maintenance controller: notes · 2020-03-26 · engine continental io-520-l 830463-r overhaul...

97
Current Aircraft Times: FH on Aircraft FC FL Updated Updated Updated Report Date 26 Mar 2020 22,072.80 24 Mar 2020 FOK VH - Serial Number Aircraft Details: Operator: Primary Maintenance Organisation: Certificate of Approval No: Maintenance Controller: Company Person Inst No Address Maintenance Schedule/System: Version 0.1 12th July 2018 Notes: Due Lists and OSIP Cards are published at the last submitted Aircraft TTIS, Cycles, and Landings. They reflect correctly certified entries on approved documents. Model Manufacturer Year of Manufacture Registration Holder Identification Part Number Serial Number FH Life Since O/H Since Install Since New Comp On A/C TFH Component Name Eng No / Task Number Comment Propulsion Components: A/C FC A/C FL FC Life Since O/H Since Install Since New FL Life Since O/H Since Install Since New Due Airframe FH Airframe FC Airframe FL Life Left FL FC FL Date Installed Due Date Tolerance Service Life FH MO FL FC = FL = For this aircraft: FH = Report Type 050 Cover Sheet Wheels OFF to wheels ON Cessna 210N 21063109 1978 Broome Aviation Pty Ltd C210 System of Maintenance Broome Aviation Pty Ltd 1-JYVRP Iss 03 Avtrac Pty Ltd Scott Carlson PO Box 568 BELMONT WA 6984 JNP Enterprises Pty Ltd Broome Aviation Pty Ltd Block Rule: (Planned maintenance free period on M/R Part 1) 110 FH, 6 MO Maintenance Data: Airframe MM C210N Service Manual D2057 Engine Continental IO-520-L 20,287.10 1,785.70 22,157.10 84.30 830463-R 1,785.70 29 Sep 2027 1,785.70 30 Sep 2015 1,870.0 144 +/-0 FH 0 MO 1 Propeller Hartzell D3A34C404-C 21,892.10 180.70 24,292.10 2,219.30 990121 180.70 2 Jul 2025 180.70 3 Jul 2019 2,400.0 72 +/-0 FH 0 MO 1 Form revision status: 26 Mar 2020 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.

Upload: others

Post on 10-Apr-2020

2 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Current Aircraft Times:FH on Aircraft

FC

FL

Updated

Updated

Updated

Report Date 26 Mar 2020

22,072.80 24 Mar 2020

FOKVH -

Serial Number

Aircraft Details:

Operator:Primary Maintenance Organisation:

Certificate of Approval No:

Maintenance Controller:

Company

Person

Inst No

AddressMaintenance Schedule/System:

Version 0.1 12th July 2018

Notes:Due Lists and OSIP Cards are published at the last submitted Aircraft TTIS,Cycles, and Landings. They reflect correctly certified entries on approveddocuments.Model

ManufacturerYear of Manufacture

Registration Holder

IdentificationPart NumberSerial Number

FH LifeSince O/H

Since InstallSince New

Comp OnA/C TFH

ComponentNameEng No / Task NumberComment

Propulsion Components:

A/C FCA/C FL

FC LifeSince O/H

Since InstallSince New

FL LifeSince O/H

Since InstallSince New

DueAirframe FHAirframe FCAirframe FL

Life LeftFLFCFL

Date InstalledDue DateTolerance

Service LifeFHMOFL

FC =FL =

For this aircraft:FH =

Report Type 050

Cover Sheet

Wheels OFF to wheels ON

Cessna210N

21063109 1978

Broome Aviation Pty Ltd C210 System of Maintenance

Broome Aviation Pty Ltd1-JYVRP Iss 03

Avtrac Pty Ltd

Scott Carlson

PO Box 568BELMONT WA 6984

JNP Enterprises Pty Ltd

Broome Aviation Pty Ltd

Block Rule: (Planned maintenance free period on M/R Part 1)110 FH, 6 MO

Maintenance Data:Airframe MM C210N Service Manual D2057

Engine Continental IO-520-L 20,287.10 1,785.70 22,157.10 84.30830463-R 1,785.7029 Sep 2027

1,785.70

30 Sep 20151,870.0144

+/-0 FH 0 MO1

Propeller Hartzell D3A34C404-C 21,892.10 180.70 24,292.10 2,219.30990121 180.702 Jul 2025

180.70

3 Jul 20192,400.072

+/-0 FH 0 MO1

Form revision status: 26 Mar 2020 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.

Page 2: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Engine ContinentalIO-520-L830463-R

Overhaul1,870.00

Component Compliance Details

0.0030 Sep 2015

20,287.10

Component

Part NumberSerial Number

Action

Component Service Life

144.00

ATA Code 7200 Engine Reciprocating

Current Component Status

1,785.701,785.70

22,157.1084.30

29 Sep 2027Due Date 90Months remaining

FHMO

FC

Engine Number 1

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Note 1: If an engine consistently accumulates 40 ormore hours per month since been placed in serviceadd 200 hours to recommended TBO.

Engine IO-520-LSerial Number: 830463-R

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

2.50-3-AInspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00

1,785.70FH since new FL since new FC since new

Category

+/-0 FH 0 MOTolerance

24/3/20

Updated

Tolerance Rule

Part/No.

IO-520-L 20,287.1830463-R 4 Dec 2015Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Date Overhauled

26 Mar 2020

001Work Card No

1,700.00ICA Threshold

144

ICA RepeatFHMO

FCFL

1,700.00144

FHMO

FCFL

SET ONThresholdRepeat

10% Engine Overhaul Extension granted by MC P Carey26/09/2019 IAW Broome Aviation Pty Ltd C210 SOM 3.19and 3.20.

RETURN TO 1700 AFTER OVERHAUL

Service Life Changes

ARC Details:

Engine O/HTypeForm052/3NoOverhauledWork

Date Used for forecast:

Notes:30 Sep 2015Work Date: ARC Date:

Type

Paul Carey 26 Sep 2019Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL

30 Sep 2015Work Date

Form052/3ARC Number

T ROn:

Page 3: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Propeller HartzellD3A34C404-C990121

Overhaul2,400.00

Component Compliance Details

0.003 Jul 2019

21,892.10

Component

Part NumberSerial Number

Action

Component Service Life

72.00

ATA Code 6100 Propellers

Current Component Status

180.70180.70

24,292.102,219.30

2 Jul 2025Due Date 64Months remaining

FHMO

FC

Engine Number 1

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

AD/PROP1 amd 2Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00

180.70FH since new FL since new FC since new

Category

+/-0 FH 0 MOTolerance

24/3/20

Updated

Tolerance Rule

Part/No.

PHC-J3YF-1RFD3A34C404-C

19,495.921,892.1

FP8388B990121

30 Apr 20143 Jul 2019

3 Jul 20190.00.0

2,396.2 2,396.2Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSO

0.00.0

ON TSN ON LSO ON LSN

Date Installed

26 Mar 2020

002Work Card No

2,400.00ICA Threshold

72

ICA RepeatFHMO

FCFL

2,400.0072

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

CASA Form 1TypeWC5201NoOverhauledWork

Date Used for forecast:

Notes:28 May 2019Work Date:

28 May 2019ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL

7 Apr 20143 Jul 2019

Work Date

WC4153WC5201

ARC Number

T ROn:

Page 4: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Hand Held Fire ExtAvtrac Form 010S/N 6086-6126

Replace

Component Compliance Details

5 Mar 201319,007.80

Component

Part NumberSerial Number

Action

Component Service Life

140.00

ATA Code 2600 Fire Protection

Current Component Status 4 Nov 2024Due Date 56Months remaining

FHMO

FC

Engine Number

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life Adjusted to match Timex Date on theFire Extinguisher bottle.

Once bottle 6086-6126 is replaced revert TBO backto 120 MO.

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

A/F

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

FH since new FL since new FC since new

Category

+/- 0 MOTolerance

24/3/20

Updated

Tolerance Rule

Part/No.

103335 19,007.86086-6126 5 Mar 2013 0.0Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Date Replaced

26 Mar 2020

005Work Card No

ICA Threshold

120

ICA RepeatFHMO

FCFL

120FHMO

FCFL

SET ONThresholdRepeat

Changed from 120 MO to 140 MOService Life Changes

ARC Details:

TypeU/KNoNewWork

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date

U/KARC Number

T ROn:

Page 5: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Fuel PumpR-646212-45A3S/N: B14IA009R

Overhaul1,870.00

Component Compliance Details

0.0030 Sep 2015

20,287.10

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7300 Engine Fuel and Control

Current Component Status

1,785.701,785.70

22,157.1084.30

Due Date Months remaining

FHMO

FC

Engine Number 1

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00

1,785.70FH since new FL since new FC since new

Category

+/- 0 FHTolerance

24/3/20

Updated

Tolerance Rule

Part/No.

R-646212-45A3 20,287.1B14IA009R 4 Dec 2015 0.0Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Date Overhauled

26 Mar 2020

008Work Card No

1,700.00ICA Threshold ICA Repeat

FHMO

FCFL

1,700.00 FHMO

FCFL

SET ONThresholdRepeat

10% Engine Overhaul Extension granted by MC P Carey26/09/2019 IAW Broome Aviation Pty Ltd C210 SOM 3.19and 3.20.

RETURN TO 1700 AFTER OVERHAUL

Service Life Changes

ARC Details:

Engine O/HTypeForm 052/3NoOverhauledWork

Date Used for forecast:

Notes:30 Sep 2015Work Date: ARC Date:

Type

Paul Carey 26 Sep 2019Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL

30 Sep 2015Work Date

Form052/3ARC Number

T ROn:

Page 6: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Magneto Bendix LH10-349350-4S/N: B029003FR

Overhaul1,700.00

Component Compliance Details

0.0024 May 2019

21,860.60

Component

Part NumberSerial Number

Action

Component Service Life

48.00

ATA Code 7400 Engine Ignition

Current Component Status

212.20212.20

23,560.601,487.80

23 May 2023Due Date 38Months remaining

FHMO

FC

Engine Number 1

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00

212.20FH since new FL since new FC since new

Category

+/-0 FH 0 MOTolerance

24/3/20

Updated

Tolerance Rule

Part/No.

