You are on page 1of 13

CIVIL AVIATION AUTHORITY OF NEPAL

AVIATION SAFETY DEPARTMENT


AIRWORTHINESS DOCUMENTS SUMMARY CHECKLIST
FOR
C OF A, AND RML ISSUE/RENEWAL/VALIDATION
(Fixed Wing)
Name of Operator: Nepal Airlines
Aircraft Registration Number: 9N-
1. General Specifcations
Total FH
Total FC Potentials Cycles/Hours
Status Date
Next Check
1.1 AIRCRAFT
Next Major
Check
Aircraft Type
LH Eng TBO
A/C MSN
RH Eng TBO
Owner
NLG Oleo!
Date of Manufacture
MLG LH TBO
Last Operating Country
MLG RH TBO
Last Check
Pro"eller #
Category
Pro"eller $
Current Location
MTO
Last weighing Date
!aint
Last Operator
Current Operator
!re"ious
Acci#ent/$nci#ent
AD Co%pliance Status/
S& Co%pliance Status
Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*.
Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $
'() *N+$N*
*N+$N* ,' LH
Manufacturer- Mo#el-
OH Date
Manuf( Date Serial Nu%.er Total Hours Total Cycles
TSN TSO CSN CSO
!art Nu%.er PT6)7$8
OH M/O M/O0 AMO S& Co%pliance AD Co%pliance Any Deferre# #efects if yes0 %ention
the%
O1 O1 None
2tili3ation of tolerance4
$s T&O e5cee#e#4
None None
*N+$N* ,) /H
Manufacturer- Pratt 5 9hitney Mo#el-
OH Date
Manuf( Date Serial Nu%.er Total Hours Total Cycles
!C*678)9: TSN TSO CSN CSO
!art Nu%.er
OH M/O M/O0 AMO
S& Co%pliance AD Co%pliance
Any Deferre# #efects if yes0 %ention
the%
O: O: None
2tili3ation of tolerance4 $s T&O e5cee#e#4
None None
'(; A!2 NOT A!!L$CA&L*
Manufacturer -
Mo#el !art Nu%.er Mfg(Date Serial Nu%.er *C2 !art
Nu%.er
TSN TSO CSN CSO TSHS$ OH/Date
1.3 LANDING GEARS
Main Lan#ing +ear ,' LH
Manufacturer- De6Ha"illan# Total Hours Total Cycles
OH Date
Manuf( Date Since New Since O/H Since New Since O/H
!art Nu%.er
Serial Nu%.er
Main Lan#ing +ear ,) /H
Manufacturer- De6Ha"illan# Total Hours Total Cycles
OH Date
Manuf( Date Since New Since O/H Since New Since O/H
!art Nu%.er
Serial Nu%.er
Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*.
Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $
Nose Lan#ing +ear
Manufacturer- Total Hours Total Cycles
OH Date
Manuf( Date Since New Since O/H Since New Since O/H
!art Nu%.er
Serial Nu%.er
'(7 !/O!*LL*/
!ropeller '
Manufacturer- Hart3el Total Hours Total Cycles
OH Date
Manuf( Date Since New Since O/H Since New Since O/H
!art Nu%.er
Serial Nu%.er
!ropeller )
Manufacturer- Hart3el Total Hours Total Cycles
OH Date
Manuf( Date Since New Since O/H Since New Since O/H
!art Nu%.er
Serial Nu%.er
N/A OK FINDINGS
2.0 DOCUMENTS INFORMATION
!" #$et$er application as per Appen%i& " of
N'AR ( been recei)e%*
! Is it signe% b+ aut$ori,e% person*
-.S
!/ If t$ere is an+ fee $as it been pai% or is t$ere
enoug$ cre%it in fa)or of t$e compan+*
0AID
!1 #$at 2uantum of 3or4 $as been agree% for
rene3al of ' of A ref! 0ara "5!/ of (
!6 Is t$ere a 4no3n $istor+ of t$e aircraft b+
Regn! No! or b+ mo%el* Is t$ere a
recommen%ation pen%ing to be complie%*
!7 .nsure a)ailabilit+ of Nepalese t+pe certificate
an% re)ie3 t+pe certificate %ata s$eet ac2uire
t$e current %esign stan%ar% of t$e aircraft*
!8 9as t$ere been an+ supplement t+pe certificate
been issue%*
N/A
!: 0$+sical con%ition of submitte% %ocuments e!g
' of A; ' of R; R<= certificate etc!
OK
!9 .ntr+ of applicable ADs; it compliance as per
time frame! Also c$ec4 if repetiti)e ADs are
inclu%e% in maintenance sc$e%ule!
