 HR19-Nov-2010 C BOX FAN 00.0306977.6
50 HR19-Nov-2010 CROSS 000.486977.6
50 HR19-Nov-2010 CROSS 00.5606977.6
50 HR19-Nov-2010 SYNC 000.196977.6
50 HR19-Nov-2010 SYNC 00.1206977.6
POST PMS 303-May-2012 AFT FAN 0.2200.257104.2
POST PMS 303-May-2012 C BOX FAN 00.050.047104.2
POST PMS 303-May-2012 CROSS 00.480.767104.2
POST PMS 303-May-2012 SYNC 00.520.317104.2
50 HR14-Mar-2013 AFT FAN 0.2300.267208.9
50 HR14-Mar-2013 SYNC 00.360.297208.9
50 HR14-Mar-2013 C BOX FAN 00.050.037208.9
50 HR14-Mar-2013 CROSS 00.250.367208.9
50 HR10-May-2013 AFT FAN 0.2300.267256
50 HR10-May-2013 C BOX FAN 00.040.047256
50 HR10-May-2013 SYNC 00.360.327256
50 HR10-May-2013 CROSS 00.290.57256
50 HR28-Aug-2014 CROSSSHAF
00.540.627349.5
50 HR05-Feb-2015 AFT FAN 0.18200.1747398.2
EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-15-2 E, OCT 91 AIRCRAFT VIBRATION RECORD
DATE AC HRS SHAFT VERTICAL REASON FOR VIB CHECKLONGITUDINALLATERAL
IPS READINGS4.
9100268HELICOPTER, CARGOCH-47D3. AIRCRAFT SERIAL NUMBER2. NOMENCLATURE1. AIRCRAFT MODEL
Report Date: 13-Oct-2015 5/5
50HR05-Feb-2015 SYNC 00.180.0717398.2
50HR05-Feb-2015 FAN 00.060.0517398.2
50HR05-Feb-2015 CROSS 00.4680.6557398.2
50 HR08-May-2015 AFT FAN 0.19400.1877448.4
50 HR08-May-2015 SYNC SHAFT 00.1760.0737448.4
50 HR08-May-2015 C-BOX 00.0580.0427448.4
50 HR08-May-2015 CROSSSHAF
00.4330.5257448.4
6. Remarks
EDITION OF JAN 64 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-15-2 E, OCT 91 AIRCRAFT VIBRATION RECORD
DA FORM 2408-16
1. NOMENCLATURE
COMPRESSOR ROTOR ASSY
2. NSN 3. PN NUMBER OR MODEL
2-101-600-57
4. SERIAL NUMBER
61365100796
5. WUC
04A01C
COUNT /
DATE
6. NOMECLATURE AND WUC
a
P
O
S
P/N
AND
NSN
b
COMPONENT
SE NO.
LOCATION
c
NO.
PREV
O/H
d
NOMEN
ISNT HRS
e
NOMEN
RMVL
HRS
f
TIME
SINCE
O/H
g
COMP
ISNT HRS
h
COMP
RMVL
HRS
i
O/H OR
REPLAC
LIFE
j
REPLAC-
MENT
DUE
(ACFT
HRS
k
Page 1 of 3
2840013917257
1 of 1
25-Jul-06
COMPRESSOR SHAFT
04A01C01
2-101-238-09 62517400676 0 0 0 0 0
2840014783617
1 of 1
25-Jul-06
1 COMPRESSOR DISK
04A01C09A
2-101-331-09 61365102130 0 0 0 0 0
2840014759273
1 of 1
25-Jul-06
2 COMPRESSOR DISK
04A01C09B
2-101-332-06 61365101966 0 0 0 0 0
2840014759263
1 of 1
25-Jul-06
3 COMPRESSOR DISK
04A01C09C
2-101-263-07 60350100343 0 0 0 0 0
2840014759272
1 of 1
25-Jul-06
4 COMPRESSOR DISK
04A01C09D
2-100-042-10 60350100577 0 0 0 0 0
2840014750886
1 of 1
25-Jul-06
5 COMPRESSOR DISK
04A01C09E
2-100-043-10 60350101829 0 0 0 0 0
2840014750897
1 of 1
25-Jul-06
6 COMPRESSOR DISK
04A01C09F
2-100-044-08 60350100347 0 0 0 0 0
2840014759270
1 of 1
25-Jul-06
7 COMPRESSOR DISK
04A01C09G
2-100-045-09 60350101205 0 0 0 0 0
2840011956896
1 of 1
25-Jul-06
SPACER 1ST COMPRESSOR
04A01C09H
2-103-024-04 60350100177 0 0 0 0 0
DA FORM 2408-16, OCT 91
EDITION OF MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORD
For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-16
1. NOMENCLATURE
COMPRESSOR ROTOR ASSY
2. NSN 3. PN NUMBER OR MODEL
2-101-600-57
4. SERIAL NUMBER
61365100796
5. WUC
04A01C
COUNT /
DATE
6. NOMECLATURE AND WUC
a
P
O
S
P/N
AND
NSN
b
COMPONENT
SE NO.
LOCATION
c
NO.
PREV
O/H
d
NOMEN
ISNT HRS
e
NOMEN
RMVL
HRS
f
TIME
SINCE
O/H
g
COMP
ISNT HRS
h
COMP
RMVL
HRS
i
O/H OR
REPLAC
LIFE
j
REPLAC-
MENT
DUE
(ACFT
HRS
k
Page 2 of 3
5365012145928
1 of 1
25-Jul-06
SPACER 2ND COMPRESSOR
04A01C09J
2-100-047-09 61686800459 0 0 0 0 0
5365014926958
1 of 3
25-Jul-06
SPACER 3,4,5 COMPRESSOR
04A01C09K
2-100-048-14 62512392078 0 0 0 0 0
5365014926958
2 of 3
25-Jul-06
SPACER 3,4,5 COMPRESSOR
04A01C09K
2-100-048-14 62512392091 0 0 0 0 0
5365014926958
3 of 3
25-Jul-06
SPACER 3,4,5 COMPRESSOR
04A01C09K
2-100-048-14 62512392164 0 0 0 0 0
2840014759238
1 of 1
25-Jul-06
SPACER 6TH COMPRESSOR
04A01C09L
2-100-052-33 60350100799 0 0 0 0 0
2840011286582
1 of 1
25-Jul-06
CENTRIFUGAL IMPELLER
04A01D
2-100-180-17 61365100796 0 0 0 0 0
DA FORM 2408-16, OCT 91
EDITION OF MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORD
For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-16
1. NOMENCLATURE
COMPRESSOR ROTOR ASSY
2. NSN 3. PN NUMBER OR MODEL
2-101-600-57
4. SERIAL NUMBER
61365100796
5. WUC
04A01C
COUNT /
DATE
6. NOMECLATURE AND WUC
a
P
O
S
P/N
AND
NSN
b
COMPONENT
SE NO.
LOCATION
c
NO.
PREV
O/H
d
NOMEN
ISNT HRS
e
NOMEN
RMVL
HRS
f
TIME
SINCE
O/H
g
COMP
ISNT HRS
h
COMP
RMVL
HRS
i
O/H OR
REPLAC
LIFE
j
REPLAC-
MENT
DUE
(ACFT
HRS
k
Page 3 of 3
REMARKS
DA FORM 2408-16, OCT 91
EDITION OF MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORD
For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-16
1. NOMENCLATURE
TURBINE ROTOR
2. NSN
2840014830254
3. PN NUMBER OR MODEL
2-141-140-45
4. SERIAL NUMBER
6P19326
5. WUC
04A03E
COUNT /
DATE
6. NOMECLATURE AND WUC
a
P
O
S
P/N
AND
NSN
b
COMPONENT
SE NO.
LOCATION
c
NO.
PREV
O/H
d
NOMEN
ISNT HRS
e
NOMEN
RMVL
HRS
f
TIME
SINCE
O/H
g
COMP
ISNT HRS
h
COMP
RMVL
HRS
i
O/H OR
REPLAC
LIFE
j
REPLAC-
MENT
DUE
(ACFT
HRS
k
Page 1 of 1
2825012050769
1 of 1
25-Jul-06
DISK ASSY 4TH TURBINE
04A03E02
2-141-170-22 61365100677 0 0 0 0 0
2840014748620
1 of 1
25-Jul-06
SHAFT ASSY, INTEGRAL
04A03F
2-141-350-10 51365108040 0 0 0 0 0
REMARKS
DA FORM 2408-16, OCT 91
EDITION OF MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORD
For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-16
1. NOMENCLATURE
ENGINE ASSY TURBINE
2. NSN
2840014585361
3. PN NUMBER OR MODEL
2-001-020-39
4. SERIAL NUMBER
6PGA00934
5. WUC
04A
COUNT /
DATE
6. NOMECLATURE AND WUC
a
P
O
S
P/N
AND
NSN
b
COMPONENT
SE NO.
LOCATION
c
NO.
PREV
O/H
d
NOMEN
ISNT HRS
e
NOMEN
RMVL
HRS
f
TIME
SINCE
O/H
g
COMP
ISNT HRS
h
COMP
RMVL
HRS
i
O/H OR
REPLAC
LIFE
j
REPLAC-
MENT
DUE
(ACFT
HRS
k
Page 1 of 2
1 of 1
25-Jul-06
COMPRESSOR ROTOR ASSY
04A01C
2-101-600-57 61365100796 0 0 0 0 COND
2840014589984
1 of 1
28-Jul-06
LINER ASSY, COMBUSTION
04A02A
2-131-110-76 62463718349 0 0 0 0 COND
2840014658934
1 of 1
25-Jul-06
SEALING PLATE, 1ST GP
04A02B12
2-121-075-36 51365108644 0 0 0 0 0
5365014679095
1 of 1
25-Jul-06
SPACER, TURBINE GAS
04A02B13
2-121-071-42 61365100977 0 0 0 0 0
2840014614685
1 of 1
25-Jul-06
NOZZLE ASSY 1ST TURBINE
04A02C
2-121-430-25 6P21460 0 0 0 0 COND
2840014795683
1 of 1
25-Jul-06
DISK ASSY, 1ST TURBINE
04A03A
2-121-090-79 61365100096 0 0 0 0 0
2840014785346
1 of 1
28-Jul-06
CYLINDER 1ST TURBINE
04A03B
2-121-470-49 61499500153 0 0 0 0 COND
2840014795681
1 of 1
25-Jul-06
DISK ASSY, 2ND TURBINE
04A03C
2-121-110-35 51365106131 0 0 0 0 0
2835014537890
1 of 1
25-Jul-06
NOZZLE ASSY 2ND TURBINE
04A03D
2-121-100-79 62490601369 0 0 0 0 COND
DA FORM 2408-16, OCT 91
EDITION OF MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORD
For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-16
1. NOMENCLATURE
ENGINE ASSY TURBINE
2. NSN
2840014585361
3. PN NUMBER OR MODEL
2-001-020-39
4. SERIAL NUMBER
6PGA00934
5. WUC
04A
COUNT /
DATE
6. NOMECLATURE AND WUC
a
P
O
S
P/N
AND
NSN
b
COMPONENT
SE NO.
LOCATION
c
NO.
PREV
O/H
d
NOMEN
ISNT HRS
e
NOMEN
RMVL
HRS
f
TIME
SINCE
O/H
g
COMP
ISNT HRS
h
COMP
RMVL
HRS
i
O/H OR
REPLAC
LIFE
j
REPLAC-
MENT
DUE
(ACFT
HRS
k
Page 2 of 2
2840014830254
1 of 1
25-Jul-06
TURBINE ROTOR
04A03E
2-141-140-45 6P19326 0 0 0 0 COND
2915013719305
1 of 1
25-Jul-06
FUEL CONTROL (HMU)
04A05A
110700-02D6 1159901370009 0 0 0 0 2800
REMARKS
DA FORM 2408-16, OCT 91
EDITION OF MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORD
For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-16
1. NOMENCLATURE
COMPRESSOR ROTOR ASSY
2. NSN 3. PN NUMBER OR MODEL
2-101-600-57
4. SERIAL NUMBER
61365106920
5. WUC
04A01C
COUNT /
DATE
6. NOMECLATURE AND WUC
a
P
O
S
P/N
AND
NSN
b
COMPONENT
SE NO.
LOCATION
c
NO.
PREV
O/H
d
NOMEN
ISNT HRS
e
NOMEN
RMVL
HRS
f
TIME
SINCE
O/H
g
COMP
ISNT HRS
h
COMP
RMVL
HRS
i
O/H OR
REPLAC
LIFE
j
REPLAC-
MENT
DUE
(ACFT
HRS
k
Page 1 of 3
2840013917257
1 of 1
19-Mar-07
COMPRESSOR SHAFT
04A01C01
2-101-238-09 62517401580 0 0 0 0 0
2840014783617
1 of 1
19-Mar-07
1 COMPRESSOR DISK
04A01C09A
2-101-331-09 51365107402 0 0 0 0 0
2840014759273
1 of 1
19-Mar-07
2 COMPRESSOR DISK
04A01C09B
2-101-332-06 61365105985 0 0 0 0 0
2840014759263
1 of 1
19-Mar-07
3 COMPRESSOR DISK
04A01C09C
2-101-263-07 60350101118 0 0 0 0 0
2840014759272
1 of 1
19-Mar-07
4 COMPRESSOR DISK
04A01C09D
2-100-042-10 60350107869 0 0 0 0 0
2840014750886
1 of 1
19-Mar-07
5 COMPRESSOR DISK
04A01C09E
2-100-043-10 60350107374 0 0 0 0 0
2840014750897
1 of 1
19-Mar-07
6 COMPRESSOR DISK
04A01C09F
2-100-044-08 60350107897 0 0 0 0 0
2840014759270
1 of 1
19-Mar-07
7 COMPRESSOR DISK
04A01C09G
2-100-045-09 60350107843 0 0 0 0 0
2840011956896
1 of 1
19-Mar-07
SPACER 1ST COMPRESSOR
04A01C09H
2-103-024-04 60350104587 0 0 0 0 0
DA FORM 2408-16, OCT 91
EDITION OF MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORD
For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-16
1. NOMENCLATURE
COMPRESSOR ROTOR ASSY
2. NSN 3. PN NUMBER OR MODEL
2-101-600-57
4. SERIAL NUMBER
61365106920
5. WUC
04A01C
COUNT /
DATE
6. NOMECLATURE AND WUC
a
P
O
S
P/N
AND
NSN
b
COMPONENT
SE NO.
LOCATION
c
NO.
PREV
O/H
d
NOMEN
ISNT HRS
e
NOMEN
RMVL
HRS
f
TIME
SINCE
O/H
g
COMP
ISNT HRS
h
COMP
RMVL
HRS
i
O/H OR
REPLAC
LIFE
j
REPLAC-
MENT
DUE
(ACFT
HRS
k
Page 2 of 3
5365012145928
1 of 1
19-Mar-07
SPACER 2ND COMPRESSOR
04A01C09J
2-100-047-09 61686801225 0 0 0 0 0
5365014926958
1 of 3
19-Mar-07
SPACER 3,4,5 COMPRESSOR
04A01C09K
2-100-048-14 62512392445 0 0 0 0 0
5365014926958
2 of 3
19-Mar-07
SPACER 3,4,5 COMPRESSOR
04A01C09K
2-100-048-14 62512392461 0 0 0 0 0
5365014926958
3 of 3
19-Mar-07
SPACER 3,4,5 COMPRESSOR
04A01C09K
2-100-048-14 62512392472 0 0 0 0 0
2840014759238
1 of 1
19-Mar-07
SPACER 6TH COMPRESSOR
04A01C09L
2-100-052-33 60350106310 0 0 0 0 0
2840011286582
1 of 1
19-Mar-07
CENTRIFUGAL IMPELLER
04A01D
2-100-180-17 61365106920 0 0 0 0 0
DA FORM 2408-16, OCT 91
EDITION OF MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORD
For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-16
1. NOMENCLATURE
COMPRESSOR ROTOR ASSY
2. NSN 3. PN NUMBER OR MODEL
2-101-600-57
4. SERIAL NUMBER
61365106920
5. WUC
04A01C
COUNT /
DATE
6. NOMECLATURE AND WUC
a
P
O
S
P/N
AND
NSN
b
COMPONENT
SE NO.
LOCATION
c
NO.
PREV
O/H
d
NOMEN
ISNT HRS
e
NOMEN
RMVL
HRS
f
TIME
SINCE
O/H
g
COMP
ISNT HRS
h
COMP
RMVL
HRS
i
O/H OR
REPLAC
LIFE
j
REPLAC-
MENT
DUE
(ACFT
HRS
k
Page 3 of 3
REMARKS
DA FORM 2408-16, OCT 91
EDITION OF MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORD
For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-16
1. NOMENCLATURE
TURBINE ROTOR
2. NSN
2840014830254
3. PN NUMBER OR MODEL
2-141-140-45
4. SERIAL NUMBER
7P04359
5. WUC
04A03E
COUNT /
DATE
6. NOMECLATURE AND WUC
a
P
O
S
P/N
AND
NSN
b
COMPONENT
SE NO.
LOCATION
c
NO.
PREV
O/H
d
NOMEN
ISNT HRS
e
NOMEN
RMVL
HRS
f
TIME
SINCE
O/H
g
COMP
ISNT HRS
h
COMP
RMVL
HRS
i
O/H OR
REPLAC
LIFE
j
REPLAC-
MENT
DUE
(ACFT
HRS
k
Page 1 of 1
2825012050769
1 of 1
19-Mar-07
DISK ASSY 4TH TURBINE
04A03E02
2-141-170-22 61365101819 0 0 0 0 0
2840014748620
1 of 1
19-Mar-07
SHAFT ASSY, INTEGRAL
04A03F
2-141-350-10 61365103258 0 0 0 0 0
REMARKS
DA FORM 2408-16, OCT 91
EDITION OF MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORD
For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-16
1. NOMENCLATURE
ENGINE ASSY TURBINE
2. NSN
2840014585361
3. PN NUMBER OR MODEL
2-001-020-39
4. SERIAL NUMBER
7PGA01075
5. WUC
04A
COUNT /
DATE
6. NOMECLATURE AND WUC
a
P
O
S
P/N
AND
NSN
b
COMPONENT
SE NO.
LOCATION
c
NO.
PREV
O/H
d
NOMEN
ISNT HRS
e
NOMEN
RMVL
HRS
f
TIME
SINCE
O/H
g
COMP
ISNT HRS
h
COMP
RMVL
HRS
i
O/H OR
REPLAC
LIFE
j
REPLAC-
MENT
DUE
(ACFT
HRS
k
Page 1 of 2
1 of 1
19-Mar-07
COMPRESSOR ROTOR ASSY
04A01C
2-101-600-57 61365106920 0 0 0 0 COND
2840014589984
1 of 1
19-Mar-07
LINER ASSY, COMBUSTION
04A02A
2-131-110-76 62463718443 0 0 0 0 COND
2840014658934
1 of 1
19-Mar-07
SEALING PLATE, 1ST GP
04A02B12
2-121-075-36 51365109842 0 0 0 0 0
5365014679095
1 of 1
19-Mar-07
SPACER, TURBINE GAS
04A02B13
2-121-071-42 61365106108 0 0 0 0 0
2840014614685
1 of 1
19-Mar-07
NOZZLE ASSY 1ST TURBINE
04A02C
2-121-430-25 7P05216 0 0 0 0 COND
2840014795683
1 of 1
19-Mar-07
DISK ASSY, 1ST TURBINE
04A03A
2-121-090-79 61365101737 0 0 0 0 0
2840014785346
1 of 1
19-Mar-07
CYLINDER 1ST TURBINE
04A03B
2-121-470-49 71499500029 0 0 0 0 COND
2840014795681
1 of 1
19-Mar-07
DISK ASSY, 2ND TURBINE
04A03C
2-121-110-35 61365102972 0 0 0 0 0
2835014537890
1 of 1
19-Mar-07
NOZZLE ASSY 2ND TURBINE
04A03D
2-121-100-79 60402300306 0 0 0 0 COND
DA FORM 2408-16, OCT 91
EDITION OF MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORD
For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG
DA FORM 2408-16
1. NOMENCLATURE
ENGINE ASSY TURBINE
2. NSN
2840014585361
3. PN NUMBER OR MODEL
2-001-020-39
4. SERIAL NUMBER
7PGA01075
5. WUC
04A
COUNT /
DATE
6. NOMECLATURE AND WUC
a
P
O
S
P/N
AND
NSN
b
COMPONENT
SE NO.
LOCATION
c
NO.
PREV
O/H
d
NOMEN
ISNT HRS
e
NOMEN
RMVL
HRS
f
TIME
SINCE
O/H
g
COMP
ISNT HRS
h
COMP
RMVL
HRS
i
O/H OR
REPLAC
LIFE
j
REPLAC-
MENT
DUE
(ACFT
HRS
k
Page 2 of 2
2840014830254
1 of 1
19-Mar-07
TURBINE ROTOR
04A03E
2-141-140-45 7P04359 0 0 0 0 COND
2915013719305
1 of 1
19-Mar-07
FUEL CONTROL (HMU)
04A05A
110700-02D6 1159901370154 0 0 0 0 2800
REMARKS
DA FORM 2408-16, OCT 91
EDITION OF MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORD
For us of this form, see DA PAM 738-751; the proponent agency is DCSLOG
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
2840014585361ENGINE ASSY, TURBIN 2-001-020-39 06PGA00934 04A4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 1 of 31
13-Oct-2015
10400 10400
2840014795683 204A03A
00DISK ASSY, 1ST TURBINE 0613651000962-121-090-79 RCRC
2400 2400
2915013719305 204A05A
00HYDROMECHANICAL ASS 1159901370009110700-02D6 00
7. SIGNIFICANT HISTORICAL DATA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
2840014585361ENGINE ASSY, TURBIN 2-001-020-39 07PGA01075 04A4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 2 of 31
13-Oct-2015
10400 10400
2840014795683 104A03A
00DISK ASSY, 1ST TURBINE 0613651017372-121-090-79 RCRC
2400 2400
2915013719305 104A05A
00HYDROMECHANICAL ASS 1159901370154110700-02D6 00
7. SIGNIFICANT HISTORICAL DATA
24-Jun-2012 1 WUC 04A P/N: 2-001-020-39 S/N: 07PGA01075 ENGINE TURBINE ASSYAT 805.3 ENGINE HOURS, ZERO OVERHAULS THE FOLLOWING BLADES WERE REPAIRED AND/ORREPLACED: REPAIRED 1 (EA) AND REPLACED 2 (EA) FIRST STAGE COMPRESSOR BLADES.
PP135423 AASF #3 DAVENPORT, IA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615013914398HEAD ASSY ROT WING 145R2003-10 A4-293 05A014. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 3 of 31
13-Oct-2015
2887 8888
1615011994145 FWD05A01A
03576HUB ROTARY WING FWD FM0096114R2050-35 RCRC
4800 11137
1615007406480 GREEN05A01H
03912TIE BAR ASSY 2005A234114R2155-1 RCRC
4800 11904
1615007406480 YELLOW05A01H
04679TIE BAR ASSY 2006A10662114R2155-1 RCRC
4800 11904
1615007406480 RED05A01H
04679TIE BAR ASSY 2006A4064114R2155-1 RCRC
999999 COND
3040014107183 YELLOW05A01I
26614457PITCH HOUSING AM1257145R2075-15 CCCC
999999 COND
3040014107183 RED05A01I
27964457PITCH HOUSING AM1459145R2075-15 CCCC
999999 COND
3040014107183 YELLOW05A01I
04567PITCH HOUSING NP4012145R2075-15 CCCC
2700 9582
311000838706405A01I02A
04457PITCH BEARING A4139114R2131-1 RCRC
2700 9582
311000838706405A01I02A
04457PITCH BEARING A4149114R2131-1 RCRC
2700 9582
311000838706405A01I02A
04457PITCH BEARING A4152114R2131-1 RCRC
2700 8701
3110009545730 FWD05A01I02B
03576PITCH BEARING N33307114R2130-2 RCRC
2700 8701
3110009545730 FWD05A01I02B
03576PITCH BEARING N33311114R2130-2 RCRC
2700 8701
3110009545730 FWD05A01I02B
03576PITCH BEARING N33323114R2130-2 RCRC
999999 COND
161501205392105A01I05
29474457PITCH SHAFT FWD ZR3256234R2088-1 CCCC
999999 COND
161501205392105A01I05
31014457PITCH SHAFT FWD ZR358234R2088-1 CCCC
999999 COND
161501205392105A01I05
21344457PITCH SHAFT FWD ZR409234R2088-1 CCCC
2400 9504
3110004556179 RED*05A01O01
04679BEARING, VERT PIN (UPPE A10909114RS214-6 RCRC
2400 9504
3110004556179 GREEN*05A01O01
04679BEARING, VERT PIN (UPPE A1760114RS214-6 RCRC
2400 9504
3110004556179 YELLOW*05A01O01
04679BEARING, VERT PIN (UPPE N32101114RS214-6 RCRC
2400 8304
3110004556188 GREEN**05A01O02
12004679BEARING, VERT PIN (LOW N29807114RS214-5 RCRC
2400 8304
3110004556188 RED**05A01O02
12004679BEARING, VERT PIN (LOW N29810114RS214-5 RCRC
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615013914398HEAD ASSY ROT WING 145R2003-10 A4-293 05A014. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 4 of 31
13-Oct-2015
2400 8304
3110004556188 YELLOW**05A01O02
12004679BEARING, VERT PIN (LOW N31209114RS214-5 RCRC
2400 8737
5315012957008 GRN*05A01P
03912PIN HORIZ. FWD, REPLAC FM1186114R2197-7 00
2400 8737
5315012957008 YELLOW*05A01P
03912PIN HORIZ. FWD, REPLAC FM1209114R2197-7 00
2400 8322
5315012957008 RED05A01P
38373497PIN HORIZONTAL HINGE, VM5425114R2197-7 03
2400 9504
3110013110024 YELLOW*05A01Q01
04679HORZ PIN BEARING A8971114RS225-1 RCRC
2400 8737
3110013110024 GREEN**05A01Q01
12003912HORZ PIN BEARING N16382114RS225-1 RCRC
2400 9504
3110013110024 RED*05A01Q01
04679HORZ PIN BEARING N38578114RS225-1 RCRC
2400 9504
3110013102258 GREEN*05A01Q02
04679FWD HORZ PIN BRG, TRAI A3908114RS226-1 RCRC
2400 9504
3110013102258 RED*05A01Q02
04679FWD HORZ PIN BRG, TRAI N2743114RS226-1 RCRC
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615013914398HEAD ASSY ROT WING 145R2003-10 A4-293 05A014. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 5 of 31
13-Oct-2015
2400 9504
3110013102258 YELLOW*05A01Q02
04679FWD HORZ PIN BRG, TRAI N2791114RS226-1 RCRC
7. SIGNIFICANT HISTORICAL DATA
05-Jan-2005 1 CCAD-OVERHAULED, TSN: 3576, TSO: 0, O/H : # 2, CONTROL NUMBER DLMD-23340. THE RETIREMENTINTERVALS OF THESE PARTS MAY BE EXTENDED 100% PROVIDED THEY ARE ROTATED 180 DEG. AT 1200HOURS. HUB WAS RECAPPED IAW AED T3332. * THESE HORIZONTAL PINS & BEARINGS MUST BEROTATED AT M/R HEAD TOTAL TIME: 4776 HOURS. S/N'S: A969, VM4773, VM5547, N29810, N31209, &N29807. * ROTATE BRNG S/N: N16382 AT M/R HEAD TOTAL TIME: 4176 HOURS. * ROTATE BRNGS S/N:X93997X & X95986X AT M/R HEAD TT: 4411 HOURS * ROTATE BRNG S/N: X95534X AT M/R HEAD TOTALTIME: 4381 HOURS. * ROTATE BRNGS S/N: ZN89961 AT M/R HEAD TOTAL TIME: 4592 HOURS. * ROTATEBRNG S/N: N19815 AT M/R HEAD TOTAL TIME: 4645 HOURS. ** THESE BEARINGS HAVE BEEN ROTATEDAND MUST BE REPLACED AT M/R HEAD TOTAL TIME: 4776 HOURS.
MS068034 CCAD C.C TX 78419
11-May-2005 1 *** FWD HORZ PIN, BRG, LEAD SN# N16382 ROTATED. 3912 HEAD HOURS. BEARING DUE REPLACEMENTAT 5112 HEAD HOURS. CD8204.
MS068034 OLR/LSI FT LEWIS WA.
12-Apr-2012 1 ROTOR HEAD ASSY FWD NSN:1615-01-391-4398 P/N:145R2003-10 S/N: A4-293*THESE HORIZONTAL PINS S/N'S: FM1186, FM1209 MUST BE ROTATED @ M/R HEADTOTAL TIME: 5112 HRS..-- **HORIZONTAL PIN S/N: VM5425 HAS BEEN ROTATED ANDMUST BE REPLACED @ M/R HEAD TOTAL TIME: 5879 HRS.-- **HORIZONTAL PIN BEARINGS/N: N16382 HAS BEEN ROTATED AND MUST BE REPLACED @ M/R HEAD TOTAL TIME:5112 HRS.-- **THESE VERTICAL PIN BEARING S/N'S: N31209, N29807, 29810, HAVE BEENROTATED AND MUST BE REPLACED @ 5879 HRS. M/R HEAD TOTAL TIME.-- *THESE VERTICALPIN BEARING S/N'S: A10909, A1760, N32101, MUST BE ROTATED @ 5879 HRS. M/R HEAD TOTAL TIME.--*THESE HORIZONTAL PIN BEARING S/N'S: A3908, N2743, N2791, A8971, N38578, MUST BE ROTATED TIME.@ 5879 HRS. M/R HEAD TOTAL TIME.
RG546546 AASF #3 DAVENPORT, IOWA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615011457109BLADE ASSY ROT WIN 114R1702-37 2007A10644 05A024. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 6 of 31
13-Oct-2015
7. SIGNIFICANT HISTORICAL DATA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615011457109BLADE ASSY ROT WIN 114R1702-37 2010A7897 05A024. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 7 of 31
13-Oct-2015
7. SIGNIFICANT HISTORICAL DATA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615011457109BLADE ASSY ROT WIN 114R1702-37 2010A7991 05A024. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 8 of 31
13-Oct-2015
7. SIGNIFICANT HISTORICAL DATA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615013950006SWASHPLATE ASSY F 145R3551-17 A84684 05A03A4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 9 of 31
13-Oct-2015
999999 COND
1615015486687 F05A03A01
9095673FWD STATIONARY RING 200818145R3351-3 CCCC
999999 COND
1615011146125 F05A03A02
23905673ROTATING RING ASSY BCW1249114R3464-9 CCCC
1200 8574
3110013560489 F05A03A04
05673SWASHPLATE BEARING BDH201111644114RS308-2 RCRC
7. SIGNIFICANT HISTORICAL DATA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615013914399HEAD ASSY ROT WING 145R2004-20 A5-869 05B014. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 10 of 31
13-Oct-2015
1995 9177
161501198755305B01A
03561HUB ROTARY WING AFT FM0372114R2050-36 RCRC
4800 11620
161500740648005B01E
3623561TIE BAR ASSY A20370114R2155-1 RCRC
4800 9568
161500740648005B01E
24143561TIE BAR ASSY A5357114R2155-1 RCRC
4800 8204
161500740648005B01E
37783561TIE BAR ASSY A9975114R2155-1 RCRC
8200 15382
304001407729805B01F
03561PITCH HOUSING, AFT GA3488145R2075-16 RCRC
8200 13021
304001407729805B01F
23613561PITCH HOUSING, AFT ILS245145R2075-16 RCRC
8200 14664
304001407729805B01F
7183561PITCH HOUSING, AFT TZ-982145R2075-16 RCRC
2700 9482
311000838706405B01G01
4003561PITCH BEARING N39738114R2131-1 RCRC
2700 9633
311000838706405B01G01
2493561PITCH BEARING N47577114R2131-1 RCRC
2700 9480
311000838706405B01G01
4023561PITCH BEARING N27741114R2131-1 RCRC
2700 9569
311000954573005B01G02
3133561PITCH BEARING N28336114R2130-2 RCRC
2700 9433
311000954573005B01G02
4493561PITCH BEARING N36058114R2130-2 RCRC
2700 9433
311000954573005B01G02
4493561PITCH BEARING N36137114R2130-2 RCRC
999999 COND
304001206392505B01H
4263561PITCH SHAFT, AFT FM00055234R2088-2 CCCC
999999 COND
304001206392505B01H
25453561PITCH SHAFT, AFT ZR1697234R2088-2 CCCC
999999 COND
304001206392505B01H
12533561PITCH SHAFT, AFT ZR1761234R2088-2 CCCC
2400 9382
NSN PENDING05B01J01
2003561AFT VERT PIN BRG, UPPE N18766*114RS214-2 RCRC
2400 9383
NSN PENDING05B01J01
1993561AFT VERT PIN BRG, UPPE N34202*114RS214-2 RCRC
2400 9381
NSN PENDING05B01J01
2013561AFT VERT PIN BRG, UPPE N40521*114RS214-2 RCRC
2400 9582
311000455618805B01J02
03561BEARING, VERT PIN (LOW ZN20830*114RS214-5 RCRC
2400 9582
311000455618805B01J02
03561BEARING, VERT PIN (LOW ZN49535*114RS214-5 RCRC
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615013914399HEAD ASSY ROT WING 145R2004-20 A5-869 05B014. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 11 of 31
13-Oct-2015
2400 9582
311000455618805B01J02
03561BEARING, VERT PIN (LOW ZN77042*114RS214-5 RCRC
2400 9582
531500871730205B01K
65043561PIN HORIZ. AFT, ROTATE/ TZ456*114R2196-2 03
1200 8382
531501295700805B01K
27003561PIN HORIZ. AFT, REPLACE AF780*114R2197-7 04
1200 8382
531501295700805B01K
43363561PIN HORIZ. AFT, REPLACE TZ1300*114R2197-7 03
2400 9582
311001311002405B01L01
03561HORZ PIN BEARING AZN283*114RS225-1 RCRC
2400 9582
311001311002405B01L01
03561HORZ PIN BEARING AZN427*114RS225-1 RCRC
2400 9582
311001311002405B01L01
03561HORZ PIN BEARING AZN462*114RS225-1 RCRC
2400 9582
311001310225805B01L02
03561HORZ PIN BEARING AZN152*114RS226-1 RCRC
2400 9582
311001310225805B01L02
03561HORZ PIN BEARING N42613*114RS226-1 RCRC
2400 9582
311001310225805B01L02
03561HORZ PIN BEARING ZN4910*114RS226-1 RCRC
7. SIGNIFICANT HISTORICAL DATA
08-Jun-2007 1 DATE: 08 JUN 07, CCAD - OVERHAULED/RECAPPED, TSN: 3561, TSO: 0, O/H: #4, C/N #3410004. THERETIREMENT INTERVALS OF THESE PARTS MAY BE EXTENDED 100% PROVIDED THEY ARE ROTATED 180DEG. AT 1200 HOURS.
* THESE HORIZONTAL PINS & BEARINGS S/N'S: TZ456, AF780, TZ1300, ZN49535, ZN20830, ZN77042,AZN462, AZN427, AZN283, ZN4910, AZN12, N42613 MUST BE ROTATED AT M/R HEAD TOTAL TIME: 4761HOURS.
* BEARING S/N: N18766 MUST BE ROTATED AT M/R HEAD TT: 4561 HOURS.* BEARING S/N: N40521 MUST BE ROTATED AT M/R HEAD TT: 4560 HOURS.* BEARING S/N: N34202 MUST BE ROTATED AT M/R HEAD TT: 4562 HOURS.
S/ E.G. LOPEZ, A/C DATA TECH., CCAD, CORPC, TX 78419-5260.
CCAD CORPC, TX 78419-5260
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615013950007SWASHPLATE ASSY A 145R3551-18 A841348 05B03A4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 12 of 31
13-Oct-2015
999999 COND
1615012023322 AFT05B03A01
8743307AFT STATIONARY RING A WVMUW0289NE145R3352-2 CCCC
1200 8082
3110013560489 AFT05B03A04
03307SWASHPLATE BEARING BDH1494114RS308-2 RCRC
999999 COND
1615011146125 AFT05B03A05
34813307ROTATING RING ASSY BCW624114R3464-9 CCCC
7. SIGNIFICANT HISTORICAL DATA
03-Mar-2010 1 28JAN2009-CCAD-TSN:3307,TSO:0.#O/H:4. RECAPPED IAW AED-T3317 AND AED-T3726. S/FC7929, CCAD,CORPC TX.
PP213896 AASF #3 MERIDIAN, MS
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615013176446FORWARD TRANSMIS 145D1300-9 A7-574 06B4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 13 of 31
13-Oct-2015
6218 10558
1615011125879 FWD06B01
00SHAFT ASSY, FWD N1436145D1301-3 RCRC
999999 COND
311001331770206B03
00BEARING, ROLLER CYLIN GG609145DS016-2 CCCC
999999 COND
311001114633006B03
00BEARING, ROLLER CYLIN VB172L145DS018-1 CCCC
999999 COND
311001114633106B03
00BEARING, ROLLER CYLIN GG1759145DS019-1 CCCC
999999 COND
311001114632406B03
00BEARING, BALL ANNULAR VB294L145DS020-1 CCCC
999999 COND
3110013470004 FWD06B03
00BEARING, BALL ANNULAR GG523145DS034-3 CCCC
999999 COND
311001114633706B03
00BEARING, ROLLER TAPER VB119K145DS100-1 CCCC
999999 COND
311001114633806B03
00BEARING, ROLLER TAPER VB181K145DS101-1 CCCC
999999 COND
311001353736906B04
00GEAR/BEARING, ASSY VB1726K145DS010-5 CCCC
999999 COND
311001353736906B04
00GEAR/BEARING, ASSY VB1729K145DS010-5 CCCC
999999 COND
311001353736906B04
00GEAR/BEARING, ASSY VB1739K145DS010-5 CCCC
999999 COND
311001353736906B04
00GEAR/BEARING, ASSY VB1745K145DS010-5 CCCC
999999 COND
311001353736906B04
00GEAR/BEARING, ASSY VB1764K145DS010-5 CCCC
999999 COND
311001353736906B04
00GEAR/BEARING, ASSY VB1782K145DS010-5 CCCC
999999 COND
311001232770806B04
00GEAR/BEARING, ASSY VB673L145DS011-8 CCCC
999999 COND
311001232770806B04
00GEAR/BEARING, ASSY VB691L145DS011-8 CCCC
999999 COND
311001232770806B04
00GEAR/BEARING, ASSY VB708L145DS011-8 CCCC
999999 COND
311001232770806B04
00GEAR/BEARING, ASSY VB741L145DS011-8 CCCC
999999 COND
302001114971606B05
00STATIONARY RING GEAR M2277145D0105-2 CCCC
999999 COND
302001228168506B06
00SUN GEAR M2368145D0103-3 CCCC
999999 COND
161501112299506B07
00CARRIER FIRST STAGE M2160145D0104-3 CCCC
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615013176446FORWARD TRANSMIS 145D1300-9 A7-574 06B4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 14 of 31
13-Oct-2015
999999 COND
304001228172806B08
00PINION GEAR, BEVEL (FW M1465145D1306-3 CCCC
999999 COND
304001228173106B09
00S.B. GEAR M1626145D1305-3 CCCC
7. SIGNIFICANT HISTORICAL DATA
06-Sep-1992 1 WUC: 06B PN: 145D1300-9 PSN: A7-574 XMSN ASSY, WING DRIVE FWD6-9-92: BOEING HELICOPTER PHILA., PA. CONTRACT #DAAJ09-89-C-A010. T.T. NEW 13B8 JUN 9-1992.