10-349350-4BL-349350-4BL-349350-410-349350-4

20,287.120,783.021,282.321,861.6

F289513FF12LA139RF13CA039RB029003FR

4 Dec 201525 Aug 20161 Aug 2017

24 May 2019

25 Aug 20161 Aug 2017

24 May 2019

0.0912.3475.2

0.0

495.81,411.61,054.5

495.8499.3645.5

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSO

0.00.00.00.0

ON TSN ON LSO ON LSN

Date Overhauled

26 Mar 2020

009Work Card No

1,700.00ICA Threshold

48

ICA RepeatFHMO

FCFL

1,700.0048

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

CASA Form 1Type1905025NoOverhauledWork

Date Used for forecast:

Notes:15 May 2019Work Date:

15 May 2019ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL

30 Sep 201525 Aug 20161 Aug 2017

15 May 2019

Work Date

Form052/3

1905025

ARC Number

T ROn:

Page 7: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Magneto Bendix RH10-349350-5S/N: D259030FR

Overhaul1,700.00

Component Compliance Details

0.0024 May 2019

21,860.60

Component

Part NumberSerial Number

Action

Component Service Life

48.00

ATA Code 7400 Engine Ignition

Current Component Status

212.20212.20

23,560.601,487.80

23 May 2023Due Date 38Months remaining

FHMO

FC

Engine Number 1

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00

212.20FH since new FL since new FC since new

Category

+/-0 FH 0 MOTolerance

24/3/20

Updated

Tolerance Rule

Part/No.

10-349350-510-349350-510-349350-510-349350-5

20,287.120,787.121,282.321,861.6

J279511FRA173472F14DA177RD259030FR

4 Dec 201525 Aug 20161 Aug 2017

24 May 2019

25 Aug 20161 Aug 2017

24 May 2019

0.00.00.00.0

495.9499.3579.3

495.9499.3579.3

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSO

0.00.00.00.0

ON TSN ON LSO ON LSN

Date Overhauled

26 Mar 2020

010Work Card No

1,700.00ICA Threshold

48

ICA RepeatFHMO

FCFL

1,700.0048

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

CASA Form 1Type1905024NoOverhauledWork

Date Used for forecast:

Notes:15 May 2019Work Date:

15 May 2018ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL

30 Sep 201525 Aug 20161 Aug 2017

15 May 2018

Work Date

Form052/3FOK4705FOK 51801905024

ARC Number

T ROn:

Page 8: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

StarterP/N: 646275-1RS/N: H-N081097

Overhaul1,870.00

Component Compliance Details

0.0030 Sep 2015

20,287.10

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 8000 Engine Starting

Current Component Status

1,785.701,785.70

22,157.1084.30

Due Date Months remaining

FHMO

FC

Engine Number 1

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00

1,785.70FH since new FL since new FC since new

Category

+/- 0 FHTolerance

24/3/20

Updated

Tolerance Rule

Part/No.

646275-1R 20,287.1H-N081097 4 Dec 2015 0.0Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSO

0.0ON TSN ON LSO ON LSN

Date Overhauled

26 Mar 2020

011Work Card No

1,700.00ICA Threshold ICA Repeat

FHMO

FCFL

1,700.00 FHMO

FCFL

SET ONThresholdRepeat

10% Engine Overhaul Extension granted by MC P Carey26/09/2019 IAW Broome Aviation Pty Ltd C210 SOM 3.19and 3.20.

RETURN TO 1700 AFTER OVERHAUL

Service Life Changes

ARC Details:

Engine O/HTypeForm 052/3NoOverhauledWork

Date Used for forecast:

Notes:30 Sep 2015Work Date: ARC Date:

Type

Paul Carey 26 Sep 2019Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL

30 Sep 2015Work Date

Form052/3ARC Number

T ROn:

Page 9: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

FCUR-629399-A8S/N: A14IA007R

Overhaul1,870.00

Component Compliance Details

0.0030 Sep 2015

20,287.10

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7300 Engine Fuel and Control

Current Component Status

1,785.701,785.70

22,157.1084.30

Due Date Months remaining

FHMO

FC

Engine Number 1

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00

1,785.70FH since new FL since new FC since new

Category

+/- 0 FHTolerance

24/3/20

Updated

Tolerance Rule

Part/No.

R-629399A8 20,287.1A14IA007R 4 Dec 2015 0.0Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSO

0.0ON TSN ON LSO ON LSN

Date Overhauled

26 Mar 2020

012Work Card No

1,700.00ICA Threshold ICA Repeat

FHMO

FCFL

1,700.00 FHMO

FCFL

SET ONThresholdRepeat

10% Engine Overhaul Extension granted by MC P Carey26/09/2019 IAW Broome Aviation Pty Ltd C210 SOM 3.19and 3.20.

RETURN TO 1700 AFTER OVERHAUL

Service Life Changes

ARC Details:

Engine O/HTypeForm052/3NoOverhauledWork

Date Used for forecast:

Notes:30 Sep 2015Work Date: ARC Date:

Type

Paul Carey 26 Sep 2019Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL

30 Sep 2015Work Date

Form052/3ARC Number

T ROn:

Page 10: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

CSUAT210488S/N: 15104994

Overhaul1,700.00

Component Compliance Details

0.0024 May 2019

21,860.60

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 6100 Propellers

Current Component Status

212.20212.20

23,560.601,487.80

Due Date Months remaining

FHMO

FC

Engine Number 1

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00

212.20FH since new FL since new FC since new

Category

+/- 0 FHTolerance

24/3/20

Updated

Tolerance Rule

Part/No.

AT210488AT210488AT210488AT210488

20,287.121,196.021,212.621,861.6

1320341513204007091020821504994

4 Dec 20156 May 2017

16 May 201724 May 2019

6 May 201715 May 201724 May 2019

0.00.0

1,379.10.0

908.916.6

2,028.1

908.916.6

649.0

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSO

0.00.00.00.0

ON TSN ON LSO ON LSN

Date Overhauled

26 Mar 2020

013Work Card No

1,700.00ICA Threshold ICA Repeat

FHMO

FCFL

1,700.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

CASA Form 1TypeWC5085NoOverhauledWork

Date Used for forecast:

Notes:12 Nov 2018Work Date:

12 Nov 2018ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL

30 Sep 20156 May 2017

16 May 201712 Nov 2018

Work Date

Form 052/31447014540WC5085

ARC Number

T ROn:

Page 11: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Fuel Manifold ValveR-631351-17A6S/N: C14HA090R

Overhaul1,870.00

Component Compliance Details

0.0030 Sep 2015

20,287.10

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7300 Engine Fuel and Control

Current Component Status

1,785.701,785.70

22,157.1084.30

Due Date Months remaining

FHMO

FC

Engine Number 1

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00

1,785.70FH since new FL since new FC since new

Category

+/- 0 FHTolerance

24/3/20

Updated

Tolerance Rule

Part/No.

R-631351-17A6 20,287.1C14HA090R 4 Dec 2015 0.0Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSO

0.0ON TSN ON LSO ON LSN

Date Overhauled

26 Mar 2020

014Work Card No

1,700.00ICA Threshold ICA Repeat

FHMO

FCFL

1,700.00 FHMO

FCFL

SET ONThresholdRepeat

10% Engine Overhaul Extension granted by MC P Carey26/09/2019 IAW Broome Aviation Pty Ltd C210 SOM 3.19and 3.20.

RETURN TO 1700 AFTER OVERHAUL

Service Life Changes

ARC Details:

Engine O/HTypeForm052/3NoOverhauledWork

Date Used for forecast:

Notes:30 Sep 2015Work Date: ARC Date:

Type

Paul Carey 26 Sep 2019Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL

30 Sep 2015Work Date

Form052/3ARC Number

T ROn:

Page 12: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

AlternatorP/N D0FF10300BRS/N G092167

Overhaul1,700.00

Component Compliance Details

660.7026 Nov 2019

22,020.70

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 2400 Electrical Power

Current Component Status

52.10712.80

23,060.00987.20

Due Date Months remaining

FHMO

FC

Engine Number 1

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Pay special attention to ensure properclamping force when refitting. Use CMIManual M-0 Sec 10-4.1.3

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

660.70

712.80FH since new FL since new FC since new

Category

+/- 0 FHTolerance

24/3/20

Updated

Tolerance Rule

Part/No.

DOFF10300BRDOFF10300BRAL24-F60CC611503-0103RXAL24-F60CD0FF10300BDOFF10300BR

20,287.120,885.221,465.021,474.421,516.721,518.322,020.7

K01095546-120709H-R020488A145705H-R0807280041177G092167

4 Dec 201521 Oct 201611 Nov 201717 Nov 20173 Jan 20188 Jan 2018

26 Nov 2019

21 Oct 201611 Nov 201717 Nov 20173 Jan 20188 Jan 2018

26 Nov 2019

0.00.00.00.00.0

1,172.1660.7

598.1579.8

9.442.3

1.71,674.5

598.1579.8

9.442.3

1.71,674.5

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSO

0.00.00.00.00.00.0

660.7

ON TSN ON LSO ON LSN

Date Installed

26 Mar 2020

015Work Card No

1,700.00ICA Threshold ICA Repeat

FHMO

FCFL

1,700.00 FHMO

FCFL

SET ONThresholdRepeat

10% Engine Overhaul Extension granted by MC P Carey26/09/2019 IAW Broome Aviation Pty Ltd C210 SOM 3.19and 3.20.

