NAVMC 10627 Form PDF Details

The Navmc 10627 form, officially titled "Vehicle and Equipment Operational Record (Administrative and Tactical Motor Vehicles)," serves as a comprehensive tool for documenting key aspects of vehicle and equipment use within military operations. Designed to ensure meticulous tracking of both administrative and tactical motor vehicles, this form captures essential data points such as fuel and oil usage, operator details, dispatching organization information, mileage, cargo specifics including weight and cube, and passenger numbers. Crucial for the maintenance and operational efficiency of military vehicle fleets, the form also provides a structured method for recording inspections and condition assessments performed before, during, and after operations. These assessments cover a wide range of vehicle components from parking brakes to engine operation, ensuring that any defects or issues are promptly identified and addressed. Furthermore, the form facilitates accountability and compliance with official government business through required signatures from dispatchers, operators, and users, along with a section for remarks. This rigorous documentation process not only aids in the effective management of military vehicles but also supports operational readiness and safety.

QuestionAnswer
Form Name NAVMC 10627 Form
Form Length 3 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 45 sec
Other names navmc 10627 trip ticket, navmc 10627 print, navmc 1018 tag pdf, navmc 10627 usmc

Form Preview Example

 

 

 

 

 

VEHICLE AND EQUIPMENT OPERATIONAL RECORD

 

 

 

 

 

 

 

 

 

 

 

 

(ADMINISTRATIVE AND TACTICAL MOTOR VEHICLES)

 

 

 

 

(11240)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

TYPE

 

 

 

REGISTRATION NO.

 

 

 

 

ADMINISTRATION NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

2

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DISPATCHING ORGANIZATION

 

 

 

 

 

 

 

 

TOTAL (Fuel gallons)

 

 

 

 

TOTAL (Oil quarts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACTION

 

TIME

 

MILES

1

 

2

 

3

 

1

 

2

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1ST OPERATOR

 

 

 

 

 

IN

 

 

 

 

REPORT TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OUT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OPERATOR'S SIGNATURE

 

 

 

 

TOTAL

 

 

 

 

DISPATCHER'S SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2D OPERATOR

 

 

 

 

 

IN

 

 

 

 

REPORT TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OUT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OPERATOR'S SIGNATURE

 

 

 

 

TOTAL

 

 

 

 

DISPATCHER'S SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3D OPERATOR

 

 

 

 

 

IN

 

 

 

 

REPORT TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OUT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DISPATCHER'S SIGNATURE

 

 

 

 

 

 

OPERATOR'S SIGNATURE

 

 

 

 

TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DESTINATION

 

 

TIME

 

ARRIVAL

CARGO

NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PASSEN­

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ARRIVE

DEPART

 

MILEAGE

CUBE OR

GERS

 

 

 

 

USER SIGNATURE

 

 

 

 

 

 

 

WEIGHT

 

 

 

 

 

 

 

a

 

 

 

 

 

 

 

f

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b

c

 

d

e

 

 

 

 

 

 

 

 

g

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FROM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

TYPE

REGISTRATION NO.

ADMINISTRATION NO.

1

2

3

 

 

 

1. BEFORE OPERATION

OPERATOR

2. DURING OPERATION

OPERATO

AFTER OPERATION

 

 

 

 

 

 

 

1st

2d

3d

 

1st

2d

3d

 

DAMAGE, PILFERAGE

 

 

 

PARKING BRAKES

 

 

 

LIGHTS AND REFLECTORS

LEAKS, GENERAL

 

 

 

SERVICE BRAKES

 

 

 

SAFETY DEVICES

FUEL, OIL, WATER

 

 

 

CLUTCH

 

 

 

BRAKES

ENGINE, WARM­UP

 

 

 

STEERING

 

 

 

AIR TANKS (DRAIN)

INSTRUMENTS

 

 

 

ENGINE OPERATION

 

 

 

FUEL, OIL, WATER (Refill)

SAFETY DEVICES

 

 

 

UNUSUAL NOISES

 

 

 

CLEAN (AS REQUIRED)

TOOLS AND EQUIPMENT

 

 

 

INSTRUMENTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OPERATOR

1st 2d 3d

S = SATISFACTORY

NA = NOT APPLICABLE

X = DEFECTIVE

 

 

NAVMC 10627 (REV.11­94) (EF) (PREVIOUS EDITION WILL BE USED.)

Designed using FormFlow 2.15, HQMC/ARAE, Apr 98

SN: 0109­LF­063­9900

 

 

 

DESTINATION

TIME

ARRIVAL

CARGO

NO.PASSEN

 

 

 

 

CUBE OR

 

 

 

ARRIVE

DEPART

MILEAGE

GERS

USER SIGNATURE

 

 

WEIGHT

 

a

 

 

 

 

 

 

b

c

d

e

f

g

 

 

 

 

 

 

 

 

TO 10.

TO 11.

TO 12.

TO 13

TO 14

TO 15

TO 16

TO 17

TO 18

TO 19

TO 20

TO 21

TO 22

TO 23

TO 24

TO 25

TO 26

TO 27

TOTALS

1ST OPERATOR

2D OPERATOR

 

 

3D OPERATOR

 

NOTE: Signatures of the dispatcher, operator, and user indicate that vehicle was dispatched and used for Official Government Business ONLY. Operator's

signature also indicates daily BEFORE, DURING, and AFTER operator preventive maintenance checks and services were

accomplished.

 

 

REMARKS

 

Designed using FormFlow 2.15, HQMC/ARAE, Apr 98

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3. Through this stage, look at BEFORE OPERATION, OPERATOR, st d d, DURING OPERATION, st d d, AFTER OPERATION, DAMAGE PILFERAGE, LEAKS GENERAL, FUEL OIL WATER, ENGINE WARMUP, INSTRUMENTS, SAFETY DEVICES, TOOLS AND EQUIPMENT, PARKING BRAKES, and SERVICE BRAKES. Every one of these are required to be taken care of with greatest precision.

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D OPERATOR, D OPERATOR, and TOTALS in navmc 10627 online

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