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30
Type of Activity
Reason for Activity
Date of Retirement________________________
Date of Activity
Location on
Helmet
Inspection/
Cleaning/Repair
Site
Date Returned
to Service
Date and Method of Disposal___________________________________________________________
Description of Repair,
Inspection Findings, etc.
Activity
Performed By
Date of Helmet Manufacture______________
In the spaces below, note the activities performed on your Helmet during its wear life.
Types of activities can include: Routine or Advanced Inspection; Cleaning; Decontamination; Repair; Alteration; Removal from Service; Retirement; Disposal, etc.
Model_____________________
INSPECTION, CLEANING, REPAIR, RETIREMENT AND DISPOSAL RECORD
Helmet ID_____________________
16.