1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE1

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

/ A 26 Oct 16 3 07:12 PANOZZO, NICHOLAS

INTERIOR TAILCONE WORK PLATFORM RMVD FROM ACFT

5679.3 O G 2

ROBIE TANK INSTALLED, WORK PLATFORM IS LOCATED IN ACFT 84-24(004) PARTS BIN LOCATED AT AR AASF00 ,

Ⓧ A 15 Mar 17 1001 09:38 KLATT, STEVEN

USE OF PERSONAL RESTRAINT TETHER RESTRICTED PER H-60-17-ASAM-07

5749.8 O O 2

00 ,

― A 21 Jun 17 2 07:01 PANOZZO, NICHOLAS

"COMPLY WITH REQUIREMENTS OF H-60-17-ASAM-11 FUEL HOSE BORESCOPE INSPECTION, BY 22 APR 2021"

5799 O G 2

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 1 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE2

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

/ A 25 Apr 18 3 12:08 MCNEAL, AARON

APR39 BOTH REAR QUADRANT RADAR DETECTORS FAIL DURING TEST

5897.9 G G 2

NEED APR-39 FSR 19 ,

Ⓧ A 07 Jan 19 1 07:39 Panozzo, Nicholas

AIRCRAFT RESTRICTED FROM KNOWN HOSTILE ENVIRONMENTS DUE TO FAILURE OF APR-39 SYSTEM.

5948.9 K G 2

NEED APR-39 FSR 02 ,

/ E 26 Feb 19 1 14:55 BREWER, COLE

HF radio inop. Displays RT-CDU COMM FAIL.

5974.3 G G 4

Need to hang test a RT 19D01 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 2 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE3

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

/ A 07 May 19 1 12:30 Panozzo, Nicholas

"Install angle brackets for MR De-Ice Harness per H-60-19-AMAM-03, MR De-Ice/Chip Detector Harness Chafing and Re-Routing, at the NEXT main transmission removal."

5987.7 O G 2

TO BE COMPLETED AT THE NEXT XMSN REMOVAL00 ,

/ A 08 Nov 19 1 09:10 JOHNSON, JEREMIAH

REMOVED SEALING COMPOUND FROM T/R BLADE, SN A009-02397 PER H-60-17-SOF-05 AT 6229.8 AIRCRAFT HOURS

6101 K G 2

00 ,

/ A 08 Nov 19 2 09:11 JOHNSON, JEREMIAH

REMOVED SEALING COMPOUND FROM T/R BLADE, SN A009-01689 PER H-60-17-SOF-05 AT 6229.8 AIRCRAFT HOURS

6101 K G 2

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 3 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE4

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

/ A 31 Jan 20 1 06:03 JOHNSON, JEREMIAH

DURING NEXT REMOVAL/DISASSEMBLY/PMI M/R SHAFT NUT REQUIRES SN# MSG19770 TO BE STAMPED ON NUT IAW H-60-19-ASAM-06

6120.9 O G 2

06A18 ,

/ A 11 Feb 20 1 16:22 SMITH, AIDAN

AFT XMSN SUPPORT BEAM HAS 2 (EA) LOOSE FASTENERS ON AFT SIDE LOCATED FS:362 WL:269 BL:2

6127.4 B G 2

00 ,

― A 01 Apr 20 1 08:59 RANEY, WINSTON

AHRS PIN FILTER ADAPTER REQUIRES REMOVAL PER H-60-20-AMAM-04 BY 04 MAR 21

6142.4 K G 2

02 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 4 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE5

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

― A 06 May 20 1 09:31 JOHNSON, JEREMIAH

INITIATE DA FORM 2408-18 NUMBERS A860,A861,A862,A863 AT NEXT PMI 6229.8 BUT NOT TO EXCEED 20 APR 22.

6142.4 K G 2

05A02 ,

Ⓧ A 28 Aug 20 3 13:37 STACKS, MARCUS

OPERATE WITHIN LIMITATIONS AND RESTRICTIONS SPECIFIED IN AWR 980 R23 21 Jun 2019(HOIST EQUIPTMENT), AWR 1054 R21 1JUL20, 1127 R9 11 SEP 18 (HELI-BASKET); 1308 R13 24 APR 19 (GOODWRITCH -5 HOIST); 1309 R12 30 Jul 18 (OREGON AERO SEAT CUSHIONS); 1324 R15 25 SEP 18 (CMWS-ICMD);1348 R15 23 APR 20 (8 OR 12 POINT ICS); 1425 R22 13 JAN 20 (ICMD-CMWS); 1444 R10 29 MAY 20 (FOGS SINGLE CONFIGURATION); 1466 R9 23AUG19 (GARMIN GPSMAP); 1494 R12 14 JAN 20 (CMWS 5TH SENSOR A&B KITS); 1566 R7 01 FEB 19 (TITANIUM OR STAINLESS STEEL CABLE GUARD); 1692 R10 19MAR20 (NEW BLADE DE-ICE CONNECTOR); 1694 R7 29 JAN 20 DUAL STABILATOR CONTROLLER (DCS)); 1753 R9 17APR20 (DOPPLER GPS DGNS AN ASN128 B&D); 1800 R9 15 Jul 2019 (EDM AND BFT); 1858 R8 12JUN20 (ENCRYPTED AIRCRAFT WIRELESS INTERCOM SYS EWIS); AWR 2122 R5 9 Aug 2019 ( TECHNISONIC); 744 R11 24 JAN 19 (TOW BALLAST PLATES ); 1279 R9 20 MAY 20 (COCKPIT DOORS AND CABIN DOORS); 1452 R7 22 APR 19 (LC-6 DIGITAL CHRONOMETER); 1455 R9 10JUL20 (CAUTION ADVISORY PANEL CAP); 1500 R9 12JUL19 (IMPROVED ICS); 1513 R14 17APR20(INTERGRATED PERFORMANCE AND AIRCRAFT CONFIGURATION); 1532 R15 28JUL20 (200 GAL IFATS ); 1607 R11 13MAR20 (LCD CDU); 1682 R25 1 Aug 2019 (UH-60A W/ 701D OR 701C ENG W/AUTO RELIGHT & TRANSIENT DROOP); 1738 R6 18 JAN 19 (AN APX-118A);1763 R12 (HOIST); 1054 R21 1JUL20 (SEI BAMBI BUCKET); 1516 R12 07 FEB 19 (ELT EBC-406HM); 1787 R4 9 Aug 2019 (FM IMMUNE ARC-231); AWR 1967 R5 28 MAY 20 ( TALON FLIR);2002 R5 5OCT18 (IMMSS); AWR 2059 R3 13 AUG 19 (SHOUT NANO V), AWR 2120 R3 27SEP19 (GETAC V110 AV MSD), AWR 1750 R6 31MAR20 (ANVIS 6 NIGHT VISION GOGGLES)

6177.7 O G 1

00 ,

― A 01 Sep 20 4 13:37 JOHNSON, JEREMIAH

"ATTITUDE HEADING REFERENCE UNIT PN 765100-20 AND CONTROL UNIT PN 765200-20 REQUIRE REPLACEMEMNT PER H-60-20-AMAM-09 BY 25 AUG 22."

