ENG/1600 ARC Report Form... · Web viewCheck that the Aircraft Flight Manual (AFM) is current and applicable to the aircraft registration/MSN, and that the aircraft conforms to the

Airworthiness ReviewReportM.A Subpart G Approval

No:

UK.MG.0035

Registration: Audit Ref:

Aircraft Type: MSN:

ARC Review Period: Review Date:

From To From To

Place of Aircraft Physical Survey: Date of Aircraft Physical Survey:

MA 710(a)(1) AMOS APN 206 / 308

Aircraft Hours at last 15a/15b ARC issue:

Aircraft Cycles at last 15a/15b ARC issue:

MA 710(a)(1) MOS APN 308 / 147

Total Airframe Flight Hours:

Total Airframe Flight Cycles: Current at:

Engine Type: Serial No: Hours: Cycles: Current at:

No.1

No.2

APU Type: Serial No: Hours: Cycles: Current at:

Form ENG/1600 Issue 8 Page 1 of 2324 Feb 2017

Note: A copy of this form and the associated ENG/1601 Physical Survey Form is to be retained with the aircraft records

Form ENG/1600 Issue 8 Page 2 of 2324-Feb-2017

FLIGHT LOG SAMPLE MA 710(a)(1) AMOS APN 206

Item Action Performed or

Checked By / Notes:

1 Review Flight Log Samples for correct certification of Pre-Flight, 48 Hour, ETOPS, Servicing (external 145 references)

Year

1 FL No. from Date

FL No. to Date

Year

2

FL No. from Date

FL No. to Date

FL No. from Date

FL No. to Date

Year

3

FL No. from Date

FL No. to Date

FL No. from Date

FL No. to Date

FL No. from Date

FL No. to Date

AIRCRAFT FLIGHT MANUAL MA 710(a)(2)

Item Action Performed or Checked By / Notes::

1 Check that the Aircraft Flight Manual (AFM) is current and applicable to the aircraft registration/MSN, and that the aircraft conforms to the current amendment of the AFM, which reflects the latest revision status as published by the Type Certificate holder.

AFM No:

Revision No:

Amendment date

2 Ensure that AFM includes all relevant supplements for STC, Modification,, Airworthiness Directives and UK CAA supplements

3Complete Declaration of Flight Manual Status (if applicable) ensuring that Operations Manual is confirmed as being assessed to same revision.


MAINTENANCE PROGRAMME DETAILS MA 710(a)(3) AMOS APN 249

Item Action Performed or Checked By / Notes:

1 CAA ref:

TOM ref:

Issue No. Amendment No.

Date:

MAINTENANCE PROGRAMME REVIEW MA 710(a)(3) AMOS APN 2151/673


1 Check that all scheduled maintenance required by the AMP during the ARC review period, has been accomplished and review the open work list for the aircraft to ensure that no tasks exceed the limits of the AMPCheck that maintenance intervals recorded on the check history record correspond with and have not exceeded limits prescribed in the AMP

2 Carry out a check to ensure that the following tasks in the AMP have been accomplished.

Sample Task No. Due Complet

ed at...

Next Due

Checked By / Notes

Interval

CMR

CMR

CMR

ALI

ALI


ALI

Sample Task No. Due Complet

ed at...

Next Due

or Checked By / Notes:

Interval

Single

Running

Single

Running

Single

Running

ICA

ICA

ICA

MAINTENANCE PROGRAMME VARIATION MA710(a)(3) AMOS APN 869 / 2151


1 Review aircraft records to confirm that any variations to the AMP raised during the ARC review period have been correctly approved and ensure that any variations raised have been recorded in the Aircraft Electronic Logbook. (Use Tech Assist – search for ‘Variation’)

Variation No.

Description



SAMPLED CHECK PACKS MA 710(a)(3) AMOS APN 281


1 Review aircraft maintenance check packs to confirm that any maintenance has been carried out in accordance with the AMP. An event will be a Landing Gear or Engine/APU change or Reweigh.

