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Joint Airlift Inspection Record/Checklist: (Reference DTR Part III Appendix O For Form Completion)

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JOINT AIRLIFT INSPECTION RECORD/CHECKLIST Page of Pages

(Reference DTR Part III Appendix O For Form Completion)


1. DEPLOYING FORCE: 2. DEPARTURE AIRFIELD: 3. DATE:

4. AIRCRAFT TYPE AND MISSION NUMBER: 5. LOAD/CHALK NO. 6. START TIME: 7. COMPLETE TIME: 8. MOBILITY FORCE:

9. CHAPTER 3 MOVEMENT Yes No 10. INCREMENT/SERIAL/BUMPER NUMBER AND TYPE/TCN


LEGEND (Mark blocks after each item as follows)

√ = Satisfactory

X = Unsatisfactory

Circle the " X " for items that have been corrected

IfIf not
not applicable,
applicable,Enter
Enter "" -- "" (Dash)

11. DOCUMENTATION
a. Pre-Load Plan
b. Manifest/ Load List/Packing List
c. Shippers Declaration for Dangerous Goods (SDDG)
d. DD Form 1387-2
e. Military Shipping Label '%DU&RGH
f. ATTLA Certification 5HIHUHQFH'753DUW,,,$SS2
12. GENERAL REQUIREMENTS (Applicable to Blocks 13, 14, 15)
a. Clean
b. Fluid Leaks 5HIHUHQFH'753DUW,,,$SS2
c. Scale Weight *:$[OH:HLJKW0DUNHGRQ%RWK6LGHV
d. Dimensions )LWV$LUFUDIW&RQWRXU
e. Center of Balance 0DUNHGRQ%RWK6LGHV
f. Keys/Combinations $OO/RFNV
g. Shoring )ORRU5ROOHU/LPLWDWLRQV
h. Hazardous Materials Preparation/Packaging
13. VEHICLES/NON-POWERED EQUIPMENT
a. Mechanical Condition (QJLQH5XQV
b. Brakes Operational 6HUYLFH(PHUJHQF\
c. Battery 6HFXUHG7HUPLQDOV3URWHFWHG1R/HDNV
d. Fuel Tank(s), Level, Caps
e. Jerricans 6HFXUH)XHO/HYHO6HDO
(1) DOT 5L 0HWDO  MUST BE EMPTY
(2) UN Specification 3ODVWLF
f. Tiedown Points/Clevises 6HUYLFHDEOH
g. Pintle Hooks ,I8VHG
h. Vehicle Equipment Secured
i. Tire Pressure
j. Accompanying Load ZLQ5DWHG&DSDFLW\DQG6HFXUHG
k. Lox/Nitrogen Cart 9HQW.LW
14. PALLETS/PALLET TRAINS/ISU'S
a. Serviceable 3DOOHWDQG7LHGRZQ5LQJV
b. Correctly Built/Items Secured
c. Dunnage 3LHFHV3HU3DOOHWRU,68
15. HELICOPTERS (Flyaway)
a. Fuel Quantity $V5HTXLUHG
b. Configuration 72&HUW/HWWHU
c. Battery 'LVFRQQHFWHG&RYHUHG7DSHG
d. Special Loading Equipment 7RZEDUVHWF
e. Accompanying Load ZLQ5DWHG&DSDFLW\DQG6HFXUHG
I certify that all items, including hazards, have been declared, properly prepared, I certify the above declared items have been inspected and properly prepared
and presented for airlift in accordance with all applicable directives. for airlift in accordance with all applicable directives.
16. DEPLOYING FORCE REPRESENTATIVE 3ULQW1DPH5DQN6LJQDWXUH 17. MOBILITY FORCE INSPECTOR 3ULQW1DPH5DQN6LJQDWXUH

DD FORM 2133, JUN 2013 PREVIOUS EDITION IS OBSOLETE. Adobe Professional X


18. ADDITIONAL INFORMATION

DD FORM 2133 (BACK), JUN 2013

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