6177.7 O G 2

19E06 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 5 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE6

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

― A 15 Sep 20 1 13:24 Generated, Computer

INSP A400 PMI-1.

6182.6 O O 1

00 ,

/ A 09 Oct 20 1 08:20 NEAL, BRANDON

MAIN MODULE DRIP PAN REMOVED TO FOM

6190.4 K G 2

02 ,

✕ A 09 Oct 20 6 12:46 Generated, Computer

INSP A110 PMS 40 HOUR INSPECTION FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 6190.9 AIRCRAFT HOURS

REFERENCE: TM 1-1520-237-PMS

6191.4 O O 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 6 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE7

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 09 Oct 20 7 12:50 SIMPSON, FREDERICK

MAIN MOD CHIP LIGHT ILLUMINATED DURING FLIGHT.

6191.4 K G 2

06A ,

✕ A 16 Oct 20 1 09:07 McCullough, Benjamin

REMOVAL OF PILOTS LEFT PEDAL MASTER BRAKE CYLINDER TO SLAVE CYLINDER ELBOW FITTING REQ FOR CONTROLLED EXCHANGE TO 8826036

6191.4 K O 2

03A02B ,

✕ A 16 Oct 20 2 12:31 ZIEMSKI, RYAN

CONTROL EXCHANGE IN PROGRESSO FTHE REMOVAL OF THE PILOTS AHRU TO AIRCRAFT 168

6191.4 K G 2

19

16 Oct 20 14:49 6191.4A 19E06A

REPLACED PILOT AHRU

FORDHAM, A.F 2.0

,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 7 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE8

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ E 16 Oct 20 1 14:46 ZIEMSKI, RYAN

pilot side gyro failure. gyro capsule light illuminated and stayed lit. gyro corrected itself when alt gyro switch was pressed.

6191.4 G G 3

19I ,

✕ A 17 Oct 20 1 10:15 lee, justin

#1 ENGINE REMOVED FOR MAINT

6191.4 K G 1

04A ,

✕ A 18 Oct 20 1 00:00 Generated, Computer

INSP A850 PMD DUE FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 17 OCT 2020

REFERENCE: LOCAL

6191.4 O O 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 8 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE9

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 18 Oct 20 3 10:43 Generated, Computer

#1 INLET REMOVAL

6191.4 O G 2

00 ,

✕ A 19 Oct 20 1 00:00 Generated, Computer

INSP A803 ANNUAL SN CHECK FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 18 OCT 2020

REFERENCE: LOCAL

6191.4 O O 1

00 ,

/ A 19 Oct 20 2 15:19 DOOLIN, PHILIP

AIRCRAFT REQ RMVL OF IMMSS PRIOR TO EXPORT TO BEST.

6191.4 S G 1

02 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 9 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE10

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 19 Oct 20 3 15:27 DOOLIN, PHILIP

R/H CARGO DOOR HANDLE WILL NOT UNLOCK.

6191.4 B G 2

02 ,

/ A 20 Oct 20 1 10:02 WIDEMAN, CHARLES

AIRCRAFT REQ RMVL OF EXTERNAL RESCUE HOIST PRIOR TO EXPORT TO BEST.

6191.4 E G 1

14B ,

✕ A 20 Oct 20 2 10:08 ZIEMSKI, RYAN

CONTROL EXCHANGE IN PROGRESS OF RADAR ALTIMETER ANTENNA CABLES FROM BOTH ANTENNAS TO RT

6191.4 K G 3

19E05 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 10 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE11

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

/ A 21 Oct 20 3 07:53 DOOLIN, PHILIP

CONTROLLED EXCHANGE OF CPLT PEDAL ADJUSTER ASSY TO AIRCRAFT 00-26851

6191.4 X G 1

11C02

27 Oct 20 00:00 6191.4N 11C02

CONTROLLED EXCHANGE CANCELLED DUE TO DAMAGED BEARING ON PEDAL ADJUSTER

,

✕ A 22 Oct 20 1 14:29 ZIEMSKI, RYAN

CONTROL EXCHANGE IN PROGRESS FOR THE REMOVAL OF THE POSITION LIGHT DIM AND BRIGHT TOGGLE SWITCH FOR UPPER CONSOLE

6191.4 K G 2

09C04E ,

✕ A 24 Oct 20 1 00:01 Generated, Computer

INSP A022 14 DAY FLYABLE STORAGE ENGINE RUN UP FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 23 OCT 2020

REFERENCE: TM 1-1520-237-23&P

6191.4 O O 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 11 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE12

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

/ A 27 Oct 20 2 08:10 WIDEMAN, CHARLES

UNIT EQUIPMENT/PROPERTY BOOK ITEMS REMOVAL REQUIRED FOR AIRCRAFT TRANSFER TO BEST

6191.4 X G 1

00 ,

✕ A 27 Oct 20 3 10:39 PARKER, CHARLES

CONTROLLED EXCHANGE OF #1 ENGINE AIR INLET COUPLING (ECCENTRIC) FROM ACFT 84-24004 TO ACFT 00-26862 PART DOC NUMBER W91FD993110002

6191.4 B G 1

02 ,

✕ E 29 Oct 20 1 10:05 SMITH, AIDAN

REMOVED TDFM-9000 TECHNISONIC RADIO

6191.4 B G 2

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 12 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE13

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 29 Oct 20 1 15:34 MURRAY, KOURTNEY

CONTROLLED EXCHANGE REQUIRED OF #1 ENG (SN: GE-E-375516C) WITH ACFT 83-23901 #1 ENG (SN: GE-E-762404C)

6191.4 B G 1

04A ,

✕ A 30 Oct 20 1 00:01 Generated, Computer

INSP A103 AIRCRAFT WASH DUE FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 29 OCT 2020

REFERENCE: TM 1-1500-344-23

6191.4 O O 1

00 ,

✕ E 30 Oct 20 1 00:01 Generated, Computer

INSP E220 EMERGENCY LOCATOR TRANSMITTER SELF-TEST (AS REQUIRED) FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 29 OCT 2020 OR 6307.6 AIRCRAFT HOURS

REFERENCE: AWR 1516 R12

6191.4 O O 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 13 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE14

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 30 Oct 20 2 00:01 Generated, Computer

INSP A115 LUBE REQUIRMENTS FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 29 OCT 2020 OR 6226.6 AIRCRAFT HOURS

REFERENCE: TM 1-1520-237-23&P

6191.4 O O 1

00 ,

✕ A 31 Oct 20 1 00:01 Generated, Computer

INSP A804 LOGBOOK RECON FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 30 OCT 2020

REFERENCE: LOCAL

6191.4 O O 1

00 ,

✕ A 01 Nov 20 1 00:00 Generated, Computer

INSP A177 90 DAY REVIEW/UPDATE OF 365-4 ENTRIES FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 31 OCT 2020

REFERENCE: AR 95-1

6191.4 O O 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 14 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE15

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ E 02 Nov 20 1 00:00 Generated, Computer

INSP E050 ARC-220 RADIO SET BATTERY INSPECTION OR REPLACE FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 01 NOV 2020

REFERENCE: TM 11-5821-357-12P

6191.4 O O 1

00 ,

✕ A 03 Nov 20 1 00:00 Generated, Computer

INSP A092 30 DAY SLAB BATTERY INSPECTION (D8565/11-1) FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 02 NOV 2020

