Vaeco Form Manual 31aug 2015

Vietnam Airlines Corporation
VIETNAM AIRLINES ENGINEERING COMPANY LTD.
VAECO FORM
MANUAL
Manual Reference: VAECO - FM
A: Noi Bai International Airport, Hanoi, Vietnam T: 84-4-38843290 F: 84-4-38865176 W: www.vaeco.com.vn
VIETNAM AIRLINES ENGINEERING CO. LTD.
VAECO FORM MANUAL

INTRODUCTION
1.
INTRODUCTION
a.
The VAECO Form Manual identifies all VAECO Forms used to record
all VAECO maintenance activities and concerned activities in many
departments/ centers or to communicate with/ report to extrinsic
organizations such as Manufacturer, Customer, Authorities
b.
The VAECO Form Manual consists of following sections:
Introduction;
Distribution list;
List of VAECO forms.
List of CAAV forms used by VAECO.
List of EASA forms used by VAECO.
List of FAA forms used by VAECO.
VAECO forms.
CAAV forms.
EASA forms
FAA forms.
c.
The VAECO Forms are initiated by the concerned departments/

centers. All VAECO Forms are approved by Quality Director and
managed by Quality Assurance department. The Director of
department/ center is responsible for proposing amendment of any
form to ensure that it is appropriate to practice activities and meet the
VAECO and Authoritiess requirements.
d.
The VAECO Form is numbered as XYYY, in which:
X : The number from 0 to 9. Number 0 (zero) mean a tag, other

number is code assigned to department/ center that initiated the
form;
YYY: Ordinal number of the VAECO Form, from 001 to 999.
Date: 31 AUG 2015
Page 2
VAECO FORM MANUAL

MANUAL DISTRIBUTION
2.
MANUAL DISTRIBUTION
The VAECO Form Manual will be published on VAECO website as PDF
electronic file. The users who are VAECO members will access the current
VAECO Form Manual on VAECO website.
Note: PDF means Portable Document Format.
Date: 31 AUG 2015
Page 3
VAECO FORM MANUAL

MANUAL AMENDMENT
3.
MANUAL AMENDMENT
a.
This manual is revised as recommended by concerned department/

center and/ or requested by competent Authorities and Customers to
meet the new requirements and/ or practical activities.
b.
Any suggestions to revise a form or add a new form are sent to

Quality Assurance Department for evaluation. If the new/ revised form
meet practical activities and does not contradict with any applicable
regulations. the Form manual is revised and sent to Quality Director
for approval.
c.
After approval the VAECO Form manual is sent to Technical Library to

upload on VAECO website for use. The Quality Assurance
Department notifies the changes on home page of VAECO website.
Date: 31 AUG 2015
Page 4
VAECO FORM MANUAL

LIST OF FORMS
4.
LIST OF VAECO FORMS

Form No.
Iss. No./Rev. No.
0002*
02/01
TOOL/ EQUIPMENT UNSERVICEABLE TAG
0003*
02/01
IDENTIFICATION TAG
0004*
02/01
CALIBRATION CONTROL
0005*
02/01
SERVICEABLE TAG/ UNSERVICEABLE TAG (ROTABLE PART)
0006
02/01
WARNING TAG
0007*
02/02
SERVICEABLE TAG FOR EXPENDABLE/CONSUMABLE ITEM
0008*
02/03
CONSUMABLE RELEASE TAG
0009*
02/01
CONDEMNED PART TAG
0010*
02/01
PANEL OPEN TAG
0013*
02/01
DEFECT IDENTIFICATION TAG
0014*
02/03
INSPECTION TAG
0015
02/01
LOAN ITEM
0016*
01/02
USAGE NOTICE
0017*
02/01
SHOP INSPECTION TAG
0018*
02/01
CALIBRATION NOT REQUIRED
0019*
02/01
CAUTION LABEL
0020*
01/01
SHOP IDENTIFICATION TAG
0021*
02/01
CALIBRATION STAMP
0022
01/01
HOLD ITEM TAG
0023*
01/00
MAINTENANCE CONTROL
1001
01/03
LIST OF AIRCRAFT COMPONENT REQUIRED MAINTENANCE
1002*
02/05
WORK ORDER
1003
01/05
OUT OF PHASE MAINTENANCE REQUIREMENT CONTROL

SHEET
1006*
01/03
LAST MINUTE ITEMS LIST
1007*
01/02
SERVICE ORDER
1014*
01/02
WORK PACK CONTENTS
1016*
01/04
WORK REQUEST AND CONFIRMATION SHEET
1017*
01/01
DEFECT RECTIFICATION ORDER
2001*
01/02
APPLICATION FOR CONTRACTOR APPROVAL
2002*
01/02
CONTRACTOR EVALUATION QUESTIONNAIRES
2003*
01/02
APPLICATION FOR SUPPLIER APPROVAL
2004*
01/02
SUPPLIER EVALUATION QUESTIONNAIRES
2005*
01/03
SUPPLIER APPROVAL CERTIFICATE
2006*
01/03
LIST OF CATEGORY 1 PRODUCT SUPPLIER
2007*
01/03
CONTRACTOR APPROVAL CERTIFICATE
Date: 31 AUG 2015
NOMENCLATURE
Page 5
VAECO FORM MANUAL

LIST OF FORMS
Form No.
Iss. No./Rev. No.
2008*
01/02
APPROVED CONTRACTOR LIST
2009*
01/03
APPROVED SUPPLIER LIST
2010*
01/00
REQUEST FOR INSTRUCTOR APPROVAL
2011*
01/03
SUPPLIER MONITORING SHEET
2012*
02/06
MAINTENANCE RELEASE
2013*
02/03
SAFETY/ ERROR REPORT
2014*
01/03
CONFIDENTIAL SAFETY REPORT
2015*
02/01
INSPECTOR HANDOVER SHEET
2016*
01/03
MEDA RESULTS
2025*
01/02
AUDIT SCHEDULE
2026*
01/03
AUDIT SCHEDULE NOTICE
2029*
02/03
NON-CONFORMITY REPORT
2031*
01/05
PRACTICAL EXPERIENCE RECORD
2032*
01/02
AUDIT REPORT
2033*
01/04
CORRECTIVE ACTION REQUEST
2034*
01/02
REMEDIAL EXTENSION REQUEST
2035*
02/02
MANDATORY OCCURRENCE REPORT
2039
01/04
ASSESSMENT SCHEDULE
2040
01/02
MULTIPLE CHOICE EXAMINATION QUESTIONNAIRES
2041
01/04
MULTIPLE CHOICES ANSWER SHEET
2043
01/03
VISION EXAMINATION RESULT
2045*
01/11
APPLICATION FOR AUTHORISATION
2046*
01/14
AUTHORIZATION ASSESSMENT SHEET
2047*
01/00
EASA PART 145 AUTHORIZATION APPLICATION DOCUMENT

REVIEW
2048*
01/00
SUMMARY OF ASSESSMENT FOR C/S AND S/S NOT

QUALIFIED TO EASA PART 66
2050*
01/01
APPROVED CONCESSION LIST
2051*
01/15
AUTHORISATION CERTIFICATE
2052*
01/04
DISPENSATION
2053*
01/04
NDT PRACTICAL TRAINING EXPERIENCE RECORD
2054*
02/01
CONCESSION REQUEST
2055*
02/03
INVESTIGATION REPORT
2056
02/05
PERSONNEL ROSTER
2057*
01/00
EASA ROSTER
2059
02/02
QUALITY REQUEST
2060*
01/03
SUPPLIER CONTRACTOR RECORDS REVIEW
2061*
01/02
FABRICATION PART LIST
Date: 31 AUG 2015
NOMENCLATURE
Page 6
VAECO FORM MANUAL

LIST OF FORMS
Form No.
Iss. No./Rev. No.
2062*
01/03
RECOGNIZED CALIBRATION SERVICE SUPPLIER LIST
2063*
01/02
TOOL LIST
2064*
01/02
TOOL INVENTORY LOG
2065
01/03
LIST OF QUALIFIED PERSONNEL
2066
01/01
WAIVER REQUEST
2067
01/02
APPLICATION FOR INSTRUCTOR APPROVAL
2068
01/01
INSTRUCTOR EVALUATION SHEET
2069
01/01
INSTRUCTOR EVALUATION RESULT
2070*
01/00
NOTIFICATION OF LINE MAINTENANCE IN A NONAPPROVED LOCATION
2101
02/02
HAZARD IDENTIFICATION AND RISK ASSESSMENT
2102
02/02
SUMMARY HIRA REPORT
2106
02/02
LIST OF HAZARDS AND ASSOCIATED RISKS
3001*
02/01
ASSESSMENT OF EQUIVALENT TOOL/ EQUIPMENT
3002
01/02
AMASIS USER LIST
3003*
02/03
ENGINEERING ORDER
3004
01/01
ENGINEERING REQUEST
3005*
01/02
REQUEST TO MODIFY MAINTENANCE DATA
3006*
01/02
MODIFIED MAINTENANCE DATA
3007*
01/02
MAINTENANCE DATA AMBIGUITIES AND INACCURACIES REPORT
3008*
01/02
NOTICE FOR TEMPORARY REVISION OF MAINTENANCE DATA
3009
01/01
TECHNICAL MEMORANDUM
3010*
01/03
EO SPARES AND TOOL LIST
3011
01/02
AD/ SB REQUISITION
3012
01/02
LIST OF AD POTENTIALLY APPLICABLE TO ENGINES AND

COMPONENTS
3014*
02/01
DOCUMENT MASTER LIST
3015*
01/03
TECHNICAL ASSISTANCE REQUEST
3016*
01/04
STRUCTURE DAMAGE REPORT
3017*
01/02
TECHNICAL INSTRUCTION
3020*
01/01
TECHNICAL INSTRUCTION FOR PART FABRICATION
3022
01/01
SAMPLE MODIFICATION RECORD
3024
01/02
PRELIMINARY EVALUATION SHEET
3026
01/01
ONBOARD TECHNICAL DATA LIST
3027*
01/01
TOOL/ EQUIPMENT MAINTENANCE PROGRAM
3028
01/01
LIST OF COCKPIT STOWED MEDIA
3029
01/01
LIST OF LOADABLE SOFTWARE DISKETTE
3030*
01/01
PRODUCT ACCEPTANCE REPORT
Date: 31 AUG 2015
NOMENCLATURE
Page 7
VAECO FORM MANUAL

LIST OF FORMS
Form No.
Iss. No./Rev. No.
3031*
01/02
MAINTENANCE RECORD HANDOVER SHEET
3032*
01/00
MAINTENANCE REQUEST APPROVAL SHEET
4002*
02/01
MAINTENANCE/ REPAIR REQUEST (IN-HOUSE REPAIR)
4003*
01/02
MAINTENANCE/ REPAIR REQUEST (OUTSIDE REPAIR)
4004*
01/02
DISCREPANCY REPORT
4006*
02/03
AIRCRAFT PARTS ACCEPTANCE SHEET
4007*
01/02
SUSPECTED UNAPPROVED PART REPORT
4008
01/02
MISSING PARTS LIST
4011
02/01
PART TECHNICAL RELATION CONFIRMATION
4014
01/03
LIST OF AIRCRAFT PART/ MATERIALS TO BE EXPIRED
4015
01/02
LIST OF A/C PART/ MATERIALS NEEDED TO BE INVENTORIED
4021*
01/01
CONDEMNED PART LOG
4023*
01/02
REQUEST FOR SUPPLY
4024*
01/02
STOCK REQUISITION
4025
01/01
REQUEST FOR CLOSE OF REQUISITED ITEMS
5001
02/04
RE-CERTIFIED CERTIFICATE
5002*
02/05
RAMP MAINTENANCE SHIFT/ TASK HANDOVER SHEET
5003
01/01
TOOL AND EQUIPMENT TRANSFER ORDER
5004
01/02
OUT OF PHASE MAINTENANCE REQUIREMENT NOTICE
5036
02/02
LINE AND BASE HANDOVER SHEET
6001*
02/03
NON-ROUTINE CARD (NRC)
6002*
02/03
PRELIMINARY INSPECTION FINDING LIST
6003*
01/05
NON-ROUTINE CARD LIST
6004*
01/06
BASE MAINTENANCE SHIFT/ TASK HANDOVER SHEET
6005*
01/04
JOB CARD ATTACHING SHEET CONTROL LIST
6006*
01/01
NON-ROUTINE WORK OR WORKPACK CHANGE REQUEST
6007*
02/04
JOB CARD ATTACHING SHEET
6009*
01/04
STRUCTURE REPAIR ORDER
6010*
01/02
STRUCTURE REPAIR REPORT
6011*
01/03
AIRCRAFT HANDOVER SHEET
6012*
01/04
LIST OF ACCEPTABLE DEFERRED DEFECTS
6013*
01/04
LIST OF ACCEPTABLE DEFERRED TASK
6014*
01/04
LIST OF REPLACED COMPONENT
6015*
01/10
MAINTENANCE STAFF REGISTER
6016*
01/05
WORK PACK HAND OVER
6017*
02/04
JOB CARD/ NON-ROUTINE CARD CONTINUATION FORM
6019*
01/04
MASTER JOB CARDS/WORKSHEETS INDEX
Date: 31 AUG 2015
NOMENCLATURE
Page 8
VAECO FORM MANUAL

LIST OF FORMS
Form No.
Iss. No./Rev. No.
6020*
01/03
ADDITIONAL TASKS LIST
6021
01/04
JOB CARD/WORKSHEET/NRC BOOKING IN & OUT RECORD
6022
01/03
TAR INDEX
6023*
01/03
JOB CARD/NON-ROUTINE CARD CONTINUATION LIST
7001*
01/03
CALIBRATION / REPAIR / MAINTENANCE REQUEST FOR

TOOL/EQUIPMENT
7002*
01/02
OVERDUE MAINTENANCE NOTICE
7003*
01/03
LIST OF TOOL AND EQUIPMENT TO BE CALIBRATED
7005*
01/03
OVERDUE CALIBRATION NOTICE
7006*
02/01
TOOL & EQUIPMENT MAINTENANCE PLAN
7007*
02/04
CAPABILITY SELF-EVALUATION SHEET
7008*
02/01
FUNCTION / USAGE PURPOSE CHANGE REQUEST FOR

TESTING EQUIPMENT
7009
02/01
SIGNIFICANT OUT OF TOLERANCE REPORT
7010*
01/05
LOST/ DAMAGED TOOL/ EQUIPMENT REPORT
7011*
01/02
RECEIVING/ DELIVERING MINUTE OF TOOL/ EQUIPMENT
7013
01/02
TOOL/EQUIPMENT REFUSAL REPORT
7014*
02/02
WORK REQUEST (FOR WORKSHOP)
7015*
01/01
LIST OF TOOL AND EQUIPMENT TO BE MAINTAINED
7016*
01/02
LIST OF CALIBRATION REQUIRED TOOL AND EQUIPMENT
7017*
01/01
LIST OF SPECIFIC TOOL AND EQUIPMENT
7018
01/01
LIST OF SPARES/ MATERIALS BEING STORED AT THE SHOP
7022
01/02
CALIBRATION RESULT EVALUATION REPORT
7028
01/01
ASSESSMENT OF EQUIVALENT NDT EQUIPMENT/ METHOD
7023
01/01
LIST OF FABRICATED SOFT FURNISHINGS
7031
02/02
WORK TRANSIT SHEET
7032*
02/03
COMPONENT MAINTENANCE WORKSHEET
7033*
02/02
FINDING/ REPAIR REPORT
7035
02/03
FABRICATION WORKSHEET
7036*
01/06
CERTIFICATE OF CONFORMITY
7040*
01/04
WORKSHOP SHIFT/ TASK HANDOVER SHEET
7042*
02/03
NDT REPORT
7043*
01/02
BORESCOPE INSPECTION REPORT
7045*
01/03
TOOL/ EQUIPMENT MONITORING RECORD
7046*
01/02
TOOL/ EQUIPMENT INVENTORY AND CONTROL RECORD
7050*
01/02
SERIAL NUMBER LIST
7051*
02/01
TOOL-EQUIPMENT MAINTENANCE WORKSHEET
7053
01/01
APPROVED WORKSHEETS LIST
Date: 31 AUG 2015
NOMENCLATURE
Page 9
VAECO FORM MANUAL

LIST OF FORMS
Form No.
Iss. No./Rev. No.
7054
02/02
SHOP RECEIVE-RELEASE RECORD
7055
01/01
CURRENT DOCUMENT AND TECHNICAL DATA LIST
7056
01/01
ACCEPTANCE PART LIST
8000
01/01
CERTIFICATE OF RECOGNITION
8001
01/06
CERTIFICATE OF COURSE COMPLETION
8002
01/06
ATTESTATION OF COURSE ATTENDANCE
8003
01/08
TOEFA CERTIFICATE
8004
01/06
TOEFA REPORT
8005
01/06
TRAINING COURSE CRITIQUE
8006
01/07
PARTICIPANT DATA COLLECTION
8007
01/08
TRAINING COURSE PLAN
8008
01/06
TRAINING ATTENDANCE RECORD
8009
01/06
MINUTES OF EXAM
8010
01/06
MULTIPLE CHOICE QUESTIONAIRE
8011
01/06
MULTIPLE CHOICE ANSWER SHEET
8012
01/08
EXAM QUESTIONNAIRE/ PRACTICAL ASSESSMENT
8013
01/06
EXAM RESULT
8014
01/06
TRAINING COURSE REPORT
8015
01/09
TRAINING COURSE CURRICULUM
8016
01/07
TRAINING WORKSHEET
8017
01/08
TRAINING LIST
8018
01/07
INSTRUCTOR ROSTER
8019
01/09
INSTRUCTOR APPROVAL
8020
01/04
TRAINING COURSE CAPABILITY SELF-EVALUATION SHEET
8024
01/01
CLASSROOM- EXAMINATION ROOM ASSESSMENT
8025
01/01
EXAMINATION ASSESSMENT REPORT
8031
01/02
POSITION NEED ASSESSMENT
8032
01/01
EMPLOYEE NEEDS ASSESSMENT
8033
01/01
EMPLOYEE TRAINING PLAN
8034
01/03
EMPLOYEE TRAINING RECORDS
8035
01/03
TRAINING WAIVER
8036
01/02
ASSESSOR APPROVAL
8037
01/02
ASSESSOR ROSTER
8039
01/02
ORAL AND PRACTICAL ASSESSMENT SCHEDULE NOTICE
Date: 31 AUG 2015
NOMENCLATURE
Page 10
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VIETl\AM AIRLINES ENGINEERING CO. LTO.

\.\ECO IOI{\1 \J.\:\l .\1.
LIST OF FORMS
5.
6.
LIST OF CAAV FORMS USED BY VAECO

CAAV Form
Number
Issuel Revisionl Date
1/2011
AUTHORIZED RELEASE CERTIFICATE
14B
Jan2015
523
[0]2009
MAJOR REPAIR OR MODIFICATION REPORTING

FORM
FSSD-AIR 040
1/2011
CONCESSION REQUEST
FSSD-AIR 042
1/2011
VARIATION REQUEST
FSSD-AIR 044
1/2011
EXEMPTION REQUEST
LIST OF EASA FORMS USED BY VAECO

EASA Form
Number
Issue/ Revisionl Date
1*
2*
Issue 1,
23/7/2013
FOREIGN PART 145 AND PART M SUBPART G

APPROVALS
4*
28/11/2003
MANAGEMENT PERSONNEL
44*
7.
NOMENCLATURE
NOMENCLATURE
FO.IORS.00044-006
TECHNICAL OCCURRENCE REPORT
LIST OF FAA FORMS USED BY VAECO

FAA Form Number
Issue/ Revision/ Date
NOMENCLATURE
337
10-06
MAJOR REPAIR AND ALTERATION
8070-1
11-84
SERVICE DIFFICULTY REPORT
8130-3
02-14
8120-11
10/16/2003
SUSPECTED UNAPPROVED PART REPORT
Note: "*,, are forms linked with EASA MOE.
APPROVED BY
Date: 31 AUG 2015
Page 11
TOOL/ EQUIP. UNSERVICEABLE TAG

TH DNG C/ THIT B KHNG S DNG C
1. Name:
3. P/N:
FORM
0002
2. Mfr:
4. S/N:
5. GRN:
6. Reason:
7. Date:
8. Raised by:
Signature:
Stamp:
ISS. 02; REV. 01 - DATE: 15 JUN 2015
Form 0002 completion guidance:

This form is used to identify Un-serviceable status of tool or equipment and completed by
User or Tool control personnel.
Block 1.
Enter the Description of Tool or Equipment (T/E)
Block 2.
Enter the Manufacturer of T/E.
Block 3.
Enter the Part Number of T/E
Block 4.
Enter the Serial Number of T/E
Block 5.
Enter the Goods Receipt Number of T/E for the tracking of the original
certificate. Leave blank if no information
Block 6.
Enter the reason to determine that T/E is unserviceable. E.g.: Damaged, Out
of Calibration, etc.
Block 7.
Enter date of unserviceable declaration in the format of dd mmm yyyy (E.g.:

15 JAN 2010).
Block 8.
Enter full name, signature and stamp/ authorization number of the person
who issues this tag.
IDENTIFICATION TAG
FORM 0003
TH NHN DNG
1. A/C Reg.: .............
2. Customer: ..............
4. P/N: .....................................................
6. Task Ref.: ...................................
3. Rem. Date: ......../ .... / ..........
5. S/N: .....................................................
7. POS.: ............................
8. QTY: ..............
9. Description: ...............................................................................................................
STORAGE INSP SHOP-IN

GET ACCESS EO OTHER: ..
11. REMOVED BY:

(Name/CER.No.)
10. Removal reason:
........................................
ISS. 02; REV. 01 - DATE: 01 AUG 2015
Form 0003 Completion Guidance:

This form is used to identify aircraft part/ component during Base and Ramp maintenance.
Block 1.
State the Aircraft Registration, E.g: VN-A301
Block 2.
State the Customer, E.g: VNA
Block 3.
State the Date of Removal. The date should be given in the format
day/month/year.
Block 4.
State the Part Number of A/C component
Block 5.
State the Serial Number of A/C component
Block 6.
State the Related Task Reference
Block 7.
State the Position of A/C component. This could be the FIN number or
description of the components position, E.g: LH Wing ect.
Block 8.
State the Quantity of A/C component
Block 9.
State the Description of A/C component
Block 10.
State the Removal Reason such as For storage, Inspection, Shop-in, Get
access, Required by EO, Other. If other, specify more details.
Block 11.
State the Name and authorization Number of Mechanics or Certifying staff

who removes the component.
FORM 0004
CALIBRATION CONTROL
S/N:
Due date:
ISS.02, REV.01 - 15 JUN 2015
Form 0004 completion guidance

FORM 0004
CALIBRATION CONTROL
S/N:
(1)
Due date:
(2)
ISS.02, REV.01 - 15 JUN 2015
Block (1)
Enter serial number of the tool or equipment.
Block (2)
Enter expiry date in the format of dd mmm yyyy. E.g.: 15 JAN 2010
SERVICEABLE TAG
THIT B S DNG C
2. P/N:
18. P/N:
5. Mfr:
6. GRN:
7. Shelf life:
9. Order No.:
10. Customer:
FORM 0005
THIT B KHNG S DNG C
3. S/N:
4. Desc.:
UN-SERVICEABLE TAG
1. Tag No.:
19. S/N:
20. Description:
8. Location:
21. Removed from A/C:
22. Position:
24. NHA P/N:
23.ATA:
25. NHA S/N:
11. The following type of works are performed:

New
Repair
INSP/ Test
OVH
MOD
Other:.
12. Remarks: ...................................................................................................................................
26. Customer:
28. Reason for removal:
.........................................................................................................................................................
13. NHA P/N:
15. Original Document/ Cert.:
Repair
OVH
MOD
Test/ INSP.
Other:.
29. Reason in details: ....................................................................................................................
14. NHA S/N:
.......................................................................................................................................................
16. Above part accepted for installation on:

EASA registered A/C and EASA Operator A/C:
US registered A/C and US Air Carrier A/C:
Certify the above item has been
inspected in accordance with VAECO
incoming inspection procedure.
27. Doc. Ref.:
.......................................................................................................................................................
Yes
Yes
No
No
.......................................................................................................................................................
17. Store Inspector: .................................................
30. Raised by: ................................................
31. Store Inspector: ..........................................
Date: ..............................
Date: .................................
Date: ..................................
Signature:
ISS. 02; REV. 01 - DATE: 01 AUG 2015
Note: Recommended Dimension (HxW): 12cm x 28cm
Stamp:
Signature:
Stamp:
Signature:
Stamp:

SERVICEABLE TAG (left hand part)
The left hand part is used to identify serviceable status of aircraft rotable part/ component. This part is completed by store inspector.
Block 1.
Enter the Tag Number in increasing sequence.
Block 2.
Enter the Part Number of serviceable part/ component
Block 3.
Enter the Serial Number of serviceable part/ component
Block 4.
Enter the Description of serviceable part/ component
Block 5.
Enter the Manufacturer of serviceable part/ component
Block 6.
Enter the Good Receipt Number that generated from AMASIS for the purpose of tracking to original certificate.
Block 7.
Enter the Shelf life of serviceable component (if applicable). The date should be given in the format dd mmm yyyy. E.g.: 15 JUL 2010
Block 8.
Enter the location of the component in the store
Block 9.
Enter the Order Number.
Block 10.
Enter the Customer Name
Block 11.
Tick to appropriate box to specify the type of works is performed: New, Repair, Inspection/ Test, Overhaul, Modification or Other, If
Other is selected the information should be specified.
Block 12.
Enter any remarks such as special manufacturer requirements about storage temperature and humidity, special handle; If this
component is approved to service by the manufacturer under PMA/ EPA it must be written in this block.
Block 13.
Enter the Part Number of Next Higher Assembly
Block 14.
Enter the Serial Number of Next Higher Assembly
Block 15.
Enter the reference of Original Document/ Certificate and number such as: EASA Form 1, FAA 8130, CAAV Form 1, etc. with number
of the certificate for the tracking purpose
Block 16.
Tick YES box if the part is acceptable for installation in United State registered aircraft and/or United State Air Carriers aircraft.
Block 17.
Name of the Store Inspector, Date of inspection in the format of dd mmm yyyy. E.g.: 15 JUL 2010. Signature and Stamp of Store
Inspector.
UN-SERVICEABLE TAG (right hand part)

The right-hand part is used to identify un-serviceable status of aircraft rotable part/ component. This part is completed by maintenance personnel.
Block 18.
Enter the Part Number of Un-serviceable component
Block 19.
Enter the Serial Number of Un-serviceable component
Block 20.
Enter the description of Un-serviceable component
Block 21.
Enter the Aircraft Register Number that the component removed from.
Block 22.
Enter the position of Un-serviceable component
Block 23.
Enter the ATA that the Un-serviceable component belong to.
Block 24.
Block 25.
Block 26.
Enter the Customer Name
Block 27.
Enter the Document reference such as Work Order Number/ Techlog page number,. that required the removal (if applicable).
Block 28.
Enter the reason for removal such as Repair, Test/ Inspection, Modification, Overhaul or Other, If Other is selected the
information should be specified.
Block 29.
Enter reason in details. If the document that clarifies the reason must be attached with this tag.
Block 30.
Name of the authorised staff, Date of issuance in the format of dd mmm yyyy. E.g: 15 JUL 2010. Signature and Stamp of the
authorised staff who raised this tag.
Block 31.
Name of the Store Inspector, Date of inspection in the format of dd mmm yyyy. E.g: 15 JUL 2010. Signature and Stamp of
Store Inspector.
FORM 0006
WARNING TAG
TH CNH BO
1. OPERATOR: ................................................
2. A/C REG. No.: .............................................
3. DESCRIPTION: ...........................................
..........................................................................
..........................................................................
..........................................................................
..........................................................................
..........................................................................
..........................................................................
..........................................................................
4. ISSUED BY:
........................................
DATE: ........................ STAMP:

ISS. 02; REV. 01 - DATE: 01 AUG 2015

This Tag is used to identify the position that a tube opened or other component removed. This
tag is completed by maintenace staff who removed the component.
Block 1.
State the Name of Operator/ Customer.
Block 2.
State the Aircraft registration Number.
Block 3.
State the Description of what an warning is required
Block 4.
Name and Stamp of the maintenance staff who issued this tag. The date should be
given in the format of dd mmm yyyy. E.g: 15 JUL 2010.
SERVICEABLE TAG
FOR EXPENDABLE/ CONSUMABLE ITEM
1.P/N:
3.Desc.:
5.GRN:
2.B/N:
7.Order No.:
8.Customer:
9.Remark:
10.Location:
Certify the above item(s) has(ve) been

inspected in accordance with VAECO
incoming inspection procedure.
12. Store Inspector Sign./ Stamp:
4.Qty:
6.Shelf life:
11.Date:
FORM 0007 - ISS. 02; REV. 02 - DATE: 01 AUG 2015

This form is used to identify serviceable status of aircraft expendable/ consumable
part/ materials. This form is completed by store inspector.
Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Enter the Part Number or type of the materials.

Enter the Batch Number of the materials
The name or description of the materials
Enter the quantity of the materials
Enter the Goods Receipt Number that generated from AMASIS for the purpose of
tracking to original certificate.
Block 6. Enter the shelf life in the format dd mmm yyyy. E.g: 15 JUL 2010.
Block 7. Enter the Order number. The purpose is to reference the order such that a fast
traceability system can be established.
Block 8. Enter the name of Customer
Block 9. Enter any remark such as special manufacturer requirements about storage
temperature and humidity, special handle,
Block 10. Enter the location of the materials in the store.
Block 11. The date of inspection should be given in the format dd mmm yyyy. E.g: 15 JUL
2010.
Block 12. The name and signature/ stamp of the Store Inspector.
CONSUMABLE RELEASE TAG

TH XUT VT T TIU HAO
1.Desc.:
3.P/N:
5.GRN or BN:
7.Expiry date:
This certifies that items recorded
on the label have been obtained
from an original batches kept on
main technical store.
2.IS No:
4.IS date:
6.Qty:
8.Store keeper:
FORM 0008 - ISS. 02, REV.03 - DATE 01 AUG 2015

This form is used to identify serviceable status of items extracted from a batch of
consumable part/ materials.
Block 1. Enter the name or description of the item
Block 2. Enter the Issue Slip number (automatically created by AMASIS)
Block 3. Enter the Part Number of the part/ materials.
Block 4. Enter the issuance date in the format of dd mmm yyyy, E.g.: 15 JAN 2010.
Block 5. Enter the Batch Number or Goods Receipt Number that generated from
AMASIS for the purpose of tracking to original certificate.
Block 6. Enter the quantity of the of items being released.
Block 7. Enter the deadline of shelf life (storage life)/ life limit, in the format dd mmm
yyyy. E.g: 15 JUL 2010. If theres no required information available, enter
N/A.
Block 8. Enter the name and the hand-written signature of the person who issue this
tag.
CONDEMNED PART TAG

TH THIT B HU
1. P/N:
2. S/N:
FORM 0009
3 Qty
4. Description:
5. GRN:
6. NHA P/N:
7. NHA S/N:
8. Doc. Ref.:
9. Parts owner:
10. Reason to condemn: ..........................................................................................

..................................................................................................................................
11. Raised by: .............................................................
Date: ................................ Signature:
Stamp:
ISS. 02; REV. 01 - DATE: 01 AUG 2015
Note: Dimention (HxW): 7.5cm x 12.5cm

This form is used to identify condemned status of aircraft part/ component if un-serviceable aircraft part is
fall into any category specified in 9.8.4.2 and completed by Stored Inspector/ Authorised staff.
Block 1.
Enter the Part Number
Block 2.
Enter the items Serial Number
Block 3.
Enter the quantity, UOM-unit of mearsure should be given after (m2, ea, bottle, box)
Block 4.
Block 5.
The name or description of the item must be given

Goods Receipt Number of that aircraft part/ components
Block 6.
Block 7.
Block 8.
Block 9.
Document reference that show these items must be condemed

The owner of the item must be given
Block 10.
The reason of condemnation is detailed but not limit to SOP 9.8.4.2 as follows:
a. Parts with known non-repairable defects, whether visible or not;

b. Parts that are not within the specifications set forth by the approved design, and that cannot be
brought into conformance with applicable specifications;
c. Part and materials for which further processing or rework cannot make them eligible for
certification under a recognized certificate holders system;
d. Part subjected to unacceptable modification or rework that is irreversible;
e. Life-limited part that have reached or exceeded their life limits, or have missing or incomplete
records;
f. Part that cannot be returned to an airworthy condition due to exposure to extreme forces or
heat;
g. Principal structural elements removed from a high-cycle aircraft for which conformity cannot be
accomplished by complying with the applicable aging aircraft airworthiness directives;
h. Components with no traceability to the Production Approval Holder (PAH);
i. Parts imported without proper approval documentation; and
j. Used parts with no maintenance history.
Block 11. The name, signature and stamp/ authorization number of the person who raises this tag. The
date should be specified in the format dd mmm yyyy (E.g: 20 Jun 2010).
PANEL REMOVED
TH M PANEL
FORM 0010
THIS PORTION ATTACH TO PANEL (A)

1: A/C Reg.: ..........................
2. Customer: .............................
3. PNL No: ...........................
4. Position: ...............................
5.
PNL No: ..................................................................................................

THIS PORTION ATTACH TO AIRCRAFT (B)
ISS. 02; REV. 01 - DATE: 01 AUG 2015

This form is used to identify a panel that removed from aircraft during maintenance. The
form is compeleted by maintenance personnel. Part A of this form is attached to the panel.
Part B is attached to the aircraft that the panel removed from.
Block 1. Enter the the Registration mark of Aircraft, e.g: VN-A301
Block 2. Enter the the identification code of Customer, e.g: VNA
Block 3. Enter the the Panel number
Block 4. Enter description of the position of panel on the aircraft such as: LH Wing ect.
Block 5. Enter the the Panel number
YELLOW
1. J/C Ref No:
2. Issued by (Name & Stamp):
4. FINDINGS:
3.Date (d/m/y):
FORM 0013
ISS. 02, REV. 01 - DATE: 01 AUG 2015
PINK
1. J/C Ref No:

2. Issued by (Name & Stamp):
FORM 0013
3.Date (d/m/y):
4. FINDINGS:
ISS. 02, REV. 01 - DATE: 01 AUG 2015

This form is used to mark a defect found during inspection process. The yellow card is used
for Mechanic; the pink card is used for Authorised inspection personnel.
Block 1.
State the Job card number.
Block 2.
The name or the stamp of the person who has discovered the defect should be
written and impressed.
Block 3.
Date that the defect is discovered. The date should be given in the format of dd
mmm yyyy. E.g.: 15 JAN 2010
Block 4.
It is necessary to state any finding in this block, that identifies the defect relating
to the item being repaired that are necessary for the maintenance action.
INSPECTION TAG
P/N: ................................... S/N: ..................................
Work type: ...................................................................
Remark: ......................................................................
Perf. date:
Sign/ Stamp:
Exp. date:
Name:
FORM 0014 - ISS.02, REV.03 - DATE 15 JUN 2015

INSPECTION TAG
P/N:
(1)
S/N:
(2)
Work type:
(3)
Remark:
Perf. Date:
(4)
(5)
Sign/ Stamp:
(7)
Exp. date:
(6)
Name:
(8)
FORM 0014 - ISS.02, REV.03 - DATE 15 JUN 2015
This tag is completed by authorized staff/ store inspector.

Block (1) Enter part number of the emergency equipment
Block (2) Enter serial number of the emergency equipment. If the batch number
is used instead of serial number enter Ref.B/N: after S/N:.
Block (3) Enter the type of work performed on the equipment such as
manufacture, overhaul, weight check
Block (4) Enter any remarks such as weight of the extinguisher
Block (5) Enter the date of work performed on the equipment in the format of dd
mmm yyyy. E.g. 15 JAN 2010.
Block (6) Enter the expiry date of the equipment in accordance with the work
perform in the format of dd mmm yyyy. E.g. 15 JAN 2012.
Block (7) Enter signature and authorization number or stamp of the authorised
staff/ Store inspector.
Block (8) Enter name the authorised staff/ Store inspector
LOAN ITEM
FORM 0015
TH THIT B THU MN
2. S/N:
1. P/N:
3. DESC.:
4. OPERATING HRS:
5. POSITION:
6. A/C TYPE:
7. A/C REG.No.:
8. DATE FITTED:
9. STN FITTED:
10. RETURN TO (AIRLINE NAME): .................................................................................

11. SHIPPING ADDRESS: ...............................................................................................
..........................................................................................................................................
Attach this label to loaned item on removal. Loan charged item has to return without delay
ISS. 02, REV. 01 - DATE: 01 AUG 2015
PAGE 1
LOAN ITEM
FORM 0015
TH THIT B THU MN
12.CONDITION CERTIFICATION ON REMOVAL

SERVICEABLE: This item was removed in a serviceable condition. There were no
defects attributed to this item and no obvious defects upon removed.
UNSERVICEABLE:
Unserviceable Reason: .......................................................................................................
.............................................................................................................................................
.............................................................................................................................................
13.REM DATE:
14.STN REMOVED:
ISS. 02, REV. 01 - DATE: 01 AUG 2015
15. REMOVED BY:

SIGNATURE
STAMP
PAGE 2

This form is used for identifying a loan item. The form shall be attached to loan item upon
removal from aircraft.
Block 1.
Enter Part Number
Block 2.
Enter Manufacturing Serial Number
Block 3.
Enter description of Loan Item (Name of the Part)
Block 4.
Enter Operating Hour of the component when removed from A/C, N/A if not
applicable.
Block 5.
Enter Installation Position of the Item
Block 6.
Enter Aircraft Type.
Block 7.
Enter Aircraft Registration Number.
Block 8.
Enter Date of Fitting in the format of dd mmm yyyy. E.g. 15 JAN 2010
Block 9.
Enter Station of Fitting
Block 10.
Enter Name of the Airlines the item should be returned.
Block 11.
Enter shipping addresses (airlines address).
Block 12.
Enter Condition of Certificate on Removal, Remark if unserviceable,
Block 13.
Enter date of removal in the format of dd mmm yyyy. E.g. 15 JAN 2010
Block 14.
Enter station of removal.
Block 15.
Enter the name, signature and stamp of the person who remove the loan item.
USAGE NOTICE
KHUYN CO S DNG
1. Description:
2. P/N:
3. S/N:
4. Remark: ..................................................................................................................
....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
5. Date:
6. Issued by:
Signature/ Stamp:
FORM 0016 - ISS. 01; REV. 02 - DATE: 01 AUG 2015

This form is used to define/ inform to user following information:
+ The limited functions such as: accuracy downgrade and using range limitation for MTE;
changing of the usage purpose; operation limitation (specified by Tool controller).
+ The limited operation such as: description and type of liquid contained/ used in the tool
and equipment; application limitation for specific type of aircraft/ aircraft component
(specified by the person who manages the tool and equipment).
Block 1.
Enter the Description of Tool or Equipment (T/E);
Block 2.
Enter the Part Number of T/E;
Block 3.
Enter the Serial Number of T/E;
Block 4.
Enter the limited functions and/ or limited operation including but not limit to:
- Accuracy downgrade and using range limitation for MTE, changing of the
usage purpose; operation limitation (specified by Tool controller).
- Description and type of liquid contained/ used in the tool and equipment;
application limitation for specific type of aircraft/ aircraft component...
(specified by the person who manages the tool and equipment).
Block 5.
Enter the date of issue in the format of dd mmm yyyy (E.g.: 15 APR 2011);
Block 6.
Enter name, signature or stamp of the tool controller or person who manages
the T/E.
SHOP INSPECTION TAG

TH KIM TRA TRONG XNG
1.Description: ........
2.Spec.: ...............................................................................
3.P/N: ................................................
4.S/N or Batch No.: .................................................
5.Ins. Date:......6.Expiry Date:........................
7.Signature/ Stamp:
FORM 0017 - ISS.02, REV.01 DATE: 01 AUG 2015

This form is filled, singed and stamped by the component authorized staff.
Block 1.
Name of the serviceable component/ materials.
Block 2.
State specification of materials. For component state N/A.
Block 3.
Part number of the serviceable component/ materials.
Block 4.
Serial number or Batch number of the serviceable component/ materials.
Block 5.
The date that the work was performed in the format of dd mmm yyyy.
E.g. 15 JAN 2010
Block 6.
Maintenance due date or life limitation of the component in the format of

dd mmm yyyy. E.g. 15 JAN 2011
Block 7.
Authorized staff or qualified staff signature and stamp.
FORM 0018
CALIBRATION
NOT REQUIRED
ISS.02, REV.01 - 15 JUN 2015

This form is used to affix on measuring and test tool/ equipment that its calibration is
not required by the Manufacturer.
FORM 0019
ACCURACY
DOWNGRADED!
ISS.02, REV.01 - 15 JUN 2015

This form is used to affix on measure and test tool/ equipment that its accuracy is
downgraded or some function is limited or changed. The detail information of
changed/ limited function or downgraded accuracy is specified in Usage Notice
attached with the tool/ equipment.
SHOP IDENTIFICATION TAG

TH NHN DNG TRONG XNG
1. Shop-in Date: .............................................
FORM 0020
2. Customer: ..............................................
3. ASSY Description: .............................................................................................................

4. ASSY P/N: .................................................
5 ASSY S/N.: ............................................
6. Component Description & Qty: .........................................................................................

7. Component P/N: ........................................
8. Component S/N: ....................................
9. Remark: .............................................................................................................................
...............................................................................................................................................
DIS-ASSY; CLN; INSP; NDT; PAINTING; ASSY; TEST

ISS. 01; REV. 01 - DATE: 15 JUN 2015

This form is used to identify aircraft part/ component during maintenance process in a
workshop.
Block 1.
Enter receipt date of component in the format of dd mmm yyyy (E.g.: 15 JAN 2010)
Block 2.
Enter the customer (E.g.: VNA, JPA)
Block 3.
Enter the description of original component (E.g.: A320 Main wheel)
Block 4.
Enter the part number of original component (Assembly)
Block 5.
Enter the serial number of original component (Assembly)
Block 6.
Enter the description of component (sub-assembly/ details) removed from original

component (E.g.: 01 inner half wheel; 10 bolts, 03 nuts)
Block 7.
Enter the part number of serialized component (sub-assembly/ details) removed

from original component.
Block 8.
Enter the serial number of serialize component removed from original component.
For the details without S/N, Enter N/A
Block 9.
Enter the any status of work. Check (make an X or V mark) on the appropriate
box in front of the work name for the completed work. Strike through the nonapplied work.
CALIB. STAMP
S/N:
Cal. No:
Cal. date:
Due date:
(1)
(2)
(3)
(4)
Form 0021 - ISS.02, REV.01 01 AUG 2015

Block (1) Enter serial number of the tool or equipment.
Block (2) Enter Calibration Certificate Number.
Block (3) Enter calibration date in the format of dd mmm yyyy. E.g.: 15 JAN 2010
Block (4) Enter expiry date in the format of dd mmm yyyy. E.g.: 15 JAN 2011
For Example:
CALIB. STAMP
S/N:
Cal. No:
Cal. date:
Due date:
12345678901
018.M295
12 Jul 2010
12 Jan 2011
Form 0021 - ISS.02, REV.01 01 AUG 2015
VIETNAM AIRLINES ENGINEERING CO LTD. FORM 0022
HOLD ITEM TAG

TH THIT B CH XC NH TRNG THI
1. DESC.:
2. REM. DATE:
3. P/N:
4. S/N:
5. REMOVED FROM A/C:
6. TECH LOG No:
7. FIN/ POSITION:
8. MONITOR CARD RAISED
YES
NO
9. DESCRIPTION OF DEFECT:
10. REASON FOR HOLD:
MCC CONTROLLER EVALUATION

11. COMTROLLER NAME:
12. SIGNATURE:
13. HOLD ITEM STATUS:
14. DATE:
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE 1 /1

Block 1. Enter description of component being hold
Block 2. Enter removal date in the format of dd mmm yyyy. E.g.: 15 JAN 2010
Block 3. Enter P/N of component being hold
Block 4. Enter S/N of component being hold
Block 5. Enter registration number of A/C on which the component is removed for hold
Block 6. Enter Technical log page which record the removal of the hold component
Block 7. Enter FIN or Position of the hold component on A/C.
Block 8. Circle on YES if there is a monitor card attached with this tag otherwise circle NO
Block 9. Enter detail description of defect
Block 10. Enter reason for hold in details
Block 11. Enter controller Name
Block 12. Enter controller Signature
Block 13. Enter hold item status (SERVICEABLE or UNSERVICEABLE)
Block 14. Enter date of evaluation in the format of dd mmm yyyy. E.g.: 18 JAN 2010
MAINTENANCE CONTROL
Description/ Model/ PN and SN:

(1)
Next maintenance due:
(2)
FORM 0023 - ISS.01, REV.00 - 10 JUN 2015

Block (1):
Enter Description/ Model/ Part Number and Serial Number of the tool/
equipment.
Block (2):
Enter the next soonest maintenance due of tool/ equipment.

E.g.: 20 JUN 2015 or 1500 Hours
VIETNAM AIRLINES ENGINEERING COMPANY
FORM 1001
LIST OF AIRCRAFT COMPONENT REQUIRED MAINTENANCE

DANH MC CC THIT B MY BAY C YU CU BO DNG
No.
2. Description
3. Part Number
4. AMS Task Ref.
5. Interval
6. Action
1. Date of issue:
7. Remark
8. Document References:
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 1001
Form1001 completion guidance

This form is issued to list all aircraft components/ equipment with maintenance requirements that are applied to VNA.
Block 1.
Enter the issue date of the list in the format of dd mmm yyyy. E.g. 15 JAN 2010
Block 2.
Enter description of aircraft component/ equipment.
Block 3.
Enter Part Number of the aircraft component/ equipment.
Block 4.
Enter AMS Task related to aircraft component/ equipment.
Block 5.
Enter interval of maintenance task.
Block 6.
Enter the name of the maintenance task.
Block 7.
Enter any remark if necessary.
Block 8.
Enter document references including issue and/or revision number and date.
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 1002
WORK ORDER
... (2) ...
... (1) ...
Opened on
... (3) ...
Cny
... (4) ...
Center
... (5) ...
ATA
... (8) ...
Repetitive W.O.
... (9) ...
A/C Reg
... (14) ...
Part Number
... (15) ...
Skill ... (18) ...
Station ... (19) ...
Deadline: (22)
FH
...........
Issued by ... (24) ...
Customer:
... (6) ...
H.I.L
... (10) ...
ETOPS
... (11) ...
Est. M/H
(12)
Serial Number
... (16) ...
CY
.........
Check
Date
....... ..........................
Zone ... (21) ...

