HSTAMIDS Support System

Report a Failure

* Denotes required field
1. Organization*
 2. Nomenclature and Model
AN/PSS-14 HSTAMIDS
3. Registration/Serial/NSN*
 4a. Miles
N/A		 4b. Hours
N/A		 4c. Rounds Fired
N/A		 4d. Hot Starts
N/A		 5. Date*
 6. Type Inspection*
7. Applicable Reference
TM Number*
 TM Date*
 TM Number
 TM Date
COLUMN a - Enter TM item number.
COLUMN b - Enter the applicable condition status symbol.
COLUMN c - Enter deficiencies and shortcomings.		 COLUMN d - Show corrective action for deficiency or shortcoming listed in Column C.
COLUMN e - Individual ascertaining completed corrective action in this column.
"X" - Indicates a deficiency in the equipment that places it in an inoperable status.

CIRCLED "X" - Indicates a deficiency, howard, the equipment may be operated under specific limitations as directed by higher authority or as prescribed locally, until corrective action can be accomplished.

HORIZONTAL DASH "(-)" -- Indicates that a required inspection, component replacement, maintenance operation check, or test flight is due but has not been accomplished, or an overdue MWO has not been accomplished.

 DIAGONAL "(/)" - Indicates a material defect other than a deficiency which must be corrected to increase efficiency or to make the item completely serviceable.

LAST NAME INITIAL - Indicates that a completely satisfactory condition exists.

ALL INSPECTIONS AND EQUIPMENT CONDITIONS RECORDED ON THIS FORM HAVE BEEN DETERMINED IN ACCORDANCE WITH DIAGNOSTIC PROCEDURES AND STANDARDS IN THE TM CITED HEREON.
8a. Person performing inspection*
 8b. Time*
 9a. Maintenance Supervisor
N/A		 9b. Time
N/A
TM Item No.*
a		 Status*
b		 Deficiencies and Shortcomings*
c		 Corrective action
d		 Initial when corrected
e
N/AN/A
N/AN/A
N/AN/A
N/AN/A
N/AN/A
N/AN/A
N/AN/A
N/AN/A
N/AN/A
N/AN/A
N/AN/A
N/AN/A
N/AN/A
N/AN/A