REFERENCE: TM 11-6140-203-23 P

6191.4 O O 1

00 ,

✕ A 03 Nov 20 2 08:25 TIMMS, JARED

CONTROLLED EXCHANGE REQUIRED FROM 84-24004 #1 ENG HIGH SPEED SHAFT (SN: C845-09420) TO AIRCRAFT 83-23901

6191.4 B G 1

04A

03 Nov 20 08:33 6191.41 04A

WRITE UP ENTERED IN ERROR

MURRAY, K.F 0.1

,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 15 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE16

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 03 Nov 20 3 08:38 TIMMS, JARED

CONTROLLED EXCHANGE REQUIRED ON #1 ENG HIGH SPEED SHAFT FROM AIRCRAFT 83-23901 (SN: C845-02089) TO AIRCRAFT 84-24004 #ENG HIGH SPEED SHAFT (SN: C845-09420)

6191.4 B G 1

04A ,

✕ A 03 Nov 20 4 08:51 Halvorson, John

#2 ENG REMOVED DUE TO CONTROLLED EXCHANGE

6191.4 K G 1

04A ,

✕ A 03 Nov 20 5 08:54 Halvorson, John

#2 ENG INLET REMOVED DUE TO CONTROLLED EXCHANGE

6191.4 K G 1

04A11A ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 16 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE17

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 03 Nov 20 6 14:41 WIDEMAN, CHARLES

TAIL WHEEL FORK ASSEMBLY BUSHING ELONGATED

6191.4 K G 1

03B05B ,

✕ A 03 Nov 20 7 14:44 WIDEMAN, CHARLES

TAIL WHEEL FORK ASSEMBLY WEAR PLATE INCORRECTLY BONDED

6191.4 K G 1

03B05B ,

✕ A 05 Nov 20 2 09:54 NEAL, LEWIS

CONTROLLED EXCHANGE REQUIRED ON TAIL ROTOR PADDLE FROM AIRCRAFT 89-26168 (SN: A009-12817) TO AIRCRAFT 84-24004 TAIL ROTOR PADDLE (SN: A009-01689)

6191.4 O G 2

05B02 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 17 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE18

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 11 Nov 20 1 00:01 Generated, Computer

INSP A501 MAIN ROTOR BLADE SPAR PRESSURE CHECK FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 10 NOV 2020

REFERENCE: TM 1-1520-237-23&P

6191.4 O O 1

00 ,

✕ A 15 Nov 20 1 00:01 Generated, Computer

INSP A230 INSPECT BATTERY COMPARTMENT FOR CORROSION (SLAB) FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 14 NOV 2020

REFERENCE: MWO 1-1520-237-50-77

6191.4 O O 1

00 ,

✕ A 19 Nov 20 1 00:00 Generated, Computer

INSP A100 LH/RH ENGINE HISTORY RECORDER READINGS DUE FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 18 NOV 2020

REFERENCE: DA PAM 738-751

6191.4 O O 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 18 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE19

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 20 Nov 20 1 00:00 Generated, Computer

INSP A858 APU METER READINGS DUE ( EVENTS, HOURS) FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 19 NOV 2020

REFERENCE: LOCAL

6191.4 O O 1

00 ,

✕ A 25 Nov 20 1 08:41 Martin, Sean

CONTROLLED EXCHANGE OF OVERSPEED DRAIN VALVE SN- APM973HK FROM ACFT 824004- ACFT 8423981

6191.4 B G 1

04A

25 Nov 20 11:05 6191.4A 04A

CONTROLLED EXCHANGE COMP REPLACED W/ OVERSPEED DRAIN VALVE SN-APM303JN

Martin, S. F 0.4

,

✕ A 25 Nov 20 2 09:11 Martin, Sean

REMOVAL OF OVERSPEED DRAIN VALVE REQ TO COMPLETE CONTROLLED EXCHANGE

6191.4 B G 1

00

25 Nov 20 11:04 6191.4A 04A

REPLACED OSDV W/ SN-APM303JN

Martin, S. F 2.0

,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 19 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE20

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 30 Nov 20 1 00:01 Generated, Computer

INSP A530 AIRCRAFT EQUIPMENT INVENTORY (DA FORM 2408-17) FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 29 NOV 2020

REFERENCE: DA PAM 738-751

6191.4 O O 1

00 ,

✕ A 02 Dec 20 3 14:26 HALE, THOMAS

CONTROLLED EXCHANGE ENGINE SER # GEE763167C TO ACFT 26607

6191.4 K G 1

04A ,

✕ A 02 Dec 20 4 14:28 HALE, THOMAS

CONTOLLED EXCHANGE # 2 HSS SER # C845-00837 TO ACFT 26607

6191.4 K G 1

04A ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 20 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE21

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 03 Dec 20 1 00:00 Generated, Computer

INSP A553 AIRCRAFT WEIGHING INVENTORY (365-1) FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 02 DEC 2020

REFERENCE: AR 95-1

6191.4 O O 1

00 ,

✕ A 03 Dec 20 2 00:00 Generated, Computer

INSP A621 AIRCRAFT WEIGHING CLASS 2 FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 02 DEC 2020

REFERENCE: AR 95-1

6191.4 O O 1

00 ,

/ A 09 Dec 20 1 13:49 RADLEY, JAMES

RH CARGO DOOR OUTBOARD HANDLE INOP

6191.4 B K 2

02B02E02 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 21 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE22

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 10 Dec 20 1 00:00 Generated, Computer

INSP A538 FAT/OAT GAUGE INSPECTION/TEST FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 09 DEC 2020

REFERENCE: TM 1-1520-237-23&P

6191.4 O O 1

00 ,

✕ A 13 Dec 20 1 00:00 Generated, Computer

INSP A533 PITOT STATIC SYSTEM INSPECTION FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 12 DEC 2020

REFERENCE: TM 1-1520-237-23&P

6191.4 O O 1

00 ,

✕ E 04 Jan 21 1 07:38 Generated, Computer

INSP E015 ASN 128D DOPPLER GPS BATTERY REPLACEMENT FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 03 JAN 2021

REFERENCE: MWO 1-1520-237-50-92

6191.4 O O 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 22 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE23

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ E 11 Jan 21 1 12:41 Generated, Computer

INSP E351 REPLACE APX-118 TRANSPONDER BATTERY FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 10 JAN 2021

REFERENCE: TM 11-5895-1841-13P

6191.4 O O 1

00 ,

✕ A 11 Jan 21 1 12:41 Generated, Computer

INSP A160 90 DAY CORROSION INSPECTION FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 05 JAN 2021

REFERENCE: TM 1-1520-237-23&P

6191.4 O O 1

00 ,

✕ A 11 Jan 21 2 12:41 Generated, Computer

INSP A222 AMSS SURVIVAL KIT INSPECTION FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 09 JAN 2021

REFERENCE: TM 1-1680-377-13 P

6191.4 O O 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 23 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE24

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ E 11 Jan 21 2 12:41 Generated, Computer

INSP E040 APR-39 RADAR/LASER WARNING OPNL CHECK, 5841-01-236-8951 FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 06 JAN 2021

