Bell Jet Ranger. Current Date: 6/22/17 Annual Inspection Due: 7/31/17 TBI 100 Hr Insp Completed at: Next Due:
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1 Bell Jet Ranger 26B Component Status 1971 Current Date: 6/22/17 Annual Inspection Due: 7/31/17 TBI 1 Hr Insp Completed at: Next Due: HOBBS: 5 Hr Svc Completed at: Next Due: Aircraft Hrs: Eng Hrs: A/C Cycles: Hook Time (H/T): Installation Removal Part Number Name Serial No Freq Action TSO/N Date A/C TT Date A/C TT Time Rem T/R Hub Assy HB Ovhl /23/ T/R Yoke HBFS Retire /23/ Hyd Servo (L) RH Ovhl. 9/12/ T/R Blade CS Retire /19/ T/R Blade CS Retire /19/ Starter/Gen Ovhl. 3/12/ Hyd Servo (R) RH Ovhl. 9/2/ Fitting FWFS Retire. 11/4/ Fitting FWFS Retire. 11/4/ Pin DIFS Retire. 11/4/ Pin DIFS Retire. 11/4/ M/R Hub GDLM Ovhl. 5/18/ M/R Blade T Retire /22/ M/R Blade T Retire /22/ AA T/T Strap BA Retire. 5/1/ /1/ AA T/T Strap BA Retire. 5/1/ /1/ Link, Coll Lever REFS Retire. 5/12/ Collective Lever REFS Retire. 5/12/ SKCP Kaflex D/S Insp. 7/29/ Freewheel Assy A Ovhl. 11/9/ CL Clutch FD Retire. 11/9/ Coll Tube, Lower USFS Retire. 3/12/ Hyd Servo (C) Ovhl. 12/24/ Trans BKW Ovhl. 4/16/ Mast Assy NFS Ovhl. 1/15/ Bolt, Strap SU Retire. 5/18/ Bolt, Strap SU Retire. 5/18/ Swashplate Assy JIJG Ovhl. 3/19/ M/R Trunnion HB Retire /22/ Hyd Pump CC Ovhl. 7/29/ A Grip HBFS Retire /22/ A Grip HBFS Retire /22/ SKCP Kaflex D/S Ovhl. 1/15/ T/R Gearbox ALO Ovhl. 3/2/ Sleeve, S/P RE Retire. 2/1/ Amerex 352 Fire Ext L Yr Hydro. Mar-14 Mar Support, S/P A-3628 On Cond. 2/1/ On Cond On Cond Lower Cyc Tube 2ea = unk On Cond. unk unk On Cond On Cond M/R Yoke HBFS318 On Cond /22/ On Cond On Cond
2 Current Date 4/3/17 RRC 25-C2B A/C Hrs SIN: Engine Hrs A/C Cycles ENGINE COMPONENT STATUS Item Time Life Part Part Number Name SIN Hours Cycles CSN Installation Part TSO/N A/C Cyc Eng TT A/CTT Eng TT Removal Remaining A/CTT A/C Cyc Time Cycles Bleed Valve FF Governor BR ( HMI Mini Turbine 3355-N1 175 M stStWhl X nd StWhl X Fuel Pump T th StWhl X rd StWhl X HX Fuel Control Fuel Nozzle AG Compressor Impeller KR O/H Mini Turbine 3355-N ( Turbine Tie Bolt NM THI Form 21 b Rev Engine Component Status Report rfl
3 Bell Jet Ranger 26B Scheduled Maintenance Summary 4/3/ ACTT Cycles Hook LAST INSPECTION: 1 Hour 1/14/216@ ACTT Aircraft Inspection AAIP Form DESCRIPTION Hours Interval Name Due Remaining Allowance 1 HOUR 5-2 INSPECTION / SERVICE 1 AC Hours HOUR HOUR 5-3 INSPECTION / SERVICE 3 AC Hours Inspection, Cyclic Stick 12 AC Hours Inspection, T/R D/S 12 AC Hours HOUR / 24 Mo 5-4 Inspection, T/R P/C Tube 12 AC Hours II " " II 24 Months 5/3/ HOUR 5-41 Inspection, Freewheel Assy 15 AC Hours HOUR 5-44 Inspection, Transmission 15 AC Hours Inspection, Mast 15 AC Hours Inspection, T/R Gearbox 3 AC Hours Month 5-33 Inspection, M/R, Fuel, A/F 12 Months 5/31/ Month Inspection, Mast ID 12 Months 5/31/ Inspection, Bolts 24 Months 1/31/ THI Form 21c Rev Scheduled Maintenance Summary Page 1/2
