Current Aircraft Times:FH on Aircraft

FC

FL

Updated

Updated

Updated

Report Date

27 Oct 2014

13,991.0 7 Apr 2015

12 Dec 2016

2,554.0

13,947.50 7 Jul 2015

JORVH -

Serial Number

Aircraft Details:

Operator:Primary Maintenance Organisation:

Certificate of Approval No:

Maintenance Controller:

Company

Person

Inst No

AddressMaintenance Schedule/System:

Version 15.1.0 Mar 2017

Notes:Due Lists and OSIP Cards are published at the last submitted Aircraft TTIS,Cycles, and Landings. They reflect correctly certified entries on approveddocuments.Model

ManufacturerYear of Manufacture

Registration Holder

IdentificationPart NumberSerial Number

FH LifeSince O/H

Since InstallSince New

Comp OnA/C TFH

ComponentNameEng No / Task NumberComment

Propulsion Components:

A/C FCA/C FL

FC LifeSince O/H

Since InstallSince New

FL LifeSince O/H

Since InstallSince New

DueAirframe FHAirframe FCAirframe FL

Life LeftFLFCFL

Date InstalledDue DateTolerance

Service LifeFHMOFL

FC =FL =

For this aircraft:FH =

Report Type 050

Cover Sheet

Cabin Heater HourmeterStart, Take-off, Landing

Wheels OFF to wheels ON

CessnaC404

0642 1980

Broome Aviation Pty Ltd Cessna 404 System of Maintenance

Broome Air Maintenance Pty Ltd1-JYVRP Iss 01

Avtrac WA Pty Ltd

Paul Carey

DNMC/2000/05

P.O.Box 568Belmont WA 6984

Broome Aviation Pty Ltd

Broome Aviation Pty Ltd

Block Rule: (Planned maintenance free period on M/R Part 1)

Maintenance Data:Airframe MM D2517-16-13 Rev 16 13/3/07

LH Engine Continental GTSIO 520 M2B 13,947.50 1,596.10 13,951.40 3.90S/N 0.0015 Mar 2024

0.00

16 Mar 20122,555

13,991

1,600.0144

+/- 0 hrs 0 mthsLH

Engine Continental P/N GTSIO 520 M2B 13,947.50 792.20 14,755.30 807.80S/N 1001473 0.0025 Oct 2023

0.00

26 Oct 20112,555

13,991

1,600.0144

+/- 0 hrs 0 mthsRH

LH Propeller McCauley P/N 3FF32C501 13,947.50 693.70 15,253.80 1,306.30S/N 960442 0.00

0.00

16 Apr 20142,555

13,991

2,000.0LH

Propeller McCauley P/N 3FF32C501 13,920.10 918.40 15,029.10 1,081.60S/N 27.40

27.40

16 Mar 20152,000.0RH

Form revision status: Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.

LH Engine ContinentalGTSIO 520 M2BS/N

Overhaul1,600.00

Component Compliance Details

1,596.1016 Mar 2012

13,947.50

Component

Part NumberSerial Number

Action

Component Service Life

144.00

ATA Code 7071

Current Component Status

0.001,596.10

13,951.403.90

15 Mar 2024Due Date 87Months remaining

FHMO

FC

Engine Number LH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

2,554.6TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation 13,991

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00FH since new FL since new FC since new

Category

+/- 0 hrs 0 mthsTolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

GTSIO 520 M2BGTSIO 520 M2BGTSIO 520 M2BGTSIO 520 M2BGTSIO 520 M2BGTSIO 520 M2BGTSIO 520 M2B

9,065.19,260.1

10,096.111,033.311,838.513,375.013,947.5

810694-R2760218106946041641006183823660-R

8 Feb 200022 Jan 200119 May 200222 Apr 20044 Aug 20061 Jun 20127 Jul 2015

22 Jan 200119 May 200222 Apr 20044 Aug 20061 Jun 20127 Jul 20153 Aug 20151,596.1

1,217.21,680.01,759.81,536.5

572.51,597.3

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSO

0.0

ON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

Engine ContinentalP/N GTSIO 520 M2BS/N 1001473

Overhaul1,600.00

Component Compliance Details

792.2026 Oct 2011

13,947.50

Component

Part NumberSerial Number

Action

Component Service Life

144.00

ATA Code 7101

Current Component Status

0.00792.20

14,755.30807.80

25 Oct 2023Due Date 82Months remaining

FHMO

FC

Engine Number RH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

2,554.6TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation 13,991

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00FH since new FL since new FC since new