REFERENCE: TM 11-5841-294-12

6191.4 O O 1

00 ,

✕ A 12 Jan 21 1 00:00 Generated, Computer

INSP A534 FIRST AID KIT INSPECTION FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 01 JAN 2021

REFERENCE: TM 1-1500-204-23-1

6191.4 O O 1

00 ,

✕ E 14 Jan 21 1 00:01 Generated, Computer

INSP E145 AN/ARC-201A(V) SINCGARS HUB BATT REPL FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 13 JAN 2021

REFERENCE: TM 11-5821-333-12

6191.4 O O 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 24 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE25

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 14 Jan 21 1 00:01 Generated, Computer

INSP A532 COMPASS SWING / RMI FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 13 JAN 2021

REFERENCE: TM 1-1500-204-23-4

6191.4 O O 1

00 ,

✕ E 19 Jan 21 1 12:00 Generated, Computer

INSP E125 KY-58 PMCS/OPNL CHECK FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 15 JAN 2021

REFERENCE: TM 11-5810-262-23

6191.4 O O 1

00 ,

✕ A 21 Jan 21 2 13:22 REMILLARD, BARRY

CONTROLLED EXHANGE #2 ENGINE IPS BLOWER DUCT FROM AIRCRAFT 84-24004 TO AIRCRAFT 00-26851

6191.4 B G 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 25 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE26

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

― A 21 Jan 21 3 14:22 REMILLARD, BARRY

NO.2 ENGINE IPS BLOWER DUCT HAS A 1/2 INCH CRACK JUST AFT OF SPINDLE CABLE ATTACHMENT POINT

6191.4 B G 1

00 ,

― A 27 Jan 21 1 16:22 Generated, Computer

SAFETY MESSAGE NUMBER: H-60-21-AMAM-01 DESCRIPTION: COMPLY WITH H-60-21-AMAM-01, MAIN LANDING GEAR DRAG BEAM INSPECTION, BY 06 JULY 2021.. IS DUE: 06 JUL 2021 CALENDAR

6191.4 O O 1

00 ,

✕ A 29 Jan 21 1 00:01 Generated, Computer

INSP A496 CF3BR FIRE EXTINGUISHER WEIGHT TEST INSPECTION FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 28 JAN 2021

REFERENCE: TM 1-1520-237-23&P

6191.4 O O 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 26 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE27

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 04 May 21 1 12:35 Generated, Computer

INSP A665 REPLACE FUEL CELL O-RING SEAL PN MS29513-215 FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 21 APR 2021

REFERENCE: H-60-14-AMAM-18

6191.4 O O 1

00 ,

✕ E 04 May 21 1 12:35 Generated, Computer

INSP E155 KY-58 BATTERY REPLACEMENT FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 08 FEB 2021

REFERENCE: TM 11-5810-262-23

6191.4 O O 1

00 ,

✕ A 04 May 21 2 12:35 Generated, Computer

INSP A304 LUBRICATE MIXER BELLCRANKS FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 21 APR 2021 OR 6234.8 AIRCRAFT HOURS

REFERENCE: TM 1-1520-237-23P

6191.4 O O 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 27 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE28

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 04 May 21 3 12:35 Generated, Computer

INSP A673 FUEL CELL CORROSION INSPECTION FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 21 APR 2021

REFERENCE: TM 1-1520-237-23P

6191.4 O O 1

00 ,

✕ A 04 May 21 4 12:35 Generated, Computer

INSP A675 FLIGHT CONTROL RODS INSPECTION FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 21 APR 2021

REFERENCE: TM 1-1520-237-23P

6191.4 O O 1

00 ,

✕ A 04 May 21 5 12:35 Generated, Computer

INSP A298 LUBRICATE TAIL WHEEL BEARINGS FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 21 MAR 2021 OR 6612.4 AIRCRAFT HOURS

REFERENCE: TM 1-1520-237-23P

6191.4 O O 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 28 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE29

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 04 May 21 6 12:35 Generated, Computer

INSP A670 CABIN TUB INSPECTION FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 21 APR 2021

REFERENCE: TM 1-1520-237-23P

6191.4 O O 1

00 ,

✕ A 04 May 21 7 12:35 Generated, Computer

INSP A502 INSPECT AND TEST GROUND RECEPTACLE IAW TM 1-1500-204-23 FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 WAS DUE. STATUS UPGRADED TO X ON: 21 MAR 2021

REFERENCE: TM 1-1520-237-23P

6191.4 O O 1

00 ,

― A 04 May 21 8 12:35 Generated, Computer

INSP A211 APU OIL SAMPLE FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 IS DUE. STATUS WILL UPGRADE TO X ON: 6627.4 AIRCRAFT HOURS OR 06 JUN 2021

REFERENCE: H-60-10-AMAM-11

6191.4 O O 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 29 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE30

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

― A 04 May 21 9 12:35 Generated, Computer

INSP A116 INTERMEDIATE GEARBOX OIL SAMPLE FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 IS DUE. STATUS WILL UPGRADE TO X ON: 6627.4 AIRCRAFT HOURS OR 06 JUN 2021

REFERENCE: H-60-10-AMAM-11

6191.4 O O 1

00 ,

― A 04 May 21 10 12:35 Generated, Computer

INSP A117 TAIL GEARBOX OIL SAMPLE FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 IS DUE. STATUS WILL UPGRADE TO X ON: 06 JUN 2021 OR 6627.4 AIRCRAFT HOURS

REFERENCE: H-60-10-AMAM-11

6191.4 O O 1

00 ,

― A 04 May 21 11 12:35 Generated, Computer

INSP A302 LUBRICATE MAIN LANDING GEAR WHEEL BEARINGS FOR HCPTR UTILITY UH-60A CAGE: 78286 PN: UH-60A NSN: 1520010350266 SN: 8424004 IS DUE. STATUS WILL UPGRADE TO X ON: 6627.4 AIRCRAFT HOURS OR 10 JUN 2021

REFERENCE: TM 1-1520-237-23P

6191.4 O O 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 30 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE31

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 05 May 21 1 12:10 JUSTUS, NATHANIEL

Aircraft depaneled for BEST induction. Used TM 1-1520-237-23&P, SES GOP, and BEST SOW for reference.

6191.4 E G 1

00 ,

✕ A 05 May 21 2 12:12 JUSTUS, NATHANIEL

Removed CMWS junction box SN: 1672 per customer request IAW TM 1-1520-237-23&P WP 1915.

6191.4 E G 1

00 ,

✕ A 05 May 21 3 12:13 JUSTUS, NATHANIEL

Removed CMWS Safe/Arm control panel S/N 0536 per customer request IAW TM 1-1520-237-23&P WP 1911.

6191.4 E G 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 31 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE32

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 05 May 21 4 12:16 JUSTUS, NATHANIEL

Removed CMWS safety switch S/N 0003588 per customer request IAW TM 1-1520-237-23&P WP 1917.

6191.4 E G 1

00 ,

✕ A 05 May 21 5 12:19 JUSTUS, NATHANIEL

Removed CMWS relay box S/N 1672 per customer request IAW TM 1-1520-237-23&P WP 1913.

6191.4 E G 1

00 ,

✕ A 05 May 21 6 12:22 JUSTUS, NATHANIEL

Removed ARC-201 amplifier S/N 294BB per customer request IAW TM 1-1520-237-23&P WP 4225.