OK
!"5 '$ec4 applicable Ser)ice (ulletin for
compliance as per time frame also c$ec4 if
repetiti)e S(s are inclu%e% in maintenance
OK
Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*.
Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $
sc$e%ule!
!"" '$ec4 entr+ of man%ator+ mo%ification or
local mo%ification or c$ange in re)ision if an+*
'$ec4 for appro)al an% aut$orit+!
OK .=> >SO "7-
complie%!
!" '$ec4 )ali%it+ of e&port certificate of
air3ort$iness* '$ec4 if an+ Remar4s!
N/A
!"/ =ife =imit 'omponent Recor%! Is an+
component o)er%ue; if +es; mention!
OK
!"1 9as t$e engine parameters been monitore%* Is
t$e compan+ follo3ing an appro)e% .'><
programme* Is t$e in%i)i%ual traine% an%
appro)e%* For small aircraft are t$e engine
parameters perio%icall+ recor%e%*
N/A
!"6 Fuel an% Oil consumption register if an+ is it
being 4ept up%ate%* On large aircraft is t$ere
an+ performance assessment carrie% out* #$o
certifies it* Is $e traine% an% appro)e% for t$e
purpose*
OK
!"7 Recor% of 'ompass s3inging/c$ec4 s3inging!
Is it being carrie% out as per N'AR or
'ompan+ appro)e% manual!
OK
!"8 #eig$t ? (alance Recor%! =ast c$ec4 %ate! Is
ma@or mo%ification recor%e%*
OK
!": Is t$ere an appro)e% >ime (et3een O)er$aul
%ocument in place in respect to t$e 'ompan+;
<a4e an% <o%el of t$e Aircraft* Are all
components 3it$in t$e appro)e% >!(!O 'ross
c$ec4 3it$ <0D an% '$apter 6 of Aircraft
<anual* Is t$ere an+ item/s $a)ing life
limitation or Retirement life* Is t$ere a control
on suc$ items A'$ec4 at least t3o items for
complianceB! Refer to N'AR section D c$apter
D6
OK
!"9 Scrutin+ of >ec$nical =og (oo4 for page
totaling signature on e)er+ entr+ b+ t$e pilot!
Obser)ation entere% if an+*
!5 '$ec4 ot$er logboo4s for o)er3riting
mutilation of entr+! 'orrectness of $ours in
relation to >ec$nical =og (oo4; page totaling
correlating maintenance 3it$ obser)ation in
>ec$nical =og (oo4!
!" '$ec4 appropriate %ocuments for entr+ of
%efects an% t$eir rectification! 9as t$e
rectification certifie% b+ appropriatel+
2ualifie% person*
! 9as t$e repetiti)e %efects been $an%le% as per
compan+ proce%ure*
!/ '$ec4 maintenance sc$e%ule/<0D re)ision
status!
'$ec4 for completion of all perio%ic routine
sc$e%ules as per programme!
Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*.
Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $
9a)e all columns been signe% b+ >ec$nicians
an% A<>*
Is t$ere a pro)ision of putting %ate in t$e
signature column*
Is it being follo3e%*
Is t$ere an+ recor% of consumption of spares*
'$ec4 for maintenance release note of aircraft!
!1 '$ec4 for maintenance release note of rotable
items!
'$ec4 release note Ai!e! .ASA Form-"; FAA
:"/5B or e2ui)alent %ocuments issue% or Not*
'$ec4 Nepalese appro)al/Cali%ation status of
t$e A<O!
!6 '$ec4 up%ate% maintenance manual; SR<;
3iring %iagram manual I0' a)ailabilit+*
OK
'$ec4 re)ision status compare 3it$
manufacturer status!
OK
!7 '$ec4 <.= items an% its proper proce%ure
entr+ an% closing!
OK
!8 '$ec4 if an+ concession item an% t$eir status
!: Is t$ere a certification from t$e c$ief of DA or
Operations Department t$at all t$e %ocuments
$el% to support t$e continue% air3ort$iness of
aircraft an% t$e flig$t manual are current an%
upto %ate*
-.S
!9 Is t$ere a certification from t$e appro)e% c$ief
of DA confirming t$at t$e ' of A is currentl+
in force 3it$ applicable N'AR an% t$at all
ot$er re2uirements of t$e N'AR applicable to
air3ort$iness of t$e aircraft are met*
-.S <aintaine% ?
insp! accor%ance
3it$ t$e
re2uirements of
N'AR ? app-e%
<aint! Sc$e%ule%!
