DA Form 2408-28 Oxygen Console Service Record

DA Form 2408-28 - also known as the "Oxygen Console Service Record" - is a Military form issued and used by the United States Department of the Army.

The form - often mistakenly referred to as the DD form 2408-28 - was last revised on December 1, 1991. Download an up-to-date fillable PDF version of the DA 2408-28 below or request a copy through the chain of command.

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2. PART NUMBER
3. SERIAL NUMBER
1. CONSOLE TYPE OR MODEL
5. OXYGEN CYLINDER HYDROSTATIC TEST DUE
4.
OXYGEN SERVICE
STATUS
SYS-PSI
DATE CERT
PID
SVC BL
a
b
c
d
6.
ACCESSORIES
COMPONENT AND
REQ
AUTH
O/H
INSP CYCL
TIME CHG
LOCAL USE
SERIAL NUMBER
DUE
a
b
c
d
e
f
g
DA FORM 2408-28, DEC 1991
OXYGEN CONSOLE SERVICE RECORD
APD LC v1.00
EDITION OF DEC 84 IS OBSOLETE
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
2. PART NUMBER
3. SERIAL NUMBER
1. CONSOLE TYPE OR MODEL
5. OXYGEN CYLINDER HYDROSTATIC TEST DUE
4.
OXYGEN SERVICE
STATUS
SYS-PSI
DATE CERT
PID
SVC BL
a
b
c
d
6.
ACCESSORIES
COMPONENT AND
REQ
AUTH
O/H
INSP CYCL
TIME CHG
LOCAL USE
SERIAL NUMBER
DUE
a
b
c
d
e
f
g
DA FORM 2408-28, DEC 1991
OXYGEN CONSOLE SERVICE RECORD
APD LC v1.00
EDITION OF DEC 84 IS OBSOLETE
For use of this form, see DA PAM 738-751; the proponent agency is DCSLOG
7.
INSPECTION DATA
TYPE INSP/TEST
DATE INSP
DATE DUE
INITIALS OR PID
TYPE INSP/TEST
DATE INSP
DATE DUE
INITIALS OR PID
a
b
c
d
a
b
c
d
8.
REPAIR/MWO DATA
DISCREPANCY
DATE CORR
INITIALS OR PID
DISCREPANCY
DATE CORR
INITIALS OR PID
a
b
a
b
c
c
REVERSE OF DA FORM 2408-28, DEC 1991
APD LC v1.00

Download DA Form 2408-28 Oxygen Console Service Record

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