6191.4 E G 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 32 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE33

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 05 May 21 7 12:24 JUSTUS, NATHANIEL

Removed ARC-220 HF ampilier S/N 3374AA per customer request IAW TM 1-1520-237-23&P WP 4255.

6191.4 E G 1

00 ,

✕ A 05 May 21 8 12:27 JUSTUS, NATHANIEL

Removed ARC-220 HF radio control S/N A760AA per customer request IAW TM 1-1520-237-23&P WP 4262.

6191.4 E G 1

00 ,

✕ A 05 May 21 9 12:31 JUSTUS, NATHANIEL

Removed HUD converter S/N C00133 per customer request IAW TM 1-1520-237-23&P WP 4044.

6191.4 E G 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 33 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE34

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 05 May 21 10 12:35 JUSTUS, NATHANIEL

Removed cargo hook explosive cartridge S/N 12313 per customer request IAW TM 1-1520-237-23&P WP 1504.

6191.4 E G 1

00 ,

✕ A 05 May 21 11 12:37 JUSTUS, NATHANIEL

Removed DAGR/PLGR S/N 3342 per customer request IAW UH-60A/L BFT GPS Message Router.

6191.4 E G 1

00 ,

✕ A 05 May 21 12 12:40 JUSTUS, NATHANIEL

Removed Transponder control S/N 2310 per customer request IAW TM 1-1520-237-23&P WP 4337.

6191.4 E G 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 34 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE35

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 05 May 21 13 12:42 JUSTUS, NATHANIEL

Removed APR-39 Indicator S/N 2408AA per customer request IAW TM 1-1520-237-23&P WP 4188.

6191.4 E G 1

00 ,

✕ A 05 May 21 14 12:44 JUSTUS, NATHANIEL

Removed APR-39 Receiver (FWD) S/N CWC1592 and (AFT) S/N 3448 per customer request IAW TM 1-1520-237-23&P WP 4177, 4178.

6191.4 E G 1

00 ,

✕ A 05 May 21 15 12:47 JUSTUS, NATHANIEL

Removed APR-39 Detecting Control S/N 0301 per customer request IAW TM 1-1520-237-23&P WP 4180.

6191.4 E G 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 35 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE36

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 05 May 21 16 12:51 JUSTUS, NATHANIEL

Removed RH spiral antennas FWD S/N 7641 AFT S/N 4830AA per customer request IAW TM 1-1520-237-23&P WP 4186, 4187.

6191.4 E G 1

00 ,

✕ A 05 May 21 17 12:54 JUSTUS, NATHANIEL

Removed LH spiral antennas FWD S/N 4997AA AFT S/N 4294AA per customer request IAW TM 1-1520-237-23&P WP 4186, 4187.

6191.4 E G 1

00 ,

✕ A 05 May 21 18 12:55 JUSTUS, NATHANIEL

Removed Aux fuel quantity control head S/N 773 per customer request IAW TM 1-1520-237-23&P WP 1742.

6191.4 E G 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 36 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE37

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 05 May 21 19 12:58 JUSTUS, NATHANIEL

Removed UHF control head S/N 21156 per customer request IAW TM 1-1520-237-23&P WP 4189.

6191.4 E G 1

00 ,

✕ A 05 May 21 20 13:00 JUSTUS, NATHANIEL

Removed DOPPLER SDC S/N 2200 per customer request IAW TM 1-1520-237-23&P WP 4079, 4086.

6191.4 E G 1

00 ,

✕ A 05 May 21 21 13:02 JUSTUS, NATHANIEL

Removed DOPPLER CDU S/N 0880B per customer request IAW TM 1-1520-237-23&P WP 4073.

6191.4 E G 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 37 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE38

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 05 May 21 22 13:03 JUSTUS, NATHANIEL

Removed DOPPLER antenna S/N 2707B per customer request IAW TM 1-1520-237-23&P WP 4076.

6191.4 E G 1

00 ,

✕ A 05 May 21 23 13:05 JUSTUS, NATHANIEL

Removed BFT Pallet Assy S/N 10696-P per customer request IAW UH-60A/L BFT GPS Message Router.

6191.4 E G 1

00 ,

✕ A 07 May 21 1 10:37 BROWN, MICHAEL

AIRCRAFT INDUCTED INTO BEST PROGRAM ON 7-May-2021, NO SCHEDULED MAINTENANCE PERFORMED AFTER THIS DATE.

6191.4 E G 1

02 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 38 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE39

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

Ⓧ A 07 May 21 2 10:38 BROWN, MICHAEL

REMARK/NOTICE TO BUYER: PRIOR TO DELIVERY OF THE AIRCRAFT TO THE BUYER THE FOLLOWING ITEMS WILL BE REMOVED FROM THE AIRCRAFT AT THE DIRECTION OF THE US GOVERNMENT; TO INCLUDE BUT NOT LIMITED TO: CMWS JUNCTION BOX; SA-26669/ALE-47 (V) CMWS SEQUENCER; SENSOR ELECTRO-OPTIC MISSLE CM-SU-202/AAR-57 (V); DIGITAL COCKPIT DISPLAY UNIT (CMWS); SAFE/ARM CONTROL PANEL (CMWS); CMWS RELAY BOX; MEMORY CARD PMCIA (UDM) MU-1126/AAR-57(V) (CMWS); RECEIVER/TRANSMITTER, RT-1477/ARC-201; CONTROL, C-11466A/ARC-201; KY-58(3EA); KY-58 CONTROL HEAD (3EA); KY-100 AIRTERM; ARC-220/AMP; ARC-220 RT; ARC-220 CONTROL HEAD; AN/AVS-7 B-KIT CONTROL HEAD; AN/AVS-7 B-KIT SDC HUD; UHF RDO-XMTR RT-1518C/ARC-164 HAVEQUICK; NAV DOPPLER/GPS AN/ASN-128B/D; CARGO HOOK, CARTRIDGE EXPLOSIVE (SQUIB); 12 POINT ICS MODULE; AUX FUEL QUAN CONTROL HEAD; AN/PSN-14(A) DAGR (BFT); TRANSPONDER AN/APX 118 OR 123; MCU COOLING GARMENTS AND HOSES; MICRO COOLING UNIT; APR 39 UDM CARD; APR 39 PROCESSOR; APR 39 JUNCTION BOX; APR 39 DISPLAY; APR 39 CONTROL HEAD; PINTLE MOUNT ASSY-L/H; PINTLE MOUNT ASSY-R/H; M240/M60 MACHINE GUN MOUNT RHS; M240/M60 MACHINE GUN MOUNT LHS; AUX FUEL QUANTITY CONTROL HEAD; FLIR MONITORS-AVALAX DISPLAY AND MOUNTING HARDWARE; IVHMU; CONTROL DISPLAY UNIT (IVHMS) 10150-0204; AM-7189 FM AMPLIFIER; ARC-231 R/T; ARC 231 AMP; BFT PALLET WITH DAGR AN/PSN-14(A); INTERFACE UNIT, DATA (IVHMS) 30201-0501.