Maintenance Location
... (23) ...
Approved by: ... (26) ...
Sign ... (27) ...
REQUESTED WORK
PERFORMED WORK
... (29) ...
... (30) ...
Reason for Non-performance:
Time (UTC): (36)
Aditional Work/ Deferred Defect:(38)
Yes
Date: ... (28) ...
MECH.
INSP.
... (31) ... ...(32) ...
Confirm by manager:
(34)
(33)
Date: (35)
Est. Downtime
(13)..
Description
... (17) ...
Phase ... (20) ...
Upd. By ... (25) ...
Reference
... (7) ...
TLP: (37)
No Linked NRC/ADD Number: (39).
(40)Statement :
The article identified above was maintained/ altered and inspected in accordance with current regulations of the
competent Authority and is approved for return to service.
The work specified above was carried out in accordance with EASA Part-145 and in respect to that work the aircraft/
aircraft component is considered ready for release to service.
Approval ref: FAA Approval No.: V48Y426B
FAA Approval No.: V48Z426B EASA Approval No. EASA.145..
CAAV Approval Number: VN-268/CAAV

ISS. 02, REV. 05 - DATE: 01 AUG 2015
Other: .........................................................................
Data retrieved from AMASIS
Printed on:
PAGE /
FORM 1002
WORK ORDER
... (2) ...
... (1) ...
MATERIAL(S) & TOOL(S) REQUIRED (41)

Type
Part Number
Description
Required Qty
ACCESS PANEL(S) (42)

Access Panel description
Code
Unit
Remove + Refit time (Hrs, Hdrth)
Total Access time:
Code
QUALIFICATION (43)
Qty
Description
Total time (Hrs, Hdrth)
Total Skill(s) time:
Doc. Type
Protocol
REFERENCE(S) (44)
Reference
Rev. Item
Description
REMOVAL/ INSTALLATION (45)

P/N OFF
S/N OFF
P/N ON
S/N ON
GRN
MANHOURS
Work
VAECO ID
Name
Hours
Item
Job date
Hour Type
Remark
(46)
(47)
(48)
(49)
(50)
(51)
(52)
(53)
ISS. 02, REV. 05 - DATE: 01 AUG 2015
Printed on:
PAGE /
FORM 1002

Block (1)
Enter Reference number of the WO.
Block (2)
Enter Reference number of Work pack and consequence if WO is added to Work pack.
Block (3)
Enter date of issuance.
Block (4)
Enter Name of issuing company.
Block (5)
Enter Name of issuing location.
Block (6)
Enter Name/ Code of Customer (for VNA, enter this block is not required).
Block (7)
Enter original reference document of WO such as Customer request number (for VNA,
enter this block is not required).
Block (8)
Enter related ATA
Block (9)
Enter characteristic of work: Enter YES if work is repeated, otherwise enter NO.
Block (10) Enter characteristic of work: If the work is set to H.I.L, the work is acceptable deferred
defect type B or C.
Block (11) Enter Characteristic of work: Enter YES if work is ETOP and vice versa.
Block (12) Enter Estimated Man-hour to do this WO
Block (13) Enter estimate Downtime to do this WO
Block (14) Enter Aircraft registration number.
Block (15) Enter Part Number of the equipment.
Block (16) Enter Serial Number of the equipment.
Block (17) Enter Description of the part/ component.
Block (18) Enter Required skill of Performer
Block (19) Enter Station on A/C
Block (20) Enter Phase on A/C
Block (21) Enter Zone on A/C
Block (22) Enter Deadline of WO base on FH/CY/Date and check.
Block (23) Enter Maintenance location of WO performance.
Block (24) Enter name of the person who prepare this WO.
Block (25) Enter name of the updater who revises this WO.
Block (26) Enter name of the person who approved the WO (for VNA, enter this block is not
required).
Block (27) Enter signature of the person who approved the WO (for VNA, enter this block is not
required).
Block (28) Enter date of approval (for VNA, enter in this block is not required).
Block (29) Enter description or detail or WO.
Block (30) Enter description or detail of WO performance.
Block (31) Enter mechanic signature.
Block (32) Enter inspection personnel signature and stamp.
Block (33) Enter reason for non-performance (if applicable). Enter N/A if not applicable.
ISS. 02, REV. 05 - DATE: 01 AUG 2015
Printed on:
PAGE /
FORM 1002
Block (34) Enter name and signature of the manager if the work is not performed/ rejected. Enter
N/A if not applicable.
Block (35) Enter date of WO completion.
Block (36) Enter UTC completion time.
Block (37) Enter technical log page number.
Block (38) Check Yes if an additional work/ deferred defect is raised when perform WO, otherwise
check No.
Block (39) Enter NRC/ ADD number for additional work/ deferred defect which is raised when
perform WO
Block (40) Enter Regulations shall be followed and certified by selecting (make an X mark) in the
appropriate box. If Other Regulation is selected the abbreviation of Authority Name and
Approval Number shall be specified.
Block (41) List all materials and tools with type, P/N, Quantity for work. (Empty if not applicable).
Block (42) List panels which the work access with time. (Empty if not applicable).
Block (43) List special skill with time to complete. (Empty if not applicable).
Block (44) List all reference documents.
Block (45) Enter the Part number, Serial Number of component which is removed; Part number,
Serial Number and GRN of component which is installed.
Note: If the information of parts/ components removed and installed on the A/C have
been recorded in the Technical log page/ EO/ SRO/ NRC linked with this WO, this block
may be entered as Refer to TLP No./ EO No./SRO No./ NRC No.
Block (46) Enter Product Code (if any).
Block (47) Enter company ID of employee who carry out the order (VAE00145, VAE00124,..).
Block (48) Enter the first name/ full name of employee who carry out the order
Block (49) Enter working duration time in hour.
Block (50) Enter item of request (if any).
Block (51) Enter the job date.
Block (52) Enter hour type code.
Block (53) Enter the manhour additional information (if any).
ISS. 02, REV. 05 - DATE: 01 AUG 2015
Printed on:
PAGE /
FORM 1003
OUT OF PHASE MAINTENANCE REQUIREMENT CONTROL SHEET

DANH MC CNG VIC BO DNG KHNG THNG K
1. A/C Type:
2. A/C Registration:
3. OPM Tracking Number:
4. Description:
5. Interval: FH:
CY:
Calendar:
6. Due on
FH
FC
Date
Check:
7. Performance
Other
1. A/C Type:
FH
FC
2. A/C Registration:
Date
8.TLP No. 9.Stamp/ sign

Other
3. OPM Tracking Number:
4. Description:
5. Interval: FH:
CY:
Calendar:
6. Due on
FH
FC
Date
Check:
7. Performance
Other
FH
FC
Date
8.TLP No. 9.Stamp/ sign

Other
Ff
ISS. 01, REV. 05 - DATE: 01 AUG 2015
10. Print Date:
PAGE
FORM 1003

These control sheets are printed from AMASIS. The maintenance center shall inform to MCC
whenever there is a new OPM requirement arisen during maintenance. Base on the information
provided, MCC will issue a new OPM card in AMASIS.
Whenever a new OPM requirement is arisen, if theres no time to print the control sheet from
AMASIS, the CRS staff may entry by writing in this form and inform MCC to update later.
Block 1. Enter Type of aircraft such as: A321, B777...;
Block 2. Enter Aircraft registration number, e.g.: VN-A398, VN-A145
Block 3. Enter Tracking number of OPM task.
Block 4. Enter description of maintenance requirements/ Out Of Phase Maintenance (OPM) tasks
that shall be performed.
Block 5. Enter Interval of the required OPM tasks. E.g. FH: 500, FC: 100, Calendar: 8 Days, Check:
Pre-flight.
Block 6. Enter the next due date/ flight hour/ flight cycle or other parameter that the OPM task shall
be performed. Enter N/A if the parameter is not applied. E.g. FH: 1555, FC: 1310, Date:
15Oct2014, Other: Pre-flight.
Block 7. Enter the date/ flight hour/ flight cycle which the OPM task was performed. Enter N/A in
OTHER parameter cell if it is not specified in block 7. E.g. FH: 1550, FC: 1308, Date:
14Oct2014, Other: Pre-flight
Block 8. Enter Technical log page number that the performed work was recorded.
Block 9. Signature and stamp of authorized staff who performed the work.
Block 10. Date at which the control sheet is printed out.
Note: The information in block 1., 2. and 3. is repeated at each page.
ISS. 01, REV. 05 - DATE: 01 AUG 2015
10. Print Date:
PAGE
FORM 1004
WORKPACK CONTENTS
NI DUNG GI CNG VIC
1.A/C Reg: ___________ 2.Workpack No.: ____________________
3.Check Type: ________
4. Document Ref.: ____________________

5. Next Hangar Check information:
6.No.
7. DESCRIPTION
8. FORM No.
9. NUMBER OF
PAGE(S)
10.Issued by: ____________________ Authorization No: ________________ 11. Date: _______________
ISS.01, REV.02 01 AUG 2015
PAGE
FORM 1004

This form is completed by planner
Block 1. State aircraft registration number, e.g.: VN-A352
Block 2. Specify workpack number that created form AMASIS, e.g.: VN 001430
Block 3. State Check type, e.g.: A01, A02,
Block 4. Specify document that is referred to issue the work pack, e.g.: A321 VNA AMS I08 A00
Block 5. Specify information of next hangar check deadline including check type with applicable
total aircraft flight hours, flight cycles and date. If there is no information from the
customer or it is not applicable state N/A. (Hangar check is maintenance check of
aircraft from (including) A check or equivalent check).
Block 6. State ordinal number, e.g.: 01, 02..
Block 7. Name of the form or title of document
Block 8. Form number or AMASIS form if the document is created by AMASIS
Block 9. Specify how many pages corresponding to each form/ document
Block 10. Name and authorization number of planner who issued or supervised to issue the
workpack.
Block 11. Date of issuance in the format of dd mmm yyyy. E.g. 15 JAN 2010
ISS.01, REV.02 01 AUG 2015
PAGE
FORM 1006
LAST MINUTE ITEM LIST
CC CNG VIC B SUNG/ CP NHT/ LOI B

1. A/C Reg:
2. Customer:
3. Check Type:
4. Workpack No.:
5. Issue No:
6. Issue date:
7.WP
Item
No.
8. REFERENCE
12. CUSTOMER
9. DESCRIPTION
10. ACTION
11. PERFORMED
Sign & Stamp
13. MAINTENANCE PLANNER
Perf. Date
14. QC AUTHORIZED STAFF

All above tasks have been performed.
Name:
Name:
Name:
Signature:
Signature:
Signature:
Stamp:
Stamp:
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 1006

Block 1.
Enter A/C registration.
Block 2.
Enter Customer name.
Block 3.
Enter Type of the check.
Block 4.
Enter Reference number of the work package.
Block 5.
Enter Issue number of the Last minute item list. The later Last minute item list will
supersede the former one.
Block 6.
Enter Issue date of the Last minute item list in the format day/month/year
Block 7.
Enter Assigned number of the job card/ worksheet in the work package.
Block 8.
Enter Reference number of the job card/ worksheet.
Block 9.
Enter Description of the work required by the job card/ worksheet.
Block 10. Enter Action required by maintenance planner as follow:
ADD: The job card/ worksheet is added to the work package.
REMOVE: The job card/ worksheet is withdrawn from the work package.
UPDATE: The job card/ worksheet is revised.
Block 11. Enter Confirmation of the Production planner that the maintenance work required by the
job card/ worksheet is signed off by appropriate authorized staff.
Block 12. Enter Confirmation of customer for the requested maintenance work specified in the list.
Block 13. Enter Confirmation of maintenance planner for the requested maintenance work specified
in the list.
Block 14. Enter Confirmation of QC authorized staff after all tasks in the list have been performed.
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 1007
SERVICE ORDER
YU CU DCH V
1. CUSTOMER NAME:
2. CUSTOMER REQ. REF:
3. SERVICE ORDER No:
4. DATE OF REQUEST:
5. AIRCRAFT TYPE:
6. AIRCRAFT REG No.:
7. To:
Engineering & IT Dept.
Maintenance Control Center
Supply Dept.
Others:
8. JOB DESCRIPTION:
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
9. EXECUTION TIME:
10. PREPARED BY:
11. APPROVED BY:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
DATE:
PAGE:
FORM 1007

This form is used to issue service order for maintenance services.
Block 1. Enter Name of Customer.
Block 2. Enter reference number of Customer request. For VNA, this is VNA Service Order
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Block 10.
Block 11.
reference number.
Enter Service Orders reference number issued by the Business Development
Department.
Enter date of request. The date should be given in the format of dd mmm yyyy. E.g.: 15
JAN 2012.
Enter Aircraft Type.
Enter Aircraft Registration Number.
Enter the department/ center of VAECO which will receive the Service Order.
Enter Job Description
Enter deadline (pre-fixed with word DEADLINE) or duration of time to perform the
work (specified as FROM.TO.). The date should be given in the format of dd mmm
yyyy. E.g.: 20 JAN 2012.
Enter name of the person who prepared the service order.
Enter name of the person who approved the service order. The date of approval should
be given in the format of dd mmm yyyy. E.g.: 16 JAN 2012.
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 1016
No
: (1)
Lin 1
: (2)
Ngy (date): (3)
C trang tip theo (4)
WORK REQUEST AND CONFIRMATION SHEET

PHIU YU CU V XC NHN CNG VIC
Hng vn chuyn (Carriers name): ......... (5) .......... M (code): ....... (6) ........ Sn bay (Airport): ......... (7) .......... S hiu chuyn bay (flt. No): .......... (8) ..........
Loi my bay(A/C type): ..... (9) ..... S ng k (Reg. No): .... (10) ...... Chm KH bay (Delayed): (11) Yes / No
Hy chuyn (Cancelled) (12) Yes / No
I. Cc cng vic, vt t, trang thit b, dng c: (Work performed, Spare parts/ Materials, Tooling, GSE):
STT
Ni dung
(Items)
(13)
(Description)
(14)
Theo H
(as contract)(15)
Yes
No
Ngi thc hin
M thit b
(Performer- Cat)
(16)
(Part Number)
(17)
Thi gian (Hour) (18)

B.u
K.thc
Tng
(Start)
(finish)
(Total )
S.L
n gi
Tng
(Q.ty)
(19)
(Unit price)
(20)
(Total)
(21)
Ghi ch
(Remark)
(22)
SUB TOTAL
TAX
TOTAL
II. Thanh ton (Payment): (23)

Tin mt (Cash)
Chuyn khon (Bank transfer)
III. Ghi ch v kin khch hng (Remark and Customers comments): ...................................................... (24) ...................................................................................................
.........................................................................................................................................................................................................................................................................................
I DIN CNG TY VAECO
(Handling Companys Representative)
I DIN HNG VN CHUYN

(Carriers Representative)
K v ghi r h tn
K v ghi r h tn
(Signature & full name in capital)
(Signature & full name in capital)
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE:
FORM 1016

This form has four copies. First copy (original) is kept at the Ramp Technical Planning Division (Lin 1: Lu Phng K thut K hoch). The second copy is sent to
Customer (Lin 2: Giao Khch hng). The third copy is sent to Finance Accounting Department (Lin 3: Giao Ban Ti chnh). The last copy is kept by Performer (Lin 4:
Ngi thc hin gi).
Block (1) This information is pre-printed sequent number.
Block (2) This information is pre-printed as follows: First copy (original) is kept at the Ramp Technical Planning Division (Lin 1: Lu Phng K thut K hoch). The
second copy is sent to Customer (Lin 2: Giao Khch hng). The third copy is sent to Finance Accounting Department (Lin 3: Giao Ban Ti chnh). The last copy
is kept by Performer (Lin 4: Ngi thc hin gi).
Block (3) Enter the date of work/service performed or tool and equipment or spare part provided in format dd mmm yyyy. E.g.: 15 JAN 2010
Block (4) Tick in checkbox if next page is used, otherwise left blank.
Block (5) Enter detail name of Carrier requested for work/service/ tool and equipment/ spare part.
Block (6) Enter the ICAO code of carrier, written in Caps letter (example: Cathay pacific is CX).
Block (7) Enter the ICAO code of Airport, written in Caps letter
Block (8) Enter the Flight number.
Block (9) Enter the Aircraft type (Example: A320)
Block (10) Enter the Aircraft registration number
Block (11) Confirm the flight is delayed or not by tick in to appropriate box. If yes, record the reason to Remark and Customers comments box.
Confirm the flight is cancelled or not by tick in to appropriate box. If yes, record the reason to Remark and Customers comments box
Enter the sequence number of each item provided by VAECO.
Enter the Name of each work/service/ tool and equipment/ spare part provided by VAECO (Example: Transit check, Nose wheel replacement, Ground power unit).
Tick to Yes column if the provided work/service/ tool and equipment/ spare part is in contract between VAECO and Carrier, otherwise tick to No (e.g. Arising
works).
Block (16) Enter the Full name of performer and Category of authorization provided by VAECO (record N/A if no performer provided). Example: John Alan- B1
Block (17) Enter the Part number of tool or equipment provided by VAECO (record N/A if no equipment have no Part number)
Block (18) Duration of work/ service/ tool and equipment renting
Block (12)
Block (13)
Block (14)
Block (15)
Block (19)
Block (20)
Block (21)
Block (22)
Block (23)
Block (24)
Start: The starting time of work/ service / tool and equipment renting
Finish: The finishing time of work/ service / tool and equipment renting
Total: total time of work/ service / tool and equipment renting (total= finish-start)
Enter the total number of performer/ quantity of tool and equipment
Refer to Price List for work/ service/ tool and equipment renting of VAECO for detail. the currency should be clearly specified (VND or USD)
Enter the Value of each item in USD or VNA (for work/ service = total hour X Quantity X Unit price, for spare part/ tool renting = Quantity X Unit price)
Enter the remark the related to work
Tick in to appropriate box
Enter remark or additional information or comment of customer.
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE:
FORM 1017
DEFECT RECTIFICATION ORDER

YU CU SA CHA HNG HC
1. A/C Type:
2. Station:
6. A/C Reg.:
7. Check/ Flight No.: 8. Work pack:
3. DRO No.:
DRO/
4. NRC/TLP No.:
5. Date:
9. Work order:
10. Doc. Ref.:
11. WRITTEN BY:
12. ACCEPTED BY:
13. SCHEDULING PRIORITY 14. DOWNTIME:
Name:
Name:
Prior to:
Title:
Title:
Interval:
Signature:
Signature:
Limit:
15. EST. M/H
16. WORK DESCRIPTION:
17. TOOLING AND MATERIALS:

18. No. 19. P/N
20. DESCRIPTION
21. QTY
23. No. 24. WORK REQUIREMENT
25. MECH.
22. GRN
26. INSP.
27. Statement:
The articles identified above were maintained/altered and inspected in accordance with current regulations of
the competent Authority and is approved for return to service.
The work specified above was carried out in accordance with EASA Part-145 and in respect to that work the
aircraft / aircraft component is considered ready for release to service.
........................................................................................................................................................................................
........................................................................................................................................................................................
28. Approval of competent Authority:

CAAV approval No. VN-268/CAAV
FAA approval No. V48Y426B

EASA approval No. EASA.145..
29. Name: .......................................... Signature
Stamp:
FAA approval No. V48Z426B;

.........................................
Date (d/m/y): .........................
30. REMARKS/ FINDINGS:
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE
FORM 1017

Block 1.
Enter aircraft type
Block 2.
Enter station code such as HAN, SGN.
Block 3.
Enter DRO reference number. The DRO ref. number should be in the format: DRO/xxxx/yyyy,
in which:
-
xxxx is the A/C registation,
yyyy is reference number of the related ADD.
Block 4.
Enter related NRC/TLP reference number
Block 5.
Enter the issuance date of this defect repair order (DRO) in the format of dd mmm yyyy. E.g.
15 JAN 2010.
Block 6.
Enter aircraft registration number.
Block 7.
Enter Check type or flight No that the defect is deferred.
Block 8.
Enter Work Pack number or N/A if the defect is deferred in ramp maintenance.
Block 9.
Enter AMASIS Work Order number.
Block 10.
Document reference.
Block 11.
Full Name, Title and Signature of the person who prepare this DRO.
Block 12.
Full Name, Title and Signature of the person who evaluates and accepts this DRO.
Block 13.
Make an X symbol into the box "Prior to and/ or Interval and/ or Limit" with specified
number for SCHEDULING PRIORITY
Block 14.
Enter required ground time for the defect rectification.
Block 15.
Enter estimated manhour for the defect rectification.
Block 16.
Enter title or description of this ADD.
Block 17.
Enter Tooling and Materials
Block 18.
Enter item number
Block 19.
Enter Part Number of the tool or material
Block 20.
Description of the tool or material
Block 21.
Quantity of the tool or material
Block 22.
Enter Good Receive Number
Block 23.
Enter item number
Block 24.
Enter Work requirement for each work step.
Block 25.
Signature of the Mechanic
Block 26.
Signature and stamp/ authorization number of the inspection personnel.
Block 27.
Mark with a tick in appropriate box to state the regulations or requirements that the article was
maintained/altered and inspected in accordance with.
Block 28.
Mark with a tick in appropriate Approval Number of the competent Authority.
Block 29.
The name, signature and stamp of the return-to-service staff. The date should be given in the
format of dd mmm yyyy. E.g.: 15 JAN 2010
Block 30.
Enter any Remark/ Findings
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE
FORM 2001
APPLICATION FOR SUBCONTRACTOR APPROVAL

N XIN PH CHUN NH THU PH
Submitted to: Quality Assurance Director of Vietnam Airlines Engineering Company
Noibai International Airport, Hanoi, Vietnam
Tel: +844 - 38843290 Fax: +844 - 38865176
1. Organisation: ...................................................................................................................................
2. Head Quarter address: .....................................................................................................................
..............................................................................................................................................................
3. Telephone number: Facsimile number:
4. Email: ..............................................................................................................................................
5. Contact person (Name and Title): .....................................................................................................
..............................................................................................................................................................
6. Establishment Document/ Certificate Ref.: ......................................................................................
Date of issue: ....................................................... Issued by: ............................................................
7. Business scope: ...............................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
8. Reason for submission:
Initial approval
Renewal
Service change (specified in block 9.)
9. Services to be supplied to VAECO: ..................................................................................................

..............................................................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
Commitment statement: I confirm that all above-mentioned information is true. I understand and
accept that becoming a VAECO subcontractor may be audited by VAECO Quality Assurance
Department and/or the competent Authority and the activities within the contract with VAECO are
supervised by VAECO Quality System.
10. Place: ................................ Date: ......................
Name: .....................................................................
Title: .........................................................................
Signature:
ISS. 01; REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 2001
FORM 2001 COMPLETION GUIDANCE

The applicant is responsible to complete this form and send to VAECO QA via email (colour scanned
copy for review). Original may be sent to VAECO QA later.
Block 1.
Organization (Subcontractor) name who applied for approval of VAECO.
Block 2.
Address of Head Quarter of organization applied for approval of VAECO.
Block 3.
Phone number and Fax number of Subcontractor.
Block 4.
Email of subcontractor that are used to contact to VAECO.
Block 5.
Enter Name and Title of contact person.
Block 6.
Establishment Certificate/ Document reference of subcontractor. Copy of establishment

certificate is attached to this form.
Block 7.
Business scope that specified in Establishment Certificate/ Document.
Block 8.
Reason for submission.
Block 9.
Enter services to be supplied to VAECO for initial approval; Enter renewal for renewal
application (no change the services to be supplied to VAECO); Enter any service change for
change application.
Block 10. Name of authorized person who is official representatives for subcontractor (e.g.: CEO, QA
Director/ manager).
ISS. 01; REV. 02 - DATE: 01 AUG 2015
PAGE
VIET NAM AIRLINES ENGINEERING COMPANY
FORM 2002
SUBCONTRACTOR EVALUATION QUESTIONNAIRES

PHIU PHNG VN NH THU PH
ORGANISATION PROFILE
1. Organisation:
2. Business Address:
Telephone Number:
Facsimile number:
Email:
Telex:
3. Contact Personnel:
Name:
Title:
Email:
Contact phone:
4. Board of Management:
Name of President/Director:
Name of Quality Manager:
Name of Engineering Manager:
Name of Logistics Manager:
5. Business scope:
6. Major customer:
7. Product and/or Services to be supplied to VAECO:

The product and/or service to be supplied to Vietnam Airlines Engineering Company that required
quality evaluation and certification is as follows:
8. Facility & Personnel:

Size of facilities (sq.m):
Total number of Employees:
Engineering Employees:
Quality Assurance Employees:
Maintenance Employees:
Production Employees:
Logistics Employees:
Other Employees:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 2002
EXTERNAL APPROVALS
(Please provide photocopies of all certificates)
9. EASA/FAA/NAA Approvals:
10. Quality Approvals:
11. Approvals/Authorisations/Certificates from manufactures/vendors: (31)
12. QUESTIONNAIRES
YES
NO
N/A
Facility requirements
1
Are facilities provided appropriate for all planned work, ensuring in particular, protection
from the weather elements?
Are specialised workshops and bays segregated as appropriate, to ensure that

environmental and work area contamination is unlikely to occur?
Is office accommodation provided appropriate for the management of the planned work
including in particular, the management of quality, planning and technical records?
Is the working environment appropriate for the task carried out and in particular special
requirements observed?
Are storage facilities provided for parts, equipment, tools and material?
Are storage conditions provide security for serviceable parts, segregation of serviceable
from unserviceable parts, and prevent deterioration of and damage to stored items?
Personnel requirements
Does the Maintenance Organisation nominate a senior person or group of persons

acceptable to the Authority, whose responsibilities include ensuring that the maintenance
organisation is in compliance with applicable requirements?
8 Is such person(s) ultimately directly responsible to the accountable manager who must
be acceptable to the Authority?
7
Does the Maintenance Organisation employ sufficient personnel to plan, perform, and
inspect the work in accordance with the approval?
10 Does the Maintenance Organisation establish a procedure to access competence of
personnel involved in maintenance in accordance with standard acceptable to the

Authority?
11 Does certifying staff meet qualification requirements specified in EASA-part 66 and/or
current national aviation regulations and receive initial and continuation training in with a
programme acceptable to the Authority?
Record of certifying staff
12 Does the Maintenance Organisation maintain a record of all certifying staff which must
include details of the scope of their authorisation?

ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 2002
13 Are certifying staff provided with evidence of the scope of their authorisation?
Equipment, tools and material

14 Does the Maintenance Organisation have the necessary equipment, tools and material to
perform the approved scope of work?

15 Are tools, equipment and particularly test equipment, where necessary, controlled and
calibrated to standards acceptable to the Authority at a frequency to ensure serviceability

and accuracy?
16 Are records of such calibrations and standard used kept by the maintenance
organisation?
Maintenance data
17 Does the Maintenance Organisation receive all necessary maintenance data from the
Authority, the aircraft/aircraft component design organisation and any other approved
design organisation, as appropriate to support the work performed?
18 Are additional maintenance data produced by the maintenance organisation in
accordance with a procedure acceptable to the Authority if the Maintenance Organisation

produces its own maintenance data?
19 Are all maintenance data kept up to date and made available to all personnel who need
access to such data to perform their duties?

Certification of maintenance
20 Is the certificate of release to service issued by appropriately authorised certifying staff
when satisfied that all required maintenance of the aircraft or aircraft component has
been properly carried out I.A.W the procedures specified in the maintenance organisation
exposition?
21 Does a certificate of release to service contain basic details of the maintenance carried
out, the date such maintenance was completed and the identity including authorisation
reference of the Maintenance Organisation and certifying staff issuing such a certificate?
Maintenance records
22 Does the Maintenance Organisation record all details of work carried out in a form
acceptable to the Authority?

23 Does the Maintenance Organisation provide a copy of each certificate of release to
service to the aircraft operator, together with a copy of any specific airworthiness data
used for repairs/ modifications carried out?
24 Does the Maintenance Organisation retain a copy of all detailed maintenance records
and any associated airworthiness data for two years from the date the aircraft or aircraft
component to which the work relates was released from the Maintenance Organisation?
Reporting of unairworthy conditions
25 Does the Maintenance Organisation report to the Authority and the aircraft design
organisation any condition identified by the Maintenance Organisation of the aircraft or

aircraft component that could seriously hazard the aircraft?
26 Is the reports made on a form and in a manner prescribed by the Authority and contain all
pertinent information about the condition known to the Maintenance Organisation?

27 Are the reports made as soon as practicable but in any case within three days of the
Maintenance Organisation identifying the condition to which the report relates?

Maintenance procedures and quality system
28 Does the Maintenance Organisation establish procedures acceptable to the Authority to
ensure good maintenance practices and compliance with all relevant requirements of
Authority such that aircraft and aircraft components may be released to service in
accordance with applicable requirements of Authority?
29 Does the Maintenance Organisation establish an independent quality system to monitor
compliance with and adequacy of the procedures to ensure good maintenance practices
and airworthy aircraft and aircraft components?
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 2002
30 Does the compliance monitoring include a feedback system to the person or group of
persons and ultimately to the accountable manager to ensure, as necessary, corrective

action and such systems must be acceptable to the Authority?
Maintenance organisation exposition
31 Does the Maintenance Organisation provide a maintenance organisation exposition for
use, containing the following information?:

(a) A statement signed by the accountable manager confirming that the maintenance
organisation exposition and any associated manuals defines the Maintenance
Organisation's compliance with Authority requirement and will be complied at all
times.
(b) The title(s) and name(s) of the senior person(s) accepted by the Authority.
(c) The duties and responsibilities of the senior persons including matters on which
Maintenance
they may deal directly with the Authority on behalf of the
Organisation.
(d) An organisation chart
(e) A list of certifying staff.
(f) A general description of manpower resources.
(g) A general description of the facilities located at each address specified in the
applicable Maintenance Organisation's approval certificate.
(h) A general description of the Maintenance Organisation's scope of work relevant to
the extent of approval.
(i)
The notification procedure for Maintenance Organisation changes.
(j)
The Maintenance Organisation's procedures and quality system as required by

Authority
(k) A list of applicable operators, if appropriate, to which
the Maintenance
Organisation provides an aircraft maintenance service.
(l)
A list of contractor/subcontractor, if appropriate.
(m) A list of line stations, if appropriate.

32 Are the maintenance organisation exposition and any subsequent amendments
approved by the Authority?

13. DECLARATION
I hereby confirm that all information given in the above-mentioned questionnaires are completed and true.
Name:
Tile:
Date:
Signature:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 2002
The applicant is responsible to complete this form and send to VAECO QA via email (colored scanned
copy for review). Original may be sent to VAECO QA later.
Block 1.
Organization (Subcontractor) name who applied for approval of VAECO.
Block 2.
Business address of organization where is used to provide services for VAECO. Phone
number of contractor. Fax number of contractor. Emails of contractor that are used to
contact to VAECO.
Block 3.
Information necessary of representatives of business location of contractor that will be

used for VAECO contact when necessary.
Block 4.
Name of person in board management.
Block 5.
Business scope of business location of contractor. Information in this block must be the
same in business register.
Block 6.
List all of Major customers of contractor being transaction.
Block 7.
Detail each type of product and/or services to be supplied to VAECO. Record of

applicant is evaluated base this information and relevant documents.
Block 8.
Information related to Facility & Personnel of contractor. This information must be the
same as information in Quality manual, if any.
Block 9.
Approval certificate of organization such as European Aviation Safety Agency, Federal

Aviation Administration, National Aviation Administration being validity.
Block 10.
Quality Approvals certificate such as ISO, AS, EN, being validity
Block 11.
Approvals/Authorizations/Certificates from manufactures/vendors being validity.

Example, authorized letter from Airbus/ Boeing approved OEM, or approval from other
organization
Block 12.
Applicant must be completed these questionnaires by choosing one of three box

corresponding to Yes or No or N/A- Not applicable that VAECO QA should evaluate
base information provided by applicant. If there any unclear information must be clarified
before approving for contractor.
Block 13.
Information of authorized person who is official representatives for contractor (e.g.:

Director or QA manager)
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 2003
APPLICATION FOR SUPPLIER APPROVAL

N XIN PH CHUN NH CUNG NG
Tel: +844 - 38843290
Fax: +844 - 38865176
1. Organisation: ..............................................................................................................................
2. Head Quarter address: ................................................................................................................
.........................................................................................................................................................
3. Telephone number:...............................................Facsimile number: ..........................................
4. Email: ...........................................................................................................................................
5. Contact person (name and title): ....................................................................................................
6. Establishment Document/ Certificate Ref: ..................................................................................
Date of issue: .......................................................Issued by: .......................................................
7. Business scope: ...........................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
Initial approval
Renewal
Change (specified in block 9.)
9. Products and/or services to be supplied to VAECO:

..........................................................................................................................................................
..........................................................................................................................................................
..........................................................................................................................................................
..........................................................................................................................................................
10. Commitment statement: I confirm that all above-mentioned information is true. I understand and
accept that becoming a VAECO supplier may be audited by VAECO Quality Assurance Department
and/or the competent Authority.
Date: .......................................................................
Name: .......................................................................
Title:..........................................................................
Signature:
ISS. 01; REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 2003
The applicant is responsible to complete this form and send to VAECO QA by email (colored scanned
file) for review. Original may be sent to VAECO QA later.
Block 1.
Organization (Supplier) name who applied for approval of VAECO.
Block 2.
Block 3.
Phone number and Fax number of Supplier.
Block 4.
Email of supplier that are used to contact to VAECO.
Block 5.
Block 6.
Establishment Certificate/ Document reference of subcontractor. Copy of establishment

certificate is attached to this form.
Block 7.
Enter Business scope.
Block 8.
Reason for submission.
Block 9.
Enter products to be supplied to VAECO for initial approval; Enter renewal for renewal
application (no change the services to be supplied to VAECO); Enter any change for
change application.
Block 10. Enter date, name, title and signature of authorized person who is official representatives
for supplier (e.g.: CEO, QA Director/ manager).
ISS. 01; REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 2004
SUPPLIER EVALUATION QUESTIONNAIRES

PHIU PHNG VN NH CUNG NG
ORGANISATION PROFILE
1. Organization:
2. Business Address:
Telephone Number:
Email:
Facsimile number:
Telex:
3. Contacted Personnel:
Name:
Title:
Email:
Contact phone:
4. Board of Management:
Name of President/Director:
Name of Quality Manager:
Name of Engineering Manager:
Name of Logistics Manager:
5. Business scope:
6. Major customer:
7. Product and/or Services to be supplied to VAECO:

The product and/or service to be supplied to Vietnam Airlines Engineering Company that required quality
evaluation and certification is as follows:
8. Facility & Personnel:

Size of facilities (sq.m):
Total number of Employees:
Directors and Managers:
Engineering Employees:
Quality Assurance Employees:
Maintenance Employees:
Production Employees:
Logistics Employees:
Other Employees:
ISS. 01; REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 2004
EXTERNAL APPROVALS
(Please provide photocopies of all certificates)
9. EASA/FAA/NAA Approvals:
10. Quality Approvals:
11. Approvals/Authorizations/Certificates from manufactures/vendors:
12. QUESTIONNAIRE
YES
NO
N/A
Quality System and Manual

1
Is there an established quality system and a quality manual?
Is there quality manual available to appropriate personnel?
Is there quality system documentation kept current and readily available to employees,
customers, auditors or designee(s)
Does the quality system include a program by which the accreditation organization is
notified of any significant changes to the quality system and that a written approval is
receive for the changes prior to implementation?
Does the quality control manual include a detailed description of:

(a) The organization and relationship of the QA/QC department to the rest of the
organization?
(b) The assignment of personnel by title, for specific functions within the quality system?
(c) The revision control system for the quality system documentation?
(d) Record keeping system?
(e) Training requirements and records?
(f) Shelf life control system?
(g) Control of incoming discrepant parts and supplies?
(h) Receiving inspection procedures?
(i) Test and inspection equipment calibration program?
(j) Storage facilities and specifications?
(k) Part identification system?
(l) Environmental controls?
(m) Inspection stamp control?
(n) Self-audit/evaluation program?
Facilities
Do the storage areas provide?
ISS. 01; REV. 02 - DATE: 01 AUG 2015
PAGE

7
Adequate space and appropriate racks to prevent damage or mishandling?
Adequate security from unauthorized access?
Segregation of aircraft from non-aircraft functions?
10
Segregation of serviceable from non-serviceable parts?
FORM 2004
Training and Authorized personnel

11
Are personnel who perform inspection, shipping and receiving functions properly trained?
12
Are inspection personnel properly authorized?
13
Are both formal classroom and on-the-job training documented and maintained?
14
Is a roster of personnel authorized to perform inspection functions maintained?

Procurement
15
Does the system assure that parts procured conform to the applicable requirements?
16
Does the system assure that parts conform to the customers purchase request and that
deviations are disclosed and approved by the customer?
17
Does the system require the distributor to maintain a list of approved suppliers and a qualit
history
for each source?
18
Does the distributors quality system assure that parts procured for sale:
(a) Which are known to have been subjected to conditions of extreme stress, heat or
environment are identified?
(b) That all represented Airworthiness Directives (ADs) which have been accomplished
documented?
(c) That are identified as overhauled, repaired or modified have all appropriate signed
and dated documentation?
Receiving inspection
19
Does the Inspection program include:

(a) A check for obvious physical damage?
(b) Verification that all appropriate plugs and caps are properly installed?
(c) Verification of part number, model number,...to ensure they match the
documentation?
(d) Verification of quantity, part numbers or noted substitution, to ensure they match the
purchase order?
(e) Verification that all appropriate documentation is on hand and is properly completed &
signed?
20
21
22
Is there a procedure for reporting unapproved parts?

Is there an accountability system in place to control stamp issuance, usage and
replacement?
Does the system include an inspection program for new standard parts?
Measuring and test Equipment
23
Does the distributor have an effective calibration program for test equipment?
24
Is a system in place to assure documentation of current calibration status?

Material control
25
Is material handled in an appropriate manner and is the material protected from damage
& deterioration?
26
Is batch/lot control maintained for parts so identified by the manufacturer?
ISS. 01; REV. 02 - DATE: 01 AUG 2015
PAGE

27
28
29
30
31
FORM 2004
Is there a system in place for recall control which ensure that parts shipped can be traced
and recalled
Whenever practical, is material stored & delivered in the manufacturers original
packaging?
Does the system require the of ATA specification 300 packaging, an equivalent packaging
to ATA Spec 300 or customer specified packaging?
Does the system specify material control requirements for material subject to image by
electrostatic discharge?
Does the system assure that serviceable parts /component are adequately protected
against the environment?
32
Does the system assure that no parts number ambiguity exists?
33
Does a closed loop system exits to implement corrective action following detection of
substandard or nonconforming parts?
34
Are aircraft parts being segregated from non aircraft parts?
35
Is there a documented procedure in place to mutilate scrapped parts?

(a) Does the system require records and documentation to be kept on all serialized
scrapped parts?
(b) Does the distributor maintain records on all life-limited parts scrapped?
(c) Does the distributor impose their scrap requirements on their contractors?
36
Does the distributor have a system to control parts that have been materially
misrepresented?
(a) Is the distributor notifying the customer and the accreditation organization when the
distributor ships parts that are materially misrepresented?
(b) Is the distributor notifying the sender when the distributor receives parts that are
materially misrepresented?
37
Does the distributor have a procedure for reporting Suspected Unapproved Parts?
Shelf Life Control
38
Does the distributor have a system for identifying and controlling shelf life limited parts?
Certification and Release of Materials
39
40
41
42
43
Does the system call for providing the customer with a certificate in accordance with
applicable requirements?
Does the system provide for the issuance of a certified statement disclosing that the
material or parts were or were not subjected to conditions of extreme stress, heat or
environment
Is a signed document from an FAA approved repair station/EASA approved maintenance
organisation or air carrier/operator provided for each serviceable part indicating that the
part is serviceable?
Can the distributor trace parts in its system to either the source of production or to an
FAA/EASA certificate holder?
Does the quality system have a procedure for accountability when copies are made for
redistribution shipments and approval tags are copied?
Shipping
44
Does the quality system require shipments in ATA-300 containers or equivalent as

appropriate for the unit being shipped, or as specified by the customer?
45
Does the quality system provide for a visual inspection of all items and accompanying
documentation prior to shipping? Does the inspection include:
(a) A check for any obvious physical damage?
(b) Verification that all appropriate plugs and caps are properly installed?
(c) Verification of parts numbers (including dash number & letters), model numbers,
serial numbers, to ensure the items being shipped match the accompanying
documentation?
ISS. 01; REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 2004
(d) Verification of parts numbers (including dash numbers & letters), model numbers,
serial numbers, to ensure the items being shipped matches the customers request
purchase order?
(e) Verification of packing slips to ensure it contains all the information required by the
customer?
(f)
Verification that shipping containers and packaging used are appropriate for the items
being shipped?
(g) Verification that all appropriate documentation (maintenance release, material

certification, tractability documents) is in hand, properly completed, and signed?
Records
46
Does the record system require record retention for at least 7 years from the date of sale
to the customer?
47
Does the quality system include a system governing the storage, distribution and retrieval
of documents confirming the physical and chemical properties of stock materials?
48
Does the system required all life-limited parts have record confirming life-limited status?
49
Are records protected against damage, alteration deterioration and loss?

Technical Data Control
50
Does the quality system provide for maintaining technical data in a manner which ensures
such is up-to-date and accessible?
13. DECLARATION
I hereby confirm that all information given in the above-mentioned questionnaires are true.
Name: ...................................................................................................................
Tile: .......................................................................................................................
Date: .....................................................................................................................
Signature:
ISS. 01; REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 2004
Representatives of applicant is responsible to complete this form and send to VAECO QA by email first in
colored scanned copy for review. Original may be sent to VAECO QA later.
Block 1.
Block 2.
Business address of organization where is used to provide services for VAECO. Phone
number of business location of supplier included country code. Fax number of business
location of supplier included country code. Address of Telex or Sita at business location of
supplier that can be used to contact with VAECO. Emails of business location of supplier
that are used to contact to VAECO.
Block 3.
Information necessary of representatives of business location of supplier that will be used

for VAECO contact when necessary.
Block 4.
Name of person in board management. If applicant has not any title, N/A must be
recorded to relevant row.
Block 5.
Business scope of business location of supplier. Information in this block must be the same
in Business register.
Block 6.
List all of Major customers of supplier being transaction.
Block 7.
Detail each types of product and/or services to be supplied to VAECO. Record of applicant
is evaluated base this information and relevant documents.
Block 8.
Information related to Facility & Personnel of supplier. This information must be the same
as information in Quality manual, if any.
Block 9.
.Approval certificate of organization such as European Aviation Safety Agency, Federal

Aviation Administration, National Aviation Administration being validity.
Block 10. Quality Approvals certificate such as ISO, AS, EN, being validity
Block 11. Approvals/Authorizations/Certificates from manufactures/vendors being validity. Example,
authorized letter from Airbus/ Boeing approved OEM, or approval from other organization
Block 12. Applicant must be completed these questionnaires that VAECO QA should evaluate base
information provided by applicant. If there any unclear information must be clarified before
approving for supplier.
Block 13. Information of authorized person who is official representatives for supplier (e.g.: Director
or QA manager,)
ISS. 01; REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 2005
SUPPLIER APPROVAL CERTIFICATE

CHNG CH PH CHUN NH CUNG NG
1. Approval Ref./ S ph chun:
2. This certificate is issued to/ Chng ch ny c cp cho

..
3. Whose business address is/ a chi giao dch

..
The organization complies in all respects with the requirements specified in VAECO
procedure of the Vietnam Airlines Engineering Company. The organization is approved
to operate as a supplier of VAECO with the following Rating and Condition.
C t chc ph hp vi cc yu cu nu trong Quy trnh ca Cng ty k thut my bay. T chc trn c ph
chun l nh cung ng cho VAECO, vi phm vi v iu kin nu di y.
4. CLASS / LOI
5. RATING/ PHM VI
CONDITION/ IU KIN
The approval shall remain valid subject to:

(1) The organisation remaining in compliance with VAECO requirements; and
(2) VAECO and the competent authority being granted access to the organisation
to determine continued compliance with VAECO requirements; and
(3) The certificate not being surrendered or revoked for the duration stated below.
Ph chun ny ch c hiu lc vi cc iu kin sau:
(1) T chc lun ph hp vi yu cu ca Cng ty k thut my bay, v
(2) Cng ty k thut my bay v nh chc trch c php tip cn t chc nh gi s ph hp ca t chc vi
cc yu cu ca VAECO, v
(3) Chng ch khng b nh ch hoc thu hi trong khong thi gian di y.
6.Date of issue/ Ngy cp:

7.Date of expiry/ Hn hiu lc:
8. QUALITY DIRECTOR
9.STAMP
SIGNATURE
ISS. 01; REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 2005

This approval certificate is issued when record of applicant that is evaluated by QA staff
meet VAECO requirements. Completed approval certificate is transferred to Logistic using
Official letter handover book. Colored scanned copy is e-mailed to supplier for information.
Block 1. State the Approval reference number: VAECO/QA/xxx/ Issue yy: xxx is ordinal
number that is used to identify each supplier, when new supplier is approved,
xxx for that supplier should be last suppliers xxx +1; yy is issued number of that
supplier, yy=01 for new supplier and plus 1 for next issue;
Block 2. Name of supplier applied for approval that is the same in APPLICATION FOR
SUPPLIER APPROVAL (VAECO Form 2001).
Block 3. Business address is business location of supplier that is the same in item (2) of
SUPPLIER EVALUATION QUESTIONNAIRES (VAECO Form 2004).
Block 4. Classified according to each product provided by supplier (e.g.: Product class 1,
Product class 2, Product class 3)
Block 5. Limitation for product type that supplier provide to VAECO

Block 6. Issue date of certificate.
Block 7. Date of expiry should be Date of issue plus 02 year maximum interval for each
supplier class, but this interval should be shorted depend on result of evaluation
of supplier record.
Block 8. Full name and Signature of QA Director of VAECO

Block 9. Stamp of QA Dept.
ISS. 01; REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 2006
LIST OF CATEGORY 1 PRODUCT SUPPLIERS
DANH SCH CC NH CUNG NG SN PHM LOI 1

1. From .. To .
2.TT
3.SUPPLIER NAME
4.ADDRESS
5.SUPPLIERS
6.APPOVED BY
CODE
10.Provided by Logistics Department

Date:
Name:
ISS. 01, REV. 03 - DATE: 01 AUG 2015
Signature:
7.PRODUCT DESCRIPTION
8. P/N
9.P/O
11.Reviewed by Quality Assurance Department

Date:
Name:
Signature:
PAGE:
FORM 2006

This form is used for Logistic Dept. listing all CAT 1 supplier supplied products to VAECO and related information of that supplier. This
form is issued by Logistic Dept. and is sent to Audit section of QA Department for reviewing every 03 months. If the result of review
meets requirements, QA staff will fill information to block 11 and completed form will be kept in binder at Audit section. Completion of this
form will be performed as follows:
Block 1.
FROM 03 month before TO the time making list
Block 2.
Order number
Block 3.
Approval supplier name
Block 4.
Address of approved supplier name.
Block 5.
Suppliers code as specified in Boeing supplier list or Airbus supplier list
Block 6.
Name of organization authorized for supplier, normal Boeing, Airbus, ASA,
Block 7.
Product of supplier that VAECO has purchase with Supplier in period in Block 1
Block 8.
P/N of product that VAECO has purchase with Supplier in period in Block 1
Block 9.
Purchase order
Block 10.
Date, name and signature of staff of Logistic Dept. who make list
Block 11.
Date, name and signature of auditor of QA who review list
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 2007
SUBCONTRACTOR APPROVAL CERTIFICATE

CHNG CH PH CHUN NH THU
1. Approval number/ S ph chun:
2. This certificate is issued to/ Chng ch ny c cp cho:
............................................................................................................................................
3. Whose business address is/ a chi giao dch: ..............................................................
............................................................................................................................................
The organization complies in all respects with the requirements specified in VAECO
procedure of the Vietnam Airlines Engineering Company. The organization is approved to
operate as a subcontractor of VAECO with the following limitation.
C t chc ph hp vi cc yu cu nu trong Quy trnh ca Cng ty k thut my bay. T chc trn c ph
chun l Nh thu ph cho VAECO, vi gii hn nu di y.
4. CLASS/ Loi nh thu:

CONDITION/ iu kin:
The approval shall remain valid up to the expiry date below provided that:
(1) The organisation remaining in compliance with VAECO requirements; and
(2) VAECO and the competent Authority being granted access to the organisation to
determine continued compliance with VAECO requirements; and
(3) The certificate not being surrendered or revoked before the expiry date below.
Ph chun ny ch c hiu lc vi cc iu kin sau:
(1) T chc lun ph hp vi yu cu ca VAECO, v
(2) VAECO v Nh chc trch c php tip cn t chc nh gi s ph hp ca t chc vi cc yu cu ca
VAECO, v
(3) Chng ch khng b nh ch hoc thu hi trc thi hn di y.
5. DATE OF ISSUE/ Ngy cp:

6. DATE OF EXPIRY/ Hn hiu lc:
7. QUALITY DIRECTOR
8. STAMP
This certificate is not transferable, any major change effecting this approval thereof shall be immediately reported to the VAECO QA dept.
Chng ch ny khng c chuyn nhng, bt c s thay i ln no ca t chc nh hng n ph chun ny phi c thng bo
ngay cho Ban BCL, VAECO
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 2007
This approval certificate is issued when record of applicant that is evaluated and/ or
applicant quality system is audited by QA staff meet VAECO requirements. This approval
certificate is transferred to Logistics Department. Colored scanned copy is emailed to
supplier for information.
Block 1. State the Approval reference number: VAECO/QA/xxx/ Issue yy: xxx is ordinal
number that is used to identify each subcontractor, when a new subcontractor is
approved, xxx for that contractor should be last contractors xxx +1; yy is issued
number of that contractor, yy=01 for first issue and plus 1 for next issue;
Block 2. Name of contractor applied for approval that is the same in APPLICATION FOR
SUBCONTRACTOR APPROVAL (VAECO Form 2001).
Block 3. Business address is business location of contractor that is the same in item (2)
of SUBCONTRACTOR EVALUATION QUESTIONNAIRES (VAECO Form
2002).
Block 4. State the limitation of the approved rating
Block 5. Issuance date of certificate in the format dd mmm yyyy. E.g.: 15 JAN 2010
Block 6. Validity of the certificate shall be 01 year maximum since the issuance date.
This interval may be shorter depending on the result of evaluation/ audit.
Block 7. Full name and Signature of VAECO QA Director.
Block 8. Stamp of QA Dept.
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 2008
APPROVED CONTRACTOR LIST
DANH SCH NH THU C PH CHUN

1.No
2. ORGANISATION
3. ADDRESS
4. CLASS
5. APPROVAL
Ref.
6. EXPIRY DATE
APPROVED SCOPE
7. RATING
9.PREPARED BY (QA AUDITOR):
10.APPROVED BY (QA DIRECTOR):
DATE:
DATE:
SIGNATURE:
SIGNATURE:A76 DIRECTOR
ISS. 01, REV. 02 - DATE: 01 AUG 2015
8. LIMITATION
PAGE:
FORM 2008
This form should be updated whenever there is new contractor or contractor is renewal/ extend and upload to VAECO website in Vn
bn dng chung\ Ban m bo cht lng and put notice in homepage of VAECO website. Original list should be kept in binder at
Audit section. Completion of this form should be performed as follows:
Block 1.
Ordinal number.
Block 2.
Approved contractor name.
Block 3.
Address of approved contractor name.
Block 4.
Class of the contractor conformity with class in Contractor Approval Certificate (Certificated or Non-certificated).
Block 5.
Approval reference number of the contractor.
Block 6.
Expiry date of the approval certificate in the format dd mmm yyyy. E.g: 15 JUL 2010.
Block 7.
Rating of approved contractor conformity with rating in Contractor Approval Certificate.
Block 8.
Limitation of approved rating conformity with limitation in Contractor Approval Certificate.
Block 9.
State creation date of this list in the format dd mmm yyyy. E.g: 15 JUL 2010. Signature of auditor.
Block 10.
State approval date of this list in the format dd mmm yyyy. E.g: 15 JUL 2010. Signature of QA Director.
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 2009
APPROVED SUPPLIER LIST
DANH SCH NH CUNG NG C PH CHUN

1.No
2.ORGANISATION
3.ADDRESS
4.AMASIS
CODE
5.EXPIRY
DATE
APPROVED SCOPE
6.CLASS
8.PREPARED BY (QA AUDITOR):
9.APPROVED BY (QA DIRECTOR):
DATE:
DATE:
SIGNATURE:
SIGNATURE:6 DIRECTOR
ISS. 01, REV. 03 - DATE: 01 AUG 2015
7.RATINGS
PAGE:
FORM 2009
Completion of this form should be performed as follows:

Block 1. Ordinal number.
Block 2. Approved supplier name.
Block 3. Address of approved supplier name. In this block, facsimile number of supplier should be added.
Block 4. Code of on AMASIS
Block 5. Expiry date of Supplier approval certificate
Block 6. Class of approved supplier conformity with class in Supplier approval certificate.
Block 7. Rating of approval supplier conformity with rating in Supplier approval certificate.
Block 8. Name and Signature of the person who prepare the list (QA auditor). Creation date of the list in the format dd mmm yyyy. E.g:
15 JUL 2010.
Block 9. Name and Signature of the person who approve the list (QA Director). Creation date of the list in the format dd mmm yyyy. E.g:
15 JUL 2010.
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 2010
REQUEST FOR CONTRACTOR APPROVAL

N XIN PH CHUN NH THU
Tel: +844 - 38843290 Fax: +844 - 38865176
1. Organisation: ....................................................................................................................................
2. Head Quarter address: ....................................................................................................................
..............................................................................................................................................................
3. Telephone number .................................................... Facsimile number: ......................................
4. Telex/Sita: .............................................. Email: ...........................................................................
5. Contact person (Name and Title): ....................................................................................................
..............................................................................................................................................................
6. AMO approval certificate number: ...................................................................................................
..............................................................................................................................................................
7. Maintenance work to be contracted to VAECO:
..............................................................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
Initial approval
Renewal
Change (specified below):
..............................................................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
Commitment statement: I confirm that all above-mentioned information is true. I understand and accept
that becoming a VAECO contractor may be audited by VAECO Quality Assurance Department and/or
the competent Authority.
9. Place: .................................. Date: ..................................
Name: ...................................................................................
Title: ......................................................................................
Signature:
ISS. 01; REV. 00 - DATE: 01 AUG 2015
PAGE
FORM 2010

The applicant is responsible for completed this form and send to VAECO QA via email (colour
scanned copy for review). Original may be sent to VAECO QA later.
Block 1.
Contractors name who applied for approval of VAECO.
Block 2.
Block 3.
Phone number and Fax number of Subcontractor..
Block 4.
Address of Telex or Sita that can be used to contact with VAECO; Emails of Contractor that
are used to contact to VAECO.
Block 5.
Block 6.
Approved Maintenance Organization certificate number issued by competent authority

(CAAV, EASA , FAA). Copy of certificate and Capability List shall be attached to this form.
Block 7.
Enter detail of maintenance work to be contracted to VAECO.
Block 8.
Enter (tick) the reason for submission. Enter detail of change if applicable.
Block 9.
Name of authorized person who is official representatives for Contractor (e.g.: Director or QA
manager,).
ISS. 01; REV. 00 - DATE: 01 AUG 2015
PAGE
FORM 2011
SUPPLIER MONITORING SHEET

PHIU THEO DI HOT NG NH CUNG NG
SUPPLIER PROFILE
1. Organization: ....................................................................................................................................
2. Address:............................................................................................................................................
..............................................................................................................................................................
3. Tel:....................................... Fax: ................................. Email .........................................................

4. VAECO QA's Approval No: ............................................... Approval validity: ..................................
5. Approval scope: ................................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
SUPPLIER PERFORMANCE
6. (Information in this part shall be completed by Logistics Dept. for the period from ........... to ...............)
7. Reported by:Signature:
8. Dated: ...............................................................................................................................................
9. Business activities between VAECO and the supplier.
-
Are there contracts between VAECO and the supplier?
No
Yes
If YES List number of contract/purchase order : ...............................................................................

Total estimated value of the contract/purchase order: ...............................................................VND
-
Discrepancy of the products/services:
No
Yes
If YES List the number and the content of some major Discrepancy Reports: ................................
........................................................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
These discrepancies effect the quality of the products/services:
10. Quality of the products/services:

-
Accompanied documents (EASA form 1 or equivalent)
Delivery time
Quantity
Packing and handling
Storage condition during transportation
ISS. 01; REV. 03 - DATE: 01 AUG 2015
Satisfied
No
Yes
Not satisfied
PAGE:
FORM 2011
11. After sale services:

-
Is there any warranty claim?:
No
Yes
If Yes is selected state number of claims: .....................................................................................

.......................................................................................................................................................
-
After sale services such as installation, warranty, training, etc.:

........................................................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
12. Other:
........................................................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
SUPPLIER REVIEW
(For QA Department only)
13. Reason of review

Approval extension
Approval renewal
Other
If other please state: .......................................................................................................................

.......................................................................................................................................................
14. Conclusion
-
The organization meets requirements of the VAECO as stated in VAECO procedures:

No
Yes
The approval for the organization shall be

-
renewed
extended
If No please state the reason: .........................................................................................................

.......................................................................................................................................................
.......................................................................................................................................................
.......................................................................................................................................................
.......................................................................................................................................................
.......................................................................................................................................................
15. Dated: ..................................................................

16. Reviewed by: ....................................................... Signature:
ISS. 01; REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 2011

This form is used for Logistic staff report result of supplier monitoring to QA. QA staff should
review information in this form and base result of review records of supplier received from
Logistic Dept. or directly from Supplier and completes this form. Completed form is kept together
with supplier/ contractor record in binder at Audit section of QA Dept.
Block 1.
Block 2.
Business address of organization where is used to provide products/ supporting

services for VAECO.
Block 3.
Phone number of business location of supplier included country code. Fax number
of business location of supplier included country code. Address of Telex or Sita at
business location of supplier that can be used to contact with VAECO. Emails of
business location of supplier that are used to contact to VAECO.
Block 4.
The approval number the same as in the Approval Certificate; Approval validity for
supplier that specified in block 7 of Approval certificate (VAECO form 2005);
Block 5.
Approval scope that QA VAECO authorized that organization for provide products/
service, Approval scope must be the same in Block 5 in Approval certificate
(VAECO form 2005);
Block 6.
The period from organization last approved by QA VAECO to the time that
organization intended to renewal/ extension/ re-approval;
Block 7.
Name and signature of Logistic staff who report;
Block 8.
Date of report;
Block 9.
If that organization have contract or not with VAECO for purchase products/
services, stick in Yes box / No box correlatively; If Yes box is stick, all
purchase order/ number of contract must be attached this form and send to QA. If
there is discrepancy when the organization provide products/ services, Logistic
staff must be stick to Yes box and attached with Discrepancy report. If these
discrepancy effected to the quality of products/ services provided to VAECO, stick
Yes box
Block 10.
These box are used to evaluate products/ services of the organization.
Block 11.
Write down details by Logistic staff if there is any claim for after sale services of
that organization
Block 12.
Logistic staff should write down any comment/ note about products/ services of
organization
Block 13.
Base on item 10 of VAECO 2003/ VAECO 2001 application form received from
organization, QA staff should stick to corresponding box
Block 14.
After review all documents attached with this form and record of organization
intended to renewal/ extension, If this organization meet requirements specified in
VAECO MOE, RSQCM and SOP, QA staff should be stick Yes box and stick to
Renewed box or Extended box correlatively
Block 15.
Date of reviewing
Block 16.
Name and signature of QA staff who review record of supplier and this form
ISS. 01; REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 2012
1. CERTIFICATION No.:
MAINTENANCE RELEASE
CHNG CH CHO PHP A VO KHAI THC
2. A/C Type: .................
3. A/C Reg.: ..................
4. MSN: ..........................
....................................
5. Customer: ........................
6. Customer Request Ref.: ............................... 7. Work Order No.: ................................ 8. Station:................

9. AMS/ AMP/ MPD Ref.:......................................
10. Issue: ........................
11. Rev./Amd.: .........................
12. Work Performed: ..................................................................................................................................................

........................................................................................................................................................................................
........................................................................................................................................................................................
13. Start date (dd mmm yyyy): ................................

14. A/C Total FH: ..........................
CATEGORY
Finished date (dd mmm yyyy): .......................................

A/C Total FC: .............................
15. AUTHORISATION No.
16. SIGNATURE
CAT A (AIRFRAME)
CAT P (POWER PLANT)
CAT R (AVIONIC)
CAT E (ELECTRICAL)
17. EXCEPTION OR CONCESSION: .....................................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
18. Statement:
The article identified above was maintained/ altered and inspected in accordance with current
regulations of the competent Authority and is approved for return to service.
The work specified above was carried out in accordance with EASA Part-145 and in respect to that
work the aircraft / aircraft component is considered ready for release to service.
.......................................................................................................................................................
.......................................................................................................................................................
FAA approval No. V48Y426B;
CAAV approval No. VN-268/CAAV;
...............................................................................................
20. Next Hangar Check: Specify hereafter (whichever comes first)

Check type: .................... due at .................................. total flight hours, or
Check type: .................... due at .................................. total flight cycles, or
Check type: .................... due at date ..........................
21. Authorization holder: Name: ................................................................. Authorization No.:
Date (dd mmm yyyy): ....................................... Signature:
ISS. 02, REV. 06 - DATE: 01 AUG 2015
PAGE:
FORM 2012

This form is used to release the aircraft after base maintenance.
Block 1.
Enter reference number of this Maintenance release certificate.
Block 2.
Enter Aircraft Type, e.g.: A321
Block 3.
Enter Aircraft Registration Number, e.g.: VN-A348
Block 4.
Enter Manufacturing Serial Number
Block 5.
Enter the customer, e.g.: VNA
Block 6.
Enter customer request reference number. For VNA, enter service order number (if any)
otherwise enter N/A.
Block 7.
Enter Work Order reference number.
Block 8.
Enter Station that the check is carried out.
Block 9.
Enter aircraft maintenance schedule/ program reference such as A320 AMS, A321 MPD.
Block 10.
Enter issue number of AMS/ AMP/ MPD.
Block 11.
Enter revision/ amendment number of AMS/ AMP/ MPD.
Block 12.
Description of the maintenance works performed and the related work packs. For
example:
-
A check IAW work pack No. VN123456
C check IAW work pack No. VN123456
Block 13.
Enter start and finished date of check. The date should be given in the format of dd mmm
yyyy. E.g. 15 JAN 2010
Block 14.
Enter Total Flight hours and total flight cycles of the aircraft.
Block 15.
Enter authorization number of authorized staffs who are responsible for supervision/
inspection of the category A, P, R, E respectively.
Block 16.
Enter signature of authorized staffs who are responsible for supervision/ inspection of the
category A, P, R, E respectively.
Block 17.
Specify any exception or concession which has not been carried out IAW customer
request and/or applicable requirements.
Block 18.
Mark with a tick in appropriate box to specify the regulations or requirements that the
article was maintained/altered and inspected in accordance with.
Block 19.
Block 20.
Specify the next hangar checks have to be performed together with the aircraft flight
hours, aircraft flight cycles and calendar days (in the format of dd mmm yyyy). This
information is specified in related Work pack content (VAECO Form 1004). If there is no
information from the Customer and N/A is entered in the respective block of Work pack
content then enter N/A in this block.
Block 21.
Enter Authorization number (stamp is preferable) and signature of the Authorized staff
who release A/C. The released date should be given issued in the format of dd mmm
yyyy. E.g. 15 JAN 2010.
ISS. 02, REV. 06 - DATE: 01 AUG 2015
PAGE:
FORM 2013
SAFETY / ERROR REPORT

BO CO AN TON / SAI LI
Safety Division
FAX: 04.38865176
TEL: 04.38866717
HAN QC Division
FAX:
TEL: 04.38865132
HCM QC Division
FAX:
TEL:
Other Dept./Center
FAX:
TEL:
2. Name:
3. Signature:
4. Date of Report:
5. Dept./Center:
6. Division:
7. Working function:
1. Sent to:
8. Ref. No.
PART A
(To be completed by the person identifying the Hazard / Maintenance Error
/ Non-Conformity)
PLEASE FULLY DESCRIBE THE HAZARD / MAINTENANCE ERROR / NON-CONFORMITY:
9. Date of occurrence: 10. Time:
11. Station: 12. Location:

Base Maint.
Ramp Maint.
Workshop Maint.
Technical Support
Other:
13. Description of Hazard / Maintenance Error / Non-Conformity:
ISS. 02, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 2013
14. Ref. No.
PART B
(To be completed by the Safety Officer or QC Staff )
15. Name:
16. Signature:
17.Date:
18. RATE THE RECURRING LIKEHOOD OF THE HAZARD / MAINTENANCE ERROR / NON-CONFORMITY:
FREQUENTLY
SLIGHTLY
A LITTLE
RARELY
NOT LIKELY
SMALL
MINOR DAMAGE
19. RATE THE WORST-CASE CONSEQUENCES (IF NECESSARY):

CATASTROPHIC
DANGEROUS
BIG
20. WHAT ACTION IS REQUIRED TO ELIMINATE OR CONTROL THE HAZARD AND PREVENT INJURY?
21. RESOURCES REQUIRED:
22. RESPONSIBILITY FOR ACTION :
23. FEEDBACK TO THE REPORTER:
Performed by:
ISS. 02, REV. 03 - DATE: 01 AUG 2015
Signature :
Date :
PAGE:
FORM 2013

Block 1.
Reference number of Part A, it is generated by the person identifying the Hazard /

Maintenance Error / Non-Conformity.
Block 2.
Check in the relevant box where reporter wants to send the report.
Block 3.
State name of reporter
Block 4.
Signature of the reporter.
Block 5.
Reporting date in format dd mmm yyyy. E.g.: 15 JAN 2010.
Block 6.
State the center/ department the reporter is working in.
Block 7.
State the division the reporter is working in.
Block 8.
State reporters working function
Block 9.
State date of the Hazard / Maintenance Error / Non-Conformity in format

dd/mm/yyyy. E.g.: 15 JAN 2010.
Block 10.
Time of the Hazard / Maintenance Error / Non-Conformity
Block 11.
State the station where the Hazard / Maintenance Error / Non-Conformity occurred
(fill the airport code). E.g.: SGN, VII, HPH, CXR, DAD
Block 12.
Check in the relevant box the area (ramp, base maintenance) where the Hazard /
Maintenance Error / Non-Conformity occurred.
Block 13.
Describe the Hazard / Maintenance Error / Non-Conformity as detail as possible.
Block 14.
Reference number of Part B, it is generated by Safety Officer or QC Staff.
Block 15.
Name of the Safety Officer or QC Staff who assess the report.
Block 16.
The signature of the Safety Officer or QC Staff who assess the report.
Block 17.
Date of receiving of the report in format dd/mm/yyyy. E.g.: 15 JAN 2010.
Block 18.
Rate the recurring likelihood of the Hazard / Maintenance Error / Non-Conformity,

check in the relevant box.
Block 19.
Rate the worst-case consequences, check in the relevant box
Block 20.
State the applicable solutions to eliminate or control the Hazard / Maintenance Error /
Non-Conformity and prevent injury
Block 21.
The resources required to eliminate or control the Hazard / Maintenance Error / NonConformity.
Block 22.
The responsibility personnel or department/ centre will carry out the action to
eliminate or control the Hazard / Maintenance Error / Non-Conformity.
Block 23.
Name and signature of the Safety Officer or QC Staff and the date that the report
was feed back to the reporter.
ISS. 02, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 2014
CONFIDENTIAL SAFETY REPORT

BO CO AN TON BO MT
Please read the following and complete the questionnaire bellow:
Your name and contact information will be permanently deleted after all information has been received, confirmed and the matter
has been considered closed. You can use this form to report concerns about latent safety hazards. Latent safety hazards are
potential problems that may lie dormant in any aspect of the companys structure, policies, procedures and practices, without
having yet resulted in an accident, incident or other safety infraction.
Those potential problems are usually apparent to the people closest to a situation. Sometimes they result from an unforeseen
interaction of policy, practices and procedures. You may find a latent safety hazard in, for example, the quality of purchased
equipment, the time it takes to deliver a specific service or a common procedure that should be changed.
What you should do if you have a safety concern:
First, report your safety concern to your manager. If you are not satisfied with the response, report your concern to Safety
Department using this questionnaire.
PLEASE NOTE: This questionnaire is confidential when complete, not anonymous. We may call you for more information if
necessary, so be sure to include your work and hand telephone numbers. Additionally, if you would like copies of the
correspondence as associated with your submission, provide your home address including postal code and it will be sent to you
via a courier.
Although anonymous reports will not be rejected, we may not be able to substantiate a safety concern without complete
information.
Please complete all appropriate fields of the form and send it to the Safety Division of the QA Department.
by fax to 084 4 38865176; or
by email to sqd.vaeco@vietnamairlines.com
Centre/ department/ division

1. Centre/ Dept.:
2. Division/ Squad:
3. Working function:
Name/ Phone/ Address where you can be reach for more information if necessary
4. Name:
5. Office phone:
6. Hand phone:
7. Address:
8. Job responsibility: (e.g. Manager, Team leader, Authorised staff, Mechanics)

9. Please use the space below to explain your safety concern. You may wish to identify which functional
area your safety concern is related to (i.e. Engineering, Finance, Legal, Human resources etc.). Please
specify whether your concern is related to a specific policy, procedure, practice or equipment.
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 2014
10. Please explain why you believe in this is a safety concern:
Has this problem been reported previously, that you are aware of?
11. Yes
Please go to Q7
12. No
Please go to Q9
Are you aware of any changes that were made to the area of concern as a result of the reporting of this
problem previously?
13. Yes
Please go to Q8
14. No
Please go to Q9
15. Please explain the changes:
16. Please identify a possible solution to the problem you identified.
17. Reporter:
ISS. 01, REV. 03 - DATE: 01 AUG 2015
18. Report Date:
19. Signature:
PAGE:
FORM 2014

Block 1.
Enter the centre/ department reporter is working in.
Block 2.
Enter the division reporter is working in.
Block 3.
Enter reporter working function.
Block 4.
Enter reporter name in full.
Block 5.
Enter reporter office phone.
Block 6.
Enter reporter hand phone
Block 7.
Enter reporter home address.
Block 8.
Enter reporter title/ position in company
Block 9.
Please explain reporter safety concern specifically whether reporter concern is

related to policy, or procedure, or practice or equipment
Block 10.
Please explain why reporter do believe in it is a safety concern
Block 11.
Check the box and go to question 7 if this problem has been reported previously
Block 12.
Check the box and go to question 9 if this problem has not been reported previously
Block 13.
Check the box and go to question 8 if reporter is aware of any changes that were
made to the area of concern as a result of the reporting of this problem previously
Block 14.
Check the box and go to question 9 if you are not aware of any changes that were
made to the area of concern as a result of the reporting of this problem previously
Block 15.
Explain the changes that might be affected by this safety concern.
Block 16.
Propose your solutions to solve problems.
Block 17.
Enter reporters name.
Block 18.
Enter date of making report in format dd/mm/yyyy. E.g.: 15 JAN 2010.
Block 19.
Reporters signature.
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 2015
INSPECTOR HANDOVER SHEET

PHIU BN GIAO CNG VIC KIM TRA
1. A/C Registration No: ...................................................
3. TYPE OF
INSPECTION:
PRELIMINARY
HIDDEN DAMAGE
2. DATE: ........................................
IN PROCESS
FINAL
4. LOCATION: ..........................................................................................................................................................
5. SHIFT FROM: ............................................ TO: ....................................................
6. PURPOSE OF
SHIFT CHANGE
PERSONNEL CHANGE
OTHERS (Specify if applicable) ..............................................................................................

7. No
8. HANDOVER DESCRIPTION
9. OUTGOING
INSPECTOR
10. INCOMING
INSPECTOR
To be continued on Next page

ISS. 02, REV. 01 - DATE: 01 AUG 2015
PAGE
FORM 2015
Block 1.
State Aircraft Registration number. E.g. VN-A146
Block 2.
State the issuance date of this sheet in the format of dd mmm yyyy. E.g.: 15 JAN 2010
Block 3.
State the type of inspection by marking on appropriate box.
Block 4.
Location: HAN base, HAN line, HCM base, HCM line
Block 5.
Shift: From: S1 To S2 or S2 To S3..(S1: Shift 1, S2: Shift 2, S3: Shift 3)
Block 6.
State the purpose of handover by marking on appropriate box
Block 7.
Ordinal Number of item to be handover
Block 8.
Describe handover item
Block 9.
Signature/ stamp of outgoing inspector
Block 10. Signature/ stamp of incoming inspector
ISS. 02, REV. 01 - DATE: 01 AUG 2015
PAGE
FORM 2016
MAINTENANCE ERROR DECISION AID (MEDA) RESULTS

PHIU IU TRA SAI LI BO DNG
Section I General Information
MEDA Ref. #:
Event Ref. #:
Airlines:
Station of Error:
Aircraft Type:
Registration #:
Engine Type:
Fleet Number:
ATA #:
Aircraft Zone:
Ref. # of previous related event:
Interviewers Name:
Interviewers Telephone #:
Date of Investigation:
Date of Event:
Time of Event:
Shift of Error:
Type of Maintenance :
1. Line -- If Line, what type?
2. Base --If Base, what type?
3. WorkshopWhat type?
4. Other?
Date Changes Implemented:
Section II Event
Please select the event (check all that apply)

1. Operations Process Event
a. Flight Delay:
days
hrs
min.
b. Flight Cancellation (AOG)
c. Gate Return
d. In-Flight Shut Down
e. Air Turn-Back
f. Diversion
g. Other (Explain below)
2. Aircraft Damage Event

3. Personal Injury Event
4. Rework
5. Other Event
Describe the incident/ degradation/ failure (e.g., could not pressure) that caused the event.
Section III Maintenance System Failure (Error(s), Violation(s))

A. Please select the maintenance error(s) that caused the event:
1. Installation Error
3. Repair Error (e.g., component 6. Airplane/ equipment Damage
a. Equipment/part not installed
Error
or structure repair)
b. Wrong equipment/part installed 4. Fault Isolation/ Test/ Inspection
a. Tool/ equipment used
c. Wrong orientation
Error
improperly
d. Improper location
a. Did not detect fault
b. Defective tools/equipment used
e. Incomplete installation
b. Not found by fault isolation
c. Struck by/ against
f. Extra part installed
c. Not found bay operational/
d. Pulled/pushed/drove into
g. Access not closed
e. Other (explain below)
functional test
h. System/equipment not
7. Personal Injury Error
d. Not found by inspection
reactivated/deactivated
e. Access not closed
a. Slip/ trip/ fall
i. Damaged on installation
f. System/ equipment not
b. Caught in/ on/ between
j. Cross connection
c. Struck by/ against
deactivated/reactivated
k. Other (Explain below)
g. Other (explain below)
d. Hazard contacted (e.g.,
2. Servicing Error
5. Foreign Object Damage Error
electricity hot or cold surfaces,
a. Not enough fluid
a. Material left in aircraft/ engine
and sharp surfaces)
b. Too much fluid
b. Debris on ramp
e. Hazardous substance exposure
c. Wrong fluid type
c. Debris falling into open systems
toxic or noxious substances
d. Required servicing not
d. Other (explain below)
f. Hazardous thermal environment
performed
exposure (heat, cold, or
e. Access not closed
humidity)
f. System/ equipment not
deactivated/ reactivated
8. Other (explain below)
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGEP 1 of 13
FORM 2016
Describe the specific maintenance error (e.g., auto pressure controller installed in wrong location).
B. Please select the maintenance violation(s) that caused the event:

1. Routine Violations
2. Exceptional Violations
a. Work group practice outside
a. Required protective equipment
expected norms
(guards, PPE, or other safety
b. Documented procedure
devices) not used/disabled
most people in the same
b. Safety equipment not
situation do not follow the
appropriate for the hazard
process or procedure
c. Proper equipment/tool available
c. Undocumented procedure
but not used
most people do the
d. Knowingly used tools/material
procedure like the
improperly (e.g. incorrect tool for
technician did.
job, etc.)
e. Inadequate energy control (lockout/tag-out)
f. Loose objects (tools, etc.) left in
work area
g. Knowingly entered into
unauthorized area
h. Caution/warning ignored
i. Exceeded duty times
j. Under/over-serviced equipment
k. Not current, qualified, or
authorized for task/ equipment
Describe the specific maintenance violation(s)
l. Horseplay
m. Accepted unnecessary hazard
n. Information not used
o. Work process/procedure not
followed.
p. Skipped operational check
q. Did not use parts removed tag
r. Information/manual/task
card/instruction not used or followed
s. Failed to follow technical/safety
procedures
t. Failed to comply with training
guidelines/ operating guidelines by
individual or group
u. Knowingly installed/removed part
improperly
v. Failure to follow shift orders
w. Taking shortcuts
x. Failure to properly inspect
Section IV Contributing Factors Checklist

A. Information (e.g., work cards, maintenance manuals, service bulletins, maintenance tips, non-routines,
IPC, etc)
1. Not understandable
5.Update process is too long/ complicated
2. Unavailable/inaccessible
6. Incorrectly modified manufacturers MM/SB
3. Incorrect
7. Information not used
4. Too much/ conflicting information
Describe specifically how the selected information factor(s) contributed to the system failure.
B. Equipment/ Tools/ Safety Equipment

1. Unsafe
5. Unavailable
9. Too complicated
2. Unreliable
6. Inappropriate for the task
10. Incorrectly
3. Layout of controls or
7. Cannot use in intended environment
11. Not used
8. No instruction
12. Incorrectly used
displays
4. Mis-calibrated
13. Other (explain blow)
Describe specifically how selected equipment/tools/safety/equipment factor(s) contributed to the system
failure.
C. Aircraft Design/ Configuration/ Parts
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGEP 2 of 13
1. Complex
2. Inaccessible
3. Aircraft configuration variability
4. Parts unavailable
5. Parts incorrectly labeled
FORM 2016
6. Easy to install incorrectly

Describe specifically how selected aircraft design/ configuration/ parts factor(s) contributed to the system
failure.
D. Job/ Task
1. Repetitive/monotonous
3. New task or task change
2. Complex/confusing
4. Difference from other similar tasks
Describe specifically how selected job/task factor(s) contributed to the system failure.
E. Technical Knowledge/Skills
1. Skills
2. Task knowledge
3. Task planning
4. Airline process knowledge
5. Aircraft system knowledge

6. English language proficiency
Describe specifically how selected technical knowledge/skills factor(s) contributed to the system failure.
F. Individual Factors
1. Physical health
2. Fatigue
3. Time constraints
4. Peer pressure
5. Complacency
9. Memory lapse (forgot)
6. Body size/strength
10. Visual perception
7. Personal event
8. Workplace distractions/ interruptions
during performance
Describe specifically how the selected factors affecting Individual performance contributed to the error.
G. Environment/Facilities
1. High noise levels
5. Rain
9. Vibrations
12. Power sources
2. Hot
6. Snow
10. Cleanliness
13. Inadequate ventilation
3. Cold
7. Lighting
11. Hazardous/toxic
14. Marking
4. Humidity
8. Wind
substances
Describe specifically how the selected environment/facilities factor(s) contributed to the system failure.
H. Organizational Factors
1. Quality of support from technical organizations
6. Work process/procedure
2. Company policies
7. Work process/procedure not followed
3. Not enough staff
8. Work process/procedure not documented
4. Corporate change/restructuring
9. Work group normal practice (norm)
5. Union action
Describe specifically how the selected organizational factor(s) contributed to the system failure.
I. Leadership/Supervision
1. Planning/organization
3. Delegation/assignment of task
5. Amount of supervision
2. Prioritization of work
4. Unrealistic attitude/expectations
Describe specifically how the selected leaderships/ supervision factor(s) contributed to the system failure.
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGEP 3 of 13
J. Communication
1. Between departments
2. Between mechanics
3. Between shifts
4. Between maintenance crew and lead

5. Between lead and management
FORM 2016
6. Between flight crew and

maintenance
Describe specifically how the selected communication factor(s) contributed to the system failure.
K. Other Contribution Factor (explain below)

Describe specifically how this other factor contributed to the system failure.
Section V- Error Prevention Strategies

A. What current existing procedures, processes, and/or policies in your organization are intended to prevent
the indent, but didn't?
Maintenance Policies or Processes (specify)
................................................................................................
Inspection or Functional Check (specify)
.......................................................................................................
Required Maintenance Documentation:
Maintenance manuals (specify)
...............................................................................................................
Logbooks (specify)
...................................................................................................................................
Work cards (specify)
................................................................................................................................
Engineering documents (specify)
.............................................................................................................
Other (specify)
..........................................................................................................................................
Supporting Documentation
Service Bulletins (specify)
........................................................................................................................
Training materials (specify)
......................................................................................................................
All-operator letters (specify)
.....................................................................................................................
Inter-company bulletins (specify)
.............................................................................................................
Other
........................................................................................................................................................
Other (specify)
...............................................................................................................................................
B. List recommendation for error prevention strategies.
Recommen- Contributing
dation #
Factor #
Section VI Summary of Contribution Factors, System Failure, and Event

A. Provide a brief summary of the event
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGEP 4 of 13
B. Summary of Maintenance System Failure

1. Maintenance Control
2. Incomplete Maintenance
a. Scheduled task
a. Not fitted
b. Deferred defect
b. Not set correctly
c. Airworthiness data
c. Not removed
d. Inadequate tool control
e. Tech log
f. Airworthiness Directive
g. MEL interpretation
h. Modification control
i. Configuration control
j. Certification
k. Component robbery
ISS. 01, REV. 03 - DATE: 01 AUG 2015
FORM 2016
3. Incorrect Maintenance Action

a. Incorrect fit
b. Not set correctly
c. Incorrect part
d. Poor maintenance practice
e. Procedure not adhered to
f. Not fitted
g. Incorrect repair
h. Incorrect procedure
i. Not removed
PAGEP 5 of 13
FORM 2016

Section I - General Information:
This section is for collecting specific information about when, where, and to what the incident occurred.
This information often includes the variables that you would like to use when you sort the data or
summarize the data. For example, you may want to summarize the MEDA results as a function of
airplane type, station of error, or ATA chapter.
Meda #:
Number of MEDA be used to for control, two number represent current year
dash sequential numbers; eg: 12-0001,
Reference #
Followed A/C Event by Ramp HAN (AOG, DELAY, MOR), and the others
event (NCR, Claimed by Customer, Authority ...) (e.g., AOG/8756).
Airline
Two or three letter airline designator.
Station of Error
Station where the error, violation occurred NOT where it is being reported (if
different).
Aircraft Type
Manufacturer and model (e.g., B777-200).
Engine Type
Manufacturer and model (e.g., GE90-94B).
Reg. #
Aircraft registration number (e.g., VN-A141).
Fleet Number
Letter or number designator
ATA #
Can be used to collect the ATA chapter (e.g., 30-10) most closely related
to the error under investigation or the specific task card number for the
task that resulted in the error. Must be used to at least sub ATA, (ATA-sub
sub-...)
Aircraft Zone
e.g., Z210, etc.(details to sub zone)
Ref. # of previous related event (If applicable)

If this investigation is a repeat of a similar event, use this field to
reference to the previous investigation's data.
Interviewer's Name/Interviewer's Telephone #
This information is required in case the MEDA focal in your
organization needs clarification or more detailed data.
Date of Investigation
Date the investigation starts in the format of dd mmm yyyy. E.g. 15
JAN 2010
Date of Event
Date the event occurred in the format of dd mmm yyyy. E.g. 15 JAN
2010.
Time of Event
Time of the event, if known
Shift of Error
Shift (handover) during which the error occurred, if known
Type of Maintenance
Indicate whether the error occurred during line or base maintenance or

workshop.
Date Changes Implemented: Date that recommended and approved prevention strategies were
implemented and documented in the format of dd mmm yyyy. E.g. 15
JAN 2010.
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGEP 6 of 13
FORM 2016
Section II - Event:
An event is an unexpected, unintended, or undesirable occurrence that interrupts normal operations.
MEDA can be used to investigate four major types of events:
1. Events that interrupt the normal process of flying from point A to point B, like
flight delays, gate returns, cancellations, etc.
2. Aircraft damage events
3. Personal injury events
4. Finding that a task was not done correctly (e.g., through an inspection, functional
test, or system failure during flight) which results in having to do the task a
second time (rework).
5. Other Event (explain Below): is to write a description of the incident/degradation/failure (e.g.,
could not pressurize) that caused the event in your own words. It is important that you not just
check the box to indicate which event(s) occurred. You should write additional information in the
blank space in the block.
Section III - Maintenance System Failure
Maintenance System Failure is/are the error(s)/ violation(s) that directly leads to the event. The errors/
violation that are listed are very specific errors related to maintenance technicians and inspectors. There
are seven different major error types listed:
Maintenance Error(s):
1. Installation error
2. Servicing error
3. Repair error
4. Fault isolation, test, or inspection error
5. Foreign object damage error
6. Airplane/equipment damage error
7. Personal injury error.
8. Other.
An eighth box is provided for "Other" in case the specific error of interest was not listed in 1-7 above.
Maintenance Violation(s)
1. Routine violation
2. Exceptional Violations
Step 1 is to select the type of maintenance error by putting a check mark (x) in the correct box or boxes.
NOTE: Sometimes several errors combine to cause an incident. It is important to keep track of which
contributing factors and error prevention strategies listed in Sections IV and V relate to which errors
identified in Section III. This could be done in several ways. For example, you could fill out one Results
Form for each error. Alternatively, you could check one error box with a red pencil and the second with a
blue pencil. Then the factors that contributed to the first error could be written in red and the factors that
contributed to the second error could be written in blue. Or, you could put a * by the first error and a # by
the second error. Then you could place a * by the factors that contributed to the first error and a # by the
factors that contributed to the second error.
Step 2 is to write a brief written description of the maintenance error in the open space below the errors.
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGEP 7 of 13
FORM 2016
Section IV - Contributing Factors Checklist

This checklist will help the analyst identify the contributing factors that contributed to the error.
[Remember, if two or more errors combined to cause the event, it is important to identify which factors
relate to which error.] There are ten major categories of contributing factors in the checklist:
A.
Information
Information refers to the written or computerized source data that a maintenance technician
needs to carry out a task or job. It includes workcards, maintenance manual procedures, service
bulletins or engineering orders, maintenance tips, illustrated parts catalogs and other
manufacturer supplied or internal resources. Information does not include verbal instructions from
supervisors, shift handover logs, etc., which are considered to be Communication on the Results
Form
B.
Equipment, tools, and safety equipment

Equipment, tools and safety equipment are the tools and materials necessary for the safe
performance of a maintenance task. Equipment and tools refer to things such as nondestructive
test equipment, work stands, calibrated torque wrenches, screwdrivers, test boxes, and special
tools called out in maintenance procedures. Safety equipment includes both personal protective
equipment such as hard hats and safety harnesses as well as collective safety devices such as
hazard barriers and safety railings.
Unsafe equipment and tools may cause a maintenance technician to become distracted from the
task due to concern for personal safety. If equipment or tools are not available or are
inaccessible, the maintenance technician may use other equipment or tools that are not fully
suited for the job. Other factors that can contribute to error include mis-calibrated instruments,
use of unreliable equipment, or equipment or tools with no instructions for use.
C.
Aircraft design, configuration, and parts

An aircraft should be designed/ configured so that parts and systems are accessible for
maintenance. The maintenance technician should be able to see and reach a part, should be
able to remove it from a reach and strength standpoint, and should be able to easily replace the
part in the correct orientation. When reviewing accessibility as a contributor to maintenance error,
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGEP 8 of 13
FORM 2016
it must be seen as a real contributor to the error and not just as an inconvenience to the
maintenance technician.
Configuration variability between models and aircraft can contribute to error when there are small
differences between the configurations that require maintenance tasks to be carried out
differently or require slightly different parts.
Parts refer to aircraft parts that are to be replaced. Incorrectly labeled parts can contribute to
improper installation or repair. Parts that are unavailable can contribute to error by the
maintenance technician who uses a substitute part.
D.
The Job/ Task

A maintenance technician's job/ task can logically be separated into a series of tasks. If the
interviewer feels the task was a contributing factor, he should analyze the combination or
sequence of tasks. The interviewer, when examining the task sequencing, should also determine
whether written information was being used, what technical skills and knowledge were expected
of the maintenance technician, and what communication took place.
E.
Technical knowledge and skills

Technical skills (sometimes also referred to as abilities) refer to tasks or subtasks that
maintenance technicians are expected to perform without having to refer to other information.
Technical skills include such things as being able to lock wire, use a torque wrench, and remove
common parts from an aircraft. For (lack of) technical skills to be a contributing factor to error, the
technician must not have skill that was generally expected of him/her.
Technical knowledge refers to the understanding of a body of information that is applied directly
to performing a task. Technical knowledge, in order to be a contributing factor to error, is
knowledge that is supposed to be known (memorized) by the maintenance technician. Three
broad categories of knowledge are required of a technician: airline process knowledge, aircraft
systems knowledge, and maintenance task knowledge. These are discussed in more detail
below.
Airline process knowledge refers to knowledge of the processes and practices of the airline or
repair station in which the maintenance technician works. Examples include shift handover
procedures, parts tagging requirements, and sign off requirements.
Aircraft system knowledge refers to knowledge of the physical aircraft systems and equipment.
Examples include location and function of hydraulic pumps and rework options for corroded or
fatigued parts.
Maintenance task knowledge refers to the specific knowledge required to perform a unique task.
Examples include the procedure for bleeding a hydraulic system and for measuring tire wear.
F.
Individual factors
Individual factors vary from person to person and include body size/strength, health, and
personal events and the way that a technician responds to things such as peer pressure, time
constraints, and fatigue caused by the job itself.
G.
Environment and facility

The working environment/facilities can contribute to error. For example, temperature extremes
(either too hot or too cold), high noise levels, inadequate lighting (reflection/glare, etc.), unusual
vibrations, and dirty work surfaces could all potentially lead to maintenance errors. Concerns
about health and safety issues could also contribute to maintenance technician errors.
H.
Organizational factors
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGEP 9 of 13
FORM 2016
The organizational culture can have a great impact on maintenance error. Factors such as
internal communication with support organizations, trust level between management and
maintenance technicians, management goals and technician awareness and buy-in of those
goals, union activities, and attitudes, morale, etc., all affect productivity and quality of work. The
amount of ownership the technician has of his/her work environment and the ability to
change/improve processes and systems is of key importance to technician morale and self
esteem, which in turn, affects the quality of task performance.
I.
Leadership and supervision

Even though supervisors normally do not perform the tasks, they can still contribute to
maintenance error by poor planning, prioritizing, and organizing of job tasks. Delegation of tasks
is a very important supervisory skill and if not done properly, can result in poor work quality.
Also, there is a direct link between the management/supervisory attitudes and expectations of
the maintenance technician and the quality of the work that is performed.
Supervisors and higher-level management must also provide leadership. That is, they should
have a vision of where the maintenance function should be headed and how it will get there. In
addition, leadership is exhibited by management "walking the talk", that is, showing the same
type of behavior expected of others.
J.
Communication
Communication refers to the transfer of information (written, verbal, or non-verbal) within the
maintenance organization. A breakdown in communication can prevent a maintenance
technician from getting the correct information in a timely manner regarding a maintenance task.
E.g:
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGEP 10 of 13
FORM 2016
Section V - Error Prevention Strategies

This section is subdivided into two subsections. The purpose of Section A is to indicate
organizational barriers that were in place but failed to prevent the error from occurring.
Section A asks, "What current existing procedures, processes, and/or policies in your
organization are intended to prevent the incident, but didn't?"
The investigator needs to think about which of the listed items were involved or contributed to
the error. For example, if a maintenance policy was not a good policy or was not followed, then
you would check "Maintenance Policies or Processes" and write in which policy was not good or
not followed. If an inspection was performed, but the inspector missed the fault, and the fault
later caused the event, then you would check "Inspection or Functional Check" and indicate
what the inspection was.
Section B asks, "List recommendations for error prevention strategies."
This section has three columns. The left most column (Recommendation #) is for you to put a
serial number (1, 2, 3, etc.) in order to simply number the recommendation, so that it is easier to
refer to it. The middle column (Contributing Factor #) is for you to put the number of the
contributing factor that you are addressing (e.g., A.1. for Information Not Understandable). The
right most column is for you to write in the proposed improvement to be made to the contributing
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGEP 11 of 13
FORM 2016
factor that you listed (e.g., rewrite the third step in the engineering order to make clear what the
torque values are supposed to be).
E.g:
Section VI - Summary of Contributing Factors, Error, and Event

To write out a brief summary of what happened and what you found regarding contributing
factors during the interview. If there is not enough room provided, continue the description on
another piece of paper and submit it with the rest of the Results Form.
e.g:
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGEP 12 of 13
FORM 2016
Summary of Maintenance System Failure: classification of the events follow: Maintenance

Control; Incomplete Maintenance; Incorrect Maintenance Action. Check mark (x) has corrected
after investigation finished
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGEP 13 of 13
FORM 2025
AUDIT SCHEDULE
K HOCH NH GI
2.No
3.AUDIT SUBJECT
1.Ref No: AS...............

5 . AUDIT TIMETABLE IN THE YEAR . . . . . . . . . . . .
4.AUDIT PLACE
JAN
FEB
MAR
APR
MAY
JUN
6.PLANNED BY:
7.REVIEWED BY:
8.APPROVED BY:
DATE:
DATE:
DATE:
SIGNATURE:
SIGNATURE:
SIGNATURE:
ISS.01, REV.02 - 01 AUG 2015
JUL
AUG
SEP
OCT
NOV
DEC
PAGE:
FORM 2025

Block 1. Reference number in the format ASyy-vv in which yy is last two digit of the year and vv is the version. E.g.: The audit schedule for the
year 2010, version 01 is AS10-01.
Block 2. Ordinal number
Block 3. Subject to be audited such as: Engineering Procedures, Maintenance Planning Procedures
Block 4. Place where the audit will be carried out such as: Planning Department, Engineering Department, Ram Maintenance Center HAN
Block 5. Audit time for each subject. The due date is the last day of the specified month.
Block 6. Name and signature of person who planned Audit schedule (QA manager), and date of planning
Block 7. Name and signature of person who reviewed this Audit schedule (QA director), and date of review
Block 8. Name and signature of person who approved this Audit schedule (C.E.O), and date of approval
ISS.01, REV.02 - 01 AUG 2015
PAGE:
FORM 2026
AUDIT SCHEDULE NOTICE

THNG BO NH GI
1. Ref.: AN...................
...................................................................................................................................
2. To:
...................................................................................................................................
3. Audit subject: ...................................................................................................................................
...................................................................................................................................
4. Audit place:
...................................................................................................................................
...................................................................................................................................
5. Audit date:
...................................................................................................................................
...................................................................................................................................
6. Audit scope:
...................................................................................................................................
...................................................................................................................................
7. Audit team:
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
8. Detailed audit timetable:

DATE
TIME
AUDIT PROCESS
9. Requirement: ...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
10. DATE : ..............................
QUALITY ASSURANCE DIRECTOR
(Name and Signature)
ISS.01, REV.03 01 AUG 2015
PAGE:
FORM 2026

Block 1. Enter reference number in the format ANddmmyy in which dd is two digits of the day
and mm is two digits of the month and yy is last two digits of the year. E.g.: AN150410.
Block 2. Enter Director of the department/ center or Director/ Manager of the supplier that will be
audited, e.g.: HAN Component Maintenance Director.
Block 3. Enter the audit subject
Block 4. Enter place that the audit will be carried out
Block 5. Enter the date that audit will be carried out
Block 6. Enter the scope of the audit. E.g.: Component Maintenance activities as specified in
VAECO MOE, RSM/ QCM, SOP.
Block 7. Enter name of all audit team members
Block 8. Enter timetable of the audit in details
Block 9. Enter requirements for preparing audit.
Block 10. Enter issue date of the notice, name and signature of Quality Assurance Director or
delegated person.
ISS.01, REV.03 01 AUG 2015
PAGE:
FORM 2029
NON-CONFORMITY REPORT
BO CO IM KHNG PH HP
2. From:
3. To:
1. Ref.:
4. Raised by:
5. Date:
6. QC Manager:
(Name & Sign.)
7. Received by:
(Name & Sign.)
8. Requirement Ref.:
9. Affected area/ aircraft:

OBSERVED NON-CONFORMITY
10. Non-conformity description:
11. NC level:
12. Due Date:
ROOT CAUSE ANALYSIS AND CORRECTIVE ACTION (For concerned Dept./ Center)
16. Dept./Center
Director:
(Name & Sign.)
13. Root Cause:
14. Actions to correct the non-conformity:
15. Actions to prevent recurrence of the non-conformity:

17. Date
CLEARANCE REPORT (For Quality Assurance Dept.)

18. Acceptance:
Yes
No
20. Reviewed by:
19. Follow Up Comments:
21. Close date:
ISS. 02, REV. 03 - DATE 01 AUG 2015
PAGE:
FORM 2029

This form is used for reporting of non-conformity (NC) that found by quality assurance
personnel.
Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Block 10.
Block 11.
Block 12.
Block 13.
Block 14.
Block 15.
Block 16.
Block 17.
Block 18.
Block 19.
Block 20.
Block 21.
Enter reference number of the report.

