85ATNM26

• Site conducted

  Select

• Seclect type of report

  Recommendation

  Import

  Export

• Document No.

• Part M/G Approval No. : CH.MG.XXXX

• Aircraft Type

• Registration

• Serial Number

• Inspector

  BURKHART Sandro

  BLASER Andreas

• Contact Details

  BURKHART Sandro

  BLASER Andreas

• Telephone Contact

  Select BURKHART Sandro / CH.ARS.7004-04.D BLASER Andreas / CH.ARS.7004-15

  • BURKHART Sandro / CH.ARS.7004-04.D
  • BLASER Andreas / CH.ARS.7004-15

Continuing Airworthiness Management Organisation Details performing the review

• Name: CAMO 24

• Address:

Airworthiness Review Inspector Details

• Record Review Location
  Address

• Record Review Date

  Date
• Physical Review Location
  Address

• Physical Review Date

  Date

• If required by the authority, the aircraft can be seen at:

• Location
  Address

• From:

  Date

• To:

  Date

• Part-145 (MOE) hosting organisation:

undefined

• Name:

• Address:

undefined

• Name:

• Address:

• Approval Certificate evidenced & valid?

  Yes

  No

  N/A

Any Organisation or persons involved in maintenance activities since last ARC

• Name, Place, Appr. Nr.:

• Name, Place, Appr. Nr.:

• Name, Place, Appr. Nr.:

• Name, Place, Appr. Nr.:

• Name, Place, Appr. Nr.:

• Name, Place, Appr. Nr.:

• Name, Place, Appr. Nr.:

• The undersigned Operators representative is requesting the issue of an ARC in accordance with AMC M.A. 901 (d)

• Company

• Name:

• Function:

• Place:

• Date:

• Signature:

  Sign

Aircraft

• Manufacturer / Type:

• Serial Number:

• Total Hours

• Total Cycles

Engine(s)

• Manufacturer / Type:

Engine No. 1

• Engine #1 S/N:

• Total Hours

• Total Cycles

Engine No. 2

• Engine #2 S/N:

• Total Hours

• Total Cycles

Engine No. 3

• Engine #3 S/N:

• Total Hours

• Total Cycles

Engine No. 4

• Engine #4 S/N:

• Total Hours

• Total Cycles

Propeller / Rotor Blades

• Manufacturer / Type:

Propeller / Blade No. 1

• Propeller / Blade #1 S/N:

• Total Hours

• Total Cycles

Propeller / Blade No. 2

• Propeller / Blade #2 S/N:

• Total Hours

• Total Cycles

Propeller / Blade No. 3

• Propeller / Blade #3 S/N:

• Total Hours

• Total Cycles

Propeller / Blade No. 4

• Propeller / Blade #4 S/N:

• Total Hours

• Total Cycles

APU

• Manufacturer / Type

APU

• APU S/N:

• Total Hours

• Total Cycles

Records Review Items - Document current and/or complete

• The remarks show Number / Issue Date / Expiry Date and/or Revision No.

• 1. Certificate of Registration

  Yes

  No

  N/A

• 2. Certificate of Airworthiness

  Yes

  No

  N/A

• 3. Airworthiness Review Certificate (ARC)

  Yes

  No

  N/A

• 4. Noise Certificate

  Yes

  No

  N/A

• 5. Air Operator’s Certificate

  Yes

  No

  N/A

• 6. Aircraft Radio License

  Yes

  No

  N/A

• 7. Certificate of third party liability insurance on earth

  Yes

  No

  N/A

• 8. Certificate in respect of liability for passengers

  Yes

  No

  N/A

• 9. AFM Status

  Yes

  No

  N/A

• 10. AFM Supplements

  Yes

  No

  N/A

• 11. MEL

  Yes

  No

  N/A

• 12. Maintenance Program (MP)

  Yes

  No

  N/A

• 13. Equipment List

  Yes

  No

  N/A

• 14. Aircraft TC Data Sheet

  Yes

  No

  N/A

• 15. Engine TC Data Sheet

  Yes

  No

  N/A

• 16. Propeller TC Data Sheet

  Yes

  No

  N/A

• 17. Noise TC Data Sheet.

