For CAMO Office Use Soruttinized by : | Schedule No. Date of Issue Work Order No No. of NRC used : Sign No. of Log Slip enclosed: Date No. of S.Tag /T.C. enclosed: “AMM JIC REV NO- 09 Jan'i7,_ PW MM REV NO: - 59 Jul't7 [No.of CRS used: | HSMMREVNO- 11 Aug'?3, No of Calll out Complied: No of Additional sheet: | Aircraft VT- Date : Amiga raz ALLIANCE AIR 18000 CY Check FORM NO: AASLIATR42/IS/18KCY/01 ATR 42-320 AIRCRAFT FITTED WITH PWC 121 ENGINE & HS 14SF-5 PROPELLER ‘ev 30 dated Oct’15 Appr » Dy-Continuing Airworthiness Manager, AASL, ATR vide letter no ASL /ATR /Dy- CAM- /BMM-KOL / 131 /16 dated 27/10/16. Aircraft Hours Since New : Aircraft Landings Since New : Arrived From: aesseeees CATE sas seeccihs, On: (dt)....... ° Fit. No Inspection commenced at: eats A Completed at: STD: eg Departed To: ...... cs Atl oc. bs. On: (dt)... Fit. No. Delay (ifany) —............hrs Reason of Delay... Be Ae a 5 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. Alll signatures and Licence / Approval Nos. must be legible. This schedule contains 03 pages REV-8, Aug’l7 Page | of 3All Engineers/Approved Persons details: - ALUANCE AIR “18000 CY Check signing this schedule should furnish following NAME CaTeGorY LiciApp. No. SIGNATURE Inmmiacs. No! of al ol ny] a * Equipment and Tools: (1) Inspection mirror (2) Magnifying glass “> Bulk Materials: * Agent (Cleaning 11-002) -PD680 (white spirit) REV-1, July “15 Page 2 of 3ALLIANCE AIR VT. 18000CY’ Check SR. | DESCRIPTION TASK REF / JIC No. TECH | ame |_| Fuselage Nose Section (Frame 10 & 11) Task: 531115-DVI-10000-1 il Detailed visual inspection for crack detection on JIC: $31100-DVI-10040 1 | upper end of Frame 10(Station 5147) and Frame 11(Station 5333) at level of Frame to hatch surrounds fasteners, 18000 CY Check Completed AT: Time: Time: Signature... cece Signature... Date Date AME/APP.No. ss AME/APP.No. Category... = Category........... Rev-1, July15, Page 3 of 3