Enter the name of the department that issued the report.
Enter the name of the Department/ Center that is responsible of taking
corrective action to correct and prevent from recurrence of the reported nonconformity.
Enter the name and signature of person who raises the report.
Enter the report date.
Enter the name and signature of QC manager
Enter the name and signature of person who receive and accept the NCR
Enter requirement reference to applicable regulation/ procedure or
maintenance data.
Enter affected area (such as workshop) and/ or registration number of the
concerned aircraft.
Enter brief description of the observed non-conformity.
Enter the level of the NC:
a. Level 1 is significant non-compliance with procedures and/or applicable
regulations. It does not meet safety standards, maintenance standards;
hazards seriously the flight safety or is a systematic non-conformity.
b. Level 2 is non-compliance with procedures and/or applicable regulations. It
does not meet the safety standards and possibly hazards the flight safety
or lowers the maintenance standard but it is not a systematic nonconformity.
Enter the due date for correction and corrective action. The date should be
given in the format dd mmm yyyy.
Enter the root cause of the NC.
Enter action(s) to correct the NC.
Enter action(s) to prevent the recurrence of the NC. If the action(s) has (ve) not
been completed the planned/ estimated date must be specified.
Enter name and signature of the Director of affected Department/ Center.
Enter the date of reply. It should be given in the format of dd mmm yyyy.
Acceptance of the quality assurance personnel (Mark X on Yes or No)
Enter the follow up comments if the corrective action is not acceptable.
Enter name and signature of the quality assurance personnel.
Enter close date if the report is accepted to close.
ISS. 02, REV. 03 - DATE 01 AUG 2015
PAGE:
MAINTENANCE EXPERIENCE LOGBOOK

S XC NHN KINH NGHIM BO DNG
FORM 2031
Name:.............................................................................................................
Auth. number:...........................................................................................
Time period:...............................................................................................
1. Forewords
This logbook is intended to:
- be used to fulfil the 6/24 months maintenance experience requirement, before the issue/re-issue of an individual certification
authorisation;
- be applicable to aircraft and/or component and/or engine and/or specialised services certifying staff and to aircraft base
maintenance support staff;
- be completed by the candidate C/S and/or S/S;
2. Requirements
This logbook is intended to be hand written and considered to be acceptable as following criteria are met:
a. Number of records
- A recording of 180 tasks at different dates or record of 100 working days of maintenance experience in the 2 years period
would be the minimum expected.
- Having recorded 180 tasks or 100 days only during the first year of the 2-year period is not acceptable.
b. Nature of experience
For Aircraft maintenance authorization, hold or intended to be granted:
Cat A :
the experience shall be ensured by means of performing tasks related to the authorization on at
least one
aircraft type for each subcategory (A.1-A.18), including servicing, component changes and simple defect
rectification.
Cat B1/B2 :
the experience shall be on that particular aircraft.
Cat C :
the experience shall cover at least one of the aircraft type, endorsed in the authorization.
For combination of the above categories: the experience shall include some activities in each category.
For component maintenance authorization: the experience shall include exercising the privileges, by means of performing
tasks or exercising the certification privileges of the authorization on each of the rating authorized or intended to be
authorized.
For NDT authorization; the experience shall include exercising the privileges, by means of performing tasks or exercising
the certification privileges of the authorization on each of the NDT method authorised/intended to be authorised
ISS. 01, REV. 05 - DATE: 01 AUG 2015
PAGE

FORM 2031
Name:.............................................................................................................
Auth. number:...........................................................................................
Time period:...............................................................................................
3. Personnel data.
Certifying Staff
Name
.....................................................................................................................................................................................................................................
Surname
.....................................................................................................................................................................................................................................
Date of birth
.....................................................................................................................................................................................................................................
Place of birth
.....................................................................................................................................................................................................................................
Certification Authorisation Number
.....................................................................................................................................................................................................................................
Certifying staff Privileges hold
.....................................................................................................................................................................................................................................
Signature
.....................................................................................................................................................................................................................................
(if already hold)
(or intended to be granted)
ISS. 01, REV. 05 - DATE: 01 AUG 2015
PAGE
FORM 2031
Name:.............................................................................................................
Auth. number:...........................................................................................
Time period:...............................................................................................
4. Maintenance logbook records
A332
A1
B1
5/1/14
HAN
A330/
PW4000
A378
A2
B1
6/1/14
HAN
A321/
V2500
A326
D1
ET
Date:
CRS
A320/
CFM56
Perform
HCM
Training
4/1/14
Comp.
cert.staff
REP
C5
INSP
123456
TS
Battery
(P/N: 123456)
MOD
HAN
R/I
2/1/14
SGH
(2)
Location
Supervise
(8)
Type of act.
(1)
Date
FOT
(4)
(5)
(6)
A/C Reg. No.
Type of
Privilege
or
maint.
used
Component S/N (rating)
(7)
Task type
(3)
A/C or
Comp.
Type
(9)
ATA
(10)
Operation performed
(11)
Time
(12)
Duration
Maint. record ref.
(Hrs.)
24
Shop visit for repair
16
EASA Form 1
# 12345
32
RH MLG WHEEL change
TLP#123456
32
RH MLG WHEEL change
JC#123
57
Inspection of dent
FR 58-59, STR 27-28
NDT Report#1234
(13)
Remarks
Logbook owner`s signature(*):
(*) I declare that the entries in this logbook are complete and true.
ISS. 01, REV. 05 - DATE: 01 AUG 2015
PAGE
FORM 2031

Block (1)
Date when the maintenance activity was carried out.
Block (2)
Location where the maintenance activity was carried out.
Block (3)
A/C or component type.
Block (4)
A/C registration marks or component serial number
Block (5)
Identify the class rating under which the maintenance is carried out.
A1 :
Aircraft maintenance/ defect rectification
C1 :
Air Condition & Pressurization
C2 :
Auto Flight
C3 :
Communication and Navigation
C4 :
Doors and Hatches
C5 :
Component rating for Electrical power & Lights
C6 :
Component rating for Equipment (ex: seats, galley equipments,)
C8 :
Flight Controls
C9 :
Fuel
C12 :
Hydraulic Power
C13 :
Indicating/ Recording Systems
C14 :
Component rating for Landing gear
C15 :
Oxygen
C16 :
Propellers
C17 :
Pneumatic & Vacuum
C18 :
Protection ice/rain/fire
C19 :
Windows
C20 :
Structural
D1 :
Non-Destructive Testing
Block (6)
When the person holds different privileges this block is intended to identify the certifying staff or support staff privilege used
depending from the rating identified in the previous column (i.e. aircraft certifying staff Cat. A or B1 or B2 or C, components or
engines or NDT certifying staff ).
ISS. 01, REV. 05 - DATE: 01 AUG 2015
PAGE
FORM 2031
Block (7)
Identify the task type using the following term as being the more applicable to the task carried out. More than one term may be
selected (i.e. TS and R/I and SGH, etc.)
FOT :
Functional / Operational Test.
SGH :
Service and Ground Handling.
R/I :
Removal / Installation.
TS :
Trouble Shooting.
MOD :
Modification
REP :
Repair
INSP :
Inspection
Block (8)
Identify the type of activity using the following term as being the more applicable to the activity carried out. More than one term
may be selected.
-
Training
the person recording the task in this logbook is under training
Perform
The maintenance activity recorded in the row was performed by the logbook owner
Supervise
The maintenance activity recorded in the row was supervised by the logbook owner
CRS :
The maintenance activity recorded in the row was released to service by the logbook owner
Block (9)
Enter the ATA chapter which better describes the majority of the activity carried out. More than one ATA chapters may be
entered when necessary/applicable to the activity carried out.
Block (10)
This filed is used to provide detailed reference to the task carried out.
Block (11)
Enter the total time (in hours) spent to accomplish the activity recorded in the row.
Block (12)
Enter the precise reference of the maintenance records where the activity mentioned in this logbook was recorded, e.g
Block (13)
TLP#
JC#
NRC#
FORM1/8130-3#
NDT Report#
Any additional comment/not which was not possible to enter in the other fields.
ISS. 01, REV. 05 - DATE: 01 AUG 2015
PAGE
FORM 2032
AUDIT REPORT
BO CO NH GI
1. To: ....................................................................................................................................
2. CC: ...................................................................................................................................
3. Report No:
4. Date:
5. Audit subject:
6. Audit place:
7. Audit scope:
8. Contact person:
9. Audit team:
10. EXAMINATION ITEM/ COMMENTS
Legend:
NC
NC: Non-conformity;
C: Conformity.
11. REPORTED BY:
ISS.01, REV.02 01 AUG 2015
12. SIGNATURE
PAGE:
FORM 2032

Block 1. Enter Name and title of the in-charged person of the Department or Center where the
audit was performed. E.g.: Mr. PHAM MINH HIEP Director of DAD Line
Maintenance Center
Block 2. Enter Name and title of the Quality Director, the Director of Quality Assurance Dept
and other related person.
Block 3. The report number in the format AAddmmyy(-xx) in which AA is RE for the scheduled
audit and RR for the random audit, dd is day, mm is month and yy is last two digit of
the year of audit date. If there are more than one report concerning one audit notice it
shall be separated by xx (xx= 01, 02,...). E.g.: The scheduled audit performed on 15
Oct. 2009 has report number RE151009 (one report) or RE151009-01, RE151009-02
(two reports).
Block 4. Enter the issuing date of the report. For English, the format of issuing format is dd
mmm yyyy. E.g. 15 JAN 2010. For Vietnamese the issuing date format is dd mm yyyy.
E.g. 15/01/2010
Block 5. Enter Subject of the audit
Block 6. Enter Place where the audit was performed
Block 7. Enter Scope of the audit
Block 8. Enter persons who related to the audit
Block 9. Enter Names of audit team members
Block 10. Enter audit examination item, non-conformity/ findings description, evidence
information and recommendation for corrective action (if necessary)
Block 11. Enter Name of auditor(s) who is (are) responsible for the audit.
Block 12. Enter Signature of the auditor.
ISS.01, REV.02 01 AUG 2015
PAGE:
FORM 2033
CORRECTIVE ACTION REQUEST

YU CU KHC PHC
1. CAR No.:
2. Date:
3. Send to:
4. Auditor's name & signature:
5. Auditee representative's name & signature:
Non-Conformity Classification:
Level 1: is significant non-compliance with procedures, applicable regulations. It does not meet safety
standards, maintenance standards; hazards seriously the flight safety or is a systematic non-conformity.
Refused to be audited may be considered as Level 1.
Level 2: is non-compliance with procedures, applicable regulations. It does not meet the safety standards and
possibly hazards the flight safety or lowers the maintenance standard but it is not a systematic non-conformity.
6. Audit Report Ref.:
7. Level:
8. NC Cause:
9. NON-CONFORMITY DESCRIPTION:
10. Deadline:
11. IDENTIFICATION OF ROOT CAUSE:
12. CORRECTIVE ACTION (Action(s) taken to eliminate the non-conformity):
13. PREVENTIVE ACTION (Action(s) taken to eliminate the root cause of the non-conformity in order to prevent
the non-conformity from re-occurrence):
14. Auditee's Authorised Representative Name:
Signature:
Date:
(For Auditor's Use)
15. FOLLOW UP AND CLOSURE:
16. Auditor Name:
ISS.01, REV.04 01 AUG 2015
Signature:
Closure Date:
PAGE:
FORM 2033

Block 1.
Enter the request number in the format CARddmmyy(-xx) in which ddmmyy is the same as
audit report number. If there are more than one request concerning one audit report it is
separated by xx (xx= 01, 02,...). E.g.: The audit report number RE151009 has one request
CAR151009 or many requests CAR151009-01, CAR151009-02...
Block 2.
Enter the raising date of the corrective action request in the format of dd mmm yyyy. E.g. 15
JAN 2010.
Block 3.
Enter Title of the in-charged person of the Department/ Center or Division/ workshop where
the request was sent to. E.g.: Director of DAD Line Maintenance Center
Block 4.
Enter Name and signature of the auditor who raises the corrective action request.
Block 5.
Enter Name and signature of the audited department representative who received and
accepted the request
Block 6.
Enter the referred audit report/ corrective action request of VAECO QAD/ authority/ customer
or other referred document.
Block 7.
Enter Level of non-conformity (1 or 2).
Block 8.
Enter Non-Conformity Cause code such as A01, A02 See following table for more detail:
Cause Group
A. Information (Maintenance
Manuals, SB, WO, EO, WS,
NRC, etc)
B. Equipment/ Tools/ Safety

Equipment
C. Aircraft Design/
Configuration/ Parts
D. Job/ Task
E. Technical Knowledge/Skills
ISS.01, REV.04 01 AUG 2015
NC cause
A01
A02
A03
A04
A05
A06
A07
B01
B02
B03
B04
B05
B06
B07
B08
B09
B10
B11
B12
C01
C02
C03
C04
C05
C06
D01
D02
D03
D04
E01
E02
E03
Cause name
Not understandable
Unavailable/inaccessible
Incorrect
Too much/ conflicting information
Update process is too long/ complicated
Incorrectly modified manufacture's MM/SB
Information not used
Unsafe
Unreliable
Layout of controls or displays
Mis-calibrated
Unavailable
Inappropriate for the task
Cannot use in intended environment
No instruction
Too complicated
Incorrectly
Not used
Incorrect used
Complex
Inaccessible
Aircraft configuration variability
Part unavailable
Part incorrectly labeled
Easy to install incorrectly
Repetitive/monotonous
Complex/confusing
New task or task change
Difference from other similar tasks
Skills
Task Knowledge
Task planning
PAGE:
Cause Group
F. Individual Factors
G. Environment/Facilities
H. Organizational Factors
I. Leadership/Supervision
J. Communication
K. Other cause group

ISS.01, REV.04 01 AUG 2015
NC cause
E04
E05
E06
F01
F02
F03
F04
F05
F06
F07
F08
F09
F10
G01
G02
G03
G04
G05
G06
G07
G08
G09
G10
G11
G12
G13
G14
G15
H01
H02
H03
H04
H05
H06
H07
H08
H09
I01
I02
I03
I04
I05
J01
J02
J03
J04
J05
J06
J07
K01
FORM 2033
Cause name
Airline process knowledge
Aircraft system knowledge
English language proficiency
Physical health
Fatigue
Time constraints
Peer pressure
Complacency
Body size/strength
Personal event
Workplace distractions/ Interruption
Memory lapse (forgot)
Visual perception
High noise levels
Hot
Cold
Humidity
Rain
Snow
Lighting
Wind
Vibrations
Cleanliness
Hazardous/toxic substances
Power sources
Inadequate ventilation
Marking
Inappropriate house/ store structure
Quality of support from technical organizations
Company policies
Not enough staff
Corporate change/restructuring
Union action
Work process/procedure
Work process/procedure not followed
Work process/procedure not documented
Work group normal practice (norm)
Planning/organization
Prioritization of work
Delegation/assignment of task
Unrealistic attitude/expectations
Amount of supervision
Between departments
Between mechanics
Between shifts
Between maintenance crew and lead
Between lead and management
Between Flight crew and maintenance
Between companies/ organizations
Other
PAGE:
Block 9.
FORM 2033
Enter detailed description of the non-conformity
Block 10. Enter deadline that this corrective action request is replied to QAD in the format of dd mmm
yyyy. E.g. 15 FEB 2010.
Block 11. Enter the root cause of the non-conformity. This section is filled out by auditee.
Block 12. Enter actions taken to eliminate the non-conformity. This section is filled out by auditee.
Block 13. Enter actions taken or plan to prevent the non-conformity re-occur (to eliminate the root cause
of the non-conformity). This section is filled out by auditee. If the corrective action can not
complete before the due date the schedule completion date must be specified in this block.
Block 14. Enter Name and Signature of the person in-charge of the auditee. This representative must be
in directorate or manager of related division/ squad/ workshop on behalf of the department/
center (if the finding is only related to that division/ squad/ workshop). Enter response date
that is specified by the auditee in the format of dd mmm yyyy (E.g. 15 FEB 2010).
Block 15. Enter action required to follow up if necessary and/or closure confirmation of this corrective
action request.
Block 16. Enter Name and Signature of auditor who assess the corrective action request and confirm it
is closed. Enter date that the request is closed in the format of dd mmm yyyy. (E.g. 15 FEB
2010)
ISS.01, REV.04 01 AUG 2015
PAGE:
FORM 2034
REMEDIAL EXTENSION REQUEST
1. QA ref.:
PHIU NGH GIA HN KHC PHC
EX ..........................
2. To/ Gi ti: ...............................................................
3. From/ Ni ngh:..........................................................
......................................................................................
............................................................................................
4. CONTENT/ NI DUNG
CAR No. and item
S yu cu khc phc v mc
Level
Mc
Ext. Times
Ln ngh
Due date
Hn khc phc
Ext. Request
ngh gia hn n ngy
5. Reason and solution/ L do v gii php khc phc:

........................................................................................................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
Signature/ Ch k:
6. Request by/ Ngi ngh:
Date/ Ngy:
7. Extension Acceptance:
YES
NO
8. Extension limitation or condition/ Gii hn hoc iu kin gia hn:
........................................................................................................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
9. Accepted by/ Ngi chp thun:
ISS.01, REV.02 01 AUG 2015
Signature/ Ch k:
Date/ Ngy:
PAGE:
FORM 2034

Block 1. Enter remedial extension request number by QA department staff. It is in format
EXddmmyy in which dd is day, mm is month and yy is last two digit of the year of
request date.
Block 2. Enter Quality Assurance Director or General Director.
Block 3. Enter the auditee, such as name of Department, Center.
Block 4. Enter the CAR number, level, extension times, due date and extension request.
Block 5. Enter reason to submit the remedial extension request and solution to completion.
Block 6. Enter Name, signature of representative of the auditee and date in the format of dd
Block 2 to 6 are completed by the auditee.
Block 7. Enter the mark X in YES to accept or in No to refuse.
Block 8. Enter the condition and limitation of the extension.
Block 9. Enter name and signature of General Director or QA Director or delegated person who
accepted this extension and date of the acceptance in the format of dd mmm yyyy. E.g.
15 JAN 2010.
ISS.01, REV.02 01 AUG 2015
PAGE:
FORM 2035

BO CO S C
1. Report No:
2. Sent to:
QA Department
FAX: 04 38865176 TEL: 04 38843290
Engineering & IT Department
FAX: 04 38865213 TEL: 04 38865170
CAAV
FAX:
TEL:
Operators Technical Department FAX:
TEL:
3. Flight No:
From:
To:
Geog. Position:
4. A/C type:
MSN serial No:
Operator:
Time (UTC):
5. Registration No:
Engine type:
Date:
ETOPS approval
6. Flight phase
TAKE OFF
CRUISE
APPROACH
PARKED
INIT CLIMB
DESCENT
LANDING
TAXIING
CLIMB
HOLDING
CIRCUIT
Yes
No
AEROBATICS
SCHEDULE
MAINTENANCE
Report from Maintenance Centre

7. Occurrence description and consequence of the occurrence:
8. Cause of occurrence:
9. Corrective actions have been done:
10. Engineering detail
A/C DATA
Since
overhaul
Total
Since last
schedule main.
ENGINE/ COMPONENT DATA

Since
Since last
Total
overhaul
schedule main.
Flight Hour
Flight Cycle
Component/ Part
Manufacturer
Part number
Maintenance center
Name
Position
11. Assessment of Engineering and IT Department.
12. Date:
Name:
ISS. 02, REV. 02 - DATE 01 AUG 2015
Serial number
Auth. No.
Manual reference
Signature
Date/ Time
Tick if detail attachment report available
Position:
Signature:
PAGE
FORM 2035

This form is used to report any occurrence as specified in VAECO procedure.
Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Enter Report Number in sequence controlled by MCC.

Enter Receiver (Tick in the appropriate box)
Enter Aircraft Flight Number, e.g.: VN361; Departure place, Destination, Geographic Position
Enter Aircraft Type, Manufacturer Serial Number, Airlines, Time (UTC)
Enter Aircraft Registration Number, Engine Type, Date (dd mmm yyyy), ETOP approval (circle
around Yes or No)
Block 6. Enter Flight phase with Take Off, Cruise, Approach, Aerobatics, Parked, Init Climb, Descent,
Landing, Taxiing, Climb, Holding, Circuit and Schedule Maintenance (Tick in the appropriate
box)
Block 7. Enter Occurrence description and consequence of the occurrence
Block 8. Enter Cause of occurrence
Block 9. Enter corrective actions have been done
Block 10. Enter Engineering detail including related aircraft/ engine/ component data. Leave blank if no
information available or enter N/A if not applicable; Enter Maintenance center name, Full
Name, Position, Authorization No. Signature of person who issue this MOR and date.
Block 11. Enter detail assessment of Engineering and IT Department. This block is only applied for VNA
and as necessary. For other customer this block is left blank.
Block 12. Enter Name, signature and Position of Engineering Dept. Representative, Date (dd mmm yyyy)
if there is information in Block 11.
ISS. 02, REV. 02 - DATE 01 AUG 2015
PAGE
FORM 2039
SEND TO:
ASSESSMENT SCHEDULE
CC: ALL CANDIDATES/ ASSESSORS
K HOCH KIM TRA

INo.
(1)
REF.:
(2)
MULTIPLE CHOICE TEST SCHEDULE

Staff ID
Candidate name
(3)
(4)
Dept.
(5)
LOCATION
(12)
TIME AND DATE
(13)
ASSESOR NAME
(14)
On article
(6)
App.
Type
App.
Cat.
Detail (systems, Function...)
(7)
(8)
(9)
Required test
Tech.
Pro.
(10)
Candidate
Signature
(11)
Date: (15)
APPROVED BY
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE
FORM 2039
SEND TO:
ASSESSMENT SCHEDULE
CC: ALL CANDIDATES/ ASSESSORS
K HOCH KIM TRA

II-
(1)
REF.:
(2)
INTERVIEW/ PRACTICAL ASSESSMENT:
Date No. Staff ID
Candidate name
Dept.
On article
App.
Type
App.
Cat.
Detail (Systems, Function...)
Time table
Technical
Com. Pro.
(Assessor)
(Assessor)
Candidate Signature
(17)
(16)
LOCATION: (18)
Remark: By copy of this Authorisation assessment schedule, all assesors are invited to join the assessment board.
ASSESSMENT BOARD: (19)
Date: (20)
PREPARED BY
ISS. 01, REV. 04 - DATE: 01 AUG 2015
Date: (21)
APPROVED BY
PAGE
FORM 2039
Block (1)
Department/maintenance centre which have candidate being assessed.
Block (2)
Reference number of the schedule
Block (3)
Staffs identification number
Block (4)
Full name of candidates
Block (5)
Department/maintenance centre which have candidate being assessed.
Block (6)
On which Aircraft / Equipment (Scope of authorization which the candidate applying for. Example: A320/A321 CFM/V2500 or ATEC
workshop)
Block (7)
Type of application (Initial/Supplemented/Renewal/Upgraded)
Block (8)
Specify appropriate application category (CAT A, B1, B2, C)
Block (9)
Describe in detail functions, system which the candidate is applying for
Block (10)
Required Test (Tick in the appropriate column, if nothing is required specify N/A)
Block (11)
Candidates have ve to sign here when the assessment take place.
Block (12)
Place where the assessment is carried out (example: training room # 1, HAN training center)
Block (13)
Time (hh:mm) and Date (dd/mmm/yyyy) when the assessment is take placed
Block (14)
Full name of the Assessor in examination board.
Block (15)
Full name and Signature of Quality Assurance Department Manager, Date (dd/mmm/yyyy)
Block (16)
Date of examination
Block (17)
Full name of the Assessor and the duration for exam (see the table Time duration for interview exam attached)
Block (18)
Location of examination
Block (19)
Full name of members of Assessment board
Block (20)
Full name and Signature of Prepare person, Date (dd/mmm/yyyy)
Block (21)
Full name and Signature of Quality Assurance Department Manager, Date (dd/mmm/yyyy)
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE
FORM 2039
TIME DURATION FOR INTERVIEW EXAM

TT
B1
A.1-A.18
K thut
(Gi)
10.5
Lut&QT
(Gi)
7
A.11-A.18
3.5
Airframe
14
Powerplant
14
Extension B1->B2
Avionic
14
Electrical
14
Extension B2->B1
N/A
Loi/ mc chng ch
B2
Chc nng
All Base checks
N/A
N my ga nh
1 Loi engine
3.5
N/A
N my ga ln
1 Loi engine (thi t ga nh ln)
3.5
N/A
NDT
Borescope
N/A
All A/Cs and components
N/A
1 Loi engine
3.5
2 Loi APU
3.5
Tire /Heatpack change
Workshop
10.5
Wheel/ Brake overhaul (thi b sung t

Tire/ heatpack change)
3.5
10
Auditor
11
Store inspection
12
13
14
Cabin Repair/ IFE

Repair
Sheet metal/
Composite
A/C Repair staff
ATEC/ IFE/ Cabin Level 2 (thi nng mc

t Level 1)
3.5
ATEC/ IFE/ cabin Level 2 (thi mi)
10.5
Others
Level 1
N/A
7
3.5
Level 2 (thi mi)
10.5
Level 1
Level 2
14
Level 3
14
ME 128/ 567/34
10.5
ME 2 nhm/ E&A
21
ISS. 01, REV. 04 - DATE: 01 AUG 2015
Ni dung lut ch p
dng vi thi mi
Ni dung lut ch p
dng vi thi mi
Level 2 (thi nng mc t Level 1)
ME 3 nhm
Ni dung lut ch p
dng vi thi nng
mc
Wheel/ Brake overhaul (thi mi)
ATEC/ IFE/ Cabin Level 1
Ni dung lut ch p
dng vi thi nng
mc
N/A
1 Loi engine (thi mi)
Ghi ch
31.5
Ni dung lut ch p
dng vi thi mi
7
3.5
p dng cho thi t

Level 1
Ni dung lut ch p
dng vi thi mi
PAGE
FORM 2040
MULTIPLE CHOICE TEST QUESTIONNAIRES

PHIU CU HI THI TRC NGHIM
TITLE: ..(1)
NUMBER: ..(2). REVISED DATE:(3).
Approved by: ..(4)..Complied by: ..(5)
1.
What is contained in VAR 145?

a)
b)
c)
Ground engineers licensing requirements.

Flight crew-licensing requirements.
Approved maintenance organization requirements
ISS.01, REV.02 01 AUG 2015
PAGE:
FORM 2040

Item (1)
Item (2)
Item (3)
Item (4)
Item (5)
Name/ purpose of assessment (example: A/C certifying staff assessment).

Code of questionnaire as following format
Example AAAA- BB- CCC- REV.
AAAA: A/C type, or workshop, or Pro (Regulation and company procedure).
BB: category (A/B1/B2/C)
CCC: type of assessment (initial/ renewal/ upgrade)
REV: revision of questionnaire
Questionnaire reviewed/ changed Date.
Person who review and approve for questionnaire.
Person who compose questionnaire.
ISS.01, REV.02 01 AUG 2015
PAGE:
FORM 2041
MULTIPLE CHOICES ANSWER SHEET

PHIU TR LI TRC NGHIM
1. Name:
.....................................................................................................................
2. Dept:
...........................................................................................................
3. Company ID.: VAE ..........................................................................................
4. Date:
...........................................................................................................
5. Question No.: ................................................................................................................................................................................ 6. Result %: ..................................

7.
26
51
76
27
52
77
28
53
78
29
54
79
30
55
80
31
56
81
32
57
82
33
58
83
34
59
84
10
35
60
85
11
36
61
86
12
37
62
87
13
38
63
88
14
39
64
89
15
40
65
90
16
41
66
91
17
42
67
92
18
43
68
93
19
44
69
94
20
45
70
95
21
46
71
96
22
47
72
97
23
48
73
98
24
49
74
99
25
50
75
100
8. Candidate signature
ISS. 01, REV. 04 - DATE: 01 AUG 2015
9. Assessor signature
PAGE /
FORM 2041

Block 1.
Full name of candidate.
Block 2.
Division and maintenance center/ department
Block 3.
Company ID of candidate
Block 4.
Date of multiple choices test performed in the format of dd mmm yyyy
Block 5.
Questionnaire number, the candidate should record exactly as provided in

item 2 of form VAECO 2040.
Block 6.
Result of test which is filled by assessor.
Block 7.
Fill method for correct answer as follow:

+ Candidate chooses A as correct answer:
A B C D
1 X
+ Then B is chosen as correct answer, previous chosen A is deleted:
A B C D
1 X X
+ Finally, candidate re-chooses A as correct answer:
A B C D
A 1 X X
Block 8.
Candidate signature
Block 9.
Assessor signature
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE /
FORM 2043
VISION EXAMINATION RESULT

CHNG NHN TH LC
1. Name:..................................................................................................................................
2. Department/ Company: ......................................................................................................
CRITERIA:
I.
II.
Near vision: shall be administered annually by method as follow

a.
20/25 (Snellen) at 42 cm (16) +/- 25.4 cm (1) in at least one eye, natural or
corrected, or
b.
Times Roman N4.5 point/Jaeger No. 1 at not less than 30 cm/12 inch in at least one
eye, natural or corrected.
Color perception test: shall be administered at least every five (05) years
Adequately distinguishing and differentiating colours using ISHIHARA test and the
number of plates presented is to be documented.
EXAMINATION RESULT:
Acceptable Unacceptable
3. Near vision acuity:
4. Color contrast differentiation

(ISHIHARA test):
N/A
5. Expiry date
.............................................
...........................................
6. Number of plates used in ISHIHARA test: ...........................................................................................................

.......................................................................................................................................................................................................................
.......................................................................................................................................................................................................................
7. Corrective lenses required:

8. REMARK:
Yes
No
......................................................................................................................................................................................
......................................................................................................................................................................................................................
......................................................................................................................................................................................................................
Medical staff name: ........................................................................... Signature:............................................... Date: ......................................................

9. CONCLUSION and/ or LIMITATION/ CONDITION (IF ANY)
...................................................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................
Approved by: ....................................................
Signature:
Responsible Level 3
Date : ....................................................
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE
FORM 2043

Block 1. Full name.
Block 2. Department or company that the person working for.
Block 3. Tick in appropriate box for Near vision acuity test result.
Block 4. Tick in appropriate box for Color contrast differentiation test result using
ISHIHARA test.
Block 5. Specify the expiry date of each kind of test with interval as follow:
Near vision: 1 year from the date of test C/O
Color contrast differentiation: 5 years from the date of test C/O. if the test is not
applicable, let it blank.
Block 6. Specify the number of place used for ISHIHARA test. if the test is not applicable, let
it blank
Block 7. Tick in appropriate box
Block 8. Remarks concerned to visual examination result, if any
Block 9. The Responsible Level 3 will specify the CONCLUSION and/ or LIMITATION/
CONDITION causing by visual examination result, if any.
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE
FORM 2045
APPLICATION FOR AUTHORIZATION

PHIU NGH CP U QUYN
1. Full Name:
Maintenance Licence
......................................................................................................................................
2. Company ID: VAE................................................................................................................... 9. Licence: CAAV Others: ......................................................

3. Date of birth: .................................................................................................................................. 10. Number: .............................................................................................................
4. Working in A/C maintenance field since (Year):
.......................................
11. Category:
5. Mobile phone: ............................................................................................................................... A B1 B2 C ARS

6. Division/ Fleet: ............................................................................................................................ 12. On A/C Type/ Speciality: ..............................................................
7. Dept./ Centre: ..............................................................................................................................
.........................................................................................................................................
8. Current authorisation number (if any): VAECO ........................................... 13. Expiry date: ................................................................................................
14. Type of application: Initial
Renewal
15. Aircraft-Engine
Supplement
Upgrade
16. Category/ Systems/ Functions

A
B1 Airframe
Power plant
B2 Electrical
Avionic
A/C repair
ME 128 repair
ME 34 repair
Engine Run-up
LP on Engine
.....................................................................
HP on Engine
....................................................................
17. Aviation Repair Specialist (ARS)
ME 567 repair
E&A repair
18. NDT
Eddy Current (ET)
Level .............................................
A/C Computer
Level: ......................................
Ultrasonic (UT)
Level .............................................
IFE Shop
Level: ......................................
Magnetic Particle (MT)
Level .............................................
Cabin Shop
Level: ......................................
Liquid Penetrant (PT)
Level .............................................
Radiography (RT)
Level .............................................
Infrared Testing (IT)
Level .............................................
Safety/ Emergency equipment

Wheel
Brake
19. Part and Material Incoming Inspection
Electrical component
Mechanical component
20. Quality audit
Battery
21. Details of applied scope (if any):
Painting
Metallic Structures
...................................................................................................................................................................
Level: ......................................
...................................................................................................................................................................
Composite Structures Level: ......................................
...................................................................................................................................................................
IFE Repair
Level: ......................................
...................................................................................................................................................................
Cabin Repair
Level: ......................................
...................................................................................................................................................................
Borescope Inspection
...................................................................................................................................................................
23. Directors validation:

22. Applicants signature:
Name: .................................................................................................................................................
Date:
...................................................................................................................
Signature: ........................................................................................................................................
ISS. 01, REV. 11 - DATE: 01 AUG 2015
PAGE:
of
FORM 2045

Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Block 10.
Block 11.
Block 12.
Block 13.
Block 14.
Block 15.
Block 16.
Block 17.
Block 18.
Block 19.
Block 20.
Block 21.
Block 22.
Block 23.
Full name of applicant.

VAECO staff Identification number.
Date of birth in format dd/mm/yyyy.
Working in aircraft maintenance field since:
Mobile phone number.
Division or Fleet. Example: Team 04.
Department or maintenance centre. Example: HAN Ramp Maintenance center.
Current authorisation number: Eg.: VAECO 123 AC
Type of licence: Tick in appropriate box.
Maintenance licence Number.
Tick in appropriate box of maintenance licence category:
A:
licence category A
B1:
licence category B1
B2:
licence category B2
C:
licence category C
Speciality: for maintenance licence other than A/C such as: workshop, Cabin, IFE...
Clearly specify the aircraft type or speciality.
Maintenance licence expiry date.
Click on suitable (example: Initial Renewal Supplemented Upgraded authorization on)
Initial:
apply for first authorisation on A/C type or workshop
Renewal: apply for extension the authorization duration with unchanged scope and
functions.
Supplemented: apply for new systems/functions within the category of granted

authorization.
Upgraded: apply for new category of authorization.

A/C and engine applied (Example: A320/A321- CFM56/V2500).
Category and system/ function of A/C authorization applied. Tick in appropriate box.
Category and level of ARS authorization applied. Tick in appropriate box.
NDT authorisation with method and level applied.
Part and Material Incoming Inspection.
Quality Audit authorization.
Details of applied scope, if any (On Aircraft, Engine, level).
Applicants signature and date of declaration.
Validation of Director of Department/ Centers
ISS. 01, REV. 11 - DATE: 01 AUG 2015
PAGE:
of
FORM 2046
AUTHORIZATION ASSESSMENT SHEET

PHIU NH GI NHN VIN Y QUYN
(1) Candidate name:
Dept.:
(2) A/C:
....................................................................................................
..................................................
Category.: A
...........................................................................................................................................
Engine:....................................................
B1
B2
Company ID: VAE ..........................................................................................................
ME 128 repair
ME 34 repair
Current authorisation number (if any): VAECO ...................................
ME 567 repair
E&A repair
(3) Level:.
A/C Computer
IFE Shop
Cabin Shop
(6) Details:
Safety/ Emergency Equip.
...............................................................................................................................................................
Wheel/ Brake
...............................................................................................................................................................
Electrical comp.
...............................................................................................................................................................
Mechanical comp.
...............................................................................................................................................................
(5) Initial
Supplement Renewal
Upgrade
...............................................................................................................................................................
Battery
Painting
Structure repair
IFE repair
Cabin repair
Quality Audit
NDT
Part & Material Incoming Inspection
I- MULTIPLE CHOICE ASSESSMENT

Subject
Technical
Result
Remark
Assessment
date
Assessor name/
signature
(7)
(8)
(9)
(10)
Result
Authorisation proposal/ Remark
Assessment
date
Assessor name/
signature
(7)
(8)
(9)
(10)
Reg.& Pro.
II- PRACTICAL/ ORAL ASSESSMENT
Subject
Technical
Reg. & Pro.
III- QUALITY ASSURANCE APPROVAL

(11)
...............................................................................................................................................................................................................................................................................................................
...............................................................................................................................................................................................................................................................................................................
...............................................................................................................................................................................................................................................................................................................
(12) Authorization validity: From:
....................................................................
to:
.........................................................................................................................................
(13) Date: ....................................................................... Name: ................................................................................ Signature:
ISS. 01; REV. 14 - DATE: 01 AUG 2015
..........................................................................
PAGE: ......./ .........
FORM 2046
IV- REVIEW OF FAILED ANSWERS IN MULTIPLE CHOICE ANSWER SHEET

No
Questions
(14)
Pass Fail
(15)
(16)
Candidate (name & signature)
Assessor (name & signature)
(18)
(10)
(17)
Tick box if next page used for same purpose
ISS. 01; REV. 14 - DATE: 01 AUG 2015
PAGE: ......./ .........
FORM 2046
V- ADDITIONAL QUESTIONS FOR ASSESSMENT

No.
Questions
(14)
(15)
Pass Fail
(16)
(18)
(10)
(17)
Tick box if next page used for same purpose
ISS. 01; REV. 14 - DATE: 01 AUG 2015
PAGE: ......./ .........
FORM 2046
VI (a) - REGULATIONS & COMPANY PROCEDURES ASSESSMENT (FOR A/C AUTHORIZED STAFF)
Legends: level 1, 2, 3 (IAW. ATA 104)
Cat.-Level
Description
2
2
2
2
2 VAR Part 5, VAR Part 7, VAR Part 4, CFR 14 Part 145/43.

2 Airworthiness, continuous airworthiness, C of A, C of R
3
3
3
3
3
3
2
1
2
3
3
1
3
2
2
2
1
2
2
3
3
2
1
2
1
N/A
N/A
N/A
N/A
3
Reference
(19)
Pass Fail
(16)
(17)
3
3 Authorisation privileges & responsibilities
3
3 Temporary authorization (Dispensation)
3
3 Management of tool and equipment
3
3 Management of spare part & material
3
3 General Safety Requirement
3
3 A/C maintenance procedures
2
2 Definition, control of critical task.
1
1 AD, SB, MOD and EO compliance control
2
2 Continuity of maintenance (shift/task hand-over)
3
3 Towing procedure
3 N/A A/C arrival and departure
1
1 Technical support
3
3 Preliminary, in-progress, final inspection and return to service
2
2 Control of maintenance data
2
2 Maintenance record completion and handling
2
2 MOR/ Malfunction and defect reporting
1
1 Suspected unapproved parts reporting
2
2 Maintenance error
2
2 Quality notice
3
3 VNA Tech log & Cabin Defect log checking/ handling/ entry
3
3 Definition, description, using of maintenance data as: MEL, CDL...
3
3 ADD definition, defer of ADD, ADD list checking/ entry
2
2 Structural damage repair for VNA A/C
2
2 Control of emergency equipment on VNA A/C
2
2 Using of Loan component for VNA A/C
3
2 Swap/ Rob of component for VNA A/C
3
3 Hold procedure
3
3 Repetitive defect control
3
3 Require Inspection Item
Applicable customers maintenance procedures:
3
3 Line maintenance check, chock/ safety cone positioning, fuelling and
reporting, concession, ETOPS, RVSM, CAT II/III.
(18)
(10)
ISS. 01; REV. 14 - DATE: 01 AUG 2015
PAGE: ......./ .........
FORM 2046
VI (b) - REGULATIONS & COMPANY PROCEDURES ASSESSMENT (FOR COMPONENT/NDT/BSI CERTIFYING STAFF)
Cat.-Level
WS
Description
NDT BSI
Reference
(19)
VAR Part 5, VAR Part 7, VAR Part 4
CFR 14 Part 145/43.
N/A
Authorisation privileges & responsibilities
Management of tool and equipment
Workshop spare part & material control
General Safety Requirement
Work Request/ Work Order
N/A
Aircraft maintenance procedure
Aircraft component maintenance procedure
AD, SB, and EO compliance control
Continuity of maintenance (shift/task hand-over)
N/A
Technical support
Continuity of inspection
Preliminary inspection, Hidden damage inspection
In progress inspection, Final inspection and release to service
Calibration of tools and equipment
Control of maintenance data
Maintenance record completion and handling
MOR/ Malfunction and defect reporting
Suspected unapproved parts reporting
Maintenance error
Quality notice
Pass Fail
(16)
(17)
N/A EN4179/ NAS 410

1
Airworthiness, continuous airworthiness
N/A Type certificate, released certificate (EASA form 1, C of C...)
N/A Fabrication quality control
(18)
(10)
ISS. 01; REV. 14 - DATE: 01 AUG 2015
PAGE: ......./ .........
FORM 2046
VI (c) - REGULATIONS & COMPANY PROCEDURES ASSESSMENT (FOR IFE/SR/CABIN REPAIR STAFF)
Cat.-Level
SR
Description
Reference
(19)
1 VAR Part 5, VAR Part 7, VAR Part 4, CFR Part 145/43
2 Airworthiness, continuous airworthiness
3 Authorisation privileges & responsibilities
2 Management of tool and equipment
2 Workshop spare part & material control
3 General Safety Requirement
2 Work Request/ Work Order
2 Aircraft maintenance procedure
2 Aircraft component maintenance procedure
2 AD, SB, and EO compliance control
2 Continuity of maintenance (shift/task hand-over)
2 Technical support
3 Inspection: general and responsibility for continuity of inspection
2 Preliminary inspection, Hidden damage inspection
2 In progress inspection, Final inspection and release to service
1 Fabrication quality control
2 Control of maintenance data
2 Maintenance record completion and handling
2 Calibration of tools and equipment
2 MOR/ Malfunction and defect reporting
2 Suspected unapproved parts reporting
2 Maintenance error
2 Quality notice
Pass Fail
IFE CAB
(16)
(17)
N/A N/A Structural damage repair for VNA A/C
N/A N/A
3 Control of emergency equipment on VNA A/C
2 VNA technical log/ cabin defect log checking/ handling/ entry
2 Definition, description, use of maintenance data: MEL, AMM, IPC
N/A
2 Swap/ Rob/ Loan of component for VNA A/C
ADD definition, defer of ADD, ADD list checking/ entry for VNA A/C
(Not required to SR Level 1)
(18)
(10)
ISS. 01; REV. 14 - DATE: 01 AUG 2015
PAGE: ......./ .........
FORM 2046
VI (d) - REGULATIONS & COMPANY PROCEDURES ASSESSMENT (FOR AUDITOR/ INCOMING INSPECTION
PERSONEL)
Cat/ Level
AUD
SI
3
3
1
3
3
3
3
3
1
3
3
3
2
2
3
N/A
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
2
3
3
3
3
3
N/A
1
2
2
N/A
N/A
3
N/A
N/A
N/A
1
N/A
1
N/A
N/A
3
2
2
N/A
N/A
3
2
N/A
1
2
N/A
N/A
Description
Reference
VAR Part 5, VAR Part 7, VAR Part 4, CFR 14 Part 145/43

Type certificate, released certificate (EASA form 1...), C of A...
ATA 300 & Dangerous goods
Supplier control
Control of A/C component and material (for VAECO and customers)
Contractor evaluation, Contractor list, control of maintenance
conducted by Contractor
Work Request/ Work Order
Aircraft, aircraft component maintenance procedure
AD, SB, MOD and EO compliance control
Technical support
Qualifying staff procedure
Part/ materials incoming inspection & receiving
Preliminary, Hidden damage inspection
In progress inspection, Final inspection and release to service
Fabrication quality control
Calibration of tools and equipment
Quality audit
Maintenance error
Quality notice
Concession for deviation from organisations procedures
Structural damage repair for VNA A/C
AMASIS
Control of emergency equipment on VNA A/C
VNA technical log/ cabin defect log checking/ handling/ entry
Definition, description, use of maintenance data: MEL, AMM, IPC
Swap/ Rob/ Loan of component for VNA A/C
ADD definition, defer of ADD, ADD list checking/ entry for VNA A/C
Line maintenance check, chock/ safety cone positioning, fuelling and
(19)
(16)
(18)
(10)
ISS. 01; REV. 14 - DATE: 01 AUG 2015
Pass Fail
(17)
PAGE: ......./ .........
FORM 2046
VI (e) - REGULATIONS & COMPANY PROCEDURES ASSESSMENT (FOR A/C REPAIR STAFF)
Description
Level
Reference
2
2
2
VAR Part 5, VAR Part 7, VAR Part 4, CFR 14 Part 145/43.