JD415449 BOEING HEICOPTER PHILA., PA
30-Aug-1999 1 WUC: 06B PN: 145D1300-9 PSN: A7-574 XMSN ASSY, WING DRIVE FWD30 AUG 99 SOF-CH-47-99-04/ TB1-1520-240-20-114. INSP OF H-47 ACFTFOR FWD & AFT XMSN GEAR/BEARING ASSY'Y IDENTIFIED BY S/N PREFIX VB
JD415449 (NO ORGANIZATION) (NO LOCATION)
04-Dec-2009 1 WUC 06B03,BEARING S/N VERIFY AT NEXT TEARDOWN
PP213896 AASF#3 MERIDIAN,MS
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615013154071AFT TRANSMISSION 145D2300-7 A9-576 06C4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 15 of 31
13-Oct-2015
999999 COND
414001287243206C01J
00FAN ASSY, AFT XMSN 0783145DS210-4 CCCC
999999 COND
311001331770206C02
00BEARING GG621145DS016-2 CCCC
999999 COND
311001331770306C02
00BEARING GG550145DS017-3 CCCC
999999 COND
311001442617406C02
00BEARING VB181L145DS018-1 CCCC
999999 COND
311001114633106C02
00BEARING GG1845145DS019-2 CCCC
999999 COND
311001114632406C02
00BEARING VB283L145DS020-1 CCCC
999999 COND
311001357650106C02
00BEARING GG524145DS034-3 CCCC
999999 COND
311001331770106C02
00BEARING WY436145DS200-1 CCCC
999999 COND
311001353736906C03
00GEAR/BEARING, ASSY VB1727K145DS010-5 CCCC
999999 COND
311001353736906C03
00GEAR/BEARING, ASSY VB1730K145DS010-5 CCCC
999999 COND
311001353736906C03
00GEAR/BEARING, ASSY VB1736K145DS010-5 CCCC
999999 COND
311001353736906C03
00GEAR/BEARING, ASSY VB1738K145DS010-5 CCCC
999999 COND
311001353736906C03
00GEAR/BEARING, ASSY VB1743K145DS010-5 CCCC
999999 COND
311001353736906C03
00GEAR/BEARING, ASSY VB1781K145DS010-5 CCCC
999999 COND
311001232770806C03
00GEAR/BEARING, ASSY VB674L145DS011-8 CCCC
999999 COND
311001232770806C03
00GEAR/BEARING, ASSY VB684L145DS011-8 CCCC
999999 COND
311001232770806C03
00GEAR/BEARING, ASSY VB702L145DS011-8 CCCC
999999 COND
311001232770806C03
00GEAR/BEARING, ASSY VB722L145DS011-8 CCCC
999999 COND
302001114971606C04
00STATIONARY RING GEAR M2260145D0105-2 CCCC
999999 COND
302001228168506C05
00SUN GEAR M2333145D0103-3 CCCC
999999 COND
161501112299506C06A
00CARRIER FIRST STAGE M2225145D0104-3 CCCC
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615013154071AFT TRANSMISSION 145D2300-7 A9-576 06C4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 16 of 31
13-Oct-2015
999999 COND
284001113023406C06B
00CARRIER, STAGE 2 M1352145D2302-2 CCCC
999999 COND
304001228172906C07
00PINION GEAR M1394145D2306-3 CCCC
999999 COND
304001228173206C08
00S.B. GEAR (AFT XMSN) M1588145D2305-3 CCCC
999999 COND
304001114976206C09
00ACCESSORY GEAR SHAFT M1287145D2311-2 CCCC
7. SIGNIFICANT HISTORICAL DATA
06-Jan-1992 1 WUC: 06C PN: 145D2300-7 PSN: A9-576 XMSN ASSEMBLY AFT6-1-92: BOEING HELICOPTERS PHILA., PA. CONTRACT # DAAJ09-89-C-A010. T.T. NEW 13B8.
JD415449 BOEING HELICOPTER PHILA., PA.
30-Aug-1999 1 WUC: 06C PN: 145D2300-7 PSN: A9-576 XMSN ASSEMBLY AFT30 AUG 99: SOF-CH-47-99-04/ TB1-1520-240-20-114. INSP OF H-47 ACFT FOR FWD & AFT XMSNGEAR/BEARING ASSY'Y IDENTIFIED BY S/N PREFIX VB
JD415449 (NO ORGANIZATION) (NO LOCATION)
13-Feb-2006 1 MAINTENANCE ENGINEERING CALL (MEC) #F45943 REPAIR OF CORROSION ON HOUSING UNDER OILCOOLER. TM9262 2HRS(AUTHORIZED BY REX A HAYDEN) 6 FEB 2006
JD415449 OLR/LSI FT LEWIS WA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615013159365COMBINING TRANSMIS 145D5300-11 A8-156 06D4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 17 of 31
13-Oct-2015
999999 COND
3110011146325 C-BOX06D02
25121903BEARING, BALL ANNULAR 287145DS500-1 CCCC
999999 COND
3110013254964 C-BOX06D02
01903BEARING, ROLLER CYLIN GG723145DS501-4 CCCC
999999 COND
3110013409928 C-BOX06D02
7771903BEARING, ROLLER CYLIN GG398145DS502-3 CCCC
999999 COND
3110013306550 C-BOX06D02
5751903BEARING, BALL ANNULAR GG352145DS503-4 CCCC
999999 COND
3110011146334 C-BOX06D02
14551903BEARING, ROLLER CYLIN 824145DS504-2 CCCC
999999 COND
3110011146334 C-BOX06D02
14551903BEARING, ROLLER CYLIN 910145DS504-2 CCCC
999999 COND
3110011146335 C-BOX06D02
14551903BEARING, ROLLER CYLIN VB101F145DS505-1 CCCC
999999 COND
3110011146335 C-BOX06D02
12191903BEARING, ROLLER CYLIN VB414K145DS505-1 CCCC
999999 COND
3110011146327 C-BOX06D02
7831903BEARING, BALL ANNULAR VB232D145DS506-1 CCCC
999999 COND
3110011146327 C-BOX06D02
10321903BEARING, BALL ANNULAR WY0059145DS506-2 CCCC
999999 COND
3040011149457 C-BOX06D03
01903GEARSHAFT, SPUR M1235145D5313-2 CCCC
999999 COND
3040012327777 C-BOX06D04
01903GEARSHAFT, BEVEL M1829145D5305-3 CCCC
999999 COND
3040012281730 C-BOX06D05
31181903GEARSHAFT, BEVEL M453145D5306-3 CCCC
999999 COND
3040012281730 C-BOX06D05
18431903GEARSHAFT, BEVEL M874145D5306-3 CCCC
999999 COND
4140013116901 C-BOX06D07
01903FAN ASSEMBLY TRANSMI 1615145DS518-6 CCCC
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615013159365COMBINING TRANSMIS 145D5300-11 A8-156 06D4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 18 of 31
13-Oct-2015
999999 COND
3040013104977 C-BOX06D08
251903FAN DRIVESHAFT A2926145D5319-5 CCCC
7. SIGNIFICANT HISTORICAL DATA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615013956839TMSN ASSY ENGINE M 145D6300-12 A11-524DRGI 06E4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 19 of 31
13-Oct-2015
999999 COND
3110012024072 206E03
01731BEARING, ROLLER, CYLIN GG371114DS664-5 CCCC
999999 COND
311001463298306E03
01731BEARING ROLLER, CYLIN GG704114DS665-5 CCCC
999999 COND
311001051581106E03
00BEARING, BALL, ANNULA 1994114DS668-3 CCCC
999999 COND
311001202668006E03
01731BEARING, BALL, ANNULA BCX850114DS669-5 CCCC
999999 COND
311001202407306E03
01731BEARING, ROLLER, CYLIN GG0967114DS670-3 CCCC
999999 COND
311001114633606E03
01731BEARING, ROLLER, TAPE GP0105145DS600-7 CCCC
999999 COND
3110011146329 #206E03
01731BEARING ROLLER CYLIND GG462145DS603-3 CCCC
999999 COND
304001114945206E04
00GEARSHAFT, BEVEL M1092DRGI145D6301-2 CCCC
999999 COND
161501219866506E05
01731CLUTCH ENG XMSN XBW1379114DS672-1 CCCC
999999 COND
304001113043806E05A
01731SHAFT, SHOULDERED M2862145D6305-3 CCCC
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615013956839TMSN ASSY ENGINE M 145D6300-12 A11-524DRGI 06E4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 20 of 31
13-Oct-2015
999999 COND
304001114945306E06
00GEARSHAFT, BEVEL M1130DRGI145D6302-2 CCCC
7. SIGNIFICANT HISTORICAL DATA
07-Mar-1988 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL07 MAR 88 BOEING CONTRACT #DAAJ09-85-C-A-005, T.T. NEW BORG &WARNER CLUTCH INST 114DS672-1, S/NXBW-528.INNER CAGE WAS INSP ANDFOUND ACCEPTABLE.
JD415449 BOEING NO LOCATION
15-Mar-1988 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL15 MAR 88 BOEING, XMSN WAS REWORKED AND INSP PER RR#443292.CLUTCH114DS672-1 S/N XBW-528 FOUND ACCEPTABLE.
JD415449 BOEING NO LOCATION
14-Mar-1998 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL14 MAR 98 VERIFY P/N AND S/N AND TIME AT NEXT TEARDOWN, SIGNED C.HERNANDEZ, REC CLERK CCAD.
JD415449 CCAD NO LOCATION
21-Apr-1998 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL21 APR 98 SERVICABLE, CCAD, TSN 1635, CONTROL 3070791. SIGNED E.BROWN REC CLERK, CCAD.
JD415449 CCAD NO LOCATION
28-Jul-2000 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL28 JUL 00 UNIT IS I/C/W C.A.R.E. 114D0111 REV. B "DRGI" HAS BEENETCHED ADJACENT TOUNITS S/N TO DENOTE UNITS COMPLIANCE. UNIT HASBEEN O/H & UPGRADED TO 145D6300-12 CONFIGURATION FROM A 145D6300-10 CONFIGURATION. CONTRACT #DAAH23-99-C-0220. UNIT IS FLIGHTREADY AND REQUIRES NO FURTHER MAINTENANCE. TSN 1731, TSO 0, O/H 1WH4916.
JD415449 NO ORGANIZATION NO LOCATION
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615012710663TMSN ASSY ENGINE M 145D6300-6 A11-468 06E4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 21 of 31
13-Oct-2015
999999 COND
311000051562606E03
01767BEARING, ROLLER, CYLIN VB428F114DS664-1 CCCC
999999 COND
311001149929206E03
01767BEARING, ROLLER, CYLIN VB635A114DS665-3 CCCC
999999 COND
311001051581106E03
01767BEARING, BALL, ANNULA 2354114DS668-3 CCCC
999999 COND
311000922073906E03
01767BEARING, BALL, ANNULA J1146114DS669-2 CCCC
999999 COND
NSN PENDING06E03
01767BEARING, ROLLER, CYLIN 718114DS670-2 CCCC
999999 COND
3110011146329 #106E03
01767BEARING ROLLER 761145DS603-2 CCCC
999999 COND
304001114945206E04
01767GEARSHAFT, BEVEL M967145D6301-2 CCCC
999999 COND
161501219866506E05
01767CLUTCH ENG XMSN XBW685114DS672-1 CCCC
999999 COND
304001113043806E05A
01767SHAFT, SHOULDERED M986145D6305-3 CCCC
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615012710663TMSN ASSY ENGINE M 145D6300-6 A11-468 06E4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 22 of 31
13-Oct-2015
999999 COND
304001114945306E06
01767GEARSHAFT, BEVEL M1018145D6302-2 CCCC
7. SIGNIFICANT HISTORICAL DATA
31-Jul-1987 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 87-07-31: BOEING/VERTOL CO. PHILA, PA. CONTRACT #DAAJ-09-85-C-A005 TT: NEW, BORG WARNER CLUTCH INSTALLED 114DS672-1, S/N XBW286.
QC000000 BOEING/VERTOL PHILA, PA
16-May-1989 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 89-05-16: BOEING HEL., PHILA,PA.XMSN WAS RETURNED FOR NEW CLUTCH 114DS672-1 S/N XBW685,REASSEMBLED,TESTED,AND INSP. XMSN WAS REIDENTIFIED FROM 145D6300-3 TO 145D6300-6. TT: 161,TSO: NEW NO OVERHAUL.CONTRACT# DAAJ-09-85-G-0005. S/ B8-896.
QC000000 BOEING HEL PHILA,PA
03-Apr-1991 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 91-04-03: SOF MSG CH-47-91-01 (TB 55-1520-240-55) ONE TIME INSP. OF XMSN CONTAINING SUSPECTED INOUT PINION AND GEARS. COMPLETED BY D CO. 502ND. AVN REGT APO NY 09028 S/ O.G. TI.
JD415449 CO. 502ND REGT APO NY 09028
01-Jan-2000 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 20000101: SOF CH-47-00-04/TB 1-1520-240-20-117: ONE TIME INSP OF ENG. XMSN. HISTORICAL RECORDS FOR SUSPECT GEARS & REPLACEMENT OF SUSPECT XMSN C/W AT 1714.0 COMP. HRS. TS3050 AASF MERIDIAN, MS.
JD415449 AASF MERIDIAN, MS
08-Mar-2000 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 20000308:TREATED FOR CORROSION IN MOUNT HOLES. MT HOLES FOR THE #2 POSITION WERE REAMED OVERSIZED TO REMOVE CORROSION. XMSN CAN ONLY BE USED AS A #1 ENG. XMSN. CM6742 AASF MERIDIAN, MS.
JD415449 AASF MERIDIAN, MS
04-Dec-2009 1 WUC 06E03,BEARING S/N VERIFY AT NEXT TEARDOWN
PP213896 AASF#3 MERIDIAN,MS
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1680013201191SHAFT ASSY, AFT VER 145D3300-6 A-1011 06H024. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 23 of 31
13-Oct-2015
7. SIGNIFICANT HISTORICAL DATA
04-Jan-2006 1 OVERHAULED TSN:60, TSO:0 CNTRL#:1184. RECAPPED IAW AED-T3225 FICHLA CAUYPOR A/C DATATECH,
MS068034 CCAD CORPC TX 78419
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615011130248SEC 1 DRIVE SHAFT A 145D3400-23 A4043 06H06A4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 24 of 31
13-Oct-2015
999999 COND
3110010965634 106H06A01
03606BEARING, SHAFT ASSY SY GG15931145DS301-3 CCCC
999999 COND
1615011400972 106H06A02
36063606DRIVE SHAFT ADAPTER A22803145D3407-10 CCCC
7. SIGNIFICANT HISTORICAL DATA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615011125897DRIVESHAFT ASSY, SE 145D3400-31 A4569 06H104. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 25 of 31
13-Oct-2015
999999 COND
3110010965634 #506H10A
7988695BEARING, SHAFT ASSY SY GG11012145DS301-3 CCCC
999999 COND
NSN PENDING #506H10B
63248695DRIVE SHAFT ADAPTER A4569145D3400-36 CCCC
7. SIGNIFICANT HISTORICAL DATA
21-Jan-2012 1 23-AUG-2011RECAPPED IAW DMWR 55-1615-322, CH-10, TSN 8695, CONT #575721 CCAD, CC TX 78419, JL9064
JM027933 AASF #3 DAVENPORT, IA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615011125897DRIVESHAFT ASSY, SE 145D3400-31 A5558 06H104. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 26 of 31
13-Oct-2015
999999 COND
3110010965634 206H10A
00BEARING, SHAFT ASSY SY AAAB5A145DS301-1 CCCC
999999 COND
NSN PENDING 206H10B
06061DRIVE SHAFT ADAPTER A4921145D3400-36 CCCC
7. SIGNIFICANT HISTORICAL DATA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615011125897DRIVESHAFT ASSY, SE 145D3400-31 A8662 06H104. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 27 of 31
13-Oct-2015
999999 COND
3110010965634 306H10A
5655925BEARING, SHAFT ASSY SY GG8237145DS301-3 CCCC
999999 COND
NSN PENDING 306H10B
935925DRIVE SHAFT ADAPTER A8662145D3400-36 CCCC
7. SIGNIFICANT HISTORICAL DATA
20-Jan-2012 1 17-AUG-11RECAPPED IAW DMWR 55-1615-322, CH-10TSN-5925, # O/H-RC, CONT #577602CCAD/WOMUAA,CC TX 78419PSA FR 4626
JM027933 AASF #3 DAVENPORT, IA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615011125897DRIVESHAFT ASSY, SE 145D3400-32 A-6317 06H104. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 28 of 31
13-Oct-2015
999999 COND
3110010965634 #606H10A
01747BEARING, SHAFT ASSY SY 268UNK145DS301-1 CCCC
999999 COND
1615011400972 #606H10B
22241747DRIVE SHAFT ADAPTER A-23359145D3407-10 CCCC
7. SIGNIFICANT HISTORICAL DATA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615011130292AFT SEC 1 D/S ASSY 145D3400-25 A8856 06H13A4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 29 of 31
13-Oct-2015
7. SIGNIFICANT HISTORICAL DATA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1615011193359AFT SEC 2 D/S ASSY 145D3400-26 A-10149 06H14A4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 30 of 31
13-Oct-2015
7. SIGNIFICANT HISTORICAL DATA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
ji kgfdcbaRMVL HRSRMVL HRS
COMPO/HNOMENWUCHRS)
O/HLOCATIONNSN
AND he SINCELIFE (ACFT
PREVSER NO. ORAND
NOMENCLATURE PN TIMEINST HRS DUEREPLACEINST HRSNO.COMPONENTNOMEN REP.O/H ORCOMP6.
1680011185607ACTUATOR ASSY DAS 145CS100-5 342 11D034. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
Report Date:
Page 31 of 31
13-Oct-2015
999999 COND
1680011185606 UPPER11D03A
785785ACT ELECTRO-MECH, UPP 342145CS100-6 CCCC
999999 COND
1680011185605 LOWER11D03B
785785ACT ELECTRO-MECH, LO 342145CS100-7 CCCC
7. SIGNIFICANT HISTORICAL DATA
EDITION MAY 67 IS OBSOLETE For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16 E, OCT 91
Report Date: Page 1 of 213-Oct-2015
9100268160150-10APOWER UNIT, GAS TURBINEA00017
201
973
1361
4449
1361
1361
1
1
5=
TOTAL COMPONENT COUNTS
COMPONENT/MODULE1+
PREVIOUS COUNTS OF
4=
LINE 3 MINUS LINE 2
MODULE/RECORDER2-
READING AT INSTALLATION OF
MODULE/RECORDER3
READING AT REMOVAL OF
7. HISTORY RECORDER S/N
5=
TOTAL COMPONENT COUNTS
COMPONENT/MODULE1+
PREVIOUS COUNTS OF
4=
LINE 3 MINUS LINE 2
MODULE/RECORDER2-
READING AT INSTALLATION OF
MODULE/RECORDER3
READING AT REMOVAL OF
dcbaLINE
OPERATING HOURSTEMP/TEMP INDEXLCF - 2LCF - 1
HISTORICAL COUNTS ON COMPONENT/MODULE
7. HISTORY RECORDER S/N6.
5. NHA - Serial Number4. P/N3. NOMENCLATURE2. Serial Number1. MODEL
CH-47D
**Note - APU Information LCF1 = NUMBER OF OVERHAULS LCF2 = STARTS SINCE OVERHAUL TTI= STARTS SINCE NEW OPH = ONLY FOR APU's WITH HOUR METER INSTALLED - ENTER TIME ONMETER
For use of this form, see DA PAM 738-751; the proponet agency is DCSLOG
HISTORY RECORDER, COMPONENT, MODULE RECORDDA FORM 2408-16-1-E, OCT 91
OP HRSd.
T/T Ic.
LCF-2
b.a.
LCF-1(Hist rcdrhr
13.
REPLACE-MENT DU
MENT LIFE
REPLACE-
12.HISTORY COUNTS AT LAST DEPOT REPL
11.
O/H OR
10.
SERIAL NUMBER9.
PART NUMBERNOMENCLATURE
8.
Report Date:
Major Nomenclature Major Part NumberMajor Wuc Major Serial Number
13-Oct-2015 2/2
15B 160150-10A POWER UNIT, GAS TURBINE A00017
1249409491
0000V75HA9324503999WHEEL, TURBINE APU
2912
6000
1249409491
0000V30W132144503340COMPRESSOR ROTOR
2912
6000
14. SIGNIFICANT HISTORICAL DATA
REVERSE OF DA FORM 2408-16-1 E, OCT 91
h
CONDITION ITEMS
kjifdcba g.
RMVL HRS
RMVL HRSWUC HRS)COMPO/H
NOMEN
O/HLOCATIONNSN
eAND (ACFTLIFE
SINCEPREVSER NO.ANDNOMENCLATURE DUE
REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN
COMP REP.O/H ORNOMEN6.
3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE
Report Date: 1/1013-Oct-2015
91002681520010883669 CH-47D 00HELICOPTER, CARGO
156001117108402A17 RIGHT
36037104YT658234N0003-1VIBRATION ABSORBER CCCC COND COND
156001117108402A18 LEFT
04340YT433234N0003-1VIBRATION ABSORBER CCCC COND COND
291501563362804A06A 1
263696908ANV11062-170-700-01ECU CCCC COND COND
291501563362804A06A 2
0688209ANV12342-170-700-01ECU CCCC COND COND
168001120743004A07E
3836898670145ES010-3N1 QUADRANT CONTROL CCCC COND COND
304001410718305A01I YELLOW
26614457AM1257145R2075-15PITCH HOUSING CCCC COND COND
304001410718305A01I RED
27964457AM1459145R2075-15PITCH HOUSING CCCC COND COND
304001410718305A01I YELLOW
04567NP4012145R2075-15PITCH HOUSING CCCC COND COND
161501205392105A01I05
29474457ZR3256234R2088-1PITCH SHAFT FWD CCCC COND COND
161501205392105A01I05
31014457ZR358234R2088-1PITCH SHAFT FWD CCCC COND COND
161501205392105A01I05
21344457ZR409234R2088-1PITCH SHAFT FWD CCCC COND COND
161501145710905A02
60473322007A10644114R1702-37BLADE ASSY ROT WING FW CCCC COND COND
161501145710905A02 G
73873062010A7897114R1702-37BLADE ASSY ROT WING FW CCCC COND COND
161501145710905A02 F
73873012010A7991114R1702-37BLADE ASSY ROT WING FW CCCC COND COND
161501548668705A03A01 F
9095673200818145R3351-3FWD STATIONARY RING CCCC COND COND
161501114612505A03A02 F
23905673BCW1249114R3464-9ROTATING RING ASSY CCCC COND COND
156001326723105A03B FWD
07104NP-5902114R3434-9DRIVE ARM ASSY CCCC COND COND
304001206392505B01H
4263561FM00055234R2088-2PITCH SHAFT, AFT CCCC COND COND
304001206392505B01H
25453561ZR1697234R2088-2PITCH SHAFT, AFT CCCC COND COND
For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD
h
CONDITION ITEMS
kjifdcba g.
RMVL HRS
RMVL HRSWUC HRS)COMPO/H
NOMEN
O/HLOCATIONNSN
eAND (ACFTLIFE
SINCEPREVSER NO.ANDNOMENCLATURE DUE
REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN
COMP REP.O/H ORNOMEN6.
3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE
Report Date: 2/1013-Oct-2015
91002681520010883669 CH-47D 00HELICOPTER, CARGO
304001206392505B01H
12533561ZR1761234R2088-2PITCH SHAFT, AFT CCCC COND COND
161501145711005B02 A
57373012008A9465114R1702-38BLADE ASSY ROT WING AF CCCC COND COND
161501145711005B02 A
20107301A2-2830114R1702-38BLADE ASSY ROT WING AF CCCC COND COND
161501145711005B02
29737301A21617114R1702-38BLADE ASSY ROT WING AF CCCC COND COND
161501202332205B03A01 AFT
8743307WVMUW0289NE145R3352-2AFT STATIONARY RING ASS CCCC COND COND
161501114612505B03A05 AFT
34813307BCW624114R3464-9ROTATING RING ASSY CCCC COND COND
156001326723105B03E AFT
3004340TS678114R3434-9DRIVE ARM ASSY CCCC COND COND
161501317644606B
04340A7-574145D1300-9FORWARD TRANSMISSION CCCC COND COND
311001331770206B03
00GG609145DS016-2BEARING, ROLLER CYLINDR CCCC COND COND
311001114633006B03
00VB172L145DS018-1BEARING, ROLLER CYLINDR CCCC COND COND
311001114633106B03
00GG1759145DS019-1BEARING, ROLLER CYLINDR CCCC COND COND
311001114632406B03
00VB294L145DS020-1BEARING, BALL ANNULAR CCCC COND COND
311001347000406B03 FWD
00GG523145DS034-3BEARING, BALL ANNULAR CCCC COND COND
311001114633706B03
00VB119K145DS100-1BEARING, ROLLER TAPERE CCCC COND COND
311001114633806B03
00VB181K145DS101-1BEARING, ROLLER TAPERE CCCC COND COND
311001353736906B04
00VB1726K145DS010-5GEAR/BEARING, ASSY CCCC COND COND
311001353736906B04
00VB1729K145DS010-5GEAR/BEARING, ASSY CCCC COND COND
311001353736906B04
00VB1739K145DS010-5GEAR/BEARING, ASSY CCCC COND COND
311001353736906B04
00VB1745K145DS010-5GEAR/BEARING, ASSY CCCC COND COND
For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD
h
CONDITION ITEMS
kjifdcba g.
RMVL HRS
RMVL HRSWUC HRS)COMPO/H
NOMEN
O/HLOCATIONNSN
eAND (ACFTLIFE
SINCEPREVSER NO.ANDNOMENCLATURE DUE
REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN
COMP REP.O/H ORNOMEN6.
3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE
Report Date: 3/1013-Oct-2015
91002681520010883669 CH-47D 00HELICOPTER, CARGO
311001353736906B04
00VB1764K145DS010-5GEAR/BEARING, ASSY CCCC COND COND
311001353736906B04
00VB1782K145DS010-5GEAR/BEARING, ASSY CCCC COND COND
311001232770806B04
00VB673L145DS011-8GEAR/BEARING, ASSY CCCC COND COND
311001232770806B04
00VB691L145DS011-8GEAR/BEARING, ASSY CCCC COND COND
311001232770806B04
00VB708L145DS011-8GEAR/BEARING, ASSY CCCC COND COND
311001232770806B04
00VB741L145DS011-8GEAR/BEARING, ASSY CCCC COND COND
302001114971606B05
00M2277145D0105-2STATIONARY RING GEAR CCCC COND COND
302001228168506B06
00M2368145D0103-3SUN GEAR CCCC COND COND
161501112299506B07
00M2160145D0104-3CARRIER FIRST STAGE CCCC COND COND
304001228172806B08
00M1465145D1306-3PINION GEAR, BEVEL (FWD CCCC COND COND
304001228173106B09
00M1626145D1305-3S.B. GEAR CCCC COND COND
161501315407106C
04340A9-576145D2300-7AFT TRANSMISSION CCCC COND COND
414001287243206C01J
000783145DS210-4FAN ASSY, AFT XMSN CCCC COND COND
311001331770206C02
00GG621145DS016-2BEARING CCCC COND COND
311001331770306C02
00GG550145DS017-3BEARING CCCC COND COND
311001442617406C02
00VB181L145DS018-1BEARING CCCC COND COND
311001114633106C02
00GG1845145DS019-2BEARING CCCC COND COND
311001114632406C02
00VB283L145DS020-1BEARING CCCC COND COND
311001357650106C02
00GG524145DS034-3BEARING CCCC COND COND
For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD
h
CONDITION ITEMS
kjifdcba g.
RMVL HRS
RMVL HRSWUC HRS)COMPO/H
NOMEN
O/HLOCATIONNSN
eAND (ACFTLIFE
SINCEPREVSER NO.ANDNOMENCLATURE DUE
REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN
COMP REP.O/H ORNOMEN6.
3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE
Report Date: 4/1013-Oct-2015
91002681520010883669 CH-47D 00HELICOPTER, CARGO
311001331770106C02
00WY436145DS200-1BEARING CCCC COND COND
311001353736906C03
00VB1727K145DS010-5GEAR/BEARING, ASSY CCCC COND COND
311001353736906C03
00VB1730K145DS010-5GEAR/BEARING, ASSY CCCC COND COND
311001353736906C03
00VB1736K145DS010-5GEAR/BEARING, ASSY CCCC COND COND
311001353736906C03
00VB1738K145DS010-5GEAR/BEARING, ASSY CCCC COND COND
311001353736906C03
00VB1743K145DS010-5GEAR/BEARING, ASSY CCCC COND COND
311001353736906C03
00VB1781K145DS010-5GEAR/BEARING, ASSY CCCC COND COND
311001232770806C03
00VB674L145DS011-8GEAR/BEARING, ASSY CCCC COND COND
311001232770806C03
00VB684L145DS011-8GEAR/BEARING, ASSY CCCC COND COND
311001232770806C03
00VB702L145DS011-8GEAR/BEARING, ASSY CCCC COND COND
311001232770806C03
00VB722L145DS011-8GEAR/BEARING, ASSY CCCC COND COND
302001114971606C04
00M2260145D0105-2STATIONARY RING GEAR CCCC COND COND
302001228168506C05
00M2333145D0103-3SUN GEAR CCCC COND COND
161501112299506C06A
00M2225145D0104-3CARRIER FIRST STAGE CCCC COND COND
284001113023406C06B
00M1352145D2302-2CARRIER, STAGE 2 CCCC COND COND
304001228172906C07
00M1394145D2306-3PINION GEAR CCCC COND COND
304001228173206C08
00M1588145D2305-3S.B. GEAR (AFT XMSN) CCCC COND COND
304001114976206C09
00M1287145D2311-2ACCESSORY GEAR SHAFT CCCC COND COND
161501315936506D C-BOX
19036138A8-156145D5300-11COMBINING TRANSMISSION CCCC COND COND
For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD
h
CONDITION ITEMS
kjifdcba g.
RMVL HRS
RMVL HRSWUC HRS)COMPO/H
NOMEN
O/HLOCATIONNSN
eAND (ACFTLIFE
SINCEPREVSER NO.ANDNOMENCLATURE DUE
REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN
COMP REP.O/H ORNOMEN6.
3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE
Report Date: 5/1013-Oct-2015
91002681520010883669 CH-47D 00HELICOPTER, CARGO
311001114632506D02 C-BOX
25121903287145DS500-1BEARING, BALL ANNULAR CCCC COND COND
311001325496406D02 C-BOX
01903GG723145DS501-4BEARING, ROLLER CYLINDE CCCC COND COND
311001340992806D02 C-BOX
7771903GG398145DS502-3BEARING, ROLLER CYLINDE CCCC COND COND
311001330655006D02 C-BOX
5751903GG352145DS503-4BEARING, BALL ANNULAR CCCC COND COND
311001114633406D02 C-BOX
14551903824145DS504-2BEARING, ROLLER CYLINDE CCCC COND COND
311001114633406D02 C-BOX
14551903910145DS504-2BEARING, ROLLER CYLINDE CCCC COND COND
311001114633506D02 C-BOX
14551903VB101F145DS505-1BEARING, ROLLER CYLINDE CCCC COND COND
311001114633506D02 C-BOX
12191903VB414K145DS505-1BEARING, ROLLER CYLINDE CCCC COND COND
311001114632706D02 C-BOX
7831903VB232D145DS506-1BEARING, BALL ANNULAR CCCC COND COND
311001114632706D02 C-BOX
10321903WY0059145DS506-2BEARING, BALL ANNULAR CCCC COND COND
304001114945706D03 C-BOX
01903M1235145D5313-2GEARSHAFT, SPUR CCCC COND COND
304001232777706D04 C-BOX
01903M1829145D5305-3GEARSHAFT, BEVEL CCCC COND COND
304001228173006D05 C-BOX
31181903M453145D5306-3GEARSHAFT, BEVEL CCCC COND COND
304001228173006D05 C-BOX
18431903M874145D5306-3GEARSHAFT, BEVEL CCCC COND COND
414001311690106D07 C-BOX
019031615145DS518-6FAN ASSEMBLY TRANSMIS CCCC COND COND
304001310497706D08 C-BOX
251903A2926145D5319-5FAN DRIVESHAFT CCCC COND COND
161501395683906E # 2
27866330A11-524DRGI145D6300-12TMSN ASSY ENGINE MECH CCCC COND COND
161501271066306E #1
17675485A11-468145D6300-6TMSN ASSY ENGINE MECH CCCC COND COND
311000051562606E03
01767VB428F114DS664-1BEARING, ROLLER, CYLIND CCCC COND COND
For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD
h
CONDITION ITEMS
kjifdcba g.
RMVL HRS
RMVL HRSWUC HRS)COMPO/H
NOMEN
O/HLOCATIONNSN
eAND (ACFTLIFE
SINCEPREVSER NO.ANDNOMENCLATURE DUE
REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN
COMP REP.O/H ORNOMEN6.
3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE
Report Date: 6/1013-Oct-2015
91002681520010883669 CH-47D 00HELICOPTER, CARGO
311001202407206E03 2
01731GG371114DS664-5BEARING, ROLLER, CYLIND CCCC COND COND
311001149929206E03
01767VB635A114DS665-3BEARING, ROLLER, CYLIND CCCC COND COND
311001463298306E03
01731GG704114DS665-5BEARING ROLLER, CYLINDE CCCC COND COND
311001051581106E03
001994114DS668-3BEARING, BALL, ANNULAR CCCC COND COND
311001051581106E03
017672354114DS668-3BEARING, BALL, ANNULAR CCCC COND COND
311000922073906E03
01767J1146114DS669-2BEARING, BALL, ANNULAR CCCC COND COND
311001202668006E03
01731BCX850114DS669-5BEARING, BALL, ANNULAR CCCC COND COND
NSN PENDING06E03
01767718114DS670-2BEARING, ROLLER, CYLIND CCCC COND COND
311001202407306E03
01731GG0967114DS670-3BEARING, ROLLER, CYLIND CCCC COND COND
311001114633606E03
01731GP0105145DS600-7BEARING, ROLLER, TAPE CCCC COND COND
311001114632906E03 #1
01767761145DS603-2BEARING ROLLER CCCC COND COND
311001114632906E03 #2
01731GG462145DS603-3BEARING ROLLER CYLINDE CCCC COND COND
304001114945206E04
00M1092DRGI145D6301-2GEARSHAFT, BEVEL CCCC COND COND
304001114945206E04
01767M967145D6301-2GEARSHAFT, BEVEL CCCC COND COND
161501219866506E05
01731XBW1379114DS672-1CLUTCH ENG XMSN CCCC COND COND
161501219866506E05
01767XBW685114DS672-1CLUTCH ENG XMSN CCCC COND COND
304001113043806E05A
01731M2862145D6305-3SHAFT, SHOULDERED CCCC COND COND
304001113043806E05A
01767M986145D6305-3SHAFT, SHOULDERED CCCC COND COND
304001114945306E06
01767M1018145D6302-2GEARSHAFT, BEVEL CCCC COND COND
For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD
h
CONDITION ITEMS
kjifdcba g.
RMVL HRS
RMVL HRSWUC HRS)COMPO/H
NOMEN
O/HLOCATIONNSN
eAND (ACFTLIFE
SINCEPREVSER NO.ANDNOMENCLATURE DUE
REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN
COMP REP.O/H ORNOMEN6.
3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE
Report Date: 7/1013-Oct-2015
91002681520010883669 CH-47D 00HELICOPTER, CARGO
304001114945306E06
00M1130DRGI145D6302-2GEARSHAFT, BEVEL CCCC COND COND
311001096563406H06A01 1
03606GG15931145DS301-3BEARING, SHAFT ASSY SYN CCCC COND COND
161501140097206H06A02 1
36063606A22803145D3407-10DRIVE SHAFT ADAPTER CCCC COND COND
161501113024906H06B
05734A38464145D3407-6FWD XMSN D/S ADAPTER A CCCC COND COND
311001096563406H10A #6
01747268UNK145DS301-1BEARING, SHAFT ASSY SYN CCCC COND COND
311001096563406H10A 2
00AAAB5A145DS301-1BEARING, SHAFT ASSY SYN CCCC COND COND
311001096563406H10A #5
7988695GG11012145DS301-3BEARING, SHAFT ASSY SYN CCCC COND COND
311001096563406H10A 3
5655925GG8237145DS301-3BEARING, SHAFT ASSY SYN CCCC COND COND
NSN PENDING06H10B #5
63248695A4569145D3400-36DRIVE SHAFT ADAPTER CCCC COND COND
NSN PENDING06H10B 2
06061A4921145D3400-36DRIVE SHAFT ADAPTER CCCC COND COND
NSN PENDING06H10B 3
935925A8662145D3400-36DRIVE SHAFT ADAPTER CCCC COND COND
161501140097206H10B #6
22241747A-23359145D3407-10DRIVE SHAFT ADAPTER CCCC COND COND
161501140670306H12B FWD C-BOX
065282005A4515145D3407-7ADAPTER ASSY, SEC 7 AFT CCCC COND COND
161501119336006H13B
117073012005A3490145D3407-8COMB XMSN AFT ADAPTER CCCC COND COND
161501114084506H14B AFT XMSN
16506330A38420145D3407-9AFT XMSN ADAPTER ASSY CCCC COND COND
165001302007607A37
25687104UR951BAN145H6700-19CYLINDER ACT SWIVEL FW CCCC COND COND
165001304901607A38 FWD
9325861UR181BAN145H6600-19CYLINDER ASSY PIVOT FWD CCCC COND COND
165001303789807A39
193973012006AA106145H6700-18CYLINDER ACT SWIVEL AFT CCCC COND COND
165001303789707A40 A
07301UR2016AS145H6600-20CYLINDER ASSY PIVOT AFT CCCC COND COND
For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD
h
CONDITION ITEMS
kjifdcba g.
RMVL HRS
RMVL HRSWUC HRS)COMPO/H
NOMEN
O/HLOCATIONNSN
eAND (ACFTLIFE
SINCEPREVSER NO.ANDNOMENCLATURE DUE
REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN
COMP REP.O/H ORNOMEN6.
3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE
Report Date: 8/1013-Oct-2015
91002681520010883669 CH-47D 00HELICOPTER, CARGO
168001118560711D03
18897146342145CS100-5ACTUATOR ASSY DASH CCCC COND COND
168001118560611D03A UPPER
785785342145CS100-6ACT ELECTRO-MECH, UPPE CCCC COND COND
168001118560511D03B LOWER
785785342145CS100-7ACT ELECTRO-MECH, LOWE CCCC COND COND
299501496368615A04
0699328814504587ENGINE SEQUENCING UNIT CCCC COND COND
582101413423619D
115573012398AA822-0788-001HF RECEIVER/TRANSMITTE CCCC COND COND
599601415867319D01A
4967310579AA822-0787-001AMPLIFIER, RADIO FREQUE CCCC COND COND
582101413423419D02
49673101641AA822-0786-001CONTROL, HF RADIO SET CCCC COND COND
NSN PENDING19E04B
119573101537P320A002-03SDC - DOPPLER NAVIGATIO CCCC COND COND
584101245909119E05A
243174932817KK/NA3060585RECEIVER-TRANSMITTER R CCCC COND COND
584101245909319E05C
1170003AAA3060591INDICATOR,HEIGHT CCCC COND COND
581001376138019H
0681475740N616736-1TSEC/KY-100 PROCESSOR CCCC COND COND
581001376138119H02
068142520ON616779-1TSEC/Z-AVH RCU CCCC COND COND
589501395744776A03
27473442792AAA3214085COMPARATOR/PROCESSOR CCCC COND COND
SIGNIFICANT HISTORICAL EVENTS7.
