aircraft inspection program

AIRCRAFT INSPECTION PROGRAM

UH-1H

N467WW

S/N: 70-16467

&N75140

S/N: 71-20123

Friends of Army Aviation- Ozark

189 Heritage Way

Ozark, Alabama 36360

N467WW & N75140Aircraft Inspection Program

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About This Document

This document is the property of Friends of Army Aviation – Ozark (FAA-O). Any disclosure of

its contents to others is given in confidence. It must not be reproduced or copied in whole or in

part or used in any way except with specific approval and permission of the President of Friends

of Army Aviation - Ozark. This data shall not to be divulged by a Freedom of Information Act

(FOIA) request. This data meets the requirements of FOIA Exemption 4 because it contains

company proprietary data that has economic value to Friends of Army Aviation – Ozark.


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Record of Revisions

Revision Date Part Page Summary Initial 05/14/2021 ALL ALL Original


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List of Effective Pages

Section Starting

Page

Ending

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Revision

Level

Revision

Date

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N467WW & N75140 Aircraft Inspection Program

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Table of Contents

Page Subject

1 Cover Page

2 About This Document

3 Record of Revisions

4 List of Effective Pages

5 Table of Contents

6 Section 1: Introduction

9 Section 2: Technical Manuals

14 Section 3: Airworthiness Limitations

26 Instructions for Continued Airworthiness (ICA),

Instruments and Equipment Requirement

27 Minimum Equipment List

29 Section 4: Forms

30 FAA-O Form -13

32 FAA-O Form 13-1

34 FAA-O Form 13-2

36 FAA-O Form -16

39 FAA-O Form -16-1

42 FAA-O Form -18

44 Section 5: Leased Equipment


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Section 1:

INTRODUCTION


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1.1

1.2

1.3

1.4

1.5

1.6

1.7

1.8

1.9

Acceptable to the Administrator

This document is presented in accordance with the requirements of Title 14 CFR, § 21.25(a)(2)

and FAA Order 8110.56B, July 19, 2017.

Manuals

This Aircraft Inspection Program (AIP) is based on the use of as revised United States Army

Technical Manuals (TM) per the requirements in FAA Order 8110.56B. This document references

those TMs as well as the sub-manuals which are listed in the Section 2.

Content

This AIP presented herein is in the English language and contains the appropriate

Sections per the requirements of Advisory Circular 91-90.

Scope

This document provides the information related to the Friends of Army Aviation – Ozark (FAA-

O), UH-1H helicopter, N467WW, SN: 70-16467 and N75140, S/N 71-20123. This AIP is not

relevant to any other UH-1H Helicopter.

Purpose

The purpose of this AIP is to develop and submit a specific inspection and maintenance program

using as revised U.S. Army Technical Manuals for the Friends of Army Aviation – Ozark

UH-1H/V helicopter. It also provides Instructions for Continued Airworthiness (ICA) for areas of

the helicopter that have been modified.

These instructions do not supersede or exclude any other limitations or inspection requirements

that have been recommended by Bell Helicopter or a governmental regulatory agency.

Arrangement

The arrangement of this document is congruent with the requirements of Title 14 CFR, §

21.25(a)(2) and FAA Order 8110.56B, July 19, 2017.

Applicability

The information contained herein is applicable to FAA-O UH-1H/V helicopter, Serial No:

70-16467 and 71-20123.

Corrections to the Original Document

Changes or corrections made to the original document, after FAA acceptance of the

documentation, will be submitted for FAA review and approval prior to the additions, deletions,

or corrections being implemented. The AIP will be used as revised. Any Corrections to the AIP

shall be sent via certified mail through the U.S. Postal Service to the FAA Flight Standards

District Office (FSDO) and/or email.

Indicating changes to Document

The Record of Revisions will be changed to reflect— o Additions or deletions,

o Updated Revision Level, and

o Updated Revision Date

o Each section or paragraph(s) affected by the revision, and

o A description of each revision made to the section or its paragraph(s).


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The List of Effective Pages will be changed to reflect revisions by—

o Additions or deletions, starting and ending page numbers in the appropriate column,

o Updating the Revision Level column, and

o Updating the Revision Date column.

1.10

1.11

Bridging Documents

This aircraft is not being bridged from another inspection program.

Supporting Documents and Manuals

The following manuals and documents are to be used in the support of N467WW and N75140,

AIP. Failure to follow the guidance within the manuals and documents could invalidate the

airworthiness of the aircraft.

a. Aircraft Specific (assigned “N” number registration) to the AIP, Operating Limitations,

b. FAA-O General Maintenance Manual Dated December 21, 2017.

c. 14 CFR, Aeronautics and Space, Chapter 1, Sub-Chapters, A,B,C,D,E,G.

d. 49 CFR, Transportation, Subtitle B – Other Regulations Pertaining to Transpiration, Title: 830 and 1544.

e. Advisory Circulars, AC43.13-1B and AC43.13-2B, Acceptable Methods, Techniques, and Practices – Aircraft Inspection and Repair.

f. Bell Helicopter Manual, Bell Model 205A-1, Part number: BHT-205A1-MM-1, Maintenance Manual, Vol 1, General Information, Dated 5 July 2019, Rev 9.

g. Living History Flight Experience (LHFE), Exemption No: 17611A

h. Operating Limitations for N467WW and N75140, Bell, UH-1H, 70-16467 and UH-1H,

71-20123 Reference only.

i. RMCI XRDS Vibration Health Monitoring (VHM) ICA RMCI-000111, Revision 0, dated 11/04/2019.

1.12 AIP Annual Review

An annual review of the AIP will be conducted utilizing the most current published publications.

This review will evaluate the adopted changes to this document under CFR 14 and 49 which may

affect a change to the AIP and Exemption document number: 17611A, Dated: 09/06/2019,

expires: 10/31/2021.

Upon completion of the review, a notification will be sent to the Alabama/Northwest Florida

Flight Standards District Office, by email or letter stating that the review had been completed

along with any changes to update the FAA copy of the AIP. A copy of the letter will be posted in

the rear of the FAA-O AIP showing compliance with the annual review.


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Section 2:

TECHNICAL MANUALS


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2.0 Technical Manuals

Technical Manuals listed in this section are used to maintain this aircraft.

