DA Form 3703-R Product Quality Inspection Summary (Lra)

DA Form 3703-R - also known as the "Product Quality Inspection Summary (lra)" - is a United States Military form issued by the Department of the Army.

The form - often mistakenly referred to as the DD form 3703-R - was last revised on August 1, 1978. Download an up-to-date fillable PDF version of the DA 3703-R down below or look it up on the Army Publishing Directorate website.

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PRODUCT QUALITY INSPECTION SUMMARY
EXEMPT FROM REPORTS CONTROL -
For use of this form, see TB 55-1500-325-25; the
para 7-2e, AR 335-15
proponent agency is the US Army Materiel Development and Readiness Command.
See instructions on reverse for completing form.
SECTION A - MAINTENANCE/OVERHAUL/PRODUCTION FACILITY
1. SERIAL NUMBER
2. FACILITY
3. TYPE WORK
NEW
OVERHAUL
4. MODEL IDENTIFICATION
MOD
REWORK
OTHER (Specify)
5. PART/NSN
6. CONTRACT/DMWR
7. GOVERNMENT INSP AGENCY
10. HOURS ON UNIT
SECTION B - RECEIVING ACTIVITY
11. INSPECTING ORGANIZATION
13.
DATE
12. UNIT IDENTIFICATION
CODE (UIC)
RECEIVED
INSPECTED
15.
NUMBER OF DEFECTS
14. CONDITION
16. ESTIMATED MAN-HOURS TO
REPAIR
ADEQUATE
SAFETY FLIGHT
OTHER
INADEQUATE
FAIL
17.
ITEMIZE SAFETY OF FLIGHT ITEMS
18.
PART/NSN
19.
EIR CONTROL NO.
20.
CODE
21. OTHER DEFECTS
22. REMARKS
DATE
TYPED NAME AND SIGNATURE OF MAINTENANCE OFFICER
AUTOVON NUMBER
DA FORM 3703-R, AUG 1978
APD LC v1.01ES
PREVIOUS EDITIONS ARE OBSOLETE.
PRODUCT QUALITY INSPECTION SUMMARY
EXEMPT FROM REPORTS CONTROL -
For use of this form, see TB 55-1500-325-25; the
para 7-2e, AR 335-15
proponent agency is the US Army Materiel Development and Readiness Command.
See instructions on reverse for completing form.
SECTION A - MAINTENANCE/OVERHAUL/PRODUCTION FACILITY
1. SERIAL NUMBER
2. FACILITY
3. TYPE WORK
NEW
OVERHAUL
4. MODEL IDENTIFICATION
MOD
REWORK
OTHER (Specify)
5. PART/NSN
6. CONTRACT/DMWR
7. GOVERNMENT INSP AGENCY
10. HOURS ON UNIT
SECTION B - RECEIVING ACTIVITY
11. INSPECTING ORGANIZATION
13.
DATE
12. UNIT IDENTIFICATION
CODE (UIC)
RECEIVED
INSPECTED
15.
NUMBER OF DEFECTS
14. CONDITION
16. ESTIMATED MAN-HOURS TO
REPAIR
ADEQUATE
SAFETY FLIGHT
OTHER
INADEQUATE
FAIL
17.
ITEMIZE SAFETY OF FLIGHT ITEMS
18.
PART/NSN
19.
EIR CONTROL NO.
20.
CODE
21. OTHER DEFECTS
22. REMARKS
DATE
TYPED NAME AND SIGNATURE OF MAINTENANCE OFFICER
AUTOVON NUMBER
DA FORM 3703-R, AUG 1978
APD LC v1.01ES
PREVIOUS EDITIONS ARE OBSOLETE.
INSTRUCTIONS
SECTION A
To be filled out by Depot Maintenance and Overhaul facility, and manufacturers or cognizant Government facility.
Block 1 -
Enter Serial/tail number of item.
Block 2 -
Enter name and address of new production manufacturer, contract maintenance/overhaul facility, or Government facility which
accomplished the work (include zip code).
Block 3 -
Place an X in square identifying type work performed.
Block 4 -
Enter Model identification; e.g., UH-1H, CH-47C, etc.
Block 5 -
Enter part/NSN of major aircraft component, if applicable.
Block 6 -
Enter contract/DMWR number which authorized the work performed.
Block 7 -
Enter name and address of the cognizant Government agency administering the contract, e.g., Army, Air Force, Navy, or DCAS
(include zip code). Enter Unit Identification Code (UIC).
Block 8 -
Enter the name and address of the activity the item was shipped to (include zip code).
Block 9 -
Enter the Julian Date that subject item was accepted by the Government inspector and certified for delivery to a customer. Use four
digits, the first digit to indicate calendar year; e.g., 2144 = May 23, 1972.
Block 10 -
Enter hours on unit at time of Government acceptance.
SECTION B
To be filled out by the first activity performing aircraft inspection (TM 55-1500-328-25) or major aircraft component inspection
Block 11 -
Enter the name and address of the receiving activity inspection organization (include zip code); e.g., 504 AV EN, Ft. Hood, TX
76544.
Block 12 -
Enter Unit Identification Code (UIC)
Block 13 -
Enter Julian Date item was received and Julian Date when item was inspected. Use four digit date as described for Section A, Block 9.
Block 14 -
Place an X in the block which most accurately describes the condition of the item received. Items with safety of flight defects listed
should be deemed adequate.
Block 15 -
Enter, according to classification shown, the number of defects discovered during the acceptance inspection. Malfunctions which
occurred during ferry flight should be classified and included in this count.
Block 16 -
Enter the estimated man-hours required to restore the aircraft, or major aircraft component, to adequate condition. Do not include
man-hours normally required to prepare an item for use if it was disassembled and/or preserved for shipment by the immediate prior
shipper.
Block 17 -
List those safety of flight items as determined by detailed instructions in paragraph 4b of TB 43-0107.
Block 18 -
On Safety of Flight items, identify the part number/NSN as detailed in paragraph 4b of TB 43-0107.
Block 19 -
On Safety of Flight items, identify the EIR (DA Form 2407) control number.
Block 20 -
Enter the failure code for defects discovered as defined in TM 38-750 APPENDIX A.
Block 21 -
Enter other defects. Such defects should be described in brief but in sufficient detail to assure that a thorough investigation of the
problem can be accomplished.
Block 22 -
Show recommended corrective action to Safety of Flight Defects shown in blocks 15 and 17. Indicate general comments as to condition
of aircraft.
SUBMISSION OF THIS SUMMARY IS REQUIRED REGARDLESS OF INSPECTION FINDINGS.
DISTRIBUTION:
Commander
US Army Troop Support and Aviation
Materiel Readiness Command
ATTN: DRSTS-QS (2)
4300 Goodfellow Boulevard
St. Louis, Missouri 63120
COPY TO:
That activity identified in
Section A, Block 7.
REVERSE OF DA FORM 3703-R, AUG 1978
APD LC v1.01ES

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