DA Form 3023 – Fill Out and Use This PDF

DA Form 3023 PDF Details

The DA Form 3023, or Gage Usage and Surveillance Record, is the official Army form for tracking precision measurement instruments throughout their full service lifecycle. Designed under TB 43-0196 guidelines and administered by DARCOM (the proponent agency), this form records cumulative usage, calibration checks, surveillance intervals, and inspection results to ensure every gage meets operational readiness requirements.

What Information Does DA Form 3023 Capture?

Each section of the form is designed to record specific calibration and surveillance data for authorized Army activities:

• Gage Drawing Number and Revision: Identifies the specific instrument version from the technical manual
• Component Name and Identification Number: Records what the gage measures and its unique ID within the unit's inventory
• Required vs. Actual Dimensions: Documents precision measurements to confirm compliance with specifications
• Cumulative Usage and Recheck Date: Tracks inspection cycles so the authorized activity can schedule timely surveillance checks
• Checker Field: Captures the authorized inspector's signature to complete each recheck statement

When Is DA Form 3023 Required?

Military units must complete the DA Form 3023 during each gage calibration cycle as specified in TB 43-0196. The DARCOM proponent requires authorized maintenance activities to record every usage activity and surveillance recheck on the appropriate card. This systematic procedure supports full traceability and ensures every component meets Army precision requirements throughout its service life.

How to Complete the DA Form 3023

Follow these specific instructions to complete the form accurately. First, enter the gage drawing number and current revision code. Next, fill in the component name, identification number, and the authorized activity's contact information. Record required versus actual dimensions in the appropriate field for each inspection. Document cumulative usage on the designated card, and ensure the checker signs the statement after each surveillance visit. Follow the procedure in TB 43-0196 for required recheck intervals and compliance deadlines.

Related Army Forms on FormsPal

Maintenance personnel often need additional Army documentation alongside DA Form 3023. FormsPal also provides the DA Form 2410 for equipment history records, DA Form 2125 for maintenance scheduling, and the DA Form 3645 for related maintenance activities. You can also browse related forms such as DA Form 3838 and DA Form 3355 for supporting Army maintenance documentation.