Using of Released certificates (CAAV form 1, FAA form 8130-3...)
Airworthiness, continuous airworthiness, C of A, C of R
3
3
3
2
3
2
1
2
3
1
3
2
2
2
1
2
2
2
2
2
2
2
3
3

Receiving/ using/ returning of spare part & material
A/C base maintenance procedures
Definition, control of critical task.
AD, SB, MOD and EO compliance control
Towing procedure
Technical support
Preliminary, in-progress, final inspection and return to service
Maintenance error
Quality notice
Definition, description, using of maintenance data as: MEL, CDL...
ADD definition, defer of ADD, ADD list checking/ entry
Structural damage repair for VNA A/C
Control of emergency equipment on VNA A/C
Swap/ Rob of component for VNA A/C
Hold procedure
Require Inspection Item (RII)
Line maintenance check, chock/ safety cone positioning, fuelling and
(19)
(16)
(18)
(10)
ISS. 01; REV. 14 - DATE: 01 AUG 2015
Pass Fail
(17)
PAGE: ......./ .........
FORM
FSSD/PEL 01
PRACTICAL EVALUATION REPORT

Aircraft Type:
Category: A
A.1 APU start and shutdown (except ATR72 A/C)
A.10 Replacement of wheel assemblies
A.2 Towing & parking
A.11 Replacement of brake units
A.3 Fuelling operation
A.12 Terminal check/ daily check
A.4 Routine lubrication
A.13 Weekly/ line check
A.5 Pre-flight/Transit check
A.14 Replacement of main, APU and emergency batteries
A.6 Replacement of internal & external lights, filaments & flash tubes
A.15 Replacement of static wicks
A.7 Limited Passenger cabin maintenance

A.8 Replacement of: loose cabin emergency equipments, passenger seats, and
stretcher
A.16 Replacement of windscreen wiper blades, propeller blade erosion film

A.17 Repetitive pre-flight visual inspections and tests required by MEL items as listed in
Appendix 1 of Authorization Certificate (Form VAECO 2051).
A.18 Applying MEL items as listed in Appendix 1 of Authorization Certificate (Form
VAECO 2051)
A.9 Raising and clearing type C add of ata 11& 25
DATE
A/C REG.
TASK NUMBER
TASK DETAILS
RESULT
PASS FAIL
INSTRUCTORS
SIGNATURE
Note: The practical assessment is considered as completely passed if it is assessed I.A.W the below criterion:
1. Skill of using, lookup data maintenance;
4. Skill of using tools, instrumentation/ test including specialized equipment, the use of removable devices, perform maintenance;
2. Compliance with the guidance of maintenance materials;
5. Skill of handling situations arising in maintenance;
3. Practical skill according to job requirements;
6. Complete maintenance records.
PAGE:
FORM
FSSD/PEL 01

DATE
A/C REG.
TASK NUMBER
RESULT
PASS FAIL
TASK DETAILS
INSTRUCTORS
SIGNATURE
The above work has been carried out correctly by the candidate under the instructors supervision and in accordance with the appropriate technical documentation
Instructors Name:..
Final Assessment Result:
Pass
Fail
Candidates Name:.
Signature:
CAAV Inspectors Name..
Signature
PAGE:
FORM
FSSD/PEL 01

Aircraft Type:
Category: B1/B2
Module 1: Aircraft General
ATA 05: Time Limits/ Maintenace Checks
ATA 12: Servicing - Routine Maintenance
ATA 07: Lifting and Shoring
ATA 25: Equipment and Furnishings
ATA 08: Leveling and Weighing
ATA 26: Fire Protection
ATA 09: Towing and Taxiing
ATA 35: Oxygen
ATA 10: Parking, Mooring, Storage and Return To Service
ATA 38: Water and Waste
ATA 11: Placard and Markings
DATE
A/C REG.
TASK NUMBER
TASK DETAILS
RESULT
PASS FAIL
INSTRUCTORS
SIGNATURE
PAGE:
FORM
FSSD/PEL 01

DATE
A/C REG.
TASK NUMBER
RESULT
PASS FAIL
TASK DETAILS
INSTRUCTORS
SIGNATURE
Instructors Name:..
Pass
Fail
Candidates Name:.
Signature:
Signature
PAGE:
FORM
FSSD/PEL 01

Aircraft Type:
Category: B1
Module 2: Airframe
ATA 21: Air Conditioning/ Pressurization
ATA 51: Standard Practices and Structures
ATA 27: Flight Controls
ATA 52: Doors
ATA 28: Fuel
ATA 53: Fuselage
ATA 29: Hydraulic Power
ATA 55: Stabilizers
ATA 30: Ice&Rain Protection
ATA 56: Windows
ATA 32: Landing Gear
ATA 57: Wings
ATA 36: Pneumatic
Structure damage evaluation and deferment
ATA 47: Nitrogen Generation System
DATE
A/C REG.
TASK NUMBER
TASK DETAILS
RESULT
PASS FAIL
INSTRUCTORS
SIGNATURE
PAGE:
FORM
FSSD/PEL 01

DATE
A/C REG.
TASK NUMBER
RESULT
PASS FAIL
TASK DETAILS
INSTRUCTORS
SIGNATURE
Instructors Name:..
Pass
Fail
Candidates Name:.
Signature:
Signature
PAGE:
FORM
FSSD/PEL 01

Aircraft Type:
Category: B1
Module 3: Powerplant
ATA 49: APU (Except ATR72 A/C)
ATA 75: Bleed Air
ATA 54: Nacelles & Pylon
ATA 76: Engine Controls
ATA 61: Propeller (ATR72 A/C only)
ATA 77: Engine Indicating
ATA 70: Standard Practices - Engine
ATA 78: Exhaust
ATA 71: Power Plant
ATA 79: Oil
ATA 72: Engine
ATA 80: Starting
ATA 73: Engine - Fuel and Control
Structure damage evaluation and deferment
ATA 74: Ignition
DATE
A/C REG.
TASK NUMBER
TASK DETAILS
RESULT
PASS FAIL
INSTRUCTORS
SIGNATURE
PAGE:
FORM
FSSD/PEL 01

DATE
A/C REG.
TASK NUMBER
RESULT
PASS FAIL
TASK DETAILS
INSTRUCTORS
SIGNATURE
Instructors Name:..
Pass
Fail
Candidates Name:.
Signature:
Signature
PAGE:
FORM
FSSD/PEL 01

Aircraft Type:
Category: B2
Module 4: Electrical
Electrical Standard Practice

ATA 24: Electrical
ATA 33: Lights
DATE
A/C REG.
TASK NUMBER
TASK DETAILS
RESULT
PASS FAIL
INSTRUCTORS
SIGNATURE
PAGE:
FORM
FSSD/PEL 01

DATE
A/C REG.
TASK NUMBER
RESULT
PASS FAIL
TASK DETAILS
INSTRUCTORS
SIGNATURE
Instructors Name:..
Pass
Fail
Candidates Name:.
Signature:
Signature
PAGE:
FORM
FSSD/PEL 01

Aircraft Type:
Category: B2
Module 5: Avionic
ATA 22: Auto-Flight
ATA 34: ATC
ATA 23/ ATA 44: Communication & IFE
ATA 34: Radio Altimeter
ATA 31: Instruments/ Recording
ATA 34: EGPWS
ATA 34: Navigation
ATA 34: DME
ATA 34: ADIRS
ATA 34: ADF
ATA 34: ILS
ATA 34: VPR/ MKR
ATA 34: Weather Radar
ATA 46: Information
ATA 34: TCAS
DATE
A/C REG.
TASK NUMBER
TASK DETAILS
RESULT
PASS FAIL
INSTRUCTORS
SIGNATURE
PAGE:
FORM
FSSD/PEL 01

DATE
A/C REG.
TASK NUMBER
RESULT
PASS FAIL
TASK DETAILS
INSTRUCTORS
SIGNATURE
Instructors Name:..
Pass
Fail
Candidates Name:.
Signature:
Signature
PAGE:
FORM
FSSD/PEL 01

Aircraft Type:
Category: B1
Module 6.1: MEL/ CDL items required to Airframe
ATA 22: Auto Flight
ATA 71: Power Plant
ATA 23: Communication
ATA 24: Electrical
ATA 74: Ignition
ATA 33: Lights
ATA 34: Navigation/ Radar/ Compass
ATA 78: Exhaust
ATA 49: APU/ ATA 61: Propeller
ATA 79: Oil
ATA 54: Nacelles/ Pylons
ATA 80: Starting
DATE
A/C REG.
TASK NUMBER
TASK DETAILS
RESULT
PASS FAIL
INSTRUCTORS
SIGNATURE
PAGE:
FORM
FSSD/PEL 01

DATE
A/C REG.
TASK NUMBER
RESULT
PASS FAIL
TASK DETAILS
INSTRUCTORS
SIGNATURE
Instructors Name:..
Pass
Fail
Candidates Name:.
Signature:
Signature
PAGE:
FORM
FSSD/PEL 01

Aircraft Type:
Category: B1
Module 6.2: MEL/ CDL items required to Powerplant
ATA 22: Auto Flight
ATA 33: Lights
ATA 24: Electrical
ATA 36: Pneumatic
ATA 28: Fuel
ATA 52: Door
ATA 53: Fuselage
ATA 57: Wings
DATE
A/C REG.
TASK NUMBER
TASK DETAILS
RESULT
PASS FAIL
INSTRUCTORS
SIGNATURE
PAGE:
FORM
FSSD/PEL 01

DATE
A/C REG.
TASK NUMBER
RESULT
PASS FAIL
TASK DETAILS
INSTRUCTORS
SIGNATURE
Instructors Name:..
Pass
Fail
Candidates Name:.
Signature:
Signature
PAGE:
FORM
FSSD/PEL 01

Aircraft Type:
Category: B2
Module 6.3: MEL/ CDL items required to Electrical
ATA 22: Auto Flight
ATA 36: Pneumatic
ATA 74: Ignition
ATA 51: Standard Practices &Structures
ATA 28: Fuel
ATA 52: Door
ATA 78: Exhaust
ATA 53: Fuselage
ATA 79: Oil
ATA 80: Starting
ATA 57: Wings
ATA 71: Power Plant
DATE
A/C REG.
TASK NUMBER
TASK DETAILS
RESULT
PASS FAIL
INSTRUCTORS
SIGNATURE
PAGE:
FORM
FSSD/PEL 01

DATE
A/C REG.
TASK NUMBER
RESULT
PASS FAIL
TASK DETAILS
INSTRUCTORS
SIGNATURE
Instructors Name:..
Pass
Fail
Candidates Name:.
Signature:
Signature
PAGE:
FORM
FSSD/PEL 01

Aircraft Type:
Category: B2
Module 6.4: MEL/CDL items required to Avionic
ATA 36: Pneumatic
ATA 24: Electrical
ATA 74: Ignition
ATA 51: Standard Practices &Structures
ATA 28: Fuel
ATA 52: Door
ATA 53: Fuselage
ATA 78: Exhaust
ATA 79: Oil
ATA 57: Wings
ATA 80: Starting
ATA 33: Lights
ATA 71: Power Plant
DATE
A/C REG.
TASK NUMBER
TASK DETAILS
RESULT
PASS FAIL
INSTRUCTORS
SIGNATURE
PAGE:
FORM
FSSD/PEL 01

DATE
A/C REG.
TASK NUMBER
RESULT
PASS FAIL
TASK DETAILS
INSTRUCTORS
SIGNATURE
Instructors Name:..
Pass
Fail
Candidates Name:.
Signature:
Signature
PAGE:
FORM
FSSD/PEL 01

ARS Category:
Airframe (Cu trc)
Electrics (TB in)
Avionics (TB in t)
Safety Equip. (TB An ton)
Mechanical Equip. (TB C gii)
Cabin (Ni tht)
Borescope (Kim tra soi)
Others (loi khc)
Details: .......................................................................
MODULE 1: Standard pratice
DATE
A/C REG.
TASK NUMBER
TASK DETAILS
RESULT
PASS FAIL
INSTRUCTORS
SIGNATURE
PAGE:
FORM
FSSD/PEL 01

MODULE 2: Specific maintenance/ repair practice
DATE
A/C REG.
TASK NUMBER
RESULT
PASS FAIL
TASK DETAILS
INSTRUCTORS
SIGNATURE
Pass
Fail
Instructors Name: ...
Candidates Name: ....
Signature:
Signature
PAGE:
FORM
FSSD/PEL 01

Category: A/C Repair ME 128
Aircraft Type:
DATE
A/C REG.
TASK NUMBER
ME 34
TASK DETAILS
ME 567
E&A
RESULT
PASS FAIL
INSTRUCTORS
SIGNATURE
PAGE:
FORM
FSSD/PEL 01

DATE
A/C REG.
TASK NUMBER
RESULT
PASS FAIL
TASK DETAILS
INSTRUCTORS
SIGNATURE
Instructors Name:..
Pass
Fail
Candidates Name:.
Signature:
Signature
PAGE:

This form is used to record the interview/ assessment results for authorization approval.
Block (1)
Enter full name in capital and Department/ Division, Company ID of candidate.
Block (2)
Enter A/C and engine type, if any.
Block (3)
Tick into appropriate box for applied Category.
Block (4)
Tick into appropriate box for applied Category
Block (5)
Tick into appropriate box for type of application

Initial: for the first authorization at category/ type.
Supplement: for authorization supplement.
Renewal: for authorization validity renewal.
Upgrade: for upgrading authorisation to higher category.
Block (6)
Enter detail information of application (Type/Cat./Function).
Block (7)
Enter examination result: Pass or Fail (if required) or N/A (if not required, specify
reason/ exception in item 8 or item 13)..
Block (8)
Enter specify interview requirements, reason of exception, if any, in detail.
Block (9)
Enter date of examination.
Block (10) Enter Assessor name and signature.

Block (11) Category/ functions in details that shall be authorised.
Block (12) Enter authorization validity (dd mmm yyyy). ). E.g.: From 15 Mar 2010 To 14 Mar
2012.
Block (13) Enter date of approval (dd mmm yyyy), Name and signature of Quality Assurance
Director or delegated person.
Block (14) Enter failed question number in Multiple choice answer sheet.
Block (15) Enter contents of failed question.
Block (16) Tick if Assessor has satisfied with candidates answer.
Block (17) Tick if Assessor has not satisfied with candidates answer.
Block (18) Enter name and signature of candidate.
Block (19) Enter document reference of the corresponding issue.
ISS. 01; REV. 14 - DATE: 01 AUG 2015
PAGE: ......./ .........
FORM 2047
EASA PART 145 AUTHORIZATION APPLICATION DOCUMENT REVIEW

PHIU NH GI H S THI Y QUYN THEO EASA PART 145
1. Candidate name:
2. A/C:
Date of birth:
...........................................
Category.: A
Engine: ...................................................................
B1
B2
Working in A/C maintenance field since (Year):
ME 128 repair
ME 34 repair
Dept.:
ME 567 repair
E&A repair
Company ID: VAE
3. Level .....................
Initial Supplement Renewal Upgrade

5. Details:
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
I.
4. Category:
A/C Computer
Battery
Safety/ Emergency Equip. Wheel/ Brake
Electrical comp.
Mechanical comp.
IFE Shop
IFE repair
Cabin Shop
Cabin repair
Structure repair
Painting
Quality Audit
NDT
REVIEW DOCUMENT RESULT

6. Result
7. Remark
8. Assessment
date
9. Assessor name
Passed
Rejected
Pending
ISS. 01, REV. 00 - DATE: 01 AUG 2015
PAGE
FORM 2047
II. A/C CERTIFYING/ SUPPORT STAFFS

Check & Result
Part 145 Regulation/ Requirement
Part 145
Appendix IV (a)
10.
Satisfied
Valid License or C/S authorisation issued under

National regulation in compliance with ICAO Annex 1
Differences between national license that need to be

addressed.
Part 145
Appendix IV (b)
Scope of work of C/S or S/S remain within scope of work

defined by the National license/ C/S authorisation.
Part 145
Appendix IV (c)
Human Factor training referred to in module 9 of

Appendix I to Annex III (Part-66)?
Aviation Legislation training referred to in module 10 of

Appendix I to Annex III (Part -66)?
Training (module 9 and module 10) been evaluated for

compliance with Appendix I to Annex III (Part-66) In
terms of syllabus and level (B1/B2) of training
3 years of maintenance experience Certifying staff -CAT

A.
5 years of maintenance experience for Certifying staff

CAT - B1, B2 and B1, B2 S/S staffs.
Part 145
Appendix IV (d)
8 years of base maintenance for Certifying staff - CAT C
Recent experience on A/C : 6/24 months maintenance

experience
11.
Other
12. Reference of
document
provided/
Remark
Part 145
Follow a task or a type training and pass the examination at the relevant category, referred to in
Appendix IV (e) & Appendix III to Annex III (Part-66)?
(f)
Note: Cat C received type training and passed examination at the category C level referred to in
Appendix III to Annex III (Part - 66) for each a/c type in his/her individual authorization, except
that for the first aircraft type, training and examination shall be at the category B1, B2 or B3 level
of Appendix III.
Is the theoretical part of the training provided by an
approved EASA Part 147 organization?
If NOT provided by an approved EASA Part 147

organization: Theoretical part of the type training are
compliant to the syllabus and the level of training of
Appendix III to Annex III (EASA Part-66).
Is the practical element of the training provided by an

approved EASA Part 147 organization?
If NOT provided by an approved EASA Part 147

organization: practical element of the type training
including the assessment with the person involved
(trainers / assessors) are compliant with the
requirements addressed in the Appendix III to Annex III
(EASA Part-66) and Annex IV (EASA Part-147)
Additional A/C
training
Different course for particular model/ variant and/or the

particular configuration
ISS. 01, REV. 00 - DATE: 01 AUG 2015
PAGE
FORM 2047
Check & Result

Additional
Training
For renewal
MOE-Company Procedure
Safety Management System Training
Fuel Tank Safety Training as detailed in the Appendix IV

to AMC to Part 145.30 (e)
EWIS Training ( Target Group 4, AMC 20-22)
Customers Operator procedures.
Continuation Training: Human Factors, Organisation

Procedure, FTS, EWIS, Aviation Regulation, SMS
6 months of experience during the 2 years period

preceding the renewal of authorisation
Assessment after Assessment for competence including a language skill
reviewing
evaluation
documents
Has any additional training been identified and
performed, as required following the internal
assessment?
Statement:
10.
Satisfied
The application document is compliant with requirement

of Appendix IV, EASA 145
Date:
ISS. 01, REV. 00 - DATE: 01 AUG 2015
11.
Other
12. Reference of
document
provided/
Remark
Refer VAECO
Form 2048
Assessor (name and signature):
PAGE
FORM 2047
III. CHECKLIST FOR COMPONENT CERTIFYING STAFF

Check & Result
10.
satisfied
11.
Other
12. Reference of
document
provided/
Remark
Basis Requirement
Education level
Secondary school
Basis training
Aeronautical & technical school

or Aeronautical military school
or QA assessment
License
Valid License or C/S authorisation issued under National

regulation
Aeronautical
experience
2 years of Aeronautical experience in the field of aviation

maintenance including at least 12 months of practical
experience in the specific component maintenance area/
workshop
For complex components such as engine/APU and

Landing gears including, 3 years of Aeronautical
experience is required in the field of aviation maintenance
including 24 Months of practical experience in the
specific component maintenance area / workshop
Technical/ Additional Training

Component
Training
OEM or OEM recognized Training Org. or EASA Part 145

AMO
Bench Test
Training
OEM of the bench test or EASA Part 145 AMO
Tool Training
OEM or EASA Part 145 AMO
Fuel Tank
Safety Training
Where needed
CDCCL/ EWIS
Training
Where needed
Language
knowledge
Working knowledge of the language in which the

maintenance data is published AND working knowledge of
English for the CRS (and for EU Airworthiness directives if
required).
Human Factor
Training
As detailed in module 9 of Appendix I to Annex III (EASA

Part-66)
Training (module 9) has been evaluated for compliance

with Appendix I to Annex III (Part-66) In terms of syllabus
and level (B1/B2) of training
As detailed in module 10 of Appendix I to Annex III (EASA

Part-66)
Training (module 10) been evaluated for compliance

with Appendix I to Annex III (Part-66) In terms of syllabus
and level (B1/B2) of training
General Training
Aviation
Legislation
Training
Recent
Maintenance
experience
6/24 months maintenance experience
ISS. 01, REV. 00 - DATE: 01 AUG 2015
PAGE
FORM 2047
Check & Result

10.
satisfied
MOE procedure
Training
Appropriate training to the MOE and internal procedures

applicable to CC/S (including issuance of EASA form 1)
SMS training
Be trained Safety Management System
For renewal

Procedure, FTS, EWIS, Aviation Regulation, SMS

Assessment for competence including a language skill

evaluation
Has any additional training been identified and performed,

as required following the internal assessment?
The application document is compliant with requirement of

EASA 145
Assessment
after reviewing
documents
Statement:
Date:
11.
Other
12. Reference of
document
provided/
Remark
Refer VAECO
Form 2048
ISS. 01, REV. 00 - DATE: 01 AUG 2015
PAGE
FORM 2047
IV. REPAIR STAFF (For STR/IFE/CABIN/PAINTING and AIRCRAFT Repair)

Check & Result
Basis training
- Aeronautical & technical school

- or Aeronautical military school
- or QA assessment
10.
satisfied
11.
Other
12. Reference of
document
provided/
Remark
License
Valid ARS License under National regulation with

appropriate rating.
Aeronautical
experience
In case of be trained on repair work, having minimum of

12 months experience on repair works of respective
aircraft.
In case of not be trained on repair work, having

minimum 18 months experience on repair works of
respective aircraft.
Technical Training
A/C repair
training
Be trained on relevant aircraft repair
CDCCL
Training
Where needed
EWIS Training
Where needed
As detailed in module 9 of Appendix I to Annex III

(EASA Part-66)
Training (module 9) has been evaluated for

compliance with Appendix I to Annex III (Part-66) in

(EASA Part-66)
Training (module 10) been evaluated for compliance

with Appendix I to Annex III (Part-66) In terms of
syllabus and level (B1/B2) of training.
General Training
Human Factor
Training
Aviation
Legislation
Training
Recent
Maintenance
experience
MOE
procedure
Training
Appropriate training to the MOE and internal procedures

applicable to ARS staff (including issuance of EASA
form 1, if any)
SMS training
For renewal

Procedure, FTS, EWIS, Aviation Regulation, SMS.

ISS. 01, REV. 00 - DATE: 01 AUG 2015
PAGE
FORM 2047
Check & Result

Assessment
after reviewing
documents
Statement:
10.
satisfied
Assessment for competence including a language

skill evaluation

assessment?
The application document is compliant with requirement.
Date:
ISS. 01, REV. 00 - DATE: 01 AUG 2015
11.
Other
12. Reference of
document
provided/
Remark
PAGE
FORM 2047
V. BSI STAFF
Check & Result
10.
satisfied
11.
Other
12. Reference
of document
provided/
Remark
Basis Requirement
Basis training
License
Aeronautical
experience

- or QA assessment
- Valid ARS License under National regulation with

BSI rating
- Or B1 licence with type rating.
Having 12 months practical experience of engine/

APU borescope inspection.
Technical Training
BSI training
- For applicant holding CAAV category B1 licence

with type rating of respective A/C type: Trained in
borescope inspection.
- For applicant holding CAAV ARS licence with
Borescope Inspection rating: Trained in
borescope inspection and construction at level 3
ATA 104 of respective engine/ APU.
CDCCL
Training
Where needed
EWIS Training
Where needed

(EASA Part-66)


(EASA Part-66)
Training (module 10) been evaluated for

General Training
Human Factor
Training
Aviation
Legislation
Training
Recent
Maintenance
experience
MOE
procedure
Training
Appropriate training to the MOE and internal

procedures applicable to ARS staff
SMS training
ISS. 01, REV. 00 - DATE: 01 AUG 2015
PAGE
FORM 2047
Check & Result

For renewal
10.
satisfied

Procedure, FTS, EWIS, Aviation Regulation, SMS.

Assessment
after
reviewing
documents
Assessment for competence including a language

skill evaluation

assessment?
Statement:
The application document is compliant with

requirement.
Date:
ISS. 01, REV. 00 - DATE: 01 AUG 2015
11.
Other
12. Reference
of document
provided/
Remark
PAGE
FORM 2047
VI. NDT STAFF

Check & Result
10.
satisfied
11.
Other
12. Reference of
document
provided/
Remark
Basis Requirement
Basis training

- or QA assessment
Eye test
Valid Near Vision and Colour Vision test
Technical Training
NDT Method
Training
The source of training shall be approved by a

National Aerospace NDT Board (NANDTB) but in
all cases must be approved by the Responsible
Level 3.
Practical &
Specific
Exams
Valid Practical & Specific Exams for each

method.
Practical
training
Practical training for each method
Approval letter from NDT Responsible level 3.
CDCCL
Training
Where needed
EWIS Training
Where needed

(EASA Part-66)

compliance with Appendix I to Annex III (Part-66)
In terms of syllabus and level (B1/B2) of training
As detailed in module 10 of Appendix I to Annex

III (EASA Part-66)
Training (module 10) been evaluated for

compliance with Appendix I to Annex III (Part-66)
In terms of syllabus and level (B1/B2) of training
Approval
Letter
General Training
Human Factor
Training
Aviation
Legislation
Training
Recent
Maintenance
experience
MOE
procedure
Training
Appropriate training to the MOE and internal

procedures applicable to NDT staff
SMS training
ISS. 01, REV. 00 - DATE: 01 AUG 2015
PAGE
FORM 2047
Check & Result

For renewal
10.
satisfied
Continuation Training: Human Factors,

Organisation Procedure, FTS, EWIS, Aviation
Regulation, SMS

Assessment
after
reviewing
documents
Assessment for competence including a

language skill evaluation

assessment?
Statement:
The application document is compliant with

requirement.
Date:
11.
Other
12. Reference of
document
provided/
Remark
ISS. 01, REV. 00 - DATE: 01 AUG 2015
PAGE
FORM 2047
Form 2047completion guidance

This form is used to record the authorization application document review.
Block 1.
Enter needed information and tick into appropriate box for type of application
Upgrade: for upgrading authorization to higher category
Block 2.
Enter A/C and engine type and tick into appropriate box for applied Category, if
any.
Block 3.
Enter the Level, if any.
Block 4.
Tick into appropriate box for applied category
Block 5.
Block 6.
Circle the appropriate result (Passed/ Rejected/ Pending)
Block 7.
Enter Remark for respective circled result, if any.
Block 8.
Enter Assessment Date
Block 9.
Enter Assessor name and signature.
Block 10.
Tick in to box if requirement is satisfied.
Block 11.
Enter the result different from satisfied.
Block 12.
Enter Reference of document provided/ Remark, if any
ISS. 01, REV. 00 - DATE: 01 AUG 2015
PAGE
FORM 2048
SUMMARY OF ASSESSMENT FOR C/S AND S/S NOT QUALIFIED TO EASA PART 66
PHIU NH GI NHN VIN KHNG PH CHUN THEO EASA PART 66
2. A/C: ............................................. Engine: ...................................................................
1. Candidate name:
Category.: A
Date of birth:
B1
B2
Working in A/C maintenance field since (Year):
ME 128 repair
ME 34 repair
Dept.:
ME 567 repair
E&A repair
Company ID: VAE
Level:.
Initial Supplement Renewal Upgrade
Category.:
5. Details:
A/C Computer
Battery
Safety/ Emergency Equip. Wheel/ Brake
Electrical comp.
Mechanical comp.
IFE Shop
IFE repair
Cabin Shop
Cabin repair
Structure repair
Painting
Quality Audit
NDT
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
ASSESSMENT CATEGORIES
I.
KNOWLEDGE & LANGUAGE SKILL
Knowledge of human factors, human performance and limitations
Knowledge of EASA Part M, EASA Part 145 ( and any other relevant
regulations)
Knowledge of relevant parts of MOE, organization capabilities, privileges

and limitations (scope of approval, etc); occurrence reporting system and
understanding of the importance of reporting occurrences, incorrect
maintenance data and existing or potential defects and associated
procedures.
Knowledge of safety risks linked to the working environment
Knowledge on CDCCL (when relevant)
Knowledge on EWIS ( when relevant)
English skill
III.
8. Remark
QUALIFICATION
Refer to Authorization Application Record Review (VAECO Form 2047).

II.
Assess &
Result
6.
7.
Pass Other
UNDERSTANDING
Understanding of professional integrity, behavior and attitude towards safety
Understanding of conditions for ensuring continuing airworthiness of aircraft

and components
Understanding of his/her own human performance and limitations
ISS. 01, REV. 00 - DATE: 01 JUN 2015
PAGE
FORM 2048
Understanding of personnel authorizations and limitations
Understanding of critical task
IV. ABILITY
Ability to supervise the performance of task carried out by non C/S
personnel (i.e. Mechanics etc.)
Ability to compile and control completed work cards
Ability to consider human performance and limitations
Ability to determine required qualifications of task performance
Ability to identify and rectify existing and potential unsafe conditions
Ability to check and document proper accomplishment of maintenance tasks
Ability to identify and properly plan performance of critical tasks.
Ability to prioritize tasks and report discrepancies
Ability to process the work requested by the operator
Ability to properly process removed, uninstalled and rejected parts
Ability to properly record and sign for the work accomplished
Ability to determine the acceptability of part to be installed prior to fitment
Ability to understand work orders, word cards and refer to and use
applicable maintenance data
Ability to use information systems
Ability to use, control and be familiar with required tooling and/or equipment
9. ASSESSMENT DATE
ISS. 01, REV. 00 - DATE: 01 JUN 2015
10. ASSESSOR
(Name & Signature)
PAGE
FORM 2048

This form is used to summary of assessment for Certifying staffs and Support staffs not qualified
to EASA Part 66.
Block 1.
Enter needed information and tick into appropriate box for type of application
Upgrade: for upgrading authorization to higher category
Block 2.
Enter A/C and engine type and tick into appropriate box for applied Category, if
any.
Block 3.
Enter the Level, if any.
Block 4.
Tick into appropriate box for applied Category
Block 5.
Block 6.
Tick in to the block if result is passed
Block 7.
Tick in to the block if result is NOT pass.
Block 8.
Enter Remark, if any.
Block 9.
Enter Assessment Date
Block 10.
Enter Assessor name and signature
ISS. 01, REV. 00 - DATE: 01 JUN 2015
PAGE
FORM 2050
APPROVED CONCESSION LIST
DANH SCH NHN NHNG C PH CHUN

1. No
2. CONCESSION
REF. NO.
3. REQUESTED BY
4. APPLICABLE
TO
5. CONDITION
7. PREPARED BY:
8. APPROVED BY:
DATE:
DATE:
SIGNATURE:
SIGNATURE:6 DIRECTOR
ISS. 01, REV. 01 - DATE: 01 AUG 2015
6. EXPIRY DATE
PAGE:
FORM 2050
Block 1. Index
Block 2. Approved Concession number.
Block 3. Department that request the concession.
Block 4. Aircraft/ Aircraft component that the concession applicable to.
Block 5. Condition deployed by competent authority for the concession (if any).
Block 6. Expiry date of the concession.
Block 7. Name and signature of assigned who prepare this List.
Block 8. Name and signature of QA Director or delegate.
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 2051
FORM 2051
CATEGORY B1/ B2 SYSTEMS (ATA) INDEX

AIRFRAME
Lifting & Shoring ........ ATA07
AUTHORIZATION CERTIFICATE
Levelling & weighing .. ATA08

Ground handling ..... ATA9-10
Placard & Markings ... ATA11
THIS AUTHORIZATION CERTIFICATE IS A DOCUMENT THAT

PERMITS
THE
HOLDER
TO
PERFORM/
CERTIFY
THE
POWER PLANT
APU ........................... ATA49
Nacelles & pylon ....... ATA54
Propeller .................... ATA61
Engine ................. ATA7080
Servicing .................... ATA12
AUTHORIZED FUNCTIONS SPECIFIED IN THIS CERTIFICATE
Air Conditioning/
Pressurization ............ ATA21
ON BEHALF OF VAECO.
Equipment/Furnishing ATA25
Fire protection ............ ATA26
ELECTRICAL
Electrical .................... ATA24
Elec. standard practice ..... All
Lights ......................... ATA33
Hydraulic power ......... ATA29

Ice & Rain protection ATA30
AVIONIC
Flight controls ............ ATA27
Auto - flight ................ ATA22

Communication .......... ATA23
Instruments/Recording ATA31
Navigation .................. ATA34
Radar ......................... ATA34
Compass ................... ATA34
CMS ........................... ATA45
Information ................. ATA46
IFE ........................ ATA23/44
Fuel ............................ ATA28

Landing gear .............. ATA32
Oxygen ...................... ATA35
Pneumatic .................. ATA36
Water & Waste .......... ATA38
Inert Gas .................... ATA47
NGUYEN VAN A
NAME:
Door ........................... ATA52

Fuselage .................... ATA53
AUTHORIZATION NUMBER: VAECO 789 AC
Stabilizer .................... ATA55

HOLDER SIGNATURE: ...............................................................................
Windows .................... ATA56

Wing .......................... ATA57
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Page: 1
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Page: 3
FORM 2051
FORM 2051
CATEGORY B1/ B2 FUNCTION INDEX

Name:
(1)
Authorization No.:
(2)
1. Maintenance check and inspection.

2. Component replacement.
3. Fault confirmation and defect deferment (including structure damage
evaluation and deferment, for Category B1 only).
4. Fault isolation and defect rectification; Re-certification for serviceable

Aircraft
(3)
components removed from aircraft or Next Higher Assembly (NHA).
5. Extension:
Engine
(4)
Category
(5) A
B1
B2
(6)
A:
Systems/
Function
B1: Airframe
Power plant
B2: Electrical
Avionic
Engine Run-up:
HP on Engine: ....
LP on Engine: ....
Validity
(7)
EXCEPTION/ REMARK:
(8)
AUTHORIZED BY
(9)
a. Category B1 staff and B2 staff with one system group are permitted
to defer defects and perform related maintenance procedures of
MEL items listed in the Appendix 2 of Authorization Certificate and
perform maintenance work on Ground handling (ATA09, 10),
Placards & Markings (ATA11), Servicing (ATA12), Equipment &
Furnishing (ATA25), Fire protection (ATA26), Oxygen (ATA35), and
Water & Waste (ATA38).
b. Category B1 staff and B2 staff with one system group are permitted
to issue certificates of return to service for maintenance works on
Electrical and Avionic systems provided the complexity of such work
does not exceed the following:
- General visual inspection of systems and subsequent simple
correction/ restoration.
- System reset, on board self-test of systems, system BITE and
simple operational tests.
- Replacement of line replaceable computers, card files that do
not required test other than those mentioned above
c. Category B2 staff and B1 staff with one system group are permitted
to issue certificates of return to service for maintenance works on
Airframe and Power plant systems provided the complexity of such
work does not exceed the following:
- General visual inspection of systems and subsequent simple
correction/ restoration
- System reset, on board self-test of systems, system BITE and
simple operational tests.
6. Engine run-up at low power.

7. Engine run-up at high power.
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Page: 2
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Page: 4
FORM 2051
CATEGORY A INDEX
A.1
A.2
A.3
A.4
A.5
A.6
A.7
A.8
A.9
A.10
A.11
A.12
A.13
A.14
A.15
A.16
A.17
A.18
APU start and shutdown.

Towing & parking.
Fuelling operation: Refuel; defuel; transfer; MMI/ measuring
stick/ magnetic fuel level indicator readout.
Routine lubrication; LDG/door lubrication; fluids and gases
replenishment of: Engine & APU oil, starter oil, IDG/BUG oil,
Hydraulic system fluid, Tire & accumulators; water & waste
servicing/ drain.
Pre-flight/Transit check.
Replacement of internal & external lights, filaments & flash tubes.
Limited Passenger cabin maintenance including replacement
and cosmetic repair of: sunvisor, carpets, curtains, seat covers,
seat belts & harnesses, ovens, boilers, beverage makers,
internal compartment doors excluding door forming part of
pressure structure, parts fitted on passenger seats and galleys,
cabin normal lighting system including ballast, toilet
components excluding gate valves, passenger seat recline
mechanism adjustment.
Replacement of: loose cabin emergency equipments,
passenger seats, and stretcher.
Raising and clearing type C ADD of ATA 11& 25.
Replacement of wheel assemblies.
Replacement of brake units.
Terminal check/ daily check.
Weekly/ line check.
Replacement of main, APU and emergency batteries.
Replacement of static wicks.
Replacement of windscreen wiper blades, propeller blade
erosion film.
Repetitive pre-flight visual inspections and tests required by
MEL items as listed in Appendix 1 of Authorization Certificate
(Form VAECO 2051). If customers do not agree with this
appendix, they may provide their appendix; otherwise this
function shall be performed by Category B1/B2 staff.
Applying MEL items as listed in Appendix 1 of Authorization
Certificate (Form VAECO 2051). If customers do not agree
with this appendix, they may provide their appendix; otherwise
this function shall be performed by Category B1/B2 staff.
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Page: 5
FORM 2051
Name:
(1)
Auth. No.: (2)
Non-Destructive Inspection
Method (10)
Validity (7)
Quality Audit (11)

Part and Material incoming Inspection (12)
Borescope Inspection on engine:
Validity: (7)
EXCEPTION/ REMARK:
(13)
AUTHORIZED BY
(8)
(9)
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Page: 7
FORM 2051
FORM 2051
Name:
Name:
(1)
(1)
Auth. No.: (2)
Auth. No.: (2)
Validity:
Validity:
(7)
(7)
STRUCTURE REPAIR (16)
COMPONENT AUTHORIZATION (14)
Metallic structure: ...

A/C Computer
Level:
Cabin shop
Level:
IFE shop
Metallic Structures
Level:
Level:
Composite structure: ..
Level I
Level II
Level III
PAINTING (17)
Composite Structures Level:

Wheel & Brake
IFE REPAIR (18)
Electrical
Level I
Painting
Mechanical
Level II
Battery
CABIN REPAIR (19)
Safety/ Emergency equipment
Level I
EXCEPTION/ REMARK:
(8)
ISS. 01 REV. 15 - DATE: 01 AUG 2015
AUTHORIZED BY
EXCEPTION/ REMARK:
(8)
(9)
Page: 6
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Level II
AUTHORIZED BY
(9)
Page: 8
FORM 2051
FORM 2051
ARS FUNCTIONS INDEX (cont)
TERMS OF AUTHORIZATION
A. YOU ARE RESPONSIBLE TECHNICALLY TO THE QUALITY
DIRECTOR FOR ALL MAINTENANCE PRACTICES & OTHER
WORK UNDER YOUR AUTHORIZATION.
B. PARTICULAR CARE MUST BE TAKEN IN THE CASE OF MAJOR
COMPONENTS CHANGES, I.E. ENGINES, UNDERCARRIAGES
OR CONTROL SURFACES. DETAILED COMPONENT CHANGE
WORKSHEETS ARE TO BE USED IN SUCH CASES.
C. YOU ARE ALSO RESPONSIBLE FOR BRINGING TO ATTENTION
OF THE QUALITY DIRECTOR, REPORT COVERING ANY
UNUSUAL HAPPENINGS OR DEFECTS TO AIRCRAFT, ENGINE
OR COMPONENT.
D. AUTHORIZATION STAMPS ARE THE PROPERTY OF QA
DEPARTMENT. THE STAMPS ISSUED TO YOU AND SHALL
NOT BE USED BY ANY OTHER PERSON; LOSS OR DAMAGE
OF STAMP MUST BE REPORTED IMMEDIATELY TO THE
QUALITY DIRECTOR.
E. ALL WORK AND INSPECTIONS COMPLETED UNDER THE
TERMS OF THIS AUTHORIZATION SHALL BE TO STANDARD
OF CONFORMITY NOT LESS THAN THE MINIMUM
REQUIREMENTS AND PROCEDURES, CONTAINED IN INFORCE REGULATIONS OF FAA/CAAV AND OTHER APPROVED
MANUALS AND INSTRUCTIONS IN USED BY VAECO.
F. THE TERMS OF THIS AUTHORIZATION SHOULD BE READ IN
CONJUNCTION WITH PROCEDURES MANUAL, WHICH
EXPLAINS IN DETAIL THE COMPANY SYSTEM.
G. THIS APPROVAL IS VALID ONLY WHILST THE HOLDER OF
SUCH APPROVAL IS ENGAGED WITH VAECO MAINTENANCE
ACTIVITIES.
2. Structure repair:
Level 1:
Perform and sign-off or all A/C structure repair works (Metallic and/ or
Composite) IAW the already existing repair solution extracted from
maintenance data.
Perform and return to service for structure repair works (Metallic and/
or Composite) on components as listed in Capability List IAW the
already existing repair solution extracted from maintenance data.
Level 2:
Perform, inspect, issue SDR and sign-off for structure works (Metallic
and/ or Composite) IAW maintenance data, issue repair solution for
minor repair IAW standard practice procedure.
Perform, inspect, issue SDR and return to service for structure repair
works (Metallic and/ or Composite) on components as listed in
Capability List IAW maintenance data. Issue repair solution for minor
repair IAW standard practice procedure.
Level 3:
Perform, inspect, issue SDR and sign-off for structure works (Metallic
and/ or Composite) and issue repair solution for structure repair IAW
maintenance data.
Perform, inspect, issue SDR and return to service for structure repair
works (Metallic and/ or Composite) on components as listed in
Capability List IAW maintenance data. Issue repair solution for
structure repair IAW maintenance data.
3. Cabin repair (Level 1 and Level 2):
Perform and sign-off for maintenance (including defect deferment and
rectification) of cabin items as listed in Appendix 3 of Authorization
Certificate (Form VAECO 2051) IAW applicable maintenance data.
H. THE USE OF THIS AUTHORIZATION OUTSIDE THE TERMS
SPECIFIED WILL INVALIDATE SUCH APPROVAL.

ISS. 01 REV. 15 - DATE: 01 AUG 2015
Page: 9
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
Page: 11
FORM 2051
ARS FUNCTIONS INDEX
ARS FUNCTIONS INDEX (cont)
1. Component authorization:
A/C Computer:
a.
b.
4. IFE repair
Level 1: Perform Go/ No go test/ minor repair of LRUs as listed

in VAECO Caplist.
Level 2: Fault isolation and defect rectification of No go LRUs
as listed in VAECO Caplist.
IFE shop:
a.
b.
Level 1: Perform Go/ No go test of LRUs as listed in VAECO

Caplist.
Level 2: Fault isolation and defect rectification of No go LRUs
as listed in VAECO Caplist.
Level 2: Inspection, replacement of IFE components, update new

content for all IFE systems; Fault confirmation, isolation and
rectification of IFE components fitted on PAX seats, Overhead,
HEADEND Controller; update, re-installation of software on server
computer.
5. Painting
Wheel/ Brake:
Return to service for maintenance of Wheel/ Brakes as listed in
VAECO Caplist.
Battery:
Return to service for maintenance of Batteries as listed in VAECO
Caplist.
Cabin shop:
a. Level 1: is permitted to return to service for maintenance of
cabin items (excluding electrical, control system of Cockpit seat
and Business class seat) as listed in VAECO Caplist.
b. Level 2: is permitted to return to service for maintenance of
cabin items as listed in VAECO Caplist.
Safety/ Emergency equipment:
Return to service for maintenance
equipments as listed in VAECO Caplist.
Level 1: Inspection, replacement of IFE components, update new

content for all IFE systems; Fault confirmation, isolation, rectification of
IFE components fitted on PAX seats and Overhead.
of
Safety/
Perform and sign-off for all A/C painting works IAW the already
existing painting solution extracted from maintenance data.
Perform and return to service for painting works on components as
listed in Capability List IAW the already existing painting solution
extracted from maintenance data.
6. Borescope Inspection
Perform and sign-off for borescope inspection tasks IAW applicable
maintenance data (except removal/ installation of panel/ access ports;
performance of safety precautions; deactivation/ activation of Thrust
Reverser).
Emergencry
Electrical:
Return to service for maintenance of Electrical components as listed
in VAECO Caplist.
Mechanical:
Return to service for maintenance of Mechanical components as
listed in VAECO Caplist.
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Page: 10
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Page: 12
FORM 2051
Name:
(1)
Authorization No.:
(2)
FORM 2051
A/C REPAIR ZONE/ SYSTEM INDEX

ME 128 repair
Aircraft
(3)
Engine
(4)
: Zone 100, 200, 800
ME 567 repair
: Zone 500, 600, 700
ME 34 repair
E&A repair
: Zone 300, 400

: A/C Electric and Avionic systems.
A/C REPAIR FUNCTION INDEX

1. Maintenance check and inspection.
2. Component replacement.
3. Defects deferment and perform related maintenance
procedures of MEL items listed in the Appendix 4 of
Authorization Certificate for each defined A/C repair
category.
(6)
ME 128 repair
ME 34 repair
ME 567 repair
E&A repair
Category
Validity
(7)
EXCEPTION/ REMARK:
(8)
ISS. 01 REV. 15 - DATE: 01 AUG 2015
AUTHORIZED BY
(9)
Page: 13
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Page: 14
Form 2051 completion guide:

Block (1)
Block (2)
Block (3)
Block (4)
Block (5)
Block (6)
Block (7)
Block (8)
Block (9)
Block (10)
Block (11)
Block (12)
Block (13)
Block (14)
Block (15)
Block (16)
Block (17)
Block (18)
Enter Full name of the certificate holder

Enter Authorization number
Enter authorized aircraft type
Enter authorized engine type
Enter authorized category (A, B1, B2, C as appropriate)
Enter granted systems/ function
Enter validity of authorization (from date up to date).
Enter remark or exception of authorization, if any
Enter name and signature of person who grants the authorization.
Enter authorized NDI method and level.
Tick or cross if staff is authorized as quality auditor.
Tick or cross if staff is authorized in part and material incoming inspection.
Tick or cross and enter engine type if staff is authorized as Borescope
Inspection.
Tick or cross in appropriate box for the authorized component repair staff
(see VAECO CAPLIST for detail component maintenance classification)
Tick in appropriate box for structure repair authorization granted
Tick in appropriate box for painting authorization granted
Tick in appropriate box for In Flight Entertainment repair authorization granted
Tick in appropriate box for Cabin repair authorization granted
FORM 2051
FORM 2051
APPENDIX 1
APPENDIX 1
A17: REPETITIVE PRE-FLIGHT VISUAL INSPECTION REQUIRED

BY A320/A321 MEL
- 21-09-01A
: VENT BLOWER FAULT Alert
- 21-09-02A
: VENT EXTRACT FAULT Alert
- 21-26-01-B/C : Blower fan
- 21-26-02-B/C : Extract Fan
- 21-26-03-A
: Skin exchanger inlet bypass valve
- 21-26-04-A
: Skin air outlet valve
- 21-26-05
: Skin air inlet valve
- 21-26-06
: Skin exchanger isolation valve
- 21-26-08-A
: Air conditioning inlet valve
- 21-26-09-B/C : Ventilation filter
- 21-26-10-A
: Avionic equipment ventilation computer
- 21-31-02A
: Manual cabin pressure control system
- 23-73-03-01A /B : Cabin DEU B
- 24-22-01A
: AC Main Generation
- 24-23-01-D/F/I: AC auxiliary generation
25-07
: Indications on the DOOR/OXY SD page
- 26-12-01/02-A : Engine Fire detection systems Loop A
- 26-12-03/04-B : Engine Fire detection systems Loop B
- 26-13-01-A
: APU Fire detection systems Loop A
- 26-13-02-A
: APU Fire detection systems- Loop B
- 27-07
: Indication on the F/CTL SD page
- 27-51-01A
: SFCC Flap Channel
- 27-51-02 A
: SFCC Slat Channel
- 27-51-03 A
: Flap Wing Tip Brakes Solenoid
- 27-81-01A
: Slat Wing Tip Brake Solenoid
- 27-93-01 A
: ELAC 1
- 27-94-01A
: SEC 1
- 27-94-02A
: SEC 2

BY A320/A321 MEL- (CONTD)
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Appendix 1- A320/A321 - Page 1/5
- 28-07-04-01 : Engine LP Fuel Valve Indication on the FUEL SD page

- 28-07-04-03 : Crossfeed Valve Indication on the FUEL SD Page
- 28-07-04-04 : Wing Transfer Valve Indication on the FUEL SD Page
- 28-12-01-B : Overpressure Protector between Inner and Outer Tank
- 28-28-09D
: ACT 1 Inlet Valve (For A321)

: Reservoir quantity Indications on the HYD SD page
- 29-07-06A : RAT Indication on the HYD SD page
- 29-07-07A : System Label Indication on the HYD SD page
- 29-07-08 A :System Pressure Indication on the HYD SD page
- 29- 09-04A : HYD G(B)(Y) RSVR LO AIR PR Alert
- 29- 09-05A : HYD G(B)(Y) RSVR LO LVL Alert
- 29-09-07 A :HYD PTU FAULT Alert
- 29-09-09A
: HYD G(B)(Y)(B+G)(G+Y)(B+Y) SYS LO PR Alert
- 30-31-01A
: Probe heat computer
- 30-42-01A
: Window Heat Computer
- 32-09-01C
: BRAKE N/WS MINOR FAULT Alert (For A321)
- 32-09-02
: WHEEL TYRE LO PR Alert
- 32-42-03/04 : Braking/Steering Control Unit Systems
- 32-44-02
: Alternative Braking ACCU PRESS Indicator
- 35-07-01A
: Crew OXY High Pressure Indication on the DOOR/OXY
SD page
- 52-07
- 52-30-01B
: Cargo Door (FWD, AFT and BULK)
- 74-09-01B/C : ENG1(2) IGN A(B) (A+B) FAULT Alert
- 79-07-03A
: Oil Quantity Indication on the ENGINE SD page
- 80-11-01 A : Starter Valve
- 29-07-05 A
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 1
A18: APPLYING OF A320/A321 MEL ITEMS
-
21-00 : Maintenance messages on STATUS SD page

