section 1 helicopter description - robinson …...airframe maintenance record 2901 airport drive,...
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AIRFRAME MAINTENANCE RECORD2901 Airport Drive, Torrance, California 90505, USA Phone (310) 539-0508 Fax (310) 539-5198
SECTION 1
HELICOPTER DESCRIPTION
Helicopter Serial Number Registration Number Model Date of Manufacture
Registered Owner: Operator: Inspection Status
Street Address: Street Address: Annual/100-Hour
City, State, Zip: City, State, Zip: Progressive
Postal Code: Postal Code: Other:
Date Entered:Country: Country:
Registered Owner: Operator: Inspection Status
Street Address: Street Address: Annual/100-Hour
City, State, Zip: City, State, Zip: Progressive
Postal Code: Postal Code: Other:
Date Entered:Country: Country:
Registered Owner: Operator: Inspection Status
Street Address: Street Address: Annual/100-Hour
City, State, Zip: City, State, Zip: Progressive
Postal Code: Postal Code: Other:
Date Entered:Country: Country:
SECTION 1 HELICOPTER DESCRIPTION RF 285 Revision B
AIRFRAME MAINTENANCE RECORD2901 Airport Drive, Torrance, California 90505, USA Phone (310) 539-0508 Fax (310) 539-5198
SECTION 2
INSTALLED EQUIPMENT
Helicopter Serial Number Registration Number Model Date of Manufacture
Item Manufacturer Model Serial Number Date Installed Date Removed
SECTION 2 INSTALLED EQUIPMENT RF 286 Revision B
AIRFRAME MAINTENANCE RECORD2901 Airport Drive, Torrance, California 90505, USA Phone (310) 539-0508 Fax (310) 539-5198
SECTION 3
MAJOR ALTERATIONS
Helicopter Serial Number Registration Number Model Date of Manufacture
Date Description of Alteration Field Approval Date or STC Number
SECTION 3 MAJOR ALTERATIONS RF 287 Revision B
AIRFRAME MAINTENANCE RECORD2901 Airport Drive, Torrance, California 90505, USA Phone (310) 539-0508 Fax (310) 539-5198
SECTION 4
LIFE-LIMITED PARTS OR OVERHAUL REQUIREMENTS
Helicopter Serial Number Registration Number Model Date of Manufacture
Part Name Part Number Serial Number Time on Helicopter at Installation
Time on Partat Installation
Life-Limit or TBO Time on Helicopter at Removal
Authorization
HOURS HOURS SIGN
DATE DATE CERT
SECTION 4 LIFE-LIMITED PARTS OR OVERHAUL REQUIREMENTS RF 288 Revision B
AIRFRAME MAINTENANCE RECORD2901 Airport Drive, Torrance, California 90505, USA Phone (310) 539-0508 Fax (310) 539-5198
SECTION 5
AIRWORTHINESS DIRECTIVES AND SERVICE BULLETINS
Helicopter Serial Number Registration Number Model Date of Manufacture
Airworthiness Directive or Service Bulletin No.
Item Affected Time of Compliance One-Time or Recurring
Next Due Compliance Details Authorization
HOURS HOURS SIGN
DATE DATE CERT
SECTION 5 AIRWORTHINESS DIRECTIVES AND SERVICE BULLETINS RF 289 Revision B
AIRFRAME MAINTENANCE RECORD2901 Airport Drive, Torrance, California 90505, USA Phone (310) 539-0508 Fax (310) 539-5198
SECTION 6
ALTIMETER AND STATIC SYSTEM CHECKS
Helicopter Serial Number Registration Number Model Date of Manufacture
Item Affected Manufacturer Model Serial Number Check Date Check Interval Next Check Due Compliance Details Authorization
SIGN
CERT
SECTION 6 ALTIMETER AND STATIC SYSTEM CHECKS RF 290 Revision B
AIRFRAME MAINTENANCE RECORD2901 Airport Drive, Torrance, California 90505, USA Phone (310) 539-0508 Fax (310) 539-5198
SECTION 7 RADIO AND ELECTRONIC CHECKS RF 291 Revision B
SECTION 7
RADIO AND ELECTRONIC CHECKS
Helicopter Serial Number Registration Number Model Date of Manufacture
Item Affected Manufacturer Model Serial Number Check Date Check Interval Next Check Due Compliance Details Authorization
SIGN
CERT
AIRFRAME MAINTENANCE RECORD2901 Airport Drive, Torrance, California 90505, USA Phone (310) 539-0508 Fax (310) 539-5198
SECTION 8
SCHEDULED INSPECTIONS
Helicopter Serial Number Registration Number Model Date of Manufacture
Date ofCompletion
HelicopterTime in Service RECORD OF INSPECTION TYPE & SCOPE, DISCREPANCIES FOUND, & AIRWORTHINESS STATUS (CFR 43.11 & 91.409) Signature and Certificate Number
SIGN
CERT
SECTION 8 SCHEDULED INSPECTIONS RF 292 Revision B
AIRFRAME MAINTENANCE RECORD2901 Airport Drive, Torrance, California 90505, USA Phone (310) 539-0508 Fax (310) 539-5198
SECTION 9
MAINTENANCE
Helicopter Serial Number Registration Number Model Date of Manufacture
Date ofCompletion
HelicopterTime in Service DESCRIPTION OF WORK PERFORMED OR APPROVED DATA USED (CFR 43.9) Signature and Certificate Number
SIGN
CERT
SECTION 9 MAINTENANCE RF 293 Revision B
COMPONENT RECORD2901 Airport Drive, Torrance, California 90505 Phone (310) 539-0508 Fax (310) 539-5198
COMPONENT RECORD
Part Number Description Serial Number Date of Manufacture Maximum Service Life Overhaul Interval
Date HelicopterModel
HelicopterSerial Number
HelicopterTime in Service
ComponentTime Since New
or OverhaulAction Remarks
REMOVAL MAINTENANCE
INSTALLATION OTHER
REMOVAL MAINTENANCE
INSTALLATION OTHER
REMOVAL MAINTENANCE
INSTALLATION OTHER
REMOVAL MAINTENANCE
INSTALLATION OTHER
REMOVAL MAINTENANCE
INSTALLATION OTHER
REMOVAL MAINTENANCE
INSTALLATION OTHER
REMOVAL MAINTENANCE
INSTALLATION OTHER
REMOVAL MAINTENANCE
INSTALLATION OTHER
REMOVAL MAINTENANCE
INSTALLATION OTHER
REMOVAL MAINTENANCE
INSTALLATION OTHER
REMOVAL MAINTENANCE
INSTALLATION OTHER
REMOVAL MAINTENANCE
INSTALLATION OTHER
REMOVAL MAINTENANCE
INSTALLATION OTHER
REMOVAL MAINTENANCE
INSTALLATION OTHER
REMOVAL MAINTENANCE
INSTALLATION OTHER
REMOVAL MAINTENANCE
INSTALLATION OTHER
COMPONENT RECORD RF 294 Revision B