Last Major Check (C /2 Year/ Yearly)

Check No. Hours

Check Content

Cycles

CRS Date

Last Minor Check (Phase or A)

Check No. Hours

Check Content

Cycles

CRS Date

Year

1

Check No. Hours

Check Content

Cycles

CRS Date

Year

2

Check No. Hours

Check Content

Cycles

CRS Date

Check No. Hours

Check Content

Cycles

CRS Date

Even

t

Check No. Hours

Check Content

Cycles

CRS Date

Check No, Hours

Check Cycles


Content CRS Date

Check No. Hours

Check Content

Cycles

CRS Date


TECHNICAL LOG WORKORDER SAMPLE MA 710(a)(4) AMOS APN 01 / 1418


Checked By / Notes:

1 Sample Review of Workorder book (30 Pages) to check that all known defects have been corrected or, when applicable, carried forward in a controlled manner

Year

1

W/O No. from Date

W/O No. to Date

W/O No. from Date

W/O No. to Date

Year

2

W/O No. from Date

W/O No. to Date

W/O No. from Date

W/O No. to Date

W/O No. from Date

W/O No. to Date

W/O No. from Date

W/O No. to Date

Year

3

W/O No. from Date

W/O No. to Date

W/O No. from Date

W/O No. to Date

W/O No. from Date

W/O No. to Date

W/O No. from Date

W/O No. to Date

W/O No. from Date

W/O No. to Date

W/O No. from Date

W/O No. to Date


ACCEPTABLE DEFERRED DEFECT (ADD) VERIFICATION MA 710(a)(4) AMOS APN 01 / 476

Item Review ADDs for correct MEL implementation or Checked By / Notes:

1 Record up to 3 recent ADDs to confirm that the MEL has been applied correctly.

ADD No: Date Raised

ADD description:

MEL Ref Category

Workorder Date Closed

ADD No: Date Raised

ADD description:

MEL Ref Category


ADD No: Date Raised

ADD description:

MEL Ref Category


TRACE MA 710(a)(4) AMOS APN 231


1 Review aircraft records to confirm that any Carried Forwards/TRACEs raised since last ARC have been correctly approved/recorded and are forecasting correctly

Trace Description



AIRWORTHINESS CONCESSIONS (Inc. Fleet) MA 710(a)(4)


1 Review Airworthiness Concessions issued against the aircraft since last ARC review and ensure that any remedial actions have been carried out within any stated timescales

Concession No.

Description

RECTIFICATION INTERVAL EXTENSIONS MA 710(a)(4)

Item

Action Performed or Checked By / Notes:

1 Review Rectification Interval Extensions, since last ARC issue, and ensure that defects have been closed within the extension granted.

RIE No. Description Close date

LATEST AIRWORTHINESS DIRECTIVES (BI-WEEKLY) MA 710(a)(5)

Item

Action Performed or Checked By / Notes:

1 It is confirmed that compliance with the following regulatory requirements has been established. (for ADs this will be the latest published bi-weekly):

Aircraft State of Design ADs:

Engine State of Design ADs:

Equipment State of Design ADs:

Published EASA ADs:

CAP 747 up to Iss.No.

Amend

Date


AIRWORTHINESS DIRECTIVE CONTROL AND COMPLIANCE MA 710(a)(5) AMOS APN 231 / 673


Checked By / Notes:

1 Select EASA and FAA Airworthiness Directives as required and review for the following:Properly registered with correct set up covering applicability/effectivity, time requirements, compliance and forecasting. (Note: include superseded ADs).Correct set up of applied Alternate Means of Compliance (AMOCs) in signoff tree.Check DFP records for accomplished and partially accomplished ADs and SBs and reflect the AMOS record of compliance.

AD No. or AD No. or

Issu

ed in

Las

t 3

Year

s

1

Clos

ed in

last

3 y

ears

1

2 2

3 3

4 4

5 5

6 6

AD No. or AD No. or

Repe

at C

ompl

ianc

e

1

Com

pone

nt

1

2 2

3 3

4 4

5 5

6 6

FDR DOWNLOAD


AIRCRAFT REPAIRS MA 710(a)(6) AMOS APN 786


Checked By / Notes:

1Check the repairs as identified and recorded in Form ENG/1601 for the following:Check that repairs applied to the aircraft have been registered and are approved according to SRM / Repair Scheme/8100-9/RDR

2

Check that any ICAs associated with repairs are correctly forecastingIn the case of Interim/temporary repairs the schedule for inspections and/or permanent repair has been shown and not exceeded the threshold or interval

MODIFICATIONS MA 710(a)(6) AMOS APN 231


1 Check that all modifications applied to the aircraft (since last ARC renewal) have been registered and are approved according to EASA Part 21

Mod No:

Description:

Part 21 Approval No.