21-01-01-02 : PACK pb-sw OFF Light
21-01-01-04 : HOT AIR pb-sw OFF Light
21-23-01B : Lavatory & Galley Extraction fan
23-00-01: CIDS 1(2) MAINTENANCE Message on STATUS SD page
23-40-01: MECHANICCAL CALL HORN
23-51-02: Boom set.
23-51-03: Hand Microphone.
23-52-01: Capt & F/O ACP.
23-52-05/06/07A: ACP Transmission key/Reception knob/ Reception knob
light.
23-73-02
: Cabin, Lavatory DEU A
23-73-06-01: Cockpit Handset.
23-73-06-02: Cabin Handset.
23-73-06-03 : Cabin Handset Key
MCDL-23-01: Static dischargers
24-00-01: DC BUS TIE MAINTENANCE Messages on STATUS SD page
24-00-03: AC GEN MAINTENANCE Messages on STATUS SD page
24-01-01-04: GEN pb-sw OFF Light and APU GEN pb-sw OFF Light
24-01-01-07 : EXT PWR pb-sw AVAIL Light
24-01-01-08 : EXT PWR pb-sw ON Light
24-38-03
: Battery Volmeter
25-13-01/02: Linings and Furnishings: Pilot sliding table/ Pilot retractable
footrest
25-20-01A : Passenger Seat
25-35-01
: Galley Waste Compartment Flapper Door
25-40-01
: Toilet Waste Compartment Flapper Door
25-40-02
: Exterior Lavatory Ashtray
25-40-03
: Interior Lavatory Ashtray
25-50-02
: Decompression Panels in the Cargo Compartments
25-50-03
: Sidewall Linings and Ceiling Panels in the Cargo Compartments
25-64-01A/02A: First Aid Kit/ Emergency Medical Kit
25-65-02 : Cabin Flashlight
25-66-01 : Life vest
26-00-01 : SDCU/SMOKE Maintenance messages on STATUS SD page
26-01-01-04: Bulb/LED in the APU FIRE-PUSH pb-sw
26-24-01: Portable Fire Extinguisher
ISS. 01 REV. 15 - DATE: 01 AUG 2015
APPENDIX 1
A18: APPLYING OF A320/A321 MEL ITEMS- (CONTD)
-
26-25-01: Lavatory Waste Bin Fire Extinguishing System

27-00-01: F/CTL Maintenance messages on STATUS SD page
27-00-02: SFCC Maintenance messages on STATUS SD page
MCDL 27-03 : Slat Track Closing Plate
MCDL 27-09 : Inboard Aileron Edge to Wing Seal
MCDL 27-10 : Slat End Seal and Weather Seal
MCDL 27-16 :Flap Track Moveable Fairing Pivot Cover
28-00-01: FUEL Maintenance messages on STATUS SD page
28-01-01: FUEL Overhead Panel
28-07-02-01: Fuel Temperature Indication on the FUEL SD page
28-12-01 : Overpressure Protector Between Inner and Outer Tank
28-12-02: Overpressure Protector In vent surge tank.
28-25-01: Fuel Quantity Preselector
28-25-02 : Fuel Quantity on the Refuel/Defuel Control Panel
28-25-03 : Refuel Valve
28-25-05: Exterior Refuel/Defuel control panel
28-43-01: Manual magnetic indicators
MCDL 28-01 : Refuel/Defuel Coupling Cap
29-01-01-03 : Y ELEC PUMP pb-sw ON Light
29-01-01-05 : G(Y) ENG 1(2) PUMP pb-sw OFF light
29-07-01
: Y ELEC PUMP Indication on the HYD SD Page
29-07-07
: System Label Indication on the HYD SD Page
29-10-04A : Hydraulic System Accumulator
29-24-01A : Yellow System Electric Pump
30-00-01
: ICE DETECT Maintenance messages
30-01-02-01 : Wiper High Speed Function(FAST Position)
30-01-02-02 : Wiper Low Speed Function(SLOW Position)
30-42-02
: Fixed Lateral Window and Sliding Window Heating
30-45-03
: Rain Repellent System
30-81-02
: External Visual icing indicator
30-81-03
: Lighting of External Visual Icing Indicator
31-00
: Maintenance messages on STATUS SD page
31-20-01
: Electrical Clock Indicator
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
APPENDIX 1
A18: APPLYING OF A320/A321 MEL ITEMS- (CONTD)
31-30-07
: Printer
32-07-01
: Brakes Temperature Indication on the WHEEL SD page
32-07-07
: Tire Pressure Indication on the WHEEL SD Page
32-41-01
: Nose Wheel Tie Bolt
32-41-02
: Main Wheel Tie Bolt
32-47-01
: Brake Temperature Monitoring Unit (BTMU)
32-48
: Brake Cooling
32-51-04
: PARKING BRAKE light on the NWS Electrical Deactivation Box
33-01-01
:ANN LT Overhead Panel
33-01-02
: SIGNS Overhead Panel
33-20
: Cabin General Illumination
33-30-01
: Cargo and service compartment lighting sys.
33-40
: Exterior Lighting
34-00
: MAINTENANCE Message on STATUS SD page
34-01-01-02 : ADR pb-sw OFF light.
34-01-01-04 : IR ALIGN light.
34-01-01-05 : ON BAT light.
34-06-07
: Chrono Indication on the ND
34-21-02
: Bugs on the Standby ALT Indicator
34-21-04
: Bugs on the Standby IAS Indicator
35-10-03: Exterior Crew Oxygen Overpressure Indicator Disc (Green Disc)
35-20-01A : Passenger Oxygen Unit
35-20-03A : Lavatory Oxygen Unit
35-20-05
: Manual Release Tool
35-30-02
: Cabin Attendant Portable Device
- 36-00-01 A/F : AIR BLEED MAINTENANCE Message .
- 36-12-01
: APU Bleed Air Supply System
- 36-12-02
: APU Bleed Valve
- 47-00-01A
: FUEL INERT MAINTENANCE Message
- 49-00-01
: APU MAINTENANCE Message
- 49-01
: APU Overhead Panel
- 49-10-01
: Power Plant (APU).
- 52-30-03A
: Cargo Door Electrical Control
- 52-30-07
: Cargo Doors Open/Locked Indicator light
- 52-51-06
: CDLS Door Release Strike (Catch, Spring, Solenoid, Bolt)
- 70-00
: MAINTENANCE Message on STATUS SD page
-
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 2
APPENDIX 2
B1/B2 EXTENSION FUNCTION: A320/A321 MEL ITEMS
ATA 21
- 21-01-01
: AIR COND Overhead Panel
- 21-01-02
: CABIN PRESS Overhead Panel
- 21-01-03
: CARGO VENT Overhead Panel
- 21-01-04
: VENTILATION Overhead Panel
- 21-07-01
: Indications on the BLEED SD page
- 21-07-02-01 : INLET and EXTRACT Indications on the CABIN
PRESS SD page
- 21-07-02-03 : Pack 1 and 2 Indication on the CABIN PRESS SD
page
- 21-07-03
: Indications on the COND SD page
- 21-07-04
: Indication on the CRUISE SD page
- 21-21-01
: Cabin Fan
- 21-23-01
: Lavatory and Galley Extraction Fan
- 21-26-01
: Avionics Blower Fan
- 21-26-02
: Avionics Extract Fan
- 21-26-04
: Avionics Skin Air Outlet Valve
- 21-26-05
: Avionics Skin Air Inlet Valve
- 21-26-08
: Avionics Air Conditioning Inlet Valve
- 21-26-09
: Avionics Ventilation Filter
- 21-26-10
: Avionics Equipment Ventilation Computer (AEVC)
- 21-28-03
: AFT CARGO Extraction fan
- 21-28-04
: AFT CARGO Isolation valve
- 21-31-01
: Automatic Cabin Pressure Control System (CPC,
Outflow Valve AUTO Channel)
- 21-31-04
: Landing Elevation Selection AUTO function
- 21-31-05
: Landing Elevation Selection MAN function
- 21-52-01
: Air Conditioning Pack
ISS. 01 REV. 15 - DATE: 01 AUG 2015
ATA 23 - (Contd)
: Hand microphones
- 23-51-04
: Cockpit Loudspeaker
- 23-51-05
: Cockpit Loudspeaker Volume Control
- 23-52-01
: Audio Control Panel CAPT & F/O ACP
- 23-52-02
: Audio Control Panel ACP3
- 23-52-07
: Audio Control Panel Reception Knob Light
- 23-73-02
: DEU A
- 23-73-03
: DEU B
- 23-73-04-01 : Passenger Call
- 23-73-05-01 : Cabin Loudspeaker
- 23-73-05-02 : Lavatory Loudspeaker
- 23-73-06-01 : Cockpit Handset
- 23-73-06-02 : Cabin Handset
- 23-74-09
: Area Call Panel (ACP)
- 23-74-10
: Attendant Information Panel (AIP)
- 23-74-11
: Additional Attendant Panel (AAP)
- 23-74-01
: FAP Display Unit
- 23-74-03
: Other Control on Hardkey FAP Sub-panel
- 23-74-04
: PTP Display Unit
- 23-74-05
: Door Bottle Pressure Monitoring on the PTP
- 23-74-06
: Door Bottle Pressure Monitoring on the FAP (for
A321 Enhanced)
- 23-74-07
: Slide Pressure Monitoring on the PTP
- 23-74-08
: Slide Pressure Monitoring on the FAP (for A321
Enhanced)
- 23-73-07-01 : Pre-recorded Announcement & Music Reproducer
- 23-73-08-01 : Cabin Assignment Module (CAM)
- 23-51-03
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 2
ATA 21 - (Contd)
: Pack Turbine Bypass Valve
- 21-61-02
: Pack Controller Primary Channel
- 21-63-01
: Zone Controller Channel
- 21-63-02
: Cockpit and Cabin Trim Air Valve (TAV)
- 21-63-03
: Hot Air Pressure Regulating Valve
- 21-61-01
ATA 22
- 22-01-01
- 22-01-02
- 22-10-01
- 22-10-02
- 22-60-02
- 22-60-04
- 22-70-01
- 22-82-01
- 22-82-02
- 22-83-01
: FAC pb-sw FAULT light

: FAC pb-sw OFF light
: Autopilot (AP)
: Flight director (FD)
: Flight Augmentation Computer 2 (FAC2)
: Yaw Damper System
: Flight Management System (FMS)
: Multipurpose Control Display Unit 1 (MCDU1)
: Multipurpose Control Display Unit 2 (MCDU2)
: FMGC
ATA 23
- 23-10-01
- 23-10-02
- 23-13-01
- 23-13-02
- 23-31-01
- 23-40-01
- 23-40-03
- 23-51-02
: HF Communication System
: VHF Communication System
: Radio Management Panel (RMP)
: RMP Selection Key
: Passenger Address System
: Mechanical Call Horn
: Flight Crew to Ground Communication System
: Boom sets
APPENDIX 2
ATA 24
- 24-01-01
- 24-07
- 24-20-01
- 24-20-02
- 24-26-01
- 24-26-02
ATA 27
- 27-01-01
- 27-07
- 27-14
- 27-22
- 27-23-01
- 27-34-02
- 27-51-01
- 27-51-02
- 27-51-03
- 27-51-02
ISS. 01 REV. 15 - DATE: 01 AUG 2015
: ELEC Overhead Panel

: Indications on the ELEC SD page
: AC main generation (IDG,GCU, Line Contactor)
: AC auxiliary generation
: GALLEY Automatic Load Shed System
: GALLEY Manual Load Shed System (GALLEY pb-sw)
- 27-64-01
- 27-64-02
- 27-64-03
- 27-81-01
- 27-93-01
- 27-94
- 27-95
: FLT CTL Overhead Panel

: Indications on SD Pages
: Aileron and Hydraulic Actuation
: Rudder Trim Actuation
: Rudder travel limiter system
: Elevator servo-control position transducer
: SFCC Flap Channel
: SFCC Slat Channel
: Flap Wing Tip Brakes Solenoid
: Flap wing tip brakes solenoid
: Spoiler Surface 5
: Spoiler Surface 1 or 3
: Spoiler Surface 2 or 4
: Slat Wing Tip Brakes Solenoids
: Elevator Aileron Computer 1 (ELAC1)
: SEC System (Spoiler and Elevator Computer)
: FCDC System (Flight Control Data Concentrator)
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 2
APPENDIX 2
ATA 28
- 28-01-01
- 28-01-02
- 28-15
- 28-21-01
- 28-21-02
- 28-22-01
- 28-25-01
- 28-25-02
- 28-46
- 28-43-02
- 28-50-01
: FUEL Overhead Panel

: Indications on the FUEL SD Page
: Intercell Transfer System
: Wing Tank Pump
: Centre Tank Pump
: APU Fuel Pump
: Fuel Quantity Pre-selector
: Fuel Quantity on the Refuel/Defuel Control Panel
: Tank Level Sensing
: Fuel Quantity Attitude Monitor
: Fuel Quantity Indicating Computer (FQIC) Channel
ATA 29
29-01-01
29-01-02
29-07
29-09
29-10-04
29-23-01
29-24-01
: HYD Overhead Panel

: Maintenance HYD Overhead Panel
: Indications on the HYD SD Pages
: ECAM Alerts
: Hydraulic System Accumulator
: Power Transfer Unit
: Yellow System Electric Pump
ATA 30
- 30-01-01
- 30-01-02
- 30-07
- 30-11-01
- 30-21-01
- 30-31
- 30-42
- 30-45
- 30-71
- 30-81
: ANTI ICE Overhead Panel

: WIPER Overhead Panel
: Indications on the BLEED SD Page
: Anti-ice control valve
: Engine anti-ice valve
: Probe Ice Detection
: Windshield Anti-Icing and Defogging
: Windshield Rain Protection
: Waste Water Ice Protection
: Ice Detection
ISS. 01 REV. 15 - DATE: 01 AUG 2015
ATA 32- (Contd)

32-32-15
: LGCIU 2 LH L/G Doors Closed Proximity Detector
32-32-16
: LGCIU 2 Nose L/G Doors Closed Proximity
32-41-01
: Nose wheel tie bolts
32-41-02
: Main wheel tie bolts
32-42-01
: Main wheel brake
32-42-03
: Braking/Steering Control Unit (BSCU) System 1
32-42-04
: Braking/Steering Control Unit (BSCU) System 2
32-42-06
: Tachometer
32-42-07
: Nose Wheels Brake Pad
32-44-01
: Yellow Brake System
32-44-02
: ACCU PRESS indicator
32-44-03
: BRAKES Pressure Indicator
32-45-01
: Parking Brake Control Valve Electrical Motor
32-47-01
32-48-01
: Brake Fan System
32-48-02
: BRK FAN pb-sw HOT light
32-48-03
: BRK FAN pb-sw ON light
ATA 33
33-01-01
33-01-02
33-10
33-20
33-30
33-51
: ANN LT Test Overhead Panel

: Cockpit General Illumination
: Cargo and Service Compartment Lighting
: Cabin Emergency Lighting
ATA 34
34-00-01
34-00-02
34-10
34-40-04
34-40-05
: ADR (1)(2)(3) MAINTENANCE Message

: IR MAINTENANCE Message
: Air Data/Inertial Reference System (ADIRS)
: Traffic Collision Avoidance System (TCAS)
: Weather Radar System
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 2
APPENDIX 2
ATA 31
- 31-20-01
- 31-30-07
- 31-53-01
- 31-53-02
- 31-53-03
- 31-53-04
- 31-53-05
- 31-55-01
- 31-56
- 31-63
ATA 32
- 32-07
- 32-09
- 32-31-01
- 32-32-02
Detector
- 32-32-03
Detector
- 32-32-04
Detector
- 32-32-05
- 32-32-06
- 32-32-07
- 32-32-08
- 32-32-09
- 32-32-10
- 32-32-11
- 32-32-12
- 32-32-13
- 32-32-14
ATA 36
: Printer
: Flight Warning Computer (FWC)
: MASTER CAUT Cancel Function
: MASTER WARN Cancel Function
: MASTER CAUT light
: MASTER WARN light
: System Data Acquisition Concentrator (SDAC)
: ECAM Control Panel
: Display Unit (DU)
- 36-00
: Indications on the WHEEL SD page

: ECAM Alerts
: Landing Gear Control and Interface Unit (LGCIU)
: LGCIU 2 RH L/G Shock Absorber Proximity
- 36-22-03
- 36-01
- 36-07
- 36-11-01
- 36-11-06
- 36-11-07
- 36-12-01
- 36-12-04
- 36-22-01
- 36-22-02
ATA 49
- 49-01
- 49-07
: LGCIU 2 LH L/G Shock Absorber Proximity

: LGCIU 2 Nose L/G Shock Absorber Proximity
- 49-10-02
- 52-07
- 52-10-01
- 52-10-02
- 52-10-06
- 52-10-06
- 52-10-08
- 52-30
- 52-51
- 52-53
ISS. 01 REV. 15 - DATE: 01 AUG 2015

: Indications on the APU SD Page
: APU Air Intake Flap
ATA 52
- 52-01-01
: LGCIU 2 RH L/G Down Lock Proximity Detector

: LGCIU 2 LH L/G Down Lock Proximity Detector
: LGCIU 2 Nose L/G Down Lock Proximity Detector
: LGCIU 2 RH L/G Up Lock Proximity Detector
: LGCIU 2 LH L/G Up Lock Proximity Detector
: LGCIU 2 Nose L/G Up Lock Proximity Detector
: LGCIU 2 RH L/G Doors Open Proximity Detector
: LGCIU 2 LH L/G Doors Open Proximity Detector
: LGCIU 2 Nose L/G Doors Open Proximity Detector
: LGCIU 2 RH L/G Doors Closed Proximity Detector
: MAINTENANCE Message on the STATUS SD Page

: Indications on the BLEED Page
: Engine Bleed Air Supply System
: Engine Bleed IP Check Valve
: Engine Bleed HP Valve
: Automatic Control of the X Bleed Valve
: Pylon Leak Detection System
: Wing Leak Detection System
: APU Leak Detection Loop
: CKPT DOOR CONT Normal Overhead Panel

: Indications on the DOOR/OXY SD Page
: Cabin passenger door
: Over wing Emergency Exit
: DOOR PRESS LOW Message on the Programming
and Test Panel (PTP) STATUS Page
: CHECK DOOR PRESSURE Message on the Flight
Attendant Panel (FAP)
: CABIN PRESSURE light (on Doors)
: Cargo Door
: Reinforced Cockpit Door (CDLS)
: COCKPIT DOOR Panel on the Center Pedestal
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 2
APPENDIX 2
B1/B2 EXTENSION FUNCTION: A320/A321 CDL ITEMS

- 52-01
- 52-02
ATA 70
- 70-00
- 73-07
- 73-08
- 73-09
- 74-07
- 74-09
- 74-31
- 76-11-01
- 77-07-01
- 77-07-02
- 77-08
- 78-30-01
- 78-30-02
- 79-07-03
- 79-20-02
- 80-01-31
- 80-07-01
- 80-12-01
: MAINTENANCE Message on the STATUS SD Page

: Indications on the ENGINE SD Page
: Indications on the ECAM EWD
: ECAM Alert
: Indications on the ENGINE SD Page
: ECAM Alert
: Ignition Starting and Continuous Relight
: Thrust lever Position Sensor
: Indications on the CRUISE SD Page
: Indication on the ENGINE SD Page
: Indications on the EWD
: Thrust Reverser
: Reverser Inhibition Relay sw
: Oil Quantity Indication on the ENGINE SD Page
: EMCD Visual Pop-out indicator
: ENG MAN START pb-sw
: Start Valve Position Indication on the ENGINE SD
Page
: FAULT light on the ENG MASTER Panel
- 52-03
- 52-04
- 52-05
- 52-06
- 52-08
- 52-18
- 52-19
- 52-20
- 52-21
- 52-22
- 52-23
- 53-01
- 53-03
- 54-01
- 54-04
- 54-05
- 54-06
- 57-02
- 57-03
- 78-04
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
APPENDIX 2
B1/B2 EXTENSION FUNCTION: A320/A321 CDL ITEMS
- 21-03
- 27-02
- 27-05
- 27-06
- 27-07
- 27-08
- 27-11
- 27-12
- 27-13
- 27-14
- 27-15
- 28-02
- 30-01
- 32-03
- 32-04
- 33-01
- 33-02
- 33-03
- 33-04
- 33-05
- 33-07
- 33-08
- 33-09
- 49-01
- 51-01
- 51-02
- 51-03
- 51-04
: Ram air inlet leading edge

: Flap track fairing 1A extension.
: Access panel for bearings at elevator.
: Flap track fairing rear top cover and tail cone.
: Rubber seal under Slat.
: Seal Between Inboard and Outboard Flap.
: Slat Track Filler Block.
: Slat Track Sealing Packer.
: Inter-flap Cushion Seal.
: Flap Track Moveable Fairing Seal.
: Flap Track Fixed Fairing Seal.
: Refuel Panel Door.
: Icing indicator.
: Nose Wheel Hub Cap (A320 only).
: Nose Fitting Towing.
: Wing/Engine Scan Light Cover
: Taxi Light Lamp
: Rear Navigation Light Lens
: Upper and Lower Anti-collision (Beacon) Light Cover
: Logo Light Lens (Cover).
: Landing Light Lens.
: Turn OFF Light Lamp.
: Takeoff light lamp.
: APU Overpressure Release Door.
: Radome conductive strip.
: Passenger Door Scuff Plate.
: Bulk Cargo Door Scuff Plate.
: Fairing Aft Safety Stay Point.
ISS. 01 REV. 15 - DATE: 01 AUG 2015
: Toilet Servicing and Drainage Door.

: Access Door to Hydraulic Ground Connector.
: Access Door to Potable Water Filling and Drainage.
: Access Door to Opening Control of Landing Gear Doors
on Ground.
: Access Door to Air Conditioning Ground Supply.
: Forward Jacking Point Access Door.
: Access Door of Cargo Opening System.
: Main Landing Gear Door: Seal on Secondary Hinged
Fairing.
: Pax Door Upper Cover Plate
: Access Door to HP Air Ground Connector.
: Blue Hydraulic Access Door.
: Forward Cargo Door Access Cover Panel.
: Aft Cargo Door Access Cover Panel.
: Belly Fairing Vent Louver Vane.
: Root Fillet Fairing.
: Nacelle Strake.
: Pylon Access Door.
: Pylon Fairing seal.
: Aerodynamic Seal.
: Belly Fairing Sliding Panel.
: Outboard Flap Rubbing Strip.
: Lockout Pin.
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 1
APPENDIX 1
BY A330 MEL
- TSM
- 21-26-02
-
: Avionics Overboard Extract Valve

21-26-04A : Avionics Equipment Ventilation Controller (AEVC)
21-26-05A : Cooling effect detector (CED)
21-31- 02A : Manual Cabin Pressure Control System
21-63-02A : Cockpit and Cabin Trim Air Valve
21-63-03A : Hot air valve
23-73-03-01A : Cabin DEU B
24-09-03A
: ELEC IDG 1(2) OIL SYS FAULT Alert
26-17-01A
: Lavatory Smoke Detection System
27-07-02,04,07A: Aileron/ Elevator/ Rudder Position Indication
on the F/CTL SD Page
27-07-10A
: Spoiler/Speedbrake indication on the F/CTL SD
Page
27-07-11A
: Spoiler/Speedbrake indication on the WHEEL
SD Page
27-22-01A
: Rudder Trim System
27-26-01A
: Yaw Damper System
27-40-03A
: PRIM Pitch channel 1 or 2 inoperative due to the
THS
28-01-01 -03A: INR TK SPLIT L(R) pb-sw SHUT light
29-07-05A
: RAT Indication on the HYD SD page
29-07-06A
: Reservoir Quantity Indications on the HYD SD
Page
A18: APPLYING OF A330 MEL ITEMS
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Appendix 1- A330 - Page 1/7
: ECAM MAINTENANCE STATUS

Class 2 fault-800FH
21-01-01-01A/02A : PACK 1(2) pb-sw FAULT/OFF light
21-01-01-03A/04A : HOT AIR 1(2) pb-sw FAULT/OFF light
MCDL 23-01
: Static Discharger
23-01-02-31A/32A/33A: CALLS MECH, ALL, EMER pb
23-01-02-34
: CALLS FWD pb, CALLS MID pb, CALLS
AFT pb, CALLS EXIT pb
23-01-02-35A
: CALLS PURS pb
23-40-01A
: Ground External Horn
23-40-03A
: Flight Crew to Ground Communication
System
23-40-04A
: Service Interphone Jack
23-40-05A
: COCKPIT CALL pb on the Ground Power
Receptacle
23-51-02A
: Boomset
23-51-03A
: Hand Microphone
23-51-04A
23-52-01A/02A
: CAPT and F/O ACP, ACP 3
23-52-05A/06A/07A : ACP Transmission Key/ACP Reception
knob/ACP Reception knob light
23-53-01A
: AUDIO SWITCHING selector
23-73-04
: Cabin Individual Call
23-73-05
: Cabin, Main Deck Cargo Compartment
Loudspeaker
23-73-06-02A
: CIDS Cabin Handset
23-81-01A
: Radio Management Panel (RMP)
23-81-02A
: RMP Selection Key
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 1
APPENDIX 1

BY A330 MEL
- 29-09-04A
-
: HYD G(B)(Y) RSVR LO AIR PR Alert

29-09-05A : HYD G(B)(Y) RSVR LO LVL Alert
32-44-02A : ACCU PRESS Indicator
34-10-02
: IR
35-07-01A : Crew OXY High Pressure Indication on the
DOOR/OXY SD page Oxygen pressure
checked by direct reading
52-07-01A : Indications on the DOOR/OXY SD page
52-71-02A : Proximity switch on the Avionics Door
79-07-02-03A
: Oil Quantity Indications on the ENGINE SD
page
80-11-01A : Start Valve

-
24-01-01-01A/02A : BAT 1(2) pb-sw FAULT/OFF light and

APU BAT pb-sw FAULT/OFF light
24-01-01-03A/04A : GEN pb-sw FAULT/OFF light and APU GEN

pb-sw FAULT/OFF light
24-01-01-04
24-01-01-07A/09A : EXT A/b pb-sw AVAIL light
24-01-01-08A/10A : EXT A/B pb-sw ON/AUTO light
24-38-05A
: Battery Voltage Indications
25-13-01A/02A
: Lining and Furnishings: Pilot Sliding

Table/Pilot Retractable Foot Rest
25-20-01A
: Cabin Passenger Seat
25-35-01A
25-40-01A
25-40-02A/03A,B
: Exterior/Interior Lavatory Ashtray
25-50-01A/02A
: Decompression/ Lining Panels in the Lower

Deck Cargo Compartments
25-64-01A/02A
: First Aid Kit/ Emergency Medical Kit
25-62-03A
:Survival Kit
25-65-01A/02A
: Cockpit/ Cabin Flashlight

: Life Vest/ Infant Life Vest
- 25-66-01B/02B,C
ISS. 01 REV. 15 - DATE: 01 AUG 2015
: GEN pb-sw OFF light and APU GEN pb-sw

OFF light
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 1
APPENDIX 1

- 26-24-01A
- 26-25-01A
- MCDL 27-02
- MCDL 27-03
- MCDL 27-06
- MCDL 27-08
- MCDL 57-05
- MCDL 57-07
- MCDL 57-09
- 28-01
- 28-07-03
- 28-12-01A
- 28-12-03A
- 28-25-01A
- 28-25-02A
- 28-43-01A
- MCDL 28-01
- 29-01
- 29-07-07A
- 29-10-03A
- 30-45-01
- 30-45-03A
: Portable Fire Extinguisher

: Lavatory Fire Extinguishing System
: SLAT TRACK CLOSING PLATE
: Rubber Seal under Slats
: Slat End Blade Seal
: Slat End Filling
: Access panel to to slat actuator torque
indicatior flag
: Flap Track Fairing Cover
: Cover on Flap Track Fixed Fairing
: Fuel Temperature Indications on the FUEL SD
page
: Overpressure Protector in the Wing Surge
Tanks
: Overpressure Protector in the Trim Surge
Tank
: LOAD Fuel Preselector
: Fuel Quantity on the Refueling Control Panel
: Manual Magnetic Indicator
: Refuel/Defuel Coupling Cap
: System Label Indication on the HYD SD page
: Windshield Wiper
: Rain Repellent System
ISS. 01 REV. 15 - DATE: 01 AUG 2015

FORM 2051
APPENDIX 1
- 30-81-02A
- 30-81-03A
- 31-20-01A
- 32-07-01A
- 32-07-07A
- 32-41-01
- 32-48
- 32-51-04A
- MCDL 32-02
- MCDL 32-03
- 33-01-01
- 33-01-02
- 33-12-01
- 33-30-01
- 33-40
- MCDL 33
- 34-01-02A
- 34-01-04A
- 34-01-05A
- 34-06-07A
- 34-21-02A
- 34-21-04A
: External Visual Icing Indicator

: Lighting of External Visual Icing Indicator
: Brakes Temperature Indication on the WHEEL
SD page
: Tires Pressure Indication on the WHEEL SD
page
: Nose Wheel and Main Wheel Tie Bolt
: Brake Cooling
: PARKING BRAKE light on the NWS Electrical
Deactivation Box
: Main Landing Gear Door Seal
: Main Landing Gear Leg Door and Hinged
Door Ruber Seal
: ANN LT Overhead Panel
: Cargo and service Compartment lighting
system
: Exterior Lighting
: Lights
: ADR pb-sw OFF light
: IR pb-sw OFF light
: ON BAT light
: Chrono Indication on the ND
: Bugs on the Standby ALT Indicator
: Bugs on the Standby IAS Indicator
ISS. 01 REV. 15 - DATE: 01 AUG 2015
- 35-10-04A
- 35-20-01
- 35-20-03A
- 35-20-04A
- 35-30-03B
- 36-12-01
- 45-40-01
- 49-01
- 49-10-01A
- CDL 52-10
- 52-30-03
- 52-30-07A
: Exterior Crew Oxygen Discharge Indicator

(Green Disc)
: Cabin Attendant and Passenger Individual
Oxygen Module
: Lavatories Oxygen Module
: Cabin Attendant Oxygen Cylinder
: Printer
: Power Plant (APU)
: Cargo door indicating flag
: Lower Deck Cargo Door Electrical Control
: Cargo Door Open/Locked Indicator light
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 2
APPENDIX 2
B1/B2 EXTENSION FUNCTION: A330 MEL ITEMS
ATA 21
- 21-01
- 21-07
- 21-09-01
- 21-21
- 21-23
- 21-25
- 21-26
- 21-28
- 21-31-01
- 21-31-02
- 21-31-04
- 21-31-05
- 21-43
- 21-51
- 21-52-01
- 21-53-01
- 21-53-03
- 21-53-04
- 21-63
ATA 22
- 22-10-01
- 22-10-02
- 22-82-01
: Overhead Panel
: Indication on the SD page
: VENT BLOWING FAULT Alert
: Cabin, Main Deck Cargo Compartment, Air
Distribution and Recirculation
: Lavatory Galley IFE Ventilation
: Air Conditioning Compartment Ventilation
: Avionic Equipment Ventilation
: Lower Deck Cargo Compartment Ventilation
and Cooling
: Automatic Cabin Pressure Control System
: Manual Cabin Pressure Control System
: Landing Elevation Selection AUTO Function
: Landing Elevation Selection MAN Function
: Lower Deck Cargo Compartment Heating
: Pack Flow Control
: Air conditioning pack
: Pack controller
: Pack Temperature Control Valve
: Air Conditioning Ram Air Inlet/Outlet Flap
: Cockpit, Cabin and Main Deck Cargo
Compartment Temperature Control
: Autopilot (AP)
: Flight director (FD)
: Multipurpose Control Display Unit (MCDU)
ISS. 01 REV. 15 - DATE: 01 AUG 2015
ATA 23
- 23-01-01-01 : CVR Control Panel
- 23-10-01A : HF System
- 23-10-02
: VHF System
- 23-40
: Interphone
- 23-73-02
: DEU A
- 23-73-03
: DEU B
- 23-73-06
: Handset
- 23-73-07
: Pre-recorded Announcement & Music Reproducer
- 23-73-08
: Cabin Assignment Module (CAM)
- 23-74-01
: FAP Display Unit
- 23-74-02
: EMER pb on the Hardkey FAP Sub-panel
- 23-74-03
: Other Controls on the Hardkey FAP Sub-panel
- 23-74-08
: Attendant Information Panel (AIP)
- 23-74-09
: Additional Attendant Panel (AAP)
ATA 24
- 24-01-01
: ELEC overhead panel
- 24-07-01-02 : APU Indications on the ELEC AC SD page
- 24-09-01
: ELEC IDG 1(2) DISCONNECTED Alert
- 24-09-03
: ELEC IDG 1(2) OIL SYS FAULT Alert
- 24-22-01
: AC main generation (IDG,GCU, Line Contactor)
- 24-23-01
: AC auxiliary generation (APU Generator, GCU,
Line Contactor)
- 24-32-02
: DC Main Generation (APU TR)
- 24-38-02
: APU Battery Channel.
- 24-41-02
: External Power Receptacle
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 2
APPENDIX 2
ATA 27
- 27-01
- 27-07
- 27-14-01
- 27-22
- 27-23-01A
- 27-26-01A
- 27-51-01A
- 27-51-02A
- 27-64-01
- 27-81-02A
- 27-93-03A
- 27-94-01A
- 27-95-01A
ATA 28
- 28-07-01
- 28-07-02
- 28-07-03
- 28-07-04
- 28-07-05
- 28-08
- 28-21-01
- 28-22-01
- 28-51-02

: Outboard Aileron Servo-control
: Rudder Trim Actuation and Artificial Feel
: Rudder Travel Limiter Channel (Including Rudder
and Pedals Travel Limiter Unit)
: Yaw Damper System
: Flap System 1
: Flap System 2
: Spoiler
: Slat System 2
: PRIM 3
: SEC 1
: FCDC
: Indication on the CRUISE SD page
: Fuel Quantity Indication on the FUEL SD page
: Fuel Temperature Indication on the FUEL SD page
: Tank Pump Indication on the FUEL SD page
: Valve Indication on the FUEL SD page
: Indication on EWD
: Inner Tank Main Pump
: Aft APU Fuel Pump
: FCMC 2
ISS. 01 REV. 15 - DATE: 01 AUG 2015

ATA 29
- 29-07
- 29-10-02
- 29-10-03
- 29-20-01
- 29-20-03
- 29-20-04
- 29-20-05
: Indication on the HYD SD page

: Engine Driver Pump Depressurization Function
: Green Auxiliary Hydraulic Power (Electric Pump)
: Blue Auxiliary Hydraulic Power (Electric Pump)
: Yellow Auxiliary Hydraulic Power (Electric Pump)
: Yellow Auxiliary Hydraulic Power (Hand Pump)
ATA 30
- 30-01-01
- 30-01-02
- 30-07
- 30-11-01
- 30-21
- 30-31
- 30-42
- 30-45
- 30-71
- 30-81
: ANTI ICE Overhead Panel

: WIPER Overhead Panel
: Indications on the BLEED SD Page
: Anti-ice control valve
: Engine Air Intake Ice Protection
: Probe Ice Protection
: Windshield Rain Protection
: Waste Water Ice Protection
: Ice Detection
ATA 31
- 31-01-31
- 31-30
- 31-53
- 31-55
- 31-56
- 31-62
- 31-63
: RCDR/GND CTL pb-sw

: Recorders
: Flight Warning Computer(FWC)
: System Data Acquisition Concentrator(SDAC)
: ECAM control panel
: Display Management Computer
: Display Unit (DU)
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 2
APPENDIX 2

ATA 32
- 32-31-02
- 32-42
- 32-44
- 32-01
- 32-07
- 32-09-01
- 32-11-01
- 32-51
- 32-53-01
- 32-61
Panel
: LGCIU2
: Normal Braking
: Alternate Braking
: Overhead Panel
: Indication on the WHEEL SD page
: Wheel tire LO PR Alert
: Main Landing Gear Oleo Pressure Indicator
: STEERING
: Nose Landing Gear Oversteer Red Light.
: Landing Gear Panel on the Central Instrument

ATA 52 (Contd)
- 52-51
: Reinforce Cockpit Door
- 52-53
: COCKPIT DOOR Panel on Center Pedestal
- 52-71
: Door and Escape Slide Control System
ATA 70
- 73-25
- 73-07
- 73-08
- 73-09-05
- 73-20-04
- 74-07
- 74-09
ATA 33
- 33-20
- 33-21
- 33-51
: Cabin, CRC signs

: Cabin, CRC General Illumination
: Cabin Emergency Lighting.
ATA 34
- 34-10
- 34-40-04
- 34-40-05
: Air Data Inertial Reference System (ADIRS)

- 74-31
- 75-09
- 75-26-02
- 77-07
- 77-08
- 78-08
- 78-09-01
- 79-07
- 80-01-31
- 80-07-01
- 80-11-01
- 80-12-01
ISS. 01 REV. 15 - DATE: 01 AUG 2015
: Functional Interface (FADEC)

: Indication on the ENGINE SD page
: Indication on ECAM E/WD
: ENG 1(2) MINOR FAULT Alert
: EPR Control Mode
: Indication on the ENGINE SD page
: ECAM Alert
: Ignition Starting and Continuous Relight
: ECAM Alert
: Nacelle Core Compartment Cooling Valve
: Indication on the E/WD
: Indication on the E/WD
: ENG 1(2) REV MINOR FAULT Alert
: Start Valve Position Indication on the ENGINE SD
page
: Starter Valve
: FAULT Light on ENG MASTER Panel
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 2
APPENDIX 2
B1/B2 EXTENSION FUNCTION: A330 MCDL ITEMS
ATA 36
- 36-01
- 36-07
- 36-09
- 36-11-01
- 36-11-02
- 36-11-07
- 36-11-08
- 36-12
- 36-22-01
- 27-04: Aileron rubber seal
: AIR Overhead Panel

: Indication on the BLEED SD page
: ECAM Alert
: Engine Bleed Air Supply System
: Engine Bleed Valve
: Engine Bleed HP Valve
: Bleed Monitoring Computer
: APU Bleed Air Supply and Cross Bleed System
: APU leak detection loop
- 27-05: Aileron servo actuator fairing

- 27-07: Flap blade seal and triangular cushion seal
- 27-10: Inner aileron seal
- 27-11: Inner aileron large seal
- 28-02: refuel/defuel control panel access door
- 28-04: fuel pump fairing
- 29-01: Ground green hydraulic connection access door
- 29-02: Ground blue hydraulic connection access door
- 29-03: Ground yellow hydraulic connection access door
- 30-01 icing indicator
ATA 45
- 45-01
- 45-10
: Overhead Panels
: Central Maintenance System(CMS)
ATA 49
- 49-07
- 49-10
: Indication on APU SD page

: Power Plant (APU)
- 32-01: center landing gear door ground access door

- 32-04: nose fitting towing
- 32-05: nose landing gear wheel hub cap
- 32-06: mlg wheel hub cap
- 32-07: MLG debris guard
- 51-01: Radome conducting strip
- 51-02: passenger door scuffs plate
ATA 52
- 52-01
- 52-07
- 52-10-01
- 52-10-02
- 52-10-06
- 52-30-01
- 51-03: bulk cargo door scuff plate
: Overhead Panel
: Indication on the DOOR/OXY SD page
: Cabin Door
: Cabin Emergency Door
: CHECK DOOR PRESSURE Message on FAP
: Cargo Door
- 51-04: passenger door gutter

- 52-02: forward cargo loading operation control panel door
- 52-03: aft cargo door control panel access door
- 52-04: aft cargo loading operation control panel door
- 52-05: forward jacking point receptacle door
- 52-06: portable water drain connection service door
- 52-07: portable water service door
- 52-08: vacuum toilet service door
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Appendix 2- A330 Page 6/8
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 1
APPENDIX 1

BY ATR72 MEL
- 29-31-1
- 29-32-2(2)
- 30-31-3
- 30-60-4
- 35-13-1
- 52-11-1
- 52-31-2
: LO LVL alert
: BRAKE ACCU indicator
: Probe heating - Alert
: WINSHIELD HTG FAULT light
: Flight deck pressure indication
: Door alert system
: Cargo door control system
- 21-63-1
- 23-50-2
- 23-50-3
- 23-50-4
- 23-50-5
- 24-32-3
- 25-11-1
- 25-11-2
- 25-21-1
- 25-31-1
- 25-40-1
- 25-40-2a/b
- 25-45-1
- 25-60-1(2)
- 25-64-2
- 25-64-3
: Recirculation fans
: COMPT indication
: Headset
: Hand microphone
: Boom set
: Cockpit loudspeaker
: SVCE & UTLY BUS control system
: Flight crew seat
: Flight deck observer seat
: Required cabin attendant seat
: Passenger seats
: Torches
: Interior/Exterior Lavatory Ashtray
: Portable protective breathing equipment
: ELT Emergency Locator Transmitter
: Infant Life Vest and Infant Safety Belt
: Adult Life Vest
ISS. 01 REV. 15 - DATE: 01 AUG 2015
- 33-34-1
: Cargo bay light

: Main wheel well light
33-41-1
: NAV light system
33-42-1
: LAND light
33-43-1
: STROBE light
33-46-1
: TAXI and TO light
33-47-1
: LOGO light
33-48-1
: BEACON light
33-49-1
: WING inspection light
33-49-2
: IEP light
33-50-1
: EMER EXIT DISARM light
33-50-2
: Photoluminescent floor proximity emergency
escape path marking lights
33-50-3
: Ceiling emergency lighting
34-15-1
: TAT/SAT TAS indicator
34-55-2
: Navigation Data Bases
35-13-1
: Flight Deck Pressure Indication
35-15-1
: Bottle gauge
35-35-1
: Portable oxygen bottle
52-11-1
: Door alert system
52-31-1
: Cargo door motor actuator
52-31-2
: Cargo door control system
52-50-1
: Cockpit door locking system
PMM 61-10-00
: Blade Erosion Film
- 33-37-1
A18: APPLYING OF ATR72 MEL ITEMS

- 21-22-1
A18: APPLYING OF ATR72 MEL ITEMS - (CONTD)
Appendix 1- ATR72 - Page 1/3
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 1
APPENDIX 2
A18: APPLYING OF ATR72 MEL ITEMS - (CONTD)

- 25-65-1
- 26-12-1
- 26-12-2
- 26-30-1
- 26-23-1/2
- 28-23-3
- 28-25-1
- 28-25-2
- 28-26-1
- 28-42-1
- 28-42-3
- 28-43-1
- 29-31-1
- 29-32-2(2)
- 29-32-3
- 30-11-5
- 30-65-1(2)
- 30-80-4
- 31-21-1
- 31-53-5
- 33-10-1/2
- 33-16-1
- 33-16-2
- 33-16-3
- 33-26-1
- 33-31-1
: Emergency Medical Kit

: Fire detection loop
: Fuel SO light (integrated in CL)
: Hand fire extinguisher
: X FEED Valve/Flow bar
: FUEL X FEED memo light
: Refueling panel
: Pressure refuelling cap
: LP VALVE position indicator
: Fuel QTY Indication
: Fuel QTY test system
: Fuel level sticks
: LO LVL alert
: BRAKE ACCU indicator
: Accumulators pressure indicator (hydraulic bay)
: DE-ICING memo light
: Windshield wiper (FAST/SLOW selection)
: ICING AOA light
: Clock
: EMER AUDIO CANCEL
: Cockpit /Cabin lights
: ANN Light
: NO SMKG memo Light
: SEAT BELTS memo Light
: Cabin signs
: Nose wheel well light
ISS. 01 REV. 15 - DATE: 01 AUG 2015
B1/B2 EXTENSION FUNCTION: ATR72 MEL ITEMS

ATA21
- 21-23-2
- 21-31-2
- 21-31-6
- 21-50-1
- 21-51-2
- 21-51-3
- 21-51-5
: Under floor Valve

: DESCENT RATE selector
: Indications and controls on maintenance panels
: Pack
: Pack FAULT alert
: Turbo fan
: AUX AFT cargo ventilation valve
ATA22
- 22-36-1
- 22-70-4
: Mode annuciator (on EADI)

ATA24
- 24-21-4
- 24-22-4
- 24-30-2
- 24-32-4
- 24-69-1
: BUS OFF alert

: ACW BUS OFF alert
: Transformer Rectifier Unit (TRU)
: DC BUS OFF alert
: DC AMP indicator (left hand panel)
ATA26
- 26-12-3
- 26-15-5
: ENG2 NAC OVHT

: AUX AFT COMPT DISCH AGENT light
ATA27
- 27-36-3
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
APPENDIX 2
ATA29
- 29-11-2
- 29-21-1
- 29-32-1
- 29-32-3
- 29-33-2
: DC AUX pump
: X-FEED valve
: LO PR alerts
: Accumulators pressure indicator
: DC AUX pump OVHT alert
ATA30
- 30-11-2
- 30-11-3
- 30-11-4
- 30-21-1
- 30-21-2
- 30-53-1
- 30-53-2
- 30-60-3
- 30-61-1
- 30-61-3
- 30-61-4
- 30-70-1
: Airframe de-icing boots system

: Engine/Airframe Mode Selector
: AIRFRAME AIR BLEED FAULT alert
: Engine de-icing (anti-icing) boots system
: Engine/Airframe de-icing boots FAULT alert
: Horn anti-icing system
: Horn anti-icing FAULT Alert
: Side windows FAULT light
: Propeller anti-icing system
: Propeller Mode selector
: Propeller FAULT alert
ATA31
- 31-32-2
- 31-53-3
- 31-53-6
- 31-70-1
: Aircraft Integrated Data System (AIDS)

: Master CAUTION (MC) lights and associated
Cancel function
: TO CONFIG test
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
APPENDIX 2
ATA32
- 32-31-3
- 32-61-1
: Landing gear lever retraction system and uplocking

system
: Landing gear position indicating system
ATA34
- 34-12-2
- 34-13-1(2)
- 34-14-1
- 34-41-1
- 34-48-2
- 34-51-1
- 34-57-1
- 34-76-1
: STBY altimeter
: Airspeed Indicator Speed selector
: Vertical speed indicator
: Weather radar
: Ground Proximity Warning System
: Distance Measuring Equipment
: Airborne Collision Avoidance System
ATA36
- 36-70-1
ATA52
- 52-12-1
: Passenger Door Torque Tube
ATA61
- 61-60-1
ATA73
- 73-31-1
- 73-60-1
: Fuel flow indicator

ATA74
- 74-31-1
ATA77
- 77-60-1
: CONT RELIGHT memo light or MAN IGN memo light

ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 1
APPENDIX 1

BY B777 MEL
A18: APPLYING OF B777 MEL ITEMS - (CONTD)

- 29-30-02
- 30-41-02
- 24-22-01-01 : Ground Handling
- 30-41-03
- 26-21-02-02A: Squib Continuity Verified

