DA Form 2408-21 Multiplace Life Raft Inspection and Maintenance Record

DA Form 2408-21 - also known as the "Multiplace Life Raft Inspection And Maintenance 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 2408-21 - was last revised on March 1, 2014. Download an up-to-date fillable PDF version of the DA 2408-21 below or request a copy through the chain of command.

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1. RAFT TYPE
2. RAFT SERIAL NO.
3. LOCATION
4. ISSUE DATE
5. RAFT MANUFACTURER
6. RAFT DOM
7. DATE PYROTECHNICS INST
8. HYDROSTATIC TEST DUE
9a. RATION LOT NUMBER
9b. RATION DOM/EXP
10a. WATER LOT NO.
10b. WATER DOM/EXP
11. FIRST AID KIT INSP DUE
12.
MAINTENANCE AND INSPECTION DATA
DUE DATE
TYPE INSP
INSP DATE
REMARKS
PID
a.
b.
c.
d.
e.
Page 1 of 2
DA FORM 2408-21, MAR 2014
MULTIPLACE LIFE RAFT INSPECTION AND MAINTENANCE RECORD
EDITION OF DEC 1991 IS OBSOLETE
APD LC v1.00
For use of this form, see DA PAM 738-751; the proponent agency is DCS, G-4.
Page
of
1. RAFT TYPE
2. RAFT SERIAL NO.
3. LOCATION
4. ISSUE DATE
5. RAFT MANUFACTURER
6. RAFT DOM
7. DATE PYROTECHNICS INST
8. HYDROSTATIC TEST DUE
9a. RATION LOT NUMBER
9b. RATION DOM/EXP
10a. WATER LOT NO.
10b. WATER DOM/EXP
11. FIRST AID KIT INSP DUE
12.
MAINTENANCE AND INSPECTION DATA
DUE DATE
TYPE INSP
INSP DATE
REMARKS
PID
a.
b.
c.
d.
e.
Page 1 of 2
DA FORM 2408-21, MAR 2014
MULTIPLACE LIFE RAFT INSPECTION AND MAINTENANCE RECORD
EDITION OF DEC 1991 IS OBSOLETE
APD LC v1.00
For use of this form, see DA PAM 738-751; the proponent agency is DCS, G-4.
Page
of
13.
INSTALLED COMPONENT RECORD
14.
RADIO, PLB, SDU AND BATTERY
NOMENCLATURE
REQ
AUTH
O/H
QTY
NOMENCLATURE
LOT NO.
EXP DATE
a.
b.
c.
d.
a.
b.
c.
d.
PYROTECHNICS
15.
QTY
NOMENCLATURE
LOT NO.
EXP DATE
a.
b.
c.
d.
FIRST AID KIT COMPONENTS
16.
QTY
NOMENCLATURE
LOT NO.
EXP DATE
a.
b.
c.
d.
REVERSE OF DA FORM 2408-21, MAR 2014
Page 2 of 2
APD LC v1.00

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