054-lsa-life-limited-component-part-status

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 - LIFE LIMITED COMPONENT - PART STATUS
<table><tr><td colspan="8">AIRCRAFT INFORMATION</td></tr><tr><td>Registration Mark</td><td></td><td>Make</td><td>Model</td><td>Serial Number</td><td>Hours</td><td>Cycle</td><td></td></tr><tr><td>Owner/ Operator Name</td><td>Aircraft</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td rowspan="2"></td><td>Engine</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Propeller</td><td></td><td></td><td></td><td></td><td></td><td></td></tr></table>
LIFE LIMITED COMPONENT
<table><tr><td rowspan="10">Aircraft</td><td>Part Name</td><td>Part No.</td><td>Serial No.</td><td>Life(Time or Cycle)</td><td>Total Used(Time or Cycle)</td><td>Remaining(Time or Cycle)</td><td>Remarks</td></tr><tr><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></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr></table>
<table><tr><td colspan="5">AUTHORIZED PERSON</td></tr><tr><td>Name</td><td></td><td>Title</td><td></td><td>Date Signature</td></tr><tr><td></td><td></td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AIR-F054
Rev: 2, Date: 07 Sep 25
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