  Yes

  No

  N/A

• 18. AD status (refer to Section 10 for checked samples)

  Yes

  No

  N/A

• 19. Manufacturer Instructions status (SB, ASC etc.)

  Yes

  No

  N/A

• 20. Modification status / approvals (as applicable)

  Yes

  No

  N/A

• 21. Repair status / approvals (if applicable)

  Yes

  No

  N/A

• 22. List of service life limited component and applicable log cards

  Yes

  No

  N/A

• 23. Aircraft Journey - Technical Log<br>(Tech-Logs since the last Airworthiness Review (minimum at least 5 per year))

  Yes

  No

  N/A

• 24. Work packages & EASA Form 1 or equivalent (refer to Section 11 for checked samples)

  Yes

  No

  N/A

• 25. Verify that technical log system contains all outstanding deferred defect rectifications that affect the operation of the aircraft.

  Yes

  No

  N/A

• 26. Known defects have been corrected or carried forward in controlled manner?

  Yes

  No

  N/A

• 27. Accident/incident report (review all reports since the last Airworthiness Review)

  Yes

  No

  N/A

• 28. Additional requirements<br>(National, Import from third country, etc.)

  Yes

  No

  N/A

• 29. In case of an Import Recommendation in addition to the above listed the followings are taken into consideration:<br>1.1 The information from third country authorities such as export certificates, primary authority information;<br>2.1 The maintenance needed for import, such as<br>embodiment of modifications needed to comply with EASA type certificate, bridging check to comply with the new maintenance program<br>3.1 Check flight

  Yes

  No

  N/A

• If a task is completed it shall be marked as yes, meaning also no findings. Otherwise no can be selected and a finding with associated task or comments may be inserted.
  A finding overview can be found in Section 12 and in Action Items listing (AIL) Section with actual closure status of each item.

1. Operator’s Technical Log System (M.A.306) (CAT only)

• 1.1. Verify that technical logs contain details of all information considered necessary to ensure continued flight safety.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 1.2. Verify that the current aircraft certificate of release to service is available.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

2. Cockpit / Flight Deck Inspection of Aircraft & Helicopter

• 2.1. Check General Condition.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 2.2. Verify Certificates / Registration Documentation currency and validity.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 2.3. Verify that Manuals (AFM, POH, QRH, Checklist etc.) are available and current.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 2.4. All applicable Markings and Placards are installed.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 2.5. Verify the availability of a current Mass and Balance Report.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 2.6. Minimum Equipment List (if applicable).

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 2.7. Check that a Hold Item List is available (if applicable).

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 2.8. Aeroplanes are equipped with at least one Hand Fire Extinguisher in the flight crew compartment. Check inspection and expiration dates.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 2.9. Verify location and date of crew Life Vests.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 2.10. Crew Safety Belts has upper torso restraint and single point release.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 2.11. Verify that crew Oxygen Equipment / PBE(s) are available and conveniently located.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 2.12. Verify the availability of readily accessible of operational independent portable light (flashlight) for each required crew member when seated at their designated station.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 2.13. Verify the available and proper storage of Smoke Goggle(s).

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 2.14. Verify that the aircraft is equipped with a headset with a boom or throat microphone or equivalent for each flight crew member at their assigned station in the flight crew compartment.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 2.15. Aircraft with an MCTOM of more than 5700 kg or with a MOPSC of more than nine shall be equipped with at least one crash axe or crowbar located in the flight crew compartment. In cases of Aeroplanes with MOPSC of more than 200, an additional crash axe or crowbar shall be installed in or near the rearmost galley area. Verify that crash axes and crowbars located in the passenger compartment are not visible to passengers.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 2.16. Verify that all databases such as NAV database and Charts are updated and current.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

3. Cabin Inspection of Aircraft & Helicopter

• 3.1. Check General Condition of cabin, toilet and baggage compartment

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 3.2. All applicable Markings and Placards are installed (fasten seat belts, no smoking, compartment weight limitation, etc.)