For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD
h
CONDITION ITEMS
kjifdcba g.
RMVL HRS
RMVL HRSWUC HRS)COMPO/H
NOMEN
O/HLOCATIONNSN
eAND (ACFTLIFE
SINCEPREVSER NO.ANDNOMENCLATURE DUE
REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN
COMP REP.O/H ORNOMEN6.
3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE
Report Date: 9/1013-Oct-2015
91002681520010883669 CH-47D 00HELICOPTER, CARGO
27-Dec-1988 1 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNSOF CH-47-88-22: 23-DEC-88, ONE TIME INSP FOR CERTAIN S/N. 6/158TH J.CANTREL 27-DEC-88 .5 MAN HRS.
28-Dec-1988 2 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNSOF CH-47-88-23, 27-DEC-88, FWD AND AFT XMSN INSP. 6/158TH SSG REESE 28-DEC-88 8.0 MAN HRS.
15-May-1998 3 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNTB-1520-240-20-102 14-MAY-98; ONE TIME INSP FOR ACFT XMSN WITHSUSPECTED IMPROPERLY SHIMMED INPUT PINION GEAR ASSY. W376AA S.FRAZIER 15-MAY-98 .5 MAN HRS.
08-Oct-1999 8 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYN08-OCT-99 AFT XMSN REMOVED FROM CH-47D 8601678 AT 4522 ACFT HRS. FORRETURN TO CCAD FOR INSP AND REIDENTIFICATION IAW SOF CH-47-99-05 (TB 1-1520-240-20-115). TTSN 1192 HOURS. (BA0382, PC SPEC) USAATTC, FT. RUCKER, AL.
27-Aug-1999 11 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNTB-1520-240-20-114 26-AUG-99; INSP FOR FWD AND AFT XMSN GEAR/BEARINGASSEMBLIES IDENTIFIED BY S/N PREFIX "VB" W376AA BA0382 27-AUG-99 1.0MAN HRS.
03-Apr-2006 12 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNALL DATA FROM OLD DASH 16 HAS BEEN TRANSFERD TO NEW DASH 16 6-17-87BOEING VERTOL PHILA. PA. CT. #DAAJ09-85-C-A005 T.T. NEW
28-Oct-1999 13 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYN28 OCT 99 C/W SOF MSG. CH 47-99-03/04 TSN 1192 CLT# 003085 G. RODRIUGEZREC. CLK. CCAD CCTX. 78419-5260
05-Sep-1992 14 WUC: 06H10B PN: 145D3407-10 PSN: A-1656 SEC 2-6D/S ADPT ASSY AFT5/9/92 SHAFT MODIFIED BY CCAD, CCTEX IAW DMWR 55-1615-322 AND BO D 145-10081 TSN 3746 A.G. XXXXX
13-May-2009 20 FWD ROTOR BLADE S/N'S-A-1-888E,A-1-1754, AND A-1-2819,INSPECTED ,STATICBALANCED,AND REPAIRED AS NECESSARY AT 1108TH AVCRAD ,GULFPORT,MS.
13-May-2009 21 20090504-STRIPPED,DEHYDRATED,REPAIRED,SEALED,REPAINTED ANDBALANCED MAIN ROTOR BLADE S/N:A2-1617 @ 2400 TSN BLADE HOURS. BALANCED USING AVION BALANCER S/N;AV69005. SM=6536, SCG=186.54,W=350.39, CM=2892, CCG=8.255 (10 PLATES). ANTI STATIC MEGGAR TEST OK.ROOT SOCKET LINER REPLACED PERAMCOM SRA # AM-026-06R2. ENTERED BY G.ROBERTSON, GR822952, T.I. MO-AVCRAD,SPRINGFIELD,MO417-874-8400.
13-May-2009 22 20090504-STRIPPED,DEHYDRATED,REPAIRED, SEALED, REPAINTED ANDBALANCED MAIN ROTOR BLADES/N:A2-2830 @ 1437 TSN BLADE HOURS USING AVION BALANCER S/N: AV96005.SM=65375,SCG=184.59, W=354.15,CM=2933, CCG=8.282 (9 PLATES).ANTI STATIC MEGGAR TESTED OK. ROOTSOCKET LINER REPLACEDPER SRA # AM-026-06R2. C/W APPLICABLE SOF/ASAM'S ENTERED BYG.ROBERTSON, GR822952, TI MO-AVCRAD,SPRINGFIELD, MO 417-847-8400.
25-Aug-2009 23 BEARING RECIEVED WITH DRIVESHAFT ASSY S/N A-6317 WITH NO 2410 COPY 3,CONSULTING WITH MCSD SUPPORT, MCSD RECOMMANDATION ASSIGN S/NWITH A TSN OF 0, UNTIL NEXT TEARDOWN FOR BEARING S/N VERIFICATION.
For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD
h
CONDITION ITEMS
kjifdcba g.
RMVL HRS
RMVL HRSWUC HRS)COMPO/H
NOMEN
O/HLOCATIONNSN
eAND (ACFTLIFE
SINCEPREVSER NO.ANDNOMENCLATURE DUE
REPLACEINST HRSTIMEINST HRSNO.COMPONENTPN
COMP REP.O/H ORNOMEN6.
3. PART NUMBER OR MODEL2. NSN 4. SERIAL NUMBER 5. WUC1. NOMENCLATURE
Report Date: 10/1013-Oct-2015
91002681520010883669 CH-47D 00HELICOPTER, CARGO
16-Jul-2010 24 BLADE REPAIRED IAW SRA#AX196409 DATED 24 NOV 2009 AT 1108TH AVCRADGULFPORT,MS
11-Apr-2012 25 M/R BLADE S/N: A-1-888E P/N: 114R1702-37 NSN: 1615-01-145-7109 TSN: 398527 JAN 12 PMI 2 INSPECT, REPAIRED, DEHYDRATED, REPAINTED & BALANCEDUSINGAVION BALANCER S/N: AV96005. SM=65382, SCG=182.81, W=357.64, CM=2953,CCG=8.257,10 PLATES ADDED. REPAIRED VOID AT STA. 318 BOTTOM SIDE. REPAIRED VOIDAT STA. 268TOP SIDE. REPAIRED RIB CLOSURE. REPAIRED TIP SEAL. REPLACEDELECTRICAL LEADS.INSTALLED LIGHTNING STRIP DOUBLERS ON BOTH SIDES OF BLADE. IH904527,T.I. MO-TASMG SPRINGFIELD, MO. (417) 874-8400, "EXT" 5379.
11-Apr-2012 26 M/R BLADE S/N: A2-2830 P/N: 114R1702-38 NSN: 1615-01-145-7110 TSN: 181327 JAN 12 PMI 2 INSPECT, REPAIRED, DEHYRATED, REPAINTED & BALANCED,USING AVION BALANCER S/N: AV96005: SM=65364, SCG=184.61, W=354.06,CM=2919, CCG=8.243, 10 PLATES ADDED. REPLACED ROOT SOCKET LINERIAW SRA: AX210711. REPAIRED RIB CLOSURE. REPAIRED TIP SEAL. REPLACEDLIGHTNING JUMPER CABLES. IH904527, T.I. MO-TASMG SPRINGFIELD, MO.(417) 874-8400, "EXT" 5379.
11-Apr-2012 27 M/R BLADE S/N: A2-1617 P/N: 114R1702-38 NSN: 1615-01-145-7110 TSN: 277627 JAN 12. PMI 2 INSPECT , REPAIRED, DEHYDRATED, REPAINTED & BALANCEDUSING AVION BALANCER S/N: AV96005. SM=65359, SCG=186.73, W=350.02,CM=2875,CCG=8.215, 9 PLATES ADDED. REPAIRED VOIDS @ STA. 306, 317 AND 336BOTTOM OFBLADE. REPLACED BOTH LIGHTNING PROTECTION JUMPER WIRES. REPAIREDRIB CLOSURE.REPAIRED TIP CLOSURE. IH904527, T.I. MO-TASMG SPRINGFIELD, MO. (417) 874-8400, "EXT"5379.
11-Apr-2012 28 M/R BLADE S/N: 2008A9465 P/N: 114R1702-38 NSN: 1615-01-145-7110 TSN: 37627 JAN 12 PMI 2 INSPECT, REPAIRED , DEHYDRATED, REPAINTED & BALANCEDUSING AVION BALANCER S/N: AV96005. SM=65351, SCG=185.21, W=352.85,CM=2908,CCG=8.242, 9 PLATES ADDED. REPLACED RIB CLOSURE. REPLACED BOTHLIGHTNING STRIPDOUBLERS. IH904527, T.I. MO-TASMG SPRINGFIELD, MO. (417) 874-8400, "EXT"5379.
For use of this form, see DA PAM 738-751; the proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
DA FORM 2408-16-E, OCT 91 AIRCRAFT COMPONENT HISTORICAL RECORD
1520010883669 9100268CH-47DHELICOPTER, CARGO
kjigfdcbaRMVL HRS RMVL HRS
NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC
he (ACFTLIFESINCEPREVSER NO.ANDAND
INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE
NOMEN REP.O/H ORCOMP6.
4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE
Report Date:
TIME CHANGE COMPONENTS1/813-Oct-2015
00
284001458536104A 22400
06PGA00934 9089082-001-020-39ENGINE ASSY, TURBINE 002400
284001458536104A 12400
07PGA01075 9109102-001-020-39ENGINE ASSY, TURBINE 002400
284001479568304A03A 210400
061365100096 002-121-090-79DISK ASSY, 1ST TURBINE RCRC10400
284001479568304A03A 110400
061365101737 002-121-090-79DISK ASSY, 1ST TURBINE RCRC10400
291501371930504A05A 22400
1159901370009 00110700-02D6HYDROMECHANICAL ASSY 002400
291501371930504A05A 12400
1159901370154 00110700-02D6HYDROMECHANICAL ASSY 002400
161501391439805A018513
A4-293 48767301145R2003-10HEAD ASSY ROT WING FW 118822400
161501199414505A01A FWD5275
FM0096 03576114R2050-35HUB ROTARY WING FWD RCRC2887
161500740648005A01H GREEN7524
2005A234 03912114R2155-1TIE BAR ASSY RCRC4800
161500740648005A01H YELLOW8291
2006A10662 04679114R2155-1TIE BAR ASSY RCRC4800
161500740648005A01H RED8291
2006A4064 04679114R2155-1TIE BAR ASSY RCRC4800
311000838706405A01I02A5969
A4139 04457114R2131-1PITCH BEARING RCRC2700
311000838706405A01I02A5969
A4149 04457114R2131-1PITCH BEARING RCRC2700
311000838706405A01I02A5969
A4152 04457114R2131-1PITCH BEARING RCRC2700
311000954573005A01I02B FWD5088
N33307 03576114R2130-2PITCH BEARING RCRC2700
311000954573005A01I02B FWD5088
N33311 03576114R2130-2PITCH BEARING RCRC2700
311000954573005A01I02B FWD5088
N33323 03576114R2130-2PITCH BEARING RCRC2700
311000455617905A01O01 RED*5891
A10909 04679114RS214-6BEARING, VERT PIN (UPPE RCRC2400
311000455617905A01O01 GREEN*5891
A1760 04679114RS214-6BEARING, VERT PIN (UPPE RCRC2400
For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91
1520010883669 9100268CH-47DHELICOPTER, CARGO
kjigfdcbaRMVL HRS RMVL HRS
NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC
he (ACFTLIFESINCEPREVSER NO.ANDAND
INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE
NOMEN REP.O/H ORCOMP6.
4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE
Report Date:
TIME CHANGE COMPONENTS2/813-Oct-2015
00
311000455617905A01O01 YELLOW*5891
N32101 04679114RS214-6BEARING, VERT PIN (UPPE RCRC2400
311000455618805A01O02 GREEN**5891
N29807 12004679114RS214-5BEARING, VERT PIN (LOWE RCRC2400
311000455618805A01O02 RED**5891
N29810 12004679114RS214-5BEARING, VERT PIN (LOWE RCRC2400
311000455618805A01O02 YELLOW**5891
N31209 12004679114RS214-5BEARING, VERT PIN (LOWE RCRC2400
531501295700805A01P GRN*6312
FM1186 03912114R2197-7PIN HORIZ. FWD, REPLACE 002400
531501295700805A01P YELLOW*6312
FM1209 03912114R2197-7PIN HORIZ. FWD, REPLACE 002400
531501295700805A01P RED5897
VM5425 38373497114R2197-7PIN HORIZONTAL HINGE, N 032400
311001311002405A01Q01 YELLOW*7079
A8971 04679114RS225-1HORZ PIN BEARING RCRC2400
311001311002405A01Q01 GREEN**6312
N16382 12003912114RS225-1HORZ PIN BEARING RCRC2400
311001311002405A01Q01 RED*7079
N38578 04679114RS225-1HORZ PIN BEARING RCRC2400
311001310225805A01Q02 GREEN*7079
A3908 04679114RS226-1FWD HORZ PIN BRG, TRAIL RCRC2400
311001310225805A01Q02 RED*7079
N2743 04679114RS226-1FWD HORZ PIN BRG, TRAIL RCRC2400
311001310225805A01Q02 YELLOW*7079
N2791 04679114RS226-1FWD HORZ PIN BRG, TRAIL RCRC2400
161501395000605A03A F8382
A84684 56737374145R3551-17SWASHPLATE ASSY FWD 19271200
311001356048905A03A04 F6681
BDH201111644 05673114RS308-2SWASHPLATE BEARING RCRC1200
161500003114605A03L11671
UNK0268 04340114R3650-3BOLT SWVL ACT TO SWAS RCRC7523
161500003114605A03N FWD13661
0268 06330114R3650-3BOLT RCRC7523
530601301779305A03Q FWD TOP GREE11017
25149-16 07209114R3650-16BOLT, PITCH LINK UPPER RCRC4000
530601301779305A03Q FWD TOP RED11017
25587-16 07209114R3650-16BOLT, PITCH LINK UPPER RCRC4000
For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91
1520010883669 9100268CH-47DHELICOPTER, CARGO
kjigfdcbaRMVL HRS RMVL HRS
NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC
he (ACFTLIFESINCEPREVSER NO.ANDAND
INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE
NOMEN REP.O/H ORCOMP6.
4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE
Report Date:
TIME CHANGE COMPONENTS3/813-Oct-2015
00
530601301779305A03Q FWD TOP YELL11017
25623-16 07209114R3650-16BOLT, PITCH LINK UPPER RCRC4000
530601301779405A03R FWD BOT YELL11017
25911-17 07209114R3650-17BOLT PITCH LINK LOWER RCRC4000
530601301779405A03R FWD LOWER RE11017
26518-17 07209114R3650-17BOLT PITCH LINK LOWER RCRC4000
530601301779405A03R FWD BOT GREE11017
26582-17 07209114R3650-17BOLT PITCH LINK LOWER RCRC4000
161501391439905B019582
A5-869 36807301145R2004-20HEAD ASSY ROT WING AFT 11942400
161501198755305B01A5437
FM0372 03561114R2050-36HUB ROTARY WING AFT RCRC1995
161500740648005B01E8242
A20370 3623561114R2155-1TIE BAR ASSY RCRC4800
161500740648005B01E8242
A5357 24143561114R2155-1TIE BAR ASSY RCRC4800
161500740648005B01E8242
A9975 37783561114R2155-1TIE BAR ASSY RCRC4800
304001407729805B01F11642
GA3488 03561145R2075-16PITCH HOUSING, AFT RCRC8200
304001407729805B01F11642
ILS245 23613561145R2075-16PITCH HOUSING, AFT RCRC8200
304001407729805B01F11642
TZ-982 7183561145R2075-16PITCH HOUSING, AFT RCRC8200
311000838706405B01G016142
N27741 4023561114R2131-1PITCH BEARING RCRC2700
311000838706405B01G016142
N39738 4003561114R2131-1PITCH BEARING RCRC2700
311000838706405B01G016142
N47577 2493561114R2131-1PITCH BEARING RCRC2700
311000954573005B01G026142
N28336 3133561114R2130-2PITCH BEARING RCRC2700
311000954573005B01G026142
N36058 4493561114R2130-2PITCH BEARING RCRC2700
311000954573005B01G026142
N36137 4493561114R2130-2PITCH BEARING RCRC2700
NSN PENDING05B01J015842
N18766* 2003561114RS214-2AFT VERT PIN BRG, UPPER RCRC2400
For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91
1520010883669 9100268CH-47DHELICOPTER, CARGO
kjigfdcbaRMVL HRS RMVL HRS
NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC
he (ACFTLIFESINCEPREVSER NO.ANDAND
INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE
NOMEN REP.O/H ORCOMP6.
4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE
Report Date:
TIME CHANGE COMPONENTS4/813-Oct-2015
00
NSN PENDING05B01J015842
N34202* 1993561114RS214-2AFT VERT PIN BRG, UPPER RCRC2400
NSN PENDING05B01J015842
N40521* 2013561114RS214-2AFT VERT PIN BRG, UPPER RCRC2400
311000455618805B01J025842
ZN20830* 03561114RS214-5BEARING, VERT PIN (LOWE RCRC2400
311000455618805B01J025842
ZN49535* 03561114RS214-5BEARING, VERT PIN (LOWE RCRC2400
311000455618805B01J025842
ZN77042* 03561114RS214-5BEARING, VERT PIN (LOWE RCRC2400
531500871730205B01K5961
TZ456* 65043561114R2196-2PIN HORIZ. AFT, ROTATE/S 032400
531501295700805B01K4761
AF780* 27003561114R2197-7PIN HORIZ. AFT, REPLACE 041200
531501295700805B01K4761
TZ1300* 43363561114R2197-7PIN HORIZ. AFT, REPLACE 031200
311001311002405B01L015961
AZN283* 03561114RS225-1HORZ PIN BEARING RCRC2400
311001311002405B01L015961
AZN427* 03561114RS225-1HORZ PIN BEARING RCRC2400
311001311002405B01L015961
AZN462* 03561114RS225-1HORZ PIN BEARING RCRC2400
311001310225805B01L025961
AZN152* 03561114RS226-1HORZ PIN BEARING RCRC2400
311001310225805B01L025961
N42613* 03561114RS226-1HORZ PIN BEARING RCRC2400
311001310225805B01L025961
ZN4910* 03561114RS226-1HORZ PIN BEARING RCRC2400
161501395000705B03A AFT8082
A841348 33076882145R3551-18SWASHPLATE ASSY AFT 041200
311001356048905B03A04 AFT4507
BDH1494 03307114RS308-2SWASHPLATE BEARING RCRC1200
161501115360905B03J AFT10330
01957-1 06330145R3650-1BOLT ASSEMBLY RCRC4000
530600008502505B03K14087
268-1 06330BACB30ST8-31BOLT, SWIV ACT/LWR ATT RCRC7757
161501115360905B03L AFT10330
017401 06330145R3650-1BOLT ASSEMBLY RCRC4000
For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91
1520010883669 9100268CH-47DHELICOPTER, CARGO
kjigfdcbaRMVL HRS RMVL HRS
NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC
he (ACFTLIFESINCEPREVSER NO.ANDAND
INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE
NOMEN REP.O/H ORCOMP6.
4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE
Report Date:
TIME CHANGE COMPONENTS5/813-Oct-2015
00
530600008502705B03M8340
UNK0268 04340BACB30ST8-35BOLT,PIVOT ACT/LWR ATT RCRC4000
530601301779305B03N AFT TOP GREE11209
24851-16 07209114R3650-16BOLT, PITCH LINK UPPER RCRC4000
530601301779305B03N AFT TOP YELLO11209
25783-16 07209114R3650-16BOLT, PITCH LINK UPPER RCRC4000
530601301779305B03N AFT TOP RED11209
25956-16 07209114R3650-16BOLT, PITCH LINK UPPER RCRC4000
530601301779405B03P AFT BOT YELLO11209
25838-17 07209114R3650-17BOLT, PITCH LINK LOWER RCRC4000
530601301779405B03P AFT BOT GREE11209
26225-17 07209114R3650-17BOLT, PITCH LINK LOWER RCRC4000
530601301779405B03P AFT BOT RED11209
26581-17 07209114R3650-17BOLT, PITCH LINK LOWER RCRC4000
530600008502505B03Q12097
UNK0268#2 04340BACB30ST8-31BOLT PVT ACT/LOW ACT A RCRC7757
161501112587906B01 FWD6218
N1436 00145D1301-3SHAFT ASSY, FWD RCRC6218
168001320119106H0211067
A-1011 6126882145D3300-6SHAFT ASSY, AFT VERTICA 004797
161501316266106H04 # 110899
A-1232 04899145D3504-2SHAFT ASSY, ENG. DRIVEN RCRC6000
161501316266106H04 #210340
A-1441 04340145D3504-2SHAFT ASSY, ENG. DRIVEN RCRC6000
161501319509206H04A # 111882
A6094 39457301145D3500-17ADAPTER ASSY ENG D/S IN RCRC4581
161501319509206H04A #2 INBD10315
A8011 05734145D3500-17ADAPTER ASSY ENG D/S IN RCRC4581
161501319509106H04B #2 ENG OUTB8921
A-6031 04340145D3500-16ADAPTER ASSY ENG D/S O RCRC4581
161501319509106H04B NO.111685
A6246 30057104145D3500-16ADAPTER ASSY ENG D/S O RCRC4581
161501113024806H06A 113756
A4043 36067301145D3400-23SEC 1 DRIVE SHAFT ASSY 0010061
161501112589706H10 #58470
A4569 86957104145D3400-31DRIVESHAFT ASSY, SEC 2- 0010061
161501112589706H10 211301
A5558 60617301145D3400-31DRIVESHAFT ASSY, SEC 2- 0010061
For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91
1520010883669 9100268CH-47DHELICOPTER, CARGO
kjigfdcbaRMVL HRS RMVL HRS
NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC
he (ACFTLIFESINCEPREVSER NO.ANDAND
INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE
NOMEN REP.O/H ORCOMP6.
4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE
Report Date:
TIME CHANGE COMPONENTS6/813-Oct-2015
00
161501112589706H10 #39266
A8662 59255130145D3400-31DRIVESHAFT ASSY, SEC 2- 0010061
161501112589706H10 #615093
A-6317 17476779145D3400-32DRIVESHAFT ASSY, SEC 2- 0010061
161501112589506H12A 717362
A2793 47227301145D3400-24SEC 7 DRIVE SHAFT ASSY RCRC10061
161501113029206H13A #813254
A8856 32767104145D3400-25AFT SEC 1 D/S ASSY 009426
161501119335906H14A #913766
A-10149 04340145D3400-26AFT SEC 2 D/S ASSY 009426
312000110854211G01 AFT LCT BOT12955
S463 06007114CS123-1BEARING RCRC6948
27-Dec-1988 1 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNSOF CH-47-88-22: 23-DEC-88, ONE TIME INSP FOR CERTAIN S/N. 6/158TH J.CANTREL 27-DEC-88 .5 MAN HRS.
28-Dec-1988 2 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNSOF CH-47-88-23, 27-DEC-88, FWD AND AFT XMSN INSP. 6/158TH SSG REESE 28-DEC-88 8.0 MAN HRS.
15-May-1998 3 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNTB-1520-240-20-102 14-MAY-98; ONE TIME INSP FOR ACFT XMSN WITHSUSPECTED IMPROPERLY SHIMMED INPUT PINION GEAR ASSY. W376AA S.FRAZIER 15-MAY-98 .5 MAN HRS.
08-Oct-1999 8 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYN08-OCT-99 AFT XMSN REMOVED FROM CH-47D 8601678 AT 4522 ACFT HRS. FORRETURN TO CCAD FOR INSP AND REIDENTIFICATION IAW SOF CH-47-99-05 (TB 1-1520-240-20-115). TTSN 1192 HOURS. (BA0382, PC SPEC) USAATTC, FT. RUCKER, AL.
27-Aug-1999 11 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNTB-1520-240-20-114 26-AUG-99; INSP FOR FWD AND AFT XMSN GEAR/BEARINGASSEMBLIES IDENTIFIED BY S/N PREFIX "VB" W376AA BA0382 27-AUG-99 1.0MAN HRS.
SIGNIFICANT HISTORICAL EVENTS7.
For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91
1520010883669 9100268CH-47DHELICOPTER, CARGO
kjigfdcbaRMVL HRS RMVL HRS
NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC
he (ACFTLIFESINCEPREVSER NO.ANDAND
INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE
NOMEN REP.O/H ORCOMP6.
4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE
Report Date:
TIME CHANGE COMPONENTS7/813-Oct-2015
00
03-Apr-2006 12 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYNALL DATA FROM OLD DASH 16 HAS BEEN TRANSFERD TO NEW DASH 16 6-17-87BOEING VERTOL PHILA. PA. CT. #DAAJ09-85-C-A005 T.T. NEW
28-Oct-1999 13 WUC: 06H10A PN: 145DS301-1 PSN: VB356JBEARING SHAFT ASSY SYN28 OCT 99 C/W SOF MSG. CH 47-99-03/04 TSN 1192 CLT# 003085 G. RODRIUGEZREC. CLK. CCAD CCTX. 78419-5260
05-Sep-1992 14 WUC: 06H10B PN: 145D3407-10 PSN: A-1656 SEC 2-6D/S ADPT ASSY AFT5/9/92 SHAFT MODIFIED BY CCAD, CCTEX IAW DMWR 55-1615-322 AND BO D 145-10081 TSN 3746 A.G. XXXXX
13-May-2009 20 FWD ROTOR BLADE S/N'S-A-1-888E,A-1-1754, AND A-1-2819,INSPECTED ,STATICBALANCED,AND REPAIRED AS NECESSARY AT 1108TH AVCRAD ,GULFPORT,MS.
13-May-2009 21 20090504-STRIPPED,DEHYDRATED,REPAIRED,SEALED,REPAINTED ANDBALANCED MAIN ROTOR BLADE S/N:A2-1617 @ 2400 TSN BLADE HOURS. BALANCED USING AVION BALANCER S/N;AV69005. SM=6536, SCG=186.54,W=350.39, CM=2892, CCG=8.255 (10 PLATES). ANTI STATIC MEGGAR TEST OK.ROOT SOCKET LINER REPLACED PERAMCOM SRA # AM-026-06R2. ENTERED BY G.ROBERTSON, GR822952, T.I. MO-AVCRAD,SPRINGFIELD,MO417-874-8400.
13-May-2009 22 20090504-STRIPPED,DEHYDRATED,REPAIRED, SEALED, REPAINTED ANDBALANCED MAIN ROTOR BLADES/N:A2-2830 @ 1437 TSN BLADE HOURS USING AVION BALANCER S/N: AV96005.SM=65375,SCG=184.59, W=354.15,CM=2933, CCG=8.282 (9 PLATES).ANTI STATIC MEGGAR TESTED OK. ROOTSOCKET LINER REPLACEDPER SRA # AM-026-06R2. C/W APPLICABLE SOF/ASAM'S ENTERED BYG.ROBERTSON, GR822952, TI MO-AVCRAD,SPRINGFIELD, MO 417-847-8400.
25-Aug-2009 23 BEARING RECIEVED WITH DRIVESHAFT ASSY S/N A-6317 WITH NO 2410 COPY 3,CONSULTING WITH MCSD SUPPORT, MCSD RECOMMANDATION ASSIGN S/NWITH A TSN OF 0, UNTIL NEXT TEARDOWN FOR BEARING S/N VERIFICATION.
16-Jul-2010 24 BLADE REPAIRED IAW SRA#AX196409 DATED 24 NOV 2009 AT 1108TH AVCRADGULFPORT,MS
11-Apr-2012 25 M/R BLADE S/N: A-1-888E P/N: 114R1702-37 NSN: 1615-01-145-7109 TSN: 398527 JAN 12 PMI 2 INSPECT, REPAIRED, DEHYDRATED, REPAINTED & BALANCEDUSINGAVION BALANCER S/N: AV96005. SM=65382, SCG=182.81, W=357.64, CM=2953,CCG=8.257,10 PLATES ADDED. REPAIRED VOID AT STA. 318 BOTTOM SIDE. REPAIRED VOIDAT STA. 268TOP SIDE. REPAIRED RIB CLOSURE. REPAIRED TIP SEAL. REPLACEDELECTRICAL LEADS.INSTALLED LIGHTNING STRIP DOUBLERS ON BOTH SIDES OF BLADE. IH904527,T.I. MO-TASMG SPRINGFIELD, MO. (417) 874-8400, "EXT" 5379.
11-Apr-2012 26 M/R BLADE S/N: A2-2830 P/N: 114R1702-38 NSN: 1615-01-145-7110 TSN: 181327 JAN 12 PMI 2 INSPECT, REPAIRED, DEHYRATED, REPAINTED & BALANCED,USING AVION BALANCER S/N: AV96005: SM=65364, SCG=184.61, W=354.06,CM=2919, CCG=8.243, 10 PLATES ADDED. REPLACED ROOT SOCKET LINERIAW SRA: AX210711. REPAIRED RIB CLOSURE. REPAIRED TIP SEAL. REPLACEDLIGHTNING JUMPER CABLES. IH904527, T.I. MO-TASMG SPRINGFIELD, MO.(417) 874-8400, "EXT" 5379.
For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91
1520010883669 9100268CH-47DHELICOPTER, CARGO
kjigfdcbaRMVL HRS RMVL HRS
NOMEN HRS)COMPO/HO/HLOCATIONNSNWUC
he (ACFTLIFESINCEPREVSER NO.ANDAND
INST HRSP/N DUEREPLACEINST HRSTIMENO.COMPONENTNOMENCLATURE
NOMEN REP.O/H ORCOMP6.
4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN 5. WUC1. NOMENCLATURE
Report Date:
TIME CHANGE COMPONENTS8/813-Oct-2015
00
11-Apr-2012 27 M/R BLADE S/N: A2-1617 P/N: 114R1702-38 NSN: 1615-01-145-7110 TSN: 277627 JAN 12. PMI 2 INSPECT , REPAIRED, DEHYDRATED, REPAINTED & BALANCEDUSING AVION BALANCER S/N: AV96005. SM=65359, SCG=186.73, W=350.02,CM=2875,CCG=8.215, 9 PLATES ADDED. REPAIRED VOIDS @ STA. 306, 317 AND 336BOTTOM OFBLADE. REPLACED BOTH LIGHTNING PROTECTION JUMPER WIRES. REPAIREDRIB CLOSURE.REPAIRED TIP CLOSURE. IH904527, T.I. MO-TASMG SPRINGFIELD, MO. (417) 874-8400, "EXT"5379.
11-Apr-2012 28 M/R BLADE S/N: 2008A9465 P/N: 114R1702-38 NSN: 1615-01-145-7110 TSN: 37627 JAN 12 PMI 2 INSPECT, REPAIRED , DEHYDRATED, REPAINTED & BALANCEDUSING AVION BALANCER S/N: AV96005. SM=65351, SCG=185.21, W=352.85,CM=2908,CCG=8.242, 9 PLATES ADDED. REPLACED RIB CLOSURE. REPLACED BOTHLIGHTNING STRIPDOUBLERS. IH904527, T.I. MO-TASMG SPRINGFIELD, MO. (417) 874-8400, "EXT"5379.
For use of this form, see DA PAM 738-751; The proponet agency is DCSLOGEDITION MAY 67 IS OBSOLETE
AIRCRAFT COMPONENT HISTORICAL RECORDDA FORM 2408-16-E, OCT 91
1/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
b. LOCATION/REMARKSCHECK NO.
