Package Cover Sheet

LINE MAINTENANCE

Exec. Doc. Type Exec. Doc # A/C Model # A/C Reg # Title

Aircraft LINE-009476-2022 AW139 5N-TUP #2 Hyd Temp Raising

Component# Part # Serial # Work Center# Station Planned Start Planned End
Date Date

NA NA NA LOS-LINE LOS 22-Jan-2022 22-Jan-2022

TAH TAC Order Created Tech Log# Order Closed Order Closed at Order Closed at
Date Date A/C Hours A/C CYC

6837.03 (Hrs.) 10386 22-Jan-2022 27-Jan-2022 6854.80

CERTIFICATE OF RELEASE TO SERVICE

The signature below "Certifies that the work specified was carried out i.a.w. Nig.CAR Part 6.5.1.7 and in respect to that work the Aircraft / Aircraft
Component is considered approved for Release to Service".

Name/Stamp Signature Date

Notes

Printed Date: 27-Jan-2022 15:32 Page Number: 1 of 1

 LINE MAINTENANCE
Exec. Doc. Type Exec. Doc # A/C Model # A/C Reg # Title

Aircraft LINE-009476-2022 AW139 5N-TUP #2 Hyd Temp Raising

Component# Part # Serial # Work Center# Station Planned Start Planned End
Date Date

NA NA NA LOS-LINE LOS 22-Jan-2022 22-Jan-2022

Summary

Tracking # Task Card # Description Completed RII

By

1/1 LINE-009476-2022/1 #2 Hyd Temp Raising ENGR 49

Printed Date: 27-Jan-2022 15:32 Page Number: 1 of 1

 A/C Model # AW139 Tally # / Tracking # 1/1

A/C Reg. # 5N-TUP Part # NA

Exec Doc # LINE-009476-2022 Serial # NA

Task Part # / SN / Position -/-/-

Task Due at Date/FH/CYC

Task # LINE-009476-2022/1

Task Description #2 Hyd Temp Raising

Task Type Category ATA # Reference # Est.Man Hrs Est. Nos Skill Required

AIR 2933 1.00

Action Taken

#2 HYD SYSTEM WIRING CHECKS CARRIED OUT- NFF. SUSPECTED TEMP SENSOR REPLACED IAW AFIP-39-A-29-32-00-00A-421H-A.
SYSTEM ACCESSED REV 40 IETP

Tools Requirements

Part # Serial # Part Description Qty Calibration Exp. Date

Materials Used

Part # Serial # Batch # Qty Part Description

1864-8 03093 1.00 TEMPERATURE SENSOR

M83461-1-012 LOT-007272-2021 1.00 PACKING

Component Replacement

Off Part # On Part # Off S/N ON S/N Qty Part Description

1864-8 1864-8 02114 03093 1 TEMPERATURE SENSOR

Discrepancy Details

Description Action Taken

Printed Date: 27-Jan-2022 15:32 ID. Page Number: 1 of 1