Category

+/- 0 hrs 0 mthsTolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

GTSIO 520 M2BGTSIO 520 M2BGTSIO 520 M2B

11,937.213,337.913,947.5

292275-R10054621001473

7 Nov 200621 Nov 20117 Jul 2015

21 Nov 20117 Jul 20158 Jul 2015

0.00.0

792.2

1,400.7609.6793.5

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

LH Propeller McCauleyP/N 3FF32C501S/N 960442

Overhaul2,000.00

Component Compliance Details

693.7016 Apr 2014

13,947.50

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 6101

Current Component Status

0.00693.70

15,253.801,306.30

Due Date Months remaining

FHMO

FC

Engine Number LH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

2,554.6TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation 13,991

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-11Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

3FF32C5013FF32C5013FF32C5013FF32C5013FF32C5013FF32C5013FF32C5013FF32C5013FF32C5013FF32C5013FF32C5013FF32C501

9,686.110,140.310,450.210,803.310,932.811,021.111,202.211,395.112,831.013,722.013,947.5

830242902608776860960442951394960442022260776860960442060420022139960442

22 Sep 20018 Jun 200224 Oct 200218 Sep 200316 Jan 20041 Mar 200423 Jul 200424 Apr 200530 Nov 200916 Apr 20147 Jul 2015

22 Sep 20018 Jun 200224 Oct 200218 Sep 200316 Jan 20041 Mar 200423 Jul 200424 Apr 200530 Nov 200916 Apr 20147 Jul 2015

693.7

2,002.51,688.6

1,957.61,094.3

217.8331.9564.5

1,975.8891.0225.5

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

406 ELTP/N 455-5019-503S/N 170-06442

Replace

Component Compliance Details

2 May 2012

Component

Part NumberSerial Number

Action

Component Service Life

48.00

ATA Code 0530

Current Component Status 1 May 2016Due Date -7Months remaining

FHMO

FC

Engine Number

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

E-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

RAD

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No. Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

RH Eng Magneto Bendix LHP/N 10-349260-7S/N

Overhaul1,600.00

Component Compliance Details

720.2027 Oct 2014

13,823.10

Component

Part NumberSerial Number

Action

Component Service Life

48.00

ATA Code 7101

Current Component Status

124.40844.60

14,702.90755.40

26 Oct 2018Due Date 22Months remaining

FHMO

FC

Engine Number RH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-9Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

124.40FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

10-349260-710-349260-7

13,337.913,823.1

F11IA006R1169620-FR

21 Nov 201127 Oct 2014

27 Oct 20147 Jul 2015

0.0720.2

485.2844.6

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

RH Eng Magneto Bendix RHP/N 10-349260-7S/N

Overhaul1,600.00

Component Compliance Details

0.0023 Sep 2012

13,823.10

Component

Part NumberSerial Number

Action

Component Service Life

48.00

ATA Code 7101

Current Component Status

124.40124.40

15,423.101,475.60

22 Sep 2016Due Date -3Months remaining

FHMO

FC

Engine Number RH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-9Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