6. LOCATION OR REMARKS
a. ITEM NUMBER
Nomenclature
AN/APX-100Receiver/Transmitter
1 Not Installed13
C-12645/ALE-47(V) DigitalControl Display UNIT
1 Not Installed20
KIT-1C IFF Computer1 Not Installed43
Tackle Block, 114E0658-231 2 ea Required48
Hook and Cable Assembly,114E6042-15
1 1 ea required49
Z-AHP VOICE SECURITYCONTROL
5 SEE BELOW4
ON616650 TSEC/KY-100REMOTE CONTROL UNIT
4 NOT INSTALLED8
ON616650 TSEC/KY-100REMOTE CONTROL UNIT
5 NOT INSTALLED8
ON616650 TSEC/KY-100REMOTE CONTROL UNIT
6 NOT INSTALLED8
ON616650 TSEC/KY-100REMOTE CONTROL UNIT
7 NOT INSTALLED8
REVERSE OF DA FORM 2408-17 E, NOV 91
AN/APX-100RECEIVER/TRANSMITTER (IF
INSTALLED)7 NOT INSTALLED13
2/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
ON616650 TSEC/KY-100REMOTE CONTROL UNIT
8 NOT INSTALLED8
CP-1252C/ASN-128B COMPUTERDISPLAY UNIT
4 NOT INSTALLED11
CP-1252C/ASN-128B COMPUTERDISPLAY UNIT
7 NOT INSTALLED11
CP-1252C/ASN-128B COMPUTERDISPLAY UNIT
8 NOT INSTALLED11
AN/APX-100RECEIVER/TRANSMITTER (IF
INSTALLED)1 NOT INSTALLED13
AN/APX-100RECEIVER/TRANSMITTER (IF
INSTALLED)2 NOT INSTALLED13
AN/APX-100RECEIVER/TRANSMITTER (IF
INSTALLED)3 NOT INSTALLED13
AN/APX-100RECEIVER/TRANSMITTER (IF
INSTALLED)4 NOT INSTALLED13
AN/APX-100RECEIVER/TRANSMITTER (IF
INSTALLED)5 13
AN/APX-100RECEIVER/TRANSMITTER (IF
INSTALLED)6 NOT INSTALLED13
REVERSE OF DA FORM 2408-17 E, NOV 91
IP-1150A/APR-39(V) RADARINDICATOR (DIGITAL)
6 REMOVED FOR ACFT XNSFER17
3/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
AN/APX-100RECEIVER/TRANSMITTER (IF
INSTALLED)7 NOT INSTALLED13
AN/APX-100RECEIVER/TRANSMITTER (IF
INSTALLED)8 NOT INSTALLED13
ID-1917()/APN-209(V) REMOTEINDICATOR
4 NOT INSTALLED15
C-11308/APR-39A(V) RADARCONTROL UNIT
4 NOT INSTALLED16
C-11308/APR-39A(V) RADARCONTROL UNIT
5 NOT INSTALLED16
C-11308/APR-39A(V) RADARCONTROL UNIT
6 REMOVED FOR ACFT XNSFER16
C-11308/APR-39A(V) RADARCONTROL UNIT
7 NOT INSTALLED16
C-11308/APR-39A(V) RADARCONTROL UNIT
8 NOT INSTALLED16
IP-1150A/APR-39(V) RADARINDICATOR (DIGITAL)
3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)17
IP-1150A/APR-39(V) RADARINDICATOR (DIGITAL)
4 NOT INSTALLED17
IP-1150A/APR-39(V) RADARINDICATOR (DIGITAL)
5 NOT INSTALLED17
REVERSE OF DA FORM 2408-17 E, NOV 91
4/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015IP-1150A/APR-39(V) RADARINDICATOR (DIGITAL)
6 REMOVED FOR ACFT XNSFER17
IP-1150A/APR-39(V) RADARINDICATOR (DIGITAL)
7 NOT INSTALLED17
IP-1150A/APR-39(V) RADARINDICATOR (DIGITAL)
8 NOT INSTALLED17
C-10131/ALQ-156COUNTERMEASURES
CONTROL UNIT1 NOT INSTALLED18
C-10131/ALQ-156COUNTERMEASURES
CONTROL UNIT2 NOT INSTALLED18
C-10131/ALQ-156COUNTERMEASURES
CONTROL UNIT3 NOT INSTALLED18
C-10131/ALQ-156COUNTERMEASURES
CONTROL UNIT4 NOT INSTALLED18
C-10131/ALQ-156COUNTERMEASURES
CONTROL UNIT5 18
C-10131/ALQ-156COUNTERMEASURES
CONTROL UNIT6 NOT INSTALLED18
C-10131/ALQ-156COUNTERMEASURES
CONTROL UNIT7 NOT INSTALLED18
C-10131/ALQ-156COUNTERMEASURES
CONTROL UNIT8 NOT INSTALLED18
REVERSE OF DA FORM 2408-17 E, NOV 91
C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I
3 NOT INSTALLED20
5/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
9272533 M130 DISPENSERCONTROL PANEL(IF
INSTALLED)1 NOT INSTALLED19
9272533 M130 DISPENSERCONTROL PANEL(IF
INSTALLED)2 NOT INSTALLED19
9272533 M130 DISPENSERCONTROL PANEL(IF
INSTALLED)3 NOT INSTALLED19
9272533 M130 DISPENSERCONTROL PANEL(IF
INSTALLED)4 NOT INSTALLED19
9272533 M130 DISPENSERCONTROL PANEL(IF
INSTALLED)5 NOT INSTALLED19
9272533 M130 DISPENSERCONTROL PANEL(IF
INSTALLED)6 NOT INSTALLED19
9272533 M130 DISPENSERCONTROL PANEL(IF
INSTALLED)7 NOT INSTALLED19
9272533 M130 DISPENSERCONTROL PANEL(IF
INSTALLED)8 NOT INSTALLED19
C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I
1 NOT INSTALLED20
C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I
2 NOT INSTALLED20
REVERSE OF DA FORM 2408-17 E, NOV 91
SIDE ARMOR PANEL, 1560-CH47-267-103
5 IN STORAGE22
6/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I
3 NOT INSTALLED20
C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I
4 NOT INSTALLED20
C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I
5 NOT INSTALLED20
C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I
6 NOT INSTALLED20
C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I
7 NOT INSTALLED20
C-12645/ALE-47(V) DIGITALCONTROL DISPLAY UNIT (IF I
8 NOT INSTALLED20
C-12293/AVS-7 CONVERTERCONTROL UNIT
4 NOT INSTALLED21
SIDE ARMOR PANEL, 1560-CH47-267-103
1 NOT INSTALLED IN STORAGE22
SIDE ARMOR PANEL, 1560-CH47-267-103
2 NOT INSTALLED IN STORAGE22
SIDE ARMOR PANEL, 1560-CH47-267-103
3 IN STORAGE22
SIDE ARMOR PANEL, 1560-CH47-267-103
4 NOT INSTALLED22
REVERSE OF DA FORM 2408-17 E, NOV 91
7/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015SIDE ARMOR PANEL, 1560-CH47-267-103
5 IN STORAGE22
SIDE ARMOR PANEL, 1560-CH47-267-103
6 NOT INSTALLED22
SIDE ARMOR PANEL, 1560-CH47-267-103
7 NOT INSTALLED22
SIDE ARMOR PANEL, 1560-CH47-267-103
8 IN STORAGE22
SIDE ARMOR PANEL, 1560-CH47-267-104
1 NOT INSTALLED IN STORAGE23
SIDE ARMOR PANEL, 1560-CH47-267-104
2 NOT INSTALLED IN STORAGE23
SIDE ARMOR PANEL, 1560-CH47-267-104
3 IN STORAGE23
SIDE ARMOR PANEL, 1560-CH47-267-104
4 NOT INSTALLED23
SIDE ARMOR PANEL, 1560-CH47-267-104
5 IN STORAGE23
SIDE ARMOR PANEL, 1560-CH47-267-104
6 NOT INSTALLED23
SIDE ARMOR PANEL, 1560-CH47-267-104
7 NOT INSTALLED23
REVERSE OF DA FORM 2408-17 E, NOV 91
SHOULDER ARMOR PANEL,1560-CH47-277-104
2 NOT INSTALLED IN STORAGE25
8/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
SIDE ARMOR PANEL, 1560-CH47-267-104
8 IN STORAGE23
SHOULDER ARMOR PANEL,1560-CH47-277-103
1 NOT INSTALLED IN STORAGE24
SHOULDER ARMOR PANEL,1560-CH47-277-103
2 NOT INSTALLED IN STORAGE24
SHOULDER ARMOR PANEL,1560-CH47-277-103
3 IN STORAGE24
SHOULDER ARMOR PANEL,1560-CH47-277-103
4 NOT INSTALLED24
SHOULDER ARMOR PANEL,1560-CH47-277-103
5 IN STORAGE24
SHOULDER ARMOR PANEL,1560-CH47-277-103
6 NOT INSTALLED24
SHOULDER ARMOR PANEL,1560-CH47-277-103
7 NOT INSTALLED24
SHOULDER ARMOR PANEL,1560-CH47-277-103
8 IN STORAGE24
SHOULDER ARMOR PANEL,1560-CH47-277-104
1 NOT INSTALLED IN STORAGE25
REVERSE OF DA FORM 2408-17 E, NOV 91
BOTTOM ARMOR PANEL, 1560-CH47-301-1
5 IN STORAGE26
9/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
SHOULDER ARMOR PANEL,1560-CH47-277-104
2 NOT INSTALLED IN STORAGE25
SHOULDER ARMOR PANEL,1560-CH47-277-104
3 IN STORAGE25
SHOULDER ARMOR PANEL,1560-CH47-277-104
4 NOT INSTALLED25
SHOULDER ARMOR PANEL,1560-CH47-277-104
5 IN STORAGE25
SHOULDER ARMOR PANEL,1560-CH47-277-104
6 NOT INSTALLED25
SHOULDER ARMOR PANEL,1560-CH47-277-104
7 NOT INSTALLED25
SHOULDER ARMOR PANEL,1560-CH47-277-104
8 IN STORAGE25
BOTTOM ARMOR PANEL, 1560-CH47-301-1
1 NOT INSTALLED IN STORAGE26
BOTTOM ARMOR PANEL, 1560-CH47-301-1
2 NOT INSTALLED IN STORAGE26
BOTTOM ARMOR PANEL, 1560-CH47-301-1
3 IN STORAGE26
BOTTOM ARMOR PANEL, 1560-CH47-301-1
4 NOT INSTALLED26
REVERSE OF DA FORM 2408-17 E, NOV 91
10/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015BOTTOM ARMOR PANEL, 1560-CH47-301-1
5 IN STORAGE26
BOTTOM ARMOR PANEL, 1560-CH47-301-1
6 NOT INSTALLED26
BOTTOM ARMOR PANEL, 1560-CH47-301-1
7 NOT INSTALLED26
BOTTOM ARMOR PANEL, 1560-CH47-301-1
8 IN STORAGE26
BOTTOM ARMOR PANEL, 1560-CH47-302-1
1 NOT INSTALLED IN STORAGE27
BOTTOM ARMOR PANEL, 1560-CH47-302-1
2 NOT INSTALLED IN STORAGE27
BOTTOM ARMOR PANEL, 1560-CH47-302-1
3 IN STORAGE27
BOTTOM ARMOR PANEL, 1560-CH47-302-1
4 27
BOTTOM ARMOR PANEL, 1560-CH47-302-1
5 IN STORAGE27
BOTTOM ARMOR PANEL, 1560-CH47-302-1
6 NOT INSTALLED27
BOTTOM ARMOR PANEL, 1560-CH47-302-1
7 NOT INSTALLED27
REVERSE OF DA FORM 2408-17 E, NOV 91
SU-180/AVS-7 DISPLAY UNIT6 1 INSTALLED29
11/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
BOTTOM ARMOR PANEL, 1560-CH47-302-1
8 IN STORAGE27
BACK ARMOR PANEL, 1560-CH47-303-1
1 NOT INSTALLED IN STORAGE28
BACK ARMOR PANEL, 1560-CH47-303-1
2 NOT INSTALLED IN STORAGE28
BACK ARMOR PANEL, 1560-CH47-303-1
3 IN STORAGE28
BACK ARMOR PANEL, 1560-CH47-303-1
4 NOT INSTALLED28
BACK ARMOR PANEL, 1560-CH47-303-1
5 IN STORAGE28
BACK ARMOR PANEL, 1560-CH47-303-1
6 NOT INSTALLED28
BACK ARMOR PANEL, 1560-CH47-303-1
7 NOT INSTALLED28
BACK ARMOR PANEL, 1560-CH47-303-1
8 IN STORAGE28
SU-180/AVS-7 DISPLAY UNIT5 STORED IN ALSE29
REVERSE OF DA FORM 2408-17 E, NOV 91
RT-1749/URCRECEIVER/TRANSMITTER
5 NOT INSTALLED36
12/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015SU-180/AVS-7 DISPLAY UNIT6 1 INSTALLED29
SU-180/AVS-7 DISPLAY UNIT8 NOT INSTALLED29
TSEC/KY-58 VOICE SECURITYPROCESSOR
3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)35
TSEC/KY-58 VOICE SECURITYPROCESSOR
4 NOT INSTALLED35
TSEC/KY-58 VOICE SECURITYPROCESSOR
5 NOT TRANSFERED35
TSEC/KY-58 VOICE SECURITYPROCESSOR
6 NOT INSTALLED35
TSEC/KY-58 VOICE SECURITYPROCESSOR
7 NOT INSTALLED35
TSEC/KY-58 VOICE SECURITYPROCESSOR
8 NOT INSTALLED35
TSEC/KY-58 VOICE SECURITYPROCESSOR
5 NOT INSTALLED35
RT-1749/URCRECEIVER/TRANSMITTER
3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)36
RT-1749/URCRECEIVER/TRANSMITTER
4 NOT INSTALLED36
REVERSE OF DA FORM 2408-17 E, NOV 91
13/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015RT-1749/URCRECEIVER/TRANSMITTER
5 NOT INSTALLED36
RT-1749/URCRECEIVER/TRANSMITTER
6 NOT INSTALLED36
ON616604 TSEC/KY-100PROCESSOR
3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)38
ON616604 TSEC/KY-100PROCESSOR
4 NOT INSTALLED38
ON616604 TSEC/KY-100PROCESSOR
5 NOT TRANSFERED38
ON616604 TSEC/KY-100PROCESSOR
6 NOT INSTALLED38
ON616604 TSEC/KY-100PROCESSOR
7 NOT INSTALLED38
ON616604 TSEC/KY-100PROCESSOR
8 NOT INSTALLED38
CV-3338A/ASN-128B SIGNALDATA CONVERTER
1 CV3338B/ASN-128D SIGNAL DATA CONVERTER INSTALLED41
CV-3338A/ASN-128B SIGNALDATA CONVERTER
2CV-3338B/ASN-128D SIGNAL DATA CONVERTER
INSTALLED41
CV-3338A/ASN-128B SIGNALDATA CONVERTER
3CV-3338A/ASN-128D SIGNAL DATA CONVERTER
INSTALLED41
REVERSE OF DA FORM 2408-17 E, NOV 91
KIT-1C IFF COMPUTER (IFINSTALLED)
4 NOT INSTALLED43
14/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
CV-3338A/ASN-128B SIGNALDATA CONVERTER
4 NOT INSTALLED41
CV-3338A/ASN-128B SIGNALDATA CONVERTER
5 NOT INSTALLED41
CV-3338A/ASN-128B SIGNALDATA CONVERTER
6 NOT INSTALLED41
CV-3338A/ASN-128B SIGNALDATA CONVERTER
7 NOT INSTALLED41
CV-3338A/ASN-128B SIGNALDATA CONVERTER
8 NOT INSTALLED41
RT-1836/APX-118(V)RECEIVER/TRANSMITTER (IF
INSTALL)4 NOT INSTALLED42
RT-1836/APX-118(V)RECEIVER/TRANSMITTER (IF
INSTALL)5 NOT INSTALLED42
KIT-1C IFF COMPUTER (IFINSTALLED)
1 NOT INSTALLED43
KIT-1C IFF COMPUTER (IFINSTALLED)
2 NOT INSTALLED43
KIT-1C IFF COMPUTER (IFINSTALLED)
3 NOT INSTALLED43
REVERSE OF DA FORM 2408-17 E, NOV 91
RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF
INSTALLED)1 NOT INSTALLED45
15/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
KIT-1C IFF COMPUTER (IFINSTALLED)
4 NOT INSTALLED43
KIT-1C IFF COMPUTER (IFINSTALLED)
5 NOT INSTALLED43
KIT-1C IFF COMPUTER (IFINSTALLED)
6 NOT INSTALLED43
KIT-1C IFF COMPUTER (IFINSTALLED)
7 NOT INSTALLED43
KIT-1C IFF COMPUTER (IFINSTALLED)
8 NOT INSTALLED43
CP-1597A/APR-39A(V) DIGITALPROCESSOR (IF INSTALLED)
3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)44
CP-1597A/APR-39A(V) DIGITALPROCESSOR (IF INSTALLED)
4 NOT INSTALLED44
CP-1597A/APR-39A(V) DIGITALPROCESSOR (IF INSTALLED)
5 NOT TRANSFERED44
CP-1597A/APR-39A(V) DIGITALPROCESSOR (IF INSTALLED)
6 NOT INSTALLED44
CP-1597A/APR-39A(V) DIGITALPROCESSOR (IF INSTALLED)
7 NOT INSTALLED44
CP-1597A/APR-39A(V) DIGITALPROCESSOR (IF INSTALLED)
8 NOT INSTALLED44
REVERSE OF DA FORM 2408-17 E, NOV 91
16/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015RT-1220B/ALQ-156
RECEIVER/TRANSMITTER (IFINSTALLED)
1 NOT INSTALLED45
RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF
INSTALLED)2 NOT INSTALLED45
RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF
INSTALLED)3 NOT INSTALLED45
RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF
INSTALLED)4 NOT INSTALLED45
RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF
INSTALLED)5 NOT INSTALLED45
RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF
INSTALLED)6 NOT INSTALLED45
RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF
INSTALLED)7 NOT INSTALLED45
RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF
INSTALLED)8 NOT INSTALLED45
C-12510/AAR-57(V)ELECTRONIC CONTROL UNIT(IF
INSTALL1 NOT INSTALLED46
C-12510/AAR-57(V)ELECTRONIC CONTROL UNIT(IF
INSTALL2 NOT INSTALLED46
C-12510/AAR-57(V)ELECTRONIC CONTROL UNIT(IF
INSTALL3 NOT INSTALLED46
REVERSE OF DA FORM 2408-17 E, NOV 91
TACKLE BLOCK, 114E0658-236 ACFT RECIEVED WITH TWO EA48
17/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
C-12510/AAR-57(V)ELECTRONIC CONTROL UNIT(IF
INSTALL4 NOT INSTALLED46
C-12510/AAR-57(V)ELECTRONIC CONTROL UNIT(IF
INSTALL5 NOT INSTALLED46
C-12510/AAR-57(V)ELECTRONIC CONTROL UNIT(IF
INSTALL6 NOT INSTALLED46
C-12510/AAR-57(V)ELECTRONIC CONTROL UNIT(IF
INSTALL7 NOT INSTALLED46
C-12510/AAR-57(V)ELECTRONIC CONTROL UNIT(IF
INSTALL8 NOT INSTALLED46
TACKLE BLOCK, 114E0658-231 2 INSTALLED48
TACKLE BLOCK, 114E0658-232 2 INSTALLED48
TACKLE BLOCK, 114E0658-233 2 EA INSTALLED48
TACKLE BLOCK, 114E0658-234 2 INSTALLED48
TACKLE BLOCK, 114E0658-235 2EA48
REVERSE OF DA FORM 2408-17 E, NOV 91
RT-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
6 NOT INSTALLED53
18/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015TACKLE BLOCK, 114E0658-236 ACFT RECIEVED WITH TWO EA48
HOOK AND CABLE ASSEMBLY,114E6042-15
1 1 INSTALLED49
HOOK AND CABLE ASSEMBLY,114E6042-15
2 1 INSTALLED49
HOOK AND CABLE ASSEMBLY,114E6042-15
3 1 EA INSTALLED49
HOOK AND CABLE ASSEMBLY,114E6042-15
5 1 EA49
HOOK AND CABLE ASSEMBLY,114E6042-15
6 ACFT RECEIVED WITH ONE EACH49
HOOK AND CABLE ASSEMBLY,114E6042-15
7 1 INSTALLED49
HOOK AND CABLE ASSEMBLY,114E6042-15
8 ONE INSTALLED49
RT-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)53
RT-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
4 NOT INSTALLED53
RT-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
5 NOT INSTALLED53
REVERSE OF DA FORM 2408-17 E, NOV 91
19/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015RT-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
6 NOT INSTALLED53
RT-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
7 NOT INSTALLED53
RT-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
8 NOT INSTALLED53
AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)
3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)54
AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)
4 NOT INSTALLED54
AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)
5 NOT INSTALLED54
AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)
6 NOT INSTALLED54
AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)
7 NOT INSTALLED54
AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)
8 NOT INSTALLED54
AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)55
AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
4 NOT INSTALLED55
REVERSE OF DA FORM 2408-17 E, NOV 91
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
7 NOT INSTALLED56
20/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
5 NOT INSTALLED55
AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
6 NOT INSTALLED55
AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
7 NOT INSTALLED55
AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
8 NOT INSTALLED55
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
1 NOT INSTALLED56
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
2 NOT INSTALLED56
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
3 NOT INSTALLED56
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
4 NOT INSTALLED56
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
5 NOT INSTALLED56
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
6 NOT INSTALLED56
REVERSE OF DA FORM 2408-17 E, NOV 91
ALQ-156 RCVR-TRANSMITTERRT-1220
7 DELETED63
21/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
7 NOT INSTALLED56
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
8 NOT INSTALLED56
CP-1252C/ASN-128D COMPUTERDISPLAY UNIT
1 NOT INSTALLED58
CP-1252C/ASN-128D COMPUTERDISPLAY UNIT
2 NOT INSTALLED58
CP-1252C/ASN-128D COMPUTERDISPLAY UNIT
3 NOT INSTALLED58
CP-1252C/ASN-128D COMPUTERDISPLAY UNIT
4 NOT INSTALLED58
CP-1252C/ASN-128D COMPUTERDISPLAY UNIT
5 NOT INSTALLED58
CP-1252C/ASN-128D COMPUTERDISPLAY UNIT
6 NOT INSTALLED58
SINCGARS RADIO RT-1476/ARC-201
7 DELETED61
SINCGARS RADIO RT-1476/ARC-201
8 NOT INSTALLED61
EMERGENCY LOCATORTRANSMITTER (ELT)
7 DELETED62
REVERSE OF DA FORM 2408-17 E, NOV 91
22/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015ALQ-156 RCVR-TRANSMITTERRT-1220
7 DELETED63
ALQ-156 RCVR-TRANSMITTERRT-1220
8 NOT INSTALLED63
KY-58 REMOTE CONTROL UNIT7 DELETED64
KY-58 REMOTE CONTROL UNIT8 NOT INSTALLED64
CONVERTER CONTROL UNIT C-12293/AVS-7
7 DELETED65
CONVERTER CONTROL UNIT C-12293/AVS-7
8 NOT INSTALLED65
COMPUTER KIT 1C/TSEC7 DELETED66
COMPUTER KIT 1C/TSEC8 NOT INSTALLED66
SIGNAL DATA CONVERTER AVS-7/CV-4229
7 DELETED67
SIGNAL DATA CONVERTER AVS-7/CV-4229
8 NOT INSTALLED67
AIR DATA TRANSDUCER (HUD)7 DELETED68
REVERSE OF DA FORM 2408-17 E, NOV 91
APR-39A(V) RADAR WARNINGINDICATOR IP-1150A
8 NOT INSTALLED73
23/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
AIR DATA TRANSDUCER (HUD)8 NOT INSTALLED68
INCLINOMETER (HUD)7 DELETED69
INCLINOMETER (HUD)8 NOT INSTALLED69
ALQ-156 CONTROL C-101317 DELETED70
ALQ-156 CONTROL C-101318 NOT INSTALLED70
APR-39A(V) CONTROL C-113087 DELETED71
APR-39A(V) CONTROL C-113088 NOT INSTALLED71
APR-39A(V) RECEIVER R-22187 DELETED72
APR-39A(V) RECEIVER R-22188 NOT INSTALLED72
APR-39A(V) RADAR WARNINGINDICATOR IP-1150A
7 NOT INSTALLED73
REVERSE OF DA FORM 2408-17 E, NOV 91
CP-1597A/APR-39A (V) DIGITALPROCESSOR (IF INSTALLED)
8 NOT INSTALLED79
24/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
APR-39A(V) RADAR WARNINGINDICATOR IP-1150A
8 NOT INSTALLED73
APR-39A (V) PROCESSOR CP-1597
7 NOT INSTALLED74
APR-39A (V) PROCESSOR CP-1597
8 NOT INSTALLED74
APR-39A (V) ANTENNA AS-35498 NOT INSTALLED75
APR-39A(V) ANTENNA AS-35488 NOT INSTALLED76
INDICATOR CONTROL (CMDS)AN/ALE-47
6 DUPLICATE ENTRY77
INDICATOR CONTROL (CMDS)AN/ALE-47
7 NOT INSTALLED77
INDICATOR CONTROL (CMDS)AN/ALE-47
8 NOT INSTALLED77
AN/ARC-220 RT-1749/URC7 NOT INSTALLED78
CP-1597A/APR-39A (V) DIGITALPROCESSOR (IF INSTALLED)
6 DUPLICATE ENTRY79
CP-1597A/APR-39A (V) DIGITALPROCESSOR (IF INSTALLED)
7 NOT INSTALLED79
REVERSE OF DA FORM 2408-17 E, NOV 91
25/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015CP-1597A/APR-39A (V) DIGITALPROCESSOR (IF INSTALLED)
8 NOT INSTALLED79
RT-1220B/ ALQ-156RECEIVER/TRANSMITTER (IF
INSTALLED)6 DUPLICATE ENTRY80
RT-1220B/ ALQ-156RECEIVER/TRANSMITTER (IF
INSTALLED)7 NOT INSTALLED80
RT-1220B/ ALQ-156RECEIVER/TRANSMITTER (IF
INSTALLED)8 NOT INSTALLED80
R-2218/ APR-39A (V) RADARRECEIVER (IF INSTALLED)
7 NOT INSTALLED81
R-2218/ APR-39A (V) RADARRECEIVER (IF INSTALLED)
8 NOT INSTALLED81
AS-3549A/ APR-39 L/H SPIRALANTENNA (IF INSTALLED)
6 DUPLICATE ENTRY82
AS-3549A/ APR-39 L/H SPIRALANTENNA (IF INSTALLED)
7 NOT INSTALLED82
AS-3549A/ APR-39 L/H SPIRALANTENNA (IF INSTALLED)
8 NOT INSTALLED82
AS-3548A/ APR-39 R/H SPIRALANTENNA (IF INSTALLED)
6 DUPLICATE ENTRY83
AS-3548A/ APR-39 R/H SPIRALANTENNA (IF INSTALLED)
7 NOT INSTALLED83
REVERSE OF DA FORM 2408-17 E, NOV 91
RT-1354B/ARC-186 RECEIVERTRANSMITTER
8 DUPLICATE ENTRY88
26/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
AS-3548A/ APR-39 R/H SPIRALANTENNA (IF INSTALLED)
8 NOT INSTALLED83
SU-202/ AAR-57 (V) ELECTOPTIC MSL SENSOR (IF
INSTALLED)7 NOT INSTALLED84
SU-202/ AAR-57 (V) ELECTOPTIC MSL SENSOR (IF
INSTALLED)8 NOT INSTALLED84
NCS MAGNUS TABLETCOMPUTER LOGBOOK
6 DUPLICATE ENTRY85
NCS MAGNUS TABLETCOMPUTER LOGBOOK
7 NOT INSTALLED85
NCS MAGNUS TABLETCOMPUTER LOGBOOK
8 NOT INSTALLED85
Z-AHP VOICE SECURITYCONTROL (KY-58)
6 DUPLICATE ENTRY86
Z-AHP VOICE SECURITYCONTROL (KY-58)
7 NOT INSTALLED86
Z-AHP VOICE SECURITYCONTROL (KY-58)
8 DUPLICATE ENTRY86
RT-1518C/ARC-164 RECEIVERTRANSMITTER
8 DUPLICATE ENTRY87
REVERSE OF DA FORM 2408-17 E, NOV 91
27/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION A - COCKPIT AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
RT-1354B/ARC-186 RECEIVERTRANSMITTER
8 DUPLICATE ENTRY88
C-12436/URC,HF CONTROLDISPLAY UNIT
8 DUPLICATE ENTRY89
ANTENNA AS-2595/APN-1948 DUPLICATE ENTRY90
ANTENNA AS-1922/ARC8 DUPLICATE ENTRY91
ANTENNA AS-2890/APR-398 DUPLICATE ENTRY92
DOPPLER NAVIGATION SYSTEMCV-3338/ASN-128
8 DUPLICATE ENTRY93
CP-1252C/ASN-128D COMPUTERDISPLAY UNIT
8 DUPLICATE ENTRY94
RT 1193A/ASN-128D8 DUPLICATE ENTRY95
C-7392A/ARN-89 ADF CONTROL8 DUPLICATE ENTRY96
CV-3338A/ASN-128D SIGNALDATA CONVERTER
8 DUPLICATE ENTRY97
REVERSE OF DA FORM 2408-17 E, NOV 91
28/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
b. LOCATION/REMARKSCHECK NO.
6. LOCATION OR REMARKS
a. ITEM NUMBER
Nomenclature
Emergency Exit Lights1 3 ea required3
CD-45(V)/ALE-47(V) Programmer1 Not Installed15
DOOR AND EXIT LOCKS (SET)6 NOT INSTALLED2
TROOP SEAT (1 MAN)1 1 IN STORAGE9
TROOP SEAT (1 MAN)2 1 IN STORAGE9
TROOP SEAT (1 MAN)3 1 EA IN STORAGE9
BELT TROOP SAFETY1 1 IN STORAGE10
BELT TROOP SAFETY2 1 IN STORAGE10
BELT TROOP SAFETY3 1 EA IN STORAGE10
CD-45(V)/ALE-47(V)PROGRAMMER (IF INSTALLED)
1 NOT INSTALLED15
REVERSE OF DA FORM 2408-17 E, NOV 91
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
5 NOT INSTALLED18
29/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
CD-45(V)/ALE-47(V)PROGRAMMER (IF INSTALLED)
2 NOT INSTALLED15
CD-45(V)/ALE-47(V)PROGRAMMER (IF INSTALLED)
3 NOT INSTALLED15
114ES290-1REMOTE FIRINGSWITCH, 14 FT (IF INSTALLED)
6 ONE EXTRA IN PLACE OF ITEM 1716
PIF01249-1REMOTE FIRINGSWITCH, 22 FT (IF INSTALLED)
6 NOT INSTALLED17
PIF01249-1REMOTE FIRINGSWITCH, 22 FT (IF INSTALLED)
7 17
PIF01249-1REMOTE FIRINGSWITCH, 22 FT (IF INSTALLED)
8 NOT INSTALLED17
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
1 NOT INSTALLED18
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
2 NOT INSTALLED18
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
3 NOT INSTALLED18
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
4 NOT INSTALLED18
REVERSE OF DA FORM 2408-17 E, NOV 91
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
8 NOT INSTALLED19
30/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
5 NOT INSTALLED18
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
6 NOT INSTALLED18
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
7 NOT INSTALLED18
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
8 NOT INSTALLED18
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
1 NOT INSTALLED19
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
2 NOT INSTALLED19
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
3 NOT INSTALLED19
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
4 NOT INSTALLED19
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
5 NOT INSTALLED19
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
6 NOT INSTALLED19
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
7 NOT INSTALLED19
REVERSE OF DA FORM 2408-17 E, NOV 91
31/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
8 NOT INSTALLED19
196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF
INSTALLED)1 NOT INSTALLED20
196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF
INSTALLED)2 NOT INSTALLED20
196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF
INSTALLED)3 NOT INSTALLED20
196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF
INSTALLED)4 NOT INSTALLED20
196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF
INSTALLED)5 NOT INSTALLED20
196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF
INSTALLED)6 NOT INSTALLED20
196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF
INSTALLED)7 NOT INSTALLED20
196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF
INSTALLED)8 NOT INSTALLED20
AS-3149/ALQ-156COUNTERMEASURES ANTENNA
1 NOT INSTALLED21
AS-3149/ALQ-156COUNTERMEASURES ANTENNA
2 NOT INSTALLED21
REVERSE OF DA FORM 2408-17 E, NOV 91
AS-2890/APR-39 BLADEANTENNA
6 NOT INSTALLED22
32/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
AS-3149/ALQ-156COUNTERMEASURES ANTENNA
3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)21
AS-3149/ALQ-156COUNTERMEASURES ANTENNA
4 NOT INSTALLED21
AS-3149/ALQ-156COUNTERMEASURES ANTENNA
5 NOT INSTALLED21
AS-3149/ALQ-156COUNTERMEASURES ANTENNA
6 NOT INSTALLED21
AS-3149/ALQ-156COUNTERMEASURES ANTENNA
7 NOT INSTALLED21
AS-3149/ALQ-156COUNTERMEASURES ANTENNA
8 NOT INSTALLED21
AS-3149/ALQ-156COUNTERMEASURES ANTENNA
3 NOT INSTALLED21
AS-2890/APR-39 BLADEANTENNA
3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)22
AS-2890/APR-39 BLADEANTENNA
4 NOT INSTALLED22
AS-2890/APR-39 BLADEANTENNA
5 NOT INSTALLED22
REVERSE OF DA FORM 2408-17 E, NOV 91
COVER, APU INLET, 14560003-11 NOT INSTALLED36
33/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
AS-2890/APR-39 BLADEANTENNA
6 NOT INSTALLED22
AS-2890/APR-39 BLADEANTENNA
7 NOT INSTALLED22
AS-2890/APR-39 BLADEANTENNA
8 NOT INSTALLED22
COVER APU EXHAUST,145G0005-1
1 NOT INSTALLED35
COVER APU EXHAUST,145G0005-1
2 NOT INSTALLED35
COVER APU EXHAUST,145G0005-1
3 NOT INSTALLED35
COVER APU EXHAUST,145G0005-1
4 NOT INSTALLED35
COVER APU EXHAUST,145G0005-1
5 NOT INSTALLED35
COVER APU EXHAUST,145G0005-1
6 NOT INSTALLED35
COVER APU EXHAUST,145G0005-1
7 NOT INSTALLED35
COVER APU EXHAUST,145G0005-1
8 DUPLICATE ENTRY35
REVERSE OF DA FORM 2408-17 E, NOV 91
RAMP EXTENSION, 1560CH-47-398-1
4 NOT INSTALLED38
34/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015COVER, APU INLET, 14560003-11 NOT INSTALLED36
COVER, APU INLET, 14560003-12 NOT INSTALLED36
COVER, APU INLET, 14560003-13 NOT INSTALLED36
COVER, APU INLET, 14560003-14 NOT INSTALLED36
COVER, APU INLET, 14560003-15 NOT INSTALLED36
COVER, APU INLET, 14560003-16 NOT INSTALLED36
COVER, APU INLET, 14560003-17 NOT INSTALLED36
COVER, APU INLET, 14560003-18 DUPLICATE ENTRY36
RAMP EXTENSION, 1560CH-47-398-1
1 NOT INSTALLED38
RAMP EXTENSION, 1560CH-47-398-1
2 NOT INSTALLED38
RAMP EXTENSION, 1560CH-47-398-1
3 NOT INSTALLED38
REVERSE OF DA FORM 2408-17 E, NOV 91
35/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
RAMP EXTENSION, 1560CH-47-398-1
4 NOT INSTALLED38
RAMP EXTENSION, 1560CH-47-398-1
5 NOT INSTALLED38
RAMP EXTENSION, 1560CH-47-398-1
6 NOT INSTALLED38
RAMP EXTENSION, 1560CH-47-398-1
7 NOT INSTALLED38
RAMP EXTENSION, 1560CH-47-398-1
8 NOT INSTALLED38
SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-
171 NOT INSTALLED42
SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-
172 NOT INSTALLED42
SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-
173 NOT INSTALLED42
SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-
174 NOT INSTALLED42
SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-
175 NOT INSTALLED42
SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-
176 NOT INSTALLED42
REVERSE OF DA FORM 2408-17 E, NOV 91
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
114G1049-141 NOT INSTALLED44
36/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-
177 NOT INSTALLED42
SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-
178 NOT INSTALLED42
PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13
1 NOT INSTALLED43
PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13
2 NOT INSTALLED43
PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13
3 NOT INSTALLED43
PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13
4 NOT INSTALLED43
PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13
5 NOT INSTALLED43
PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13
6 NOT INSTALLED43
PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13
7 NOT INSTALLED43
PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13
8 NOT INSTALLED43
REVERSE OF DA FORM 2408-17 E, NOV 91
HOOK AND CABLE ASSEMBLY,114E6042-15
7 NOT INSTALLED49
37/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
114G1049-141 NOT INSTALLED44
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
114G1049-142 NOT INSTALLED44
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
114G1049-143 NOT INSTALLED44
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
114G1049-144 NOT INSTALLED44
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
114G1049-145 NOT INSTALLED44
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
114G1049-146 NOT INSTALLED44
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
114G1049-147 NOT INSTALLED44
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
114G1049-148 NOT INSTALLED44
HOOK AND CABLE ASSEMBLY,114E6042-15
4 NOT INSTALLED49
HOOK AND CABLE ASSEMBLY,114E6042-15
5 NOT INSTALLED49
HOOK AND CABLE ASSEMBLY,114E6042-15
6 NOT INSTALLED49
REVERSE OF DA FORM 2408-17 E, NOV 91
38/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015HOOK AND CABLE ASSEMBLY,114E6042-15
7 NOT INSTALLED49
HOOK AND CABLE ASSEMBLY,114E6042-15
8 NOT INSTALLED49
RESCUE BLOCK, 114E6050-394 NOT INSTALLED50
RESCUE BLOCK, 114E6050-395 NOT INSTALLED50
RESCUE BLOCK, 114E6050-396 NOT INSTALLED50
RESCUE BLOCK, 114E6050-397 NOT INSTALLED50
RESCUE BLOCK, 114E6050-398 NOT INSTALLED50
HOIST OPERATORS HARNESS4 NOT INSTALLED51
HOIST OPERATORS HARNESS5 NOT INSTALLED51
HOIST OPERATORS HARNESS6 NOT INSTALLED51
HOIST OPERATORS HARNESS7 NOT INSTALLED51
REVERSE OF DA FORM 2408-17 E, NOV 91
AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)
8 NOT INSTALLED54
39/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
HOIST OPERATORS HARNESS8 NOT INSTALLED51
R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
4 NOT INSTALLED53
R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
5 NOT INSTALLED53
R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
6 NOT INSTALLED53
R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
7 NOT INSTALLED53
R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
8 NOT INSTALLED53
AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)
4 NOT INSTALLED54
AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)
5 NOT INSTALLED54
AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)
6 NOT INSTALLED54
AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)
7 NOT INSTALLED54
REVERSE OF DA FORM 2408-17 E, NOV 91
TRANCIEVER(BFT)4 NOT INSTALLED57
40/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
AS-3549A/APR-39 L/H SPIRALANTENNA (IF ISNTALLED)
8 NOT INSTALLED54
AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
4 NOT INSTALLED55
AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
5 NOT INSTALLED55
AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
6 NOT INSTALLED55
AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
7 NOT INSTALLED55
AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
8 NOT INSTALLED55
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTAL
4 NOT INSTALLED56
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTAL
5 NOT INSTALLED56
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTAL
6 NOT INSTALLED56
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTAL
7 NOT INSTALLED56
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTAL
8 NOT INSTALLED56
REVERSE OF DA FORM 2408-17 E, NOV 91
ROUTER(GPS GENERATION 3)5 NOT INSTALLED59
41/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015TRANCIEVER(BFT)4 NOT INSTALLED57
TRANCIEVER(BFT)5 NOT INSTALLED57
TRANCIEVER(BFT)6 NOT INSTALLED57
TRANCIEVER(BFT)7 NOT INSTALLED57
TRANCIEVER(BFT)8 NOT INSTALLED57
LNA (BFT GENERATION 3)4 NOT INSTALLED58
LNA (BFT GENERATION 3)5 NOT INSTALLED58
LNA (BFT GENERATION 3)6 NOT INSTALLED58
LNA (BFT GENERATION 3)7 NOT INSTALLED58
LNA (BFT GENERATION 3)8 NOT INSTALLED58
ROUTER(GPS GENERATION 3)4 NOT INSTALLED59
REVERSE OF DA FORM 2408-17 E, NOV 91
42/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
ROUTER(GPS GENERATION 3)5 NOT INSTALLED59
ROUTER(GPS GENERATION 3)6 NOT INSTALLED59
ROUTER(GPS GENERATION 3)7 NOT INSTALLED59
ROUTER(GPS GENERATION 3)8 NOT INSTALLED59
DAGER(BFT GENERATION 3)4 NOT INSTALLED60
DAGER(BFT GENERATION 3)5 NOT INSTALLED60
DAGER(BFT GENERATION 3)6 NOT INSTALLED60
DAGER(BFT GENERATION 3)7 NOT INSTALLED60
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
4 NOT INSTALLED61
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
5 NOT INSTALLED61
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
6 NOT INSTALLED61
REVERSE OF DA FORM 2408-17 E, NOV 91
SLAB BATTERY PN D856511-16 DUPLICATE ENTRY66
43/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
7 NOT INSTALLED61
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
8 NOT INSTALLED61
WINCH/ HOIST OPERATORINTERCOM CORD
4 DUAL ENTRY63
WINCH/ HOIST OPERATORINTERCOM CORD
5 NOT INSTALLED63
WINCH/ HOIST OPERATORINTERCOM CORD
6 DUPLICATE ENTRY63
WINCH/ HOIST OPERATORINTERCOM CORD
7 NOT INSTALLED63
COVER ENGINE INLET WITHOUTSCREENS
4 DUAL ENTRY65
COVER ENGINE INLET WITHOUTSCREENS
5 NOT INSTALLED65
COVER ENGINE INLET WITHOUTSCREENS
6 DUPLICATE ENTRY65
COVER ENGINE INLET WITHOUTSCREENS
7 NOT INSTALLED65
REVERSE OF DA FORM 2408-17 E, NOV 91
44/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION B - CABIN AREACH-47 AASF#1 FLA9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
IM5766891 SSG 10-Jun-2015SLAB BATTERY PN D856511-16 DUPLICATE ENTRY66
GUNNER CABLE ASSY.8 NOT INSTALLED67
CMWS SEQUENCER R/H (#2) SN_________________
8 NOT INSTALLED72
TRANSMITTER, INFRARED T-1678/ALQ-212(V) (ATIRCM)
8 NOT INSTALLED74
LASER, DIRECTIONAL ASSY, SU-241/ALQ-212(V) (ATIRCM)
8 NOT INSTALLED75
CONTROL TRANSMITTER,COUNTERMEASURE C-
12794/ALQ-212(V) ATIRCM8 NOT INSTALLED76
OPTICAL ASSY, LASER(ATIRCM)
8 NOT INSTALLED77
GPS ANTENNA8 NOT INSTALLED78
COVER, AIR INLET8 NOT INSTALLED79
REVERSE OF DA FORM 2408-17 E, NOV 91
45/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
b. LOCATION/REMARKSCHECK NO.
