Da Form 3254 R PDF Details

In the intricate world of military operations, ensuring the proper maintenance and functioning of equipment is paramount. Within this realm, the DA 3254 R form functions as a critical tool. Primarily used by the U.S. Army, it facilitates a detailed oil analysis, providing recommendations and feedback essential for maintaining equipment at its optimal performance. The form serves as a bridge of communication between field personnel and laboratory analysts, elaborating on the condition of equipment through precise data on oil samples. It requires information such as the end item model and serial number, component type, serial number, and operational hours or miles. Furthermore, it includes a section for lab recommendations with reasons for action, underlining the form's role in preventative maintenance. By incorporating a feedback loop, it also allows maintenance personnel to report back on actions taken, ensuring a complete track of equipment care. This robust process not only aims to prevent equipment failure but also streamlines maintenance procedures, enhancing the readiness and efficiency of Army operations.

QuestionAnswer
Form NameDa Form 3254 R
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesA3254_R army tb 43 0210 form

Form Preview Example

 

OIL ANALYSIS RECOMMENDATION AND FEEDBACK

 

REQUIREMENT CONTROL SYMBOL

 

For use of this form, see TB 43-0106 and TB 43-0210; the proponent agency is DARCOM.

 

CSGLD - 1818

 

 

 

 

 

 

 

1. TO: FIELD (Include ZIP Code and Telephone Number)

 

3.

LAB RECOMMENDATION NUMBER

 

 

 

 

 

 

 

 

4.

END ITEM MODEL

 

 

 

 

 

 

 

 

5.

END ITEM SERIAL NUMBER

 

 

 

 

2. FROM: LABORATORY (Include ZIP Code)

 

6.

COMPONENT TYPE

 

 

 

 

 

 

 

 

7.

COMPONENT SERIAL NUMBER

 

 

 

 

 

 

 

 

8.

COMPONENT TIME (Hours/Miles)

 

 

 

 

9. RECOMMENDATION AND REASON FOR ACTION

 

 

 

 

 

 

10. SIGNATURE AND TITLE OF INITIATOR

 

11. DATE (Day-Month-Year)

 

 

 

12. NOTE FOR ARMY AVIATION ONLY:

 

13. QDR NUMBER

 

Quality Deficiency Report (QDR), SF 368, will be submitted when maintenance is

 

 

 

performed due to impending or incipient failure indicated by oil analysis, Failure Code 916.

 

 

 

 

 

 

14. FEEDBACK (Maintenance Performed/Action Taken)

 

 

 

 

 

 

 

15.

FROM: FIELD/DEPOT MAINTENANCE PERSONNEL

 

16. DATE (Day-Month-Year)

 

 

 

 

17.

TO: LABORATORY

NOTE FOR ARMY AVIATION ONLY:

 

 

Copy of this form with SF 368 (QDR) attached will be sent to:

 

 

 

Commander, CCAD

ATTN: DRSTS-MER, Stop 55

Corpus Christi, TX 78419

DA FORM 3254-R, NOV 1980

EDITION OF JUN 78 IS OBSOLETE.

APD LC v2.00ES

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Da Form 3254 R completion process shown (part 1)

2. Soon after the first array of blank fields is done, proceed to enter the suitable information in these: SIGNATURE AND TITLE OF INITIATOR, DATE DayMonthYear, NOTE FOR ARMY AVIATION ONLY, QDR NUMBER, Quality Deficiency Report QDR SF, FEEDBACK Maintenance, FROM FIELDDEPOT MAINTENANCE, DATE DayMonthYear, TO LABORATORY, NOTE FOR ARMY AVIATION ONLY Copy, and Commander CCAD ATTN DRSTSMER Stop.

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