124.40FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

10-349260-710-349260-7

13,337.913,823.1

F11IA186RF07AA098R

21 Nov 201127 Oct 2014

27 Oct 20147 Jul 2015

0.00.0

485.2124.4

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

RH Fuel PumpP/N 632818-3S/N

Overhaul1,600.00

Component Compliance Details

328.00 13,703.00

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7101

Current Component Status

244.50572.50

14,975.001,027.50

Due Date Months remaining

FHMO

FC

Engine Number RH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

244.50FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

632818-3632818-3

13,337.913,703.0

B11A127RB12BA159R 5 Dec 2013

5 Dec 20137 Jul 2015328.0

365.1572.5

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

RH FCUP/N 657270-9A5S/N

Overhaul1,600.00

Component Compliance Details

793.80 13,905.00

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7101

Current Component Status

42.50836.30

14,711.20763.70

Due Date Months remaining

FHMO

FC

Engine Number RH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

42.50FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

633573-9657270-9A5657270-9A5

13,337.913,708.113,905.0

A11IA047RA07KA327A09LA095

21 Nov 201110 Jan 20142 Mar 2015

9 Jan 20142 Mar 20157 Jul 2015

0.00.0

793.8

370.2196.9836.3

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

RH Fuel Manifold ValveP/N 641032-1A3S/N

Overhaul1,600.00

Component Compliance Details

0.00 13,337.90

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7101

Current Component Status

609.60609.60

14,937.90990.40

Due Date Months remaining

FHMO

FC

Engine Number RH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

609.60FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

C11IA036R 7 Jul 2015 609.6Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

RH Teledene AlternatorP/N 649304S/N

Overhaul1,600.00

Component Compliance Details

0.00 13,823.10

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7101

Current Component Status

124.40124.40

15,423.101,475.60

Due Date Months remaining

FHMO

FC

Engine Number RH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

124.40FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

649304649304 13,823.1

011IA026RH258912-OR 27 Oct 2014

27 Oct 20147 Jul 20150.0

485.2124.4

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

RH CSUP/N DCF290D7J/T6S/N

Overhaul1,600.00

Component Compliance Details

0.00 13,467.60

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7101

Current Component Status

479.90479.90

15,067.601,120.10

Due Date Months remaining

FHMO

FC

Engine Number RH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

479.90FH since new FL since new FC since new

Category

0 hrsTolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

810745 7 Jul 2015 479.9Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

Starter MotorP/N 646275-1S/N

Overhaul1,600.00

Component Compliance Details

0.00 13,337.90

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7101

Current Component Status

609.60609.60

14,937.90990.40

Due Date Months remaining

FHMO

FC

Engine Number RH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

609.60FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

M-V-181152 7 Jul 2015 609.6Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

Propeller McCauleyP/N 3FF32C501S/N

Overhaul2,000.00

Component Compliance Details

891.0016 Mar 2015

13,920.10

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 6101

Current Component Status

27.40918.40

15,029.101,081.60

Due Date Months remaining

FHMO

FC

Engine Number RH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-11Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

27.40FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

3FF32C5013FF32C501-C3FF32C501-C

11,937.213,920.113,947.5

951394060420002804

10 Oct 200716 Mar 20157 Jul 2015

16 Mar 20157 Jul 20157 Jul 2015

66.5891.0308.9

1,982.9918.4310.1

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

LH Eng Magneto Bendix LHP/N 10-349220-4S/N

Overhaul1,600.00

Component Compliance Details

119.5022 Jan 2014

13,873.90

Component

Part NumberSerial Number

Action

Component Service Life

48.00

ATA Code 7071

Current Component Status

73.60193.10

15,354.401,406.90

21 Jan 2018Due Date 13Months remaining

FHMO

FC

Engine Number LH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-9Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

73.60FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

10-349220-410-349220-4

13,375.013,873.9

F12BA211RA220971

16 Mar 201216 Dec 2014

29 Dec 20147 Jul 2015

0.0119.5

498.9193.1

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

LH Eng Magneto Bendix RHP/N 10-349260-7S/N

Overhaul1,600.00

Component Compliance Details

246.004 Nov 2013

13,873.90

Component

Part NumberSerial Number

Action

Component Service Life

48.00

ATA Code 7071

Current Component Status

73.60319.60

15,227.901,280.40

3 Nov 2017Due Date 11Months remaining

FHMO

FC

Engine Number LH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-9Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

