TB 1-1520-210-20-42
13. Publications Which Require Change as a Result of This Inspection. N/A.
14. Recording and Reporting Requirements.
a. Reporting Compliance Suspense Date (Aircraft). Upon entering requirements of this TB on DA Form
2408-13-1 on all subject MDS aircraft, forward a priority message, datafax or E-mail to CDR, AMCOM, ATTN: AMSAM-
SF-A (SOF Compliance Officer) Redstone Arsenal, AL 35898-5222, lAW AR95-1. Datafax number is DSN 897-2111 or
commercial (256) 313-2111. E-Mail address is <safeadm@redstone.army.mil>. The report will cite this TB/message
number, date of entry in DA Form 2408-13-1, the aircraft mission design series and serial numbers of aircraft in numerical
order.
b. Task/inspection Reporting Suspense Date (Aircraft). N/A.
c. Reporting Message Receipt Date (Spares).
(1) Material In Wholesale Depot Storage. N/A.
(2) Material In Retail Storage. N/A.
d. Task/inspection Reporting Suspense Date (Spares).
(1) Material In Wholesale Depot Storage. N/A
(2) Material In Retail Storage. N/A.
e. The following forms are applicable and are to be completed In accordance with DA PAM 738-751,15 June
1992:
NOTE
ULLS-A users will use applicable "E" forms.
(1) DA Form 2408-5-1, Equipment Modification Record (Elevator Assembly).
(2) DA Form 2408-13, Aircraft Status Information Record.
(3) DA Form 2408-13-1, Aircraft Inspection and Maintenance Record.
(4) DA Form 2408-14, Uncorrected Fault Record.
(5) DA Form 2408-15, Historical Record for Aircraft.
(6) DA Form 2408-16, Aircraft Component Historical Record.
(7) DA Form 2410, Component Removal and Repair/Overhaul Record.
(8) DD Form 1574/DD Form 1574-1, Serviceable Tag/Label - Materiel (color yellow). Annotate remarks block
with "Inspected Serviceable lAW UH-1-99-ASAM-01 (TB 1-1520-210-20-42)."
(9) DD Form 1575/DD Form 1577-1, Unserviceable (condemned) Tag/Label -Materiel (color red). Annotate
remarks block with "Condemned lAW UH-1-99-ASAM-01 (TB 1-1520-210-20-42) and mutilated lAW TM 1-1500-328-23."
(10) DD Form 1577-2/DD Form 1577-3, Unserviceable (reparable) Tag/Label -Materiel (color green). Annotate
remarks block with "Unserviceable lAW UH-1-99-ASAM-01 (TB1-1520-210-20-42)."
15. Weight and Balance. N/A.
16. Points of Contact.
a. Technical point of contact for this TB is Mr. Steve Monaco, AMSAM-AR-E-I-B-U, DSN 645-0078 or commercial
(256) 955-0078. Datafax is DSN 645-6590 or (256) 955-6590, E-mail <monaco-sd@redstone.army.mil>.
4