6191.4 E G 1

02 ,

― A 07 May 21 3 13:36 Generated, Computer

SAFETY MESSAGE NUMBER: H-60-21-AMAM-03 DESCRIPTION: AUXILIARY POWER UNIT (APU) GENERATOR DA FORM 2410 TRACKING. IS DUE: 31 MAY 2021 CALENDAR

6191.4 O O 1

00 ,

✕ A 07 May 21 4 13:36 Generated, Computer

SAFETY MESSAGE NUMBER: H-60-21-SOF-01 DESCRIPTION: T700 SERIES ENGINE COMPRESSOR SPLIT LINE AND COMPRESSOR FORWARD AND AFT FLANGE INSPECTION . WAS DUE: 12 APR 2021 CALENDAR

6191.4 O O 1

00 ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 39 of 62 11 May 2021 1418 UTC FOUO

1. AIRCRAFT SERIAL NUMBER8424004

2. MODELUH-60A

3. DATE 4. PAGE40

PART I - FAULT INFORMATIONSTATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

STATUS SYS DATE NO TIME PID

FAULTS/REMARKS

ACFT HRS WHEN DISC HOW REC MAL EFF

DELAY WUC

PART II - CORRECTING INFORMATIONDATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

DATE TIME ACFT HRSROUNDS ACTION CODE WUCACTION

PID CAT HRS PID CAT HRS PID CAT HRS

TIPID TI MANHOURS

✕ A 10 May 21 1 13:53 BROWN, MICHAEL

During records review with MCDS/2410 Hotline it was discovered that O/S Drain Valve Assy (s/n: APM303JN) was removed for leak and reinstalled with no correction.

6191.4 E G 2

04A05N ,

/ A 10 May 21 2 13:57 BROWN, MICHAEL

#2 ENG oil cooler data plate missing, unable to verify component serial number.

6191.4 E G 1

04A08B ,

DA FORM 2408-13-1-SG, OCT 1997 AIRCRAFT INSPECTION AND MAINTENANCE RECORDDA FORM 2408-13-1, OCT 91, MAY BE USED For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG

APD PE v3.00

page 40 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

/ 8424004 E

26 Feb 19 1

14:55

HF radio inop. Displays RT-CDU COMM FAIL.

✕ T/ F― F✕ T― F― F/ F✕ T✕ T― T― T

DISCONNECTED HF CONTROL (1 CANNON PLUG 2 FILL PLUGS)LOOSENED 4 DZUSK FASTNERS ON HF CONTROL

LOOSENED 4 DZUSK FASTNERS ON KY-100

DISCONNECTED 2 EA CANNON PLUGS FROM KY 100

TOOLBOX INV REQ

FOD CHECK REQ

LOOSENED 4 DZUSK FASTNERS ON KY-100

REMOVED MOUNTING HARDWARE FROM UHF ANTENNA DISCONNECTED ARC-220 RT

FOD CHECK REQ

TOOLBOX INV REQ

RECONNECTED CONNECTORS

TIGHTNED AND SECURED 4 DZUSK FASTNERS STATUS SYMBOL WRITEN IN ERROR

RECONNECTED KY 100

INV COMPLETE

FOD CHECK COMPLETE

TIGHTNED 4 DZUSK FASTNERS

REINSTALLED MOUNTING HARDWARERECONNECTED ARC-220 RT

CHECK COMPLETE

CHECK COMPLETE

CHANDLER, T.

CHANDLER, T.

CHANDLER, T.

CHANDLER, T.

ZIEMSKI, R.

ZIEMSKI, R.

CHANDLER, T.

FORDHAM, A.

FORDHAM, A.

TAYLOR, B.

TAYLOR, B.

F

F

F

F

F

F

F

F

F

F

F

0.3

0.1

0.1

0.3

0.2

0.2

0.2

0.3

0.2

0.2

0.1

page 41 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

✕ 8424004 A

16 Oct 20 1

09:07

REMOVAL OF PILOTS LEFT PEDAL MASTER BRAKE CYLINDER TO SLAVE CYLINDER ELBOW FITTING REQ FOR CONTROLLED EXCHANGE TO 8826036

✕

✕

✕

✕

✕

✕

✕

✕

✕

✕

✕

✕

✕

REMOVED PILOT LEFT PEDAL BOOT HDWR

REMOVED PILOTS LEFT PEDAL BOOT

REMOVED PILOTS LEFT PEDAL BOOT HDWR

REMOVED PILOT LEFT PEDAL BOOT

REMOVED PILOT CENTER PEDAL PANELS

REMOVED PILOT CENTER PEDAL PANEL HDWR

LOOSENED HDWR ON LEFT AND RIGHT HAND RAISED PILOT PANELREMOVED PILOT AFT CYCLIC PANEL HDWR

REMOVED PILOT AFT CYCLIC PANEL

REMOVED CYCLIC BOOT HDWR

REMOVED CYCLIC BOOT

REMOVED CYCLIC PANEL HDWR

REMOVED CYCLIC PANEL

page 42 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 2

✕ 8424004 A

16 Oct 20 1

09:07

REMOVAL OF PILOTS LEFT PEDAL MASTER BRAKE CYLINDER TO SLAVE CYLINDER ELBOW FITTING REQ FOR CONTROLLED EXCHANGE TO 8826036

✕

✕

✕

✕

DISSCONNECTED MASTER CYLINDER HOSE FROM ELBOW FITTINGDISCONNECTED CLAVE CYLINDER HOSE FROM ELBOW FITTINGREMOVED ELBOW FITTING HDWR

REMOVED ELBOW FITTING

page 43 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

✕ 8424004 A

16 Oct 20 2

12:31

CONTROL EXCHANGE IN PROGRESSO FTHE REMOVAL OF THE PILOTS AHRU TO AIRCRAFT 168

✕

✕

✕

✕

― F― F

REMOVED MOUNTING HARDWARE FROM PILOT SIDE AHRUDISCONNECTED (2) CANNON PLUGS FROM PILOT AHRU REMOVED ADDEL CLAMPS FROM PILOT AHRU

REMOVED PILOT AHRU SN:10815

FOD CHECK REQUIRED

TOOLBOX CHECK REQUIRED

REINSTALLED MOUNTING HARDWARE TO PILOT SIDE AHRURECONNECTED (2) CANNON PLUGS TO PILOT AHRUREINSTALLED ADDEL CLAMPS TO PILOT AHRUREPLACED WITH PILOT AHRU SN:00081INSPECTION COMPLETE

INSPECTION COMPLETE

FORDHAM, A.

FORDHAM, A.

FORDHAM, A.

FORDHAM, A.

ZIEMSKI, R.

ZIEMSKI, R.