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 3.3. Verify the availability of Safety Instructions or Emergency Briefing Cards for all passengers

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 3.4. Aeroplanes is equipped with applicable number of First Aid Kit(s)<br>0 – 100 Passengers – 1 Kit<br>101 – 200 Passengers – 2 Kits<br>201 – 300 Passengers – 3 Kits<br>301 – 400 Passengers – 4 Kits<br>401 – 500 Passengers – 5 Kits<br>501 or more Passengers – 6 Kits

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 3.5. Aeroplane is equipped with the appropriate number of Hand Fire Extinguisher conveniently located. Check inspection and expiration date:<br>MOPSC 7 – 30 – 1 Extinguisher<br>MOPSC 31 – 60 – 2 Extinguishers<br>MOPSC 61 – 200 – 3 Extinguishers<br>MOPSC 201 – 300 – 4 Extinguishers<br>MOPSC 301 – 400 – 5 Extinguishers<br>MOPSC 401 – 500 – 6 Extinguishers<br>MOPSC 501 – 600 – 7 Extinguishers<br>MOPSC 601 or more – 8 Extinguishers

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 3.6. Aeroplanes with an MOPSC of more than 30, shall be equipped with an emergency medical kit, when any point on the planned route is more than 60min flying time at normal speed from any aerodrome at which qualified medical assistance could be expected to be available.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 3.7. Aircraft is equipped with Seat Belt on each passenger seat and restraining belts for each berth except Aeroplanes with MCTOM of 5700 kg or less and MOPSC of less than nine should have a seat belt with upper torso restrain system.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 3.8. Aeroplanes operating over water are equipped with Life-Jackets or Individual Flotation Devices for each person on board

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 3.9. Aircraft operating over water at a distance away from land not suitable (120 minutes cruising speed or 400 NM, whichever is lesser for Aeroplanes capable of continuing the flight to an aerodrome with the critical engine(s) becoming inoperative at any point alone the route or planned diversion. For all other Aeroplanes, 30 minutes cruising speed or 100 NM whichever is less) for making an emergency landing is equipped with the sufficient number of Life Rafts to carry all persons on board and being sufficient to accommodate all survivors in the event of a loss of one raft of the largest rated capacity.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 3.9. Aircraft operating over water at a distance away from land not suitable (120 minutes cruising speed or 400 NM, whichever is lesser for Aeroplanes capable of continuing the flight to an aerodrome with the critical engine(s) becoming inoperative at any point alone the route or planned diversion. For all other Aeroplanes, 30 minutes cruising speed or 100 NM whichever is less) for making an emergency landing is equipped with the sufficient number of Life Rafts to carry all persons on board and being sufficient to accommodate all survivors in the event of a loss of one raft of the largest rated capacity.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 3.11. Aeroplane is equipped with MOPSC of nine or more is equipped with Emergency Lighting System (if applicable) with an independent power supply.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 3.12. Pressurized aeroplanes are equipped with the appropriate oxygen supply (cabin crew and passengers) and PBE (if applicable)

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

4. EXTERIOR INSPECTION OF AIRCRAFT

• 4.1. All applicable Markings and Placards are installed.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 4.2. Check the general condition of the baggage compartment

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 4.3. Check doors and hatches for corrosion, cracks, damage, dents and proper fits

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 4.4. Check general condition of windshields and windows for chipping, cracking, crazing, delamination, etching and scratches

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 4.5. Check for APU, engines, fuselage, wings, gears and wheel well for evidence or leaks (fuel, hydraulic, oil), check wiring for chafing, damage and dirt. Check for cracks, damage, signs of corrosion, structure integrity and missing or improperly secured parts

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 4.6. Check antennas for condition and security.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 4.7. Check lights for condensation in lenses, burned out bulbs cracks and damages

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 4.8. Check flight controls for cracks, corrosion, dents and unobstructed movement. Inspect for missing, loose or improperly secured parts.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 4.9. Check pitot tubes and static ports for cleanliness, damage and obstructions

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 4.10. Check water and waste systems for evidence of blue water leaks