6. LOCATION OR REMARKS
a. ITEM NUMBER
Nomenclature
9311431 M-130 ELECTRONICMODULE (IF INSTALLED)
1 NOT INSTALLED2
9311431 M-130 ELECTRONICMODULE (IF INSTALLED)
2 NOT INSTALLED2
9311431 M-130 ELECTRONICMODULE (IF INSTALLED)
3 NOT INSTALLED2
9311431 M-130 ELECTRONICMODULE (IF INSTALLED)
4 NOT INSTALLED2
9311431 M-130 ELECTRONICMODULE (IF INSTALLED)
5 NOT INSTALLED2
9311431 M-130 ELECTRONICMODULE (IF INSTALLED)
6 NOT INSTALLED2
REVERSE OF DA FORM 2408-17 E, NOV 91
9311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)
5 NOT INSTALLED3
46/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
9311431 M-130 ELECTRONICMODULE (IF INSTALLED)
7 NOT INSTALLED2
9311431 M-130 ELECTRONICMODULE (IF INSTALLED)
8 NOT INSTALLED2
9311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)
1 NOT INSTALLED3
9311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)
2 NOT INSTALLED3
9311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)
3 NOT INSTALLED3
9311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)
4 NOT INSTALLED3
REVERSE OF DA FORM 2408-17 E, NOV 91
47/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-20149311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)
5 NOT INSTALLED3
9311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)
6 NOT INSTALLED3
9311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)
7 NOT INSTALLED3
9311434 M-130 DISPENSERASSEMBLY (IF INSTALLED)
8 NOT INSTALLED3
9311451 M-130 PAYLOADMODULE (IF INSTALLED)
1 NOT INSTALLED4
9311451 M-130 PAYLOADMODULE (IF INSTALLED)
2 NOT INSTALLED4
9311451 M-130 PAYLOADMODULE (IF INSTALLED)
3 NOT INSTALLED4
REVERSE OF DA FORM 2408-17 E, NOV 91
186220-001 AN/ALE-47DISPENSER ASSY (IF
INSTALLED)2 5
48/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
9311451 M-130 PAYLOADMODULE (IF INSTALLED)
4 NOT INSTALLED4
9311451 M-130 PAYLOADMODULE (IF INSTALLED)
5 NOT INSTALLED4
9311451 M-130 PAYLOADMODULE (IF INSTALLED)
6 NOT INSTALLED4
9311451 M-130 PAYLOADMODULE (IF INSTALLED)
7 NOT INSTALLED4
9311451 M-130 PAYLOADMODULE (IF INSTALLED)
8 NOT INSTALLED4
186220-001 AN/ALE-47DISPENSER ASSY (IF
INSTALLED)1 NOT INSTALLED5
REVERSE OF DA FORM 2408-17 E, NOV 91
49/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014186220-001 AN/ALE-47DISPENSER ASSY (IF
INSTALLED)2 5
186220-001 AN/ALE-47DISPENSER ASSY (IF
INSTALLED)3 NOT INSTALLED5
186220-001 AN/ALE-47DISPENSER ASSY (IF
INSTALLED)4 NOT INSTALLED5
186220-001 AN/ALE-47DISPENSER ASSY (IF
INSTALLED)5 IN STORAGE5
186220-001 AN/ALE-47DISPENSER ASSY (IF
INSTALLED)6 NOT INSTALLED5
186220-001 AN/ALE-47DISPENSER ASSY (IF
INSTALLED)7 NOT INSTALLED5
186220-001 AN/ALE-47DISPENSER ASSY (IF
INSTALLED)8 5
REVERSE OF DA FORM 2408-17 E, NOV 91
185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED
7 NOT INSTALLED6
50/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED
1 NOT INSTALLED6
185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED
2 NOT INSTALLED6
185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED
3 NOT INTALLED6
185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED
4 NOT INSTALLED6
185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED
5 NOT INSTALLED6
185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED
6 NOT INSTALLED6
REVERSE OF DA FORM 2408-17 E, NOV 91
51/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED
7 NOT INSTALLED6
185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALLED
8 NOT INSTALLED6
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
1 NOT INSTALLED7
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
2 NOT INSTALLED7
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
3 NOT INSTALLED7
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
4 NOT INSTALLED7
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
5 NOT INSTALLED7
REVERSE OF DA FORM 2408-17 E, NOV 91
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
4 NOT INSTALLED10
52/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
6 NOT INSTALLED7
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
7 NOT INSTALLED7
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
8 NOT INSTALLED7
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
1 10
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
2 NOT INSTALLED10
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
3 NOT INSTALLED10
REVERSE OF DA FORM 2408-17 E, NOV 91
53/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
4 NOT INSTALLED10
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
5 NOT INSTALLED10
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
6 NOT INSTALLED10
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
7 NOT INSTALLED10
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF INST
8 NOT INSTALLED10
196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)
1 NOT INSTALLED11
196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)
2 NOT INSTALLED11
REVERSE OF DA FORM 2408-17 E, NOV 91
CRANK ASSY. EMERGENCYRAMP & RESCUE
5 DUAL ENTRY13
54/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)
3 NOT INSTALLED11
196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)
4 NOT INSTALLED11
196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)
5 NOT INSTALLED11
196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)
6 NOT INSTALLED11
196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)
7 NOT INSTALLED11
196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)
8 NOT INSTALLED11
REVERSE OF DA FORM 2408-17 E, NOV 91
55/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014CRANK ASSY. EMERGENCYRAMP & RESCUE
5 DUAL ENTRY13
CRANK ASSY. EMERGENCYRAMP & RESCUE
6 NOT INSTALLED13
PROBE POLE, CARGO LOADING5 DUAL ENTRY14
PROBE POLE, CARGO LOADING6 DUPLICATE ENTRY14
CD-45(V)/ALE-47(V)PROGRAMMER (IF INSTALLED)
5 NOT INSTALLED15
CD-45(V)/ALE-47(V)PROGRAMMER (IF INSTALLED)
6 NOT INSTALLED15
114ES290-1REMOTE FIRINGSWITCH, 14 FT (IF INSTALLE
5 DUAL ENTRY16
REVERSE OF DA FORM 2408-17 E, NOV 91
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
6 DUPLICATE ENTRY18
56/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
114ES290-1REMOTE FIRINGSWITCH, 14 FT (IF INSTALLE
6 DUPLICATE ENTRY16
PIF01249-1REMOTE FIRINGSWITCH, 22 FT (IF INSTALLE
5 DUAL ENTRY17
PIF01249-1REMOTE FIRINGSWITCH, 22 FT (IF INSTALLE
6 DUPLICATE ENTRY17
PIF01249-1REMOTE FIRINGSWITCH, 22 FT (IF INSTALLE
7 NOT INSTALLED17
PIF01249-1REMOTE FIRINGSWITCH, 22 FT (IF INSTALLE
8 NOT INSTALLED17
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
5 NOT INSTALLED18
REVERSE OF DA FORM 2408-17 E, NOV 91
57/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
6 DUPLICATE ENTRY18
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
7 NOT INSTALLED18
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
8 DULPICATE ENTRY18
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF IN
5 NOT INSTALLED19
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF IN
6 DUPLICATE ENTRY19
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF IN
7 NOT INSTALLED19
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF IN
8 DULPICATE ENTRY19
REVERSE OF DA FORM 2408-17 E, NOV 91
AS-3149/ALQ-156COUNTERMEASURES ANTENNA
7 NOT INSTALLED21
58/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF
INSTALLE5 NOT INSTALLED20
196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF
INSTALLE6 DUPLICATE ENTRY20
196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF
INSTALLE7 NOT INSTALLED20
196405-001 AN/AAR-57(V)PAYLOAD MODULE(IF
INSTALLE8 DULPICATE ENTRY20
AS-3149/ALQ-156COUNTERMEASURES ANTENNA
5 NOT INSTALLED21
AS-3149/ALQ-156COUNTERMEASURES ANTENNA
6 DUPLICATE ENTRY21
REVERSE OF DA FORM 2408-17 E, NOV 91
59/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014AS-3149/ALQ-156COUNTERMEASURES ANTENNA
7 NOT INSTALLED21
AS-3149/ALQ-156COUNTERMEASURES ANTENNA
8 DULPICATE ENTRY21
AS-2890/APR-39 BLADEANTENNA
5 NOT INSTALLED22
AS-2890/APR-39 BLADEANTENNA
6 DUPLICATE ENTRY22
AS-2890/APR-39 BLADEANTENNA
7 NOT INSTALLED22
AS-2890/APR-39 BLADEANTENNA
8 DULPICATE ENTRY22
COVER, OIL COOLER INLET,145G0001-1
5 DUAL ENTRY23
REVERSE OF DA FORM 2408-17 E, NOV 91
COVER ENGINE AIR OUTLET,114G1323-2
8 DULPICATE ENTRY24
60/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
COVER, OIL COOLER INLET,145G0001-1
6 DUPLICATE ENTRY23
COVER, OIL COOLER INLET,145G0001-1
7 NOT INSTALLED23
COVER, OIL COOLER INLET,145G0001-1
8 DULPICATE ENTRY23
COVER ENGINE AIR OUTLET,114G1323-2
5 DUAL ENTRY24
COVER ENGINE AIR OUTLET,114G1323-2
6 DUPLICATE ENTRY24
COVER ENGINE AIR OUTLET,114G1323-2
7 NOT INSTALLED24
REVERSE OF DA FORM 2408-17 E, NOV 91
61/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014COVER ENGINE AIR OUTLET,114G1323-2
8 DULPICATE ENTRY24
COVER ENGINE INLET WITHSCREEN, 219G1001-1
5 DUAL ENTRY25
COVER ENGINE INLET WITHSCREEN, 219G1001-1
6 DUPLICATE ENTRY25
COVER ENGINE INLET WITHSCREEN, 219G1001-1
7 NOT INSTALLED25
COVER ENGINE INLET WITHSCREEN, 219G1001-1
8 DULPICATE ENTRY25
COVER ENGINE INLET WITHWITHOUT SCREENS
5 DUAL ENTRY26
COVER ENGINE INLET WITHWITHOUT SCREENS
6 DUPLICATE ENTRY26
REVERSE OF DA FORM 2408-17 E, NOV 91
COVER PITOT TUBE, 114E5040-33
5 DUAL ENTRY28
62/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
COVER ENGINE INLET WITHWITHOUT SCREENS
7 NOT INSTALLED26
COVER ENGINE INLET WITHWITHOUT SCREENS
8 DULPICATE ENTRY26
COVER, OIL COOLER EXHAUST,145G0002-5
5 DUAL ENTRY27
COVER, OIL COOLER EXHAUST,145G0002-5
6 DUPLICATE ENTRY27
COVER, OIL COOLER EXHAUST,145G0002-5
7 NOT INSTALLED27
COVER, OIL COOLER EXHAUST,145G0002-5
8 DULPICATE ENTRY27
REVERSE OF DA FORM 2408-17 E, NOV 91
63/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014COVER PITOT TUBE, 114E5040-33
5 DUAL ENTRY28
COVER PITOT TUBE, 114E5040-33
6 DUPLICATE ENTRY28
COVER PITOT TUBE, 114E5040-33
7 NOT INSTALLED28
COVER PITOT TUBE, 114E5040-33
8 DULPICATE ENTRY28
COVER, OIL COOLER EXHAUST,145G0002-6
5 DUAL ENTRY29
COVER, OIL COOLER EXHAUST,145G0002-6
6 DUPLICATE ENTRY29
COVER, OIL COOLER EXHAUST,145G0002-6
7 NOT INSTALLED29
REVERSE OF DA FORM 2408-17 E, NOV 91
COVER HYDRAULIC COOLEXHAUST, 145G0004-1
7 NOT INSTALLED31
64/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
COVER, OIL COOLER EXHAUST,145G0002-6
8 DULPICATE ENTRY29
COVER, COCKPIT ENCLOSURE,145G0006-1
5 DUAL ENTRY30
COVER, COCKPIT ENCLOSURE,145G0006-1
6 DUPLICATE ENTRY30
COVER, COCKPIT ENCLOSURE,145G0006-1
8 DULPICATE ENTRY30
COVER HYDRAULIC COOLEXHAUST, 145G0004-1
5 DUAL ENTRY31
COVER HYDRAULIC COOLEXHAUST, 145G0004-1
6 DUPLICATE ENTRY31
REVERSE OF DA FORM 2408-17 E, NOV 91
65/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014COVER HYDRAULIC COOLEXHAUST, 145G0004-1
7 NOT INSTALLED31
COVER HYDRAULIC COOLEXHAUST, 145G0004-1
8 DULPICATE ENTRY31
COVER ROTOR HUB FWD &AFT, 114G1023-25
5 DUAL ENTRY32
COVER ROTOR HUB FWD &AFT, 114G1023-25
6 DUPLICATE ENTRY32
COVER ROTOR HUB FWD &AFT, 114G1023-25
7 NOT INSTALLED32
COVER ROTOR HUB FWD &AFT, 114G1023-25
8 DULPICATE ENTRY32
COVER HEATER, 114G1024-15 DUAL ENTRY33
REVERSE OF DA FORM 2408-17 E, NOV 91
COVER HEATER EXHAUST,114G1025-1
8 DULPICATE ENTRY34
66/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
COVER HEATER, 114G1024-16 DUPLICATE ENTRY33
COVER HEATER, 114G1024-17 NOT INSTALLED33
COVER HEATER, 114G1024-18 DULPICATE ENTRY33
COVER HEATER EXHAUST,114G1025-1
5 DUAL ENTRY34
COVER HEATER EXHAUST,114G1025-1
6 DUPLICATE ENTRY34
COVER HEATER EXHAUST,114G1025-1
7 NOT INSTALLED34
REVERSE OF DA FORM 2408-17 E, NOV 91
67/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014COVER HEATER EXHAUST,114G1025-1
8 DULPICATE ENTRY34
COVER APU EXHAUST,145G0005-1
5 NOT INSTALLED35
COVER APU EXHAUST,145G0005-1
6 DUPLICATE ENTRY35
COVER APU EXHAUST,145G0005-1
7 NOT INSTALLED35
COVER APU EXHAUST,145G0005-1
8 DULPICATE ENTRY35
COVER, AW INLET, 14560003-15 DUAL ENTRY36
COVER, AW INLET, 14560003-16 DUPLICATE ENTRY36
REVERSE OF DA FORM 2408-17 E, NOV 91
RAMP EXTENSION, 1560CH-47-398-1
8 DULPICATE ENTRY38
68/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
COVER, AW INLET, 14560003-17 36
COVER, AW INLET, 14560003-18 DULPICATE ENTRY36
RAMP EXTENSION, 1560CH-47-4000-1
8 DULPICATE ENTRY37
RAMP EXTENSION, 1560CH-47-398-1
5 NOT INSTALLED38
RAMP EXTENSION, 1560CH-47-398-1
6 DUPLICATE ENTRY38
RAMP EXTENSION, 1560CH-47-398-1
7 NOT INSTALLED38
REVERSE OF DA FORM 2408-17 E, NOV 91
69/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014RAMP EXTENSION, 1560CH-47-398-1
8 DULPICATE ENTRY38
BLADE ANCHOR5 NOT INSTALLED39
BLADE ANCHOR6 DUPLICATE ENTRY39
BLADE ANCHOR7 NOT INSTALLED39
BLADE ANCHOR8 DULPICATE ENTRY39
TIEDOWN CHAINS TYPE MB-15 NOT INSTALLED40
TIEDOWN CHAINS TYPE MB-16 DUPLICATE ENTRY40
REVERSE OF DA FORM 2408-17 E, NOV 91
SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-
175 NOT INSTALLED42
70/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
TIEDOWN CHAINS TYPE MB-17 NOT INSTALLED40
TIEDOWN CHAINS TYPE MB-18 DULPICATE ENTRY40
TIEDOWN STRAPS TYPECGU1/B
5 NOT INSTALLED41
TIEDOWN STRAPS TYPECGU1/B
6 DUPLICATE ENTRY41
TIEDOWN STRAPS TYPECGU1/B
7 NOT INSTALLED41
TIEDOWN STRAPS TYPECGU1/B
8 DULPICATE ENTRY41
REVERSE OF DA FORM 2408-17 E, NOV 91
71/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014SPACER SET RIGGING
(ACTUATOR BLOCK), 114E5900-17
5 NOT INSTALLED42
SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-
176 DUPLICATE ENTRY42
SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-
177 NOT INSTALLED42
SPACER SET RIGGING(ACTUATOR BLOCK), 114E5900-
178 DULPICATE ENTRY42
PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13
5 NOT INSTALLED43
PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13
6 DUPLICATE ENTRY43
PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13
7 NOT INSTALLED43
REVERSE OF DA FORM 2408-17 E, NOV 91
WINCH/HOIST OPERATORINTERCOM CORD
5 NOT INSTALLED46
72/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
PIN, GROUND SAFETY BLADEBLOCKING, 114E5897-13
8 DULPICATE ENTRY43
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
114G1049-5 NOT INSTALLED44
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
114G1049-6 DUPLICATE ENTRY44
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
114G1049-7 NOT INSTALLED44
ATTACHMENT FITTINGS,TRANSPORT WITH BOLT
114G1049-8 DULPICATE ENTRY44
INTERCOM CORD, 50 FT8 DULPICATE ENTRY45
REVERSE OF DA FORM 2408-17 E, NOV 91
73/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014WINCH/HOIST OPERATORINTERCOM CORD
5 NOT INSTALLED46
WINCH/HOIST OPERATORINTERCOM CORD
6 DUPLICATE ENTRY46
WINCH/HOIST OPERATORINTERCOM CORD
7 NOT INSTALLED46
WINCH/HOIST OPERATORINTERCOM CORD
8 DULPICATE ENTRY46
AIR DAT TRANSDUCER5 NOT INSTALLED47
AIR DAT TRANSDUCER6 DUPLICATE ENTRY47
AIR DAT TRANSDUCER7 NOT INSTALLED47
REVERSE OF DA FORM 2408-17 E, NOV 91
CONVERTER CONTROL7 NOT INSTALLED49
74/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
AIR DAT TRANSDUCER8 DULPICATE ENTRY47
INCLINOMETER (HUD)5 NOT INSTALLED48
INCLINOMETER (HUD)7 NOT INSTALLED48
INCLINOMETER (HUD)8 DULPICATE ENTRY48
CONVERTER CONTROL5 NOT INSTALLED49
CONVERTER CONTROL6 DUPLICATE ENTRY49
REVERSE OF DA FORM 2408-17 E, NOV 91
75/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION C - RAMP AREACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014CONVERTER CONTROL7 NOT INSTALLED49
CONVERTER CONTROL8 DULPICATE ENTRY49
INTERCOM CORD, 50 FT (FE)8 DULPICATE ENTRY50
RAMP EXTENSION 1560CH-47-4000-1
8 DULPICATE ENTRY52
REVERSE OF DA FORM 2408-17 E, NOV 91
76/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
b. LOCATION/REMARKSCHECK NO.
6. LOCATION OR REMARKS
a. ITEM NUMBER
Nomenclature
R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)1
R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
4 NOT INSTALLED1
R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
5 NOT INSTALLED1
R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
6 NOT INSTALLED1
R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
7 NOT INSTALLED1
R-2218/APR-39A(V) RADARRECEIVER (IF INSTALLED)
8 NOT INSTALLED1
REVERSE OF DA FORM 2408-17 E, NOV 91
AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
4 NOT INSTALLED3
77/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
AS-3549A/APR-39 L/H SPIRALANTENNA (IF INSTALLED)
3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)2
AS-3549A/APR-39 L/H SPIRALANTENNA (IF INSTALLED)
4 NOT INSTALLED2
AS-3549A/APR-39 L/H SPIRALANTENNA (IF INSTALLED)
6 NOT INSTALLED2
AS-3549A/APR-39 L/H SPIRALANTENNA (IF INSTALLED)
7 NOT INSTALLED2
AS-3549A/APR-39 L/H SPIRALANTENNA (IF INSTALLED)
8 NOT INSTALLED2
AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)3
REVERSE OF DA FORM 2408-17 E, NOV 91
78/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
4 NOT INSTALLED3
AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
6 NOT INSTALLED3
AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
7 NOT INSTALLED3
AS-3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
8 NOT INSTALLED3
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
1 NOT INSTALLED4
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
2 NOT INSTALLED4
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
3 RMVD IAW CROSS-LEVELING OF CH-47D ACFT (IA-OH)4
REVERSE OF DA FORM 2408-17 E, NOV 91
186220-001 AN/ALE-47DISPENSER ASSY (IF
INSTALLED)7 NOT INSTALLED5
79/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
4 NOT INSTALLED4
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
5 NOT INSTALLED4
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
6 NOT INSTALLED4
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
7 NOT INSTALLED4
SU-202/AAR-57(V) ELECT OPTICMSL SENSOR (IF INSTALLE
8 NOT INSTALLED4
186220-001 AN/ALE-47DISPENSER ASSY (IF
INSTALLED)5 NOT INSTALLED5
REVERSE OF DA FORM 2408-17 E, NOV 91
80/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014186220-001 AN/ALE-47DISPENSER ASSY (IF
INSTALLED)7 NOT INSTALLED5
186220-001 AN/ALE-47DISPENSER ASSY (IF
INSTALLED)8 NOT INSTALLED5
185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALL
5 NOT INSTALLED6
185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALL
7 NOT INSTALLED6
185470-0001/0002 AN/ALE-47PAYLOAD MOD (IF INSTALL
8 NOT INSTALLED6
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
5 NOT INSTALLED7
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
7 NOT INSTALLED7
REVERSE OF DA FORM 2408-17 E, NOV 91
135947-0001 AN/ALE-47(V)SAFETY FLAG (IF INSTALLED
8 NOT INSTALLED9
81/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
SA-2669/ALE-47(V)SEQUENCERS (IF INSTALLED)
8 NOT INSTALLED7
SA-2671/ALE-47(V) SAFETYSWITCH (IF INSTALLED)
5 NOT INSTALLED8
SA-2671/ALE-47(V) SAFETYSWITCH (IF INSTALLED)
7 NOT INSTALLED8
SA-2671/ALE-47(V) SAFETYSWITCH (IF INSTALLED)
8 NOT INSTALLED8
135947-0001 AN/ALE-47(V)SAFETY FLAG (IF INSTALLED
5 NOT INSTALLED9
135947-0001 AN/ALE-47(V)SAFETY FLAG (IF INSTALLED
7 NOT INSTALLED9
REVERSE OF DA FORM 2408-17 E, NOV 91
82/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014135947-0001 AN/ALE-47(V)SAFETY FLAG (IF INSTALLED
8 NOT INSTALLED9
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF IN
5 NOT INSTALLED10
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF IN
7 NOT INSTALLED10
D-61/ALQ-212(V) AN/AAR-57(V)DISPENSER ASSY (IF IN
8 NOT INSTALLED10
196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)
5 NOT INSTALLED11
196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)
7 NOT INSTALLED11
196405-001 AN/AAR-57(V)PAYLOAD MOD (IF INSTALLED)
8 NOT INSTALLED11
REVERSE OF DA FORM 2408-17 E, NOV 91
WINCH CONTROL GRIP ANDCORD ASSEMBLY
8 NOT INSTALLED15
83/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
C-6533()/ARC ICS PANELS5 NOT INSTALLED12
C-6533()/ARC ICS PANELS7 NOT INSTALLED12
C-6533()/ARC ICS PANELS8 NOT INSTALLED12
PROBE POLE, CARGO HOOK UP5 NOT INSTALLED14
PROBE POLE, CARGO HOOK UP8 NOT INSTALLED14
WINCH CONTROL GRIP ANDCORD ASSEMBLY
5 NOT INSTALLED15
REVERSE OF DA FORM 2408-17 E, NOV 91
84/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014WINCH CONTROL GRIP ANDCORD ASSEMBLY
8 NOT INSTALLED15
CRANK ASSY. EMERGENCYRAMP & RESCUE
5 NOT INSTALLED16
CRANK ASSY. EMERGENCYRAMP & RESCUE
8 NOT INSTALLED16
ANTENNA AS-3831 APN209(RAD ALT)
5 NOT INSTALLED17
145G0006-1 COVER, COCKPITENCLOSURE
5 NOT INSTALLED18
145G0006-1 COVER, COCKPITENCLOSURE
7 NOT INSTALLED18
145G0006-1 COVER, COCKPITENCLOSURE
8 DUPLICATE ENTRY18
REVERSE OF DA FORM 2408-17 E, NOV 91
COVER PITOT TUBE (114E5040-33)
5 NOT INSTALLED21
85/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
114G1025-1 COVER HEATEREXHAUST
5 NOT INSTALLED19
114G1025-1 COVER HEATEREXHAUST
7 NOT INSTALLED19
114G1025-1 COVER HEATEREXHAUST
8 DUPLICATE ENTRY19
COVER HEATER 114G1024-15 NOT INSTALLED20
COVER HEATER 114G1024-17 NOT INSTALLED20
COVER HEATER 114G1024-18 DUPLICATE ENTRY20
REVERSE OF DA FORM 2408-17 E, NOV 91
86/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014COVER PITOT TUBE (114E5040-33)
5 NOT INSTALLED21
COVER PITOT TUBE (114E5040-33)
7 NOT INSTALLED21
COVER PITOT TUBE (114E5040-33)
8 DUPLICATE ENTRY21
145G0001-1 FWD. PYLONINTAKE COVER
5 NOT INSTALLED22
145G0001-1 FWD. PYLONINTAKE COVER
8 DUPLICATE ENTRY22
114G1323-1 COVER ENGINEOUTLET
5 NOT INSTALLED23
114G1323-1 COVER ENGINEOUTLET
8 DUPLICATE ENTRY23
REVERSE OF DA FORM 2408-17 E, NOV 91
145G0002-5 COVER FWD.PYLON EXHAUST
5 NOT INSTALLED27
87/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
219G1001-1 COVER ENGINEINLET
5 NOT INSTALLED24
219G1001-1 COVER ENGINEINLET
8 DUPLICATE ENTRY24
PROTECTIVE RING ASSY.ENGINE INLET-114G1206
5 NOT INSTALLED25
PROTECTIVE RING ASSY.ENGINE INLET-114G1206
8 DUPLICATE ENTRY25
145G0004-1 COVER AFT. PYLONEXHAUST
5 NOT INSTALLED26
145G0004-1 COVER AFT. PYLONEXHAUST
8 DUPLICATE ENTRY26
REVERSE OF DA FORM 2408-17 E, NOV 91
88/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014145G0002-5 COVER FWD.PYLON EXHAUST
5 NOT INSTALLED27
145G0002-5 COVER FWD.PYLON EXHAUST
8 DUPLICATE ENTRY27
145G0002-6 COVER FWD.PYLON
5 NOT INSTALLED28
145G0002-6 COVER FWD.PYLON
8 DUPLICATE ENTRY28
145G0003-1 COVER AFT. PYLON5 NOT INSTALLED29
145G0003-1 COVER AFT. PYLON8 DUPLICATE ENTRY29
145G0005-1 COVER APUEXHAUST
5 NOT INSTALLED30
REVERSE OF DA FORM 2408-17 E, NOV 91
TIEDOWN STRAPS TYPECGU1/B
7 NOT INSTALLED34
89/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
145G0005-1 COVER APUEXHAUST
8 DUPLICATE ENTRY30
BLADE ANCHOR 114E5060-18 DUPLICATE ENTRY31
114G1023-25 ROTOR HUBCOVERS
7 NOT INSTALLED32
114G1023-25 ROTOR HUBCOVERS
8 DUPLICATE ENTRY32
TIEDOWN CHAINS TYPE MB-17 NOT INSTALLED33
TIEDOWN CHAINS TYPE MB-18 DUPLICATE ENTRY33
REVERSE OF DA FORM 2408-17 E, NOV 91
90/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014TIEDOWN STRAPS TYPECGU1/B
7 NOT INSTALLED34
TIEDOWN STRAPS TYPECGU1/B
8 DUPLICATE ENTRY34
SUPPORT CARGO RAMPEXTENSION 1560CH47-398-1
7 NOT INSTALLED35
SUPPORT CARGO RAMPEXTENSION 1560CH47-398-1
8 DUPLICATE ENTRY35
RAMP EXTENSION 1560CH47-400-1/114S6003-21
7 NOT INSTALLED36
RAMP EXTENSION 1560CH47-400-1/114S6003-21
8 DUPLICATE ENTRY36
GUNNER FOOTSWITCHES7 NOT INSTALLED37
REVERSE OF DA FORM 2408-17 E, NOV 91
DROOP STOP SHROUDASSEMBLY STORAGE BAG
145E5001-108 DUPLICATE ENTRY47
91/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
GUNNER FOOTSWITCHES8 DUPLICATE ENTRY37
GUNNER CABLE ASSY.7 NOT INSTALLED38
GUNNER CABLE ASSY.8 DUPLICATE ENTRY38
S-65-8282-307 NOT INSTALLED39
S-65-8282-308 DUPLICATE ENTRY39
DROOP STOP SHROUDS8 DUPLICATE ENTRY46
REVERSE OF DA FORM 2408-17 E, NOV 91
92/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014DROOP STOP SHROUD
ASSEMBLY STORAGE BAG145E5001-10
8 DUPLICATE ENTRY47
DROOP STOP SHIELD 114R2215-11
8 DUPLICATE ENTRY48
DROOP STOP BASE 114R2215-48 DUPLICATE ENTRY49
L-BAND(EIS) ANTENNA(BFTGENERATION 3)
7 NOT INSTALLED57
GPS ANTENNA(BFTGENERATION 3)
7 NOT INSTALLED58
(BFT) ANT GPS S/N:____________
7 NOT INSTALLED59
(BFT) LOW NOISE AMP S/N:____________
7 NOT INSTALLED60
REVERSE OF DA FORM 2408-17 E, NOV 91
(CMWS) SMART DISPENSER LHS/N: __________
7 NOT INSTALLED66
93/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
(BFT) DC/DC CONVERTER S/N:________
7 NOT INSTALLED61
(BFT) PALLET S/N:____________
7 NOT INSTALLED62
(BFT) ROUTER S/N: ________7 NOT INSTALLED63
(BFT) DAGGER S/N: __________7 Remarks64
(CMWS) SMART DISPENSER LHS/N: __________
7 NOT INSTALLED65
(CMWS) SMART DISPENSER LHS/N: __________
8 NOT INSTALLED65
REVERSE OF DA FORM 2408-17 E, NOV 91
94/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014(CMWS) SMART DISPENSER LHS/N: __________
7 NOT INSTALLED66
(CMWS) SMART DISPENSER LHS/N: __________
8 NOT INSTALLED66
(CMWS) SMART DISPENSER RHS/N: __________
7 NOT INSTALLED67
(CMWS) SMART DISPENSER RHS/N: __________
8 NOT INSTALLED67
(CMWS) SMART DISPENSER RHS/N: __________
7 NOT INSTALLED68
(CMWS) SMART DISPENSER RHS/N: __________
8 NOT INSTALLED68
(CMWS) PAYLOAD MODULE LHS/N: __________
7 NOT INSTALLED69
REVERSE OF DA FORM 2408-17 E, NOV 91
(CMWS) PAYLOAD MODULE RHS/N: __________
8 NOT INSTALLED72
95/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
(CMWS) PAYLOAD MODULE LHS/N: __________
8 NOT INSTALLED69
(CMWS) PAYLOAD MODULE LHS/N: __________
7 NOT INSTALLED70
(CMWS) PAYLOAD MODULE LHS/N: __________
8 NOT INSTALLED70
(CMWS) PAYLOAD MODULE RHS/N: __________
7 NOT INSTALLED71
(CMWS) PAYLOAD MODULE RHS/N: __________
8 NOT INSTALLED71
(CMWS) PAYLOAD MODULE RHS/N: __________
7 NOT INSTALLED72
REVERSE OF DA FORM 2408-17 E, NOV 91
96/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014(CMWS) PAYLOAD MODULE RHS/N: __________
8 NOT INSTALLED72
(CMWS) EOMS LH S/N:__________
7 73
(CMWS) EOMS LH S/N:__________
8 NOT INSTALLED73
(CMWS) EOMS RH S/N:__________
7 NOT INSTALLED74
(CMWS) EOMS RH S/N:__________
8 NOT INSTALLED74
(CMWS) SEQUENCERS LH S/N:__________
7 NOT INSTALLED75
(CMWS) SEQUENCERS LH S/N:__________
8 NOT INSTALLED75
REVERSE OF DA FORM 2408-17 E, NOV 91
AS-3549A/APR-39 R/H SPIRALANTENNA
8 NOT INSTALLED78
97/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
(CMWS) SEQUENCERS RH S/N:__________
7 NOT INSTALLED76
(CMWS) SEQUENCERS RH S/N:__________
8 NOT INSTALLED76
AS-3549A/APR-39 L/H SPIRALANTENNA
7 NOT INSTALLED77
AS-3549A/APR-39 L/H SPIRALANTENNA
8 NOT INSTALLED77
AS-3549A/APR-39 R/H SPIRALANTENNA
6 NOT INSTALLED78
AS-3549A/APR-39 R/H SPIRALANTENNA
7 NOT INSTALLED78
REVERSE OF DA FORM 2408-17 E, NOV 91
98/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION D - ENGINE AND AFT PYLONCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014AS-3549A/APR-39 R/H SPIRALANTENNA
8 NOT INSTALLED78
TRANSMITTER REMOTECOMPASS WITH COMPNS CN-
405()/A7 NOT INSTALLED79
TRANSMITTER REMOTECOMPASS WITH COMPNS CN-
405()/A8 NOT INSTALLED79
TRANSMITTER REMOTECOMPASS WITH COMPNS CN-
405()/A8 NOT INSTALLED80
SU-202/AAR-57(V) EOMS (AFTPYLON)
7 NOT INSTALLED81
SU-202/AAR-57(V) EOMS (AFTPYLON)
8 NOT INSTALLED81
REVERSE OF DA FORM 2408-17 E, NOV 91
99/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
UNIT UNIQUE INVENTORY ITEMSCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
b. LOCATION/REMARKSCHECK NO.
6. LOCATION OR REMARKS
a. ITEM NUMBER
Nomenclature
ERFS TANK 1680-01-425-12167 NOT INSTALLED1
ERFS TANK 1680-01-425-12168 NOT INSTALLED1
ERFS FUEL SAMPLING PUMPKIT 1680-01-474-3324
8 NOT INSTALLED2
CAVITY DRAIN HOSE 4720-01-424-5554
8 NOT INSTALLED3
GROUNDING CABLE 6150-01-398-4389
8 NOT INSTALLED4
HARNESS TANK POWER 645-01-380-2981
8 NOT INSTALLED5
REVERSE OF DA FORM 2408-17 E, NOV 91
EFRS TANK COVER P/N IT765-HMO22-T17-11
8 NOT INSTALLED12
100/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
UNIT UNIQUE INVENTORY ITEMSCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
FUEL HOSE SINGLE POINTPRESSURE REFUELING 4720-01
-425-12158 NOT INSTALLED6
VENT HOSE ASSY 4720-01-471-6739
8 NOT INSTALLED7
FUEL HOSE, TANK-TO -ACFTRANGE EXT 4720-01-424-5558
8 NOT INSTALLED8
FUEL PROBE ELECTRICALCABLE 6150-01-475-7634
8 NOT INSTALLED9
CH-47 ERFS II FUEL CONTROLPANEL P/N HM022-123-51
8 NOT INSTALLED10
CH-47 ERFS II ROLLER ASSYKIT P/N WOH93JCH-47-T-F-K
8 NOT INSTALLED11
REVERSE OF DA FORM 2408-17 E, NOV 91
101/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
UNIT UNIQUE INVENTORY ITEMSCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014EFRS TANK COVER P/N IT765-HMO22-T17-11
8 NOT INSTALLED12
MODULAR SURVIVAL SYSTEMS(AMSS) 8-MAN 1680-01-361-
48548 NOT INSTALLED13
KY-58 INTERFACE ADAPTER(AVN CLOSET SHELF # )
8 NOT INSTALLED16
RAD WARN ANT/DETECT [AFT][LH] AS-3548A/APR-39A(V)
8 NOT INSTALLED20
RAD WARN ANT/DETECT [AFT][RH] AS-3549A/APR-39A(V)
8 NOT INSTALLED21
CMWS EOMS SENSOR [AFT][LH] SU-202/AAR-57(V)
8 NOT INSTALLED22
CMWS EOMS SENSOR [AFT][RH] SU-202/AAR-57(V)
8 NOT INSTALLED23
REVERSE OF DA FORM 2408-17 E, NOV 91
C-10131/ALQ-156COUNTERMEASURES
CONTROL UNIT8 NOT INSTALLED48
102/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
UNIT UNIQUE INVENTORY ITEMSCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
C-11308/APR-39A (V) RADARCONTROL UNIT
8 NOT INSTALLED40
IP-1150A/APR-39 (V) RADARINDICATOR (DIGITAL)
8 NOT INSTALLED41
C-10131/ALQ-156 COUNTERMEASURES CONTROL UNIT
8 NOT INSTALLED43
TSEC/KY-100 REMOTECONTROL UNIT ON616650
8 NOT INSTALLED45
C-11308/APR-39A(V) RADARCONTROL UNIT
8 NOT INSTALLED46
IP-1150A/APR-39(V) RADARINDICATOR (DIGITAL)
8 NOT INSTALLED47
REVERSE OF DA FORM 2408-17 E, NOV 91
103/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
UNIT UNIQUE INVENTORY ITEMSCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014C-10131/ALQ-156
COUNTERMEASURESCONTROL UNIT
8 NOT INSTALLED48
M-130 DISPENSER CONTROLPANEL (IF INSTALLED)
8 NOT INSTALLED49
TSEC/KY-58 VOICE SECURITYPROCESSOR
8 50
TSEC/KY-100 PROCESSORON616604
8 NOT INSTALLED51
CP-1597A/APR-39A(V) DIGITALPROCESSOR (IF INSTALLED
8 NOT INSTALLED52
RT-1220B/ALQ-156RECEIVER/TRANSMITTER (IF
INSTALLED8 NOT INSTALLED53
R-2218/APR-39A(V) RADARRECEIVER (NOSE) (IF
INSTALLED)8 NOT INSTALLED54
REVERSE OF DA FORM 2408-17 E, NOV 91
M-130 PAYLOAD MODULE (IFINSTALLED) 9311451
8 NOT INSTALLED61
104/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
UNIT UNIQUE INVENTORY ITEMSCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
AS-3549A/APR-39 L/H SPIRALANTENNA (IF INSTALLED)
8 NOT INSTALLED55
AS-3548A/ARP-39 R/H SPIRALANTENNA (IF INSTALLED)
8 NOT INSTALLED56
AS-3149/ALQ-156COUNTERMEASURES ANTENNA
8 NOT INSTALLED57
AS-2890/APR-39 BLADEANTENNA
8 NOT INSTALLED58
M-130 ELECTRONIC MODULE (IFINSTALLED) 9311431
8 NOT INSTALLED59
M-130 DISPENSER ASSEMBLY(IF INSTALLED) 9311434
8 NOT INSTALLED60
REVERSE OF DA FORM 2408-17 E, NOV 91
105/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
UNIT UNIQUE INVENTORY ITEMSCH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014M-130 PAYLOAD MODULE (IFINSTALLED) 9311451
8 NOT INSTALLED61
AN/ALE-47 DISPENSERASSEMBLY (IF INSTALLED)
186220-0018 NOT INSTALLED62
R-2218/APR-39A(V) RADARRECEIVER AFT PYLON (IF
INSTALLED)8 NOT INSTALLED63
AS-3549A/APR-39 L/H SPIRALANTENNA (IF INSTALLED)
8 NOT INSTALLED64
AS3548A/APR-39 R/H SPIRALANTENNA (IF INSTALLED)
8 NOT INSTALLED65
LADDER @ STA 471 UNITEQUIPMENT, AASF, HELENA,
MT8 NOT INSTALLED66
COCKPIT COVER (BRUCEAIRCRAFT COVERS) W/BAG
8 NOT INSTALLED67
REVERSE OF DA FORM 2408-17 E, NOV 91
106/106Report Date: 13-Oct-2015AREA NAMEMODELSERIAL NUMBER
SECTION ACH-47D9100268 CH-47D
NAME OR PIDNUMBER DATE
db c
DATE NUMBER RANKRANK NAME OR PID
CHECK CHECK
ba ad
5. VERIFICATION
c
JS1911421 02-Jun-2014
SG5071871 MSG 04-May-2012
JS1911422 02-Jun-2014
NO9826542 SSG 04-May-2012
JS1911423 02-Jun-2014
NO9826543 SSG 14-Feb-2013
JS1911424 02-Jun-2014
NO9826544 SSG 20-Feb-2013
RS8268264 26-Jun-2013
JS1911425 02-Jun-2014
RS8268265 13-Jun-2013
JS1911426 10-Jun-2014
RL7656106 02-Jul-2013
JS1911427 02-Jun-2014
JS1911428 10-Jun-2014
b. LOCATION/REMARKSCHECK NO.
