BML01 B4721 SEQ 9

COMPONENT CHANGE SHEET

CUSTOMER
PHILIPPINE AIRLINES, INC.
A/C TYPE A/C TAIL TITLE TASK CARD NUMBER TASK CODE
A330-343 RP-C8781
SOURCE REFERENCE MSN CHECK ATA ZONE AREA
1460 FOR TESTING ONLY

START BILLING GRP SKILL CODE EST MH PAGE STOP

B-ADN 1/1

PART NUMBER DESCRIPTION FIN STAMP/SIGN

PLANNED CCS MECH LIC/AUTH

Zone:
Access:

Reference:
REV. NO. & DATE:
ATL NO.: (TECH LOG REF NO.):

SERIAL NO OFF: QTY OFF:

PART NO OFF: DATE REMOVED:

SERIAL NO ON: QTY ON:

PART NO ON: DATE INSTALLED:

APP CERT/OH REPORT NO:

FUNCTIONAL TEST OR OPERATIONAL TEST DATE CARRIED OUT:

CARRIED OUT (IF APPLICABLE):

LEAK CHECK (IF APPLICABLE): DATE CARRIED OUT:

DUPLICATE INSPECTION (IF APPLICABLE):

NOTE: CRITICAL TASK INSPECTION CERTIFICATION DONE IN ACCORDANCE WITH APPLICABLE

CUSTOMER MCM AND/OR SIAEP MOE, EPM PROCEDURES. (WRITE N/A IF NOT APPLICABLE)
DUPLICATE INSPECTION RII CRITICAL TASK SIGN OFF:
INDEPENDENT INSPECTION (SIGN / STAMP / DATE)

CARD SIGN-OFF

DATE & TIME COMPLETED

FINDING/ DISCREPANCY? YES NO CROSS-REFERENCES:

REMARKS:

PART USAGE

BATCH NO. /
DESCRIPTION PART NO. (or APN) QTY UOM SN ON SN OFF INSPECTION LOT SPARE REQ. BY PLANNER
NO.

CALIBRATED TOOL USAGE: INDICATE NIL IF NONE REQUIRED

TOOL DESCRIPTION PART NO. SERIAL NO. CAL. DUE DATE LIC. STAMP

PPC-FRM-019B | ISS-REV: 01-00 | Print Date: 24 May 2024 Produced by Quantum Control