FORMS AND EQUIPMENT REQUIRED FOR PREVENTIVE MAINTENANCE
CHECKS AND SERVICES
a. Forms. Each time PMCS is scheduled on a dental X-ray, unit you will receive
DD Form 314 (Preventive Maintenance Schedule and Record), DA Form 2409
(Equipment Maintenance Log), and, if the unit is on an automated system, a report from
either The Army Maintenance Management Information System (TAMMIS) or the Army
Medical Department Property Accounting System (AMEDDPAS).
(1) Check the performance history of the X-ray for any recurrent problem.
Check DA Form 2404 (Equipment Inspection and Maintenance Worksheet), if available,
or the automated print out, as necessary.
Be alert for any systematic problems that you find during your review.
(3) If you are on a manual system (non-automated), record all uncorrected
conditions on DA Form 2404 as you perform PMCS.
For a manual system, record the performance of PMCS on the following
(a) DD Form 314. Update after completing PMCS.
(b) DD Form 2164 (X-ray Verification/ Certification Worksheet).
Complete and attach a list of test equipment used during procedure.
DA Form 2409. Update after completing PMCS.
(d) DD Form 2163 (Medical Equipment Verification/Certification Label.
Complete and attach to the unit.
(5) Complete a DA Form 2407 (Maintenance Request) and, if applicable, a
DA Form 2406 (Material Condition Status Report [MCSR]) if additional maintenance is
b. Equipment. To perform PMCS on a field dental X-ray machine you need the
A digital multimeter with the following specifications:
(a) Alternating current (ac) voltage + 0.5% of reading plus 1 digit.
Direct current (dc) voltage + 0.1% of reading plus 2 digits.
Dc current + 0.3% of reading plus 1 digit.