2.1 UH-1H/V Airframe Technical Manuals

TM 55-1520-210-23-1: Aviation Unit and Intermediate Maintenance Instructions Army Model UH-1H/V/EH-

1H/X Helicopter


1H/X Helicopters


1H/X Helicopters

2.2 UH-1H/V Airframe Parts Manuals

TM 55-1520-210-23P-1: Aviation Unit and Intermediate Maintenance Repair Parts and Special Tools List

(including Depot Maintenance Repair Parts and Special Tools) for Helicopter, Utility - Tactical Transport UH-

1B, UH-1C, UH-1H, UH-1M, EH-1H (BELL), UH-1V







2.3 UH-1H/V Scheduled and Preventive Maintenance Manuals

TM 55-1520-210-PMD: UH--1H/V and EH--1H/X Aircraft Preventive Maintenance Daily Inspection, (PMD)

TM 55-1520-210-PM: UH-1H/V and EH-1H Aircraft Phased Maintenance Inspection Checklist (PM)

2.4 UH-1H/V System Specific Technical Manuals

TM 11-1520-210-23: Unit And intermediate Maintenance Manual Electronic Equipment Configurations, UH-

1D, UH-1H and UH-1V

TM 11-1520-210-20P: Direct Support and General Support Maintenance Repair Parts and Special Tools List

(Including Depot Maintenance Repair Parts and Special Tools) for UH-1D, UH-1H and UH-1V

TM 11-1520-210-20P-1: Organizational Maintenance Repair Parts and Special Tools List

(Including Depot Maintenance Repair Parts and Special Tools) for Electronics Equipment Configuration Army

Models UH-1H AND UH-1V with SLAE

TM 11-1520-210-20P-2: Aviation Unit Maintenance Repair Parts and Special Tools List for Electronic

Equipment Configuration Army Models UH-1 Modification (H/V/SLAE) for Installation of AN/ASN-43,

AN/ARC-164(V), AN/ARN-89, AN/ARN-123, AN/APX-100(V), AN/ASN-128, AN/ARC-186, AN/ARC-199,

AN/ARC-201, lCS/Audio Discriminator (P/N DSK-9-05079) and TSEC/KY-58


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TM 11-1520-210-34P: Direct Support and General Support Maintenance Repair Parts and Special Tools List

(Including Depot Maintenance Repair Parts and Special Tools) for Electronic Equipment Configuration Army

Models UH-1D, UH-1H, UH-1V and EH-1X (Aircraft) Helicopter

TM 11-1520-210-34P1: Direct Support and General Support Maintenance Repair Parts and Special Tools List

(Including Depot Maintenance Repair Parts and Special Tools) for Electronic Equipment Configuration Army

Models UH-1H, UH-1V with SLAE

2.5 UH-1 Series NDI Inspections

TM 1-1520-256-23: Aviation Unit Maintenance (AVUM) and Aviation Intermediate Maintenance (AVIM)

Manual Nondestructive Inspection Procedures for UH-1 Helicopter Series

2.6 UH-1H (T53-L-13B) Turbine Engine

Honeywell Maintenance Manual Gas Turbine Engine 350.2.

Honeywell illustrated Parts Catalog (IPB) 350.4.

2.7 UH-1H/V Pilot Operations Manual and Checklists

FAA-O TM 55-1520-210-10, Change 21, Dated 02/15/1988: Operators Manual Army Model UH-1H/V

Helicopters (Chapter 3 revised to accommodate installation and operation of civilian radios.

NOTE

FAA-O TM 55-1520-210-10 will be utilized as the aircraft Pilot Operation Handbook (POH) and must be

carried in the aircraft at all times when the aircraft is operating.

TM 55-1520-210-CL: Rotorcraft Flight Manual Checklist for UH-1H/V

TM 55-1520-242-MTF: Maintenance Test Flight Manual and Checklist for UH-1, EH-1 Helicopter

2.8 Preventive Maintenance TMs

TM 55-1520-210-PMD; TM 55-1520-210-PM

The Daily Inspection Checklist TM 55-1520-221-PMD, prior to each flight day, ground operation and TM 55-

1520-210-PM, Phase Maintenance Periodic Inspection Checklists, contain complete inspection requirements for

Daily, Preventive Maintenance, and Periodic Phase Inspections. They do not have instructions for repair,

adjustment or other means of correcting conditions, nor do they have troubleshooting instructions to find causes

for malfunctioning. Refer to TM 55-1520-210-23, TM 11-1520-210-23 and Honeywell Manual 350.2 Rev. 3 for

specific inspection; accept / reject criteria, or operational checks.

TM-55-1520-210-PMD

Preventive Maintenance Daily (PMD): This manual may contain inspection requirements applicable to specific

equipment not installed on individual helicopters. When this situation is met, those requirements that are not

applicable should be disregarded. TM 55-1520-210-PMI was incorporated into TM 55-1520-210-PMD, by the

U.S. Army.

Scope

This manual contains requirements for performing the PMD inspection on the UH-H/V, EH-1H/X helicopters.

The inspections prescribed by this manual will be performed prior to the first flight and after the last flight of the

mission day by pilots, crew chiefs, or qualified aviation maintenance personnel.

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TM 55-1520-210-PM

Phased Maintenance Inspection Checklist (PM):

Inspection Requirements

This manual contains complete requirements for periodic inspection for UH-1H/V and EH-1H helicopters. It

does not contain instructions for repair, adjustment, or other means of rectifying conditions, nor does it contain

instructions for troubleshooting to find causes for malfunctioning. Specific tolerances, limits, etc., can be found

in the applicable maintenance manuals. Use of the Maintenance Task Matrix, Alphabetic Index, or Table of

Contents in the applicable manuals will aid in finding the required information. The inspection requirements in

this manual establish basic criteria for inspecting for damage, i.e. cracks, corrosion, etc. When an inspection for

cracks is called out, the inspection should be in compliance with procedures in TM 1-1520-256-23

(Nondestructive Inspection Procedures for UH-1 Helicopters Series) unless otherwise noted.

Definition

The UH-1H/V Phased Maintenance Inspection program consists of six (6) separate (with some overlapping

critical inspection areas) and different inspections performed at a 150-hour interval on a 900-hour cycle. Phase

Maintenance Inspection #1 will be due at 150-hour interval. Phase Maintenance Inspection #2 will occur 150-

hours after Phase Maintenance Inspection #1. Each applicable inspection requirement (#1, #2, ALL) are

annotated in the left hand column of this manual next to the required inspection. When unusual local conditions

(utilization, type of mission personnel, periods of inactivity, environmental conditions, etc.) dictate, it is the

responsibility of the Maintenance Officer to increase the scope and/or frequency of maintenance as necessary to

insure safe operation and documented on FAA-O Form 13-1.

2.9 Airframe TMs

TM 55-1520-210-23 (series) Airframe

This Aviation Maintenance Manual is divided into three (3) manuals (23-1, 23-2 and 23-3) each manual is

divided into specific informational sections which include the purpose, function, physical characteristics,

location, access, and theory of operation, servicing, information.

Providing specific maintenance tasks and wiring diagram information for all helicopter systems and major

components. This manual is arranged in the same general sequence as the Maintenance Allocation Chart.

TM 55-1520-210-23P (series) Parts

This Aviation Parts Manuals are divided into three (3) manuals (23P-1, 23P-2 and 23P-3). Each parts manual

describes individual parts or components through a listing of pictorial brake down, numerical parts identification

and the quantity of parts required to perform the repair or service. The parts are identified individually by National

Stock Number (NSN) and manufactories’ part number (PN). The part number for the individual part required will

list the most current as well as part numbers of authorized alternate replacement parts for the repair or service.

2.10 Engine Manuals

Honeywell Maintenance Manual 350.2, Rev 3

This manual provides maintenance instructions for support of T53-L-13B/A and T53-L-13B/B gas turbine

engines, designed and manufactured by Honeywell Aerospace. A logbook is packaged with each engine and is

issued to provide a document for recording maintenance actions, operating time, and cycles, and to provide

immediate summary of operating history.