RETURN TO 1700 AFTER OVERHAUL

Service Life Changes

ARC Details:

CASA Form 1Type1902030NoInspectedWork

Date Used for forecast:

Notes:5 Mar 2019Work Date:

5 Mar 2019ARC Date:

Type

Paul Carey 26 Sep 2019Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL

30 Sep 201521 Oct 201611 Nov 201717 Nov 20173 Jan 20188 Jan 20185 Mar 2019

Work Date

Form052/313399FOK541914681151375345I1902030

ARC Number

T ROn:

Page 13: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Engine Mixture ControlC210 MMChapter 2

Replace1,870.00

Component Compliance Details

0.0030 Sep 2015

20,287.10

Component

Part NumberSerial Number

Action

Component Service Life

144.00

ATA Code 7600 Engine Controls

Current Component Status

1,785.701,785.70

22,157.1084.30

29 Sep 2027Due Date 90Months remaining

FHMO

FC

Engine Number

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00

1,785.70FH since new FL since new FC since new

Category

To Engine TBOTolerance

24/3/20

Updated

Tolerance Rule

Part/No. Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Date Replaced

26 Mar 2020

026Work Card No

1,700.00ICA Threshold

144

ICA RepeatFHMO

FCFL

1,700.00144

FHMO

FCFL

SET ONThresholdRepeat

10% Engine Overhaul Extension granted by MC P Carey26/09/2019 IAW Broome Aviation Pty Ltd C210 SOM 3.19and 3.20.

RETURN TO 1700 AFTER OVERHAUL

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Paul Carey 26 Sep 2019Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

Page 14: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Gyro Central Air FilterC210 MMChapter 2

Inspect500.00

Component Compliance Details

0.0027 Aug 2019

21,961.30

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 3700 Vacuum

Current Component Status

111.50111.50

22,461.30388.50

Due Date Months remaining

FHMO

FC

Engine Number

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

INST

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00

111.50FH since new FL since new FC since new

Category

+/- 0 FHTolerance

24/3/20

Updated

Tolerance Rule

Part/No. Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Date Replaced

26 Mar 2020

031Work Card No

500.00ICA Threshold ICA Repeat

FHMO

FCFL

500.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

Page 15: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Elevator Trim Tab ActuatorP/N 1260149-1S/N 081507

Overhaul1,000.00

Component Compliance Details

0.0011 Feb 2020

22,056.80

Component

Part NumberSerial Number

Action

Component Service Life

36.00

ATA Code 2700 Flight Controls

Current Component Status

16.0016.00

23,056.80984.00

10 Feb 2023Due Date 35Months remaining

FHMO

FC

Engine Number

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

As per Broome Aviation SOM section 4Worksheet Comment:

Broome Aviation Pty Ltd SOM

Reference: Section 4 2.50-2-A

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

2.50-2-AInspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

A/F

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00

16.00FH since new FL since new FC since new

Category

+/-0 FH 0 MOTolerance

24/3/20

Updated

Tolerance Rule

Part/No.

1260149-1 21,083.2081507 3 Mar 2017 0.0Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSO

0.0ON TSN ON LSO ON LSN

Date Overhauled

26 Mar 2020

033Work Card No

1,000.00ICA Threshold

36

ICA RepeatFHMO

FCFL

1,000.0036

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeFOK5041NoOverhauledWork

Date Used for forecast:

Notes:3 Mar 2017Work Date: ARC Date:

Type

Allan Jeursen 16 Aug 2019Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL

30 Mar 2017Work Date

FOK5041ARC Number

T ROn:

Page 16: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Engine Air FilterC210 MMChapter 2

Replace500.00

Component Compliance Details

0.004 Nov 2019

22,007.00

Component

Part NumberSerial Number

Action

Component Service Life

36.00

ATA Code 7500 Engine Air

Current Component Status

65.8065.80

22,507.00434.20

3 Nov 2022Due Date 32Months remaining

FHMO

FC

Engine Number 1

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00

65.80FH since new FL since new FC since new

Category

+/-0 FH 0 MOTolerance

24/3/20

Updated

Tolerance Rule

Part/No. Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Date Replaced

26 Mar 2020

040Work Card No

500.00ICA Threshold

36

ICA RepeatFHMO

FCFL

500.0036

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

Page 17: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

E.D. Dry Vacuum Pump216CWS/N 167078

Replace500.00

Component Compliance Details

0.0024 May 2019

21,860.60

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 3700 Vacuum

Current Component Status

212.20212.20

22,360.60287.80

Due Date Months remaining

FHMO

FC

Engine Number 1

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Broome Aviation Pty Ltd

Reference section 4

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00

212.20FH since new FL since new FC since new

Category

+/- 0 FHTolerance

24/3/20

Updated

Tolerance Rule

Part/No. Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Date Installed

26 Mar 2020

042Work Card No

500.00ICA Threshold ICA Repeat

FHMO

FCFL

500.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Allan Jeursen 16 Aug 2019Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

Page 18: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

ELT BatteryP/N 452-6499S/N 357248-086

Replace

Component Compliance Details

1 Jan 202022,056.80

Component

Part NumberSerial Number

Action

Component Service Life

85.00

ATA Code 2500 Equipment & Furnishing

Current Component Status 31 Jan 2027Due Date 82Months remaining

FHMO

FC

Engine Number

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

TBO Changed to 9 MO per data received on WP2019-0457 showing the date and serial number ofthe ELT Battery and its identified due date.

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

RAD

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

FH since new FL since new FC since new

Category

+/- 0 MOTolerance

24/3/20

Updated

Tolerance Rule

Part/No.

452-6499 19,205.6357248-086 15 Aug 2013 0.0Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSO

0.0ON TSN ON LSO ON LSN

Date of Manufacture

26 Mar 2020

047Work Card No

ICA Threshold

60

ICA RepeatFHMO

FCFL

60FHMO

FCFL

SET ONThresholdRepeat

Changed from 60 MO to 9 MO to match the date on theELT Battery.

Once complied with changed back to 60 MO.

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Allan Jeursen 28 May 2019Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

Page 19: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Dukes Fuel Boost Pump18000-B185165

Overhaul

Component Compliance Details

3 Mar 201721,083.20

Component

Part NumberSerial Number

Action

Component Service Life

120.00

ATA Code 2800 Fuel

Current Component Status 2 Mar 2027Due Date 84Months remaining

FHMO

FC

Engine Number

22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

As per Broome Aviation Pty Ltd SOMSection 4

Worksheet Comment:

Broome Aviation Pty Ltd SOM

Reference: Section 4 2.50-3-A

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

FOK 21063109 210NVH - S/N Type

Notes:

2.50-3AInspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

A/F

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

FH since new FL since new FC since new

Category

+/- 0 MOTolerance

24/3/20

Updated

Tolerance Rule

Part/No.

18000B 21,083.2185165 3 Mar 2017 0.0Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSO

0.0ON TSN ON LSO ON LSN

Date Overhauled

26 Mar 2020

094Work Card No

ICA Threshold

120

ICA RepeatFHMO

FCFL

120FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

AMO GRNType12876NoNewWork

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Allan Jeursen 16 Aug 2019Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL

3 Mar 2017Work Date

12876ARC Number

T ROn:

Page 20: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Non Teflon Engine HosesC210 MMChapter 2

InspectionAD/Detail

Reference/S/N

ATA Code 7900 Engine Oil

Current Status

1,785.70

22,157.1084.30

29 Sep 2027Due Date (if date controlled) 90Months remaining

Engine Number 1

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

1,785.70FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

003Work Card NoType

Replace1,870.00

Action

Component Service Life

144.00FHMO

FCFL

Service Life reference document

+/-0 FH 0 MOTolerance Tolerance Rule

1,700.00ICA Threshold

144

ICA RepeatFHMO

FCFL

1,700.00144

FHMO

FCFL

SET ONThresholdRepeat

10% Engine Overhaul Extension granted by MC P Carey26/09/2019 IAW Broome Aviation Pty Ltd C210 SOM 3.19and 3.20.

RETURN TO 1700 AFTER OVERHAUL

Service Life Changes

Paul Carey 26 Sep 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0030 Sep 2015

20,287.10TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date ReplacedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 21: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Engine MountsC210 MMChapter 2

InspectionAD/Detail

Reference/S/N

ATA Code 7100 Power Plant-General

Current Status

1,187.60

22,585.20512.40

Due Date (if date controlled) Months remaining

Engine Number 1

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

1,187.60FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

004Work Card NoType

Replace1,700.00

Action

Component Service Life

FHMO

FCFL

Service Life reference document

+/- 0 FHTolerance Tolerance Rule

1,700.00ICA Threshold ICA Repeat

FHMO

FCFL

1,700.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0021 Oct 2016

20,885.20TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date ReplacedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 22: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

ELTME406S/N 188-00202

InspectionAD/Detail

Reference/S/N

ATA Code 2500 Equipment & Furnishing

Current Status 10 Aug 2020Due Date (if date controlled) 5Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

ELT 22,056.811 Feb 2020 Broome AirMaintenance

5 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

006Work Card NoType

TestAction

Component Service Life

6.00FHMO

FCFL

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

6

ICA RepeatFHMO

FCFL

6FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

11 Feb 202022,056.80TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 23: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Maintenance ReleaseCASA Form 918S/N A224385

InspectionAD/Detail

Reference/S/N

ATA Code 0500 Maintenance Inspections

Current Status

111.50

22,161.3088.50

26 Aug 2020Due Date (if date controlled) 5Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

111.50FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

007Work Card NoType

Replace200.00

Action

Component Service Life

12.00FHMO

FCFL

14/08/2019 - CHANGE TO 200FH/12MO AT NEXTISSUE FOR BROOME AVIATION PTY LTD 210SOM

Service Life reference document

+/-0 FH 0 MOTolerance Tolerance Rule

200.00ICA Threshold

12

ICA RepeatFHMO

FCFL

200.0012

FHMO

FCFL

SET ONThresholdRepeat

NEW BROOME AVIATION PTY LTD 210 SOM- ADJUSTED TASKAdjusted period from 100/12 to 200 /12 upon BA C210 SoMentry