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 4.11. Perform general visual inspection of APU, engine cowlings and exhaust areas for damages and signs of overheat.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 4.12. Check refueling and servicing points for proper placarding

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 4.13. Check nacelles / pilons for structural integrity, corrosion and dents

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 4.14. Check Propellers for damage

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 4.15. Check engine structure, performing visual inspection of visible parts of fan, compressor, turbine, engine casing, fan casing, integrity, security, corrosion, dents and visible wear.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 4.16. Check Accessory Compartments to verify installation of CVR, FDR (if applicable), for evidence of corrosion, cracks, damage or leaks as well as missing, lose or improperly secured parts

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 4.17. Verify compliance with Airworthiness Approval Requirements (AWO, RVSM, RNAV, BRNAV, PRNAV, RNP5, RNP10, NAT-MNPS, ETOPS, Steep Approach, EFB, etc.)

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

5. EXTERIOR INSPECTION OF HELICOPTER

• 5.1. Exterior Inspection

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.2. Leaks (General)

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.3. Engine #1 LH + Cowl. Condition

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.4. Engine #2 LH + Cowl. Condition

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.5. Avionics Bay Condition

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.6. Nav and Ldg Light

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.7. Ldg Gear / Skids / Skis

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.8. Main Rotor Head and Mast

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.9. Main Rotor Blades

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.10. Main Rotor Gear Box

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.11. Tail Rotor Boom / Stabilizer Horiz. & Vert.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.12. Tail Rotor Blades (Fenestron)

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.13. Tail Rotor Gear Box

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.14. Hydraulic Steering Actuators

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.15. Spot check on S/N and P/N equippment

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.16. Airframe condition, structure damages, corrosion

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.17. Antennas

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.18. Windshields

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.19. Condition Windows

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.20. Doors condition (actuator) cockpit (emergency release)

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.21. Covers / pins complete

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.22. Type / S/N Plates (Components and Engine Modules)

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.23. Free moving of all flight controls, throttle controls

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.24. Pitot tubes condition

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.25. Static Ports & Area Condition

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.26. Cargo Compartment, doors

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.27. Placards and markings

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.28. Visual inspection of external additional equipment such as mirror, camera, hook etc.

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.29. Fuel system (fuel pump, leakage, corrosion, friction points)

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.30. Engine fire extinguishing system (if installed)

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.31. Air conditioning system (if installed)

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

• 5.32. Refueling and oil servicing placards

  Yes

  No

  N/A

• Finding?

  Yes

  No

  N/A

Physical Survey - List of inspected parts and components (including life limited parts) during physical survey

Item 1

• Part Description

• Part Number

• Serial Number

• Installed on Aircraft?

  Yes

  No

  N/A

• Equipment List

  Yes

  No

  N/A

Item 2

• Part Description

• Part Number

• Serial Number

• Installed on Aircraft?

  Yes

  No

  N/A

• Equipment List

  Yes

  No

  N/A

Item 3

• Part Description

• Part Number

• Serial Number

• Installed on Aircraft?

  Yes

  No

  N/A

• Equipment List

  Yes

  No

  N/A

Item 4

• Part Description

• Part Number

• Serial Number

• Installed on Aircraft?

  Yes

  No

  N/A

• Equipment List

  Yes

  No

  N/A

Item 5

• Part Description

• Part Number

• Serial Number

• Installed on Aircraft?

  Yes

  No

  N/A

• Equipment List

  Yes

  No

  N/A

Item 6

• Part Description

• Part Number

• Serial Number

• Installed on Aircraft?

  Yes

  No

  N/A

• Equipment List

  Yes

  No

  N/A

Item 7

• Part Description

• Part Number

• Serial Number

• Installed on Aircraft?

  Yes

  No

  N/A

• Equipment List

  Yes

  No

  N/A

Item 8

• Part Description

• Part Number

• Serial Number

• Installed on Aircraft?

  Yes

  No

  N/A

• Equipment List

  Yes

  No

  N/A

Item 9

• Part Description

• Part Number

• Serial Number

• Installed on Aircraft?

  Yes

  No

  N/A

• Equipment List

  Yes

  No

  N/A

Item 10

• Part Description

• Part Number

• Serial Number

• Installed on Aircraft?

