003-lsa-airworthiness-directive-compliacne-record

gaca_gov_sa · form · processed · 1 chunks

document_type=form entity=format:application/pdf entity=language:ar language=en taxonomy_l1=transport taxonomy_l2=aviation taxonomy_l3=aircraft_certification validity=valid validity_confidence=0.6

GACA
الهييه العامه للطيران المدني
General Authority of Civil Aviation
[Non-Text]
LSA - AIRWORTHINESS DIRECTIVE COMPLIANCE RECORD
<table><tr><td colspan="9">AIRCRAFT INFORMATION</td></tr><tr><td rowspan="3">Registration Mark</td><td rowspan="2"></td><td>FAA</td><td>□</td><td rowspan="2">□ Aircraft</td><td>□ Engine</td><td>□ Propeller</td><td rowspan="2">□ Appliance</td><td rowspan="2">□ APU</td></tr><tr><td>EASA</td><td>□</td><td>No. xxx</td><td>No. xxx</td></tr><tr><td colspan="2">Make</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Total Hours</td><td></td><td colspan="2">Model</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Total cycles</td><td></td><td colspan="2">Serial No.</td><td></td><td></td><td></td><td></td><td></td></tr></table>
AIRWORTHINESS DIRECTIVE COMPLIANCE LIST
<table><tr><td>Document Number</td><td>Subject</td><td></td><td>Due Date of Compliance (Date/Cycle or Hours)</td><td>Accomplished Compliance (Date/Cycle or Hours)</td><td>Method Of Compliance</td><td>One Time</td><td>Recurring</td><td>Next Compliance Due (Date/Cycle or Hours)</td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td>☐</td><td>☐</td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td>☐</td><td>☐</td><td></td></tr><tr><td></td><td></td><td></td><td>-</td><td></td><td></td><td>☐</td><td>☐</td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td>☐</td><td>□</td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td>☐</td><td>☐</td><td></td></tr><tr><td></td><td></td><td>-</td><td></td><td></td><td></td><td>☐</td><td>☐</td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td>☐</td><td>☐</td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td>☐&lt;ecel&gt;</td><td></td><td></td></tr></table>
AUTHORIZED PERSON
<table><tr><td>Name</td><td>Title</td><td>Date</td><td>Signature</td></tr><tr><td></td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AIR-F003
Rev: 6, Date: 13 Apr 25
Page 1 of 1