Service Life Changes

Scott Carlson 29 Aug 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0027 Aug 2019

21,961.30TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date ReplacedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 24: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Fuel Injection Supply LinesAD/CON/60 amd 3

InspectionAD/Detail

Reference/S/N

ATA Code 0505 Airworthiness Directives

Current Status

16.00

22,166.8094.00

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Fuel Injection Supply Lines 22,056.811 Feb 2020 Broome AirMaintenance

95.5 5 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

016Work Card NoType

Inspect110.00

Action

Component Service Life

FHMO

FCFL

Service Life reference document

+/- 0 FHTolerance Tolerance Rule

110.00ICA Threshold ICA Repeat

FHMO

FCFL

110.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 25: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Alternator 500 Hour InspectionPlane Power ManualFAA SAIF NE-18-16

InspectionAD/Detail

Reference/S/N

ATA Code 2400 Electrical Power

Current Status

52.10

22,520.70447.90

Due Date (if date controlled) Months remaining

Engine Number 1

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Pay special attention to ensure properclamping force when refitting. Use CMIManual M-0 Sec 10-4.1.3

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

243003Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

52.10FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

017Work Card NoType

Inspect500.00

Action

Component Service Life

FHMO

FCFL

Broome Aviation Pty Ltd

Reference 243003 Section 4

Service Life reference document

+/- 0 FHTolerance Tolerance Rule

500.00ICA Threshold ICA Repeat

FHMO

FCFL

500.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Allan Jeursen 16 Aug 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0026 Nov 2019

22,020.70TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 26: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Magneto Bendix LH 500 HourTCM SB 643BS/N: B029003FR

InspectionAD/Detail

Reference/S/N

ATA Code 7400 Engine Ignition

Current Status

212.20

22,360.60287.80

Due Date (if date controlled) Months remaining

Engine Number 1

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

212.20FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

018Work Card NoType

Inspect500.00

Action

Component Service Life

FHMO

FCFL

Service Life reference document

+/- 0 FHTolerance Tolerance Rule

500.00ICA Threshold ICA Repeat

FHMO

FCFL

500.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0024 May 2019

21,860.60TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 27: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Magneto Bendix RH 500 HourTCM SB 643BS/N: D259030FR

InspectionAD/Detail

Reference/S/N

ATA Code 7400 Engine Ignition

Current Status

212.20

22,360.60287.80

Due Date (if date controlled) Months remaining

Engine Number 1

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

F11KA043RNotes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

212.20FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

019Work Card NoType

Inspect500.00

Action

Component Service Life

FHMO

FCFL

Service Life reference document

+/- 0 FHTolerance Tolerance Rule

50.00ICA Threshold ICA Repeat

FHMO

FCFL

500.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0024 May 2019

21,860.60TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 28: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Hand Held Fire Ext InspectionForm 05-010S/N UNK

InspectionAD/Detail

Reference/S/N

ATA Code 2600 Fire Protection

Current Status 10 Aug 2020Due Date (if date controlled) 5Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Hand Held Fire Ext Inspection 22,056.811 Feb 2020 Broome AirMaintenance

5 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

020Work Card NoType

ReweighAction

Component Service Life

6.00FHMO

FCFL

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

6

ICA RepeatFHMO

FCFL

6FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

11 Feb 202022,056.80TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 29: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Seat Adjustment MechanismFAA AD/2011-10-09

InspectionAD/Detail

Reference/S/N

ATA Code 0505 Airworthiness Directives

Current Status

16.00

22,156.8084.00

10 Feb 2021Due Date (if date controlled) 11Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Seat Adjustment Mechanism 22,056.811 Feb 2020 Broome AirMaintenance

95.5 5 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

021Work Card NoType

Inspect100.00

Action

Component Service Life

12.00FHMO

FCFL

Service Life reference document

+/-0 FH 0 MOTolerance Tolerance Rule

100.00ICA Threshold

12

ICA RepeatFHMO

FCFL

100.0012

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 30: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Horizontal Stabiliser Front SparAD/C210/69 amd 2

InspectionAD/Detail

Reference/S/N

ATA Code 0505 Airworthiness Directives

Current Status

16.00

22,166.8094.00

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Horizontal Stabiliser FrontSpar

22,056.811 Feb 2020 Broome AirMaintenance

95.5 5 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

022Work Card NoType

Inspect110.00

Action

Component Service Life

FHMO

FCFL

Service Life reference document

+/- 0 FHTolerance Tolerance Rule

110.00ICA Threshold ICA Repeat

FHMO

FCFL

110.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 31: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Ignition SwitchesAD/ELECT/59 amd 1

InspectionAD/Detail

Reference/S/N

ATA Code 0505 Airworthiness Directives

Current Status

212.20

23,860.601,787.80

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

212.20FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

023Work Card NoType

Inspect2,000.00

Action

Component Service Life

FHMO

FCFL

Service Life reference document

+/- 0 FHTolerance Tolerance Rule

2,000.00ICA Threshold ICA Repeat

FHMO

FCFL

2,000.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0024 May 2019

21,860.60TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 32: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Air Speed IndicatorCAO 100.5 (5.4)Appendix) A (5.3)

InspectionAD/Detail

Reference/S/N

ATA Code 3100 Instruments

Current Status 28 Nov 2021Due Date (if date controlled) 20Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

024Work Card NoType

TestAction

Component Service Life

48.00FHMO

FCFL

7/08/2013Transitional requirement 12.3 (a) not required

Service Life reference document

+/- 2 MOTolerance Tolerance Rule

ICA Threshold

48

ICA RepeatFHMO

FCFL

48FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

29 Nov 201721,481.48TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 33: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Vacuum Relief Valve FilterC210 MMChapter 2

InspectionAD/Detail

Reference/S/N

ATA Code 3700 Vacuum

Current Status

391.41

22,181.39108.59

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2-50-2-AInspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

391.41FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

025Work Card NoType

Replace500.00

Action

Component Service Life

FHMO

FCFL

Broome Aviation Pty Ltd SOM

Reference 2.50-2-A Section 4

Service Life reference document

+/- 0 FHTolerance Tolerance Rule

500.00ICA Threshold ICA Repeat

FHMO

FCFL

500.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Allan Jeursen 16 Aug 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.004 May 2018

21,681.39TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 34: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Fuel Injection NozzlesC210 MMChapter 2

InspectionAD/Detail

Reference/S/N

ATA Code 7300 Engine Fuel and Control

Current Status

16.00

22,356.80284.00

Due Date (if date controlled) Months remaining

Engine Number 1

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

CleanWorksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2-26-34Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Fuel Injection Nozzles 22,056.811 Feb 2020 Broome AirMaintenance

196.2 8 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

027Work Card NoType

Inspect300.00

Action

Component Service Life

FHMO

FCFL

Broome Aviation Pty Ltd SOM

Reference 2-26-34 Section 4

Service Life reference document

+/- 0 FHTolerance Tolerance Rule

300.00ICA Threshold ICA Repeat

FHMO

FCFL

300.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Allan Jeursen 16 Aug 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 35: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Fuel Quantity GaugesCAO 100.5 (6.4)Appendix A (6.3)

InspectionAD/Detail

Reference/S/N

ATA Code 2800 Fuel

Current Status 3 May 2022Due Date (if date controlled) 26Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

028Work Card NoType

TestAction

Component Service Life

48.00FHMO

FCFL

7/08/2013Transitional requirement 12.5 not required.

Service Life reference document

+/- 2 MOTolerance Tolerance Rule

ICA Threshold

48

ICA RepeatFHMO

FCFL

48FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

4 May 201821,681.39TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 36: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

BrakesC210 MMChapter 2

InspectionAD/Detail

Reference/S/N

ATA Code 3200 Landing Gear

Current Status

591.32

22,481.48408.68

28 Nov 2022Due Date (if date controlled) 32Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Brake fluid, lines & hose, linings, discs,brake assemblies & master cylinders.PROVIDE LAST COMPLIANCE

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

591.32FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

029Work Card NoType

Information1,000.00

Action

Component Service Life

60.00FHMO

FCFL

Service Life reference document

+/-0 FH 0 MOTolerance Tolerance Rule

1,000.00ICA Threshold

60

ICA RepeatFHMO

FCFL

1,000.0060

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0029 Nov 2017

21,481.48TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 37: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Wheel BearingsC210 MMChapter 2

InspectionAD/Detail

Reference/S/N

ATA Code 3200 Landing Gear

Current Status

391.41

22,181.39108.59

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Clean and GreaseWorksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2-26-10Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

391.41FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

030Work Card NoType

Inspect500.00

Action

Component Service Life

FHMO

FCFL

Broome Aviation Pty Ltd SOM

Reference 2-26-10 Section 4

Service Life reference document

+/- 0 FHTolerance Tolerance Rule

500.00ICA Threshold ICA Repeat

FHMO

FCFL

500.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Allan Jeursen 16 Aug 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.004 May 2018

21,681.39TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 38: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Magnetic Compass CompensationC210 MMAWB 34-008 Issue 2

InspectionAD/Detail

Reference/S/N

ATA Code 3400 Navigation

Current Status

0.00

28 Nov 2020Due Date (if date controlled) 8Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Carry out after engine overhaul/replacementWorksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

0.00FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

032Work Card NoType

InspectAction

Component Service Life

36.00FHMO

FCFL

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

1,000.00ICA Threshold

36

ICA RepeatFHMO

FCFL

36FHMO

FCFL

SET ONThresholdRepeat

1,000 FH requirement removed at new SoMService Life Changes

Scott Carlson 10 Jul 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0029 Nov 2017

21,481.48TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 39: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Pilot SeatsRestraint Assembly10 YEAR LIFE

InspectionAD/Detail

Reference/S/N

ATA Code 2500 Equipment & Furnishing

Current Status 19 May 2024Due Date (if date controlled) 50Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