F

F

F

F

F

F

0.5

0.2

0.3

0.2

0.1

0.1

page 44 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

✕ 8424004 A

17 Oct 20 1

10:15

#1 ENGINE REMOVED FOR MAINT

✕

✕

✕

✕

✕

✕

✕

✕

✕

✕

✕

✕

✕

DISCON MAIN FUEL HOSE FROM ELBOW (#1 ENG)

DISCON (2EA) ENGINE DRAIN HOSES FROM REAR ENGINE DECK COMPARTMENT ELBOWDISCON (2EA) CANNON PLUGS FROM FIREWALL

DISCON P/A/S FROM HMU

DISCON L/D/S FROM HMU

DISCON BLEED AIR TUBE COUPLING FROM STARTER

LOOSENED (2EA) STARTER BLEED AIR TUBE CLAMPS FROM FIREWALLLOOSENED LOWER CROSS BLEED AIR TUBE CLAMP FROM FIREWALLLOOSENED IPS BLOWER DUCT CLAMP

RMVD IPS BLOWER DUCT

UNCLAMPED LOOP CLAMP FROM DESWIRL DUCT

DISCON HIGH SPEED SHAFT FROM GIMBAL

RMVD FORWARD SUPPORT TUBE (6EA) MOUNT BOLTS

page 45 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 2

✕ 8424004 A

17 Oct 20 1

10:15

#1 ENGINE REMOVED FOR MAINT

✕

✕

✕

✕

✕

✕

✕

✕

―

―

―

✕

✕

RMVD INBOARD ENGINE MOUNT BOLTS

RMVD OUTBOARD ENGINE MOUNT BOLTS

RMVD CENTER ENGINE MOUNT BOLT

RMVD #1 ENGINE

RMVD #1 ENGINE CROTCH ASSY FROM SUPPORT TUBERMVD AFT MOUNT LINK (2EA) BOLTS FROM ENGINE COMBUSTOR SECTIONRMVD (2EA) AFT MOUNT LINKS

INSTALLED ENGINE SWIRL CAGE

INPUT MODULE FLANGE NUT TQ CHECK REQUIRED PRIOR TO ENGINE INSTALLATIONTOOLBOX INVENTORY REQUIRED

FOD CHECK REQUIRED

LOOSENED CHIP DETECTOR (2EA) MOUNT BOLTS

RMVD #1 ENG CHIP DETECTOR

page 46 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 3

✕ 8424004 A

17 Oct 20 1

10:15

#1 ENGINE REMOVED FOR MAINT

―

✕

ELECTRICAL CHIP DETECTOR CIRCUIT TEST REQUIRED

BROKE TQ ON FUEL LINE ELBOW HDWR IN ERROR. RETQ REQ.

page 47 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

✕ 8424004 A

18 Oct 20 3

10:43

#1 INLET REMOVAL

✕

✕

✕

✕

✕

✕

―

―

DISCON P823 FROM INLET (#1 ENG)

DISCON BLEED AIR COUPLING CLAMP FROM INLET

UNCLAMPED WATER WASH HOSE ASSY FROM INLET

DISCON FIRE EXTINGUISHER DISCHARGE TUBE FROM FIREWALLLOOSENED INLET COUPLING

RMVD #1 INLET

FOD CHECK REQUIRED

TOOLBOX INVENTORY REQUIRED

page 48 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

/ 8424004 A

19 Oct 20 2

15:19

AIRCRAFT REQ RMVL OF IMMSS PRIOR TO EXPORT TO BEST.

✕

✕

✕

✕

✕

✕

✕

✕

L/H CREW CHIEF SEAT RMVD WITH HDWR AND RAIL STOP.R/H CREW CHIEF SEAT RMVD WITH HDWR AND RAIL STOP.L/H CREW CHIEF BASE RMVD WITH ATTACHING HDWR AND BRACKETS.R/H CREW CHIEF BASE RMVD WITH ATTACHING HDWR AND BRACKETS.RMVD L/H LITTER PALLET ASSY WITH 2EA AMBULATORY SEATS AND ALL ATTACHING HDWR AND BRACKETS.RMVD R/H LITTER PALLET ASSY WITH 2EA AMBULATORY SEATS AND ALL ATTACHING HDWR AND BRACKETS.RMVD L/H INTERCOSTAL ASSY WITH TBAR, ATTACHING HDWR, BRACKETS, AND SHIMS.RMVD R/H INTERCOSTAL ASSY WITH TBAR, ATTACHING HDWR, BRACKETS, AND SHIMS.

page 49 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

/ 8424004 A

20 Oct 20 1

10:02

AIRCRAFT REQ RMVL OF EXTERNAL RESCUE HOIST PRIOR TO EXPORT TO BEST.

/ REMOVED EXTERNAL RESCUE HOIST

page 50 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

✕ 8424004 A

20 Oct 20 2

10:08

CONTROL EXCHANGE IN PROGRESS OF RADAR ALTIMETER ANTENNA CABLES FROM BOTH ANTENNAS TO RT

✕

✕

✕

✕

✕

✕

removed (8) screws and (2) radar altimeter antennas

cut safeties and disconnected radar altimeter antenna connectionsremoved adel clamps from radar altimeter antenna cableremoved both radar altimeter jacks from lower center junction boxremoved (4) radar altimeter antenna cables

disconnected (4) cannon plugs and removed CDU

page 51 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

/ 8424004 A

21 Oct 20 3

07:53

CONTROLLED EXCHANGE OF CPLT PEDAL ADJUSTER ASSY TO AIRCRAFT 00-26851

✕

✕

✕

✕

✕

✕

✕

✕

✕

✕

RMVD CPLT PEDAL BOOTS 2EA WITH HDW

RMVD CPLT PEDAL BOOT CENTER PLATE WITH 4EA SCREWSRMVD SCREWS 4EA FROM CONTROL ROD COVER ON SIDE OF CPLT FLOOR IN CHIN BUBBLERMVD HDW WITH COTTER PIN FROM YAW CONTROL ROD IN CHIN BUBBLERMVD 2EA RAISED FLOOR PANELS WITH SCREWS FROM UNDER CPLT YAW PEDALSRMVD HDW WITH COTTER PIN FROM CPLT LEFT PEDAL PUSH ROD AT PEDALRMVD HDW WITH COTTER PIN FROM (CPLT) RIGHT PEDAL PUSH ROD AT PEDALRMVD BOLTS 4EA FROM CPLT PEDAL ADJUSTER UPPER BEARINGRMVD BOLTS 4EA FROM CPLT PEDAL ADJUSTER LOWER BEARINGRMVD PEDAL ADJUSTER ASSEMBLY

page 52 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

✕ 8424004 A

22 Oct 20 1

14:29

CONTROL EXCHANGE IN PROGRESS FOR THE REMOVAL OF THE POSITION LIGHT DIM AND BRIGHT TOGGLE SWITCH FOR UPPER CONSOLE

✕

✕

✕

✕

DROPPED UPPER CONSOLE

DISCONNECTED 6 TERNIMALS FROM POSITION LIGHT BRT/DIM SWITCHREMOVED UPPER CONSOLE FACE PLATE

REMOVED POSITION LIGHT DIM/BRT TOGGLE SWITCH

page 53 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

/ 8424004 A

27 Oct 20 2

08:10

UNIT EQUIPMENT/PROPERTY BOOK ITEMS REMOVAL REQUIRED FOR AIRCRAFT TRANSFER TO BEST

✕

✕

✕

✕

✕

✕

✕

―

―

✕

✕

✕

DISCONNECTED AND REMOVED 2 ARC 201 RECIEVER TRANSMITERSDISCONNECTED AND REMOVED KY-100

DISCONNECTED AND REMOVED APR-39 PROCESSOR

DISCONNECTED AND REMOVED KY-58 CONTROL HEADDISCONNECTED AND REMOVED ARC-220 RECIEVER TRANSMITTERDISCONNECTED AND REMOVED HUD SDC

DISCONNECTED AND REMOVED APX 123 TRANSPONDERFOD CHECK REQUIRED

TOOLBOX CHECK REQUIRED

REMOVED MOUNTING HARDWARE FROM UHF ANTENNAREMOVED MOUNTING HARDWARE TO PILOTS KICK PANELREMOVED PILOTS KICK PANEL

REINSTALLED MOUNTING HARDWARE TO UHF ANTENNAREINSTALLED MOUNTING HARDWARE TO PILOTS KICK PANELREINSTALLED PILOTS KICK PANEL

FORDHAM, A.

