ASI Innovation

N° *

REV *

Date *

Operator *

Sub contractor *

Aircraft

Type *

S/N *

Registration *

Hours *

Cycles *

Sb applied *

Part / Equipment

P/N *

S/N *

Part / Equipment *

Subject *

ATA 100 *

Production occurence conditions

Non conformity *

Aircraft concerned *

Description *

In-service occurence conditions (Operation / Maintenance)

Location *

Date *

Time *

Weight *

Ias *

Alt *

Sat *

Qnh *

Operational phase *

Maint type *

Consequences

Delay time *

Criticality code *

Description

Corrective action / Comments

Component replaced

Date *

Unit name *

Removed unit P/N

Removed unit S/N

Installed unit P/N

Installed unit S/N

Remarks

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