As per Broome Aviation SOMWorksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2.50-2-AInspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

034Work Card NoType

ReplaceAction

Component Service Life

120.00FHMO

FCFL

Broome Aviation Pty Ltd SOM

Reference: Section 4 2.50-2-A

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

120

ICA RepeatFHMO

FCFL

120FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Allan Jeursen 16 Aug 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

20 May 201419,495.90TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 40: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Copilot SeatsRestraint Assembly10 YEAR LIFE

InspectionAD/Detail

Reference/S/N

ATA Code 2500 Equipment & Furnishing

Current Status 31 Jul 2027Due Date (if date controlled) 88Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

As per Broome Aviation SOMWorksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2.50-2-AInspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

035Work Card NoType

ReplaceAction

Component Service Life

120.00FHMO

FCFL

Broome Aviation Pty Ltd SOM

Reference: Section 4 2.50-2-A

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

120

ICA RepeatFHMO

FCFL

120FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Allan Jeursen 16 Aug 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

1 Aug 201721,282.30TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 41: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Passenger SeatsRestraint Assembly10 YEAR LIFE

InspectionAD/Detail

Reference/S/N

ATA Code 2500 Equipment & Furnishing

Current Status 11 Sep 2027Due Date (if date controlled) 90Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

As per Broome Aviation SOMWorksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2.50-2-AInspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

036Work Card NoType

ReplaceAction

Component Service Life

120.00FHMO

FCFL

Broome Aviation Pty Ltd SOM

Reference: Section 4 2.50-2-A

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

120

ICA RepeatFHMO

FCFL

120FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Allan Jeursen 16 Aug 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

12 Sep 201721,369.80TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date Replaced

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 42: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Vacuum System FilterC210 MMChapter 2

InspectionAD/Detail

Reference/S/N

ATA Code 3700 Vacuum

Current Status

212.20

22,360.60287.80

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2.50-2-AInspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

212.20FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

037Work Card NoType

Replace500.00

Action

Component Service Life

FHMO

FCFL

Broome Aviation Pty Ltd SOM

Reference 2.50-2-A Section 4

Service Life reference document

+/- 0 FHTolerance Tolerance Rule

500.00ICA Threshold ICA Repeat

FHMO

FCFL

500.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Allan Jeursen 16 Aug 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0024 May 2019

21,860.60TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date ReplacedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 43: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Vacuum System HosesC210 MMChapter 2

InspectionAD/Detail

Reference/S/N

ATA Code 3700 Vacuum

Current Status 31 Jul 2027Due Date (if date controlled) 88Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2.50-2-AInspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

038Work Card NoType

ReplaceAction

Component Service Life

120.00FHMO

FCFL

Broome Aviation Pty Ltd SOM

Reference 2.50-2-A Section 4

Service Life reference document

+/- 1 MOTolerance Tolerance Rule

ICA Threshold

120

ICA RepeatFHMO

FCFL

120FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Allan Jeursen 16 Aug 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

1 Aug 201721,282.30TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date Replaced

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 44: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Teflon Engine HosesC210 MMChapter 2

InspectionAD/Detail

Reference/S/N

ATA Code 7900 Engine Oil

Current Status

1,785.70

22,157.1084.30

29 Sep 2025Due Date (if date controlled) 66Months remaining

Engine Number 1

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

1,785.70FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

039Work Card NoType

Replace1,870.00

Action

Component Service Life

120.00FHMO

FCFL

Service Life reference document

+/-0 FH 0 MOTolerance Tolerance Rule

1,700.00ICA Threshold

120

ICA RepeatFHMO

FCFL

1,700.00120

FHMO

FCFL

SET ONThresholdRepeat

10% Engine Overhaul Extension granted by MC P Carey26/09/2019 IAW Broome Aviation Pty Ltd C210 SOM 3.19and 3.20.

RETURN TO 1700 AFTER OVERHAUL

Service Life Changes

Paul Carey 26 Sep 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0030 Sep 2015

20,287.10TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date ReplacedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 45: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

E.D. Dry Vacuum Pump DriveDrive Coupling

InspectionAD/Detail

Reference/S/N

ATA Code 3700 Vacuum

Current Status 7 Dec 2022Due Date (if date controlled) 33Months remaining

Engine Number 1

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Or at Vacuum Pump ReplacementWorksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

041Work Card NoType

ReplaceAction

Component Service Life

72.00FHMO

FCFL

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

72

ICA RepeatFHMO

FCFL

72FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

8 Dec 201620,984.70TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date Replaced

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 46: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Engine Throttle ControlC210 MMChapter 2

InspectionAD/Detail

Reference/S/N

ATA Code 7600 Engine Controls

Current Status

1,785.70

22,157.1084.30

29 Sep 2027Due Date (if date controlled) 90Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2.50-2-AInspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

1,785.70FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

043Work Card NoType

Replace1,870.00

Action

Component Service Life

144.00FHMO

FCFL

Broome Aviation Pty Ltd SOM

Reference: Section 4 2.50-2-A

Service Life reference document

To Engine TBOTolerance Tolerance Rule

1,700.00ICA Threshold

144

ICA RepeatFHMO

FCFL

1,700.00144

FHMO

FCFL

SET ONThresholdRepeat

10% Engine Overhaul Extension granted by MC P Carey26/09/2019 IAW Broome Aviation Pty Ltd C210 SOM 3.19and 3.20.

RETURN TO 1700 AFTER OVERHAUL

Service Life Changes

Paul Carey 26 Sep 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0030 Sep 2015

20,287.10TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date ReplacedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 47: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

TransponderCAO 100.5 (14)

InspectionAD/Detail

Reference/S/N

ATA Code 2300 Communications

Current Status 25 Nov 2021Due Date (if date controlled) 20Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Was AD/RAD/47Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

049Work Card NoType

TestAction

Component Service Life

24.00FHMO

FCFL

26/02/2016- New requirement added. CAO 100.5(14) 14.7. Was AD/RAD/47

Service Life reference document

+/- 2 MOTolerance Tolerance Rule

ICA Threshold

24

ICA RepeatFHMO

FCFL

24FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

26 Nov 201922,020.70TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 48: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Engine Performance RunAD/ENG/4 Amdt 11Appendix A Req A1

InspectionAD/Detail

Reference/S/N

ATA Code 0505 Airworthiness Directives

Current Status

16.00

22,156.8084.00

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Engine Performance Run 22,056.811 Feb 2020 Broome AirMaintenance

95.5 5 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

050Work Card NoType

Inspect100.00

Action

Component Service Life

FHMO

FCFL

Service Life reference document

+/- 0 FHTolerance Tolerance Rule

100.00ICA Threshold ICA Repeat

FHMO

FCFL

100.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 49: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Engine Cylinder Leak CheckAD/ENG/4 Amdt 11Appendix A Req A2

InspectionAD/Detail

Reference/S/N

ATA Code 0505 Airworthiness Directives

Current Status

16.00

22,156.8084.00

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Engine Cylinder Leak Check 22,056.811 Feb 2020 Broome AirMaintenance

95.5 5 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

051Work Card NoType

Inspect100.00

Action

Component Service Life

FHMO

FCFL

Service Life reference document

+/- 10 FHTolerance

Over run need not be deducted from next periodTolerance Rule

100.00ICA Threshold ICA Repeat

FHMO

FCFL

100.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 50: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11Appendix A Req A3

InspectionAD/Detail

Reference/S/N

ATA Code 0505 Airworthiness Directives

Current Status

16.00

22,106.8034.00

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Engine Oil and Oil FilterChange

22,056.811 Feb 2020 Broome AirMaintenance

49.8 3 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

052Work Card NoType

Inspect50.00

Action

Component Service Life

FHMO

FCFL

Service Life reference document

+/- 5 FHTolerance

Over run need not be deducted from next periodTolerance Rule

50.00ICA Threshold ICA Repeat

FHMO

FCFL

50.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 51: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Data ReviewAD/ENG/4 Amdt 11Appendix A Req A4

InspectionAD/Detail

Reference/S/N

ATA Code 0505 Airworthiness Directives

Current Status

16.00

22,156.8084.00

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Data Review 22,056.811 Feb 2020 Broome AirMaintenance

95.5 5 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

053Work Card NoType

Inspect100.00

Action

Component Service Life

FHMO

FCFL

Service Life reference document

+/- 10 FHTolerance

Over run need not be deducted from next periodTolerance Rule

100.00ICA Threshold ICA Repeat

FHMO

FCFL

100.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 52: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Wing Main Spar Carry-ThroughAD/C210/61 amd 2

InspectionAD/Detail

Reference/S/N

ATA Code 0505 Airworthiness Directives

Current Status 23 May 2031Due Date (if date controlled) 134Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

054Work Card NoType

InspectAction

Component Service Life

144.00FHMO

FCFL

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

144

ICA RepeatFHMO

FCFL

144FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

24 May 201921,860.60TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 53: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Wings - Lower Main Spar Cap 1SEL-57-01-R2

InspectionAD/Detail

Reference/S/N

ATA Code 5700 Wings

Current Status

16.00

22,156.8084.00

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Visual InspectionWorksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Wings - Lower Main Spar Cap1

22,056.811 Feb 2020 Broome AirMaintenance

95.5 5 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

072Work Card NoType

Inspect100.00

Action

Component Service Life

FHMO

FCFL

REVISION 2 16/12/2013Typical

Spar Caps 2014-T6511

Service Life reference document

+/- 0 FHTolerance Tolerance Rule

100.00ICA Threshold ICA Repeat

FHMO

FCFL

100.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 54: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Elevator Trim Pulley Bracket and Actuator BracketStructure InspectionSID 27-30-02Visual Inspection

InspectionAD/Detail

Reference/S/N

ATA Code 2700 Flight Controls

Current Status

16.00

23,056.80984.00

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-02Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 7

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Elevator Trim Pulley Bracketand Actuator Bracket Structure