Date

Mod No:

Description:


Date

Mod No:

Description:


Date

OCCURRENCES AMOS APN 432 / AQD



1 Review last annual FDR Verification. Ensure that all parameters are reading correctly.

Date of Verification

Item Review defects for Reliability and follow-up actions or Checked By / Notes:

1 Check that engineering related Mandatory Occurrence Reports (MORs), Engineering Safety Reports (ESRs), Ground Occurrence Reports (GORs) and Air Safety Reports (ASRs) have been reviewed and an action plan put in place for closure for any open events.


SUPPLEMENTARY TYPE CERTIFICATES MA 710(a)(6) AMOS APN 231


1 Check the aircraft electronic records for any STCs applicable and embodied on the aircraft and record a sample for verification of applicability and compliance with ICAs. (Since last ARC Review)

STC No:

Description:

Date Performed

Workpack No.

Next ICA due:

STC No:

Description:

Date Performed

Workpack No.

Next ICA due:

STC No:

Description:

Date Performed

Workpack No.

Next ICA due:

MASS & BALANCE STATEMENT MA 710 (a)(9) AMOS APN 292


Checked By / Notes:

1 Check that the current Weight and Balance statement reflects the aircraft configuration and incorporates any changes created by applicable modifications or repairs performed since the last reweigh.Statement ref:

Statement date

Check for any inconsistencies between each event where the Aircraft Weight and Balance record has changed.

Date of weighing:

Date next due


Place of weighing:

Weighing report / Reference no:


ETOPS COMPLIANCE AMOS APN 532 / 147

Item Action Performed or Checked By /

Notes:

1 Aircraft maintained in ETOPS Configuration?

YES NO

Check that the aircraft is ETOPS capable and that no aspect of the review identifies any reason why the aircraft cannot perform ETOPS flights by reference to current configuration (e.g. overwater survival equipment), fitted components and current deferred defects and reference to the ETOPS Mod status in the CMP. Sample 3 components to confirm ETOPS compliance:

Part No. Serial No.

Form 1 No.

Latest Mod Status

Part No. Serial No.

Form 1 No.

Latest Mod Status

Part No. Serial No.

Form 1 No.

Latest Mod Status

MAINTENANCE ORGANISATIONS MA 710(a)(8)


1 Ensure that an appropriate EASA Part-145 organisation has carried out any certified release to service and, where possible, ensure that an appropriate maintenance contract was in place

EASA Part 145 Maintenance Organisations used where an Appendix XI contract is in place:

Name EASA 145 Approval No.



TYPE DESIGN APPROVAL MA 710(a)(10) + (11)


Checked By / Notes:

1 Review the appropriate published type data for date and revision status. Confirm the aircraft and engines conform to the Type Certification Data Sheets (TCDS) and comply with the latest revision of the type design specifications approved by the Agency.

Airfr

ame EASA TCDS

No:

Issue Date: Issue No.

Engi

ne

EASA TCDS No:


Noise

EASA TCDS No:


Confirm that the noise certificate corresponds to the current configuration of the aircraft and that it matches the TCDS.


SUMMARY OF REVIEW FINDINGS

Review Finding Number

Description of FindingFinding Level

Due by:

Note: Annotate level of finding (1, 2 or observation iaw CATP 16 Section 2.1). If necessary, use a Continuation Sheet.


CERTIFICATION STATEMENT BY THE AIRWORTHINESS REVIEW SIGNATORY:

Aircraft Physical Survey or Checked By / Notes::

A physical survey of the aircraft has been carried out and is recorded on form no. ENG/1601, and which shall be considered to form part of this Airworthiness Review Report.

Findings or Checked By / Notes::

All findings identified during this Airworthiness Review including the physical survey, have been entered into the Thomson Airways Airworthiness Review Access Database for resolution.

I hereby certify that all the items listed in this Airworthiness Review have been checked and that all findings identified do not have an adverse effect on the Airworthiness of the aircraft and have been recorded and distributed for resolution action. Therefore the aircraft is considered airworthy and suitable for the issue of an Airworthiness Review Certificate.

Name

Signature

Title

AuthorisationNumber

Date


Continuation sheet (Notes and Observations)


Documents

ENG/1600 ARC Report Form... · Web viewCheck that the Aircraft Flight Manual (AFM) is current and applicable to the aircraft registration/MSN, and that the aircraft conforms to the