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Honeywell Illustrated Parts Catalog (IPB) 350.4 is divided into two (2) specific engine repair groups. This IPB

describes individual parts or components through a listing of pictorial brake down, numerical parts identification

and the quantity of parts required to perform the repair or service. The parts are identified individually by

manufactures’ part number (PN). The part number for the individual part required will list the most current as

well as part numbers of authorized alternate replacement parts for the repair or service.

2.11 Avionics and Electronics TMs

TM 11-1520-210-23

The Aircraft Avionics Maintenance Procedures Manual, TM 11-1520-210-23, contains equipment descriptions,

theories of operation, operational / troubleshooting procedures, and maintenance tasks for all the UH-1H, UH-1V

and UH-1D helicopter avionics/ electronics systems. This manual does not contain data regarding EH-1H/X

avionics systems.

TM 11-1520-210-34P/P-1 Parts

This manual lists and authorizes spares and repair parts, special tools, special test, measurement, and diagnostic

equipment, as well as other special support equipment required for performance of direct support, and general

support maintenance of the UH-1D/H/V and EH-1X.

2.12 Bell Standard Practices Manual

BHT-ALL-SPM

This manual contains maintenance information and procedures that are common to all Bell Helicopter models.

Typical information includes standard torque charts and application procedures, corrosion control, painting,

cleaning, nondestructive inspection, bonding, miscellaneous practices, bearing, sleeve and bushing inspection and

replacement, storage, use of solvents, and consumable materials.


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Section 3

AIRWORTHINESS LIMITATIONS


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3.1 Description

Airworthiness Limitations

The Airworthiness Limitations section is FAA approved and specifies inspections and other maintenance

required under Secs. 43.16 and 91.403 of the Federal Aviation Regulations unless an alternative program

has been FAA approved.

I. Inspection program for the FAA-O UH-1H/V based in Ozark, AL (71J- Blackwell Field) established

under the requirements of FAR 91.409(f)(4) and FAR 91.415.

II. Director of Maintenance (DOM), A&P, shall be responsible for all maintenance for the above noted

aircraft.

Director of Quality (DOQ),_A&P / IA, shall be responsible for the quality control program for the

above noted aircraft

III. Maintenance Schedule:

a. Pre-flight Inspection – A preflight inspection will be accomplished in accordance with the Pilots

Operating Handbook (POH) (FAA-O TM 55-1520-210-10) or TM 55-1520-210-CL and it will be

accomplished by a rated pilot who will be part of the flight crew in the intended flight, an FAA-

certified mechanic or Repairmen, under 14 CFR part 65, sub-part D and E, familiar with the

aircraft.

b. All Inspections – The inspections are to be accomplished as indicated by the inspection intervals

as published in TM 55-1520-210-PMD and TM 55-1520-210-PM. That is, the Preventive

Maintenance Daily (PMD) before every flight day, and the Phased Maintenance Checklist (PM)

which is established on a 150 flight hour schedule program. Each inspection will be signed off by

a person certified in accordance with 14 CFR part 65, sub-part D.

c. Airframe Logbook Entries – Recurring inspections will be annotated and continuously updated on

FAA-O Form -18 with a subsequent sign off on FAA-O Form -13-1. “This is to certify that a

______ inspection has been accomplished IAW the aircraft’s Approved Inspection Program under

FAR 91.409 (f)(4) and this aircraft is found to be in a condition safe for operations.” Logbook

entries and current aircraft time from FAA-O Form 13-1 augment the tracking of component hours.

Engine Logbook Entries – Inspections, servicing and maintenance performed on the engine will

have a logbook entry. Component Historical Work Cards will be upon completion of major

maintenance. Engine hours are tracked using current aircraft time from FAA-O Form -13.

Components on Lease or Loan – Under Lease or Loan agreement, entries shall be entered on the

leased component’s Historical Work Card, Component Logbook indicating work performed, and

condition and usage.

Inspection Records – Copies of the inspection records shall be kept in the aircraft historical records.

These records will be maintained in the Quality Assurance office listed under the aircraft

registration number for a period of five (5) years and then transferred to a long term historical file

for storage until the aircraft is disposed of or sold. If aircraft is sold all historical and current records

will accompany the aircraft at time of transfer to the new owner.


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d. Discrepancies – All discrepancies noted and corrective actions taken during any inspection or

flight will be entered on FAA-O Form 13-1 “Aircraft Inspection and Maintenance Record.” All

discrepancies affecting the integrity or airworthiness of the aircraft must be resolved before the

aircraft is returned to service.

e. Away from Station – If the aircraft is to be away from its home base at the time an inspection is

due, a copy of inspection documents, all required forms, records and TM’s will accompany the

aircraft. The detailed inspection will be conducted or supervised by an appropriately certified

mechanic under 14 CFR parts 65.85, 65.87 or 65.95. Any maintenance action will not be performed

unless approved by the DOM.

Standards – All inspections shall be accomplished in accordance with the performance standards

set forth in operating limitations as well as any reference manuals attached.

f. Airworthiness Directives – All Airworthiness Directives will be compiled within the time frames

specified by the AD. All work related to AD compliance must be noted in the aircraft’s logs and

records. At time of submission of this AIP, all AD’s were complied with.

g. Functional Check Flight Requirements (FCF), Maintenance Test Flight (MTF) – A FFC or MTF

of the aircraft must occur whenever required by the TM or at the discretion of the Director of

Quality or Director of Maintenance. All FCF/MTF will be performed in accordance with TM 55-

1520-242-MTF and after the following maintenance is performed:

a) Any changes have been made which might appreciably change the flight characteristics of the

aircraft,

b) After the replacement of any major flight control surface,

c) Following an engine or rotor change,

d) Following a major modification or overhaul of any of the aircraft’s engines.

e) At the completion Phase Maintenance Inspection (PM),

f) After avionics/electrical modifications,

g) Any modification.

h. Changes – No changes will be made to this Inspection Program without FAA approval. It will be

the responsibility of the Director of Quality Assurance (DQA) to send the changes, along with the

manual, to the FAA for revision approval. When approved and returned, all copies of the

Inspection Program will be amended and the date of the amendment will be entered on the

appropriate page and initialed by the DQA. The inspections will be filled out as required by the

program.

i. Airworthiness Return to Service- ONLY current certified personnel (IA or A&P) who are members

of Friends of Army Aviation – Ozark, or for maintenance, support or repair may return an aircraft

owned or operated by FAA-O to an airworthiness condition.


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NOTE

Any US Military manual referring to Commander, Technical Inspector, Test Pilot, Production Officer or any

authorized person on red X orders, in the Army Technical Manuals (TMs) is void. “ONLY personnel certified

under 14 CFR part 65.85, 65.87 or 65.95 are authorized to return an aircraft to service.

j. Emergency Equipment –

Refer to TM 55-1520-210-23, Chapter 17

1. First Aid Kits – Two general purpose type kits are provided in the cabin area. Kits are secured

to the right and left top center door post. The kits have been designed so they can be easily

removed. Each kit is inspected annually.

2. The fire extinguisher is a portable hand operated type. The fire extinguisher is located on the

floor to the right of the pilot’s seat. The fire extinguisher is inspected annually.

3. Emergency Locator Transmitter (ELT) - The installed unit is an electronic solid-state based

unit, battery powered and self-contained. A remote cockpit mounted activation control panel

is available for the pilot to test the unit and activate the unit.