22,056.811 Feb 2020 Broome AirMaintenance

973.6 35 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

073Work Card NoType

Inspect1,000.00

Action

Component Service Life

FHMO

FCFL

Broome Aviation Pty Lty SOM

Repeat every 1000 Hours

Service Life reference document

+/- 0 FHTolerance Tolerance Rule

1,000.00ICA Threshold ICA Repeat

FHMO

FCFL

1,000.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 55: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Landing Gear Spring Corrosion InspectionSID 32-13-01Visual Inspection

InspectionAD/Detail

Reference/S/N

ATA Code 3200 Landing Gear

Current Status 3 Dec 2020Due Date (if date controlled) 9Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-04Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 19

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

075Work Card NoType

InspectAction

Component Service Life

60.00FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

SEVERE

Repeat every 5 Years

Service Life reference document

+/- 1 MOTolerance Tolerance Rule

ICA Threshold

60

ICA RepeatFHMO

FCFL

60FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

4 Dec 201520,287.10TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 56: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Nose Gear Torque Link and Fork InspectionSID 32-20-01Visual Inspection

InspectionAD/Detail

Reference/S/N

ATA Code 3200 Landing Gear

Current Status

1,984.80

23,088.001,015.20

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-05Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 10

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

1,984.80FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

076Work Card NoType

Inspect3,000.00

Action

Component Service Life

FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

Repeat every 3000 Hours or 5 Years

CPCP Program make calendar requirements N/A

Service Life reference document

+/- 1 MOTolerance Tolerance Rule

3,000.00ICA Threshold

60

ICA RepeatFHMO

FCFL

3,000.0060

FHMO

FCFL

SET ONThresholdRepeat

CPCP Program in place thus making the Calendar basedrequirements for SID’s not required.

Service Life Changes

Allan Jeursen 15 May 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.008 May 2015

20,088.00TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 57: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Carry-Thru Spar Inspection 2SID 53-11-02Visual and surface eddy current to confirm any lugcracking

InspectionAD/Detail

Reference/S/N

ATA Code 5300 Fuselage

Current Status

16.00

22,556.80484.00

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-08Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 27

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Carry-Thru Spar Inspection 2 22,056.811 Feb 2020 Broome AirMaintenance

196.2 8 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

077Work Card NoType

Inspect500.00

Action

Component Service Life

FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

SEVERE

Repeat every 500 Hours or 1 Years

CPCP Program make calendar requirements N/A

Service Life reference document

+/- 0 FH 0 MOTolerance Tolerance Rule

500.00ICA Threshold

12

ICA RepeatFHMO

FCFL

500.00 FHMO

FCFL

SET ONThresholdRepeat

CPCP Program in place thus making the Calendar basedrequirements for SID’s not required.

Service Life Changes

Allan Jeursen 15 May 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 58: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Firewall InspectionSID 53-12-02Visual Inspection

InspectionAD/Detail

Reference/S/N

ATA Code 5300 Fuselage

Current Status

16.00

25,056.802,984.00

10 Feb 2025Due Date (if date controlled) 59Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-09Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 10

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Firewall Inspection 22,056.811 Feb 2020 Broome AirMaintenance

1,968.8 57 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

078Work Card NoType

Inspect3,000.00

Action

Component Service Life

60.00FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

Repeat every 3000 Hours or 5 Years

CPCP Program make calendar requirements N/A

Service Life reference document

+/- 0 FH 0 MOTolerance Tolerance Rule

3,000.00ICA Threshold

60

ICA RepeatFHMO

FCFL

3,000.0060

FHMO

FCFL

SET ONThresholdRepeat

CPCP Program in place thus making the Calendar basedrequirements for SID’s not required.

Service Life Changes

Allan Jeursen 15 May 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 59: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Cabin Interior Skin Panels Corrosion InspectionSID 53-30-01Visual Inspection

InspectionAD/Detail

Reference/S/N

ATA Code 5300 Fuselage

Current Status 3 Dec 2020Due Date (if date controlled) 9Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-10Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 20

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

079Work Card NoType

InspectAction

Component Service Life

60.00FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

MILD/MODERATE

Repeat every 5 Years

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

120

ICA RepeatFHMO

FCFL

60FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

4 Dec 201520,287.10TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 60: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Seat Rails and Seat Rail Structure CorrosionInspectionSID 53-47-01Visual Inspection

InspectionAD/Detail

Reference/S/N

ATA Code 5300 Fuselage

Current Status 26 Aug 2024Due Date (if date controlled) 53Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-11Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 11

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

080Work Card NoType

InspectAction

Component Service Life

60.00FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

Repeat every 5 Years

Service Life reference document

+/- 1 MOTolerance Tolerance Rule

ICA Threshold

60

ICA RepeatFHMO

FCFL

60FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

27 Aug 201921,961.30TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 61: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Horizontal Stabilizer, Elevator, and AttachmentsInspectionSID 55-10-01Visual and eddy current

InspectionAD/Detail

Reference/S/N

ATA Code 5500 Stabilsers

Current Status

1,885.00

23,187.801,115.00

2 Jul 2020Due Date (if date controlled) 4Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-12Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 9

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

1,885.00FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

081Work Card NoType

Inspect3,000.00

Action

Component Service Life

60.00FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

Repeat every 3000 Hours or 5 Years

CPCP Program make calendar requirements N/A

Service Life reference document

+/- 1 MOTolerance Tolerance Rule

3,000.00ICA Threshold

60

ICA RepeatFHMO

FCFL

3,000.0060

FHMO

FCFL

SET ONThresholdRepeat

CPCP Program in place thus making the Calendar basedrequirements for SID’s not required.

Service Life Changes

Allan Jeursen 15 May 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.003 Jul 2015

20,187.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 62: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Vertical Stabilizer, Rudder and AttachmentsInspectionSID 55-30-01Visual and eddy current

InspectionAD/Detail

Reference/S/N

ATA Code 5500 Stabilsers

Current Status

1,885.00

23,187.801,115.00

2 Jul 2020Due Date (if date controlled) 4Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-14Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 9

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

1,885.00FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

082Work Card NoType

Inspect3,000.00

Action

Component Service Life

60.00FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

Repeat every 3000 Hours or 5 Years

CPCP Program make calendar requirements N/A

Service Life reference document

+/- 1 MOTolerance Tolerance Rule

3,000.00ICA Threshold

60

ICA RepeatFHMO

FCFL

3,000.0060

FHMO

FCFL

SET ONThresholdRepeat

CPCP Program in place thus making the Calendar basedrequirements for SID’s not required.

Service Life Changes

Allan Jeursen 15 May 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.003 Jul 2015

20,187.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 63: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Wing Structure InspectionSID 57-11-01Visual, borescope

InspectionAD/Detail

Reference/S/N

ATA Code 5700 Wings

Current Status

1,190.00

23,882.801,810.00

20 Oct 2026Due Date (if date controlled) 79Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-15Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 28

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

1,190.00FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

083Work Card NoType

Inspect3,000.00

Action

Component Service Life

120.00FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

Repeat every 1000 Hours or 3 Years

CPCP Program make calendar requirements N/A

Service Life reference document

+/- 0 FH 0 MOTolerance Tolerance Rule

12,000.00ICA Threshold

240

ICA RepeatFHMO

FCFL

3,000.00120

FHMO

FCFL

SET ONThresholdRepeat

CPCP Program in place thus making the Calendar basedrequirements for SID’s not required.

Service Life Changes

Allan Jeursen 15 May 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0021 Oct 2016

20,882.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 64: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Wing Structure Corrosion InpsectionSID 57-11-02Visual, borescope

InspectionAD/Detail

Reference/S/N

ATA Code 5700 Wings

Current Status 3 Dec 2020Due Date (if date controlled) 9Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-16Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 19

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

084Work Card NoType

InspectAction

Component Service Life

60.00FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

SEVERE

Repeat every 5 Years

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

60

ICA RepeatFHMO

FCFL

60FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

4 Dec 201520,287.70TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 65: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Wing Root Rib Corrosion InspectionSID 57-12-01Visual Inspection

InspectionAD/Detail

Reference/S/N

ATA Code 5700 Wings

Current Status 3 Dec 2020Due Date (if date controlled) 9Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-17Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 22

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

085Work Card NoType

InspectAction

Component Service Life

60.00FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

MILD/MODERATE

Repeat every 5 Years

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

60

ICA RepeatFHMO

FCFL

60FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

4 Dec 201520,287.10TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 66: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Wing Front Spar Inspection 1SID 57-30-01Visual, Eddy Current

InspectionAD/Detail

Reference/S/N

ATA Code 5700 Wings

Current Status

790.50

22,282.30209.50

31 Jul 2020Due Date (if date controlled) 4Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-18Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 28

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

790.50FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

086Work Card NoType

Inspect1,000.00

Action

Component Service Life

36.00FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

SEVERE

Repeat every 1000 Hours or 3 Years

CPCP Program make calendar requirements N/A

Service Life reference document

+/- 0 FH 0 MOTolerance Tolerance Rule

1,000.00ICA Threshold

36

ICA RepeatFHMO

FCFL

1,000.0036

FHMO

FCFL

SET ONThresholdRepeat

CPCP Program in place thus making the Calendar basedrequirements for SID’s not required.

Service Life Changes

Allan Jeursen 15 May 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.001 Aug 2017

21,282.30TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 67: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Aileron Support Structure InspectionSID 57-51-01Visual, Eddy Current

InspectionAD/Detail

Reference/S/N

ATA Code 5700 Wings

Current Status

1,984.80

23,088.001,015.20

7 May 2020Due Date (if date controlled) 2Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-19Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 13

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

1,984.80FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

087Work Card NoType

Inspect3,000.00

Action

Component Service Life

60.00FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

Repeat every 3000 Hours or 5 Years

CPCP Program make calendar requirements N/A

Service Life reference document

+/- 0 FH 0 MOTolerance Tolerance Rule

3,000.00ICA Threshold

60

ICA RepeatFHMO

FCFL

3,000.0060

FHMO

FCFL

SET ONThresholdRepeat

CPCP Program in place thus making the Calendar basedrequirements for SID’s not required.

