TB 1-2840-248-20-2
(b) Preparation Instructions For Completing a DA Form 2408-16-1 (History Recorder,
Component, Module Record (On a New Component or Module For Spares) (Figure 14).
Page. _____of_____. Enter the page number and the total number of pages of DA Form 2408-16-1 you have
for this item. Enter the total number of pages with a black lead pencil
1. Model. Enter the component or module model (example, T700).
2. Eng S/N. For modules or components not installed on an engine, leave this block blank.
3. Nomenclature. Enter the name of the component or module.
4. P/N. Enter the manufacturer's part number.
5. S/N. Enter the component or module serial number.
6. Historical counts on component/module.
LINE 1--(Previous Counts of Component/Module)
a. LCF-1. Enter a zero (0) in each block for previous counts of Component/Module.
b. LCF-2. Enter a zero (0) in each block for Previous Counts of Component/Module.
c. Time/Temp Index. Enter a zero (0) in each block for Previous Counts of Component/Module.
d. Operating Hours. Enter a zero (0) in each block for Previous Counts of Component/Module.
NOTE: When two or more pages are needed to enter the components and modules on the reverse side of the
forms, no entries are required in block 6 of page 2 unless the front side of page 1 is filled.
7. History recorder S/N. If the item entered in block 3 is a component or module leave this block blank. The
history recorder serial number will be entered when the component or module is installed on an engine.
BACKSIDE.
8. Nomenclature. Enter the name of each replaceable subcomponent of the component or module on the
lines below.
9. Part number. Enter the manufacturer's part number of each subcomponent on the lines below.
10. Serial number. Enter the serial number of each subcomponent on the lines below.
11. O/H or replacement life.
a. If the item in block 8 has an established MAOT for overhaul, rebuild, or retirement enter the MAOT
in this block.
b. If the item in block 8 is a condition change component enter "COND" in this block.
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