The ELT is designed only for emergency use ONLY. This unit is designed to be used in two

modes of operation,

a. Automatic Fixed – ELT

The ELT is designed to be permanently attached to the aircraft before and after a crash

and is designed to aid the SAR teams in locating the aircraft position.

b. Automatic Portable –ELT

The ELT is designed to be permanently attached to the aircraft before the crash, but

readily removable from the aircraft after a crash.

The aircraft mounted antenna may be disconnected and a portable antenna attached for

portable use in a raft or site evacuation.

k. Flights Over Water –

Flights that take place over water will be conducted within gliding distance to land.

3.2 Maintenance Intervals

Requirements for special inspections, overhaul and retirement schedule, and inspections that shall be

accomplished at specified periods are outlined in TM 55-1520-210-23-1 or applicable Instructions for

Continued Airworthiness.

a. Special Inspection requirements

Special Inspections required for this aircraft may be found in TM 55-1520-210-23-1 under Aircraft

Inspection Check sheet, Special Inspections, pages 1-68.2 through 1-109. In this area you will find the

following special inspections:

- After Hard Landing

- Sudden Stoppage (Power On or Power Off)

- Sudden Stoppage – Main Rotor Blade Strike


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- Sudden Stoppage – Tail Rotor Blade Strike

- Sudden Stoppage – Internal Failure of Drive Train

- Sudden Stoppage – Compressor Stall

- Mast Bumping

- After Wire Strike

- After Main Rotor Overspeed

- After Overtorque

- Lighting Strike Inspection

- After Aircraft is flown into area of blowing sand and/or loose grass environment

- After Engine Over – Temperature

- After Engine Over – Speed

- Engine Post - Installation inspection

- Initial Installation of New or Overhauled Engine

- After Emergency Fuel has been Used

b. Inspections based on aircraft time

Before first flight of the

day

Preventive Maintenance Daily (PMD), in accordance

with TM 55-1520-210-PMD

25-Hour Inspection

42* and 90* Gearbox oil samples, Lubrication of Tail

Rotor Assy, ASB 205-17-114 check of Main Rotor

Blades, Carbon Voltage check

50-Hour Inspection

Preventive Maintenance Daily (PMD), in accordance

with TM 55-1520-210-PMD, Insp of Lift Link, Clean

and Insp Tail Rotor Blades, Oil Sample hydraulic

system, 42 degree gearbox and 90 degree gearbox,

Lubrication of Tail and Main rotor systems, Insp of

Main Transmission ODDS Debris monitor and Engine

ODDS Chip Detector

150-Hour Inspection

Compliance with phase number in accordance with

sequenced Phase Maintenance Checklist TM 55-1520-

210-PM

c. Sample Inspections based on calendar date:

Every 14 days Aircraft Run-up

Annual Aircraft Weight and Balance Review/Update

Every 6 months Inspect and test ground connector receptacle

Every 12 months ELT functional check

Every 24 months Pitot Static functional Check

d. The FAA-O Form -18 contains the following inspections and intervals

a. Inspections are tracked on FAA-O Form -18 (TM 55-1520-210-23-1, Aircraft

Inspection Check sheet).


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b. Inspection requirements may be revised by the DOQ as required through maintenance

inspections, Airworthiness Directives (AD), Manufacturers Service Bulletins (SB) or as needed

to maintain airworthiness of the aircraft. (ie. Aircraft wash requirements due operations in a salt

water environment).

INSPECTION INTERVAL

Operation in rain, ice or heavy snow,

- Purge lubricate tail rotor hub and blade grip bearings After flight

Aircraft battery check As required IAW

manufactures guidelines

Aircraft subjected to salt water, salt water spray or within 25

NM from salt water environmental conditions

As required at the end of

the flight day operations

Aircraft Weighing As Required

Aircraft Weight and Balance Review/Update 100hr

Aircraft Weighing Inventory (Review) As Required

Aircraft Wash As Required

Aircraft Run-up 14 Days

Main Rotor Blade cleaning 14 Days or 25 hours

Tail Rotor Blades cleaning 14 Days or 25 hours

Voltage regulator operational voltage check (Solid State) 50 hours

Voltage regulator operational voltage check (Carbon Pile) 25 hours

Inspect and test ground connector receptacle 6 months

Fire Extinguisher Weight Test and Inspection Annually

Bleed Air Heater/Muff overheat switch Annually

Heater/Muff Heater System Annually

OAT/FAT Gage Annually

Hanger Bearing Inspection Annually

ELT functional check Annually

ELT battery replacement 60 Months

Inspect Droop Compensator Jackshaft Assy Annually

Fire Warning Sensor operational Test Annually

First Aid Kits Annually

Pitot Static drain moisture check Annually

Magnetic Compass Swing / RMI 24 Months

Altimeter / Mode C check 24 months


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Transponder functional check 24 months

Aircraft oil samples,

- 42 degree gearbox 25 Hours

- 90 degree gearbox 25 Hours

Visual inspection of lift link and attaching points 50 hours

Main Rotor lubrication 50 hours

Engine Compressor Cleaning Annually or as required

Lubrication of Tail Rotor Drive Shaft Couplings 600 hours

Inspect Tail Rotor Splines for wear, nicks and overheating 600 hours

Inspect Tail Rotor flexible couplings seal for proper

installation, cuts and tears 600 hours

Inspect Tail Rotor driveshaft hanger bearings support fittings

for scratches, corrosion, hole elongation, or wear 600 hours

Inspect Main Rotor Blade for secure ballast weight 600 hours

Engine Oil Change 900 hours or engine

change

Transmission Oil Change 900 hours or

transmission change

Engine Hot End Inspection (1-000-060-22) 1200 hours

Elevator Horn 4200 hours

e. ICA Maintenance Intervals

Equipment Maintenance Interval

RMCI XRDS Vibration Health Monitoring

(VHM) 12 months (Inspect condition and security of

mounting and electrical connectors)

Appareo Systems Stratus ES/ESG ADS-B Out

12 months (Inspect wiring and connectors for

security, inspect connector contacts and

attachment hardware for corrosion, inspect

transponder for damage)

ACK Technologies Inc. Model E-04 ELT

3 months (Perform ELT self test function)

12 months (Inspect ELT transmitter and

mounting tray for security, Inspect cables to the

antenna for cracks and corrosion)

PS Engineering Inc. PMA700H Audio Selector

Panel with Marker Beacon Inspect on condition


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3.3 Clarification of Inspection and Overhaul Tolerances

WARNING

DO NOT APPLY THESE TOLERANCES TO PARTS WITH A LIMITED AIRWORTHINESS LIFE

The U.S. Army approved tolerances for inspection, special inspections, interim inspections and overhaul

intervals, unless otherwise stated, is 10% or up to a maximum of 10 hours operating time / 30 days

calendar time, whichever is less is outlined in TM 1-1500-328-23, paragraph 2-4. The tolerances are

established for maintenance conveniences only.

Scheduled inspections, special inspections, interim inspections, or overhaul intervals required beyond

the stated tolerances are not authorized. If flight is required upon reaching an inspection limit, it will be

the reasonability of the Director of Quality or the Director of Maintenance to request a Ferry Permit

from the FSDO to return the aircraft to a maintenance facility. If approved by the FSDO, the aircraft will

be flown with only the flight crew onboard to the maintenance facility.