6. LOCATION OR REMARKS
a. ITEM NUMBER
Nomenclature
APU EXHAUST COVER8 NOT INSTALLED14
APU INLET COVER8 NOT INSTALLED15
BLADE LOCKING PIN8 DID NOT COME WITH ACFT20
TRANSPORT ATTACHMENTFITTING [W/ BOLT]
8 DID NOT COME WITH ACFT21
REVERSE OF DA FORM 2408-17 E, NOV 91
SECTION A - COCKPIT AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 1/3513-Oct-2015
1FIRE EXTINGUISHER, CF3BR,10501725
U UUUUUUUU UU 11111111
1
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1FIRE EXTINGUISHER, CF3BR, 10501725
U UUUUUUUU UU1
1
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
3C6533/ARC ICS PANEL
U UUUUUUUU UU3
2
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
3C-6533()/ARC ICS PANELS
U UUUUUUUU UU 33333333
2
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1476()/ARC-201 RECEIVER/TRANSMITTER
U UUUUUUUU UU 11111111
3
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1476( )/ARC-201 Receiver/Transmitter
U UUUUUUUU UU1
3
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Z-AHP VOICE SECURITY CONTROL
U UUUUUUUU UU 11111111
4
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1518C/ARC-164 RECEIVER/TRANSMITTER
U UUUUUUUU UU 11111111
5
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1518C/ARC-164 Receiver/Transmitter
U UUUUUUUU UU1
5
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1354B/ARC-186 Receiver/Transmitter
U UUUUUUUU UU1
6
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1354B/ARC-186 RECEIVER/TRANSMITTER
U UUUUUUUU UU 11111111
6
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-12436/URC, HF CONTROL DISPLAY UNIT
U UUUUUUUU UU 11111111
7
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-12436/URC, HF Control Display Unit
U UUUUUUUU UU1
7
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1ON616650 TSEC/KY-100 REMOTE CONTROL UNIT
U UUUUUUUU UU 00000111
8
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-7392A/ARN-89 ADF CONTROL
U UUUUUUUU UU 11113222
9
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION A - COCKPIT AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 2/3513-Oct-2015
1C-7392A/ARN-89 ADF CONTROL
U UUUUUUUU UU1
9
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-10048C/ARN-123(V) VOR Control
U UUUUUUUU UU1
10
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-10048C/ARN-123(V) VOR CONTROL
U UUUUUUUU UU 111133323232
10
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CP-1252C/ASN-128B COMPUTER DISPLAY UNIT
U UUUUUUUU UU 00111111
11
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CP-1252C/ASN-128B Computer Display Unit
U UUUUUUUU UU1
11
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-12664/APX-118 Remote Control Unit
U UUUUUUUU UU1
12
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-12664/APX-118 REMOTE CONTORL UNIT (IF INSTALLED)
U UUUUUUUU UU 11111111
12
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AN/APX-100 RECEIVER/TRANSMITTER (IF INSTALLED)
U UUUUUUUU UU 00001111
13
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AN/APX-100 Receiver/Transmitter
U UUUUUUUU UU0
13
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1115( )/APN-209(V) Receiver/Transmitter
U UUUUUUUU UU1
14
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1115()/APN-209(V) RECEVIER TRANSMITTER
U UUUUUUUU UU 11111111
14
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1ID-1917()/APN-209(V) REMOTE INDICATOR
U UUUUUUUU UU 11110000
15
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1ID-1917( )/APN-209(V) Remote Indicator
U UUUUUUUU UU1
15
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-11308/APR-39A(V) RADAR CONTROL UNIT
U UUUUUUUU UU 00003333
16
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1IP-1150A/APR-39(V) RADAR INDICATOR (DIGITAL)
U UUUUUUUU UU 00001111
17
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION A - COCKPIT AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 3/3513-Oct-2015
1C-10131/ALQ-156 COUNTERMEASURES CONTROL UNIT
U UUUUUUUU UU 00000000
18
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
19272533 M130 DISPENSER CONTROL PANEL(IF INSTALLED)
U UUUUUUUU UU 00000000
19
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-12645/ALE-47(V) DIGITAL CONTROL DISPLAY UNIT (IF I
U UUUUUUUU UU 00000000
20
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-12645/ALE-47(V) Digital Control Display UNIT
U UUUUUUUU UU0
20
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-12293/AVS-7 Converter Control Unit
U UUUUUUUU UU1
21
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-12293/AVS-7 CONVERTER CONTROL UNIT
U UUUUUUUU UU 11110000
21
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1SIDE ARMOR PANEL, 1560-CH47-267-103
U UUUUUUUU UU 00000011
22
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Side Armor Panel 1560-CH47-267-103
U UUUUUUUU UU1
22
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Side Armor Panel 1560-CH47-267-104
U UUUUUUUU UU1
23
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1SIDE ARMOR PANEL, 1560-CH47-267-104
U UUUUUUUU UU 00001111
23
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1SHOULDER ARMOR PANEL, 1560-CH47-277-103
U UUUUUUUU UU 00002222
24
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Shoulder Armor Panel 1560-CH47-277-103
U UUUUUUUU UU1
24
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Shoulder Armor Panel 1560-CH47-277-104
U UUUUUUUU UU1
25
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1SHOULDER ARMOR PANEL, 1560-CH47-277-104
U UUUUUUUU UU 00002222
25
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2BOTTOM ARMOR PANEL, 1560-CH47-301-1
U UUUUUUUU UU 00002222
26
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION A - COCKPIT AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 4/3513-Oct-2015
2Bottom Armor Panel 1560-CH-47-301-1
U UUUUUUUU UU2
26
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2Bottom Armor Panel 1560-CH47-302-1
U UUUUUUUU UU2
27
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2BOTTOM ARMOR PANEL, 1560-CH47-302-1
U UUUUUUUU UU 00001111
27
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2BACK ARMOR PANEL, 1560-CH47-303-1
U UUUUUUUU UU 00002222
28
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2Back Armor Panel 1560-CH47-303-1
U UUUUUUUU UU2
28
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2SU-180/AVS-7 Display Unit
U UUUUUUUU UU2
29
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2SU-180/AVS-7 DISPLAY UNIT
U UUUUUUUU UU 02101111
29
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1FIRST AID KIT, AERONAUTIC
U UUUUUUUU UU 11111111
30
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1First Aid Kit, Aeronautic
U UUUUUUUU UU1
30
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Troop Commanders Seat, 114ES011-3
U UUUUUUUU UU1
31
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1TROOP COMMANDER SEAT, 114ES011-3
U UUUUUUUU UU 11111111
31
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1TROOP COMMANDER SEAT CUSHION, 114E4088-10
U UUUUUUUU UU 11112222
32
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Troop Commanders Seat Cushion 114E4088-10
U UUUUUUUU UU1
32
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Troop Commanders Seat Belt 9841781-3
U UUUUUUUU UU1
33
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1TROOP COMMANDER SEAT BELT, 9841781-3
U UUUUUUUU UU 11111111
33
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION A - COCKPIT AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 5/3513-Oct-2015
1AM-7189A/ARC IFM AMPLIFIER
U UUUUUUUU UU 11111111
34
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AM-7189A/ARC IFM Amplifier
U UUUUUUUU UU1
34
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1TSEC/KY-58 VOICE SECURITY PROCESSOR
U UUUUUUUU UU 00001000
35
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1749/URC RECEIVER/TRANSMITTER
U UUUUUUUU UU 11000000
36
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1749/URC Receiver/Transmitter
U UUUUUUUU UU1
36
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AM-7531/URC Power Amplifier Coupler
U UUUUUUUU UU1
37
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AM-7531/URC POWER AMPLIFIER COUPLER
U UUUUUUUU UU 11112222
37
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1ON616604 TSEC/KY-100 PROCESSOR
U UUUUUUUU UU 00000000
38
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1R-1496A/ARN-89 ADF RECEIVER
U UUUUUUUU UU 11116666
39
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1496A/ARN-89 ADF Receiver
U UUUUUUUU UU1
39
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AN/ARN-123 VOR/ILS Receiver
U UUUUUUUU UU1
40
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AN/ARN-123 VOR/ILS RECEIVER
U UUUUUUUU UU 11118888
40
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CV-3338A/ASN-128B SIGNAL DATA CONVERTER
U UUUUUUUU UU 000032323232
41
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CV-3338A/ASN-128D Signal Data Converter
U UUUUUUUU UU1
41
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1836/APX-118(V) Receiver/Transmitter
U UUUUUUUU UU1
42
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION A - COCKPIT AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 6/3513-Oct-2015
1RT-1836/APX-118(V) RECEIVER/TRANSMITTER (IF INSTALL)
U UUUUUUUU UU 11110000
42
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1KIT-1C IFF COMPUTER (IF INSTALLED)
U UUUUUUUU UU 00000000
43
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1KIT-1C IFF Computer
U UUUUUUUU UU0
43
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CP-1597A/APR-39A(V) DIGITAL PROCESSOR (IF INSTALLED)
U UUUUUUUU UU 00000000
44
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1220B/ALQ-156 RECEIVER/TRANSMITTER (IF INSTALLED)
U UUUUUUUU UU 00001111
45
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-12510/AAR-57(V) ELECTRONIC CONTROL UNIT(IF INSTALL
U UUUUUUUU UU 00001111
46
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-12510/AAR-57(V) Electronic Control Unit
U UUUUUUUU UU1
46
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CV-4229(V)7/AVS-7 Signal Data Converter
U UUUUUUUU UU1
47
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CV-4229(V)7/AVS-7 SIGNAL DATA CONVERTER
U UUUUUUUU UU 11111111
47
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1TACKLE BLOCK, 114E0658-23
U UUUUUUUU UU 11221222
48
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Tackle Block, 114E0658-23
U UUUUUUUU UU2
48
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2Hook and Cable Assembly, 114E6042-15
U UUUUUUUU UU1
49
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2HOOK AND CABLE ASSEMBLY, 114E6042-15
U UUUUUUUU UU 11112111
49
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RESCUE BLOCK, 114E6050-39
U UUUUUUUU UU 11111111
50
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Rescue Block, 114E6050-39
U UUUUUUUU UU1
50
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION A - COCKPIT AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 7/3513-Oct-2015
1Hoist Operators Harness
U UUUUUUUU UU1
51
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1HOIST OPERATORS HARNESS
U UUUUUUUU UU 11111111
51
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1GUARD ASSEMBLY
U UUUUUUUU UU 11111111
52
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Guard Assembly
U UUUUUUUU UU1
52
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-2218/APR-39A(V) RADAR RECEIVER (IF INSTALLED)
U UUUUUUUU UU 00000011
53
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS-3549A/APR-39 L/H SPIRAL ANTENNA (IF ISNTALLED)
U UUUUUUUU UU 00000011
54
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS-3548A/APR-39 R/H SPIRAL ANTENNA (IF INSTALLED)
U UUUUUUUU UU 00000011
55
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2SU-202/AAR-57(V) ELECT OPTIC MSL SENSOR (IF INSTALLE
U UUUUUUUU UU 00000000
56
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COMPUTER LOGBOOK
U UUUUUUUU UU 11111111
57
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CP-1252C/ASN-128D COMPUTER DISPLAY UNIT
U UUUUUUUU UU 11000000
58
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CV-3338A/ASN-128D SIGNAL DATA CONVERTER
U UUUUUUUU UU 11111111
59
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT 1193A/ASN-128
U UUUUUUUU UU 11111111
60
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1SINCGARS RADIO RT-1476/ARC-201
U UUUUUUUU UU 0000
61
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1EMERGENCY LOCATOR TRANSMITTER (ELT)
U UUUUUUUU UU 1000
62
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1ALQ-156 RCVR-TRANSMITTER RT-1220
U UUUUUUUU UU 0000
63
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION A - COCKPIT AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 8/3513-Oct-2015
1KY-58 REMOTE CONTROL UNIT
U UUUUUUUU UU 0000
64
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CONVERTER CONTROL UNIT C-12293/AVS-7
U UUUUUUUU UU 0000
65
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COMPUTER KIT 1C/TSEC
U UUUUUUUU UU 0000
66
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1SIGNAL DATA CONVERTER AVS-7/CV-4229
U UUUUUUUU UU 0000
67
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AIR DATA TRANSDUCER (HUD)
U UUUUUUUU UU 0000
68
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1INCLINOMETER (HUD)
U UUUUUUUU UU 0000
69
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1ALQ-156 CONTROL C-10131
U UUUUUUUU UU 0000
70
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1APR-39A(V) CONTROL C-11308
U UUUUUUUU UU 0000
71
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1APR-39A(V) RECEIVER R-2218
U UUUUUUUU UU 0000
72
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1APR-39A(V) RADAR WARNING INDICATOR IP-1150A
U UUUUUUUU UU 0111
73
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1APR-39A (V) PROCESSOR CP-1597
U UUUUUUUU UU 0111
74
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1APR-39A (V) ANTENNA AS-3549
U UUUUUUUU UU 0111
75
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1APR-39A(V) ANTENNA AS-3548
U UUUUUUUU UU 0111
76
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1INDICATOR CONTROL (CMDS) AN/ALE-47
U UUUUUUUU UU 0001
77
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AN/ARC-220 RT-1749/URC
U UUUUUUUU UU 1000
78
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION A - COCKPIT AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 9/3513-Oct-2015
1CP-1597A/APR-39A (V) DIGITAL PROCESSOR (IF INSTALLED)
U UUUUUUUU UU 0001
79
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1220B/ ALQ-156 RECEIVER/TRANSMITTER (IF INSTALLED)
U UUUUUUUU UU 0001
80
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1R-2218/ APR-39A (V) RADAR RECEIVER (IF INSTALLED)
U UUUUUUUU UU 0001
81
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS-3549A/ APR-39 L/H SPIRAL ANTENNA (IF INSTALLED)
U UUUUUUUU UU 0001
82
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS-3548A/ APR-39 R/H SPIRAL ANTENNA (IF INSTALLED)
U UUUUUUUU UU 0001
83
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2SU-202/ AAR-57 (V) ELECT OPTIC MSL SENSOR (IF INSTALLED)
U UUUUUUUU UU 0000
84
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1NCS MAGNUS TABLET COMPUTER LOGBOOK
U UUUUUUUU UU 0001
85
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Z-AHP VOICE SECURITY CONTROL (KY-58)
U UUUUUUUU UU 0001
86
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1518C/ARC-164 RECEIVER TRANSMITTER
U UUUUUUUU UU 01
87
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1354B/ARC-186 RECEIVER TRANSMITTER
U UUUUUUUU UU 01
88
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-12436/URC,HF CONTROL DISPLAY UNIT
U UUUUUUUU UU 01
89
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2ANTENNA AS-2595/APN-194
U UUUUUUUU UU 02
90
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1ANTENNA AS-1922/ARC
U UUUUUUUU UU 01
91
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1ANTENNA AS-2890/APR-39
U UUUUUUUU UU 01
92
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1DOPPLER NAVIGATION SYSTEM CV-3338/ASN-128
U UUUUUUUU UU 01
93
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION A - COCKPIT AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 10/3513-Oct-2015
1CP-1252C/ASN-128D COMPUTER DISPLAY UNIT
U UUUUUUUU UU 01
94
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT 1193A/ASN-128D
U UUUUUUUU UU 01
95
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT 1193A/ASN-128D
U UUUUUUUU UU1
95
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-7392A/ARN-89 ADF CONTROL
U UUUUUUUU UU 01
96
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CV-3338A/ASN-128D SIGNAL DATA CONVERTER
U UUUUUUUU UU 01
97
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION B - CABIN AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 11/3513-Oct-2015
1FIRE EXTINGUISHER, CF3BR, 10501725
U UUUUUUUU UU 11111111
1
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1FIRE EXTINGUISHER, CF3BR,10501725
U UUUUUUUU UU1
1
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Door and Exit Locks (Set)
U UUUUUUUU UU1
2
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1DOOR AND EXIT LOCKS (SET)
U UUUUUUUU UU 11011111
2
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2EMERGENCY EXIT LIGHTS
U UUUUUUUU UU 22222222
3
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2Emergency Exit Lights
U UUUUUUUU UU3
3
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Anchor Line Assembly, 114E5139-6
U UUUUUUUU UU1
4
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1ANCHOR LINE ASSY, 114E5139-6
U UUUUUUUU UU 11111111
4
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2FOOT SWITCHES WITH CABLE, GUNNER
U UUUUUUUU UU 22222222
5
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2Foot Switches with Cable, Gunners
U UUUUUUUU UU2
5
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2C6533( )/ARC ICS Panels
U UUUUUUUU UU2
6
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2C-6533()/ARC ICS PANELS
U UUUUUUUU UU 22222222
6
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
6FIRST AID KIT, AERONAUTIC
U UUUUUUUU UU 66666666
7
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
6First Aid Kit, Aeronautic
U UUUUUUUU UU6
7
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
10Troop Seat, 3 Man
U UUUUUUUU UU10
8
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION B - CABIN AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 12/3513-Oct-2015
10TROOP SEAT (3 MAN)
U UUUUUUUU UU 1010101010101010
8
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
3TROOP SEAT (1 MAN)
U UUUUUUUU UU 33333222
9
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
3Troop Seat, 1 Man
U UUUUUUUU UU3
9
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
33Belt, Troop Safety
U UUUUUUUU UU33
10
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
33BELT TROOP SAFETY
U UUUUUUUU UU 3333333333323232
10
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AXE, EMERGENCY ESCAPE
U UUUUUUUU UU 11111111
11
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Axe, Emergency Escape
U UUUUUUUU UU1
11
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Winch Control Grip and Cable
U UUUUUUUU UU1
12
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1WINCH CONTROL GRIP AND CORD ASSEMBLY
U UUUUUUUU UU 11111111
12
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CRANK ASSY. EMERGENCY RAMP & RESCUE
U UUUUUUUU UU 11111111
13
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Crank Assembly, Emergency, Ramp and Rescue Hatch
U UUUUUUUU UU1
13
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Probe Pole, Cargo Loading
U UUUUUUUU UU1
14
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1PROBE POLE, CARGO LOADING
U UUUUUUUU UU 11111111
14
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CD-45(V)/ALE-47(V) PROGRAMMER (IF INSTALLED)
U UUUUUUUU UU 11111000
15
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CD-45(V)/ALE-47(V) Programmer
U UUUUUUUU UU0
15
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION B - CABIN AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 13/3513-Oct-2015
3114ES290-1 Remote Firing Switch, 14 FT
U UUUUUUUU UU3
16
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
3114ES290-1REMOTE FIRING SWITCH, 14 FT (IF INSTALLED)
U UUUUUUUU UU 33433333
16
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1PIF01249-1REMOTE FIRING SWITCH, 22 FT (IF INSTALLED)
U UUUUUUUU UU 00011111
17
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1PIF01249-1 Remote Firing Switch. 22 FT
U UUUUUUUU UU1
17
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2SA-2669/ALE-47(V) SEQUENCERS (IF INSTALLED)
U UUUUUUUU UU 00000000
18
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
4D-61/ALQ-212(V) AN/AAR-57(V) DISPENSER ASSY (IF INST
U UUUUUUUU UU 00000000
19
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
4196405-001 AN/AAR-57(V) PAYLOAD MODULE(IF INSTALLED)
U UUUUUUUU UU 00000000
20
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2AS-3149/ALQ-156 COUNTERMEASURES ANTENNA
U UUUUUUUU UU 00000000
21
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS-2890/APR-39 BLADE ANTENNA
U UUUUUUUU UU 00000011
22
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER, OIL COOLER INLET, 145G0001-1
U UUUUUUUU UU 11111111
23
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Cover, Oil Cooler Inlet, 145G0001-1
U UUUUUUUU UU1
23
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2Cover, Engine Air Outlet, 145G1323-2
U UUUUUUUU UU2
24
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2COVER ENGINE AIR OUTLET, 114G1323-2
U UUUUUUUU UU 22222222
24
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2COVER ENGINE INLET WITH SCREEN, 219G1001-1
U UUUUUUUU UU 22222222
25
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2Cover, Engine Inlet With Screens 219G1001-1
U UUUUUUUU UU2
25
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION B - CABIN AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 14/3513-Oct-2015
2Cover, Engine Inlet Without Screens
U UUUUUUUU UU2
26
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2COVER ENGINE INLET WITH WITHOUT SCREENS
U UUUUUUUU UU 22222222
26
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER, OIL COOLER EXHAUST, 145G0002-5
U UUUUUUUU UU 11111111
27
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Cover, Oil Cooler Exhaust, 145G0002-5
U UUUUUUUU UU1
27
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2Cover, Pitot Tube, 114E5040-33
U UUUUUUUU UU2
28
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2COVER PITOT TUBE, 114E5040-33
U UUUUUUUU UU 22222222
28
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER, OIL COOLER EXHAUST, 145G0002-6
U UUUUUUUU UU 11111111
29
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Cover, Oil Cooler Exhaust, 145G0002-6
U UUUUUUUU UU1
29
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Cover, Cockpit Enclosure 145G0006-1
U UUUUUUUU UU1
30
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER, COCKPIT ENCLOSURE, 145G0006-1
U UUUUUUUU UU 11111111
30
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER HYDRAULIC COOL EXHAUST, 145G0004-1
U UUUUUUUU UU 11111111
31
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Cover, Hydraulic Cooler, Exhaust 145G0004-1
U UUUUUUUU UU1
31
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2Cover, Rotor Hub, Forward and Aft 114G1023-25
U UUUUUUUU UU2
32
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2COVER ROTOR HUB FWD & AFT, 114G1023-25
U UUUUUUUU UU 22222222
32
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER HEATER, 114G1024-1
U UUUUUUUU UU 11111111
33
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION B - CABIN AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 15/3513-Oct-2015
1Cover, Heater Inlet 114G1024-1
U UUUUUUUU UU1
33
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Cover, Heater Exhaust 114G1025-1
U UUUUUUUU UU1
34
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER HEATER EXHAUST, 114G1025-1
U UUUUUUUU UU 11111111
34
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER APU EXHAUST, 145G0005-1
U UUUUUUUU UU 00000000
35
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Cover, APU Exhaust 145G0005-1
U UUUUUUUU UU1
35
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Cover, APU Inlet 145G0003-1
U UUUUUUUU UU1
36
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER, APU INLET, 14560003-1
U UUUUUUUU UU 00000000
36
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2RAMP EXTENSION, 1560CH-47-4000-1
U UUUUUUUU UU 22222222
37
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2Ramp Extension 1560CH-47-4000-1
U UUUUUUUU UU2
37
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Ramp Extension 1560CH-47-398-1
U UUUUUUUU UU1
38
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RAMP EXTENSION, 1560CH-47-398-1
U UUUUUUUU UU 00000000
38
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
6BLADE ANCHOR
U UUUUUUUU UU 66666666
39
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
6Blade Anchor
U UUUUUUUU UU6
39
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
8Tiedown Chains MB1
U UUUUUUUU UU8
40
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
8TIEDOWN CHAINS TYPE MB-1
U UUUUUUUU UU 88888888
40
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION B - CABIN AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 16/3513-Oct-2015
32TIEDOWN STRAPS TYPE CGU1/B
U UUUUUUUU UU 3232323232323232
41
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
32Tiedown Straps CGU1/B
U UUUUUUUU UU32
41
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
4Spacer Set, Rigging (Actuator Blocks) 114E5900-17
U UUUUUUUU UU4
42
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
4SPACER SET RIGGING (ACTUATOR BLOCK), 114E5900-17
U UUUUUUUU UU 00000000
42
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
6PIN, GROUND SAFETY BLADE BLOCKING, 114E5897-13
U UUUUUUUU UU 00000000
43
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
6Pin, Ground Safety, Blade Locking 114E5897-13
U UUUUUUUU UU6
43
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2Attachment Fittings, Transport With Bolt (114G1049-14)
U UUUUUUUU UU2
44
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2ATTACHMENT FITTINGS, TRANSPORT WITH BOLT 114G1049-14
U UUUUUUUU UU 00000000
44
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1INTERCOM CORD, 50 FT
U UUUUUUUU UU 11111111
45
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Intercom Cord, 50 FT
U UUUUUUUU UU1
45
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Winch/Hoist Operator Intercom Cord
U UUUUUUUU UU1
46
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1WINCH/HOIST OPERATOR INTERCOM CORD
U UUUUUUUU UU 11111111
46
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CV-4229(V)7/AVS-7 SIGNAL DATA CONVERTER
U UUUUUUUU UU 11111
47
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1TACKLE BLOCK, 114E0658-23
U UUUUUUUU UU 11111
48
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2HOOK AND CABLE ASSEMBLY, 114E6042-15
U UUUUUUUU UU 00000
49
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION B - CABIN AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 17/3513-Oct-2015
1RESCUE BLOCK, 114E6050-39
U UUUUUUUU UU 00000
50
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1HOIST OPERATORS HARNESS
U UUUUUUUU UU 00000
51
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1GUARD ASSEMBLY
U UUUUUUUU UU 11111
52
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1R-2218/APR-39A(V) RADAR RECEIVER (IF INSTALLED)
U UUUUUUUU UU 00000
53
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS-3549A/APR-39 L/H SPIRAL ANTENNA (IF ISNTALLED)
U UUUUUUUU UU 00000
54
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS-3548A/APR-39 R/H SPIRAL ANTENNA (IF INSTALLED)
U UUUUUUUU UU 00000
55
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2SU-202/AAR-57(V) ELECT OPTIC MSL SENSOR (IF INSTAL
U UUUUUUUU UU 00000
56
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1TRANCIEVER(BFT)
U UUUUUUUU UU 10000
57
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1LNA (BFT GENERATION 3)
U UUUUUUUU UU 10000
58
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1ROUTER(GPS GENERATION 3)
U UUUUUUUU UU 10000
59
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1DAGER(BFT GENERATION 3)
U UUUUUUUU UU 10000
60
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2ATTACHMENT FITTINGS, TRANSPORT WITH BOLT
U UUUUUUUU UU 00000
61
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1INTERCOM CORD, 50 FT
U UUUUUUUU UU 11111
62
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1WINCH/ HOIST OPERATOR INTERCOM CORD
U UUUUUUUU UU 10000
63
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
0COVER ENGINE INLET RING TYPE 114G1206-1
U UUUUUUUU UU 00000
64
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION B - CABIN AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 18/3513-Oct-2015
2COVER ENGINE INLET WITHOUT SCREENS
U UUUUUUUU UU 20000
65
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1SLAB BATTERY PN D856511-1
U UUUUUUUU UU 11111
66
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2GUNNER CABLE ASSY.
U UUUUUUUU UU 02
67
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1DROOP STOP SHROUD ASSEMBLY STORAGE BAG 145E5001-10
U UUUUUUUU UU 11
68
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1GPS ANTENNA 22433-40 GPS-128B
U UUUUUUUU UU 11
69
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1SINCGARS ANTENNAS AS 3939/ARC (TOP)
U UUUUUUUU UU 11
70
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
0BLANK
U UUUUUUUU UU 00
71
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RH SEAT SYSTEM CRASHWORTHY CREW MEMBER SEAT
U UUUUUUUU UU1
71
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1LH SEAT SYSTEM CRASHWORTHY CREW MEMBER SEAT
U UUUUUUUU UU1
72
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CMWS SEQUENCER R/H (#2) SN _________________
U UUUUUUUU UU 01
72
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1IVHMS IVHMU P/N 30279-0202 (OR 30279-0402)
U UUUUUUUU UU 11
73
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2TRANSMITTER, INFRARED T-1678/ALQ-212(V) (ATIRCM)
U UUUUUUUU UU 02
74
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2LASER, DIRECTIONAL ASSY, SU-241/ALQ-212(V) (ATIRCM)
U UUUUUUUU UU 02
75
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2CONTROL TRANSMITTER, COUNTERMEASURE C-12794/ALQ-212(V)ATIRCM
U UUUUUUUU UU 02
76
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2OPTICAL ASSY, LASER (ATIRCM)
U UUUUUUUU UU 02
77
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION B - CABIN AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 19/3513-Oct-2015
1GPS ANTENNA
U UUUUUUUU UU 01
78
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1GPS ANTENNA
U UUUUUUUU UU1
78
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER, AIR INLET
U UUUUUUUU UU 01
79
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
0SU-202/ AAR-57 (V) ELECT OPTIC MSL SENSOR (IF INSTALLED) 5TH EOMS
U UUUUUUUU UU 00
84
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION C - RAMP AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 20/3513-Oct-2015
1FIRE EXTINGUISHER, CF3BR, 10501725
U UUUUUUUU UU 11111111
1
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1FIRE EXTINGUISHER, CF3BR, 10501725
U UUUUUUUU UU1
1
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
19311431 M-130 ELECTRONIC MODULE (IF INSTALLED)
U UUUUUUUU UU 00000000
2
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
19311434 M-130 DISPENSER ASSEMBLY (IF INSTALLED)
U UUUUUUUU UU 00000000
3
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
19311451 M-130 PAYLOAD MODULE (IF INSTALLED)
U UUUUUUUU UU 00000000
4
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
4186220-001 AN/ALE-47 DISPENSER ASSY (IF INSTALLED)
U UUUUUUUU UU 00000000
5
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2185470-0001/0002 AN/ALE-47 PAYLOAD MOD (IF INSTALLED
U UUUUUUUU UU 00000000
6
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2SA-2669/ALE-47(V) SEQUENCERS (IF INSTALLED)
U UUUUUUUU UU 00000000
7
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1SA-2671/ALE-47(V) SAFETY SWITCH (IF INSTALLED)
U UUUUUUUU UU 11111111
8
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1135947-0001 AN/ALE-47(V) SAFETY FLAG (IF INSTALLED)
U UUUUUUUU UU 11111111
9
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
4D-61/ALQ-212(V) AN/AAR-57(V) DISPENSER ASSY (IF INST
U UUUUUUUU UU 00000000
10
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
4196405-001 AN/AAR-57(V) PAYLOAD MOD (IF INSTALLED)
U UUUUUUUU UU 00000000
11
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-6533()/ARC ICS PANELS
U UUUUUUUU UU 11111111
12
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-6533( )/ARC ICS Panels
U UUUUUUUU UU1
12
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CRANK ASSY. EMERGENCY RAMP & RESCUE
U UUUUUUUU UU 1100
13
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION C - RAMP AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 21/3513-Oct-2015
1PROBE POLE, CARGO LOADING
U UUUUUUUU UU 1100
14
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CD-45(V)/ALE-47(V) PROGRAMMER (IF INSTALLED)
U UUUUUUUU UU 1100
15
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
3114ES290-1REMOTE FIRING SWITCH, 14 FT (IF INSTALLE
U UUUUUUUU UU 3300
16
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1PIF01249-1REMOTE FIRING SWITCH, 22 FT (IF INSTALLE
U UUUUUUUU UU 0000
17
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2SA-2669/ALE-47(V) SEQUENCERS (IF INSTALLED)
U UUUUUUUU UU 0000
18
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
4D-61/ALQ-212(V) AN/AAR-57(V) DISPENSER ASSY (IF IN
U UUUUUUUU UU 0000
19
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
4196405-001 AN/AAR-57(V) PAYLOAD MODULE(IF INSTALLE
U UUUUUUUU UU 0000
20
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2AS-3149/ALQ-156 COUNTERMEASURES ANTENNA
U UUUUUUUU UU 0000
21
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS-2890/APR-39 BLADE ANTENNA
U UUUUUUUU UU 0000
22
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER, OIL COOLER INLET, 145G0001-1
U UUUUUUUU UU 0000
23
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2COVER ENGINE AIR OUTLET, 114G1323-2
U UUUUUUUU UU 0000
24
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2COVER ENGINE INLET WITH SCREEN, 219G1001-1
U UUUUUUUU UU 0000
25
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2COVER ENGINE INLET WITH WITHOUT SCREENS
U UUUUUUUU UU 0000
26
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER, OIL COOLER EXHAUST, 145G0002-5
U UUUUUUUU UU 0000
27
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2COVER PITOT TUBE, 114E5040-33
U UUUUUUUU UU 0000
28
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION C - RAMP AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 22/3513-Oct-2015
1COVER, OIL COOLER EXHAUST, 145G0002-6
U UUUUUUUU UU 0000
29
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER, COCKPIT ENCLOSURE, 145G0006-1
U UUUUUUUU UU 0000
30
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER HYDRAULIC COOL EXHAUST, 145G0004-1
U UUUUUUUU UU 0000
31
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2COVER ROTOR HUB FWD & AFT, 114G1023-25
U UUUUUUUU UU 0000
32
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER HEATER, 114G1024-1
U UUUUUUUU UU 0000
33
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER HEATER EXHAUST, 114G1025-1
U UUUUUUUU UU 0000
34
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER APU EXHAUST, 145G0005-1
U UUUUUUUU UU 0000
35
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER, AW INLET, 14560003-1
U UUUUUUUU UU 0000
36
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2RAMP EXTENSION, 1560CH-47-4000-1
U UUUUUUUU UU 0222
37
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RAMP EXTENSION, 1560CH-47-398-1
U UUUUUUUU UU 0000
38
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
6BLADE ANCHOR
U UUUUUUUU UU 0000
39
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
8TIEDOWN CHAINS TYPE MB-1
U UUUUUUUU UU 0000
40
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
32TIEDOWN STRAPS TYPE CGU1/B
U UUUUUUUU UU 0000
41
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
4SPACER SET RIGGING (ACTUATOR BLOCK), 114E5900-17
U UUUUUUUU UU 0000
42
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
6PIN, GROUND SAFETY BLADE BLOCKING, 114E5897-13
U UUUUUUUU UU 0000
43
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION C - RAMP AREACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 23/3513-Oct-2015
2ATTACHMENT FITTINGS, TRANSPORT WITH BOLT 114G1049-
U UUUUUUUU UU 0000
44
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1INTERCOM CORD, 50 FT
U UUUUUUUU UU 0111
45
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1WINCH/HOIST OPERATOR INTERCOM CORD
U UUUUUUUU UU 0000
46
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AIR DAT TRANSDUCER
U UUUUUUUU UU 0000
47
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1INCLINOMETER (HUD)
U UUUUUUUU UU 0000
48
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2CONVERTER CONTROL
U UUUUUUUU UU 0000
49
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1INTERCOM CORD, 50 FT (FE)
U UUUUUUUU UU 0111
50
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2FIRE EXTINGUISH SYSTEM BOTTLES 114PS203-3
U UUUUUUUU UU 22
51
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
3RAMP EXTENSION 1560CH-47-4000-1
U UUUUUUUU UU 03
52
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION D - ENGINE AND AFT PYLONCH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 24/3513-Oct-2015
1R-2218/APR-39A(V) RADAR RECEIVER (IF INSTALLED)
U UUUUUUUU UU 00000011
1
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS-3549A/APR-39 L/H SPIRAL ANTENNA (IF INSTALLED)
U UUUUUUUU UU 00010011
2
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS-3548A/APR-39 R/H SPIRAL ANTENNA (IF INSTALLED)
U UUUUUUUU UU 00010011
3
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2SU-202/AAR-57(V) ELECT OPTIC MSL SENSOR (IF INSTALLE
U UUUUUUUU UU 00000000
4
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
4186220-001 AN/ALE-47 DISPENSER ASSY (IF INSTALLED)
U UUUUUUUU UU 000
5
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2185470-0001/0002 AN/ALE-47 PAYLOAD MOD (IF INSTALL
U UUUUUUUU UU 000
6
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2SA-2669/ALE-47(V) SEQUENCERS (IF INSTALLED)
U UUUUUUUU UU 000
7
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1SA-2671/ALE-47(V) SAFETY SWITCH (IF INSTALLED)
U UUUUUUUU UU 000
8
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1135947-0001 AN/ALE-47(V) SAFETY FLAG (IF INSTALLED
U UUUUUUUU UU 000
9
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
4D-61/ALQ-212(V) AN/AAR-57(V) DISPENSER ASSY (IF IN
U UUUUUUUU UU 000
10
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
4196405-001 AN/AAR-57(V) PAYLOAD MOD (IF INSTALLED)
U UUUUUUUU UU 000
11
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-6533()/ARC ICS PANELS
U UUUUUUUU UU 000
12
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
8TIEDOWN FITTINGS 10,000LB
U UUUUUUUU UU 88
13
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1PROBE POLE, CARGO HOOK UP
U UUUUUUUU UU 010
14
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2WINCH CONTROL GRIP AND CORD ASSEMBLY
U UUUUUUUU UU 020
15
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION D - ENGINE AND AFT PYLONCH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 25/3513-Oct-2015
1CRANK ASSY. EMERGENCY RAMP & RESCUE
U UUUUUUUU UU 010
16
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2ANTENNA AS-3831 APN209 (RAD ALT)
U UUUUUUUU UU 220
17
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1145G0006-1 COVER, COCKPIT ENCLOSURE
U UUUUUUUU UU 000
18
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1114G1025-1 COVER HEATER EXHAUST
U UUUUUUUU UU 000
19
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COVER HEATER 114G1024-1
U UUUUUUUU UU 000
20
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2COVER PITOT TUBE (114E5040-33)
U UUUUUUUU UU 000
21
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1145G0001-1 FWD. PYLON INTAKE COVER
U UUUUUUUU UU 010
22
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2114G1323-1 COVER ENGINE OUTLET
U UUUUUUUU UU 020
23
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2219G1001-1 COVER ENGINE INLET
U UUUUUUUU UU 020
24
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2PROTECTIVE RING ASSY. ENGINE INLET-114G1206
U UUUUUUUU UU 020
25
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1145G0004-1 COVER AFT. PYLON EXHAUST
U UUUUUUUU UU 010
26
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1145G0002-5 COVER FWD. PYLON EXHAUST
U UUUUUUUU UU 010
27
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1145G0002-6 COVER FWD. PYLON
U UUUUUUUU UU 010
28
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1145G0003-1 COVER AFT. PYLON
U UUUUUUUU UU 010
29
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1145G0005-1 COVER APU EXHAUST
U UUUUUUUU UU 010
30
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION D - ENGINE AND AFT PYLONCH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 26/3513-Oct-2015
6BLADE ANCHOR 114E5060-1
U UUUUUUUU UU 06
31
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2114G1023-25 ROTOR HUB COVERS
U UUUUUUUU UU 00
32
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
8TIEDOWN CHAINS TYPE MB-1
U UUUUUUUU UU 00
33
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
32TIEDOWN STRAPS TYPE CGU1/B
U UUUUUUUU UU 00
34
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1SUPPORT CARGO RAMP EXTENSION 1560CH47-398-1
U UUUUUUUU UU 00
35
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
3RAMP EXTENSION 1560CH47-400-1/114S6003-21
U UUUUUUUU UU 00
36
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2GUNNER FOOTSWITCHES
U UUUUUUUU UU 00
37
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2GUNNER CABLE ASSY.