4 4/3/217 Engine Engine Inspection AAIP Form DESCRIPTION Interval Name Due Remaining -- Allowance 1 HOUR Table 62 Inspection 1 AC Hours HOUR Table 62 Inspection 3 AC Hours HOUR Table 62 Scav Filter Bypass Test 6 AC Hours HOUR Table 62 FCU Inlet Filter 175 HMI Table 62 Heavy Maintenance Inspection..,. At*,.1,,,.,, ICA,-. ICA Inspection AAIP Form DESCRIPTION Interval AC Hours AC Hours l '1:... 11,1,.., Name Due * '. I q i Remaining!" Allowance ICA 1 Hour THI Form 471 ICA 1 Hour Inspection items 1 AC Hours ICA 3 Hour ICA 12 Month THI Form 473 ICA 3 Hour Inspection items THI Form 475 ICA 12 Month Inspection items I. r t)t '; l Jr-:,. ':f4 ';;' ]k*'\ilf'. ' r : :\r1t,-.; }t,::,:j Special Special Inspection AAIP Form DESCRIPTION. Ji, ,.. AC Hours 5.8 Months 5/31/217 '"" ti, i ;tj 1,,,., :f' w IJ w Jij Interval Name Due Remaining j!lb " 1..: jl Allowance Other THI Form 48 Battery Capacity Test 12/6 Months June 217 +/-1 AD AD Tailboom Inspection 1 AC Hours AD AD Vert Stab Mt lnsp 1 AC Hours Emergency Equip Fire Extinguisher Recert 12 Months 3/31/218 " E-4 EL T Self-Test 3 Months 6/3/217 " E-4 EL T Tests 12 Months 9/3/217 Avionics " GOM G-1 Avionics Inspection Transponder Test 1 24 AC Hours Months 5/31/ THI Form 21c Rev Scheduled Maintenance Summary Page 2/2
5 \...-1 Keep with Aircraft Flight Log - THI Form 11 Date 4/3/17 Current Hours Item Notes 1 Hour Inspection 3 Hour Inspection 12 Month Inspection Bell Jet Ranger 268 Programmed Maintenance Interval Done Due 1 Hr Hr 12 Mo May-16 May-17 AD AD Fire Ext ELT ELT ELT Transponder Wt& Bal Pitot / Static T/8 Visual lnsp Vert Stab Mount lnsp Inspection Registration Battery Self-Test Test For USFS / AMO For USFS / AMO 1 Hr Hr Mo Mar-17 Apr-17 2 year Jun-16 Jun-18 AIR Jun-14 May-19 3Mo Mar-17 Jun-17 24Mo May-15 May-17 24Mo Feb-17 Feb-19 24Mo Jun-15 Jun-17 THI Form 21d Rev Programmed Maintenance Summary
6 Servicing Schedule 4/3/17 3 Hour Due@ Current ACTT: Hours/Months ITEM Lubricant Monthly Fire Extinguisher Visual 5112 MIR, SIP Thixogrease 1112 MIR, SIP, TIR PIC Thixogrease 2112 Trans + Filter Mobil Jet 254 TIR GIB Oil Mobil Jet Hyd Filter Clean (3X) Fuel Filters (2) Replace 3112 TIR DIS Bearings Mobil 28 TIR DIS Splines Thixogrease Tach Gen (3) Thixogrease Hyd Pump Drive Thixogrease Oil Cooler Blower Clean 6112 Hyd Fluid 566 Engine Oil + Scav Filter Mobil Jet 254 Done Mar Due - or - Date Due Apr / /14/217 NIA NIA 6/ / / / / /29/217 7/14/217
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Cycles values. Cycle Name Value Cycle Name Value Cycle Name Value Cycle Name Value. Components. Tracking No.
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