Refer to the Lycoming T53 Series Maintenance and Overhaul Manual for inspection and overhaul

tolerances

Airworthiness Directives are excluded from interval windows unless there has been an approval of

Alternative Method of Compliance issued under §39.17.

3.4 Maintenance Interval Tracking

A list of inspections, services, checks and replacements will be listed on FAA-O Form -18. This form

will be utilized to track inspections and ensure inspections do not exceed the prescribed interval.

Freq Legend

H= Acft Hr. D= Days M= Months Y= Years C= Cycles S= Starts R= Rounds Page: 1

1. 2 3

Nomenclature : Helicopter Utility Model: UH-1H Serial Number: 71-20123 4 5 6 7 8 9

Insp No Item to be Inspected Reference Frequency Next Due Completed At

A-2 Preventive Maintenance Daily TM55-1520-210-23 7 D

A-3 14 Day Engine Run-up TM55-1520-210-23 14 D

A-5 42 Degree Gear Box Oil Sample TB 43-0106 25.0 H

A-6 90 Degree Gear Box Oil Sample TB 43-0106 25.0 H

FAA-O Form -18 Equipment Inspection List

3.5 Airframe Components: Overhaul (TBO) / Retirement

Overhaul intervals and the retirement schedule of aircraft components are listed in

TM 55-1520-210-23-1.

PART NO. COMPONENT Authority OVERHAUL/ RETIREMENT

AMM9122-44-101 Mast Bearing BH/USA R 1,500

MS21250H06006 Bolt BH/USA R 5,000

PAM9107NPPA2702 Bearing Hanger BH/USA R 600

2601139 Strap Assy Main Rotor USA R 2400


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2601399 Retention Strap BH/USA R 2,400

2606650 Retention Strap BH/USA R 2,400

204-010-720-3 Slider, Tail Rotor BH/USA R 3,000

204-011-102-17 Main Rotor Yoke USA R 7,200

204-011-101-3/-5/-9Main Rotor

Hub Assembly TCDS/BH O 1,100

204-011-101-11Main Rotor Hub

Assembly TCDS/BH O 1,200

204-012-101-

139/141

Main Rotor Hub

Assembly

TCDS/BH

USA O 1,200

204-011-121-117 Main Rotor Grip BH R 9,000

204-011-142-3 Clevis BH/USA R 3,600

204-011-179-1 Clevis BH/USA R 3,600

204-011-207-105 Plate Assembly BH/USA R 5,000

204-011-208-101Support Assy

Transmission BH/USA R 5,000

204-011-250-5/13Main Rotor Blade

Assembly

TCDS/BH

USA R 2,500

204-011-307-11Center frame

Assembly BH R 15,000

201-011-328-1 Stabilizer Bar Tube TCDS/BH R 5 Years

204-011-400-1/-3/-5/

-7/-9

Swashplate & Support

Assembly TCDS/BH O 1,100

204-011-400-11Swashplate & Support

Assembly

TCDS/BH

USA O 1,200

204-011-403-001 Outer Ring TCDS/BH R 9,000

204-011-450-7 Mast Assembly BH/USA R 1,500

204-011-702-11 Blade Assembly BH/USA R 1,100

204-011-702-15 BladeAssembly USA R 1,200

204-011-702-121 Blade Assembly BH R 1,000

204-011-722-5 Yoke Assembly USA R 1,500

204-011-728-1 Grip Assembly BH/USA R 300

204-012-102-1/5 Inboard Strap Fitting BH/USA R 2,400

204-012-102-9Strap Fitting Inboard

Main TCDS/BH R 2,400

204-012-103-1 Outboard Strap Fitting USA R 2,400

204-012-104-1,-3,-5 Strap Pin TCDS/BH

USA R 2,400


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204-012-112-5 Retention Strap USA R 2,400

204-012-122-1/5 Retention Strap USA R 2,400

204-040-003-7/13/-

19/-23/-29Gear Box 42*

TCDS/BH

USA O 1,500

204-040-003-37 Gear Box 42* BH O 2,000

204-040-012-1 Gear Box 90* TCDS/BH

USA O 600

204-040-012-7 Gear Box 90* TCDS/BH

USA O 1,200

204-040-012-13 Gear Box 90* TCDS

BH O 2,000

204-040-016-1/3Transmission

Assembly

TCDS/BH

USA O 1,100

204-040-016-5Transmission

Assembly

TCDS/BH

USA O 2,000

204-040-136-7/9 Bearing BH/USA R 1,500

204-040-366-009 Mast Assembly TCDS/BH

USA O 1,500

204-040-366-015Mast Assembly TCDS/USA O 1,500

204-011-401-1/-7/-9Scissors & Sleeve

Assembly

TCDS/BH

USA O 1,100

204-011-401-011Scissors & Sleeve

Assembly TCDS/USA O 1,200

204-011-403-001 Outer Ring TCDS/BH R 9,000

204-011-404-125 Support TCDS/BH R 1,000

204-011-404-1 Support BH/USA R 3,300

204-011-404-5 Support USA R 3,600

204-011-405-013 Scissors and Hub TCDS/BH R 9,000

204-011-405-021 Scissors Hub BH R 9,000

204-011-406-1/-9/-

13/-15Scissors Assembly BH/USA R 3,600

204-011-407-001 Drive Link BH R 9,000

204-011-408-105 Collective Sleeve BH R 9,000

204-011-446-3 Pin TCDS/BH R 1000

204-040-623-5 Bearing Hanger BH/USA R 600

204-310-101-101 Strap Assy Main Rotor USA R 2,400


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205-015-150-101Composite Main

Rotor Blade BH/USA R 10,000

205-011-711-101 Grip Assembly TCDS/BH/USA R 2,500

205-040-263-

003/111

Main Input Quill

Assembly TCDS/BH/USA O 1,500

212-010-400-129Scissors and Sleeve

Assembly

TCDS/BH

USA

On

Condition

212-010-401-021Scissors & Sleeve

Assembly BH OC

On

Condition

212-010-403-5 Collective Lever BH/USA R 4,800

KP-6A,

AN201KP6A

MS20201KP6A

MS27641-6

Bearing, Stab Bar

Mixing Lever

BH

ASB:UH-1H-07-

02

R 12 Mos

KP8A

AN201KP8A

MS20201KP8A

MS27641-8

Scissors Assy Pivot

Bearings

BH

ASB:UH-1H-07-

02

12 Mos

212-010-407-109Scissors Lever

Assembly BH OC

On

Condition

212-040-136-1 Bearing BH/USA R 1,500

PV3-0448 Series Pump Axial, Hyd FAA-O O 2000

2041-011-250-5/113 Main Rotor Blade BH/USA R 2500

3.6 Airworthiness Directives Effectivity

A record of Airworthiness Directives (AD) will be maintained with aircraft records.