.ligible for ' of
A rene3al!
!/5 Is t$ere a certification t$at operational c$ec4 of
ra%io communication; na)igation an% ra%io
e2uipment on boar% t$e aircraft $a)e been
carrie% out in presence of an aut$ori,e% person
from Air3ort$iness Inspection Di)ision %uring
t$e test flig$t*
!/" '$ec4 for )ali%it+ of certificate for First Ai%
Kit an% 0$+sician 4it! Does t$e %octor certif+
t$e in)entor+ or refer to N'AR onl+* Is t$e
N'AR being referre% current* AAppen%i& to
'-"" States t$at contents are as per Flig$t
stan%ar% Instruction No! 8 3$ereas t$e
contents are gi)en in Section ' '$apter '""B
!/ 9as t$e test flig$t report as per N'AR ( $as
been submitte%! '$ec4 all aspects of t$e report
been complete%!
aB 9as t$e test flig$t sc$e%ule been
appro)e%
-.S
bB 9as t$e test flig$t report been complete% in all
Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*.
Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $
respect i!e $as all rele)ant column been fille% up!
Outsi%e Air >emp; Fiel% (arometric pressure; Rate
of climb; IAS at cruise etc! A'ompare %ata 3it$
pre)ious test flig$t report;B
cB Is t$e pilot meeting t$e re2uirement of
carr+ing out test flig$t on t$at t+pe of
aircraft* A'$ec4 for $is currenc+ on t+peB
%B 9as t$e performance been assesse% an%
compare% 3it$ pre)ious report
eB Is t$ere an+ %egra%ation* If so is it
3it$in limit!
fB Is t$e certificate of maintenance issue%
before test flig$t as per N'AR section '
c$apter '*
gB Are t$e maintenance release an%
certificate of fitness for flig$t issue% as per
N'AR*
!// Is t$ere a report of satisfactor+ perio%ic test of
fuel in tan4 of t$e aircraft* Are reports
a)ailable*
!/1 '$ec4 acceptable insurance polic+ an% its
)ali%it+
OK
!/6 '$ec4 all placar%s as per applicable '$apter of
A<<!
3.0
INTERIOR INSPECTION
N/A OK FINDINGS
/!" Air3ort$iness ' of A an% registration
certificates! .nsure t$e follo3ing:
aB Air3ort$iness an% registration certificates
are current an% )ali%
OK ' of A e&pire%
on 6-Oct-57
bB (ot$ certificates contain t$e same mo%el;
serial an% registration numbers
-.S
cB >emporar+ registration is current N/A
%B Signatures are in permanent-t+pe in4
OK
/! Flig$t Dec4 Inspection
aB Instrument securit+ an% range mar4ings
bB #in%o3s A%elimitation; scratc$es; cra,ing
an% general )isibilit+B
cB .mergenc+ e2uipment
%B Seal on me%ical 4it Aif locate% on flig$t
%ec4B
eB Seat belts an% s$oul%er $arnesses A>ec$nical
Stan%ar% Or%er mar4ing; metal to metal
latc$ing an% general con%itionB
fB '$ec4 t$e follo3ing if using coc4pit @ump
Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*.
Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $
seat:
Eump seat o&+gen s+stem - turn
regulator on an% select "55F o&+gen
Interp$one s+stem - select 'omm! "
an% 'omm! to ensure s+stems are
3or4ing
gB #$en t$e most for3ar% @ump seat is in t$e
cabin; co-or%inate 3it$ t$e cre3 for
connecting t$e $ea%set an% a%apter cables!
/!/ 'abin Inspection! Inspect t$e cabin to inclu%e
t$e follo3ing:
aB =a)ator+! .nsure t$e follo3ing:
Fire e&tinguis$er s+stem is installe% in
seale% tras$ containers!
Smo4e %etection s+stem is installe%
>ras$ containers are seale% accor%ing
to applicable Air3ort$iness Directi)eAsB
GNo Smo4ingG placar%s are poste%
As$tra+s are a)ailable outsi%e t$e
la)ator+
N/A
bB Flig$t atten%ant seats!
0ull t$e @ump seat %o3n to ensure seat
retracts At$ose in t$e pat$ of e&itsB
Inspect seat belts for >ec$nical
Stan%ar% Or%er mar4ing metal to metal
latc$ing an% general con%ition!
N/A
cB 'abin emergenc+ e2uipment! All e2uipment
re2uiring perio%ic inspections s$oul% $a)e
an inspection %ate mar4e% on it! Inspect t$e
follo3ing:
Flig$t atten%ant flas$lig$t $ol%er
Sli%e containers; to ensure containers
eit$er properl+ mar4e% for content or
not! '$ec4 pressure of sli%e inflation
bottle Aif )isibleB!