73.60FH since new FL since new FC since new

Category

+/- 0 hrs 0 mthsTolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

10-349260-710-349260-7

13,375.013,873.9

F12BA115RL078734FR

16 Mar 201216 Dec 2014

29 Dec 20147 Jul 2015

0.0246.0

498.9319.6

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

LH Fuel PumpP/N 646210-14A3S/N

Overhaul1,600.00

Component Compliance Details

0.00 13,703.00

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7071

Current Component Status

244.50244.50

15,303.001,355.50

Due Date Months remaining

FHMO

FC

Engine Number LH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

244.50FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

646210-3646210-3646210-14A3

13,375.013,703.013,703.0

B12BA159RB11IA127RB041A354R

5 Dec 20135 Dec 0213

5 Dec 20135 Dec 20137 Jul 2015

365.10.0

328.0365.1244.5

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

LH StarterP/N 646275-1S/N

Overhaul1,600.00

Component Compliance Details

0.00 13,375.00

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7071

Current Component Status

572.50572.50

14,975.001,027.50

Due Date Months remaining

FHMO

FC

Engine Number LH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

572.50FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

646275-1 H-P-221205 7 Jul 2015 572.5Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

LH FCUP/N 633573-10S/N

Overhaul1,600.00

Component Compliance Details

0.00 13,375.00

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7071

Current Component Status

572.50572.50

14,975.001,027.50

Due Date Months remaining

FHMO

FC

Engine Number LH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

572.50FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

633573-10 A12BA130R 7 Jul 2015 572.5Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

LH CSUP/N B210595S/N

Overhaul1,600.00

Component Compliance Details

0.00 12,386.70

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7071

Current Component Status

1,560.801,560.80

13,986.7039.20

Due Date Months remaining

FHMO

FC

Engine Number LH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

1,560.80FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

B210595 2455072D 7 Jul 2015 1,560.8Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

LH Fuel Manifold ValveP/N 641032-1A8S/N

Overhaul1,600.00

Component Compliance Details

0.00 13,375.00

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7071

Current Component Status

572.50572.50

14,975.001,027.50

Due Date Months remaining

FHMO

FC

Engine Number LH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

572.50FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

641032-1A8 C12BA030R 7 Jul 2015 572.5Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

LH Teledene AlternatorP/N 9910094-3S/N

Overhaul1,600.00

Component Compliance Details

0.00 13,679.90

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7071

Current Component Status

267.60267.60

15,279.901,332.40

Due Date Months remaining

FHMO

FC

Engine Number LH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

267.60FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

9910094-313,375.013,679.9

012CA001R011EA32R

1 Jun 201315 Aug 2013

15 Aug 20137 Jul 2015

0.00.0

293.3267.6

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

Cabin HeaterCAO 100.5 (16)Part 3

Overhaul

Component Compliance Details

31 Mar 2009

Component

Part NumberSerial Number

Action

Component Service Life

96.00

ATA Code 0530

Current Component Status 30 Mar 2017Due Date 3Months remaining

FHMO

1,000 FC

0

22

9983,552

Engine Number

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

2,552TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

P/N 8259Hl2 S/N 996Worksheet Comment:

1/03/2016- New requirement added. CAO 100.5(16). Was AD/AIRCON/9 Amdt 8

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

C-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ELECT

Last Actuals

Task Number CAO 100.5 (16) 16.15

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

2FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No. Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

Aileron Trim ActuatorP/N 5815128-60468

Overhaul1,000.00

Component Compliance Details

0.0030 Oct 2013

13,693.10

Component

Part NumberSerial Number

Action

Component Service Life

36.00

ATA Code 7071

Current Component Status

254.40254.40

14,693.10745.60

29 Oct 2016Due Date -2Months remaining

FHMO

FC

Engine Number

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

A-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

A/F

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

254.40FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

13,693.130 Oct 2013 0.0Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

LH Elevator Trim ActuatorP/N 5815200-2S/N FA044

Overhaul1,000.00

Component Compliance Details

0.001 Nov 2013

13,693.10

Component

Part NumberSerial Number

Action

Component Service Life

36.00

ATA Code 7071

Current Component Status

254.40254.40

14,693.10745.60

31 Oct 2016Due Date -2Months remaining

FHMO

FC

Engine Number

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Due 22 Sep 2013May be deferred