  Yes

  No

  N/A

• Equipment List

  Yes

  No

  N/A

undefined

• Additional items listed?

  Yes

  No

  N/A

• Part Descriptions | Part Numbers | Serial Numbers

• All Installed on Aircraft?

  Yes

  No

  N/A

• Equipment List

  Yes

  No

  N/A

AD Item 1

• AD reference number

• AD comliance status

  Compliant

  non-compliant

• Compliance Date

  Date

AD Item 2

• AD reference number

• AD comliance status

  Compliant

  non-compliant

• Compliance Date

  Date

AD Item 3

• AD reference number

• AD comliance status

  Compliant

  non-compliant

• Compliance Date

  Date

AD Item 4

• AD reference number

• AD comliance status

  Compliant

  non-compliant

• Compliance Date

  Date

AD Item 5

• AD reference number

• AD comliance status

  Compliant

  non-compliant

• Compliance Date

  Date

Work package: Item 1

• Work package reference number

• Performing maintenance facility

• Release Date

  Date

Work package: Item 2

• Work package reference number

• Performing maintenance facility

• Release Date

  Date

Work package: Item 3

• Work package reference number

• Performing maintenance facility

• Release Date

  Date

Work package: Item 4

• Work package reference number

• Performing maintenance facility

• Release Date

  Date

Work package: Item 5

• Work package reference number

• Performing maintenance facility

• Release Date

  Date

Finding No. 1

• Ref. No. and Title

• Acceptance of corrective actions

  Yes

  No

  N/A

• Compliance Date

  Date

• Signature

  Sign

Finding No. 2

• Ref. No. and Title

• Acceptance of corrective actions

  Yes

  No

  N/A

• Compliance Date

  Date

• Signature

  Sign

Finding No. 3

• Ref. No. and Title

• Acceptance of corrective actions

  Yes

  No

  N/A

• Compliance Date

  Date

• Signature

  Sign

Finding No. 4

• Ref. No. and Title

• Acceptance of corrective actions

  Yes

  No

  N/A

• Compliance Date

  Date

• Signature

  Sign

Finding No. 5

• Ref. No. and Title

• Acceptance of corrective actions

  Yes

  No

  N/A

• Compliance Date

  Date

• Signature

  Sign

Finding No. 6

• Ref. No. and Title

• Acceptance of corrective actions

  Yes

  No

  N/A

• Compliance Date

  Date

• Signature

  Sign

Finding No. 7

• Ref. No. and Title

• Acceptance of corrective actions

  Yes

  No

  N/A

• Compliance Date

  Date

• Signature

  Sign

Finding No. 8

• Ref. No. and Title

• Acceptance of corrective actions

  Yes

  No

  N/A

• Compliance Date

  Date

• Signature

  Sign

• item 1

• item 2

• item 3

• item 4

• item 4

• item 6

• item 7

New ARC Issuance / Recommendation to Competent Authority

• Compliance Statement:
  This is to confirm the performance of the airworthiness review i.a.w. Regulation (EU) 1321/2014 Annex I, Part M, M.A.710(a) and M.A 710(b)(c) and AMC’s thereof.
  Based on the samples taken, it can be assumed that the aircraft in its current configuration complies with the following and is in an airworthy condition on the date of the recommendation was signed:

• Aircraft Registration

• On this basis, and pursuant to the Regulation (EU) 1321/2014 of the European Commission for the time being in force, this aircraft can be issued with an Airworthiness Review Certificate by the approved M.A. Subpart I organization, CH.MG.7004.

• All data is properly entered and certified in the aircraft continuing airworthiness record system and / or in the operators technical log. The issuance of the airworthiness review certificate is recommended to the competent authority.

• ARS Name & Authorization No.:

  Select BURKHART Sandro / CH.ARS.7004-04.D BLASER Andreas / CH.ARS.7004-15

  • BURKHART Sandro / CH.ARS.7004-04.D
  • BLASER Andreas / CH.ARS.7004-15

• Date

  Date

• Signature of ARS

  Sign