gaca_gov_sa · form · processed · 1 chunks
GACA غسطه للطيران المدني General Authority of Civil Aviation [Non-Text] SERVICE DEFECT REPORT - SDR <table><tr><td colspan="3">1. REGISTRATION MARK.</td><td colspan="2">2. DATE SUBMITTED</td><td colspan="2">FOR GACA USE ONLY</td></tr><tr><td colspan="3">HZ-</td><td colspan="2"></td><td>CONTROL NO.</td><td></td></tr><tr><td></td><td colspan="2">MAKE</td><td colspan="2">MODEL</td><td colspan="2">SERIAL NO.</td></tr><tr><td>3. AIRCRAFT</td><td colspan="2"></td><td colspan="2"></td><td colspan="2"></td></tr><tr><td>4. POWERPLANT</td><td colspan="2"></td><td colspan="2"></td><td colspan="2"></td></tr><tr><td>5. PROPELLER</td><td colspan="2"></td><td colspan="2"></td><td colspan="2"></td></tr><tr><td colspan="7">6. SPECIFIC PART (of component) CAUSING TROUBLE</td></tr><tr><td colspan="2">PAERT NAME</td><td>PART NUMBER</td><td>SERIAL NUMBER</td><td colspan="2">PART/DEFECT LOCATION</td><td>PART TT</td></tr><tr><td colspan="2"></td><td></td><td></td><td colspan="2"></td><td></td></tr><tr><td colspan="7">7. COMMENTS(Describe the malfunction or defect and the circumstances under which it occurred. State probable cause and recommendations to prevent recurrence.)(Continue on reverse)</td></tr><tr><td colspan="7"></td></tr><tr><td>8. AMO NO.</td><td></td><td>9. SUBMITTED BY</td><td colspan="2"></td><td>10. SIGNATURE</td><td></td></tr></table> GACA-AVSES-AIR-F015 Rev: 3, Date: 28 Sep 25 Page 1 of 1