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