- 27-02-04
: PFCS Interface
- 27-21-02
: Rudder Trim Indicator
- 27-62-01
: Automatic Speedbrake Function
- 32-41-01
: Brake Accumulator Pressure Indicator
(Wheel Well).
- 32-41-02
: Brake Accumulator Pressure Indicator
(Flight Deck)
- 32-45-02
: Wheel Tie Bolts
- 32-45-04
: Nose Gear Spin Brakes
- 32-61-01-01 : Truck Tilt Sensors
- 32-61-01-02 : Nose Gear Not Compressed Sensors
- 35-11-01-01 : Crew Oxygen Pressure Indication System
- 49-94-01A : APU OIL QTY Indication- APU Required
- 52-11-05
: Passenger Entry Door Flight Lock
Systems
- 52-35-03
: AFT Small Cargo DOOR LATCHED Light
- 52-37-03
: AFT Large Cargo DOOR LATCHED Light
- 52-71-01
: Door Indication Systems
- 79-31-01
: Engine Oil Quantity Indicating Systems
- 30-41-04
- 30-42-01
- 31-25-01
- 31-25-02
- 31-33-01
- 31-35-01
- 31-35-02
- 31-51-01
- 31-51-02
- 32-00-01
- 32-41-03
- 32-44-01
- 32-45-01
- 32-45-02
- 32-45-04
- 32-49-01
- 33-11-01
- 33-13-01
- 33-21-01
- 33-24-01
- 33-31-01
- 33-31-02
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Appendix 1- B777 - Page 1/5
: Hydraulic Synoptic Display

: Flight Deck Side (No. 2) Window Heater Sys.
: Flight Deck AFT (No. 3) Window Heater Sys.
: Window Heat INOP Lights
: Windshield Wipers
: Clocks
: Clocks Switches
: Airborne Printer (Flight Deck)
: Quick Access Recorder
: ACMF
: Master Warning Lights (Glareshield)
: Master Caution Lights (Glareshield)
: Landing Gear Synoptic Display
: BRAKE SOURCE Indication System
: Brake Status Lights (On Nose Gear)
: Wheel Brakes
: Wheel Tie Bolts
: Nose Gear Spin Brake
: Tire Pressure Indication System
: Flight Compartment and Instrument Lighting
System
: Master Brightness Control
: Cabin Interior Illumination
: Passenger Information Signs (No Smoking/Fasten
Seat Belt/Return To Seat)
: Main Wheel Well and Nose Wheel Well Service
Area Lights
: Exterior Cargo Loading Area Lights
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 1
APPENDIX 1
A18: APPLYING OF B777 MEL ITEMS

- 21-41-01
- 21-41-02
- 21-45-01
- 21-45-02
- 21-51-03
- 21-52-08:
- 23-41-01-02
- 23-42-01-05
- 23-42-02-02
- 23-42-03-03
- 23-51-03A
- 23-51-04-02
- 25
- 26-26-01
- 27-02-04
- 28-22-05
- 28-40-01
- 28-41-04
- 28-42-01
- 28-43-01
- 28-44-01
- 29-18-01
- 29-18-02-01
- 29-18-02-02
- 29-21-02
- 29-30-01
: Lower Lobe Attendant Rest (LLAR) Electric

Heaters
: CR Electric Heaters
: Flight Deck Foot Heaters
: Flight Deck Shoulder Heaters
: Pack OFF Lights
: LLAR Duct Temperature sensor
: Other Than Nose Gear Jacks
: MEC Flight Interphone Jack
: Flight Deck Ground Call System
: Crew Rests
: Flight Deck Hand Microphones
: Headset Earphones/Headphones
: ALL
: Portable Fire Extinguishers
: PFCS Interface
: Crossfeed VALVE Lights
: Fuel Synoptic Display
: Total Fuel Quantity Indication
: Fuel Pump Low PRESS Lights
: Fuel Temperature Indicating System
: Measuring Sticks
: Reservoir Quantity Gage
: Charging Valves
: Charging Gages
: RAT UNLKD Light
: Hydraulic Pump FAULT Lights
ISS. 01 REV. 15 - DATE: 01 AUG 2015
- 33-37-01
- 33-41-01
- 33-42-01
- 33-42-02
- 33-42-03
- 33-43-01
- 33-43-02
- 33-44-01
- 33-45-01
- 33-51-01
- 33-51-02
- 33-51-03
- 34-21-02
- 35-31-01
- 35-31-02
- 36-20-03
- 36-20-04
- 38-10-01
- 38-30-01B
- 45-10-01
- 45-11-01
- 45-12-01
- 49-11-01
- 49-42-01B
- 49-70-01
: Cargo Compartment Lights

: Wing Illumination Lights
: Taxi Lights
: Landing Lights
: Runway Turnoff Lights
: Position Lights
: Tail Lights
: Anti-Collision Light Systems (Red Strobes/ White
Strobes)
: LOGO Lights
: Interior Emergency Lights
: Exterior Emergency Slide Lights
: Floor Proximity Emergency Lighting Systems
(Passenger)
: Static Air Temperature (SAT) Indication
: Portable Oxygen
: Protective Breathing Equipment (PBE)
: Bleed Air Isolation Valve CLOSED Lights
: APU Bleed Air Valve OFF Light
: Potable Water Indication System
: Lavatory Waste.
: Central Maintenance Computing System (CMCS)
: Maintenance Access Terminal (MAT)
: Portable Maintenance Access Terminal (PMAT)
: Auxiliary Power Unit (APU)
: Procedures Do Not Require APU
: APU FAULT Light
: APU OIL QTY Indication
- 49-94-01
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 1
APPENDIX 2

- 49-94-02
- 52-00-01
- 52-34-03
- 52-35-03
- 52-37-03
- 52-51-03
- 52-51-06
- 52-71-01
- 56-11-01
B1/B2 EXTENSION FUNCTION: B777 MEL ITEMS
: APU OIL PRESS Indication

: Doors Synoptic Display
: Forward Cargo DOOR LATCHED Light
: Aft Small Cargo DOOR LATCHED Light
: Aft Large Cargo DOOR LATCHED Light
: Boeing Enhanced Flight Deck Security Door Dead
Bolt.
: Flight Deck Door Viewing Port
: Door Indication Systems
: Flight Deck Window Indication Systems
(Side - No. 2)
ATA 22 Contd
- 22-11-02A : Autopilot Backdrive Actuator Systems One
Inoperative
ATA 23
- 23-24-02
: Emergency Locator Transmitter (ELT) (Fixed)
- 23-31-01-03 : Cabin Speakers

- 23-39-01
- 23-41-01
- 23-42-01
- 23-51-02
- 23-51-04
- 23-71-01
: Cabin Area Control Panels (CACP)/Cabin System

Control Panels (CSCP) (Passenger)
: Service Interphone System
: Cabin Interphone Systems
: Flight Deck Speakers
: Flight Deck Headsets/ Head Phones
: Cockpit Voice Recorder (CVR) System
ATA 24
- 24-11-01
- 24-11-02
- 24-25-01
- 24-28-01
- 24-28-02
- 24-28-03
- 24-28-04
- 24-41-01
- 24-41-02
- 24-61-01
ISS. 01 REV. 15 - DATE: 01 AUG 2015
: Engine Driven Generator Systems(IDG, GCB)

: Integrated Drive Generator (IDG) Oil Pressure
Indication Systems
: Backup Electrical Power System (Backup
Generators, Converter and CCBs)
: GEN CONT OFF Lights
: APU GEN OFF Light
: BUS TIE ISLN Lights
: BACKUP GEN OFF Lights
: External Power Systems
: Bus Power Control Unit
: Ground Handling Transformer Rectifier Unit
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 2
APPENDIX 2
ATA 21
- 21-00-01
- 21-25-01
- 21-26-01
- 21-73-01
- 21-26-02
- 21-26-03
- 21-26-05
- 21-26-06
- 21-27-01
- 21-27-02
- 21-27-03
- 21-27-04
- 21-27-05
- 21-27-08
- 21-27-09
- 21-27-10
- 21-27-11
- 21-31-04
- 21-73-01
ATA 22
- 22-11-01A
: Environmental Control System Miscellaneous Cards

(ECSMC)
: Recirculation Fans
: Lavatory/Galley Ventilation Fans
: Ozone Converters
: Chiller Boost Fan
: Bulk Cargo Ventilation Fan
: Forward Cargo Air Conditioning (FCAC) Exhaust
Fan
: Chiller Exhaust System
: Equipment Cooling Air Filter
: Equipment Cooling Supply Fans
: Equipment Cooling Override Valve Motors
: Equipment Cooling Low Flow Sensors
: Equipment Cooling Vent Fan
: Equipment Cooling Controllers
: SATCOM Backup Cooling Fans
: In-Flight Entertainment System (IFES) Equipment
Cooling Fan
: In-Flight Entertainment System (IFES) Equipment
Cooling Smoke Detector
: Remote Cabin Pressure Sensor
: Ozone Converters
ATA 27
- 27-00-01
- 27-02-01
- 27-02-02
- 27-02-03
- 27-02-06
- 27-03-01
- 27-03-02
- 27-03-03
- 27-11-02
- 27-31-01
- 27-32-01
- 27-41-03
- 27-48-01
- 27-48-02
- 27-59-01
- 27-61-01
- 27-62-01
ATA 28
- 28-21-01
- 28-22-01
- 28-22-02
- 28-22-03
- 28-22-06
: Autopilot Flight Director Computers (AFDC) One

Inoperative
ISS. 01 REV. 15 - DATE: 01 AUG 2015
: Flight Controls Synoptic Display

: Bank Angle Protection
: Primary Flight Computer (PFC) Lane
: Primary Flight Computer (PFC) Channels
: Flight Control Hydraulic Shutoff Valve Systems
: Flap/Slat Control Lanes
: Flap Secondary Control
: Slat Secondary Control
: Control Wheel Position Transducers
: Control Column Position Transducers
: Stall Warning Systems
: Stabilizer Trim Rate Solenoid Valves
: STAB Position Indicators
: Stabilizer Position Transducer Modules
: Flap/Slat Skew Sensors
: Speedbrake Lever Position Transducers
: Automatic Speedbrake Function
- 28-25-01
- 28-31-01
: Pressure Fueling System

: Main Tank Fuel Pumps
: Center Tank Fuel Override/Jettison Pumps
: Crossfeed Valves
: Fuel Shutoff Valve Battery
: APU DC Fuel Pump
: Fuel Jettison System
: Main Tanks Jettison Pumps
- 28-31-03
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 2
APPENDIX 2

ATA 28 Contd
- 28-31-04
: Fuel Jettison Nozzle Valves
- 28-41-02
: Fuel Quantity Processor Input/Output (I/O)
Channels
ATA 45
- ALL
ATA 29
- 29-31-01

ATA 36 Contd
- 36-20-02
: Engine Bleed Air Valve OFF Lights
ATA 49
: Hydraulic System Pressure Transducers
- 29-11-04-01 : Center System AUTO Position
- 49-15-01
- 29-11-04-02 : Left & Right System AUTO Position
- 49-43-01
- 29-11-04-03 : Demand Pump Selectors ON Position
- 49-52-01
- 29-11-05
: Hydraulic Interface Module (HYDIM) Cards

: Hydraulic System Accumulators
- 49-61-01
: Wing Anti-Ice Indications (WAI)

: Pitot Probe Heater Systems
: Total Air Temperature (TAT) Probe Heater System
- 52-11-01
- 52-11-03
- 29-18-02
ATA 52
ATA 30
- 30-11-03
- 30-31-01
- 30-33-01
ATA 31
- 31-51-03
- 31-51-06
- 31-61-01
- 31-61-02A
- 31-61-07
- 31-61-09-01
- 31-61-11
ATA 32
- 32-08-01
- 32-09-01
- 49-61-02
: APU Air Inlet Door Actuation System

: APU Air Turbine Starter
: APU Bleed Air System
: APU Controller Faults
: APU Ground Control Panel
- 52-11-04
- 52-11-05
- 52-34-01
: Aural Warning Speaker Systems

: TAKEOFF Configuration CHECK Switch
: Display Units (DU)
: Cursor Control Devices (CCD)
: Electronic Checklist (ECL) System
: NAV and DSPL CTRL Switches
: Heading Reference (HDG REF) Switch
- 52-34-02
- 52-35-01
- 52-37-01
- 52-37-02
- 52-51-02
: Proximity Sensor Electronic Unit (PSEU) Channels

: Air/Ground System: Weight On Wheels
ISS. 01 REV. 15 - DATE: 01 AUG 2015
- 52-71-02
: Passenger Entry Doors or Slide/Rafts

: Main Entry Doors Hold-Open Mechanisms
: Main Entry Doors Hold-Open Release Handle s
: Main Entry Door Flight Lock Systems
: Forward Cargo Door Hook/Latch System (Electric
Mode)
: Forward Cargo Door Lift System (Electric Mode)
: Aft Small Cargo Door Lift/Latch System
: Aft Large Cargo Door Hook/Latch System (Electric
Mode)
: Aft Large Cargo Door Lift System (Electric M ode)
: Boeing Enhanced Flight Deck Security Door
Automatic Locking System
: Main Entry Door Status Annunciation and Alerting
Systems (Flight Attendant)
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 2
APPENDIX 2
ATA 32- Contd

- 32-31-01
: Landing Gear Lever Lock Solenoid
- 32-35-02
: Ground Door Release Control System
- 32-41-01
: Brake Accumulator Pressure Indicator (Wheel Well)
- 32-41-02
: Brake Accumulator Pressure Indicator (Flight Deck)
- 32-44-03
: Parking Brake Set Indication System (Flight Deck)
- 32-46-01
: Brake Temperature Monitor System (BTMS)
- 32-53-01
: Main Gear Steering System (Including Indication)
- 32-61-01
: Landing Gear Position Indication Systems
- 32-61-02
: Landing Gear Door Position Sensors
- 32-61-03
: Landing Gear Uplock Position Sensors
- 32-71-01
: Tail Strike Detector Channels
ATA34
- 34-12-01
- 34-12-02
- 34-21-01
- 34-21-06
- 34-23-01
- 34-61-02
- 34-61-03
: Mach Indications
: True Airspeed Indications
: Dual Total Air Temperature (TAT) Systems
: Angle of Attack (AOA) Vane Systems
: Non-Stabilized Magnetic Compass (Standby)
: FMC Selector
: Control Display Units (CDU)
ATA 73
- 73-21-02
- 73-21-03
- 73-21-06
: Electronic Engine Controls (EEC) Normal Mode

: Electronic Engine Controls (EEC) NORM/ALTN
Mode Lights
: EEC C1 Faults
: Engine Fuel Shutoff Valve Indication Systems
ATA 74
- 74-00-01
: Ignition Systems
- 73-21-04
ATA 77
- 77-21-01
- 77-31-01
: Pyrometer Exhaust Gas Temperature (EGT)

Indication System
: Engine Vibration Monitor Systems
ATA 78
- 78-36-01
: Reverser Proximity Sensors
ATA 79
- 79-31-01
ATA 80
- 80-11-01
- 80-11-02
: Engine Start Valves

: Auto Start System
ATA 36
- 36-00-01
- 36-00-01
- 36-12-03
: Air Supply and Cabin Pressure Controllers

: Air Supply and Cabin Pressure Controllers
(ASCPC)
: APU Bleed Air Shutoff System (Valve and/or
Indications)
: Air Synoptic Displays
- 36-20-01
ISS. 01 REV. 15 - DATE: 01 AUG 2015
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 3
APPENDIX 3
Cabin level 1 repair staff is permitted to perform and

sign-off for cabin maintenance as follow:
Cabin level 2 repair staff is permitted to perform and

sign-off for cabin maintenance as follow:
1. SEAT: Attendant/ PAX seats
1. SEATS
- Mechanical parts
2. CARPETS and CURTAINS
- Seat control system (excluding Business class seats)
3. CABIN LIGHTING
2. CARPETS and CURTAINS
- Bulb /Lamp/ Cover/ Ballast/ PSU
3. CABIN LIGHTING
4. CABIN LOOSE EMERGENCY EQUIPMENT (excluding ELT)
- Bulb/ Lamp/ Cover
5. GALLEY: All equipments
4. CABIN LOOSE EMERGENCY EQUIPMENT (excluding ELT)
6. LAVATORY: All equipments (excluding smoke detectors)
5. GALLEY: mechanical part only
7. OTHER ITEMS
6. LAVATORY: cosmetic part only
- Sun Visor/ Window roller/ Chart holder/ Pilot Sliding Table
7. OTHER ITEMS
- PAX AirService furnishing equipment (Stretcher, basinet, flower

basket )
- Sun Visor/ Window roller/ Chart holder

- PAX AirService furnishing equipment (Stretcher, basinet, flower
basket )
- Placards
- Stowages
- Placards
- PAX Oxygen (excluding works which requires auto deploy test)
- Stowages
- Ceiling/ Upper/ Lower/ Cove-Light panels
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Appendix 3- Cabin - Page 1/7
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 3
APPENDIX 3
Cabin level 2 repair staff, in scope of authorization, is

permitted to defer cabin defects. For defects to be
defered I.A.W applicable MEL, as following:
A321:
- 23-73-04-01A : Passenger Call
A321: (Cont)
- 26-24-01
: Portable Extinguisher
- 26-25-01
: Lavatory Fire Extinguishing
- 33-21-01A
: Cabin General Illumation
- 33-51-01B
: Exit Marking Sign
- 33-51-02A
: Exit Location Sign In The Main Aisle
- 33-51-03A
: Overhead Emergency Lighting System in the

Main Aisle
- 23-73-05
: Cabin Loudspeaker
- 25-11
: Pilot Seat
- 25-13-01
: Pilot Sliding Table
- 35-20-01A
: Passenger Oxygen Unit
- 25-12
: Third and Fourth Occupant Seats
- 35-20-02A
: Cabin Attendant Oxygen Unit
- 25-20-01
: Passenger Seat
- 35-20-03A
: Lavatory Oxygen Unit
- 25-20-03
: Cabin Attendant Seat
- 35-20-04A/B
: Galley Oxygen Unit
- 25-35-01
- 35-20-05A
- 25-40-01
- 35-30
: Portable Oxygen
- 25-40-02
: Exterior Lavatory Ashtray
- 25-40-03
: Interior Lavatory Ashtray
- 25-62-05
: Survival Kit
- 25-64-01
: First Aid Kit
- 25-64-02
- 25-65-01
: Cockpit Flash Light
- 25-65-02
: Cabin Flashlight
- 25-65-05
: Fireproof Gloves
- 25-65-06
: Megaphone
- 25-66-01
: Life Vest
- 25-66-02
: Standby Raft
ISS. 01 REV. 15 - DATE: 01 AUG 2015
A330
- 23-73-04
: Cabin Invidual Call
- 25-11
: Pilot Seat
- 25-12
: Third And Fourth Occupant Seats
- 25-13-01
: Pilot Sliding Table
- 25-20-01
: Cabin Passenger Seat
- 25-20-02
- 25-35-01
- 25-40-01
- 25-40-02
: Exterior Lavatory Astray
- 25-40-03
: Interior Lavatory Astray
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 3
APPENDIX 3
A330: (Cont)
ATR72: (Cont)
- 25-62-03
: Survival Kit
- 1-25-21-1
- 25-64-01
: First Aid Kit
- 1-25-65-1
: FAK
- 25-64-02
- 1-25-40-1
: Torches
- 25-65-01A
: Cockpit Flash Light
- 1-25-40-2
: Astray
- 25-65-02A
: Cabin Flash Light
- 1-25-45-1
: PBE
- 25-65-05A/B
: Fireproof Gloves
- 1-25-60-1
- 25-65-06
: Megaphone
- 1-25-62-4
: Megaphone
- 25-66-01A/B
: Life Vest
- 1-25-64-2
: Infant Life Vest and Infant Safety Belt
- 26-24-01A
- 1-25-64-3
: Adult Life Vest
- 26-25-01A
: Lavatory Fire Extinguishing System
- 1-35-65-1
- 33-21-01A
: Cabin General Illumation
- 1-35-35-1
: Portable Oxygen
- 33-20-01
: Cabin Signs
- 33-20-02
: Lavatory Sign
- 33-51-01
: Cabin Overhead Emergency Lighting
- 33-51-03A
: Cabin Lavatory Auxiliary Light
- 33-51-04A
: Cabin Exit Sign
- 35-20-01A
: Cabin Attendant And Pax Invidual Oxygen

Module
B777:
- 35-20-03A
: Lavatories Oxygen Module
- 35-20-04A
- 35-30
: Portable Oxygen
ATR72:
- 1-25-11-1
: Crew Seat
- 1-25-31-1
: Passenger Seat
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
APPENDIX 3
B777: (Cont)
- 25-63-02
: Fasten Seat Belt While Seated Placards
- 25-64-01
: Megaphones (Passenger)
- 25-64-02
: Flight Attendant Flashlight Holder

Assemblies (Including Flashlight)
- 25-64-03
: Emergency Medical Equipment
- 25-64-04
: Security Kits
- 26-26-01
: Portable Fire Extinguishers
- 33-21-01
: Cabin Interior Illumination
- 33-24-01
: Passenger Information Signs
- 35-31-01
: Portable Oxygen Dispensing Units
- 35-31-02
: Portable Breathing Equipment (Pbe)
- 38-10-01A
: Portable Water System
- 38-30-01A
: Lavatory Waste System
ISS. 01 REV. 15 - DATE: 01 AUG 2015
- 25-11-01
: Flight Crew Seats
- 25-11-02
: Observer Seats
- 25-20-01
: Non-Essential Equipment and Furnishings

(NEF)
- 25-25-01
: Flight Attendant Seats
- 25-25-02
: Passenger Seats
- 25-28-01
: Stowage Bin and Galley Storage

Compartment/ Closet
- 25-30-01
: Galley/ Cabin Waste Container Access

Door/Covers
- 25-41-01
: Exterior Lavatory Door Ashtrays
- 25-60-01
: Infant Lifeves Jackets
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 4
APPENDIX 4
A320/A321- ME 128 REPAIR - MEL/CDL ITEMS
- 21-01-01
- CDL 21-01
: Ram Air Inlet Flap
- 21-01-02-01
: CABIN PRESS MODE SEL pb-sw FAULT

light
- CDL 21-03
: Ram Air Inlet Leading Edge
- CDL 28-02
: Refuel Panel Door
- 21-01-03-02
: AFT ISOL VALVE pb-sw FAULT light
- CDL 30-01
: Icing Indicator
- 21-01-04
: VENTILATION Overhead Panel
- CDL 51-01
: Radome conductive strip
- 21-07-01
: Indications on the BLEED SD page
- CDL 51-02
: Passenger Door Scuff Plate
- 21-07-02-01
: INLET and EXTRACT Indications on the

CAB PRESS SD page
- CDL 51-03
: Bulk Cargo Door Scuff Plate
- CDL 52-01
: Toilet Servicing and Drainage Door
- CDL 52-02
: Access Door to Hydraulic Ground Connectors

197 CB 197 EB 198 CB
- CDL 52-03
: Access Door to Potable Water Filling and

Drainage
- CDL 52-04
: Access Door to Opening Control of Landing Gear

Doors on Ground 195 BB 196 BB
- CDL 52-05
: Access Door to Air Conditioning Ground Supply

191 CB
- CDL 52-07
: External Power Ground Connection Access Door

Assy 121 AL
- CDL 52-08
: Access Door Of Cargo Opening System 134 AR

154 AR
- 21-07-02-03
: Pack 1 and 2 Indications on the CAB

PRESS SD page
- 21-07-03-01
: Indications on the COND SD page
- 21-07-04-01
: Indications on the CRUISE SD page
- 25-07
- 25-11
: Pilot Seats
- 25-12
- 25-15-01
: Pilot Foot Warmer
- 25-20-03
- 35-01
: Overhead Panels
- 35-07
- 35-10
: Crew Oxygen
- CDL 52-19
: Pax Door Upper Cover Plate
- 35-20
: Passenger Oxygen
- CDL 52-20
: Access Door to HP Air Ground Connector 191 DB
- 52-01-01
: CKPT DOOR CONT Normal Overhead

Panel
- CDL 52-21
: Blue Hydraulic Access Door 197 FB
- CDL 52-22
: Forward Cargo Door Access Cover Panel 825 AR
- 52-07
- 52-30
: Cargo Door
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Appendix 4- A320/321 REPAIR - Page 1/9
- CDL 52-23
: Aft Cargo Door Access Cover Panel 826 AR
- CDL 53-01
: Belly Fairing Vent Louver Vane
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 4
APPENDIX 4
- 27-01-01
- CDL 27-13
: Inter-flap Cushion Seal
- 27-07
: Indications on SD pages
- CDL 27-14
: Flap Track Moveable Fairing Seal
- 28-01-01
- CDL 27-15
: Flap Track Fixed Fairing Seal
- 28-07
: Indications on the FUEL SD page
- CDL 27-17
: Flap Tab Fairing
- 28-21
: Main Fuel Pump System
- CDL 32-03
: Nose Wheel Hubcap
- 28-25-01
: Fuel Quantity Preselector
- CDL 32-04
: Nose Fitting Towing
- 28-25-02
: Fuel Quantity on the Refuel/Defuel Control Panel
- CDL 52-09
: Nose Landing Gear Main Door (713, 714)
- 32-07
: Indications on the WHEEL SD page
- CDL 52-10
: Nose Landing Gear Aft Door (715, 716)
- 32-41-01
: Nose Wheel Tie Bolt
- CDL 52-11
: Nose Landing Gear Leg Door (712)
- 32-41-02
: Main Wheel Tie Bolt
- CDL 52-12
- 32-44-02
: ACCU PRESS Indicator
: Main Landing Gear Door (732, 742) (flight

with gear up)
- 32-44-03
: RAKES Pressure Indicator
- CDL 52-13
: Main Landing Gear Door (733, 743) (flight

with gear up
- CDL 52-14
: Main Landing Gear Door (732, 742) (Flight

with gear down)
- CDL 52-15

with gear down)
- CDL 52-16

with gear down)
- CDL 52-18
: Main Landing Gear Door : Seal On

Secondary Hinged Fairing
- 32-47-01
- 25-20-03
: Brake Fan System
- 32-48-01
: Overhead Panels
- 32-48-02
: BRK FAN pb-sw HOT light
- 32-48-03
: BRK FAN pb-sw ON light
- CDL 27-01
: Flap Track Fairing
- CDL 27-02
: Flap Track Fairing 1A Extension
- CDL 27-06
: Flap Track Fairing Rear Top Cover and Tail Cone
- CDL 53-03
: Root Fillet Fairing
- CDL 27-07
: Rubber Seal under Slat
- CDL 57-01
: Wing Tip Fence
- CDL 27-08
: Seal Between Inboard and Outboard Flap
- CDL 57-02
: Belly Fairing Sliding Panel
- CDL 27-11
: Slat Track Filler Block
- CDL 57-03
- CDL 27-12
: Slat Track Sealing Packer
: Outboard Flap Rubbing Strip Items 40, 70,

80, 85, 100, 120
ISS. 01 REV. 15 - DATE: 01 AUG 2015
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 4
APPENDIX 4
- 26-12
: Engine Fire and Overheat Detection
- 26-12
: Engine Fire and Overheat Detection
- 26-13
: APU Fire and Overheat Detection
- CDL 27-05
: Access Panel for Bearings at Elevator
- 26-22
: APU Fire Extinguishing
- CDL 49-01
: APU Overpressure Release Door
- 49-07-01
: Indications on the APU SD page
- CDL 54-01
: Nacelle Strake
- 49-10-02
: APU Air Intake Flap
- CDL 54-03
- 70-00-01
: ENG FADEC MAINTENANCE Message
: Pylon Pressure Relief Door 413(423) BL

414(424) BR
- 70-00-02
: ENG EIU MAINTENANCE Message
- CDL 54-04
: Pylon Access Door 415(425) AL 415(425) AR
- 70-00-03
: ENG EVMU MAINTENANCE Message
- CDL 54-05
: Pylon Fairing Seal
- 73-07-01
: F. USED Indication on the ENGINE SD page
- CDL 54-06
: Aerodynamic Seal
- 73-07-02
: Fuel Filter Clog Indication on the ENGINE SD

page
- CDL 71-09
: Fan Cowl Hold Open Rod
- CDL 78-01
: Duct Opening Actuator
- 73-08-01
: Fuel Flow Indication on the EWD
- CDL 78-03
: Thrust Reverser Blocker Door
- 73-09-01
: ENG 1(2) FUEL FILTER CLOG Alert
- CDL 78-04
: Lockout Pin
- 74-07-01
: Selected Igniter Indication on the ENGINE SD

page
- 77-07-02
: Indications on the ENGINE SD page
- 77-08-03
: Fuel Flow Indication on the EWD
- 78-08-01
: REV Indication on the EWD
- 78-30-01
: Thrust Reverser
- 79-07-03
: Oil Quantity Indication on the ENGINE SD page
- 80-01-31
- 80-07-01
: Start Valve Position Indication on the ENGINE

SD page
- 80-11-01
: Start Valve
- 80-12-01
ISS. 01 REV. 15 - DATE: 01 AUG 2015
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 4
APPENDIX 4
A320/A321- E&A REPAIR - MEL/CDL ITEMS
- 22-01
- 24-41
: AC External Power Control
- 22-10
: Autopilot/Flight Director (AP/FD)
- 27-51-01
: SFCC Flap Channel
- 22-30
: Autothrust
- 27-51-02
: SFCC Slat Channel
- 22-70-01
: Flight Management System (FMS)
- 27-93
: ELAC System (Elevator Aileron Computer)
- 22-70-02
: Navigation Database
- 27-94
: SEC System (Spoiler and Elevator Computer)
- 22-81-02-01
: Baro Reference Display Window
- 27-95
- 22-81-02
: EFIS Control Panel (FCU)
: FCDC System (Flight Control Data

Concentrator)
- 22-82
: Multipurpose Control and Display Unit (MCDU)
- 30-31
- 22-83
: Flight Management and Guidance Computer

(FMGC)
- 30-42
- 31-30
- 23-01
: Overhead Panels
: Centralized Fault Display System (CFDS) and

Data Recording System
- 23-10
: Speech Communication
- 31-53
- 23-13
: Radio Management
- 31-55
- 23-40
: Interphone
- 31-56
: ECAM Control Panel (ECP)
: Audio Management
- 31-62
: Display Management Computer (DMC)

: Display Unit (DU)
- 23-51
- 23-52
: Audio Control Panel (ACP)
- 31-63
- 23-72- 01
: Cockpit Door Surveillance System (CDSS)
- 31-68
: Switching Panel
- 23-73-02
: DEU A
- 31-30
- 23-73-03
: DEU B
: Centralized Fault Display System (CFDS) and

Data Recording System
- 23-73-08
: Cabin Assignment Module (CAM)
- 31-53
- 24-01
: Overhead Panels
- 31-55
- 24-23
: AC Auxiliary Generation
- 31-56
- 24-25
: AC Essential Generation Switching
- 31-62
- 24-26
: Galley and Commercial Supply System
- 31-63
: Display Unit (DU)
- 24-32
: DC Main Generation (TR 1, TR 2)
- 31-68
: Switching Panel
ISS. 01 REV. 15 - DATE: 01 AUG 2015
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 4
APPENDIX 4
A330- ME 128 REPAIR - MEL/CDL ITEMS
- 33-01
: Overhead Panels
- 21-01
: Overhead Panels
- 33-10
- 21-07
: Indications on SD pages
- 33-20
- 21-21
- 33-30
: Cargo and Service Compartment Lighting
: Cabin, Main Deck Cargo Compartment, Air

Distribution and Recirculation
- 33-40
: Exterior Lighting
- 21-23-01
: Lavatory and Galley Extraction System
- 33-51
- 21-25
: Air Conditioning Compartment Ventilation
- 34-01
: Overhead Panels
- 21-28
- 34-10
: Lower Deck Cargo Compartment Ventilation

and Cooling
- 34-11
: Sensors
- 21-31-01
: Automatic Cabin Pressure Control System
- 34-21
: Altitude and Airspeed Standby Data
- 21-31-02
: Manual Cabin Pressure Control System
- 34-22
: Attitude and Heading Standby Data
- 21-43
: Lower Deck Cargo Compartment Heating
- 34-30
: Landing and Taxiing Aid
- 21-63
: Cockpit, Cabin and Main Deck Cargo

Compartment Temperature Control
- 34-40-03
: Radio Altimeter System
- 25-11
: Pilot Seats
- 34-40-05
- 25-12
- 34-40-06
: Predictive Windshear Detection Function
- 25-13
: Lining and Furnishings
- 34-40-07
: PULL UP-GPWS pb-sw
- 25-15
: Flight Crew Foot Warmers
- 34-50
: ATC and Radio/GPS Navigation Systems
- 25-20
: Cabin Seats
- 46-21-01
: Air Traffic Service Unit (ATSU)
- 25-35
: Galley Equipment
ISS. 01 REV. 15 - DATE: 01 AUG 2015
- 25-40
: Lavatories
- 25-50
: Cargo Compartments
- 25-60
: First Aid Equipment
- 25-62
: Cabin Escape Facilities
- 25-63
: Evacuation Signaling Equipment
- 25-64
: First Aid Equipment
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Appendix 4- A330 REPAIR - Page 1/8
FORM 2051
FORM 2051
APPENDIX 4
APPENDIX 4
- 25-65
: Emergency Equipment
- 25-66
: Floatation and Survival Equipment
- 26-16
: Lower Deck Cargo Compartment Smoke

Detection
27-01
27-51
27-81-02
CDL 27-02
CDL 27-04
CDL 27-06
28-01
28-12
28-21
28-22
28-43
CDL 28-01
CDL 28-02
CDL 28-04
30-11-01
32-01
32-07-01
32-07-07
32-11
32-41
32-42
32-44
32-45
32-48
CDL 32-02
CDL 32-04
47-10-01
CDL 57-01
CDL 57-04
CDL 57-07
- 26-17
: Lavatory Smoke Detection
- 26-18
: Auxiliary Areas Smoke Detection
- 26-24
- 26-25
: Lavatory Fire Extinguishing
- 29-01
- 29-10-02
: Engine Driven Pump Depressurization Function
- 29-10-03
- 29-10-06
: Hydraulic Case Drain Filter
- 29-10-08
: Hydraulic LP System Filter
- 29-10-09
: Hydraulic Reservoir Filling Filter
- 29-20
: Auxiliary Hydraulic Power
- 35-01
: OXYGEN Overhead Panel
- 35-07
- 35-10
: Crew Oxygen
- 35-20
: Cabin and CRC Oxygen
- 35-30
: Portable Oxygen
- 52-01
: Overhead Panels
- 52-30-03
: Lower Deck Cargo Door Electrical Control
- 52-30-07
: Cargo Door Open/Locked Indicator light
- 52-51
: Reinforced Cockpit Door (CDLS)
- 52-53
: COCKPIT DOOR Panel on the Center Pedestal
ISS. 01 REV. 15 - DATE: 01 AUG 2015

: Flaps Electrical Control and Monitoring
: Slat System 2
: Slat Track Closing Plate
: Aileron Rubber Seal
: Slat End Blade Seal
: Tank Venting System
: Main Fuel Pump System
: APU Fuel Pump System
: Manual Magnetic Indicators
: Refuel/Defuel Coupling Cap
: Refuel/Defuel Control Panel Access Door on
Belly Fairing
: Fuel Pump Fairing
: Wing Anti-Ice Control Valve
: Overhead Panel
: Brakes Temperature Indication on the WHEEL SD page
: Tires Pressure Indication on the WHEEL SD page
: Main Gear pressure indicator
: Wheel tie bolt
: Normal Braking
: Alternate Braking
: Parking/Ultimate Emergency Braking
: Brake Cooling
: Main Landing Gear Door Seal
: Nose Fitting Towing
: Fuel Tank Inerting System
: Underwing Plug for Jacking Point
: Flap Track Fairing
: Flap Track Fairing Cover
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 4
APPENDIX 4
A330 - ME 34 REPAIR - MEL/CDL ITEMS
A330 - ME 34 REPAIR - MEL/CDL ITEMS
- 25-65
: Emergency Equipment
- 73-08-01A/B/C : Fuel Flow Indication on the EWD
- 27-22-03
: Rudder Trim Position Indication on the Center

Pedestal
- 73-09-03
: ENG INCREASED FUEL BURN Alert
- 73-09-05
: ENG 1(2) MINOR FAULT Alert
- 27-07-06
: PRIM Indication on the F/CTL SD page
- 73-25-02
: FADEC Channel A
- 27-07-07
: Rudder Position Indication on the F/CTL SD

page
- 74-31-01
: Ignition System A
- 27-07-08A/B
: Rudder Trim Position Indication on the F/CTL

SD page
- 74-31-02
: Ignition System B
- 75-09-01A/B
: ENG 1(2) COOL VALVE FAULT Alert
- 27-07-09
: SEC Indication on the F/CTL SD page
- 77-07-02-04
- 27-21-01
: Rudder Pedal Adjustment System
: Nacelle Temperature Indication on the ENGINE

SD page
- 27-22-02
: Manual Rudder Trim Reset Function
- 29-01-04 G(B)(Y) : ENG Driven Pump pb-sw FAULT light

- 29-01-04 G(B)(Y) : ENG Driven Pump pb-sw FAULT light
- 30-21
: Engine Air Intake Ice Protection
- 36-01
: AIR Overhead Panel
- 36-12-01
- 36-12-02
: APU Bleed Valve
- 36-12-03
: APU Bleed Check Valve
- 36-12-04
: Automatic Control of the X Bleed Valve
- 49-01
- 49-07
: Indications on the APU SD page
- 49-10
: Power Plant (APU)
- 77-08-02A
: EPR Indication on the EWD
- 78-09-01
: ENG 1(2) REV MINOR FAULT Alert
- 80-01-31
- 80-11-01
: Start Valve
- 80-12-01
- 73-07-01A/B/C : Fuel Used Indication on the ENGINE SD page

- 73-07-02
: Fuel Filter CLOG Indication on the ENGINE SD

page
ISS. 01 REV. 15 - DATE: 01 AUG 2015
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 4
APPENDIX 4
A330 - E&A REPAIR - MEL/CDL ITEMS
- 22-10
: AP/FD
- 24-38-02
: APU Battery Channel
- 22-30
: Autothrust ( A/THR )
- 24-38-04
: APU Battery Charge Limiter
- 22-70-01
: Flight Management System ( FMS )
- 24-41
: AC External Power Control
- 22-70-02
: Navigation Database
- 24-53
: AC Circuit Breaker Monitoring
- 22-81
: FCU
- 27-01
- 22-82
: MCDU
- 27-51
: Flaps Electrical Control and Monitoring
- 22-83
: FMGEC
- 27-81
: Slats Electrical Control and Monitoring
- 23-10
: Speech Communication
- 27-93
: Flight Control Primary Computer (FCPC/PRIM)
- 23-20
: Data Transmission And Automatic Calling
- 27-94
- 23-40
: Interphone
: Flight Control Secondary Computer

(FCSC/SEC)
: Flight Control Data Concentrator (FCDC)
- 23-51
: Audio Management
- 27-95
- 23-52
: ACP
- 30-31
- 23-53
: Audio Switching Panel
- 30-42
- 23-72
: Cockpit Door Surveillance System (Cdss)
- 30-81
: Ice Detection
- 23-73
: CIDS
- 31-30
: Recorders
- 23-74-01
: FAP Display Unit
- 31-53
- 23-74-02
: EMER PB On The Hardkey FAP Sub-Panel
- 31-55
: Other Controls On The Hardkey FAP Sub-Panel
- 31-56

- 23-74-03
- 23-81
: Radio Management
- 31-62
- 24-01
: Overhead Panel
- 31-63
: Display Unit (DU)
- 24-22-01
: Ac Main Generation
- 31-68
: Switching Panel
: Ac Auxiliary Generation
- 33-01
: Overhead Panels
- 33-12
- 24-23-01
- 24-25
: Ac Ess Generation Switching
- 24-26
: Galley AND COMERCIAL Supply System
- 33-20
: Cabin, CRC Signs
- 24-32
: DC Main Generation
- 33-21
: Cabin, CRC General Illumination
ISS. 01 REV. 15 - DATE: 01 AUG 2015
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 4
APPENDIX 4
B777 - ME 128 REPAIR - MEL/CDL ITEMS
- 33-30
: Cargo and Service Compartments
- 21-26-02
: Chiller Boost Fan
- 33-40
: Exterior Lighting
- 21-27-12
: Equipment Cooling Duct Pressure Sensor
- 33-51
- 21-31-08
: Outflow Valve Postion Indication
- 34-01
: ADIRS Overhead Panel
- 21-41-01
: Llar Electric Heaters
- 34-10
- 21-41-02
: Fcr Electric Heater Systems
- 34-11
: Probe/Sensor
- 21-73-01
: Ozone Converter
- 34-14
: Attitude, Heading and Position
- 26-13-01
: LAV Smoke Detection System
- 34-17
: SWITCHING Panel on the Center Pedestal
- 28-22-05
: Fuel Crossfeed VALVE Lights
- 34-21
: Altitude and Airspeed Standby Data
- 28-43-01
: Fuel Temperature Indicating System
- 34-22
: Attitude and Heading Standby Data
- 29-18-01
: Reservoir Quantity Gage (Remote)
- 34-23
: Integrated Standby Instrument System (ISIS)
- 29-18-02
: Hydraulic System Accumulators
- 34-30
: Landing and Taxiing Aid
- 29-31-01
: Hydraulic System Pressure Transducers
- 34-40-02
: Radio Altimeter Automatic Callout
- 30-42-01
: Windshield Wipers
- 34-40-03
: Radio Altimeter System
- 32-49-01
: Tire Pressure Indication System
- 34-40-04

Function
- 35-11-01-01
: Crew Oxygen System/Overboard Discharge

Indicator Disc
- 34-40-06
: Predictive Windshear Detection Function
- 35-31-02
: Protective Breathing Equipment (PBE)
- 34-50
: ATC and Radio/GPS Navigation Systems
- 38-10-01
: Potable Water Systems
- 45-01
: Overhead Panels
- 45-11-01
: Maintenance Access Terminal (MAT)
- 45-10
: Central Maintenance System (CMS)
- 52-11-03
: Main Entry Doors Hold-Open Mechanisms
- 45-20
: Up and Down Data Loading
- 52-11-04
: Main Entry Doors Hold-Open Release Handles
- 45-40
: Printing
- 52-34-02
: Forward Cargo Door Lift System (Electric Mode)
- 46-21
: Air Traffic and Information Management System
- 52-34-03
: Forward Cargo DOOR LATCHED Light
- 52-35-01
: Aft Small Cargo Door Lift/Latch System
ISS. 01 REV. 15 - DATE: 01 AUG 2015
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Appendix 4- B777 REPAIR Page15/6
FORM 2051
FORM 2051
APPENDIX 4
APPENDIX 4
- 52-35-02
: Aft Small Cargo Door Hinge System (Electric

Mode)
- 27-59-01
: Flap/Slat Skew Sensors
- 28-11-01-01
: Sump Drain Valves/Surge Tanks
- 52-35-03
: Aft Small Cargo DOOR LATCHED Light
- 28-44-01
: Measuring Sticks
- 52-36-01
: Bulk Cargo Door Counterbalance Mechanism
- 32-41-01
- 52-37-01
: Aft Large Cargo Door Hook/Latch System

(Electric Mode)
: Brake Accumulator Pressure Indicator (Wheel

Well)
- 32-44-01
: Brake Status Lights (On Nose Gear)
- 52-37-02
: Aft Large Cargo Door Lift System (Electric

Mode)
- 32-45-04
: Nose Gear Spin Brake
- 52-37-03
: Aft Large Cargo DOOR LATCHED Light
- 56-11-01
: Flight Deck Window Indication Systems (Side No. 2)
- CDL 23-61-01 : Static Discharger

- CDL 57-00-01 : Wing Vortex Generator
- CDL 52-35-01 : Aft Small Cargo Door Control Door

- CDL 52-35-02 : Aft Cargo Handling Control Door
- CDL 52-37-01 : Aft Large Cargo Door Control Door
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Appendix 4- B777 REPAIR - Page 2/6
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 4
APPENDIX 4
B777 ME 34 REPAIR - MEL/CDL ITEMS
- 24-11-02
: Integrated Drive Generator (IDG) Oil Pressure

Indication Systems
- 75-23-02
: Core Compartment Cooling Valves (GE)
- 78-31-01
: Thrust Reversers
- 24-28-01
- 79-31-01
- 24-28-02
: APU GEN OFF Light
- CDL 23-61-01 : Static Discharger
- 24-28-04
- CDL 54-53-01 : Strut Aft Mount Access Panel
- 27-21-02
: Rudder Trim Indicator
- CDL 54-53-02 : Strut Pressure Relief Door
- 27-48-01
: STAB Position Indicators
- CDL 55-20-01 : Elevator Access Cover
- 36-11-05
: Fan Air Modulation Valves ( FAMV)
- CDL 55-40-01 : Vertical Stabilizer Tip Fairing Rudder Seal
- 36-12-03
: APU Bleed Air Shutoff System (Valve and/or

Indications)
- CDL 55-40-02 : Rudder-to-Fuselage Seal

- CDL 55-40-03 : Rudder-to-Tab Streamwise Seal
- 36-20-02
: Engine Bleed Air Valve OFF Lights
- 36-20-04
: APU Bleed Air Valve OFF Light
- 36-21-02
: Intermediate Pressure Sensing Systems
- 49-11-01
: Auxiliary Power Unit (APU)
- 49-61-01
: APU Controller
- 49-61-02
: APU Ground Control Panel
- 49-70-01
: APU FAULT Light
- CDL 71-11-01 : Oil Tank Sight Glass Door/Pressure Relief

Door
- 49-71-01
: APU EGT Indication
- CDL 71-11-02 : Engine Cowl Inlet Streamwise Aerofiller
- 49-73-01
: APU RPM Indication
- CDL 71-11-03 : Fan Cowl Pressure Relief Door
- 49-94-01
: APU OIL QTY Indication
- CDL 71-11-04 : Oil Tank Access Door (GE)
- 49-94-02
: APU OIL PRESS Indication
- CDL 71-11-05 : Fan Cowl Hoist Point Plugs (PW and GE)
- 73-21-03
: Electronic Engine Controls (EEC) NORM/ALTN

Mode Lights
- 73-21-04
: EEC C1 Faults
- 75-23-01
: Nacelle Zone Ventilation Valves (PW)
ISS. 01 REV. 15 - DATE: 01 AUG 2015
- CDL 55-40-04 : Rudder Tab-to-Fuselage Seal

- CDL 55-40-05 : Rudder Access Cover
- CDL 55-40-06 : Rudder Tab Access Cover
- CDL 55-40-07 : Rudder Tab Control Rod Fairing
- CDL 55-40-08 : Vertical Stabilizer-To-Fuselage Seal
- CDL 78-31-01 : Thrust Reverser Sleeve Actuator Access Panel

- CDL 78-31-06 : Thrust Reverser Hinge Beam Access Panel
Forward Door (GE)
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 4
APPENDIX 4
B777 E&A REPAIR - MEL/CDL ITEMS
ATR72 - ME 128 REPAIR - MEL/CDL ITEMS
- 23-24-02
: Emergency Locator Transmitter (ELT) (Fixed)
- 21-22-1
: Recirculation Fans
- 23-31-01-03
: Cabin Speakers
- 25-11-1
: Flight Crew Seat
- 23-39-01
: Cabin Area Control Panels (CACP)/Cabin

System Control Panels (CSCP) (Passenger)
- 25-11-2
: Flight Deck Observer Seat
- 25-21-1
: Required Cabin Attendant Seat
- 23-41-01
: Service Interphone System
- 25-31-1
: Passenger Seats
- 23-42-01
: Cabin Interphone Systems
- 25-40-1
: Torches
- 23-51-02
: Flight Deck Speakers
- 25-40-2a/b
: Interior/Exterior Lavatory Ashtray
- 23-51-04
: Flight Deck Headsets/ Head Phones
- 25-45-1
: Portable Protective Breathing Equipment
- 24-28-01
- 25-64-2
: Infant Life Vest And Infant Safety Belt
- 24-28-02
: APU GEN OFF Light
- 25-64-3
: Adult Life Vest
- 24-28-03
: BUS TIE ISLN Lights
- 25-65-1
- 24-28-04
- 29-32-2(2)
: BRAKE ACCU Indicator
- 24-41-01
: External Power Systems
- 29-32-3
: Accumulators Pressure Indicator (Hydraulic Bay)
- 24-41-02
: Bus Power Control Unit
- 29-32-2(2)
: BRAKE ACCU Indicator

: Windshield Wiper (FAST/SLOW Selection)
- 24-61-01
: Ground Handling Transformer Rectifier Unit
- 30-65-1(2)
- 31-51-03
: Aural Warning Speaker Systems
- 35-13-1
- 31-61-01
: Display Units (DU)
- 35-15-1
: Bottle Gauge
- 31-61-02A
: Cursor Control Devices (CCD)
- 35-35-1
: Portable Oxygen Bottle
- 34-61-03
: Control Display Units (CDU)
- 35-13-1
- 52-11-1
: Door Alert System
ISS. 01 REV. 15 - DATE: 01 AUG 2015
- 52-31-1
: Cargo Door Motor Actuator
- 52-31-2
: Cargo Door Control System
- 52-50-1
: Cockpit Door Locking System
- 52-11-1
: Door Alert System
- 52-31-2
:Cargo Door Control System
ISS. 01 REV. 15 - DATE: 01 AUG 2015
Appendix 4- ATR72 REPAIR - Page 1/5
FORM 2051
FORM 2051
APPENDIX 4
APPENDIX 4
- 28-25-1
: Refueling Panel
- 26-12-1
- 28-25-2
: Pressure Refuelling Cap
- 26-12-2
: Fuel SO Light (Integrated In CL)
- 28-42-3
: Fuel QTY Test System
- 26-30-1
: Hand Fire Extinguisher
- 28-43-1
: Fuel Level Sticks
- 26-23-1/2
: X FEED Valve/Flow Bar
- 28-23-3
: FUEL X FEED Memo Light
: Fire Detection Loop
- PMM 61-10-00 : Blade Erosion Film
ISS. 01 REV. 15 - DATE: 01 AUG 2015
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2051
FORM 2051
APPENDIX 4
APPENDIX 4
ATR72 E&A REPAIR - MEL/CDL ITEMS
ATR72 E&A REPAIR - MEL/CDL ITEMS
- 21-63-1
: COMPT Indication
- 33-31-1
: Nose Wheel Well Light
- 23-50-2
: Headset
- 33-34-1
: Cargo Bay Light
- 23-50-3
: Hand Microphone
- 33-37-1
: Main Wheel Well Light
- 23-50-4
: Boom Set
- 33-41-1
: NAV Light System
- 23-50-5
- 33-42-1
: LAND Light
- 24-32-3
: SVCE & UTLY BUS Control System
- 33-43-1
: STROBE Light
- 25-60-1(2)
- 33-46-1
: TAXI And TO Light
- 28-26-1
: LP VALVE Position Indicator
- 33-47-1
: LOGO Light
- 28-42-1
: Fuel Qty Indication
- 33-48-1
: BEACON Light
- 29-31-1
: LO LVL Alert
- 33-49-1
: WING Inspection Light
- 29-31-1
: LO LVL Alert
- 33-49-2
: IEP Light
- 30-11-5
: DE-ICING Memo Light
- 33-50-1
: EMER EXIT DISARM Light
- 30-80-4
: ICING AOA Light
- 33-50-2
: Photoluminescent Floor Proximity Emergency

Escape Path Marking Lights
- 30-31-3
: Probe Heating - Alert
- 30-60-4
: WINSHIELD HTG FAULT Light
- 33-50-3
: Ceiling Emergency Lighting

: TAT/SAT TAS Indicator
: Navigation Data Bases
- 31-21-1
: Clock
- 34-15-1
- 31-53-5
: Emer Audio Cancel
- 34-55-2
- 33-10-1/2
: Cockpit /Cabin Lights
- 33-16-1
: Ann Light
- 33-16-2
: NO SMKG Memo Light
- 33-16-3
: SEAT BELTS Memo Light
- 33-26-1
: Cabin Signs
ISS. 01 REV. 15 - DATE: 01 AUG 2015
ISS. 01 REV. 15 - DATE: 01 AUG 2015
FORM 2052
DISPENSATION
CHNG CH Y QUYN TM THI

1. Applicant name: ......................................................................................................................................... 2. Signature:
..............................................................................
3. Current authorisation scope: ......................................................................................................... 4. Auth. No.: ................................................................................