U UUUUUUUU UU 00
38
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2S-65-8282-30
U UUUUUUUU UU 00
39
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1ANTENNA, ADF LOOP
U UUUUUUUU UU 11
40
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1ANTENNA, SENSE AS-1869/ARN
U UUUUUUUU UU 11
41
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1UHF-AM ANTENNA AT-256( )ARC
U UUUUUUUU UU 11
42
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1ANTENNA AS-1922( )/ARC
U UUUUUUUU UU 11
43
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2IGNITION KEYS
U UUUUUUUU UU 22
44
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1BRACKET & PADLOCK
U UUUUUUUU UU 11
45
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION D - ENGINE AND AFT PYLONCH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 27/3513-Oct-2015
3DROOP STOP SHROUDS
U UUUUUUUU UU 03
46
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1DROOP STOP SHROUD ASSEMBLY STORAGE BAG 145E5001-10
U UUUUUUUU UU 01
47
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
3DROOP STOP SHIELD 114R2215-11
U UUUUUUUU UU 03
48
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
3DROOP STOP BASE 114R2215-4
U UUUUUUUU UU 03
49
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1ANTENNA ADF AS-2108/ARN-89(LOOP)
U UUUUUUUU UU 11
50
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1VHF-UHF ANTENNA AT-1108()/ARC
U UUUUUUUU UU 11
51
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1GPS ANTENNA 22433-40 GPS-128B
U UUUUUUUU UU 11
52
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2ECM ANTENNA ALQ-156 AS-3149
U UUUUUUUU UU 22
53
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1SINCGARS ANTENNAS AS 3939/ARC (TOP)
U UUUUUUUU UU 11
54
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1SINCGARS ANTENNAS AS 3939/ARC (BOTTOM)
U UUUUUUUU UU 11
55
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AN/ALE-47 COUNTERMEASURES PROCESSOR(PROGRAMMER)
U UUUUUUUU UU 11
56
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1L-BAND(EIS) ANTENNA(BFT GENERATION 3)
U UUUUUUUU UU 10
57
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1GPS ANTENNA(BFT GENERATION 3)
U UUUUUUUU UU 10
58
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1(BFT) ANT GPS S/N: ____________
U UUUUUUUU UU 10
59
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1(BFT) LOW NOISE AMP S/N: ____________
U UUUUUUUU UU 10
60
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION D - ENGINE AND AFT PYLONCH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 28/3513-Oct-2015
1(BFT) DC/DC CONVERTER S/N: ________
U UUUUUUUU UU 10
61
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1(BFT) PALLET S/N: ____________
U UUUUUUUU UU 10
62
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1(BFT) ROUTER S/N: ________
U UUUUUUUU UU 10
63
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1(BFT) DAGGER S/N: __________
U UUUUUUUU UU 10
64
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1(CMWS) SMART DISPENSER LH S/N: __________
U UUUUUUUU UU 00
65
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1(CMWS) SMART DISPENSER LH S/N: __________
U UUUUUUUU UU 00
66
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1(CMWS) SMART DISPENSER RH S/N: __________
U UUUUUUUU UU 00
67
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1(CMWS) SMART DISPENSER RH S/N: __________
U UUUUUUUU UU 00
68
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1(CMWS) PAYLOAD MODULE LH S/N: __________
U UUUUUUUU UU 00
69
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1(CMWS) PAYLOAD MODULE LH S/N: __________
U UUUUUUUU UU 00
70
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1(CMWS) PAYLOAD MODULE RH S/N: __________
U UUUUUUUU UU 00
71
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1(CMWS) PAYLOAD MODULE RH S/N: __________
U UUUUUUUU UU 00
72
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1(CMWS) EOMS LH S/N: __________
U UUUUUUUU UU 00
73
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1(CMWS) EOMS RH S/N: __________
U UUUUUUUU UU 00
74
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1(CMWS) SEQUENCERS LH S/N: __________
U UUUUUUUU UU 00
75
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION D - ENGINE AND AFT PYLONCH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 29/3513-Oct-2015
1(CMWS) SEQUENCERS RH S/N: __________
U UUUUUUUU UU 00
76
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS-3549A/APR-39 L/H SPIRAL ANTENNA
U UUUUUUUU UU 00
77
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS-3549A/APR-39 R/H SPIRAL ANTENNA
U UUUUUUUU UU 00
78
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1TRANSMITTER REMOTE COMPASS WITH COMPNS CN-405()/A
U UUUUUUUU UU 01
79
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1TRANSMITTER REMOTE COMPASS WITH COMPNS CN-405()/A
U UUUUUUUU UU 01
80
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2SU-202/AAR-57(V) EOMS (AFT PYLON)
U UUUUUUUU UU 00
81
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
UNIT UNIQUE INVENTORY ITEMSCH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 30/3513-Oct-2015
1ERFS TANK 1680-01-425-1216
U UUUUUUUU UU 01111111
1
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1ERFS FUEL SAMPLING PUMP KIT 1680-01-474-3324
U UUUUUUUU UU 01111111
2
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CAVITY DRAIN HOSE 4720-01-424-5554
U UUUUUUUU UU 01111111
3
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1GROUNDING CABLE 6150-01-398-4389
U UUUUUUUU UU 01111111
4
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1HARNESS TANK POWER 645-01-380-2981
U UUUUUUUU UU 01111111
5
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1FUEL HOSE SINGLE POINT PRESSURE REFUELING 4720-01-425-1215
U UUUUUUUU UU 0111
6
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1VENT HOSE ASSY 4720-01-471-6739
U UUUUUUUU UU 0111
7
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1FUEL HOSE, TANK-TO -ACFT RANGE EXT 4720-01-424-5558
U UUUUUUUU UU 0111
8
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1FUEL PROBE ELECTRICAL CABLE 6150-01-475-7634
U UUUUUUUU UU 0111
9
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CH-47 ERFS II FUEL CONTROL PANEL P/N HM022-123-51
U UUUUUUUU UU 0111
10
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CH-47 ERFS II ROLLER ASSY KIT P/N WOH93JCH-47-T-F-K
U UUUUUUUU UU 0111
11
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1EFRS TANK COVER P/N IT765-HMO22-T17-11
U UUUUUUUU UU 0111
12
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2MODULAR SURVIVAL SYSTEMS (AMSS) 8-MAN 1680-01-361-4854
U UUUUUUUU UU 0222
13
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1KY-58 ZAHP VOICE SECURITY CONTROL
U UUUUUUUU UU 1111
14
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1KIT-1C IFF COMPUTER OR APX 118 (AVN CLOSET)
U UUUUUUUU UU 1111
15
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
UNIT UNIQUE INVENTORY ITEMSCH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 31/3513-Oct-2015
1KY-58 INTERFACE ADAPTER (AVN CLOSET SHELF # )
U UUUUUUUU UU 0111
16
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CMWS FLARE DISPR ASSY [RH] [FWD] D-61(V) ALQ-212(V)
U UUUUUUUU UU 1111
17
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CMWS FLARE MOUNT [RH] [AFT]
U UUUUUUUU UU 1111
18
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CMWS FLARE DISPR ASSY [RH] [AFT] D-61(V) ALQ-212(V)
U UUUUUUUU UU 1111
19
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RAD WARN ANT/DETECT [AFT] [LH] AS-3548A/APR-39A(V)
U UUUUUUUU UU 0111
20
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RAD WARN ANT/DETECT [AFT] [RH] AS-3549A/APR-39A(V)
U UUUUUUUU UU 0111
21
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CMWS EOMS SENSOR [AFT] [LH] SU-202/AAR-57(V)
U UUUUUUUU UU 0111
22
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CMWS EOMS SENSOR [AFT] [RH] SU-202/AAR-57(V)
U UUUUUUUU UU 0111
23
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-11308/APR-39A (V) RADAR CONTROL UNIT
U UUUUUUUU UU 0111
40
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1IP-1150A/APR-39 (V) RADAR INDICATOR (DIGITAL)
U UUUUUUUU UU 0111
41
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1Z-AHP VOICE SECURITY CONTROL
U UUUUUUUU UU 1111
42
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-10131/ALQ-156 COUNTER MEASURES CONTROL UNIT
U UUUUUUUU UU 0111
43
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1BLUE FORCE TRACKING-AVN
U UUUUUUUU UU 1111
44
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1TSEC/KY-100 REMOTE CONTROL UNIT ON616650
U UUUUUUUU UU 0111
45
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-11308/APR-39A(V) RADAR CONTROL UNIT
U UUUUUUUU UU 0111
46
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
UNIT UNIQUE INVENTORY ITEMSCH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 32/3513-Oct-2015
1IP-1150A/APR-39(V) RADAR INDICATOR (DIGITAL)
U UUUUUUUU UU 0111
47
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1C-10131/ALQ-156 COUNTERMEASURES CONTROL UNIT
U UUUUUUUU UU 0111
48
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1M-130 DISPENSER CONTROL PANEL (IF INSTALLED)
U UUUUUUUU UU 0111
49
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1TSEC/KY-58 VOICE SECURITY PROCESSOR
U UUUUUUUU UU 0111
50
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1TSEC/KY-100 PROCESSOR ON616604
U UUUUUUUU UU 0111
51
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1CP-1597A/APR-39A(V) DIGITAL PROCESSOR (IF INSTALLED
U UUUUUUUU UU 0111
52
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1RT-1220B/ALQ-156 RECEIVER/TRANSMITTER (IF INSTALLED
U UUUUUUUU UU 0111
53
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1R-2218/APR-39A(V) RADAR RECEIVER (NOSE) (IF INSTALLED)
U UUUUUUUU UU 0111
54
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS-3549A/APR-39 L/H SPIRAL ANTENNA (IF INSTALLED)
U UUUUUUUU UU 0111
55
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS-3548A/ARP-39 R/H SPIRAL ANTENNA (IF INSTALLED)
U UUUUUUUU UU 0111
56
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2AS-3149/ALQ-156 COUNTERMEASURES ANTENNA
U UUUUUUUU UU 0222
57
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS-2890/APR-39 BLADE ANTENNA
U UUUUUUUU UU 0111
58
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1M-130 ELECTRONIC MODULE (IF INSTALLED) 9311431
U UUUUUUUU UU 0111
59
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1M-130 DISPENSER ASSEMBLY (IF INSTALLED) 9311434
U UUUUUUUU UU 0111
60
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1M-130 PAYLOAD MODULE (IF INSTALLED) 9311451
U UUUUUUUU UU 0111
61
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
UNIT UNIQUE INVENTORY ITEMSCH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 33/3513-Oct-2015
4AN/ALE-47 DISPENSER ASSEMBLY (IF INSTALLED) 186220-001
U UUUUUUUU UU 0444
62
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1R-2218/APR-39A(V) RADAR RECEIVER AFT PYLON (IF INSTALLED)
U UUUUUUUU UU 0111
63
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS-3549A/APR-39 L/H SPIRAL ANTENNA (IF INSTALLED)
U UUUUUUUU UU 0111
64
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1AS3548A/APR-39 R/H SPIRAL ANTENNA (IF INSTALLED)
U UUUUUUUU UU 0111
65
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1LADDER @ STA 471 UNIT EQUIPMENT, AASF, HELENA, MT
U UUUUUUUU UU 0111
66
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COCKPIT COVER (BRUCE AIRCRAFT COVERS) W/BAG
U UUUUUUUU UU 0111
67
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION ACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 34/3513-Oct-2015
1DOOR & EXIT LOCKS SET
U UUUUUUUU UU 11111111
1
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1OIL COOLER INLET COVER
U UUUUUUUU UU 11111111
2
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2ENG AIR OUTLET COVER
U UUUUUUUU UU 22222222
3
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2ENG INLET COVER [W/ SCREENS]
U UUUUUUUU UU 22222222
4
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2ENG INLET COVER [W/O SCREENS]
U UUUUUUUU UU 22222222
5
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1OIL COOLER EXHAUST COVER
U UUUUUUUU UU 11111111
6
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2PITOT TUBE COVER
U UUUUUUUU UU 22222222
7
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1OIL COOLER EXHAUST COVER
U UUUUUUUU UU 11111111
8
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1COCKPIT ENCLOSURE COVER
U UUUUUUUU UU 11111111
9
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1HYD COOLER EXHAUST COVER
U UUUUUUUU UU 11111111
10
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2ROTOR HUB COVER
U UUUUUUUU UU 22222222
11
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1HEATER INLET COVER
U UUUUUUUU UU 11111111
12
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1HEATER EXHAUST COVER
U UUUUUUUU UU 11111111
13
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1APU EXHAUST COVER
U UUUUUUUU UU 01111111
14
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
1APU INLET COVER
U UUUUUUUU UU 01111111
15
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
SECTION ACH-47D
4. EQUIPMENT CHECKLIST
9100268 CH-47D
3. AREA NAME 2. MODEL 1. SERIAL NUMBER
Report Date: 35/3513-Oct-2015
6BLADE ANCHOR
U UUUUUUUU UU 66666666
16
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
8TIE DOWN CHAIN [MB1]
U UUUUUUUU UU 88888888
17
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
32TIE DOWN STRAP [CGU1/B]
U UUUUUUUU UU 3232323232323232
18
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
4RIGGING (ACTUATOR BLOCKS) SPACER SET
U UUUUUUUU UU 44444444
19
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
6BLADE LOCKING PIN
U UUUUUUUU UU 06666666
20
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2TRANSPORT ATTACHMENT FITTING [W/ BOLT]
U UUUUUUUU UU 02222222
21
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
2ENG INLET COVER [W/ EAPS]
U UUUUUUUU UU 22222222
22
12.11.10.9.8.7.6.5.4.3.2.1.CHECK NUMBER
QTY REQ:NOMENCLATURE:ITEM NO.
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF JAN 64 IS OBSOLETE
AIRCRAFT INVENTORY RECORDDA FORM 2408-17 E, NOV 91
Report Date: 13-Oct-2015 1/4
9100268HELICOPTER, CARGO CH-47D
7. FREQUENCY 4.
5. ITEMS TO BE INSPECTED
2. MODEL 3. SERIAL NUMBER 1. NOMENCLATURE
8. NEXTNO DUE 6. REFERENCE 9. COMPLETED AT
INSP
A002 Jul 28 201514TM 1-1520-240-PMS1PREVENTIVE MAINTENANCEDAILY
Jul 14 2015D
A014 Jul 28 201514TM 1-1520-240-23 P14 DAY ENGINE RUN REQUIRED Jul 14 2015D
A040 7500.425TM 1-1520-240-23 PVISUAL INSPECT OUTBOARDDRIVE SHAFT LUGS ADAPTER
7475.4H
A070 7500.450TB 43-0211#1 ENGINE OIL SAMPLE 7450.4H
A071 7500.450TB 43-0211#2 ENGINE OIL SAMPLE 7450.4H
A072 7500.4400H-47-12-AMAM-02AFT XMSN OIL SAMPLE DUE 7100.4H
A073 7500.4400H-47-12-AMAM-02FWD XMSN OIL SAMPLE DUE 7100.4H
A074 7500.4400H-47-12-AMAM-02#2 ENGINE MECHANICAL XMSNOIL SAMPLE DUE
7100.4H
A075 7500.4400H-47-12-AMAM-02ENGINE COMBINING XMSN OILSAMPLE DUE
7100.4H
A081 7500.4400H-47-12-AMAM-02#1 ENGINE MECHANICAL XMSNOIL SAMPLE DUE
7100.4H
A088 7500.450TM 1-1520-240-23 PPERFORM LUBRICATION IAWLUBRICATION CHARTS
7450.4H
A092 Jul 17 201530TM 11-6140-203-23&P30 DAY SLAB BATTERYINSPECTION (M8565/11-1)
Jun 17 2015D
A103 Jul 30 201530TM 1-1500-344-23AIRCRAFT WASH DUE Jun 30 2015D
A115 7500.450TM 1-1520-240-23 PPERFORM ENGINE WATERWASH IAW IETM
7450.4H
A121 7500.450TM 1-1520-240-23 PLUBRICATE FWD AFTSWASHPLATE BEARING
7450.4H
A128 7500.425TM 1-1520-240-23 P#1 ENGINE DUAL CHIPDETECTOR FOR CONTINUITY
7475.4H
A129 7500.425TM 1-1520-240-23 P#2 ENGINE DUAL CHIPDETECTOR FOR CONTINUITY
7475.4H
A131 7500.450TM 1-1520-240-23 PCOMBINING XMSN COOLER FANVIBRATION TEST
7450.4H
A133 7500.450TM 1-1520-240-23 PAFT XMSN COOLER FANVIBRATION TEST
7450.4H
A142 7500.450TM 55-1520-240-23-1TASK 1-92.1
FWD AND AFT SWASHPLATEGREASE SAMPLE
7450.4H
A155 Oct 4 201590TM 1-1520-240-PMS4CORROSION CONTROLINSPECTION, ABBREVIATED,MILD
Jul 6 2015D
A177 Jul 21 201590AR 95-190 DAY REVIEW/UPDATE OF 365-4 ENTRIES
Apr 22 2015D
A180 7500.4100TM 1-1520-240-23 PPERFORM LUBRICATIONREQUIREMENTS IAW LUBECHARTS
7400.4H
A182 7500.4100TM 1-1520-240-23 PINSP FWD AFT SWASHPLATEBEARING IAW SOF CH-47-04-01
7400.4H
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-18, NOV 91, MAY BE USED
DA FORM 2408-18 E, OCT 97 EQUIPMENT INSPECTION LIST
A = APU OPERATING HOURS P = APU STARTS F = HOT SECTION FACTORSFREQUENCY LEGEND: H = ACFT HRS D = DAYS M = MONTHS Y = YEARS R = ROUNDS C = CYCLES S = ENG1 STARTS Z = ENG2 STARTS
Report Date: 13-Oct-2015 2/4
9100268HELICOPTER, CARGO CH-47D
7. FREQUENCY 4.
5. ITEMS TO BE INSPECTED
2. MODEL 3. SERIAL NUMBER 1. NOMENCLATURE
8. NEXTNO DUE 6. REFERENCE 9. COMPLETED AT
INSP
A190 7500.4200TM 1-1520-240-23 PINSPECT FWD AFTSWASHPLATE ROTATING RINGCH-47-07-SOF-
7300.4H
A191 7500.4200H47-10-ASAM-075000LB TIE DOWN ADAPTERRINGS INSP
7300.4H
A196 7500.4100TM 1-1520-240-23 P#1 #2 ENGINE XMSN FAIRING 7400.4H
A202 7500.4100TM 1-1520-240-23 PTORQUE CHECK FWD PITCHLINK BOLTS
7400.4H
A204 7500.4100TM 1-1520-240-23 PTORQUE CHECK AFT PITCH LINKBOLTS
7400.4H
A210 7500.450TM 1-1520-240-23 PPERFORM 50 HR ENGINE DECUDOWNLOAD
7450.4H
A216 7500.4100TM 1-1520-240-23 PINSPECT THE COMBINING XMSNCOOLING FAN SHAFT PER TASK
7400.4H
A217 7500.4100TM 1-1520-240-23 PCHECK COMBINING XMSCOOLING FAN SHAFT OUTPUTGEAR SPLIN
7400.4H
A262 7500.4200TM 1-1520-240-23 PINSPECTION OF AFTCONNECTING LINK (TASK 4-37)
7300.4H
A264 7500.4200TM 1-1520-240-23 PPERFORM LUBRICATIONREQUIREMENTS IAW LUBECHARTS
7300.4H
A280 7700.44001-1520-240-PMS2PERFORM PMS2 CYCLEINSPECTION
7300.4H
A290 7500.4400AWR TN 69499DVISUAL INSPECTION OF BENDAREAS APPENDIX D-15 THRU D-26
7100.4H
A365 7500.4200TM 1-1520-240-23 PINSP HORIZONTAL HINGE PINBEARING (AFT HEAD)
7300.4H
A365 Jan 2 201624TM 1-1520-240-23 PINSP HORIZONTAL HINGE PINBEARING (AFT HEAD)
Jan 2 2014M
A366 7500.4200TM 1-1520-240-23 PINSP HORIZONTAL HINGE PINBEARING (FWD HEAD)
7300.4H
A366 Jan 2 201624TM 1-1520-240-23 PINSP HORIZONTAL HINGE PINBEARING (FWD HEAD)
Jan 2 2014M
A370 7500.4400TM 1-1520-240-23 PPERFORM LUBRICATIONREQUIREMENT IAW LUBECHART
7100.4H
A380 7500.44001-1520-240-PMS3PERFORM PMS3 CYCLEINSPECTION
7100.4H
A400 7500.41200TM 1-1520-240-23PREPLACE HORIZONTAL HINGEPIN BOLT (PN 114R2201-1)
6300.4H
A440 81811200TM 1-1520-240-23 PAFT HEAD VERTICAL PINBEARING INSP AND ROTATION
6981H
A442 83041200TM 1-1520-240-23 PFWD HEAD VERTICAL PINBEARING INSP AND ROTATION
7104H
A443 75371200TM 1-1520-240-23 PFWD HEAD HORIZONTAL PINBEARING INSP AND ROTATION
6337H
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-18, NOV 91, MAY BE USED
DA FORM 2408-18 E, OCT 97 EQUIPMENT INSPECTION LIST
A = APU OPERATING HOURS P = APU STARTS F = HOT SECTION FACTORSFREQUENCY LEGEND: H = ACFT HRS D = DAYS M = MONTHS Y = YEARS R = ROUNDS C = CYCLES S = ENG1 STARTS Z = ENG2 STARTS
Report Date: 13-Oct-2015 3/4
9100268HELICOPTER, CARGO CH-47D
7. FREQUENCY 4.
5. ITEMS TO BE INSPECTED
2. MODEL 3. SERIAL NUMBER 1. NOMENCLATURE
8. NEXTNO DUE 6. REFERENCE 9. COMPLETED AT
INSP
A444 83821200TM 1-1520-240-23 PAFT HEAD HORIZONTAL PINBEARING INSP AND ROTATION
7182H
A447 83221200TM 1-1520-240-23 PREPLACE FWD HEADHORIZONTAL PIN (IF NOTSHOTPEENED)
7122H
A448 83821200TM 1-1520-240-23 PREPLACE AFT HEADHORIZONTAL PIN (IF NOTSHOTPEENED)
7182H
A460 8500.41200TM 1-1520-240-23 PINSPECT FUEL TANKASSEMBLIES
7300.4H
A478 8500.41200TM 1-1520-240-23 PINSPECT FUEL BOOST PUMPPOWER WIRE HARNESS
7300.4H
A496 Dec 18 2015180TM 1-1500-204-23-1CF3BR FIRE EXTINGUISHERWEIGHT TEST & INSPECTION
Jun 21 2015D
A500 Oct 4 2015180TM 1-1520-240-PMS4CORROSION CONTROLINSPECTION, IN-DEPTH, MILD
Apr 7 2015D
A505 Feb 15 2016360TM 1-1680-377-13&PAMSS SURVIVAL KITINSPECTION
Feb 20 2015D
A530 Jun 10 201612TM 1-1520-240-23 PAIRCRAFT EQUIPMENTINVENTORY (DA FORM 2408-17)
Jun 10 2015M
A531 Jan 5 201612TM 55-1520-240-23-1TASK 1-92.1
ENGINE FIRE EXTINGUISHERBOTTLES FOR WEIGHT
Jan 5 2015M
A532 Mar 9 201612TM 1-1500-204-23-4COMPASS SWING Mar 9 2015M
A534 Apr 8 201612TM 1-1500-204-23-1FIRST AID KIT INSPECTION Apr 8 2015M
A553 Apr 22 201612AR 95-1AIRCRAFT WEIGHINGINVENTORY (365-1)
Apr 22 2015M
A558 Mar 9 201612TM 1-1500-204-23-4HSI/RMI FOR CORRECTREADINGS
Mar 9 2015M
A580 Aug 24 201624TM 11-6140-203-23PRETURN SLAB TO AVIM FORCAPACITY CHECK
Aug 24 2014M
A649 Apr 22 201836AR 95-1AIRCRAFT WEIGHING CLASS 1 Apr 22 2015M
A660 Aug 24 201536TM 11-6140-203-23PREPLACEMENT OF BATTERY(SLAB M8565/11-1)
Aug 24 2012M
A690 Jul 1 2018114TB 9-1300-385ENGINE FIRE EXTINGUISHER (#1AFT) MH-92
Jan 1 2009M
A699 Jul 1 2018114TB 9-1300-385ENGINE FIRE EXTINGUISHER (#2AFT) MH-92
Jan 1 2009M
A700 Jul 1 2018114TB 9-1300-385ENGINE FIRE EXTINGUISHER (#1FWD), MH-92
Jan 1 2009M
A710 Jul 1 2018114TB 9-1300-385ENGINE FIRE EXTINGUISHER (#2FWD) MH-92
Jan 1 2009M
E003 Aug 16 201590TM 1-1520-240-23-1TSEC/KY100 Z-AVH (KY100)BATTERY REPLACEMENT
May 18 2015D
E095 Sep 7 201590TM 11-5841-294-12APR-39 RADAR/LASERWARNING PMCS (5841-01-236-8951)
Jun 9 2015D
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-18, NOV 91, MAY BE USED
DA FORM 2408-18 E, OCT 97 EQUIPMENT INSPECTION LIST
A = APU OPERATING HOURS P = APU STARTS F = HOT SECTION FACTORSFREQUENCY LEGEND: H = ACFT HRS D = DAYS M = MONTHS Y = YEARS R = ROUNDS C = CYCLES S = ENG1 STARTS Z = ENG2 STARTS
Report Date: 13-Oct-2015 4/4
9100268HELICOPTER, CARGO CH-47D
7. FREQUENCY 4.
5. ITEMS TO BE INSPECTED
2. MODEL 3. SERIAL NUMBER 1. NOMENCLATURE
8. NEXTNO DUE 6. REFERENCE 9. COMPLETED AT
INSP
E095 7507.425TM 11-5841-294-12APR-39 RADAR/LASERWARNING PMCS (5841-01-236-8951)
7482.4H
E125 Aug 30 201590TM 11-5810-262-23KY-58 PMCS/OPNL CHECK Jun 1 2015D
E155 Dec 6 2015180TM 11-5810-262-23KY-58 BATTERY REPLACEMENT Jun 9 2015D
E221 7532.7100AWR EBC-406HM ELT/INST&MAINT MAN.
PERFORM EBC-406HM ELT SELFTEST AS REQUIRED BY AWRDATED 13 FEB 09
7432.7H
E222 Apr 8 201612AWR & INST& MM FOREBC-406HM
PERFORM ANNUAL G-SWITCHTEST FOR EBC-406HM ELT IAWAWR
Apr 8 2015M
E223 Apr 22 201960INSTRUCT&MM EBC-406HM ELT
EBC-406HM ELT BATTERYREPLACEMENT DUE
Apr 22 2014M
E240 Nov 24 2015180TM 11-5895-1733-13PER MAINT OFFICE
AN/APX 118TRANSPONDER/MODE 4FUNCTION CHECK
May 28 2015D
E240 May 28 201724TM 11-5895-1733-13PER MAINT OFFICE
AN/APX 118TRANSPONDER/MODE 4FUNCTION CHECK
May 28 2015M
E241 Dec 6 2015180TM 11-5841-294-12AN/APX 118 BATTERYREPLACEMENT DUE
Jun 9 2015D
E280 Dec 6 2015180TM 55-1520-240-23-7DIGITAL CLOCK BATTERYREPLACEMENT DUE.
Jun 9 2015D
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGDA FORM 2408-18, NOV 91, MAY BE USED
DA FORM 2408-18 E, OCT 97 EQUIPMENT INSPECTION LIST
A = APU OPERATING HOURS P = APU STARTS F = HOT SECTION FACTORSFREQUENCY LEGEND: H = ACFT HRS D = DAYS M = MONTHS Y = YEARS R = ROUNDS C = CYCLES S = ENG1 STARTS Z = ENG2 STARTS
25-Jun-20063RD
99999
1520010883669HELICOPTER, C91002680513651080402-141-350-10
5. NSN 8. ACCEPT. DATE2. SN 7. STAGE6. CAGE NO.4. NOMENCLATURE3. ACFT1. PART NO
Report Date: Page 1 of 113-Oct-2015
WHEEL WITH BLADES
(1) b (2)(1)BEFORE GRIND
b (2)
WHEEL WITH BLADESDATE AFTER GRIND
aBEFORE GRINDTIMEDATEAFTER GRINDTIME
WHEEL WHEEL c
WHEEL DIAMETRICAL MEASUREMENTS
a
c
9.
17 16.210625-Jul-2006
ABNORMAL TEMPERATURE AND/OR OVERSPEED DATA10.
TEMPERATUREENGINE TimeWHEELREMARKSTIMEDATE TIME Over Limit(Degrees C) SPEED
a b f gc d e
REMOVEDSN
INSTALLATION DATAINSTALLED
DATEc
11.
MODELENGINE
ENG TIME
ACTIVITY
d REASON FOR
(2)W/T
bENG TIME
a (1) (2)
DATE
(1)
REMOVAL
(1) e f(2)
T55-GA-714AHONEYWELL 06PGA00934 25-Jul-2006
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF MAY 67 IS OBSOLETE
AIRCRAFT ENGINE TURBINE WHEEL HISTORICAL RECORDDA FORM 2408-19-E, NOV 91
25-Jul-20061ST
99999
1520010883669HELICOPTER, C91002680613651000962-121-090-79
5. NSN 8. ACCEPT. DATE2. SN 7. STAGE6. CAGE NO.4. NOMENCLATURE3. ACFT1. PART NO
Report Date: Page 1 of 113-Oct-2015
WHEEL WITH BLADES
(1) b (2)(1)BEFORE GRIND
b (2)
WHEEL WITH BLADESDATE AFTER GRIND
aBEFORE GRINDTIMEDATEAFTER GRINDTIME
WHEEL WHEEL c
WHEEL DIAMETRICAL MEASUREMENTS
a
c
9.
15 14.506225-Jul-2006
ABNORMAL TEMPERATURE AND/OR OVERSPEED DATA10.
TEMPERATUREENGINE TimeWHEELREMARKSTIMEDATE TIME Over Limit(Degrees C) SPEED
a b f gc d e
REMOVEDSN
INSTALLATION DATAINSTALLED
DATEc
11.
MODELENGINE
ENG TIME
ACTIVITY
d REASON FOR
(2)W/T
bENG TIME
a (1) (2)
DATE
(1)
REMOVAL
(1) e f(2)
T55-GA-714AHONEYWELL 06PGA00934 25-Jul-2006
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF MAY 67 IS OBSOLETE
AIRCRAFT ENGINE TURBINE WHEEL HISTORICAL RECORDDA FORM 2408-19-E, NOV 91
25-Jul-20064TH
99999
1520010883669HELICOPTER, C91002680613651006772-141-170-22
5. NSN 8. ACCEPT. DATE2. SN 7. STAGE6. CAGE NO.4. NOMENCLATURE3. ACFT1. PART NO
Report Date: Page 1 of 113-Oct-2015
WHEEL WITH BLADES
(1) b (2)(1)BEFORE GRIND
b (2)
WHEEL WITH BLADESDATE AFTER GRIND
aBEFORE GRINDTIMEDATEAFTER GRINDTIME
WHEEL WHEEL c
WHEEL DIAMETRICAL MEASUREMENTS
a
c
9.
19 18.524225-Jul-2006
ABNORMAL TEMPERATURE AND/OR OVERSPEED DATA10.
TEMPERATUREENGINE TimeWHEELREMARKSTIMEDATE TIME Over Limit(Degrees C) SPEED
a b f gc d e
REMOVEDSN
INSTALLATION DATAINSTALLED
DATEc
11.
MODELENGINE
ENG TIME
ACTIVITY
d REASON FOR
(2)W/T
bENG TIME
a (1) (2)
DATE
(1)
REMOVAL
(1) e f(2)
T55-GA-714AHONEYWELL 06PGA00934 25-Jul-2006
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF MAY 67 IS OBSOLETE
AIRCRAFT ENGINE TURBINE WHEEL HISTORICAL RECORDDA FORM 2408-19-E, NOV 91
19-Mar-20071ST
99999
1520010883669HELICOPTER, C91002680613651017372-121-090-79
5. NSN 8. ACCEPT. DATE2. SN 7. STAGE6. CAGE NO.4. NOMENCLATURE3. ACFT1. PART NO
Report Date: Page 1 of 113-Oct-2015
WHEEL WITH BLADES
(1) b (2)(1)BEFORE GRIND
b (2)
WHEEL WITH BLADESDATE AFTER GRIND
aBEFORE GRINDTIMEDATEAFTER GRINDTIME
WHEEL WHEEL c
WHEEL DIAMETRICAL MEASUREMENTS
a
c
9.
15 14.504618-Mar-2007
ABNORMAL TEMPERATURE AND/OR OVERSPEED DATA10.
TEMPERATUREENGINE TimeWHEELREMARKSTIMEDATE TIME Over Limit(Degrees C) SPEED
a b f gc d e
REMOVEDSN
INSTALLATION DATAINSTALLED
DATEc
11.
MODELENGINE
ENG TIME
ACTIVITY
d REASON FOR
(2)W/T
bENG TIME
a (1) (2)
DATE
(1)
REMOVAL
(1) e f(2)
T55-GA-714AHONEYWELL 19-Mar-2007
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF MAY 67 IS OBSOLETE
AIRCRAFT ENGINE TURBINE WHEEL HISTORICAL RECORDDA FORM 2408-19-E, NOV 91
19-Mar-20074TH
99999
1520010883669HELICOPTER, C91002680613651018192-141-170-22
5. NSN 8. ACCEPT. DATE2. SN 7. STAGE6. CAGE NO.4. NOMENCLATURE3. ACFT1. PART NO
Report Date: Page 1 of 113-Oct-2015
WHEEL WITH BLADES
(1) b (2)(1)BEFORE GRIND
b (2)
WHEEL WITH BLADESDATE AFTER GRIND
aBEFORE GRINDTIMEDATEAFTER GRINDTIME
WHEEL WHEEL c
WHEEL DIAMETRICAL MEASUREMENTS
a
c
9.
19 18.523819-Mar-2007
ABNORMAL TEMPERATURE AND/OR OVERSPEED DATA10.
TEMPERATUREENGINE TimeWHEELREMARKSTIMEDATE TIME Over Limit(Degrees C) SPEED
a b f gc d e
REMOVEDSN
INSTALLATION DATAINSTALLED
DATEc
11.
MODELENGINE
ENG TIME
ACTIVITY
d REASON FOR
(2)W/T
bENG TIME
a (1) (2)
DATE
(1)
REMOVAL
(1) e f(2)
T55-GA-714AHONEYWELL 07PGA01075 19-Mar-2007
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF MAY 67 IS OBSOLETE
AIRCRAFT ENGINE TURBINE WHEEL HISTORICAL RECORDDA FORM 2408-19-E, NOV 91
19-Mar-20073RD
99999
1520010883669HELICOPTER, C91002680613651032582-141-350-10
5. NSN 8. ACCEPT. DATE2. SN 7. STAGE6. CAGE NO.4. NOMENCLATURE3. ACFT1. PART NO
Report Date: Page 1 of 113-Oct-2015
WHEEL WITH BLADES
(1) b (2)(1)BEFORE GRIND
b (2)
WHEEL WITH BLADESDATE AFTER GRIND
aBEFORE GRINDTIMEDATEAFTER GRINDTIME
WHEEL WHEEL c
WHEEL DIAMETRICAL MEASUREMENTS
a
c
9.
17 16.210319-Mar-2007
ABNORMAL TEMPERATURE AND/OR OVERSPEED DATA10.
TEMPERATUREENGINE TimeWHEELREMARKSTIMEDATE TIME Over Limit(Degrees C) SPEED
a b f gc d e
REMOVEDSN
INSTALLATION DATAINSTALLED
DATEc
11.
MODELENGINE
ENG TIME
ACTIVITY
d REASON FOR
(2)W/T
bENG TIME
a (1) (2)
DATE
(1)
REMOVAL
(1) e f(2)
T55-GA-714AHONYWELL 07PGA01075 19-Mar-2007
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOGEDITION OF MAY 67 IS OBSOLETE
AIRCRAFT ENGINE TURBINE WHEEL HISTORICAL RECORDDA FORM 2408-19-E, NOV 91
T-55-GA-714AENGINE ASSY, TURBINE 07PGA01075
Report Date:
ACT/REQALTTSONUMBER °C ACT/REQACT/REQPRESS N1 %ENGSERIAL OAT ENG/TOTTORQUE
10.9.6. AIRCRAFT 7. 8. 13. REMARKS4. DATE 5. BASETORQ
12.11.
3. ENGINE SERIAL NUMBER2. ENGINE MODEL 1. NOMENCLATURE
Page 1 of 113-Oct-2015
/ / /
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
T53/55 TURBINE ENGINE ANALYSIS CHECK RECORDDA FORM 2408-19-1 E, NOV 91
T-55-GA-714AENGINE ASSY, TURBINE 06PGA00934
Report Date:
ACT/REQALTTSONUMBER °C ACT/REQACT/REQPRESS N1 %ENGSERIAL OAT ENG/TOTTORQUE
10.9.6. AIRCRAFT 7. 8. 13. REMARKS4. DATE 5. BASETORQ
12.11.
3. ENGINE SERIAL NUMBER2. ENGINE MODEL 1. NOMENCLATURE
Page 1 of 113-Oct-2015
/ / /
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
T53/55 TURBINE ENGINE ANALYSIS CHECK RECORDDA FORM 2408-19-1 E, NOV 91
Report Date:
ENGINE POWER ASSURANCE TEST RECORD1/113-Oct-2015
06PGA00934
MARGIN VALUE FLOWMAX / ACT ALT °C MAX / ACT MIN / ACT
6. PRESS 9. N1 %
3. AIRCRAFT SERIAL NUMBER
7. OAT 8. PTIT 10. TORQUE4. DATE 5. ENGINE TSO
12. REMARKS / TEMP11. FUEL
2. ENGINE SERIAL NUMBER1. ENGINE MODEL
760/806 / TEMP MARGIN VALUE 46/PAT TRIGGER VALUE 20FOR FIELDING OF NEWECU
19102100102103.616200044024-Nov-2009 /
764/806 / DESSERT MODCOMPLETION
21009190102103.324300047608-Jun-2010 /
770/806 / PAC WITHIN LIMITS18009191102103.2282000027-Jul-2010 /
778.8/806 / TRIGGER VALUE: 20180092.592.1102.4103.226206975319-May-2012 /
750/806 / TEMP MARGIN: 56TRIGGER VALUE: 18
18009896100.2103.714200090812-Jan-2014 /
760/806 / A/C MOD TO 714 ENGINES17009693101103262500010-May-2007 /
760/806 / TEMP MARGIN VALUE 46/PAT TRIGGER VALUE 19FOR FIELDING OF NEWECU
1800102.5102101103.714200044324-Nov-2009 /
764/806 / DESSERT MWOCOMPLETION
22009190101103.224300047608-Jun-2010 /
775/806 / PAC WITHIN LIMITS17009191101.5103.2282000027-Jul-2010 /
757.8/806 / TRIGGER VALUE: 19170092.391.8100.4103.224257375519-May-2012 /
750/806 / TEMP MARGIN: 56TRIGGER VALUE: 14
17009696100103.714200090812-Jan-2014 /
DA FORM 2408-19-X E
0
50
7398.2
9100268 0 908
e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER
CH-47D 06PGA00934 Days
b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER
HELICOPTER, CARGO ENGINE ASSY, TURBINE Hrs
a. NOMENCLATUREa. NOMENCLATUREFREQUENCY
COMPONENT
3.2.SAMPLEEND ITEM
1.
Report Date: Page 1 of 913-Oct-2015
a bSUBMITTED c a b
SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM
RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.
COMPONENT
DR53666514-May-2015NORMALROUTINE507454.77448.408-May-2015
DR53666506-Feb-2015NORMALROUTINE48.77398.27398.205-Feb-2015
DR53666528-Aug-2014NORMALROUTINE17.47349.57349.528-Aug-2014
DR53666510-Jul-2014NORMALBASELINE227.97332.17332.109-Jul-2014
JS19114217-Jan-2014NORMALROUTINE199959730313-Jan-2014
RL76561016-May-2013NORMALROUTINE154909725810-May-2013
RL76561026-Mar-2013NORMALROUTINE103858720707-Mar-2013
SG50718702-Jul-2012NORMALROUTINE49804715327-Jun-2012
SG50718708-May-2012NORMALBASELINE753710403-May-2012
PP21389609-Aug-2011NORMALROUTINE498702814-Jul-2011
PP21389604-Jan-2011NORMALROUTINE448697819-Nov-2010
PP21389613-Aug-2010NORMALROUTINE397692727-Jul-2010
PP21389617-Feb-2010NORMALROUTINE348687829-Jan-2010
PP21389629-Jan-2010NORMALROUTINE297682704-Jan-2010
MS06803409-Sep-2009NORMALROUTINE249677920-Aug-2009
PP21389607-Apr-2009NORMALROUTINE198672820-Mar-2009
PP21389614-Jan-2009NORMALROUTINE147667722-Dec-2008
PP21389623-Sep-2008NORMALROUTINE96662611-Sep-2008
PP21389605-Aug-2008NORMALROUTINE50658018-Jul-2008
PP21389618-Jun-2008NORMALBASELINE653029-May-2008
PP21389618-Jun-2008NORMALROUTINE68648005-Dec-2007
SC08323430-Aug-2007NORMALROUTINE18643016-Aug-2007
PP21389626-Jun-2007NORMALINITIAL641215-Apr-2007
SN5, "A"
9. REMARKS:
For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED
OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97
0
50
7398.2
9100268 0 910
e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER
CH-47D 07PGA01075 Days
b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER
HELICOPTER, CARGO ENGINE ASSY, TURBINE Hrs
a. NOMENCLATUREa. NOMENCLATUREFREQUENCY
COMPONENT
3.2.SAMPLEEND ITEM
1.
Report Date: Page 2 of 913-Oct-2015
a bSUBMITTED c a b
SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM
RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.
