Airworthiness Physical Survey Report

Transcription

1 M.A Subpart G Approval No: Airworthiness Physical Survey Report UK.MG.0035 Aircraft Type: Registration: MSN: Hours at Survey: Survey Date: Location: Audit Ref: Cycles at Survey: Documentation Review (M.A.710(c) 4) or Notes 1 Aircraft Technical Log: Technical Log contents correct as per Table of Contents Defect clearance satisfactory Deferrable Defects correctly transferred / cleared W/O s Reviewed From: W/O s Reviewed To: Dated: Dated: 2 Aircraft On Board Documentation: (CAT.GEN.MPA.180) Certificate of Registration No: Certificate of Airworthiness No: Date C of A Issued: Radio Licence No: Radio Licence Expiry Date: Noise Certificate No: Confirm latest issue of Noise Certificate installed on board aircraft as per current maximum approved take-off weight: Weight Recorded on Noise Certificate: Aircraft complies with it s Approved Flight Manual AFM not carried on board N/A Page 1 of 13

2 Aircraft Onboard Documentation cont.: or Notes Airworthiness Review Certificate: 15a 15b Original ARC No: Expiry Date: 1 st Extension No. (if applicable) Expiry Date: 2 nd Extension No. (if applicable) Expiry Date: Air Operators Certificate Insurance Document Aircraft Certificate Folder in Correct Location Poor Record condition of Aircraft Certificate Folder Acceptable Good Page 2 of 13

3 Aircraft Physical Survey or Notes 3 Exterior check: General condition and presence/evidence of leaks Evidence of Missing Fasteners in Wing to Body Fairings General Condition of Paint Finish Acceptable Not Acceptable Exterior and Emergency lights check Landing Gear (Nose & Main Landing Gear inc. Bays) Condition and cleanliness with doors lowered Condition of Wheels/Tyres (inc. missing Tie Bolts) Condition of brakes and within wear limits Evidence of Leaks Empennage Horizontal Stabilisers and Elevators for condition, damage and evidence of leaks Vertical Fin and Rudder for condition, damage and evidence of leaks Static wicks for presence and condition APU area for condition, damage and evidence of leaks Markings and placards for correct presence, legibility and condition M.A 710 (c) Fwd. Cargo Bay Cargo bay for general condition and cleanliness Cargo door, seals and surrounds for condition and damage Fire Nozzles and Smoke detectors for condition and clear of obstruction Condition of Panels and Fire Seal taping Floor damage Page 3 of 13

4 Aircraft Physical Survey cont.: or Notes Aft Cargo Bay Cargo bay/s for general condition and cleanliness Cargo door/s, seals and surrounds for condition and damage Fire Nozzles and Smoke detectors for condition and clear of obstruction Condition of panels and Fire Seal taping Floor damage Engine # 1 Engine intakes and cowlings for condition, damage and evidence of leaks Fan blades for condition and damage Evidence of Missing Fasteners in Pylon Engine # 2 Engine intakes and cowlings for condition, damage and evidence of leaks Fan blades for condition and damage Evidence of Missing Fasteners in Pylon Left Wing Wings for condition, damage and evidence of leaks Flying Control Surfaces for condition, damage and evidence of leaks Static wicks for presence and condition Missing fasteners in leading edge Right Wing Wings for condition, damage and evidence of leaks Flying Control Surfaces for condition, damage and evidence of leaks Static wicks for presence and condition Missing fasteners in leading edge Page 4 of 13

5 Aircraft Physical Survey cont.: or Notes Cabin Interior: General condition Aircraft data and registration plate prominently displayed and data correct Correct passenger seat configuration as per approved LOPA (Layout of Passenger Accommodation) / configuration drawing M.A. 710 (c) (3) LOPA Drawing no: LOPA / Config. Safety Equipment ALL cabin safety equipment, as detailed in the applicable approved equipment drawing, is within expiry date, correctly stowed/located and in serviceable condition with all seals and tags intact M.A. 710 (c) (3) Equipment Drawing No: Drawing Revision No: Cabin Attendant Seats Seat belts for condition Seat base returns to stowed position Overwing Emergency Exit Seats only (Where Installed) No recline Seat tray table latch does not allow operation towards exit All Emergency Exit Seats Only Adjacent window shades for operation Presence and condition of exit decals All Passenger Seats (sample) Correct recline Presence of life jackets Table operation Condition and operation of Seat belts Adjacent window shades for operation Correct illumination of No Smoking and Seat Belt signs (where installed) Emergency torches for serviceability (flashing and/or seals not broken) Megaphones for operation and battery life Markings and placards for correct location, presence, legibility and condition M.A. 710 (c) Escape slide and door assist bottle pressures within limits (where fitted) Page 5 of 13

