Title Page
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Conducted on
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Prepared by
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Location
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Report no:
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Revision and distribution control, MEL revision procedures, list of effective pages and distribution control
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Check list of effective pages for Revision Level and DGCA Approval
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Check Revision Level in comparison with associated MMEL latest revision
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Confirm that the pages contained in the manual match the LEP
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Check Manual distribution as per MCM listing
MEL Configuration
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1. Aircraft configuration (by serial no., if applicable)
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2. Cabin interior according to the LOPA
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3. Any modifications, as required
Special operations provisions
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Confirm that the MEL identified the components required for the special operations and the appropriate maintenance procedure
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1. RVSM Operation
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2. ETOPS & EDTO Significant components (If Applicable)
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3. Low Visibility (CAT I, CAT II) Significant components (If Applicable)
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4. DGCA Special Requirements
Application of MEL
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1. Review from records an MEL deferral
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2. Check the application of MEL limitations
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3. Check the use of hold items list
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4. Check the log book procedure application
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5. Check the application of the Maintenance & Operations Procedures and use of placarding
Surveillance Data (Total S/U/NA)
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Remarks/Findings:
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Signatures:
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Add signature
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