FORDHAM, A.

FORDHAM, A.

F

F

F

0.5

0.5

0.2

page 54 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

✕ 8424004 A

27 Oct 20 3

10:39

CONTROLLED EXCHANGE OF #1 ENGINE AIR INLET COUPLING (ECCENTRIC) FROM ACFT 84-24004 TO ACFT 00-26862 PART DOC NUMBER W91FD993110002

✕

✕

REMOVED HARDWARE SECURING ECCENTRIC COUPLING TO AIRFRAMEREMOVED ECCENTRIC COUPLING ASSY FROM AIRFRAME

page 55 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

✕ 8424004 E

29 Oct 20 1

10:05

REMOVED TDFM-9000 TECHNISONIC RADIO

✕ DISCONNECTED ELECTICAL CONNECTORS 5 EA

page 56 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

✕ 8424004 A

03 Nov 20 4

08:51

#2 ENG REMOVED DUE TO CONTROLLED EXCHANGE

✕

✕

✕

✕

✕

✕

✕

✕

✕

✕

✕

✕

✕

DISCON MAIN FUEL HOSE FROM ELBOW

DISCON (2EA) ENGINE DRAIN HOSES FROM REAR ENGINE DECK COMPARTMENT ELBOWSDISCON (2EA) CANNON PLUGS FROM FIREWALL

DISCON P/A/S FROM HMU

DISCON L/D/S FROM HMU

DISCON BLEED AIR TUBE COUPLING FROM STARTER

LOOSENED (2EA) STARTER BLEED AIR TUBE CLAMPS FROM FIREWALLLOOSENED LOWER CROSS BLEED AIR TUBE CLAMP FROM FIREWALLRMVD (2EA) CLAMPS SECURING ENGINE CONTROL CABLES TO IPS DUCTLOOSENED IPS BLOWER DUCT CLAMP

RMVD IPS BLOWER DUCT

UNCLAMPED LOOP CLAMP FROM DESWIRL DUCT

DISCON HIGH SPEED SHAFT FROM GIMBAL

reconnected tq outbored to 250 in lbs, tq inbored to 150 in lbs

reconnected shaft tq to 140 in lbs

POWELL, R.

POWELL, R.

F

F

0.2

0.3

page 57 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 2

✕ 8424004 A

03 Nov 20 4

08:51

#2 ENG REMOVED DUE TO CONTROLLED EXCHANGE

✕

✕

✕

✕

✕

✕

✕

✕

✕

―

―

―

✕

RMVD FORWARD SUPPORT TUBE (6EA) MOUNT BOLTSRMVD INBOARD ENGINE MUNT BOLT

RMVD OUTBOARD ENGINE MOUNT BOLT

RMVD CENTER ENGINE MOUNT BOLT

RMVD #2 ENGINE

RMVD #2 ENGINE CROTCH ASSY FROM SUPPORT TUBERMVD AFT MOUNT LINK (2EA) BOLTS FROM ENGINE COMBUSTOR SECTIONRMVD (2EA) AFT MOUNT LINKS

INSTALLED ENGINE SWIRL CAGE

INPUT MODUEL FLANGE NUT TQ CHECK REQUIRED PRIOR TO ENGINE INSTALLATIONFOD CHECK REQUIRED

TOOLBOX INVENTORY REQUIRED

LOOSENED CHIP DETECTOR (2EA) MOUNT BOLTS

installed tq to 180 inlbs POWELL, R. F 0.3

page 58 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 3

✕ 8424004 A

03 Nov 20 4

08:51

#2 ENG REMOVED DUE TO CONTROLLED EXCHANGE

✕

―

RMVD #2 ENGINE CHIP DETECTOR

ELECTRICAL CHIP DETECTOR CIRCUIT TEST REQUIRED

page 59 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

✕ 8424004 A

03 Nov 20 5

08:54

#2 ENG INLET REMOVED DUE TO CONTROLLED EXCHANGE

✕

✕

✕

✕

✕

✕

✕

―

―

DISCON ICE DETECTOR CANNON PLUG P819 FROM FIREWALLDISCON P818 FROM ENGINE INLET

DISCON BLEED AIR COUPLING CLAMP FROM INLET

UNCLAMPED WATER WASH HOSE ASSY FROM INLET

DISCON FIRE EXTINGUISHER DISCHARGE TUBE FROM FIREWALLLOOSENED INLET COUPLING

RMVD #2 INLET

FOD CHECK REQUIRED

TOOLBOX INVENTORY REQUIRED

page 60 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

✕ 8424004 A

25 Nov 20 2

09:11

REMOVAL OF OVERSPEED DRAIN VALVE REQ TO COMPLETE CONTROLLED EXCHANGE

✕

✕

✕

✕

― M― M

DISCONNECTED #1 OSDV ELECTRICAL CONNECTOR

REMOVED #1 OSDV MANIFOLD CAPTIVE BOLTS (2EA)

REMOVED (2EA) CAPTIVE BOLTS SECURING OSDV -ACCESSORY GBREMOVED OSDV SN-APM973HK FROM ACFT 24004

FOD CHECK REQ

TOOLBOX INV REQ

CONNECTED EC

REIINSTALLED TQ- 50 IN LBS

REINSTALLED TQ'D - 50 IN LBS

REPLACED WITH OSDV SN-APM303JNFOD CHECK COMP

TOOLBOX INV COMP

Martin, S.

Martin, S.

Martin, S.

Martin, S.

REMILLARD, B.

REMILLARD, B.

F

F

F

F

F

F

0.3

0.3

0.3

0.4

0.3

0.3

page 61 of 62 11 May 2021 1418 UTC FOUO

DA FORM 2408-13-2-SG, OCT 97 RELATED MAINTENANCE ACTIONS RECORDDA FORM 2408-13-2, NOV 91, MAY BE USED For use of this form see DA PAM 738-751, the proponent agency is DCSLOG

DATE ____________________ PAGE ______1. STATUS 2. SERIAL NUMBER 3. SYSTEM CODE 4. TIME

5. FAULT DATE 6. FAULT NUMBER

7. FAULT

8. STA 9. RELATED MAINTENANCE ACTIONS 10. ACTION 11. PID 12. CAT 13. MMH

11 May 21 1

― 8424004 A

21 Jan 21 3

14:22

NO.2 ENGINE IPS BLOWER DUCT HAS A 1/2 INCH CRACK JUST AFT OF SPINDLE CABLE ATTACHMENT POINT

✕

/

/

prepared cloth and resin

toolbox inventory due

fod check due

applied fiberglass POLITE, G. F 1.0

page 62 of 62 11 May 2021 1418 UTC FOUO