TB 1-1520-237-25-2
DISCREPANCY SUMMARY FORM
The Discrepancy Summary Form is completed for all Major and Critical defects at the time of discovery. Instructions to
complete the form are below.
1.
DATE DISCOVERED:
Date of inspection (Day, Month, Year).
2.
TIME DISCOVERED:
Zulu time deficiency discovered.
3.
UNIT: Unit to which the aircraft is assigned.
4.
MDS:
Model designation of aircraft.
5.
JCN:
Unit job control number.
6.
SERIAL NO:
Serial number of aircraft.
7.
DISCOVERED BY:
inspector's name and code.
8.
UNIT REPRESENTATIVE:
Name and rank of unit representative who witnessed the defect.
9.
LOCATION:
Location of inspection.
10.
INDICATOR NOMENCLATURE: Defective indicator nomenclature as listed in the JACE Checklist.
11.
CORRECTIVE ACTION ESTIMATE:
Describe the maintenance actions, estimate level of maintenance,
estimate the manhours, identify special equipment, and estimate
components required to correct the defect.
12.
CONDITION/CLASSIFICATION: Describe the condition and classify the defect.
C-3/(C-4 Blank)