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

A-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

A/F

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

254.40FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No. Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

Rudder Trim ActuatorP/NS/N 010

Overhaul1,000.00

Component Compliance Details

0.001 Nov 2013

13,693.10

Component

Part NumberSerial Number

Action

Component Service Life

36.00

ATA Code 7071

Current Component Status

254.40254.40

14,693.10745.60

31 Oct 2016Due Date -2Months remaining

FHMO

FC

Engine Number

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

A-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

A/F

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

254.40FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No. Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

LH Engine Fire Extinguisher CartridgesHTL P/N 13083-5 man

Replace

Component Compliance Details

2 Apr 2012

Component

Part NumberSerial Number

Action

Component Service Life

48.00

ATA Code 7071

Current Component Status 1 Apr 2016Due Date -8Months remaining

FHMO

FC

Engine Number LH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ELECT

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

FH since new FL since new FC since new

Category

+/- 0 mthsTolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No. Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

RH Elevator Trim ActuatorP/N 5815200-2S/N FA043

Overhaul1,000.00

Component Compliance Details

0.001 Nov 2013

13,693.10

Component

Part NumberSerial Number

Action

Component Service Life

36.00

ATA Code 7071

Current Component Status

254.40254.40

14,693.10745.60

31 Oct 2016Due Date -2Months remaining

FHMO

FC

Engine Number

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Due 22 Sep 2013May be deferred

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

A-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

A/F

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

254.40FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No. Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

RH TurbochargerP/N 465930-2S/N

Overhaul1,600.00

Component Compliance Details

0.00 13,337.90

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7101

Current Component Status

609.60609.60

14,937.90990.40

Due Date Months remaining

FHMO

FC

Engine Number RH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

609.60FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

H-OAL00316 7 Jul 2015 609.6Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

WastegateP/N 470780-15S/N

Overhaul1,600.00

Component Compliance Details

0.00 12,638.40

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7101

Current Component Status

1,309.101,309.10

14,238.40290.90

Due Date Months remaining

FHMO

FC

Engine Number RH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

A/F

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

1,309.10FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

DG09768 7 Jul 2015 1,309.1Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

LH MPRVP/N 470930-5S/N

Overhaul1,600.00

Component Compliance Details

0.00 13,375.00

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7071

Current Component Status

572.50572.50

14,975.001,027.50

Due Date Months remaining

FHMO

FC

Engine Number LH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

572.50FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

470930-5 YHO01159 7 Jul 2015 572.5Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

LH VAPCP/N 470836-9019S/N

Overhaul1,600.00

Component Compliance Details

0.00 13,375.00

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7071

Current Component Status

572.50572.50

14,975.001,027.50

Due Date Months remaining

FHMO

FC

Engine Number LH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

572.50FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

470836-9019 H-NJ000131 7 Jul 2015 572.5Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

RH Engine Fire Extinguisher CartridgesHTL P/N 13083-5 manS/N ESD08B272-001

Replace

Component Compliance Details

25 Mar 2013

Component

Part NumberSerial Number

Action

Component Service Life

48.00

ATA Code 7071

Current Component Status 24 Mar 2017Due Date 3Months remaining

FHMO

FC

Engine Number RH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

CARTRIDGE ONLY < 25/03/2013Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ELECT

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No. Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

LH TurbochargerP/N 465930-9002S/N

Overhaul1,600.00

Component Compliance Details

0.00 13,873.90

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7101

Current Component Status

73.6073.60

15,473.901,526.40

Due Date Months remaining

FHMO

FC

Engine Number LH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

73.60FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

465930-9002 13,873.9SJR0148 16 Dec 2014 7 Jul 20150.0 73.6Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