Service Life Changes

Allan Jeursen 15 May 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.008 May 2015

20,088.00TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 68: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Flap Tracks Corrosion InspectionSID 57-53-01Visual Inspection

InspectionAD/Detail

Reference/S/N

ATA Code 5700 Wings

Current Status 2 Oct 2022Due Date (if date controlled) 31Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-20Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 21

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

088Work Card NoType

InspectAction

Component Service Life

60.00FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

SEVERE

Repeat every 2 Years

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

60

ICA RepeatFHMO

FCFL

60FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

3 Oct 201721,376.44TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 69: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Engine Mount InspectionSID 71-20-01Visual Inspection

InspectionAD/Detail

Reference/S/N

ATA Code 7100 Power Plant-General

Current Status

212.20

23,560.601,487.80

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-21Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 23

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

212.20FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

089Work Card NoType

Inspect1,700.00

Action

Component Service Life

FHMO

FCFL

At Engine OverhaulService Life reference document

+/- 0 FHTolerance Tolerance Rule

1,700.00ICA Threshold

144

ICA RepeatFHMO

FCFL

1,700.00144

FHMO

FCFL

SET ONThresholdRepeat

CPCP Program in place thus making the Calendar basedrequirements for SID’s not required.

Service Life Changes

Allan Jeursen 15 May 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0024 May 2019

21,860.60TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 70: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Elevator and Trim Tab InspectionSID 55-10-02Visual Inspection

InspectionAD/Detail

Reference/S/N

ATA Code 5500 Stabilsers

Current Status 26 Aug 2024Due Date (if date controlled) 53Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-13Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 26

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

090Work Card NoType

InspectAction

Component Service Life

60.00FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

Repeat every 5 Years

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

60

ICA RepeatFHMO

FCFL

60FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

27 Aug 201921,961.30TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 71: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Wing Front Spar Inspection 2SID 57-30-01Visual and eddy current

InspectionAD/Detail

Reference/S/N

ATA Code 5700 Wings

Current Status

1,190.00

23,882.801,810.00

20 Oct 2021Due Date (if date controlled) 19Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-00Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 28

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

1,190.00FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

091Work Card NoType

Inspect3,000.00

Action

Component Service Life

60.00FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

Repeat every 3000 Hours or 5 Years

CPCP Program make calendar requirements N/A

Service Life reference document

+/- 0 FH 0 MOTolerance Tolerance Rule

3,000.00ICA Threshold

60

ICA RepeatFHMO

FCFL

3,000.0060

FHMO

FCFL

SET ONThresholdRepeat

CPCP Program in place thus making the Calendar basedrequirements for SID’s not required.

Service Life Changes

Allan Jeursen 15 May 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0021 Oct 2016

20,882.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 72: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Landing Light and Beacon Light SwitchesTR D2057-3TR11P/N TA201TW-B

InspectionAD/Detail

Reference/S/N

ATA Code 3300 Lights

Current Status 30 Apr 2021Due Date (if date controlled) 13Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

D2057-3TR11Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Note 12

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

092Work Card NoType

ReplaceAction

Component Service Life

48.00FHMO

FCFL

At next annual then repeat every 4 yearsService Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

48

ICA RepeatFHMO

FCFL

48FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

1 May 201721,182.30TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date Replaced

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 73: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Switch (Beacon Light)TR D2057-3TR11P/N TA201TW-B

InspectionAD/Detail

Reference/S/N

ATA Code 3300 Lights

Current Status 30 Apr 2021Due Date (if date controlled) 13Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

D2057-3TR11Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Note 13

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

093Work Card NoType

ReplaceAction

Component Service Life

48.00FHMO

FCFL

At next annual then repeat every 4 yearsService Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

48

ICA RepeatFHMO

FCFL

48FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

1 May 201721,182.30TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date Replaced

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 74: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

LH AltimeterCAO 100.5 (4.4)Appendix A Clause 2 of Attachment 1

InspectionAD/Detail

Reference/S/N

ATA Code 3100 Instruments

Current Status 25 Nov 2021Due Date (if date controlled) 20Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

095Work Card NoType

TestAction

Component Service Life

24.00FHMO

FCFL

7/08/2013Transitional requirement 12.2 not required.

Service Life reference document

+/- 2 MOTolerance Tolerance Rule

ICA Threshold

24

ICA RepeatFHMO

FCFL

24FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

26 Nov 201922,020.70TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 75: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Pitot Static TestCAO 100.5 (3.4)Appendix A Clause 1 of Attachment 1

InspectionAD/Detail

Reference/S/N

ATA Code 3100 Instruments

Current Status 25 Nov 2021Due Date (if date controlled) 20Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

096Work Card NoType

TestAction

Component Service Life

24.00FHMO

FCFL

7/08/2013No record of last Pitot Static Test found in therecords.Transitional requirement 12.1 (b) invoked - lastAltimeter Test IAW AD/INST/9 amd 6 Req 1.

Service Life reference document

+/- 2 MOTolerance Tolerance Rule

ICA Threshold

24

ICA RepeatFHMO

FCFL

24FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

26 Nov 201922,020.70TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 76: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Automatic Altitude Encoder TestCAO 100.5 (4.7)Appendix A Clause 3 of Attachment 1

InspectionAD/Detail

Reference/S/N

ATA Code 2300 Communications

Current Status 25 Nov 2021Due Date (if date controlled) 20Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

097Work Card NoType

TestAction

Component Service Life

24.00FHMO

FCFL

7/08/2013Transitional requirement 12.3 (a) invoked

Service Life reference document

+/- 2 MOTolerance Tolerance Rule

ICA Threshold

24

ICA RepeatFHMO

FCFL

24FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

26 Nov 201922,020.70TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 77: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Rudder Pedal Torque Tube ExtensionSID 27-20-01

InspectionAD/Detail

Reference/S/N

ATA Code 2700 Flight Controls

Current Status

1,885.00

23,187.801,115.00

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-14-01Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 9

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

1,885.00FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

099Work Card NoType

Inspect3,000.00

Action

Component Service Life

FHMO

FCFL

Initial 10,000 Hours or 20 YearsRepeat 3000 Hours or 5 Years

CPCP Program make calendar requirements N/A

Service Life reference document

+/- 0 FH 0 MOTolerance Tolerance Rule

10,000.00ICA Threshold

120

ICA RepeatFHMO

FCFL

3,000.0060

FHMO

FCFL

SET ONThresholdRepeat

CPCP Program in place thus making the Calendar basedrequirements for SID’s not required.

Service Life Changes

Allan Jeursen 15 May 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.003 Jul 2015

20,187.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 78: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Carry-Thru Spar Corrosion 1SID 53-11-01Visual

InspectionAD/Detail

Reference/S/N

ATA Code 5300 Fuselage

Current Status 3 Dec 2025Due Date (if date controlled) 69Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-30-01Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number Operation 15

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0100Work Card NoType

InspectAction

Component Service Life

120.00FHMO

FCFL

Cessna 210 MM TR 11 1 Aug 2011

MILD/MODERATE

Repeat every 10 Years

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

240

ICA RepeatFHMO

FCFL

120FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

4 Dec 201520,287.10TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 79: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Primary Flight Control Cable TerminalsAD/GENERAL/87 Amdt 1

InspectionAD/Detail

Reference/S/N

ATA Code 2700 Flight Controls

Current Status 31 Jul 2032Due Date (if date controlled) 148Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Detailed Visual InspectionWorksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0101Work Card NoType

InspectAction

Component Service Life

180.00FHMO

FCFL

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

180

ICA RepeatFHMO

FCFL

12FHMO

FCFL

SET ONThresholdRepeat

Period amended from Threshold to RepeatService Life Changes

Scott Carlson 12 Oct 2018Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

1 Aug 201721,282.30TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date Replaced

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 80: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Pilot and CoPilot Secondary Seat Stop InstallationReel Assembly Inspection

InspectionAD/Detail

Reference/S/N

ATA Code 2500 Equipment & Furnishing

Current Status

16.00

22,156.8084.00

10 Feb 2021Due Date (if date controlled) 11Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Mandatory Service LetterWorksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number SEB07-5 R6

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Pilot and CoPilot SecondarySeat Stop Installation

22,056.811 Feb 2020 Broome AirMaintenance

95.5 5 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0102Work Card NoType

Inspect100.00

Action

Component Service Life

12.00FHMO

FCFL

Service Life reference document

+/- 0 FH 0 MOTolerance Tolerance Rule

100.00ICA Threshold

12

ICA RepeatFHMO

FCFL

100.0012

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 81: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Engine Throttle Control LeverSEB95-15

InspectionAD/Detail

Reference/S/N

ATA Code 0500 Maintenance Inspections

Current Status

16.00

22,106.8034.00

10 Feb 2021Due Date (if date controlled) 11Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Inspect the Throttle Control Lever to cableattach area.