<e%ical 4it Aif not c$ec4e% on flig$t
%ec4B
First ai% 4it
.mergenc+ o&+gen Aproper pressure
an% securit+B
<egap$oneAsB Asecurit+ an% general
con%itionB
Fire e&tinguis$ers Asecurit+; pressure;
sealB
=ife raft storage mar4ings Aif raft is
All applicable
e2uipment are
un%erline%!
Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*.
Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $
re2uire%B
.mergenc+ briefing car%s Aran%om
sampleB
General con%ition of emergenc+ floor
pat$ lig$ting s+stemB
0lacement of all G.mergenc+ .&itG
signs
0resence an% =egibilit+ of G.mergenc+
.&itG operation instructions
0lacar%ing for location of all
emergenc+ e2uipment
=ife preser)ers A)estsB
%B 0assenger seats! .nsure t$e follo3ing:
Seats a%@acent to emergenc+ e&its %o
not bloc4 pat$
Seat brea4 o)er pressure is in
accor%ance 3it$ operatorHs
maintenance program Aran%om sampleB
GFasten Seat (elt During Flig$tG
placar%s are in )ie3 from all seats
Seat belts $a)e metal to metal latc$es
an% are in goo% general con%ition
Aran%om sampleB
eB Galle+s/ser)ice centers! Inspect t$e
follo3ing:
>ras$ bin li%s for fit
Storage compartment restraints
Stationar+ cart tie%o3ns
=o3er lobe e2uipment/restraints
=ift operation
Galle+ suppl+ sto3age
N/A
fB O)er$ea% baggage compartments! '$ec4 for
3eig$t restriction placar%s an% t$e %oors
for proper latc$ing; 3$en applicable!
N/A
/!1 Inspect cargo compartment
aB .nsure t$e follo3ing:
'argo compartment fire protection is
appropriate for its classification!
'argo liner is free from tears an%/or
punctures! If t$ese are note%; inspect
be$in% liner for %amage; e!g! stringers;
circumferential! etc! .nsure sealing
tape is proper t+pe an% in goo%
con%ition!
'argo %oor is free of flui% lea4s an%
Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*.
Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $
structural %amage
Fuselage %oor structure an% sill are free
of %amage
Smo4e %etectors are in satisfactor+
con%ition
=ig$ting is operable an% protecti)e grill
are installe%
'argo flooring is free from structural or
ot$er %amage
0allet positions/compartments are
placar%e% for position i%entification
an% 3eig$t limitations
bB Inspect pallet s+stem; if applicable! .nsure
t$e follo3ing:
(all mats are ser)iceable; e!g!; no
bro4en or missing balls
For3ar%; aft; an% si%e restraints are
ser)iceable
Roller assemblies are secure an% $a)e
no missing or bro4en rollers
N/A
cB .nsure t$e 9 g for3ar% restraint net is
ser)iceable; if applicable!
N/A
%B .nsure t$at cargo restraints for bul4-loa%e%
cargo are a%e2uate; if applicable!
eB Inspect cabin mounte% e2uipment! N/A
fB Inspect fire e&tinguis$ers for inspection %ue
%ates an% pressure!
gB Inspect loa% manifest for 9a,ar%ous
<aterial! If present; %etermine cre3
4no3le%ge of t$e follo3ing:
=ocation an% labeling of $a,ar%ous
materials
Special re2uirements; if re2uire%
If proper paper3or4 is on boar%
$B .nsure captain is a3are of t$e follo3ing
responsibilities:
Inspection of cargo to ensure proper
loa% %istribution
.nsuring loa%s %o not e&cee%
compartment or position limits
.nsuring loa%s are being properl+
restraine%!
Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*.
Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $
4.0
EXTERIOR INSPECTION :
N/A OK FINDINGS
1!" =an%ing gear an% 3$eel areas! '$ec4 for t$e
follo3ing:
An+ in%ication of 3ear; c$afing lines;
c$afing 3ires; crac4s; %ents or ot$er
%amage
Structural integrit+ of gear an% %oors
Acrac4s; %ents or ot$er %amageB
9+%raulic lea4s Agear struts; actuators;
steering )al)es etc!B
>+re con%ition
>+re pressure Aif pressure in%icators are
installe%B
#$eel installation an% safet+ loc4ing
%e)ices
#ear; line securit+; lea4s an%
installation of bra4es
'orrosion
1! Fuselage an% p+lons! Inspect t$e follo3ing:
Structure for crac4s; corrosion; %ents or
ot$er %amage
Fasteners Aloose; improper; missingB
'on%ition of ra%ome
'on%ition of pilot tubes
Static ports Acleanliness an%
obstructionsB
Stall 3arning %e)ices an% ot$er sensors
Antennas Asecurit+ an% in%ications of
corrosionB
=a)ator+ ser)icing areas Ae)i%ence of
fres$ blue 3ater strea4sB
'argo compartments for integrit+ of
fire protecti)e liners Ano $oles or
unappro)e% tape use% for repairsB
.mergenc+ e&it i%entification/mar4ings
Registration mar4ing Alegibilit+B
All lig$ts Ageneral con%ition; bro4en
lenses etc!B
1!/ #ings an% p+lons! Inspect t$e follo3ing:
Structure for crac4s; corrosion; %ents or
ot$er %amage
Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*.
Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $
=ea%ing e%ge A%ents an%/or %amage in
line 3it$ engine inletsB
=ea%ing e%ge %e)ices A3$en open;
actuator lea4s; general con%ition of
lines; 3ires an% plumbingB
All lig$ts Ageneral con%ition; bro4en
lenses etc!B
Flaps Acrac4s; corrosion; %ents an%
%elimitationB
Flap 3ells Acrac4s; corrosion; 3ires an%
plumbingB
Static eliminators Anumber missingBI
Ailerons an% aileron tabs Acrac4s;
corrosion; %ents an% %elimitationB
<issing; loose or improperl+ secure%
access %oor/inspection panels an%
blo3out panels
1!1 .ngines! Inspect t$e follo3ing:
Inta4e for fan bla%e %amage an% oil
lea4s
Ring co3l for missing or loose
fasteners
'o3ling %oors for securit+ an% proper
fit
=o3er co3ling for e)i%ence of flui%
lea4s
.&$aust for turbine an% tailpipe
%amage an% e)i%ence of flui%s
Re)erser %oors for sto3age an%
securit+ an% e)i%ence of lea4s
Access %oors for securit+
1!6 0ropellers! Inspect t$e follo3ing:
=ea%ing e%ge of propeller for crac4s;
corrosion; %ents or ot$er %amage
Deicer boots for signs of %eterioration
an% securit+
Spinners for securit+; crac4s an%
e)i%ence of flui% lea4s
1!7 .mpennage! Inspect t$e follo3ing:
=ea%ing e%ge for %ents
All lig$ts Ageneral con%ition; bro4en
lenses etc!B
<issing static %isc$arge eliminators
.le)ator; ru%%er an% tabs Acrac4s;
corrosion; %ents an% %elimitationB
Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*.
Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $
.le)ator an% ru%%er po3er unit for
e)i%ence of $+%raulic lea4s
1!8 Groun% safet+! Inspect t$e follo3ing:
aB 0ositioning of support )e$icles
bB Fueling of aircraft to inclu%e t$e follo3ing:
Refueling pressure
'on%ition of refueling unit Alea4s; filter
c$ange %ates; e&$aust s+stem etc!B
Groun%ing
Fire protection
General fueling proce%ures
cB General con%ition of ramp to inclu%e t$e
follo3ing:
0ro)isions for groun%ing
Foreign ob@ects on ramp
Fuel spills
General $ouse4eeping/cleanliness
0assenger control
Fire protection
1!: (aggage! Obser)e loa%ing an% unloa%ing of
baggage compartments to inclu%e t$e
follo3ing:
(aggage restraining s+stem
=oa% %istribution
5.0
MANDATORY EQUIPMENT
DETAIL
Ref! N/A OK <a4e <o%el Serial
Number
6!" 9!F!
6! C9F
6!/ .nco%ing Altimeter
6!1 'ompass S+stem
6!6 <ar4er (eacon
6!7 ADF
6!8 R<I
6!: 9SI
6!9 #& Ra%ar N/A
6!"5 G0S >SO '"9a
6!"" RCS< N/A
6!" .=> >SO "7
6!"/ A>' >ranspon%er
6!"1 G0#S/.G0#S N/A
6!"6 FDR N/A
6!"7 >'AS N/A
6!"8 'CR
6!": Operation of all lig$ts
Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*.
Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $
6!"9 COR/D<. Aif applicableB
6!5 F<S N/A
6!" .FIS N/A
Inspecte% b+ Secon% Inspecte% b+
JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJ
Signature of Inspector
Name:
Designation:
Date:
0lace:
Signature of Inspector
Name :
Designation:
Date:
0lace:
Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*.
Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $

You might also like