AD No. Date Description Date

Complied Recurring Compliance By

2018-02-08 02/01/18 Main Rotor Blade 05/30/2019 R AD Complied with, per AD

inspection guidance

2017-16-01 10/24/17 Ameri-King ELT’s

AK-450 / AK-451 06/16/2019 NA

Visual Inspection, Does not

apply, item not installed

2016-23-09 12/27/16 Main Rotor Blade 05/30/2019 R AD Complied with, per AD

inspection guidance

2014-03-10 03/26/14 Tail Rotor System 06/22/2019 NA AD Complied with, Cables

replaced

2013-13-14 07/24/13 Main Rotor Head 06/16/2019 R AD Complied with, per AD

inspection guidance


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2013-13-06 09/10/13 Main Rotor Head 06/16/2019 NA AD Complied with, per AD

inspection guidance

2012-17-10 09/28/12 Main Rotor Blades 06/22/2019 NA AD Complied with, per AD

inspection guidance

2012-14-12 09/04/12 Tail Rotor Blades 05/21/2019 NA

Records check

PN: 204-011-702-015

installed

2010-14-12 07/23/10 Landing Gear System 05/05/2019 NA

Records and Visual Insp

completed. Landing Gear

system not installed

2006-19-05 10/16/06 Tail Rotor Slider 05/21/2019 NA Complied with Visual insp

of slider, Cage code 24543

2002-20-01 11/06/02 TT Straps 06/16/2019 NA AD Complied with, per AD

inspection guidance

2002-13-51 06/13/02 Tail Rotor Grip 05/21/2019 NA Visual inspection , PN: 205-

011-711-101 installed

2002-01-31 03/08/02 Retirement Index

Number (RIN) 07/07/2019 NA

AD Complied with, per AD

inspection guidance

2000-15-21

Rev 1 11/22/00

Main Rotor Mast

Assy 07/07/2019 NA

Records check

PN: 204-011-450-105 mast

installed

99-25-12 01/11/00 Tailboom Vertical fin

Spar 05/21/2019 NA

Records and Visual

inspection completed.

Global Spar Kit Installed,

PN: VTF-030-846-101, SN:

522G

99-07-15 05/03/99 Tail Rotor Yoke 06/22/2019 NA Records check, SN not in

AD listing

97-01-06 02/13/97 Tail Rotor Slider 05/21/2019 NA Complied with instruction

outlined in AD inspection

96-12-26 09/23/96 Clean and Inspect

Tail Rotor 05/30/2019 NA

Records check, SN not in

AD listing

95-10-08 05/26/95 Tail Rotor Control

System 06/16/2019 NA


inspection guidance

94-22-09 11/22/94 Tail Rotor Drive

Shaft 05/21/2019 NA

Records check, PN not

installed

92-23-01 04/23/93 Main Rotor Pillow

Blocks 06/16/2019 NA


inspection guidance

90-10-01 06/05/90 Tail Rotor Gear Box 05/05/2019 NA Visual Inspection Not

Installed in Aircraft

90-03-10 10/18/91 Tail Rotor Grips 05/05/2019 NA Visual Inspection Not


89-20-12 08/15/90 Tail Rotor Hub Assy 05/05/2019 NA Visual Inspection Not



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3.7 Turbine Engine (T53-L-13B) (PN: 1-000-060-22): Airworthiness Directives

Effectivity

Maintain with aircraft and Engine records.

Refer to Engine Log Book, Section 5, AD and SB Compliance, page 9

3.7.1 Turbine Engine (T53-L-13B) (PN: 1-000-060-22): Service Bulletins / Airworthiness

Directives

US Army requirements for continued airworthiness of this engine are no longer valid. Under the contract

with Ozark Aeroworks, Inc., all Airworthiness Directives and Service Bulletins are to be complied with

by the leasor.

3.8 References

Table 3-1, Corrosion prevention and control references:

Advisory Circular 43-4B Corrosion Control for Aircraft

Advisory Circular 43.13-1B Aircraft Inspection, Repair & Alterations, Chapter 6,

Corrosion, Inspection & Protection

FAA-H- 8083-30 Aviation Maintenance Technician Handbook - General Aircraft

Cleaning & Corrosion Control Chapter 6

FAA - H-8083-31 Aviation Maintenance Technician Handbook – Airframe,

Volumes 1 & 2

FAA-H-8083-32 Aviation Maintenance Technician Handbook – Powerplant,

Volumes 1 & 2

14 CFR, Part 43 Maintenance, Preventive Maintenance, Rebuilding, and

Alteration

BHT-ALL-SPM Bell Standard Practices Manual – Chapter 3: Corrosion

Control & Protective Coverings/Coatings

3.9 INSTRUCTIONS for CONTINUED AIRWORTHINESS (ICA),

INSTRUMENTS and EQUIPMENT REQUIREMENT

- 14 CFR 91.205 (Latest Revision) - Powered civil aircraft with Standard Category

U.S. airworthiness certificates: Instrument and equipment requirements

- 14 CFR 91.207 (Latest Revision) - Emergency Locator Transmitter (ELT)

- ACK Technologies Inc. Model E-04 ELT ICA E04M Dated 12/02/2015

Revision 1.8

- 14 CFR 91.215 (Latest Revision) – ATC transponder and altitude reporting

equipment and use

- 14 CFR 91.225 (Latest Revision) – Automatic Dependent Surveillance –

Broadcast (ADS-B) Out equipment and use.

- Army Regulation 95-1, Dated: 22 March 2018, Chapter 5, Para 5-2, Table 5-2

Required Equipment, Used for reference information ONLY

- Friends of Army Aviation – Pilot’s Qualification and Training Manual, Dated 17

December 2019


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- FAA-O TM 55-1520-210-10, Dated 02/15/1988, Change 21 - Pilots Operating

Handbook (POH), Titled: Operators Manual Army Model UH-1H/V Helicopters

- LHFEE - Exemption No: 17611A, Dated: 09/06/2019

- 14 CFR 91.415 (Latest Revision) – Changes to the aircraft inspection program.

- 14 CFR 91-213 (Latest Revision) – Inoperative Instruments and Equipment

- The Federal Register, Dated: 07/21/2015 – Policy regarding Living History

Flight Experience Exemption for Passenger Carrying Operations Conducted for

Compensation and Hire in Other Than Standard Category Aircraft.

- RMCI XRDS Vibration Health Monitoring (VHM) ICA RMCI-000111 Revision

0, dated 11/04/2019

- PS Engineering, Inc. PMA700H Audio Selector Panel with Marker Beacon

Receiver High-fidelity Stereo Intercom ICA 200-780-0429 Revision 5, dated

February 2015

- Appareo Systems Stratus ES/ESG ADS-B Out ICA 600845-000025 Rev. 2.2,

dated 02/20/2018

3.10 Minimum Equipment List

a. The following items are required to be installed and operational for the specific mode of flight

listed in the table below.

ITEM VFR (Day) VFR (Night)

Heading Indicator X X

Attitude Indicator X

Airspeed Indicator X X

Altimeter X X

Vertical Speed Indicator X

Magnetic Compass X X

Fuel Quantity Indicator System X X

Free Air Temperature Gauge X X

Communications Equipment X X

Automatic Dependent Surveillance –

Broadcast (ADS-B) Out X X

Approved aviation red or aviation white

anti-collision light system X X

Approved position lights X

Electrical landing light X

b. Inoperative instruments and equipment will be deactivated and placarded “inoperative” with an entry

in the logbook. Any maintenance will be recorded IAW §43.9.

3.11 Changes to the Minimum Equipment List

Friends of Army Aviation-Ozark will notify the managing FAA office in the event of changes

made to the Minimum Equipment List as outlined in paragraph 1.8


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3.12 Major Repairs

a. Replaced upper center roof walkway due to corrosion and delamination on N467WW.

b. Repaired upper left hand walkway approximately 10” x 20” by honeycomb insertion on N467WW.

3.13 Major Alterations

None


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Section 4

FORMS


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FAA-O Form -13

Aircraft Inspection and Maintenance Record Form

The FAA-O Form -13 is provides a record of aircraft condition status and other aircraft maintenance

information.

Listed below are brief descriptions explaining the entries entered onto the form FAA-O Form -13. The

bold text corresponds with the item to be filled in.

Date: Enter the date for the first flight of the day.

Model: Enter the aircraft model number.

Registration No: Enter the N-Number of the aircraft.

Crew Chief: Enter the name of the assigned Crew Chief

Station: Enter the home station of the aircraft.

Page# of Pages: Self explanatory

Current Status Today

Aircraft (Blocks 1 through 10): Enter the current status symbol of the aircraft in the next available

block (1 through 10). If the status of the aircraft changes to a higher status (X being highest, / being

lowest), enter it in the next block.

Current Aircraft Time:

Time To Date: Enter the current aircraft hours.

Time Today: Enter the amount of flight time for the day.

Total Time: Sum of Time To Date plus Time Today.

Landings

Total Previous: Enter number of total landings from the last flight’s FAA-O Form -13.

Today: Enter the amount of landings of the flight day.

Total: Sum of Total Previous plus Today

HIT Check:

N1: Enter the N1 from the cockpit instruments during this check.

EGT Temp: Enter the temperature of exhaust gas from cockpit instruments.

Fuel (GAL/LBS):

Grade: Enter the type of fuel used to service the aircraft.

Added: Enter the total quantity of fuel added to the tanks.

Total In Tanks: Enter the total quantity of fuel in the tanks after servicing.

Oil (Qts)

Grade: Enter the type of oil used to service the engine.

Eng Oil Added: Enter the amount of quarts of oil used to service the engine.

Serviced

Serviced By: The person servicing the aircraft will enter their certificate number, type and signature.

Location: Enter the location of where the servicing of the aircraft took place.

Serviced No (1 through Total): Each line is used for servicing information. If the aircraft is serviced

multiple times, use the next line in the sequence.


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DATE MODEL REGISTRATION NO CREW CHIEF STATION PAGE # OF PAGES

_______ OF _______

CURRENT STATUS TODAY CURRENT AIRCRAFT TIME LANDINGS HIT CHECK

AIRCRAFT TIME TO DATE TOTAL PREVIOUS

N1 EGT TEMP

1 6

2 7 TIME TODAY TODAY

3 8

4 9 TOTAL TIME TOTAL

5 10

FUEL (GAL / LBS) OIL (QTS) SERVICED

SERVICED NO GRADE ADDED

TOTAL

IN

TANKS

GRADE

ENG

OIL

ADDED

SERVICED BY

(CERTIFICATE TYPE,

NUMBER, SIGNATURE)

LOCATION

1

2

3

4

5

6

7

8

9

10

TOTAL

FAA-O FORM -13, DATED 16 OCT 2020 AIRCRAFT STATUS


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FAA-O Form 13-1


The FAA-O Form 13-1 is used by the aircraft Crew Chief, Pilot, Mechanic, Maintenance and Quality Control

personnel during flight and maintenance operations to record aircraft inspections, faults and deficiencies;

remarks related to flight and condition of aircraft; removal and replacement of repair parts, components, or

assemblies that affect the safety of flight of the aircraft.

Listed below are brief descriptions explaining the entries entered onto FAA-O Form 13-1. The bold text

corresponds with the item to be filled in.

Aircraft “N” Number/Serial Number: Self explanatory.

Model: Type of aircraft (Ex: UH-1H).

Date: Self explanatory.

Page: Self explanatory.

Part I – Fault Information

Status: Use appropriate status symbol

X - Red X: Shows that a deficiency exists and the aircraft is unsafe for flight. Items that are

considered Red X conditions are inoperable items listed in §91.213 or any items in §91.205

that are deemed inoperable and unsafe for VFR flight.

- Red Dash: Shows that an inspection, service, calibration, Maintenance Operational

Checks (MOC’s) or Functional Check Flight is due.

/ - Red Diagonal: Indicates an unsatisfactory condition exists on the aircraft that is not urgent

or dangerous enough to ground the aircraft (i.e., cosmetic blemishes, seat tears, etc). Items

with a Red Diagonal status can also be used for information faults that are within prescribed

limits of the Technical Manuals listed in Section 2 of this manual.


Acft Hrs: Total time of aircraft when fault was discovered.

Faults/Remarks: Deficiencies/Inspections due are entered here. Inspections due on FAA-O

Form -18 will be transferred here.

Update: This block is used when an inspection has to be updated on the FAA-O Form-18.

Signature: Self explanatory.

Part II – Correcting Information


Acft Hrs: Total time of aircraft when fault was corrected.

Corrective Action: When a fault, deficiency, condition, or incorrect entry is corrected, and

components and modules or other repair parts are removed and reinstalled or replaced, the person

making the corrective action shall enter the action taken in the Correcting Information Block.

Certificate Type, Number, Signature: Corrective action will be signed off by the individual

using their signature, certificate number, and type of certificate.


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+. AIRCRAFT “N” NUMBER/ SERIAL NUMBER MODEL DATE PAGE

PART I - FAULT INFORMATION PART II - CORRECTING INFORMATION

STATUS DATE ACFT HRS DATE ACFT HRS

FAULTS/REMARKS CORRECTIVE ACTION

UPDATE SIGNATURE CERTIFICATE TYPE, NUMBER, SIGNATURE







FAA-O FORM-13-1, 16 OCT 2020 AIRCRAFT INSPECTION AND MAINTENANCE RECORD FORM


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FAA-O Form 13-2


The FAA-O Form 13-2 is a supplemental form of FAA-O Form 13-1. It records maintenance work that is

related to faults, deficiencies and inspections entered on FAA-O Form 13-1. Only one major fault from

FAA-O Form 13-1 shall be entered on each FAA-O Form 13-2.

Listed below are brief descriptions explaining the entries entered onto the form FAA-O Form 13-2. The

bold text corresponds with the item to be filled in.

Date: Enter the fault date from FAA-O Form 13-1.

Page____Of____: Self explanatory.

Status: Enter status assigned to entry on FAA-O Form 13-1.

Serial Number: Self explanatory.

Aircraft Hours: Enter current aircraft hours.

Fault Date: Enter date of entry from FAA-O Form 13-1.

Fault: Enter the fault exactly as it is from FAA-O Form 13-1.

Status: Enter the proper condition status symbol according to seriousness of each related

maintenance action.

Related Maintenance Actions: Enter a short description of the related maintenance action to be

done to clear the fault listed in the fault block. Enter one related maintenance action at a time in

the space provided.

Action: Enter the corrective maintenance action taken.

Certificate Type, Number, Signature: Certificate type, certificate number, and signature of the

individual signing off the work.


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FAA-O Form -16

Aircraft Component Log Cards

The FAA-O Form -16 provides a permanent record of historical data and events for components that are

removed and replaced at specific operating hours. This form shall stay with the aircraft, throughout its service

life.

Listed below are brief descriptions explaining the entries entered onto the form FAA-O Form -16. The bold

text corresponds with the item to be filled in.

Aircraft Serial Number: Enter the aircraft serial number

Subcomponent Name

Part Number

Name: Enter the name of the subcomponent

No: Enter the part number of the subcomponent

Serial Number: Enter the serial number of the subcomponent

Accumulated Time At Installation

Component

Hours: Enter the aircraft hours at the time of installation

Date: Enter the date at the time of installation

Subcomponent

Since New

Hours: Enter the time accumulated on the component since new

RIN: Not tracked

Since O/H

Hours: Enter the time accumulated on the component since being overhauled (if

applicable)

RIN: Not tracked

Scheduled Removal

Insp Hrs: If component requires an inspection, enter the hours the inspection is due

O/H Hrs: If component requires an overhaul, enter the hours the overhaul is due

Retir Hrs/Years: If component has a retirement life, enter the hours the overhaul is due

Retir RIN/Date: Not tracked

Accumulated Time At Removal

Component

Hours: Upon removal from the aircraft, enter the time accumulated on the component

Date: Enter the date the component was removed from the aircraft

Subcomponent

Since New

Hours: Enter the time accumulated on the component since new

RIN: Not tracked


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Since O/H

Hours: Enter the time accumulated on the component since

RIN: Not tracked


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FAA-O Form -16-1

Aircraft Component Log Cards

The FAA-O Form -16-1 provides a permanent record of historical data and events for components listed on

FAA-O Form -16. This form shall stay with the component throughout its service life.

Listed below are brief descriptions explaining the entries entered onto the form FAA-O Form -16-1. The bold


Nomenclature: Enter the nomenclature of the component as written on FAA-O Form -16

Part Number: Enter the part number of the component as written on FAA-O Form -16

Serial Number: Enter the serial number of the component as written on FAA-O Form -16

Installation Data

Date: Enter the date that the component was installed

Installed on A/C No: Enter the aircraft information that the component was installed to

By (Activity): Enter the information of the entity or individual that installed the component

Installed At:

A/C Hours: Enter the operating time of the aircraft at the time of installation

Component Hours/RIN

Since New

Hours: Enter the hours of time since new

RIN: Not tracked

Since O/H

Hours: Enter the hours of time since overhauled

RIN: Not tracked

Scheduled Removal

Insp. Hrs: Enter the hours (if applicable) that the component is scheduled for

removal

O/H Hrs: Enter the hours (if applicable) that the component is scheduled for overhaul

Retir. Hrs/Yrs: Enter the hours (if applicable) that the component is scheduled for

retirement

Retir. RIN/Date: Not tracked

Removal Data

Date: Enter the date that the component was removed from the aircraft

Removed At

A/C Hours: Enter the aircraft hours at the time the component was removed

Component Hours/RIN

Since New

Hrs: Enter the time since new on the component at the time of removal

RIN: Not tracked

Since O/H


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Hrs: Enter the time since overhaul on the component at the time of removal

RIN: Not tracked

Reason for Removal: Enter the reason that the component was removed from the

aircraft

Technical Directives and History of Overhaul

Component Total Time/RIN: Enter the accumulated time of the component at the time of

the event(s) listed in this section.

History of Inspection, Overhaul, Repair….: Enter the TB, SB, AD, Overhaul, etc.

Signature: Signature of person who accomplished the work

Cert No: Certificate/Repair Station Number of person signing in previous block

Date: Enter the date the work was accomplished


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FAA-O Form -18

Equipment Inspection List

The FAA-O Form -18 serves as a tracking log of—

(1) A list of inspections, services, checks, and replacements to be accomplished, on aviation equipment, at

intervals not compatible with scheduled preventive maintenance inspection intervals

(2) A list of inspections, services, checks, and replacements that becomes due at two or more of the following

frequencies: calendar time, flying hours, actual operating hours, engine starts, and cycles operated.

(3) A record of components/modules and accessories that are not serialized that are to be inspected or replaced

on a calendar time basis.

(4) Recurring Airworthiness Directives.

Listed below are brief descriptions explaining the entries entered onto the form FAA-O Form -18. The bold


Page____OF____: Self explanatory.

Nomenclature: Enter airframe or component.

Model: Model number of airframe or component.

“N” Number/Serial Number: Self explanatory.

Insp No: Enter the assigned inspection number.

Items To Be Inspected: Enter special inspections and/or replacements for aircraft, components

or accessories.

Reference: Enter the reference that calls for the inspection.

Frequency: Using the frequency legend below, state whether the inspection is required to be

conducted by aircraft hours, calendar days, months or years.

Next Due: Using a pencil, enter the date or aircraft hours that the inspection is next due.

Completed At: Using a pencil, enter the date or aircraft hours that the inspection was completed.

Upon completion of an item, an entry of the completed inspection will be annotated on FAA-O Form 13-1

as stated in paragraph 3.1 (III)(c).


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Page of

NOMENCLATURE MODEL “N” NUMBER/SERIAL NUMBER

INSP No.

.

ITEM TO BE INSPECTED REFERENCE FREQUENCY NEXT DUE COMPLETED AT

FREQUENCY LEGEND:

H = ACFT HRS D = DAYS M = MONTHS Y = YEARS

FAA-O FORM -18, DATED 30 JAN 2020 EQUIPMENT INSPECTION LIST


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Section 5

LEASED EQUIPMENT


Initial Revision

05/14/2021

45

5.1 Leased Equipment

To ensure to continued airworthiness of the major components of N467WW, Friends of Army

Aviation-Ozark entered into lease contracts with the following corporations:

Leasing Company

Ozark Aeroworks, LLC Honeywell

Service Center 452 South Union Ave.

Springfield MO, 65802

417-849-6740

Midwest Aerospace, Ltd. 9465 Joliet St

Saint John, IN 46373

844-533-0945

Celebrate Freedom Foundation 2533B

Airport Blvd.

West Columbia, SC 29170 (803) 822-8812

Component

N467WW N75140

Honeywell T53-L-13B Honeywell T53-L-13B Engine, Gas Turbine Engine, Gas TurbinePN: 1-000-060-22 PN: 1-000-060-22Serial No: LE-17125 Serial No: LE15489

Blades, Tail Rotor Blades, Tail Rotor PN: 204-011-702-15 PN: 204-011-702-15Serial No: A-FS 17169 Serial No: A-FS 25779Serial No: A- FS 17361 Serial No: A-FS 25753

Blades, Main Rotor PN: 204-011-250-113 Serial No: AFS-10617 Serial No: AFS-12330

Each contract for the lease of the equipment specifies that the equipment must be maintained in

accordance with current manuals and maintained under 14 CFR Part 39, 43, and maintained by

personnel certified under part 65, Subpart D - Mechanics (65.85, 65.87 and 65.91).

Documentation for all work, inspections, services are to be maintained in the Induvial Component

logbooks, and Component Work Cards.