‘Schedule No. Date of Issue: Work Order No. | No. of NRC used : Sign. | No. of Log Slip enclosed Date | L | No. of S.Tag/T.C. enclosed AMM JIC REV NO-09 Jan’17. PW MM REV NO: - 59 Jul'17 | No of call out complied: HS MM REV NO-11 Aug'13 No. of CRS used : No of additional Sheet: Aircraft VT- Station : Date : Aulga tae ALLIANCE AIR | 21000 CY Repeat 6000Cy'_Check _] FORM NO: AASLIATR42/IS/21KR6KCY/01 ATR 42-320 AIRCRAFT FITTED WITH PWC 121 ENGINE & HS 14SF-5 PROPELLER MPD Ref: Rev 30 dated Oct'15 Approved by Dy-Continuing Airworthiness Manager, AASL. ATR vide letter no AASL /ATR /Dy- CAM- /BMM-KOL / 131/16 dated 27/10/16. Aircraft Hours Since New Aircraft Landings Since New Arrived From: hrs. On: (dt)... Fit, No Inspection commenced at: vecsscisees Completed at: STD: ee Departed To : iti VARS ten hi On: (at) Fit. No. Delay (if any) hrs Reason of Delay. piacere INSTRUCTIONS 1. All AMEs signing this schedule must mention their Licence / Approval No. at least once on each page signed by them. If more than one AMEs are signing different items of inspections on the same page then they are required to mention their Licence / Approval No. against each of such signatures. 2. All signatures and Licence / Approval Nos. must be legible. This schedule contains 03 pages. REV-9,Aug"I7 Page | of 3ALLIANCE AIR ‘21000 CY Repeat 6000Cy’ Check All Engineers/Approved Persons signing this schedule should furnish following details: - No. NAM; Carecory | HCAPP | Sicwature | inmate : . 2 3 a. et 6 7. ‘+ Equipment and Tools: - (1) (2) (3) (4) (5) (6) Access Plat Forms. Ultrasonic Instruments-Reflect Scope / Equivalent ‘Shear Wave Probe-45MHz -45 Degree / Equivalent Calibration Standard P/N-98S53305002-200 Magnifying Glass Inspection Mirror ** Bulk Materials: - REV-1, July "15 Lint Free cloth Brush Couplant (Product No. 03-008) Agent (Cleaning 11-002) ~PD680 (white spirit) Page 2 of 3VT. ALLIANCE AIR ‘21000CY’REPEAT 6000CY Check DESCRIPTION TASK REF / JIC No. TECH | AME ‘SPECIAL DETAILED INSPECTION FOR CRACK DETECTION ON FWD AND AFT LATCH FITTINGS OF CARGO DOOR INCLUDING ZONE 121 ‘Task: 33701-SDI-10000-1 NTM 53-37-06 21000CY Repeat 6000CY Check Completed AT: Time: Time: Signature......... cnn Signature. Date Date 3 AME/APP.No......... Stee AME/APP.No.... Category. Category. Revel, July'15, Page 3 of 3