6 Aircraft Physical Survey cont.: or Notes Toilets Presence of Waste bins and condition of door seals Waste door/flapper correct operation and sealing Fire extinguishers and overheat placard Presence and operation of ash trays Markings and placards for presence, legibility and condition (No Smoking Fine and No Cigarette Disposal) M.A. 710 (c) Galleys General Condition Door and cupboard security Latches are effective Condition of cart stowage s Evidence of Leaks and Drains for condition Oven/Boilers Circuit Breakers out Condition of Flooring Emergency lighting check Emergency Floor Path lighting and exit signs for integrity / serviceability (if installed) Luminescent Emergency Floor Path track for integrity / serviceability (if installed) Flight Deck General condition and cleanliness Standby Compass Correction card present Windscreens and windows for condition and delamination (ensure recorded in Damage chart if found) Instrument Panels and Consoles for condition and cleanliness Markings and placards for presence and legibility M.A. 710 (c) Seats and harnesses for condition and operation Page 6 of 13

7 Aircraft Physical Survey cont.: or Notes 4 Acceptable Deferred Defect (ADD) Verification: Record up to 3 ADDs to confirm that aircraft records correspond with deferred items recorded in the aircraft Technical Log: Current ADDs in Technical Log? Yes No If Yes, how many open ADDs? ADD No: ADD description: Is defect correctly deferred (MEL ref /time limits)? Is ADD recorded on AMOS or similar records management system? ADD No: ADD description: Is defect correctly deferred (MEL ref /time limits)? Is ADD recorded on AMOS or similar records management system? ADD No: ADD description: Is defect correctly deferred (MEL ref /time limits)? Is ADD recorded on AMOS or similar records management system? Page 7 of 13

8 Aircraft Physical Survey cont.: or Notes 5 Aircraft Damage Assessment: Noted damage and damage marking reflects data recorded on the Aircraft Damage Register in the Technical Log. Record up to 4 items of damage for the verification of appropriate damage assessment which may include fuselage damage, window delamination and engine fan blade blends Damage location: Damage description: Damage in Dent and Buckle Chart: Damage location: Damage description: Damage in Dent and Buckle Chart: Damage location: Damage description: Damage in Dent and Buckle Chart: Damage location: Damage description: Damage in Dent and Buckle Chart: Page 8 of 13

9 Aircraft Physical Survey cont.: Sec 6 Aircraft Repairs: Record up to 4 repairs for the verification of appropriate repair. Repair location: or Notes Repair description: Repair Workorder Repair File Line No. Date of repair ICAs Set up? Repair location: Repair description: Repair Workorder Repair File Line No. Date of repair ICAs Set up? Repair location: Repair description: Repair Workorder Repair File Line No. Date of repair ICAs Set up? Repair location: Repair description: Repair Workorder Repair File Line No. Date of repair ICAs Set up? Page 9 of 13

10 Life Limited and Installed Components: MA 710(a)(7) AMOS APN 27 / 147 / 188 Aircraft Physical Survey cont.: or Notes 7 Life Limited and Installed Components: Record details of up to 4 components for confirmation of installation as specified in the aircraft records (AMOS): Description Part No. Serial No. Date Installed Form 1 Tracking No. Remaining Service Life Description W/O No. Part No. Serial No. Date Installed Form 1 Tracking No. Remaining Service Life W/O No. Description Part No. Serial No. Date Installed Form 1 Tracking No. Remaining Service Life Engine Related Component W/O No. Description Part No. Serial No. Date Installed Form 1 Tracking No. Remaining Service Life W/O No. Page 10 of 13

11 Summary of findings to be entered : Aircraft Registration Survey Finding No. Audit Number Description of Finding Finding Level Rectification Action Note: Annotate level of finding (1, 2 or observation iaw CATP 16 Section 2.1). If necessary, use a Continuation Sheet. Page 11 of 13

12 This aircraft has been surveyed as part of an Airworthiness Review as detailed in Part M.A.710 (c) and no inconsistencies can be found between the aircraft and documented review of records M.A. 710 (a). Therefore the aircraft has been found *satisfactory / unsatisfactory for the purpose of a recommendation for the issue of an Airworthiness Review Certificate. All findings recorded above have been transferred to the * aircraft technical log / hangar check workpack for rectification action. * Delete as required TUI AIRWAYS AIRWORTHINESS REVIEW AUTHORISED SIGNATORY: Audit No. Date Name Signature Title. Authorisation No. PART-66 QUALIFIED PERSON ASSISTING WITH PHYSICAL SURVEY: The following Part-66 Licence holder has assisted with this aircraft physical survey as per the requirements of M.A.710(b). Name Signature Part 66 Licence No. (If Available) Stamp No. ACCEPTANCE Findings accepted by Name Signature Position Date Send completed pages with responses by to +airworthiness@tui.co.uk A copy of this Survey Report is to be attached to any recommendation made to the CAA and a copy of this report shall be retained in the aircraft record Thomson Airways Ltd Page 12 of 13

13 Radio Survey For Aircraft Imports Manufacturer Equipment Category ADF Qty Part Number Equipment Type ATC Transponder (N/A 787) DME HF Communication Radio Altimeter TCAS/ACAS (N/A 787) VHF Communication Multi-Mode Receiver (N/A 787) Weather Radar VOR Receiver (N/A 787) SATCOM (787) INR (787) ISS (787) Thomson Airways Ltd Page 13 of 13