COMPONENT
DR53666514-May-2015NORMALROUTINE507454.77448.408-May-2015
DR53666506-Feb-2015NORMALROUTINE48.77398.27398.205-Feb-2015
DR53666528-Aug-2014NORMALROUTINE17.47349.57349.528-Aug-2014
DR53666510-Jul-2014NORMALBASELINE227.97332.17332.109-Jul-2014
JS19114217-Jan-2014NORMALROUTINE199962730313-Jan-2014
RL76561016-May-2013NORMALROUTINE154910725810-May-2013
RL76561026-Mar-2013NORMALROUTINE103859720707-Mar-2013
SG50718702-Jul-2012NORMALROUTINE49805715327-Jun-2012
SG50718708-May-2012NORMALBASELINE7557104.203-May-2012
50 HOUR546707617-Oct-2011
PP21389609-Aug-2011NORMALROUTINE498702814-Jul-2011
PP21389604-Jan-2011NORMALROUTINE448697819-Nov-2010
PP21389613-Aug-2010NORMALROUTINE397692727-Jul-2010
PP21389617-Feb-2010NORMALROUTINE348687829-Jan-2010
PP21389629-Jan-2010NORMALROUTINE297682704-Jan-2010
MS06803409-Sep-2009NORMALROUTINE249677920-Aug-2009
PP21389607-Apr-2009NORMALROUTINE198672820-Mar-2009
PP21389614-Jan-2009NORMALROUTINE147667722-Dec-2008
PP21389623-Sep-2008NORMALROUTINE96662611-Sep-2008
PP21389605-Aug-2008NORMALROUTINE50658018-Jul-2008
PP21389618-Jun-2008NORMALBASELINE653029-May-2008
PP21389618-Jun-2008NORMALROUTINE68648005-Dec-2007
SC08323430-Aug-2007NORMALROUTINE18643016-Aug-2007
PP21389626-Jun-2007NORMALINITIAL641215-Apr-2007
SN6, "A"
9. REMARKS:
For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED
OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97
0
400
7398.2
9100268 CC 4340
e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER
CH-47D A7-574 Days
b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER
HELICOPTER, CARGO FORWARD TRANSMISSION Hrs
a. NOMENCLATUREa. NOMENCLATUREFREQUENCY
COMPONENT
3.2.SAMPLEEND ITEM
1.
Report Date: Page 3 of 913-Oct-2015
a bSUBMITTED c a b
SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM
RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.
COMPONENT
DR53666514-May-2015NORMALROUTINE503114.77448.408-May-2015
DR53666506-Feb-2015NORMALROUTINE48.73058.27398.205-Feb-2015
DR53666528-Aug-2014NORMALROUTINE17.43009.57349.528-Aug-2014
DR53666510-Jul-2014NORMALBASELINE227.92992.17332.109-Jul-2014
JS19114217-Jan-2014NORMALBASELINE1992963730313-Jan-2014
SG50718708-May-2012NORMALBASELINE2764710403-May-2012
SG50718703-May-2012NO RESULTS50 HOUR5462736707617-Oct-2011
PP13542309-Aug-2011NORMALROUTINE4982688702814-Jul-2011
PP21389604-Jan-2011NORMALROUTINE4482638697819-Nov-2010
PP21389613-Aug-2010NORMALROUTINE3972587692727-Jul-2010
PP21389617-Feb-2010NORMALROUTINE3482538687829-Jan-2010
PP21389629-Jan-2010NORMALROUTINE2972487682704-Jan-2010
MS06803409-Sep-2009NORMALROUTINE2492439677920-Aug-2009
PP21389607-Apr-2009NORMALROUTINE1982388672820-Mar-2009
PP21389610-Feb-2009NORMALSPECIAL1712361670128-Jan-2009
PP21389614-Jan-2009ABNORMALROUTINE1472337667722-Dec-2008
PP21389623-Sep-2008NORMALROUTINE962286662611-Sep-2008
PP21389605-Aug-2008NORMALROUTINE502240658018-Jul-2008
PP21389618-Jun-2008NORMALBASELINE2190653029-May-2008
PP21389603-Jan-2008ABNORMALLAB REQUES64942154649411-Dec-2007
PP21389603-Jan-2008ABNORMALROUTINE64802140648005-Dec-2007
SC08323430-Aug-2007NORMALROUTINE64302090643016-Aug-2007
PP21389626-Sep-2006NORMALLAB REQUES63842044638412-Sep-2006
PP21389620-Sep-2006ABNORMALROUTINE63742034637925-Aug-2006
JD41544905-May-2006NORMALROUTINE63551990633005-May-2006
JD41544908-Feb-2006NORMALROUTINE63551990633001-Feb-2006
AL1, MG1, SN7, "A"
9. REMARKS:
For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED
OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97
0
400
7398.2
9100268 CC 4340
e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER
CH-47D A9-576 Days
b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER
HELICOPTER, CARGO AFT TRANSMISSION Hrs
a. NOMENCLATUREa. NOMENCLATUREFREQUENCY
COMPONENT
3.2.SAMPLEEND ITEM
1.
Report Date: Page 4 of 913-Oct-2015
a bSUBMITTED c a b
SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM
RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.
COMPONENT
DR53666514-May-2015NORMALROUTINE503114.77448.408-May-2015
DR53666506-Feb-2015NORMALROUTINE48.73058.27398.205-Feb-2015
DR53666528-Aug-2014NORMALROUTINE17.43009.57349.528-Aug-2014
DR53666510-Jul-2014NORMALBASELINE227.92992.17332.109-Jul-2014
JS19114217-Jan-2014NORMALBASELINE1992963730313-Jan-2014
SG50718708-May-2012NORMALBASELINE2764710403-May-2012
SG50718703-May-2012NO RESULTS50 HOUR5462736707617-Oct-2011
PP21389609-Aug-2011NORMALROUTINE4982688702814-Jul-2011
PP21389604-Jan-2011NORMALROUTINE4482638697819-Nov-2010
PP21389613-Aug-2010NORMALROUTINE3972587692727-Jul-2010
PP21389617-Feb-2010NORMALROUTINE3482538687829-Jan-2010
PP21389629-Jan-2010NORMALROUTINE2972487682704-Jan-2010
MS06803409-Sep-2009NORMALROUTINE2492439677920-Aug-2009
PP21389607-Apr-2009NORMALROUTINE1982388672820-Mar-2009
PP21389614-Jan-2009NORMALSPECIAL1472337667722-Dec-2008
MS06803426-Nov-2008ABNORMALLAB REQUES1352325666521-Nov-2008
PP21389603-Dec-2008ABNORMALLAB REQUES1012291663103-Nov-2008
PP21389623-Sep-2008ABNORMALROUTINE962286662611-Sep-2008
PP21389605-Aug-2008NORMALROUTINE502240658018-Jul-2008
PP21389618-Jun-2008NORMALBASELINE2190653029-May-2008
PP21389603-Jan-2008ABNORMALLAB REQUES64942154649411-Dec-2007
PP21389603-Jan-2008ABNORMALROUTINE64802140648005-Dec-2007
SC08323430-Aug-2007NORMALROUTINE64302090643016-Aug-2007
JD41544911-Sep-2006NORMALROUTINE63742034637925-Aug-2006
JD41544905-May-2006NORMALROUTINE63551990633005-May-2006
JD41544908-Feb-2006NORMALROUTINE63551990633001-Feb-2006
AL1, SN6, MO1, "A"
9. REMARKS:
For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED
OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97
0
400
7398.2
9100268 CC 6138
e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER
CH-47D A8-156 Days
b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER
HELICOPTER, CARGO COMBINING TRANSMISSION Hrs
a. NOMENCLATUREa. NOMENCLATUREFREQUENCY
COMPONENT
3.2.SAMPLEEND ITEM
1.
Report Date: Page 5 of 913-Oct-2015
a bSUBMITTED c a b
SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM
RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.
COMPONENT
DR53666514-May-2015NORMALROUTINE503219.77448.408-May-2015
DR53666506-Feb-2015NORMALROUTINE48.73163.27398.205-Feb-2015
DR53666528-Aug-2014NORMALROUTINE17.43114.57349.528-Aug-2014
DR53666510-Jul-2014NORMALBASELINE227.93097.17332.109-Jul-2014
JS19114217-Jan-2014NORMALBASELINE1993068730313-Jan-2014
SG50718708-May-2012NORMALBASELINE2869710403-May-2012
PP21389609-Aug-2011NORMALROUTINE4982793702814-Jul-2011
PP21389607-Dec-2010NORMALLAB REQUES4512746698101-Dec-2010
PP21389630-Nov-2010ABNORMALROUTINE4482743697819-Nov-2010
PP21389613-Aug-2010NORMALROUTINE3972692692727-Jul-2010
PP21389617-Feb-2010NORMALROUTINE3482643687829-Jan-2010
PP21389629-Jan-2010NORMALROUTINE2972592682704-Jan-2010
JP83012418-Sep-2009NORMALSPECIAL2542549678418-Sep-2009
MS06803409-Sep-2009NORMALROUTINE2492544677920-Aug-2009
PP21389608-Jul-2009NORMALLAB REQUES2162511674619-Jun-2009
PP21389619-Jun-2009ABNORMALLAB REQUES2012496673128-May-2009
PP21389607-Apr-2009ABNORMALROUTINE1982493672820-Mar-2009
PP21389614-Jan-2009NORMALROUTINE1472442667722-Dec-2008
PP21389623-Sep-2008NORMALROUTINE962391662611-Sep-2008
PP21389605-Aug-2008NORMALROUTINE502345658018-Jul-2008
PP21389618-Jun-2008NORMALBASELINE2295653029-May-2008
PP21389603-Jan-2008ABNORMALLAB REQUES64942259649411-Dec-2007
PP21389603-Jan-2008ABNORMALROUTINE64802245648005-Dec-2007
SC08323430-Aug-2007NORMALROUTINE64302195643016-Aug-2007
JD41544911-Sep-2006NORMALROUTINE63742139637925-Aug-2006
SN6, MO1, "A"
9. REMARKS:
For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED
OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97
0
400
7398.2
9100268 CC 6330
e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER
CH-47D A11-524DRGI Days
b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER
HELICOPTER, CARGO TMSN ASSY ENGINE MECH Hrs
a. NOMENCLATUREa. NOMENCLATUREFREQUENCY
COMPONENT
3.2.SAMPLEEND ITEM
1.
Report Date: Page 6 of 913-Oct-2015
a bSUBMITTED c a b
SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM
RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.
COMPONENT
DR53666514-May-2015NORMALROUTINE503910.77448.408-May-2015
DR53666506-Feb-2015NORMALROUTINE48.73854.27398.205-Feb-2015
DR53666528-Aug-2014NORMALROUTINE17.43805.57349.528-Aug-2014
DR53666510-Jul-2014NORMALBASELINE227.93788.17332.109-Jul-2014
JS19114217-Jan-2014NORMALBASELINE1993759730313-Jan-2014
SG50718708-May-2012NORMALBASELINE3560710403-May-2012
PP21389609-Aug-2011NORMALROUTINE4983484702814-Jul-2011
PP21389604-Jan-2011NORMALROUTINE4483434697819-Nov-2010
PP21389613-Aug-2010NORMALROUTINE3973383692727-Jul-2010
PP21389617-Feb-2010NORMALROUTINE3483334687829-Jan-2010
PP21389629-Jan-2010NORMALROUTINE2973283682704-Jan-2010
MS06803409-Sep-2009NORMALROUTINE2493235677920-Aug-2009
PP21389607-Apr-2009NORMALROUTINE1983184672820-Mar-2009
PP21389614-Jan-2009NORMALROUTINE1473133667722-Dec-2008
PP21389623-Sep-2008NORMALROUTINE963082662611-Sep-2008
PP21389605-Aug-2008NORMALROUTINE503036658018-Jul-2008
PP21389618-Jun-2008NORMALBASELINE2986653029-May-2008
PP21389603-Jan-2008NORMALLAB REQUES64942950649411-Dec-2007
PP21389603-Jan-2008ABNORMALROUTINE64802936648005-Dec-2007
SC08323430-Aug-2007NORMALROUTINE64302886643016-Aug-2007
PP21389626-Sep-2006NORMALLAB REQUES63842840638412-Sep-2006
PP21389620-Sep-2006ABNORMALROUTINE63742830637925-Aug-2006
JD41544905-May-2006NORMALROUTINE63552302633005-May-2006
JD41544908-Feb-2006NORMALROUTINE63552302633001-Feb-2006
SN6, MO1, "A"
9. REMARKS:
For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED
OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97
0
400
7398.2
9100268 CC 5485
e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER
CH-47D A11-468 Days
b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER
HELICOPTER, CARGO TMSN ASSY ENGINE MECH Hrs
a. NOMENCLATUREa. NOMENCLATUREFREQUENCY
COMPONENT
3.2.SAMPLEEND ITEM
1.
Report Date: Page 7 of 913-Oct-2015
a bSUBMITTED c a b
SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM
RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.
COMPONENT
DR53666514-May-2015NORMALROUTINE503736.77448.408-May-2015
DR53666506-Feb-2015NORMALROUTINE48.73680.27398.205-Feb-2015
DR53666528-Aug-2014NORMALROUTINE17.43631.57349.528-Aug-2014
DR53666510-Jul-2014NORMALBASELINE227.93614.17332.109-Jul-2014
JS19114217-Jan-2014NORMALBASELINE1993585730313-Jan-2014
SG50718708-May-2012NORMALBASELINE3386710403-May-2012
PP21389609-Aug-2011NORMALROUTINE4983310702814-Jul-2011
PP21389604-Jan-2011NORMALROUTINE4483260697819-Nov-2010
PP21389613-Aug-2010NORMALROUTINE3973209692727-Jul-2010
PP21389617-Feb-2010NORMALROUTINE3483160687829-Jan-2010
PP21389629-Jan-2010NORMALROUTINE2973109682704-Jan-2010
MS06803409-Sep-2009NORMALROUTINE2493061677920-Aug-2009
PP21389619-Jun-2009NORMALLAB REQUES2013013673128-May-2009
PP21389607-Apr-2009ABNORMALROUTINE1983010672820-Mar-2009
PP21389614-Jan-2009NORMALROUTINE1472959667722-Dec-2008
PP21389623-Sep-2008NORMALROUTINE962908662611-Sep-2008
PP21389622-Aug-2008NORMALSPECIAL682880659812-Aug-2008
PP21389605-Aug-2008NORMALROUTINE502862658018-Jul-2008
PP21389618-Jun-2008NORMALBASELINE2812653029-May-2008
PP21389618-Jun-2008NORMALROUTINE9952762648005-Dec-2007
SC08323430-Aug-2007NORMALROUTINE9452712643016-Aug-2007
JD41544911-Sep-2006NORMALROUTINE8942661637925-Aug-2006
JD41544905-May-2006NORMALROUTINE8452612633005-May-2006
JD41544908-Feb-2006NORMALROUTINE8452612633001-Feb-2006
SI2, SN5, "A"
9. REMARKS:
For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED
OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97
0
400
0
9100268 CC 6784
e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER
CH-47D 9100268 #1 FLT Days
b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER
HELICOPTER, CARGO HYDRAULIC SYSTEM #1 FLIGHT Hrs
a. NOMENCLATUREa. NOMENCLATUREFREQUENCY
COMPONENT
3.2.SAMPLEEND ITEM
1.
Report Date: Page 8 of 913-Oct-2015
a bSUBMITTED c a b
SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM
RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.
COMPONENT
PP21389613-Aug-2010NORMALPOST PHASE6927143692727-Jul-2010
9. REMARKS:
For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED
OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97
0
400
0
9100268 CC 6784
e. ACFT HRS INSTALLEDc. TIME SINCE NEW OR OVERHAULc. SERIAL NUMBER
CH-47D 9100268 #2 FLT Days
b. MAKE OR TYPE d. ACFT HRS LAST OIL CHANGEb. SERIAL NUMBER
HELICOPTER, CARGO HYDRAULIC SYSTEM #2 FLIGHT Hrs
a. NOMENCLATUREa. NOMENCLATUREFREQUENCY
COMPONENT
3.2.SAMPLEEND ITEM
1.
Report Date: Page 9 of 913-Oct-2015
a bSUBMITTED c a b
SAMPLE DATE PIDSAMPLELAST OIL CHGEND ITEM
RESULTSDATE RESULTS RECEIVED7. 8.6. REASON FORHOURS5.4.
COMPONENT
PP21389613-Aug-2010NORMALPOST PHASE6927143692727-Jul-2010
9. REMARKS:
For use of this form, see DA PAMs 738-751; the proponent agency is DCSDA FORM 2408-20, DEC 91, MAY BE USED
OIL ANALYSIS LOGDA FORM 2408-20 E, OCT 97
e
10.
ig
fd
cbaRMVL HRSRMVL HRS
COMPNOMENWUCREADING
LOCATIONNSNAND
h
LIFE METERSER NO. ORAND
NOMENCLATURE PN INST HRSDUEREPLACE
INST HRSCOMPONENTNOMEN REPLACECOMP
Report Date:
METER TRACKED COMPONENT RECORD
6. ACFT MODEL 7. ACFT SERIAL NUMBER 8. ACFT HRS INSTALLED 9. METER READINGS AT INSTALL
00
4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
13-Oct-2015 Page 1 of 2
DA FORM 2408-33-R-E, JUL 04
e
10.
ig
fd
cbaRMVL HRSRMVL HRS
COMPNOMENWUCREADING
LOCATIONNSNAND
h
LIFE METERSER NO. ORAND
NOMENCLATURE PN INST HRSDUEREPLACE
INST HRSCOMPONENTNOMEN REPLACECOMP
Report Date:
METER TRACKED COMPONENT RECORD
6. ACFT MODEL 7. ACFT SERIAL NUMBER 8. ACFT HRS INSTALLED 9. METER READINGS AT INSTALL
00
4. SERIAL NUMBER2. NSN 3. PART NUMBER OR MODEL 5. WUC1. NOMENCLATURE
13-Oct-2015 Page 2 of 2
11. SIGNIFICANT HISTORICAL DATA
REVERSE OF DA FORM 2408-33-R-E, JUL 04
LIN
E
17
12
19
39
5
3=
18
53
95 0
00
0
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CO
MP
a
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2.
E
NG
S/N
CH
-47
D
3. N
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EN
CL
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07
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10
75
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EL
2
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RT
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71
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EN
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EN
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RO
VE
D B
Y H
Q D
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4
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01
-02
0-3
9
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GP
SP
AC
ER
4. P
/N
0
19
22
03 0
EN
G O
P H
RS
AC
FT
h
1st
GP
5A
. D
EC
U S
/N
5. S
/N
90
8
3rd
TU
RB
17
1
ed
21
93
95
0
18
53
95
19
22
03
90
8 0
4th
TU
RB
bc
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TU
RB
2n
d T
UR
B
EN
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To
tal C
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RE
AD
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AT
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L O
F
7.
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. O
F O
VE
RH
AU
LS
RE
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AT
Co
un
ts s
ince
inst
all
LIN
E 2
MIN
US
LIN
E 1
= T
ota
l
INS
TA
LL
AT
ION
CYC/HRS
NSTALL
REMOVAL
CYC/HRS
REMOVAL
f
NSTALL
ji kgdcbaCYC/HRS
COMPO/H
NOMEN
WUC
Hours/Cycles)
O/H
LOCATIONNSNAND
heSINCE
LIFE
(EnginePREV
SER NO.AND
NOMENCLATURE PN
TIME CYC/HRS
DUEREPLACE
NO.
COMPONENTNOMEN
REP.O/H ORCOMP
6.
00
5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE
HELICOPTER, CARGO 1520010883669 CH-47D 9100268
Report Date: 1/413-Oct-2015
Cycles204A03A2-121-090-79061304A03A
0RCDISK ASSY, 1ST TURBINE 2-121-090-79 061365100096 RC 0 10400 10400
Cycles104A03A2-121-090-79061304A03A
0RCDISK ASSY, 1ST TURBINE 2-121-090-79 061365101737 RC 0 10400 10400
Eng Hrs204A05A110700-02D6115904A05A
00HYDROMECHANICAL ASSY 110700-02D6 1159901370009 0 0 2400 2400
Eng Hrs104A05A110700-02D6115904A05A
00HYDROMECHANICAL ASSY 110700-02D6 1159901370154 0 0 2400 2400
SIGNIFICANT HISTORICAL DATA7.
24-Jun-2012 1 WUC 04A P/N: 2-001-020-39 S/N: 07PGA01075 ENGINE TURBINE ASSYAT 805.3 ENGINE HOURS, ZERO OVERHAULS THE FOLLOWING BLADES WERE REPAIRED AND/ORREPLACED: REPAIRED 1 (EA) AND REPLACED 2 (EA) FIRST STAGE COMPRESSOR BLADES.
PP135423 AASF #3 DAVENPORT, IA
05-Jan-2005 1 CCAD-OVERHAULED, TSN: 3576, TSO: 0, O/H : # 2, CONTROL NUMBER DLMD-23340. THE RETIREMENTINTERVALS OF THESE PARTS MAY BE EXTENDED 100% PROVIDED THEY ARE ROTATED 180 DEG. AT 1200HOURS. HUB WAS RECAPPED IAW AED T3332. * THESE HORIZONTAL PINS & BEARINGS MUST BEROTATED AT M/R HEAD TOTAL TIME: 4776 HOURS. S/N'S: A969, VM4773, VM5547, N29810, N31209, &N29807. * ROTATE BRNG S/N: N16382 AT M/R HEAD TOTAL TIME: 4176 HOURS. * ROTATE BRNGS S/N:X93997X & X95986X AT M/R HEAD TT: 4411 HOURS * ROTATE BRNG S/N: X95534X AT M/R HEAD TOTALTIME: 4381 HOURS. * ROTATE BRNGS S/N: ZN89961 AT M/R HEAD TOTAL TIME: 4592 HOURS. * ROTATEBRNG S/N: N19815 AT M/R HEAD TOTAL TIME: 4645 HOURS. ** THESE BEARINGS HAVE BEEN ROTATEDAND MUST BE REPLACED AT M/R HEAD TOTAL TIME: 4776 HOURS.
MS068034 CCAD C.C TX 78419
PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4
CYC/HRS
NSTALL
REMOVAL
CYC/HRS
REMOVAL
f
NSTALL
ji kgdcbaCYC/HRS
COMPO/H
NOMEN
WUC
Hours/Cycles)
O/H
LOCATIONNSNAND
heSINCE
LIFE
(EnginePREV
SER NO.AND
NOMENCLATURE PN
TIME CYC/HRS
DUEREPLACE
NO.
COMPONENTNOMEN
REP.O/H ORCOMP
6.
00
5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE
HELICOPTER, CARGO 1520010883669 CH-47D 9100268
Report Date: 2/413-Oct-2015
11-May-2005 1 *** FWD HORZ PIN, BRG, LEAD SN# N16382 ROTATED. 3912 HEAD HOURS. BEARING DUE REPLACEMENTAT 5112 HEAD HOURS. CD8204.
MS068034 OLR/LSI FT LEWIS WA.
12-Apr-2012 1 ROTOR HEAD ASSY FWD NSN:1615-01-391-4398 P/N:145R2003-10 S/N: A4-293*THESE HORIZONTAL PINS S/N'S: FM1186, FM1209 MUST BE ROTATED @ M/R HEADTOTAL TIME: 5112 HRS..-- **HORIZONTAL PIN S/N: VM5425 HAS BEEN ROTATED ANDMUST BE REPLACED @ M/R HEAD TOTAL TIME: 5879 HRS.-- **HORIZONTAL PIN BEARINGS/N: N16382 HAS BEEN ROTATED AND MUST BE REPLACED @ M/R HEAD TOTAL TIME:5112 HRS.-- **THESE VERTICAL PIN BEARING S/N'S: N31209, N29807, 29810, HAVE BEENROTATED AND MUST BE REPLACED @ 5879 HRS. M/R HEAD TOTAL TIME.-- *THESE VERTICALPIN BEARING S/N'S: A10909, A1760, N32101, MUST BE ROTATED @ 5879 HRS. M/R HEAD TOTAL TIME.--*THESE HORIZONTAL PIN BEARING S/N'S: A3908, N2743, N2791, A8971, N38578, MUST BE ROTATED TIME.@ 5879 HRS. M/R HEAD TOTAL TIME.
RG546546 AASF #3 DAVENPORT, IOWA
08-Jun-2007 1 DATE: 08 JUN 07, CCAD - OVERHAULED/RECAPPED, TSN: 3561, TSO: 0, O/H: #4, C/N #3410004. THERETIREMENT INTERVALS OF THESE PARTS MAY BE EXTENDED 100% PROVIDED THEY ARE ROTATED 180DEG. AT 1200 HOURS.
* THESE HORIZONTAL PINS & BEARINGS S/N'S: TZ456, AF780, TZ1300, ZN49535, ZN20830, ZN77042,AZN462, AZN427, AZN283, ZN4910, AZN12, N42613 MUST BE ROTATED AT M/R HEAD TOTAL TIME: 4761HOURS.
* BEARING S/N: N18766 MUST BE ROTATED AT M/R HEAD TT: 4561 HOURS.* BEARING S/N: N40521 MUST BE ROTATED AT M/R HEAD TT: 4560 HOURS.* BEARING S/N: N34202 MUST BE ROTATED AT M/R HEAD TT: 4562 HOURS.
S/ E.G. LOPEZ, A/C DATA TECH., CCAD, CORPC, TX 78419-5260.
CCAD CORPC, TX 78419-5260
03-Mar-2010 1 28JAN2009-CCAD-TSN:3307,TSO:0.#O/H:4. RECAPPED IAW AED-T3317 AND AED-T3726. S/FC7929, CCAD,CORPC TX.
PP213896 AASF #3 MERIDIAN, MS
06-Sep-1992 1 WUC: 06B PN: 145D1300-9 PSN: A7-574 XMSN ASSY, WING DRIVE FWD6-9-92: BOEING HELICOPTER PHILA., PA. CONTRACT #DAAJ09-89-C-A010. T.T. NEW 13B8 JUN 9-1992.
JD415449 BOEING HEICOPTER PHILA., PA
30-Aug-1999 1 WUC: 06B PN: 145D1300-9 PSN: A7-574 XMSN ASSY, WING DRIVE FWD30 AUG 99 SOF-CH-47-99-04/ TB1-1520-240-20-114. INSP OF H-47 ACFTFOR FWD & AFT XMSN GEAR/BEARING ASSY'Y IDENTIFIED BY S/N PREFIX VB
JD415449 (NO ORGANIZATION) (NO LOCATION)
04-Dec-2009 1 WUC 06B03,BEARING S/N VERIFY AT NEXT TEARDOWN
PP213896 AASF#3 MERIDIAN,MS
06-Jan-1992 1 WUC: 06C PN: 145D2300-7 PSN: A9-576 XMSN ASSEMBLY AFT6-1-92: BOEING HELICOPTERS PHILA., PA. CONTRACT # DAAJ09-89-C-A010. T.T. NEW 13B8.
JD415449 BOEING HELICOPTER PHILA., PA.
30-Aug-1999 1 WUC: 06C PN: 145D2300-7 PSN: A9-576 XMSN ASSEMBLY AFT30 AUG 99: SOF-CH-47-99-04/ TB1-1520-240-20-114. INSP OF H-47 ACFT FOR FWD & AFT XMSNGEAR/BEARING ASSY'Y IDENTIFIED BY S/N PREFIX VB
JD415449 (NO ORGANIZATION) (NO LOCATION)
PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4
CYC/HRS
NSTALL
REMOVAL
CYC/HRS
REMOVAL
f
NSTALL
ji kgdcbaCYC/HRS
COMPO/H
NOMEN
WUC
Hours/Cycles)
O/H
LOCATIONNSNAND
heSINCE
LIFE
(EnginePREV
SER NO.AND
NOMENCLATURE PN
TIME CYC/HRS
DUEREPLACE
NO.
COMPONENTNOMEN
REP.O/H ORCOMP
6.
00
5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE
HELICOPTER, CARGO 1520010883669 CH-47D 9100268
Report Date: 3/413-Oct-2015
13-Feb-2006 1 MAINTENANCE ENGINEERING CALL (MEC) #F45943 REPAIR OF CORROSION ON HOUSING UNDER OILCOOLER. TM9262 2HRS(AUTHORIZED BY REX A HAYDEN) 6 FEB 2006
JD415449 OLR/LSI FT LEWIS WA
07-Mar-1988 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL07 MAR 88 BOEING CONTRACT #DAAJ09-85-C-A-005, T.T. NEW BORG &WARNER CLUTCH INST 114DS672-1, S/NXBW-528.INNER CAGE WAS INSP ANDFOUND ACCEPTABLE.
JD415449 BOEING NO LOCATION
15-Mar-1988 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL15 MAR 88 BOEING, XMSN WAS REWORKED AND INSP PER RR#443292.CLUTCH114DS672-1 S/N XBW-528 FOUND ACCEPTABLE.
JD415449 BOEING NO LOCATION
14-Mar-1998 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL14 MAR 98 VERIFY P/N AND S/N AND TIME AT NEXT TEARDOWN, SIGNED C.HERNANDEZ, REC CLERK CCAD.
JD415449 CCAD NO LOCATION
21-Apr-1998 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL21 APR 98 SERVICABLE, CCAD, TSN 1635, CONTROL 3070791. SIGNED E.BROWN REC CLERK, CCAD.
JD415449 CCAD NO LOCATION
28-Jul-2000 1 WUC: 06E PN: 145D6300-12 PSN: A11-524DRGI XMSN ASSY, ENGINE MECHANICAL28 JUL 00 UNIT IS I/C/W C.A.R.E. 114D0111 REV. B "DRGI" HAS BEENETCHED ADJACENT TOUNITS S/N TO DENOTE UNITS COMPLIANCE. UNIT HASBEEN O/H & UPGRADED TO 145D6300-12 CONFIGURATION FROM A 145D6300-10 CONFIGURATION. CONTRACT #DAAH23-99-C-0220. UNIT IS FLIGHTREADY AND REQUIRES NO FURTHER MAINTENANCE. TSN 1731, TSO 0, O/H 1WH4916.
JD415449 NO ORGANIZATION NO LOCATION
31-Jul-1987 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 87-07-31: BOEING/VERTOL CO. PHILA, PA. CONTRACT #DAAJ-09-85-C-A005 TT: NEW, BORG WARNER CLUTCH INSTALLED 114DS672-1, S/N XBW286.
QC000000 BOEING/VERTOL PHILA, PA
16-May-1989 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 89-05-16: BOEING HEL., PHILA,PA.XMSN WAS RETURNED FOR NEW CLUTCH 114DS672-1 S/N XBW685,REASSEMBLED,TESTED,AND INSP. XMSN WAS REIDENTIFIED FROM 145D6300-3 TO 145D6300-6. TT: 161,TSO: NEW NO OVERHAUL.CONTRACT# DAAJ-09-85-G-0005. S/ B8-896.
QC000000 BOEING HEL PHILA,PA
03-Apr-1991 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 91-04-03: SOF MSG CH-47-91-01 (TB 55-1520-240-55) ONE TIME INSP. OF XMSN CONTAINING SUSPECTED INOUT PINION AND GEARS. COMPLETED BY D CO. 502ND. AVN REGT APO NY 09028 S/ O.G. TI.
JD415449 CO. 502ND REGT APO NY 09028
01-Jan-2000 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 20000101: SOF CH-47-00-04/TB 1-1520-240-20-117: ONE TIME INSP OF ENG. XMSN. HISTORICAL RECORDS FOR SUSPECT GEARS & REPLACEMENT OF SUSPECT XMSN C/W AT 1714.0 COMP. HRS. TS3050 AASF MERIDIAN, MS.
JD415449 AASF MERIDIAN, MS
PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4
CYC/HRS
NSTALL
REMOVAL
CYC/HRS
REMOVAL
f
NSTALL
ji kgdcbaCYC/HRS
COMPO/H
NOMEN
WUC
Hours/Cycles)
O/H
LOCATIONNSNAND
heSINCE
LIFE
(EnginePREV
SER NO.AND
NOMENCLATURE PN
TIME CYC/HRS
DUEREPLACE
NO.
COMPONENTNOMEN
REP.O/H ORCOMP
6.
00
5. WUC4. SERIAL NUMBER3. PART NUMBER OR MODEL2. NSN1. NOMENCLATURE
HELICOPTER, CARGO 1520010883669 CH-47D 9100268
Report Date: 4/413-Oct-2015
08-Mar-2000 1 WUC: 06E PN: 145D6300-6 PSN: A11-468 XMSN ASSY, ENGINE MECHANICAL 20000308:TREATED FOR CORROSION IN MOUNT HOLES. MT HOLES FOR THE #2 POSITION WERE REAMED OVERSIZED TO REMOVE CORROSION. XMSN CAN ONLY BE USED AS A #1 ENG. XMSN. CM6742 AASF MERIDIAN, MS.
JD415449 AASF MERIDIAN, MS
04-Dec-2009 1 WUC 06E03,BEARING S/N VERIFY AT NEXT TEARDOWN
PP213896 AASF#3 MERIDIAN,MS
04-Jan-2006 1 OVERHAULED TSN:60, TSO:0 CNTRL#:1184. RECAPPED IAW AED-T3225 FICHLA CAUYPOR A/C DATATECH,
MS068034 CCAD CORPC TX 78419
21-Jan-2012 1 23-AUG-2011RECAPPED IAW DMWR 55-1615-322, CH-10, TSN 8695, CONT #575721 CCAD, CC TX 78419, JL9064
JM027933 AASF #3 DAVENPORT, IA
20-Jan-2012 1 17-AUG-11RECAPPED IAW DMWR 55-1615-322, CH-10TSN-5925, # O/H-RC, CONT #577602CCAD/WOMUAA,CC TX 78419PSA FR 4626
JM027933 AASF #3 DAVENPORT, IA
PART 2 - 714A ENGINE/COMPONENT REPORT APPROVED BY DA G4
Swung: By: CC04204906-Jul-2012
PILOT'S COMPASS CORRECTION CARD
HSICompass:
315
269
225
183
137
091
046
001
W 270
DD Form 1613
Fly To Steer Fly To Steer
345
330
315
300
285
255
225
240
195
210
S 180
165
150
135
120
045
075
105
E 090
060
030
015
N 000
310
273
227
183
137
092
046
000
W 270
DD Form 1613
Fly To Steer Fly To Steer
345
330
315
300
285
255
225
240
195
210
S 180
165
150
135
120
045
075
105
E 090
060
030
015
N 000
COMPASS
DATE
COMPENSATED AND SWUNG BY
For Compensation procedure, refer to Specification AN-C 106.
STANDBY MAG
06-Jul-2012
CC042049
PILOT'S COMPASS CORRECTION CARD
AIRCRAFT
9100268
DD Form 1613 E, JUL 67 REPLACES AFTO FORM 76, MAY 56 WHICH IS OBSOLETE
Swung: By: WS06012108-Jun-2011
PILOT'S COMPASS CORRECTION CARD
STANDBY MAGCompass:
315
272
225
180
135
089
045
000
W 270
DD Form 1613
Fly To Steer Fly To Steer
345
330
315
300
285
255
225
240
195
210
S 180
165
150
135
120
045
075
105
E 090
060
030
015
N 000
315
271
225
180
135
088
045
000
W 270
DD Form 1613
Fly To Steer Fly To Steer
345
330
315
300
285
255
225
240
195
210
S 180
165
150
135
120
045
075
105
E 090
060
030
015
N 000
COMPASS
DATE
COMPENSATED AND SWUNG BY
For Compensation procedure, refer to Specification AN-C 106.
HSI
28-May-2009
CC332854
PILOT'S COMPASS CORRECTION CARD
AIRCRAFT
9100268
DD Form 1613 E, JUL 67 REPLACES AFTO FORM 76, MAY 56 WHICH IS OBSOLETE
Swung: By: CC33285409-Jun-2010
PILOT'S COMPASS CORRECTION CARD
HSICompass:
315
271
225
180
135
088
045
000
W 270
DD Form 1613
Fly To Steer Fly To Steer
345
330
315
300
285
255
225
240
195
210
S 180
165
150
135
120
045
075
105
E 090
060
030
015
N 000
315
270
225
180
135
090
045
000
W 270
DD Form 1613
Fly To Steer Fly To Steer
345
330
315
300
285
255
225
240
195
210
S 180
165
150
135
120
045
075
105
E 090
060
030
015
N 000
COMPASS
DATE
COMPENSATED AND SWUNG BY
For Compensation procedure, refer to Specification AN-C 106.
STANDBY MAG
28-May-2009
CC332854
PILOT'S COMPASS CORRECTION CARD
AIRCRAFT
9100268
DD Form 1613 E, JUL 67 REPLACES AFTO FORM 76, MAY 56 WHICH IS OBSOLETE
Swung: By: CC33285409-Jun-2010
PILOT'S COMPASS CORRECTION CARD
STANDBY MAGCompass:
315
270
225
180
135
090
045
000
W 270
DD Form 1613
Fly To Steer Fly To Steer
345
330
315
300
285
255
225
240
195
210
S 180
165
150
135
120
045
075
105
E 090
060
030
015
N 000
270
180
090
360
W 270
DD Form 1613
Fly To Steer Fly To Steer
345
330
315
300
285
255
225
240
195
210
S 180
165
150
135
120
045
075
105
E 090
060
030
015
N 000
COMPASS
DATE
COMPENSATED AND SWUNG BY
For Compensation procedure, refer to Specification AN-C 106.
HSI
09-Mar-2015
BA963479
PILOT'S COMPASS CORRECTION CARD
AIRCRAFT
9100268
DD Form 1613 E, JUL 67 REPLACES AFTO FORM 76, MAY 56 WHICH IS OBSOLETE
Swung: By: BA96347909-Mar-2015
PILOT'S COMPASS CORRECTION CARD
STANDBY MAGCompass:
270
180
090
360
W 270
DD Form 1613
Fly To Steer Fly To Steer
345
330
315
300
285
255
225
240
195
210
S 180
165
150
135
120
045
075
105
E 090
060
030
015
N 000
315
270
225
180
135
090
045
000
W 270
DD Form 1613
Fly To Steer Fly To Steer
345
330
315
300
285
255
225
240
195
210
S 180
165
150
135
120
045
075
105
E 090
060
030
015
N 000
COMPASS
DATE
COMPENSATED AND SWUNG BY
For Compensation procedure, refer to Specification AN-C 106.
HSI
07-Mar-2014
EM066942
PILOT'S COMPASS CORRECTION CARD
AIRCRAFT
9100268
DD Form 1613 E, JUL 67 REPLACES AFTO FORM 76, MAY 56 WHICH IS OBSOLETE
Swung: By: EM06694207-Mar-2014
PILOT'S COMPASS CORRECTION CARD
STANDBY MAGCompass:
315
270
225
180
135
090
045
000
W 270
DD Form 1613
Fly To Steer Fly To Steer
345
330
315
300
285
255
225
240
195
210
S 180
165
150
135
120
045
075
105
E 090
060
030
015
N 000
315
270
225
180
135
090
045
000
W 270
DD Form 1613
Fly To Steer Fly To Steer
345
330
315
300
285
255
225
240
195
210
S 180
165
150
135
120
045
075
105
E 090
060
030
015
N 000
COMPASS
DATE
COMPENSATED AND SWUNG BY
For Compensation procedure, refer to Specification AN-C 106.
HSI
08-Jun-2011
WS060129
PILOT'S COMPASS CORRECTION CARD
AIRCRAFT
9100268
DD Form 1613 E, JUL 67 REPLACES AFTO FORM 76, MAY 56 WHICH IS OBSOLETE
No. of PagePage No.Engine Serial NumberEngine NumberA/C Serial NumberEngine Model
1/1 1
13-Oct-2015
Date
Engine Installed At ______________________________ A/C Hours: __________________________________________ Engine Hours
TGTLimit
TorqueAir Speed
ºCºC
ºC
ºCLimit
ATFETF
TGTMargin
Ind. TGT(1)
Table TGT(2)
PAFATA/C HoursDateTGT
MarginInd. TGT
(1)Table TGT
(2)PAFAT
A/C HoursDate