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Engine Throttle Control Lever 22,056.811 Feb 2020 Broome AirMaintenance

49.8 3 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0104Work Card NoType

Inspect50.00

Action

Component Service Life

12.00FHMO

FCFL

Service Life reference document

+/- 5 FHTolerance

Over run need not be deducted from next periodTolerance Rule

50.00ICA Threshold

12

ICA RepeatFHMO

FCFL

50.0012

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 82: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Main Landing Gear ActuatorSEB01-02

InspectionAD/Detail

Reference/S/N

ATA Code 3200 Landing Gear

Current Status

212.20

22,360.60287.80

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

212.20FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0106Work Card NoType

Inspect500.00

Action

Component Service Life

FHMO

FCFL

Service Life reference document

+/- 0 FHTolerance Tolerance Rule

500.00ICA Threshold ICA Repeat

FHMO

FCFL

500.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0024 May 2019

21,860.60TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 83: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Nose Gear GuideP/N 9882024-1

InspectionAD/Detail

Reference/S/N

ATA Code 3200 Landing Gear

Current Status

16.00

22,166.8094.00

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Check for cracksWorksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Nose Gear Guide 22,056.811 Feb 2020 Broome AirMaintenance

95.5 5 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0107Work Card NoType

Inspect110.00

Action

Component Service Life

FHMO

FCFL

20/03/2018 Check requested by Brent HansonService Life reference document

+/- 0 FHTolerance Tolerance Rule

100.00ICA Threshold ICA Repeat

FHMO

FCFL

110.00 FHMO

FCFL

SET ONThresholdRepeat

Changed interval from 100 FH to 110 FH as per BroomeAviation Pty Ltd SOM

Service Life Changes

Allan Jeursen 16 Aug 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 84: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

100 Hour InspectionLog Book StatementSection 5

InspectionAD/Detail

Reference/S/N

ATA Code 0500 Maintenance Inspections

Current Status

16.00

22,156.8084.00

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0109Work Card NoType

Inspect100.00

Action

Component Service Life

FHMO

FCFL

Service Life reference document

+/- 5 FHTolerance

Over run must be deducted from next periodTolerance Rule

100.00ICA Threshold ICA Repeat

FHMO

FCFL

100.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Paul Carey 11 Jun 2018Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 85: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Radio Periodic InspectionLog Book StatementSection 5

InspectionAD/Detail

Reference/S/N

ATA Code 0500 Maintenance Inspections

Current Status

16.00

22,156.8084.00

10 Feb 2021Due Date (if date controlled) 11Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Radio Periodic Inspection 22,056.811 Feb 2020 Broome AirMaintenance

95.5 5 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0110Work Card NoType

Inspect100.00

Action

Component Service Life

12.00FHMO

FCFL

Service Life reference document

+/- 5 FHTolerance

Over run must be deducted from next periodTolerance Rule

100.00ICA Threshold

12

ICA RepeatFHMO

FCFL

100.0012

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Paul Carey 11 Jun 2018Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 86: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Operational InspectionLog Book StatementSection 5

InspectionAD/Detail

Reference/S/N

ATA Code 0500 Maintenance Inspections

Current Status

16.00

22,156.8084.00

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Operational Inspection 22,056.811 Feb 2020 Broome AirMaintenance

95.5 5 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0111Work Card NoType

Inspect100.00

Action

Component Service Life

FHMO

FCFL

Service Life reference document

+/- 5 FHTolerance

Over run must be deducted from next periodTolerance Rule

100.00ICA Threshold ICA Repeat

FHMO

FCFL

100.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Paul Carey 11 Jun 2018Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 87: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

200 Hour InspectionLog Book StatementSection 5

InspectionAD/Detail

Reference/S/N

ATA Code 0500 Maintenance Inspections

Current Status

111.50

22,161.3088.50

26 Aug 2020Due Date (if date controlled) 5Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

111.50FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0112Work Card NoType

Inspect200.00

Action

Component Service Life

12.00FHMO

FCFL

Service Life reference document

+/- 0 FH 0 MOTolerance Tolerance Rule

200.00ICA Threshold

12

ICA RepeatFHMO

FCFL

200.0012

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Paul Carey 11 Jun 2018Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0027 Aug 2019

21,961.30TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

ADJUSTED FOR NEW SOMNotes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 88: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Electrical & Instrument InspectionLog Book StatementSection 5

InspectionAD/Detail

Reference/S/N

ATA Code 0500 Maintenance Inspections

Current Status

111.50

22,161.3088.50

26 Aug 2020Due Date (if date controlled) 5Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

111.50FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0113Work Card NoType

Inspect200.00

Action

Component Service Life

12.00FHMO

FCFL

Service Life reference document

+/- 0 FH 0 MOTolerance Tolerance Rule

200.00ICA Threshold

12

ICA RepeatFHMO

FCFL

200.0012

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Paul Carey 11 Jun 2018Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0027 Aug 2019

21,961.30TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

ADJUSTED FOR NEW SOMNotes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 89: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

CPCP - 2 YearOPS 032A-10-00

InspectionAD/Detail

Reference/S/N

ATA Code 0500 Maintenance Inspections

Current Status 23 May 2021Due Date (if date controlled) 14Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-30-00Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0344Work Card NoType

InspectAction

Component Service Life

24.00FHMO

FCFL

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

24

ICA RepeatFHMO

FCFL

24FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

24 May 201921,860.60TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 90: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

CPCP - 1 YearOPS 022A-10-00

InspectionAD/Detail

Reference/S/N

ATA Code 0500 Maintenance Inspections

Current Status 10 Feb 2021Due Date (if date controlled) 11Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-30-00Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

CPCP - 1 Year 22,056.811 Feb 2020 Broome AirMaintenance

8 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0345Work Card NoType

InspectAction

Component Service Life

12.00FHMO

FCFL

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

12

ICA RepeatFHMO

FCFL

12FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

11 Feb 202022,056.80TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 91: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

CPCP - 3 YearOPS 042A-10-00

InspectionAD/Detail

Reference/S/N

ATA Code 0500 Maintenance Inspections

Current Status 23 May 2022Due Date (if date controlled) 26Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-30-00Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0346Work Card NoType

InspectAction

Component Service Life

36.00FHMO

FCFL

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

36

ICA RepeatFHMO

FCFL

36FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

24 May 201921,860.60TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 92: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

CPCP - 4 YearOPS 052A-10-00

InspectionAD/Detail

Reference/S/N

ATA Code 0500 Maintenance Inspections

Current Status 25 Nov 2023Due Date (if date controlled) 44Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-30-00Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0347Work Card NoType

InspectAction

Component Service Life

48.00FHMO

FCFL

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

48

ICA RepeatFHMO

FCFL

48FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

26 Nov 201922,020.70TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 93: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

CPCP - 5 YearOPS 062A-10-00

InspectionAD/Detail

Reference/S/N

ATA Code 0500 Maintenance Inspections

Current Status 3 Dec 2020Due Date (if date controlled) 9Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2A-30-00Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0348Work Card NoType

InspectAction

Component Service Life

60.00FHMO

FCFL

Service Life reference document

+/- 0 MOTolerance Tolerance Rule

ICA Threshold

60

ICA RepeatFHMO

FCFL

60FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

4 Dec 201520,287.70TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date last Inspected

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 94: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Certificate of Maintenance ReviewForm 02-011

InspectionAD/Detail

Reference/S/N

ATA Code 0502 CAMO CAM Actions

Current Status 27 May 2020Due Date (if date controlled) 2Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Detailed Visual InspectionWorksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number TASK 00-02-001

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0349Work Card NoType

ActionAction

Component Service Life

12.00FHMO

FCFL

Service Life reference document

+ 0 MOTolerance Tolerance Rule

ICA Threshold

12

ICA RepeatFHMO

FCFL

12FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

28 May 201921,864.80TSO at installation

CycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:Date Replaced

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 95: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Hydraulic FilterC210 MMChapter 2

InspectionAD/Detail

Reference/S/N

ATA Code 2900 Hydraulic Power

Current Status

391.41

22,181.39108.59

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Replace and Inspect for fluid contaminationWorksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

2-26-11/12Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

391.41FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0350Work Card NoType

Replace500.00

Action

Component Service Life

FHMO

FCFL

Broome Aviation Pty Ltd SOM

Reference: Section 4 2-26-11/12

Service Life reference document

+/- 0 FHTolerance Tolerance Rule

500.00ICA Threshold ICA Repeat

FHMO

FCFL

500.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Allan Jeursen 16 Aug 2019Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.004 May 2018

21,681.39TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 96: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Engine Condition ReportCASA Form 728Broome Aviation 210 SOM 3.21

InspectionAD/Detail

Reference/S/N

ATA Code 0500 Maintenance Inspections

Current Status

16.00

22,161.8089.00

Due Date (if date controlled) Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Engine Condition Report 22,056.811 Feb 2020 Broome AirMaintenance

95.5 5 Compliant

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0351Work Card NoType

Inspect105.00

Action

Component Service Life

FHMO

FCFL

Service Life reference document

+/- 10 FHTolerance

Over run need not be deducted from next periodTolerance Rule

105.00ICA Threshold ICA Repeat

FHMO

FCFL

105.00 FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn:

Page 97: Maintenance Controller: Notes · 2020-03-26 · Engine Continental IO-520-L 830463-R Overhaul 1,870.00 Component Compliance Details 0.00 30 Sep 2015 20,287.10 Component Part Number

Elevator and Trim Tab InspectionSEB85-07 Rev 04Section 5

InspectionAD/Detail

Reference/S/N

ATA Code 0500 Maintenance Inspections

Current Status

16.00

22,156.8084.00

10 Feb 2021Due Date (if date controlled) 11Months remaining

Engine Number

FH since installation

Due airframe FHFH remaining

FC since installationFC remaining

Due airframe FC

FL since installation

Due airframe FLFL remaining

Worksheet Comment:

FOK 21063109 210NVH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

Last Actuals

Task Number

OSIP Detail 22,072.80TTIS on AircraftTotal Cycles

26 Mar 2020Report DateTotal Landings

24/3/20

Updated

16.00FH since action FC since actionFL since action

Compliance History

Inspection Date TTIS Cycles Landings AMO TSI LSI CSI Mths Days Last Compliance Status

26 Mar 2020

0464Work Card NoType

Inspect100.00

Action

Component Service Life

12.00FHMO

FCFL

Service Life reference document

+/- 5 FHTolerance

Over run must be deducted from next periodTolerance Rule

100.00ICA Threshold

12

ICA RepeatFHMO

FCFL

100.0012

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

Change by: Date:Associated Work Cards must be updated:

Component Compliance Details

0.0011 Feb 2020

22,056.80TSO at installationCycSO at installationLdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00 Date last InspectedARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Current ARC:

T ROn: