corrective action mechanic inspector

Tank Tiger Repair Station Work Order

Work Order Purchase Order Location Customer: A/C Registration A/C Type

Customer agrees to indemnify and hold harmless Tank Tigers, its officers, employees and agents from and against all liabilities, damages, losses and judgments, by reason of loss or damage to property expressly including customer property described herein, except for such injury, death, loss or damage which may be attributed to negligence. Aircraft or components subject to this work scope are returned to the customer and Tank Tigers sole responsibility shall be the repair or replacement of aircraft components or re-performing any services which have not been performed in an acceptable workmanship manner. Tank Tigers shall under no circumstance be responsible to customer or to any third party for any consequential damages as a result of the work performed hereunder and the stated indemnification shall apply. Tank Tigers assumes no responsibility for loss or damages to aircraft or contents and components placed with Tank Tigers for repair, storage, sale, fire, theft, weather or other caused beyond reasonable control. Payment of this invoice shall be net cash and express mechanics lean is hereby acknowledged on the above aircraft or components to secure the amount of this invoice Customer Acceptance: Name Title Date

TIGER–001 Rev: 1 04/01/19 TIGER-001A Attached TIGER-001B Attached

Page___ of ____

No. Description Corrective Action Mechanic Inspector

1. Preliminary Inspection Required

Component Replacement Description Part Number Off / Serial Number Off Part Number On / Serial Number On IPC Reference / Item Number

Aircraft Final

Cavity Drains Inspected Vents Unplugged Equipment Removed FO Inspection Work Order Audited

Return to Service Statement

FAA Part 145. The aircraft, airframe or appliance, identified above was repaired and inspected in accordance with current regulations of the Federal Aviation Administration and is approved for return to service with respect to the work performed. Pertinent details are on file at Tank Tigers, CRS NS8R594J, 11502 Jones Maltsberger, San Antonio TX 78216

EASA Part 145. Tank Tigers certifies that the work specified was carried out in accordance with EASA Part 145, and respect to that work, the aircraft is considered ready for release to service.Pertinent details are on file at Tank Tigers, CRS NS8R594J and EASA 145.6166, 11502 Jones Maltsberger, San Antonio TX 78216

Signature Stamp or Certificate # Date

11502 Jones Maltsberger, San Antonio TX 78216 Certified Repair Station NS8R594J

Repair Station Work Order Continuation W/O. No: _ _________________________ A/C Reg: __ _____________________ Location:

TIGER–001A Rev. 1 04-01-19 TIGER-001B Attached

Page ___of ___

No. Description Corrective Action MECH INSP

Component Replacement Description Part Number Off / Serial Number Part Number On / Serial Number IPC / Reference / Item Number

Repair Station Multiple Component Change Log CRS NS8R594J 11502 Jones Maltsberger, San Antonio, TX 78216

W/O. No: P.O. # Location

Customer: A/C Reg Type

Component Description

Part Number Off Serial Number Off

Part Number On Serial Number On

IPC Reference Item Number

1

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Page of TIGER-001B Rev 1. 4-1-19

Receiving Record Parts and Supplies

TIGER – 009 Rev 1. 4-1-19

Date

Received

Purchase

Order No.

Customer

Supplied Part

Number

Serial

Number Qty Nomenclature

Received

by

Date Aircraft Type

Location Registration

Customer

Supervisors Turnover Report Maintenance Turnover

Priority Information

Turnover generated by:

Date / Time

Turnover acknowledged: Date / Time

TIGER-017 Rev 1 4-1-19

Page_____ of_______

S

YS

TE

M D

EA

CT

IVA

TE

D

WARNING SYSTEM DEACTIVATED

SYSTEM

DEACTIVATED Tag may only be removed by individual who installed it or by a Tank Tiger Supervisor or Manager Tank Tigers

TAG NUMBER

A/C REGISTRATION

TAG#.

WORK ORDER

TASK CARD NUMBER

WORK ORDER #

SYSTEM DEACTIVATED

TASK CARD #

REASON

SYSTEM

TAG LOCATION

TAG LOCATION

INSTALLED BY DATE

INST. BY / DATE

REMOVED BY DATE

REM. BY / DATE

Tank Tigers TIGER-018 Rev 1. 4-01-19

SY

ST

EM

DE

AC

TIV

AT

ED


SYSTEM


TAG NUMBER

A/C REGISTRATION

TAG#.

WORK ORDER

TASK CARD NUMBER

WORK ORDER #

SYSTEM DEACTIVATED

TASK CARD #

REASON

SYSTEM

TAG LOCATION

TAG LOCATION

INSTALLED BY DATE

INST. BY / DATE

REMOVED BY DATE

REM. BY / DATE


SY

ST

EM

DE

AC

TIV

AT

ED


SYSTEM


TAG NUMBER

A/C REGISTRATION

TAG#.

WORK ORDER

TASK CARD NUMBER

WORK ORDER #

SYSTEM DEACTIVATED

TASK CARD #

REASON

SYSTEM

TAG LOCATION

TAG LOCATION

INSTALLED BY DATE

INST. BY / DATE

REMOVED BY DATE

REM. BY / DATE

Tank Tigers NAAS-018 Rev 1. 12-01-14

SY

ST

EM

DE

AC

TIV

AT

ED


SYSTEM


TAG NUMBER

A/C REGISTRATION

TAG#.

WORK ORDER

TASK CARD NUMBER

WORK ORDER #

SYSTEM DEACTIVATED

TASK CARD #

REASON

SYSTEM

TAG LOCATION

TAG LOCATION

INSTALLED BY DATE

INST. BY / DATE

REMOVED BY DATE

REM. BY / DATE


System Deactivated Control Log

Work Order Number____________________ Aircraft Registration Number_____________________ Date

1

2

3

4

5

6

7

8

9

10

11

12 13 14 15 16 17 18 19 20

21

22 23 24 25 26 27 28 29 30

31

32 33 43 35 36 37 38 39 40

41

42 43 44 45 46 47 48 49 50

51

52 53 54 55 56 57 58 59 60

61

62 63 64 65 66 67 68 69 70

71

72 73 74 75 76 77 78 79 80

81

82 83 84 86 86 87 88 89 90

91

92 93 94 95 96 97 98 99 100

Audited By_____________________ Date_____________________

TIGER – 019 Rev 1 4-1-19

Set-Up and Pre-Entry Check List

Supervisor: Comply with each item and Initial. CW NA

1.

Required equipment and paperwork available. (Work Order, Continuation Sheets, Confined Space Entry Permit, General Purpose Tags, Supervisor Turn Over Report, Receiving Record Parts and Supplies, System Deactivated and Log, Tool Inventory Control sheets).

2.

Is the job worked under Tank Tigers Part 145? Or a Non-Repair Station work order? Call OCC if unsure.

Pre-Entry Requirements

3.

Review customer maintenance manuals for fuel tank entry requirements and check temporary revisions

4.

Verify aircraft fuel tank configuration. (Yes or No). Verify with AMM and Customer FWD Aux Tanks________ AFT Aux Tanks________ Fuel Cell Bladders________

5.

Isolate fuel cell bladders PRIOR to performing Negative Pressure test if applicable.

6. Boost pumps off, circuit breakers pulled/placarded. (If applicable) Nitrogen Generation System breakers pulled/placarded

7. Tank Entrant, Attendant, and Supervisor training current on Confined Space Procedures

8. All requirements listed on confined space entry permit are complied with. Permit updated and signed.

9. Ensure tank(s) completely defueled prior to opening fuel access panels.

10 Confirm all calibrated tooling before use is current; torque wrenches, magnahelics, gas detector.

11 All plugs and caps have "Remove Before Flight" or equivalent streamers

12 Tool Inventory Control check list available for each entrant

13 FedEx - Notify FedEx Lead/AMT that Significant Tank Entry requires deferral for engine fuel filter change

** Notify OCC if any job delays or issues arise **

OCC Contact Number 210-805-0049

All items on this form have been accomplished and are complete.

Supervisor Print Name Signature Date:

Tiger-022 Rev. 2 10-04-21

Aircraft Registration No. Work Order Number

NOTE: Items 4 and 5 cannot be deleted or use of this form cannot be discontinued without approval from the VP of Quality.

Call OCC if you have

Questions.

Tool Inventory Checklist Entrant Name & ID #

TIGER-025 Rev. 1 4-1-19

Entry Initials / Date / Time In

Inspector Final

Verified Attendant In

Exit Initials / Date / Time Out

Verified Attendant Out

Inspection Final. I certify the tank designated, has been cleaned, inspected and remains free of foreign objects. (IAW GMM 6-1-300 ) Inspector (printed name)______________________________________________Certificate#____________________________________

Aircraft Registration

Work Order #

Location

Tank # Panels

Tools / Equipment / Materials Total In Total Out Description Attendant- In Attendant- Out

Eye Protection

Respirator

Gloves (pair) Color

Flashlight/Headlamp Intrinsically safe only

Mirror

Tool Bag / Container

Rags Color

Parts Bag Color

Brush

Scrapers

Air Hose

Air Drill

Drill Bits

Hand Wrenches Sizes

Torque Wrench

Pliers Type

Ratchet ¼ 3/8 ½ (Circle Type Used)

Ratchet Extension ¼ 3/8 ½ (Circle Type Used)

Sockets Sizes

Screw Driver Straight Phillips (Circle Type Used)

Sealant Gun

Sealant Tube / Tips

Venturi

Panel Removal - OK to Install - Final Inspection

TIGER-026 Page of Rev: 1 4-1-19

Customer

Work Order

Aircraft Registration

Aircraft Type

Tank / Panel #

Opened By Inspection Access Panels, Wiring, Plumbing, Components

Ready for OK to Close

OK to Close FOD Inspection

Closed By Closed OK to Close on Customer Card No.

Mechanic Sign/Date

Inspector Stamp/Date

Mechanics Sign/Date


Mechanic Sign/Date


Confined Space Permit Tank Tigers

A/C Registration Location

W/O Number: Date

Description of Confined Space Purpose of Entry

Scheduled AM Estimated AM Start PM Finish PM Date/Time Date/Time

Entrants: Attendants:

ASSESSMENT

Types of Hazards / Potential Hazards

Toxic Atmosphere Engulfment Hazardous Chemicals (List) Oxygen-Deficient Atmosphere Entrapment Oxygen-Enriched Atmosphere Energized Electrical Equip. Flammable Atmosphere Welding/Cutting Other (Specify)

PPE Requirements Safety Glasses Gloves Respirator Type Hearing Protection Cotton Coveralls / Tyvek Air-Line Respirator Type

Items identified above are applicable to the types of hazards and PPE requirements for the confined space entry. Pre-entry checklist is complete. Supervisor Signature

ATMOSPHERE TESTING

INITIAL TEST Date: INITIALS:

Oxygen: % Time of Readings

Lower Explosive Limit: %

Toxic Atmosphere PPM:

Instrument Used: Type: S/N

Permissible Atmospheres

Lower Explosive Level. (LEL) < Less than 10%

Percentage of Oxygen. Range 19.5 -23.5 %

RESCUE

RESCUE INFORMATION

LOCAL RESCUE SERVICE: ( ) Contact Phone Number

IN CASE OF EMERGENCY CALL 911

PERMIT STATUS

PERMIT AUTHORIZATION

CONDITIONS FOR SAFE ENTRY VERIFIED. PERMIT OPENED

SUPERVISOR

PERMIT CANCELLATION

ENTRY COMPLETE, ALL ENTRANTS HAVE EXITED. PERMIT CLOSED

SUPERVISOR

TIGER-032 REV 1. 4/01/19

Confined Space Permit - Continuation W/O Number

Confined Space Atmosphere Re-test

RE-TEST Date: INITIALS:






























PRE-ENTRY CHECKLIST

Verify aircraft AMM for procedures and customer or air carrier procedures that apply.

Barricades / Confined Space Signs in Place

Survey surrounding area to ensure it is free of hazards such as drifting vapors from ground support equipment

Aircraft grounded, fuel storage, sump barrels and/or containers grounded.

Electrical and mechanical hazards/systems tagged and locked out.

Dry chemical fire extinguisher positioned within 50 feet.

Motorized equipment shut down or positioned 50 feet from confined space entrance until a fire safe condition is assured

All personnel protective equipment (PPE) required available

Oxygen levels in range of 19.5 – 23.5%

Lower Explosive Limits (LEL) <10%.

No respiratory protection below 35 ppm. Respiratory protection required 35-700 ppm. Entry prohibited above 800 PPM

Communication: Tap method from entrant to attendant established. Specify if different

Continuous ventilation applied into the confined space

Drop lights, flashlights, and/or electrical equipment are rated in accordance to Class I, Division 1, Group D.

Confined space permit initiated and properly filled out in accordance with the procedure

Personnel performing confined space duties are trained and understand confined space procedures

Static resistant clothing (cotton only) for fuel tank entry. Nylon, wool or synthetic clothing is prohibited

AIRCRAFT POWER-ON AUTHORIZATION

PROCEDURES REQUIRED FOR AUTHORIZING AIRCRAFT POWER ON MAINTENANCE SHALL BE IN ACCORDANCE WITH THE AIR CARRIER OR CUSTOMER GENERAL

MAINTENANCE MANUAL FOR FUEL CELL ENTRY/PERMIT REQUIRED CONFINED SPACE PROGRAM. IF AUTHORIZED, REFERENCE AIRCRAFT MAINTENANCE

MANUAL OR PROCEDURES BELOW. RECLASSIFICATION OF POWER-ON MAINTENANCE HAS BEEN ACCOMPLISHED IN ACCORDANCE WITH:

DATE APPROVED POWER ON PROCEDURE REFERENCE SIGNATURE

TIGER-032 Rev 1 4/01/19

Expense Report

Date: ___________________________ Employee: ___________________________ Aircraft Type: _____________________ Customer: ___________________________ “N” Number: _____________________ Location: ___________________________ Work Order # _____________________

Company Credit Card Purchases

Date Description Airfare Lodging Car Rental Misc. Total

Totals:

Advance

Reimbursable / Personal funds used for business Employee Signature: _________________________________ Approval Signature:

_____________________________________

Date Received from Amount Total to Reimburse

Total Advance

Due Employee

Due Company

Total

Date Expense Amount

Total to Reimburse

*All reimbursements due to the employee will be made via payroll on the next payroll cycle after the expense report is approved. Company Form - 014 Rev: 1 Date: 04-01-2019

Aircraft Time Log Supervisor: ______________________

Form-015 Rev 1 04-01-2019 Page___ of___

Customer Name: ___________________________ N# ___________________ A/C Type: _______________________

W/O # _______________________ Location: ________________________ Date from: ___________ to: ____________

Employee Name Date Time

In Time Out

ST Hours

OT Hours STBY Travel

Per Diem 1 or 1/2

Emp. Initials

Totals

Comments:_______________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

Customer Approval

Name Printed: __________________________________ Employee Number: __________________ Signature: _____________________________________ Date: _____________________________

Return Travel Time will be added based on actual traveled hours.

OJT DOCUMENTATION Name

Employee #

DATE

TYPE A/C

WORK ORDER

NUMBER

ATA

CHAPTER

DESCRIPTION OF TASK

HRS

TRAINER

Supervisor

Assessment SUPERVISOR

Competent

Continue OJT

Competent

Continue OJT

Competent

Continue OJT

Competent

Continue OJT

Competent

Continue OJT

Competent

Continue OJT

Competent

Continue OJT

Competent

Continue OJT

TIGER-021 Rev 1 4-1-19

Company Form - 034 Rev: 2 Date: 09/01/2020

WORK ORDER PACKAGE CHECKLIST

Work Order #____________________

Work Order Package Documents Reason Document Was Not Used

TIGER-001 Work Order __________________________________________________

TIGER-001A Work Order Continuation __________________________________________________

TIGER-001B Multiple Component Change __________________________________________________

TIGER-009 Receiving Inspection __________________________________________________

TIGER-017 Supervisor Turnover Report __________________________________________________

TIGER-018 System Deactivated Tag(s) __________________________________________________

TIGER-019 System Deactivated Control Log __________________________________________________

TIGER-022 Pre-Entry Checklist __________________________________________________

TIGER-025 Tool Inventory Checklist __________________________________________________

TIGER-026 Panel Form __________________________________________________

TIGER-032 Confined Space Permit __________________________________________________

Form-014 Expense Report __________________________________________________

Form-015 Aircraft Time Log __________________________________________________

Form-034 Work Order Package Checklist __________________________________________________

Additional Requirements: Supervisor Initials Comments

1) Verify all sign offs are IAW RSM/QCM procedures. ________ ____________________________

2) Component PN/SN replaced documented on work order ________ ____________________________

3) IPC- Required when a ROTABLE part is changed. ________ ____________________________

4) Calibrated tooling used documented on work order ________ ____________________________

5) Copy of log page / work order for incomplete maintenance ________ ____________________________

6) Wing map completed if leak has been repaired ________ ____________________________

Supervisor Signature Confirming_____________________________ Date:________________________________________

Comments

Quality Assurance Notes