RH Hydraulic PumpP/N 9910137-1S/N

Overhaul1,600.00

Component Compliance Details

0.00 12,907.40

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7071

Current Component Status

1,040.101,040.10

14,507.40559.90

Due Date Months remaining

FHMO

FC

Engine Number RH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

1,040.10FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

2265 7 Jul 2015 1,040.1Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

LH Hydraulic PumpP/N 9910137-1S/N

Overhaul1,600.00

Component Compliance Details

0.00 13,920.10

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7071

Current Component Status

27.4027.40

15,520.101,572.60

Due Date Months remaining

FHMO

FC

Engine Number LH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

0.00

27.40FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

9910137-19910137-1 13,920.1

21872635 16 Mar 2015

16 Mar 20157 Jul 20150.0

1,407.327.4

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSO

0.0

ON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

RH Fuel LimiterP/N 642100-4S/N unk (Not marked)

Overhaul1,600.00

Component Compliance Details

0.0021 Nov 2011

13,337.90

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7071

Current Component Status

609.60609.60

14,937.90990.40

Due Date Months remaining

FHMO

FC

Engine Number RH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

609.60FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

unk 7 Jul 2015 609.6Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

LH Fuel LimiterP/N 642100-4ARS/N

Overhaul1,600.00

Component Compliance Details

1,465.80 13,920.10

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7071

Current Component Status

27.401,493.20

14,054.30106.80

Due Date Months remaining

FHMO

FC

Engine Number LH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

24/03/2015-Cannabilized from VH-DLF RH sideService Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

27.40FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

642100-4AR642100-4AR 13,920.1

RAC118KA 001 16 Mar 2015

16 Mar 20157 Jul 20151,465.8

1,533.41,493.2

Serial/No. Install FHInstall Date Removal DateON TSO OFF LSNOFF LSOOFF TSNOFF TSOON TSN ON LSO ON LSN

Work Card No

ICA Threshold ICA RepeatFHMO

FCFL

FHMO

FCFL

SET ONThresholdRepeat

Service Life Changes

ARC Details:

TypeNo

Work

Date Used for forecast:

Notes:

Work Date: ARC Date:

Type

Change by: Date:Associated Work Cards must be updated:

Current ARC:

Install FL Work Date ARC Number

T ROn:

RH MPRVP/N 470390-9005S/N

Overhaul1,600.00

Component Compliance Details

0.00 13,337.90

Component

Part NumberSerial Number

Action

Component Service Life

ATA Code 7071

Current Component Status

609.60609.60

14,937.90990.40

Due Date Months remaining

FHMO

FC

Engine Number RH

13,947.50TTIS on Aircraft2,554Total Cycles

12 Dec 2016Report Date

TSO at installationCycSO at installation

FH since installationFH since overhaul

Due airframe FHFH remaining

FC since installationFC since overhaul

FC remainingDue airframe FC

13,991Total Landings

FL

FL since installationFL since overhaul

Due airframe FLFL remaining

LdgsSO at installation

Installed at Airframe:

FHFCFL

Newly O/H, or part life details:

Worksheet Comment:

Service Life reference document

Lifed Component Control History (Components previously fitted to this position)

JOR 0642 C404VH - S/N Type

Notes:

B-1Inspection Ref No

OSIP CARD FORM 130BROOME AVIATION PTY LTD

A/F Lifed CompEng Lifed CompAPU Lifed CompA/DInspectionEnginePropeller

DefectE & IRadioE I & RHotlistNDTSummary

Form revision status:

ENG

Last Actuals

Task Number

Component Currently Fitted to Aircraft

TSN at installationCycSN at installationLdgsSN at installation

Newly O/H, or part life details:

609.60FH since new FL since new FC since new

Category

Tolerance

7/7/1527/10/147/4/15

Updated

Tolerance Rule

Part/No.

470390-9005470390-9005

1,159.