Page
1. NOMENCLATURE
4.
2. MODEL
5.
STATUS
SYMBOL
6.
REASON FOR DELAY
FAULT DATA
a. SYSTEM
b. FAULT DATE
c. FAULT NO.
b. FAULT DATE
c. FAULT NO.
b. FAULT DATE
c. FAULT NO.
b. FAULT DATE
c. FAULT NO.
b. FAULT DATE
c. FAULT NO.
of
3. SERIAL NUMBER
7. DATE
FROM DA
FORM
2408-13-1
8.
9.
APPROVED DATE TO
DA FORM
BY
2408-13-1
d. FAULT
a. SYSTEM
d. FAULT
a. SYSTEM
d. FAULT
a. SYSTEM
d. FAULT
a. SYSTEM
d. FAULT
DA FORM 2408-14-1, OCT 1997
UNCORRECTED FAULT RECORD (AIRCRAFT)
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
APD LC v1.00
4.
5.
6.
FAULT DATA
STATUS
SYMBOL
a. SYSTEM
7.
REASON FOR DELAY
b. FAULT DATE
c. FAULT NO.
b. FAULT DATE
c. FAULT NO.
b. FAULT DATE
c. FAULT NO.
b. FAULT DATE
c. FAULT NO.
b. FAULT DATE
c. FAULT NO.
DATE
FROM DA
FORM
2408-13-1
8.
9.
APPROVED DATE TO
DA FORM
BY
2408-13-1
d. FAULT
a. SYSTEM
d. FAULT
a. SYSTEM
d. FAULT
a. SYSTEM
d. FAULT
a. SYSTEM
d. FAULT
REVERSE OF DA FORM 2408-14-1, OCT 1997
APD LC v1.00