5. Licence of authority: EASA
FAA
CAAV
Other: ..............................................
6 Licence number: .............................................................. 7. Category: A B1 B2
Other:
................................................................
8. On A/C Type: ............................................................................................................................................................................... 9. Expiry date:.........................................

10. Aircraft maintenance experience (in years):
...............................................................................................................................................................................
I hereby apply for dispensation with functions and duration to cover the situation/ background specified below.
I am confident that I have adequacy knowledge, ability and I am satisfactory to under taken the duties for which
I applied.
11. Situation/ Background: .......................................................................................................................................................................................................................................
..............................................................................................................................................................................................................................................................................................................
12. Dispensation Requested with Functions:
.........................................................................................................................................................................................
..............................................................................................................................................................................................................................................................................................................
..............................................................................................................................................................................................................................................................................................................
..............................................................................................................................................................................................................................................................................................................
..............................................................................................................................................................................................................................................................................................................
13. On Aircraft: ....................................................................................... 14. Station: ................................ 15. Date/Duration: ..........................................................

16. Managers confirmation: I hereby certify that the applicant has adequate knowledge, ability to carry
out the above duties and he has received all necessary detail maintenance instructions mentioned in the
work order from corresponding Technical Service.
Signature:
.......................................
Name: .................................................................... Title: .................................................................... Date: .............................................

QUALITY ASSURANCE APPROVAL
17. DISPENSATION NUMBER: .................................................................................................. 18. VALID: ..........................................................................................

18. CONDITION/ LIMITATIONS: .........................................................................................................................................................................................................................
...............................................................................................................................................................................................................................................................................................................
...............................................................................................................................................................................................................................................................................................................
...............................................................................................................................................................................................................................................................................................................
19. PREVENTIVE ACTION TO BE C/O: ......................................................................................................................................................................................................

...............................................................................................................................................................................................................................................................................................................
20. FOLLOW-UP ACTION TO BE C/O: ........................................................................................................................................................................................................

TERM OF AUTHORIZATION
By copy of this form you are hereby authorised to perform and issue CRS on completion of the above
maintenance work(s) I.A.W VAECO procedures.
This Dispensation is granted in addition to your current authorisation and can only be exercised within the above
limitations.
SIGNATURE
21. Approved by: .......................................................................................................
Title:
.....................................................................................................................................
Date: ......................................................................................................................................
ISS. 01; REV. 04 - DATE: 01 AUG 2015
PAGE:
FORM 2052

This form is used for granting one-off authorization to perform maintenance works in unforeseen
event at the out-station.
Block 1.
Enter applicant full name.
Block 2.
Enter applicant signature.
Block 3.
Enter current authorisation scope (A/C type: category)
Block 4.
Enter current authorization number. If the applicant did not previously be authorized, enter
N/A
Block 5.
Tick in appropriate box (es) of maintenance licence. In case maintenance licence does
not match with pre-printed boxes, write name of licence.
Block 6.
Enter maintenance licence number of applicant.
Block 7.
Tick in appropriate box of maintenance licence category:
A:
licence category A
B1:
licence category B1
B2:
licence category B2
Block 8.
Enter the aircraft type or speciality.
Block 9.
Enter maintenance licence expiry date of applicant.
Block 10. Enter total years in practical aircraft maintenance experience of applicant.
Block 11. Enter the situation/ reasons of applying for dispensation in details.
Block 12. Enter functions requested in details.
Block 13. Enter registration number of aircraft which shall be returned to service by this
dispensation.
Block 14. Enter out-station code (Example: REP, BKK, VCS)
Block 15. Enter the date or the duration (from date up to date) of requested dispensation.
Block 16. Enter signature, name, title of respective Ramp Technical and Planning Division manager
or Squad manager of applicant before submitting to QAD. Date shall be entered as dd
mmm yyyy (E.g.: 15 Jan 2013)
Block 17. Enter dispensation number granted by QA Director or delegated person (QC Division
Manager, Quality Audit Division Manager).
Block 18. Enter one-off or duration of dispensation (in very specific case) - decided by QA Director
or delegated person (QC Division Manager, Quality Audit Division Manager).
Block 19. Enter the condition or limitation of dispensation.
Block 20. Enter the preventive actions (if any) to be C/O to prevent similar dispensation occurred.
Block 21. Enter follow up actions for preventive actions,
Block 22. Enter full name of QA Director or delegated person who approved the dispensation.
ISS. 01; REV. 04 - DATE: 01 AUG 2015
PAGE:
FORM 2053
NDT PRACTICAL TRAINING EXPERIENCE RECORD

PHIU XC NHN QU TRNH O TO THC HNH NDT
1. Trainee Name: ........................................................................
3. Division - Department: .........................................................................................
2. VAECO ID: ............................................................................
4. Method: ...................................................................................Level: ...................
No.
6.Time
(Hrs)
5. Work Performed
7. Date
Performed
8. A/C or
9. NDT Report
Component
No.
Signature of
10.Trainee
11.Instructor
12.Total hours accumulated

13. QAD Confirmation:
Date:
Signature:
Name:
I hereby certify that all the hours totaled in this record is correct and
those works were performed under direct supervision of a certified/
qualified level 2/ level 3 technician IAW EN4179 and VAECOs written
practice.
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE
FORM 2053

This form is used to record practical training experience of NDT personnel.
Block 1.
Enter Full name
Block 2.
Enter company ID staff of trainee
Block 3.
Enter division and department/ maintenance center
Block 4.
Enter method performed in abbreviation (example: UT, MT) and level apply
Block 5.
Enter description and document reference of NDT work performed
Block 6.
Enter duration of work by hours
Block 7.
Enter performed date
Block 8.
Enter A/C or component where the work is performed
Block 9.
Enter reference number of NDT report
Block 10.
Signature of trainee
Block 11.
Signature of instructior
Block 12.
Enter total hours accumulated of works performed
Block 13.
Enter name, signature of QA director/ delegate who confirm the record is correct and date of certification.
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE
FORM 2054
CONCESSION REQUEST
PHIU NGH NHN NHNG
1. Requested by
3. Department:
2. Date:
(Signature, stamp)
4. Apply for:
A/C type:
A/C Reg.:
Engine:
P/N:
5. Details of concession request:
6. Reason for Request:
7. Reviewed by
(Signature, stamp)
9. Approved by
(Signature, stamp)
8. Date:
10. Date:
S/N:
11. Concession approval:

YES
NO
12. Concession No:
13. Reason or Conditions:
14. Concession clearance:

Date:......................................... Document reference: ...........................................................................
Name: .......................................................... Signature: .............................................................................
ISS. 02, REV. 01 DATE 01 AUG 2015
PAGE:
FORM 2054

This form is used to request a concession when requirements in VAECOs procedures can
not be conformed.
Block 1.
Name & Signature of Requester
Block 2.
Request date (dd mmm yyyy)
Block 3.
Department requested
Block 4.
Application of request (Aircraft Type, Registration Number, Engine, Part Number,

Serial Number).
Block 5.
Concession Request in details
Block 6.
Reasons for Request
Block 7.
Name & Signature of review QA Director or delegate
Block 8.
Review date (dd mmm yyyy)
Block 9.
Signature and Stamp of the person who approve the concession (Quality Director
or competent authority).
Block 10.
Approved date (dd mmm yyyy)
Block 11.
Circle on Yes for appval or No for reject of concession.
Block 12.
Concession number provided by approved person.
Block 13.
Reason of rejecting or condition of approval if applicable.
Block 14.
State Date of Clearance of Concession (dd mmm yyyy), Time, Document

Reference (technical log page, WO number). Name, Signature of person who
close the concession.
ISS. 02, REV. 01 DATE 01 AUG 2015
PAGE:
FORM 2055
INVESTIGATION REPORT
BO CO IU TRA
1. Reference No.:
2. Date of Report:
3. Location of Event:
4. Date of Event:
5. Aircraft Type:
6. Aircraft Registration:
7. Investigation Subject:
8. Consequence:
Maint. Error
Safety event
Labour Accident/ Incident
Other: ...
AOG
Delay
Human Injury
Equipment/ Tool damaged
9. Reported by (name, signature):
Aircraft/ A/c component damaged

Other: ..
10. Accepted by (name, signature):
11. Description of Occurrence/ Non-conformity:
12. Analysis of Occurrence/ Non-conformity:
13. Causes of Occurrence/ Non-conformity:
14. Corrective/ Preventive Actions:
ISS. 02, REV. 03 DATE: 01 AUG 2015
PAGE:
FORM 2055
Table 1: Penalty evaluation of involved personnel

No
Involved Personnel
ISS. 02, REV. 03 DATE: 01 AUG 2015
VAECO ID
Penalty evaluation
Penalty Index
Classification
PAGE:
FORM 2055

This form is used to report after an investigation has been completed.
Block 1.
Enter the reference number for the purpose of tracking the report:
- For QC HAN: XX-YYYY/QCH, e.g.: 18-2012/QCH
- For QC SGN: XX-YYYY/QCS, e.g.: 18-2012/QCS
- For Safety Div.: XX-YYYY/AT, e.g.: 18-2012/AT
Where: XX is the sequence number of the report (from 01 to 99).
YYYY is the year of event.
Block 2.
Enter the date of report. The date should be given in the format of dd mmm yyyy.
E.g.: 15 JAN 2010.
Block 3.
Enter the location of the event, e.g.: HAN, SGN, CXR, DAD
Block 4.
Enter date and time of the event, the date should be given, in the format of dd
mmm yyyy. E.g.: 15 JUL 2010
Block 5.
Enter the type of aircraft, e.g.: A321
Block 6.
Enter the registration of aircraft, e.g.: VN-A361
Block 7.
Enter investigation subject.
Block 8.
Enter the consequence of the occurrence/ event.
Block 9.
Enter name and signature of the investigator.
Block 10.
Enter name and signature of the manager or delegated person who accepted this
report.
Block 11.
Enter the description of specific event/ occurrence
Block 12.
Enter the analysis of contributing factors of Event/ Occurrence
Block 13.
Enter causes of Event/ Occurrence
Block 14.
Enter corrective actions taken.
Block 15.
Enter preventive actions taken.
ISS. 02, REV. 03 DATE: 01 AUG 2015
PAGE:
FORM 2055
Table 2: Matrix of error/ violation evaluation

Involve Staff:
No.
VAECO ID:
Description of error/ violation element
Element
index
I)
1)
2)
CONSEQUENCE/ OUTCOME OF SAFETY EVENT

Accident
Major incident
25
20
3)
Air turn back/ Divert/ In Flt shutdown/ precious component damage
10
4)
AOG/ Delay of check/return to gate
5)
Delay/ Incident
6)
Create Work Load /Rework
7)
Public image affected *(Addition to item 15 above)
10
II)
NATURE OF ERROR/ VIOLATION (item 1 or 2 or 3 below)
1)
Error
a)
Installation Error
b)
Servicing Error
c)
Repair Error
d)
Fault Isolation/ Test/ Inspection Error
e)
Foreign Object Damage Error
f)
Airplane/ equipment Damage Error
2)
a)
Routine Violations
Work group practice outside expected norms
b)
Documented procedure most people in the same situation do not follow the process
or procedure
c)
Undocumented procedure most people do the procedure like the technician did.
3)
a)
Exceptional Violations
Required protective equipment (Ear protective, guards, PPE, or other safety devices)
not used/disabled.
b)
Safety equipment not appropriate for the hazard

Personal protective equipment not properly worn
Intentional use of defective or contaminated PPE
c)
Proper equipment/tool available but not used
d)
Knowingly used tools/material improperly (e.g. incorrect tool for job, etc.)
e)
Inadequate energy control (lock-out/tag-out)
f)
Loose objects (tools, etc.) left in work area
g)
Knowingly entered into unauthorized area
h)
Caution/warning ignored
10
i)
Under/over-serviced equipment
Not current, qualified, or authorized for task/ equipment
k)
Horseplay
l)
Accepted unnecessary hazard
m)
Work process/procedure (MOE/SOP) not followed
10
n)
Skipped operational check
10
j)
ISS. 02, REV. 03 DATE: 01 AUG 2015
Evaluation
PAGE:
Involve Staff:
No.
FORM 2055
VAECO ID:
Description of error/ violation element
Element
index
6
o)
Did not use parts removed tag
p)
Information/manual/task card/instruction not used or followed
10
q)
Failed to follow maintenance/technical/safety procedures (Maintenance Data: AMM,

CMM...)
10
r)
Knowingly installed/removed part improperly
10
s)
Failure to follow shift orders
t)
Taking shortcuts
u)
Failure to properly inspect

- Failed to properly inspect or service equipment
- Failure to inspect work following maintenance
- Sign-off without inspection
Drug use or alcohol or create of counterfeit maintenance document or application
document for authorization.
Failed to complete maintenance record
Supervisory Violations- Authorized unqualified personnel to perform task- Failed to
enforce rules and regulations- Authorized unnecessary hazard- Willful disregard for
authority by supervisors- Inadequate inspection
10
v)
x)
y)
Evaluation
25
6
10
III)
REPETITIVENESS
1)
Same: Same error/violation of the same person
10
2)
Similar: Same known error/violation of the other person
3)
Dissimilar: Different error/violation of the same person
IV)
COMMONALITY
1)
People would make same error/ violation in same situation
-4
2)
People might make same error/ violation in same situation
-1
3)
People would not make same error/ violation in same situation
V)
VOLUNTARY REPORT/ CO-OPERATIVE IN INVESTIGATION
1)
Voluntary Report
-10
2)
Initial corrective action to mitigate consequence
-8
3)
Cooperative attitude/ providing correct information during investigation
-5
4)
Uncooperative attitude/providing false information during investigation
5)
Hide information/ collusion with witness in information providing.
6)
Create counterfeited Record/ Evidence
10
PENALTY INDEX (Evaluation in total)
*: the event was published at least on 2 major press

Table 3: Classification of error/ violation
PENALTY INDEX
>25
20 => 24
15 => 19
10 => 14
5 => 9
1=> 4
ISS. 02, REV. 03 DATE: 01 AUG 2015
Classification
LEVEL 4
LEVEL 3
LEVEL 2
LEVEL 1
List 1
List 2
PAGE:
FORM 2056
PERSONNEL ROSTER
PH LC NHN LC
1. COMPETENT AUTHORITY: .............................................................................
PART I: MANAGEMENT PERSONNEL

No.
2. NAME
3. TITLE
4. CERTIFICATE & STAMP

No. (IF APPLICABLE)
5. AUTHORISATIONS
3. TITLE

No. (IF APPLICABLE)
5. AUTHORISATIONS
PART II: SUPERVISOR

No.
2. NAME
PART III: INSPECTION AND RETURN TO SERVICE PERSONNEL

No.
2. NAME
3. TITLE

No. (IF APPLICABLE)
5. AUTHORISATIONS
PART IV: PART AND MATERIAL INCOMING INSPECTION STAFF (STORE INSPECTOR)
No.
2. NAME
3. TITLE
6. PREPARED BY:
DATE:

No. (IF APPLICABLE)
5. AUTHORISATIONS
7. APPROVED BY:
SIGNATURE:
ISS. 02, REV. 05 - DATE: 01 AUG 2015
DATE:
SIGNATURE:
PAGE:
FORM 2056
PERSONNEL ROSTER
PH LC NHN LC
SUMMARY OF LAST CHANGES IN PERSONNEL ROSTER

1. COMPETENT AUTHORITY: .............................................................................
No.
Name
8. Certificate & Stamp No.
9. Date of change
10. Content of changes

This form is used to list all personnel to meet the requirement of the competent Authority.
Block 1. Enter competent Authority name.
Block 2. Enter full name of the personnel.
Block 3. Enter title of the personnel.
Block 4. Enter authorization certificate number if applicable.
Block 5. Enter authorizations that specified in the authorization certificate.
Block 6. Enter name and signature of the person who establishes the personnel roster. Date shall be given in the format of dd mmm yyyy.
Block 7. Enter name and signature of the person who approves the personnel roster. Date shall be given in the format of dd mmm yyyy.
Block 8. Enter authorization certificate number and stamp number.
Block 9. Enter date of change.
Block 10. Enter content of changes.
ISS. 02, REV. 05 - DATE: 01 AUG 2015
PAGE:
FORM 2057
LIST OF CERTIFYING STAFF AND SUPPORT STAFF

DANH SCH NHN VIN XC NHN V H TR BO DNG
Reference: VAECO-EASA-R
Roster Revision:
Date:
I. HAN STATION
No.
Name
Category
Support
for Base
maintenance
Authorisation
number
Date of the
first issue
Expiry date
A/c type or ARS

type
Scope of authorisation
CAAV license
number
1.
2.
3.
4.
5.
6.
ISS. 01, REV. 00 - DATE: 01 AUG 2015
PAGE:
FORM 2057

Roster Revision:
Date:
II. HCM STATION

No.
Name
Category
Support
for Base
maintenance
Authorisation
number
Date of the
first issue
Expiry date
A/c type or ARS

type
Scope of authorisation
CAAV license
number
1.
2.
3.
4.
5.
6.
7.
8.
9.
SUBMITTED BY:
APPROVED BY:
SIGNATURE:
SIGNATURE:
ISS. 01, REV. 00 - DATE: 01 AUG 2015
DATE:
PAGE:
FORM 2057

Roster Revision:
Date:
SUMMARY OF LAST CHANGES IN THE ROSTER

No.
Name
ISS. 01, REV. 00 - DATE: 01 AUG 2015
Authorisation number
Date of change
Content of changes
PAGE:
FORM 2059
QUALITY REQUEST
YU CU CHT LNG
1. Date:
2. Reference No.:
3. Requested by (Name & Sign.):
4. Sent to:
5. CC:
6. Subject:
7. Content:
8. Remark:
9. Completion date:
10. Referred Records (Technical log No./ NRC and WP No.):
11. Name:
ISS. 02, REV. 02 DATE: 01 AUG 2015
Sign. and stamp:

PAGE:
FORM 2059

This form is issued by Quality Assurance Department and used to request any quality concerns.
Block 1.
Enter the date of request as dd mmm yyyy (first two-digit day, three letters of the month
and four-digit year).
Block 2.
Enter the reference number.
Block 3.
Enter the name and signature of the person who issues this request.
Block 4.
Enter the name the department/center representative that is requested to carry out
actions.
Block 5.
Enter the name the person who is sent a copy of this request.
Block 6.
Enter the subject of the quality request.
Block 7.
Enter the content of the quality request.
Block 8.
Enter any remark by the performer (if necessary).
Block 9.
Enter completion date,
Block 10. Enter referred record such as Technical log number, NRC number together with work
pack number.
Block 11. Enter name, signature and authorization number/ stamp of the performer (RTS staff).
ISS. 02, REV. 02 DATE: 01 AUG 2015
PAGE:
FORM 2060
SUPPLIER/ SUBCONTRACTOR EVALUATION SHEET

PHIU NH GI H S NH CUNG NG/ NH THU PH
1. Organization:
2. Address:
3. Proposed scope of approval:
No.
4. APPLICATION DOCUMENTS
Application for approval (VAECO Form 2003/ VAECO Form 2001)
Evaluation Questionnaires (VAECO Form 2004/ VAECO Form 2002)
Quality manual or other equivalent documents or Capability list
OEM authorization letter/ approval, (Please list details):

..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
Approval/ authorized certificates of supplier that related to products/ services to be supplied to VAECO,
(Please list details):
..................................................................................................................................................................
..................................................................................................................................................................
Sample of standard certificate for VAECO products (for services supplier)
5. DOCUMENTS REVIEW CONCLUSION

On-site audit required
Yes
No
Yes
Audit result acceptance
No
N/A
6. APPROVAL PROPOSAL
Applicant classification
Supplier Category 2
Subcontractor
7. Limitation/ Conditions:
8. Name
ISS. 01 REV. 03 DATE: 01 AUG 2015
Title
Signature
Date:
PAGE
FORM 2060

This form is to record the evaluating result of applicants documents.
Block 1. Name of supplier/ subcontractor who apply for VAECO approval;
Block 2. Address of supplier/ subcontractor who apply for VAECO approval;
Block 3. Enter the proposed scope of approval of applicant.
Block 4. The documents will be reviewed by QA staff and the details of available document shall
be listed out.
Block 5. After documents evaluation, states clearly, if an onsite audit is required and acceptance
of audit result.
Block 6. State the proposed approval for the satisfied applicant;
Block 7. Enter the limitation or condition for applicant (if any);
Block 8. Name, title, signature of QA staff, review date should be in the format dd mmm yyyy.
E.g: 18 JAN 2010.
ISS. 01 REV. 03 DATE: 01 AUG 2015
PAGE
FORM 2061
FABRICATION PART LIST
DANH MC CC THIT B C PHP SN XUT

(Under organization approval number: (1).)
OEM P/N
OEM
Description
VAECO P/N
Drawing No.
Approved date
(2)
(3)
(4)
(5)
(6)
(7)
Prepared by:
(8)
Approved by:
(9)
Signature:
Signature:
ISS. 01, REV.02 DATE: 01 AUG 2015
Date:
PAGE
FORM 2061

Block (1)
Enter the organization approval number of the VAECO upon which this fabrication part list is prepared. E.g.: The VAECO
approval number granted by CAAV is VN-268/CAAV.
Block (2)
Enter part number of the part defined by the Original Equipment Manufacturer. If OEM P/N is not specified in maintenance data
enter N/A.
Block (3)
Enter nomenclature or description of the part.
Block (4)
Enter name of Original Equipment Manufacturer
Block (5)
Enter part number of the part defined by VAECO (OEM P/N-VAE). If OEM P/N is not available enter the P/N defined by related
maintenance center.
Block (6)
Enter drawing number used to fabricate the part.
Block (7)
Enter the first approved date upon which the part is allowed to fabricate. Date should be given in the format of dd mmm yyyy
(E.g.: 15 JAN 2010).
Block (8)
Enter name and signature of the person who prepared this list.
Block (9)
Enter name and signature of the person who approves this list and approval date. Date should be given in the format of dd
mmm yyyy (E.g.: 18 MAY 2010).
ISS. 01, REV.02 DATE: 01 AUG 2015
PAGE
FORM 2062
RECOGNIZED CALIBRATION SERVICE SUPPLIER LIST
DANH SCH NH CUNG NG DCH V HIU CHUN C CNG NHN

1.No
2. ORGANISATION
3. ADDRESS
4. AMASIS
CODE
5. APPROVED SCOPE
1
2
3
4
5
6
7
8
9
10
6. PREPARED BY:
7. APPROVED BY:
DATE:
DATE:
SIGNATURE:
SIGNATURE:
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 2062

Block 1. Ordinal number.
Block 2. Approved supplier name.
Block 3. Address of approved supplier name. In this block, facsimile number of supplier should be added.
Block 4. Code of on AMASIS
Block 5. Scope of approval supplier.
Block 6. Name and Signature of the person who prepare the list (QA auditor). Creation date of the list in the format dd mmm yyyy. E.g:
15 JUL 2010.
Block 7. Name and Signature of the person who approve the list (QA Director). Creation date of the list in the format dd mmm yyyy. E.g:
15 JUL 2010.
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 2063
TOOL LIST
DANH MC DNG C
1. Tool box code:
2. Check date:
3. Department/ Center:
4. Next check due on:
5. Division/ Squad/ Workshop:
6. Station:
7. No. 8. Tool description
12.Manager (Name/ Signature)
ISS. 01, REV. 02 - DATE: 01 AUG 2015
9. P/N, Type
10.Qty
11. Lost/ damaged tool status

(Report Ref. & Date)
13.Director (Name/ Signature)
PAGE:
FORM 2063

Block 1. Enter tool box code. E.g.: BH001, BH002
Block 2. Enter the date that the manager and director of the holder performed the
check in format dd mmm yyyy. E.g.: 15 MAR 2011.
Block 3. Enter the department/ center that this tool box belongs to.
Block 4. Enter the date that the check shall be performed in format dd mmm yyyy.
E.g.: 15 JUN 2011.
Block 5. Enter the division or squad or workshop that this tool box belongs to.
Block 6. Enter the station where this tool box is located. E.g.: HAN, SIN
Block 7. Enter the sequent number of tool
Block 8. Enter the name of each tool.
Block 9. Enter the part number or type of the tool.
Block 10.Enter the quantity of the tool.
Block 11.Enter the reference and date of the lost or damaged report if its lost or
damaged until the next official check by manager and director.
Block 12.Enter name and signature of the Manager who manages the tool box.
Block 13.Enter name and signature of the Director.
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 2064
TOOL INVENTORY LOG

NHT K KIM K TNH TRNG DNG C
1. Tool box code:
3. Month/ Year:
2. Department/ Center:
4. Date of
check
5. Check before use

Status
Signature &
VAECO ID
ISS. 01, REV. 02 - DATE: 01 AUG 2015
6. Check after use

Status
Signature &
VAECO ID
7. Remark
PAGE:
FORM 2064
Block 1.
Enter tool box code. E.g.: BH001, BH002
Block 2.
Enter the department/ center that this tool box is belonged to.
Block 3.
Enter Month/ Year of the log page. E.g.: May/ 2011
Block 4.
Enter the check date when the tool box is used.
Block 5.
Enter the status of the tool box before it is used. If all tools are available and enter OK.
If any discrepancy found enter See remark.
Enter signature and VAECO identification number (ID) of the person who checks the tool
box (tool box holder or the user).
Block 6.
Enter the status of the tool box after it is used.

If all tools are available enter OK. If any discrepancy found enter See remark.
Enter signature and VAECO identification number (ID) of the person who checks the tool
box (tool box holder/ person-in-charge or the tool room keeper. For tool room keeper,
VAECO ID is not required to enter).
Block 7.
Enter the remark if any discrepancy is found. E.g.: Socket 5/16 is lost, see Report Ref.
xxx for more information.
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 2065
LIST OF QUALIFIED PERSONNEL
DANH SCH NHN VIN C Y QUYN

1. DEPARTMENT/ CENTER: .............................................................................................................................................
2. JOB POSITION: ............................................................. 3. REV.: ................... 4. REV. DATE ........................................
5.No.
6. FULL NAME
7. VAECO ID/
AUTHORIZED
NUMBER
9. VALIDITY
8. DETAIL OF APPROVED FUNCTIONS
FROM DATE
10. PREPARED BY:
11. APPROVED BY:
12. ACCEPTED BY:
Name:
Name:
Name:
Title:
Title:
Title:
Signature:
Signature:
Signature:
ISS. 01, REV. 03 DATE: 01 AUG 2015
TO DATE
Page
FORM 2065

Block 1.
Enter Name of Department/ Center (e.g. HAN Ramp Maintenance Center)
Block 2.
Enter Job position (e.g. Mechanic, MCC Controller, Production planner, Technical
service staff )
Block 3.
Enter Revision number (e.g. 01)
Block 4.
Enter Revision date in the format of DD MMM YYYY. E.g.: 01 JAN 2013.
Block 5.
Enter Sequence number
Block 6.
Enter the authorization number. If the qualified staff does not have the
authorization number, the VAECO staff identification number is used alternatively.
Block 7.
Enter Full name of qualified staff
Block 8.
Enter Detail of approve functions (e.g. A320/A321-CFM56/V2500)
Block 9.
Enter Validity of authorization (e.g. From 01 JAN 2013 To 31 DEC 2017)
Block 10. Enter name, title and signature of person who prepares the list.
Block 11. Enter name, title and signature of department director or delegated person who
approves the list.
Block 12. Enter name, title and signature of QA director or delegated person who accepts
the list.
Any change in the revised List of Qualified Personnel shall be summarized in the following
table (except the change of validity):
SUMMARY OF THE LAST CHANGES

No.
Name
VAECO ID/
AUTHORIZED No.
NGUYEN VAN A
VAEXXXXX
NGUYEN VAN B
VAECO XXX AC
ISS. 01, REV. 03 DATE: 01 AUG 2015
Content of changes
Supplement function of A330 supervise work
Removed from the List
Page
FORM 2066
WAIVER REQUEST
PHIU NGH MIN TR
1. To/ Gi ti: Phng Tiu chun an ton bay - Cc
HKVN, s 119, ph Nguyn Sn, qun Long Bin, H
Ni, Vit Nam.
2. From/ Ni gi: Cng ty K thut My bay, Sn bay

Quc t Ni bi, Sc Sn, H Ni
3. Department/ Center/ n v ngh:
4. Refered requirements/ iu khon tham chiu:
Tel:
Fax:
5. Reason for request/ L do min tr: ....................................................................................
7. Date/ Ngy:
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
8. Requested by/
Ngi ngh:
(Name, Signature)
6. Details of the Request/ Ni dung ngh min tr: .............................................................

..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
9. Waiver assessed by Quality Asurance Dept./ nh gi bi Ban BCL: .............................
10. Date/ Ngy:
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
11. Assessed by/

Ngi nh gi:
..................................................................................................................................................
(Name, Signature)
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
AUTHORITY APPROVAL/ PH CHUN CA NH CHC TRCH
12. WAIVER GRANTED/ Cp php min tr:
YES/ C
KHNG/ NO
13. Reason and/or Condition/ L do, iu kin: ......................................................................
14. Signature, Date,

Time, Stamp/ Ch k,
Ngy, Gi, ng du
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
15. Waiver Number/

S ph chun:
..................................................................................................................................................
16. Waiver closure report/ Bo co kt thc min tr:
17. Date/ Ngy:
ISS.01, REV.01 01 AUG 2015
18. Reported by:
19. Sign./ Ch k:
PAGE:
FORM 2066

Block 1.
Enter name and address of dedicated department of CAAV.
Block 2.
Enter name, address, telephone and fax of VAECO.
Block 3.
Enter the name of the unit where submit the request
Block 4.
Enter section or paragraph of the related VAR
Block 5.
Explain reason to submit the request.
Block 6.
Enter the details of the request
Block 7.
Enter the date of the request
Block 8.
Enter the name and signature of the requester
Block 9.
Enter the assessment of the Quality Assurrance Department.
Block 10. Enter the date of the assessment

Block 11. Enter the name and signature of the assessor
Block 12. Circle YES to accept or No to refuse the waiver.
Block 13. Specify the condition and limitation of the request.
Block 14. Enter Signature of person who approved this request and Date, Time, Stamp.
Block 15. Enter waiver approval number.
Block 16. Enter closure statement of the waiver request
Block 17. Enter closure date of the waiver request
Block 18. Enter name of the reporter
Block 19. Enter signature of the reporter
ISS.01, REV.01 01 AUG 2015
PAGE:
FORM 2067
APPLICATION FOR INSTRUCTOR APPROVAL

PHIU NGH PH CHUN GIO VIN
1. Name: .................................................................................................................................................. 4. Division/ Fleet:
......................................................................................
2. Company ID: VAE................................................................................................................... 5. Dept./ Centre: ......................................................................................

3. Date of birth: .................................................................................................................................. 6. Mobile phone: .......................................................................................
7. I hereby apply for
8. Instructor title:
Initial Supplement approval on following:
...............................................................................................................................................................................................................................................................
9. Function: .............................................................................................................................................................................................................................................................................
10. Approved compliance with:
MTOE
AMOTP
RSTP
Others:
11. Related training:

Course description
Training organization Year of training
Proof of completion
12. Related working experience:

Division- department/center
Work performed
Applicant declaration
Duration
Training director validation
I certify that the above information is correct. I have I confirm that the applicant has adequate knowledge and
read company exposition, procedures and manuals experience and is satisfactory in every way to undertake the
related to my application.
duties for which I endorse.
Name & Signature:
.........................................................................................................................................
Date:
......................................................................................................................
ISS. 01, REV. 02 - DATE: 01 AUG 2015
Name & Signature:

...............................................................................................................................................................
Date: ................................................................................................................................................
PAGE:
of
FORM 2067

Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Enter applicant full name.

Enter VAECO staff Identification number.
Enter date of birth in format dd/mm/yyyy.
Enter division or fleet. Example: Team 04.
Enter department or maintenance centre. Example: HAN Ramp Maintenance center.
Enter mobile phone number.
Tick into appropriate box for type of application
- Initial: for the first authorization at category/ type.
- Supplement: for authorization supplement.
Specify instructor title. E.g.: A330 type training instructor.
Specify function/ rating for instruction. E.g.: Airframe and power plant; All.
Block 10. Marking in appropriate check box for the capability propound compliance with
MTOE/AMOTP/RSTP documment
Block 11. Enter information of required training course completion, against the corresponding PNA.
Example:
Course description
Training organization Year of training
Aircraft Basic training
Institute of Air Force

and Air Defence
2002
Certificate
B777 Airframe/Power plant/Electrical Base

maintenance training course
ALTEON
2006
Certificate
Human factor
VAECO
2010
Training report
Lufthansa
2012
Certificate
Train the trainer
Proof of completion
Block 12. Brief of working experience in aircraft maintenance organisations.

Example:
Division- department/center
Work performed
Duration
HAN Line maintenance center Technical/ Planning department
A330 Technical support
Jan 2010 Jun 2011
HAN Base maintenance center

Airframe squad
A330 CAT B1 inspection and return to

service
Jul 2011 - now
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
of
FORM 2068
INSTRUCTOR EVALUATION SHEET

PHIU NH GI GIO VIN
1. H v tn gio vin:
..........................................................................................
(Candidate name)
2. n v (Department):
.................................................................................
3. M nhn vin (Company ID): VAE ...............................................
4. Phn loi gio vin (Instructor title): ...........................................................................................................................

5. Nng nh (Course/ Function): ...................................................................................................................................
6. Ni dung ging dy (Subject/ ATA) ............................................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
7. Hnh thc ging dy (Demo method):
Bi ging (Lecture)
Thc hnh (Practical)
8. nh gi vin th hin mc hi lng i vi ng vin trn tc tiu ch nh gi theo quy nh di y:

(Please use the following guide to rate the candidates performance in each of areas)
N/A
1
2
3
4
5
Khng nh gi tiu ch ny (Not applicable)

Khng hi lng/ khng chp nhn c (Unacceptable)
Khng hi lng/ ng vin cn c gng thm (Needs Improvement)
Kh hi lng (Satisfactory)
Hi lng/ ng vin p ng tt yu cu (Good/ accomplishes tasks diligently and well)
= Rt hi lng/ ng vin p ng yu cu vi cht lng cao (Excellent/ accomplished all tasks at high level)
=
=
=
=
=
NI DUNG NH GI (EVALUATION CONTENT)

A.
N/A
TRNH / KIN THC (SCHOLARSHIP)
A.1
Th hin kin thc/ hiu bit ca gio vin v ni dung ging

dy
Demonstrates knowledge of subject matter
A.2
Th hin kinh nghim thc t ca gio vin trong lnh vc

ging dy
Demonstrates practical experience on subject
A.3
S dng ti liu ging dy, ti liu tham kho ph hp v

chnh xc
Provides appropriate source material and references
A.4
Ch dn hc vin tham kho cc ti liu ph hp khc, ngoi

cc ti liu c s dng trong kha hc
Refers trainees to additional source material where
appropriate
A.5
Nm bt c cc cp nht lin quan n ni dung ging

dy
Integrates with related current development/ modification
B. CHUN B V BI GING (PREPARATION AND

PRESENTATION)
ISS.01, REV.01 01 AUG 2015
Page 1 of 2
B.1
La chn phng php ging dy ph hp. Ni dung ging

dy c chun b tt v phn b hp l
Methods of presentation is well prepared and presents
material in a well organized manner
B.2
Cc v d, im nhn trong bi ging c ni dung cp nht,

ph hp v chnh xc
Hand-outs/ PowerPoint are legible with appropriate, current
and accurate information
B.3
Din t r rng, d hiu

Express ideas clearly and audibly
B.4
Tc phong s phm, nghim tc

Presentation demonstrates professional/ discipline
competence
FORM 2068
C. X L TNH HUNG V TNG TC VI HC VIN

(COMMUNICATION AND INTERACTION)
C.1
Khuyn khch hc vin thc mc, trao i hoc tranh lun

Encourages trainee inquiry/ class discussion
C.2
Gy hng th cho hc vin

Exhibits enthusiasm and interest with trainees
C.3
Tr li cu hi ca hc vin r rng v trch nhim

Responds clearly to trainee questions
C.4
X s cng bng i vi cc hc vin

Deal fairly with trainee
9. Ghi ch/ ngh ca nh gi vin (Recommendation regarding the candidate):
......................................................................................
...............................................................................................................................................................................................................................................................................................................
...............................................................................................................................................................................................................................................................................................................
...............................................................................................................................................................................................................................................................................................................
...............................................................................................................................................................................................................................................................................................................
...............................................................................................................................................................................................................................................................................................................
...............................................................................................................................................................................................................................................................................................................
Ngy:................................................................ nh gi vin (k v ghi r h tn): ...................................................................................................................................

(Date)
(Assessor name and signature)
ISS.01, REV.01 01 AUG 2015
Page 2 of 2
FORM 2068

Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Enter instructor name.

Enter instructor working department/ center.
Enter instructors company identification number.
Enter title of instructor, in accordance with relative Instructor PNA.
Enter instructing course/ function.
Enter subject to be instructed/ assessed.
Enter method of the demo instruction.
Enter assessors rating: mark on appropriate check box in each criteria.
Enter assessors notes/ comments.
ISS.01, REV.01 01 AUG 2015
Page
of
FORM 2069
INSTRUCTOR EVALUATION RESULT

PHIU TNG HP KT QU NH GI GIO VIN
2. Department:
1. Candidate name:
4. Instructor title:
......................................................................................................
3. Company ID: VAE.......................................................................................
.................................................................................................................................................................................................................................................................
5. Course/ Function:
6. Subject/ ATA
.................................................................................................
........................................................................................................................................................................................................................................................
....................................................................................................................................................................................................................................................................
7. Class format:
Lecture
8. Evaluation contents
A.
SCHOLARSHIP
A.1
Demonstrates knowledge of subject matter
A.2
Demonstrates practical experience on subject
A.3
Provides appropriate source material and references
A.4
Refers trainees to additional source material where

appropriate
A.5
Integrates with related current development/ modification
B.
PREPARATION AND PRESENTATION
B.1
Methods of presentation is well prepared and presents

material in a well organized manner
B.2
Hand-outs/ PowerPoint are legible with appropriate, current

and accurate information
B.3
Express ideas clearly and audibly
B.4
Presentation demonstrates professional/ discipline

competence
C.
COMMUNICATION AND INTERACTION
C.1
Encourages trainee inquiry/ class discussion
C.2
Exhibits enthusiasm and interest with trainees
C.3
Responds clearly to trainee questions
C.4
Deal fairly with trainee
Practical
A1
A2
A3
A4
A5
Ave.
9. Evaluation Result:
Note: One criteria in evaluation sheet is considered as acceptable if the average point of all assessors for that criteria is not under 3, and one
subject is considered as acceptable when every criteria is acceptable.
10. Date: ....................................................... Assessor name and signature: ..............................................................................................................................................
ISS.01, REV.01 01 AUG 2015
Page 1 of 2
FORM 2069
Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Block 10.
Enter instructor name.

Enter instructor working department/ center.
Enter instructors company identification number.
Enter title of instructor, in accordance with relative Instructor PNA.
Enter instructing course/ function.
Enter name of subject to be instructed/ assessed.
Enter format of the demo instruction.
Enter evaluation content: enter result assessment of each assessor and average
of qualification board rating for respective criteria.
Enter qualification board assessment result for the subject.
Enter assessment date, assessor name and signature.
ISS.01, REV.01 01 AUG 2015
Page 2 of 2
FORM 2070
NOTIFICATION OF LINE MAINTENANCE
1. Reference:
IN A NON-APPROVED LOCATION
3. FOR SUPPORT AN UNSERVICEABLE AIRCRAFT
2. Tracking No.:
4. FOR OCCASIONAL LINE MAINTENANCE
Name:
Name:
3.1. Operator information
4.1. Operator information

ICAO code:
ICAO code:
A/C type:
3.2. Aircraft type
4.2. Aircraft type

Reg. No.:
3.3. Location
4.3. Location
3.4. Description of the

serviceability of the
aircraft and expected
scope of maintenance
4.4. Scope of the

requested line
maintenance
3.5. Composition of the

working Team (number
and category of licenses)
4.5. Number and category

of certifying staff assigned
to support this activity
3.6. Quality Assurance Director

(Name and signature)
ISS. 01, REV. 00 - DATE: 01 AUG 2015
3.7. Date:
4.6. Quality Assurance Director

4.7. Date:
PAGE
FORM 2070

Block 1.
Enter reference linked to the related approval sheet (Form 3032).
Block 2.
Enter tracking number.
Block 3.
Check the box when support an unserviceable aircraft
Block 4.
Check the box for occasional line maintenance
Block 3.1. Enter customer operator information, name and ICAO code
Block 3.2. Enter the aircraft type and the aircraft Reg. No
Block 3.3. Enter the location (Airport code) where the work to be performed
Block 3.4. Enter description of the serviceability of the aircraft and expected scope of maintenance
Block 3.5. Enter the composition of the working Team (number and category of licenses)
Block 3.6. Enter signature of Quality Assurance Director
Block 3.7. Enter the date of notification.
Block 4.1. Enter customer operator information, name and ICAO code
Block 4.2. Enter the aircraft type.
Block 4.3. Enter the location (Airport code) where the work to be performed
Block 4.4. Enter the scope of the requested line maintenance
Block 4.5. Enter the number and category of certifying staff assigned to support this activity
Block 4.6. Enter signature of Quality Assurance Director
Block 4.7. Enter the date of notification.
ISS. 01, REV. 00 - DATE: 01 AUG 2015
PAGE
FORM 2101
HAZARD IDENTIFICATION AND RISK ASSESMENT (HIRA)

PHIU XC NH MI NGUY HIM V NH GI RI RO
1.HIRA number:
2.Reference:
3.Date:
4.Department/ Centre related to hazard/ risk:

5.Type of
operation or
activity
6.Generic
hazard
7.Specific
components of
the hazard
8.Hazard-related
consequences
9.Existing defences to control

risk(s) and risk index
10. Risk index:

11. Risk tolerability:
16.Assessed by:
17.Date:
ISS. 02, REV. 02 - DATE: 01 AUG 2015
12.Further action to reduce risk(s)

and resulting risk index
15.Responsible
department or person
13. Risk index:

14.Risk tolerability:
19.Approved by:
18.Signature:
20.Date:
21.Signature:
PAGE:
FORM 2101

Block 1. Specify controlled HIRA number.
Block 2. Refererence to related document/ procedure.
Block 3. Date of assessment. Eg: 15 AUG 2010.
Block 4. Department/ Centre: name of department or centre that carries out assessment
For example: Base maintenance centre HAN.
Block 5. Specify the operation or activity that related to the hazards to be assessed.
For example: Aircraft maintenance in base, aircraft servicing at ramp, aircraft component maintenance, etc.
Block 6. State generic identified hazard.
For example: aircraft engine operating, Engine change, Aircraft towing, etc.
Block 7. State specific components of hazard: hazards contribute to the initiating hazard.
For example: engine intake suction, engine exhaust section.
Block 8. Related consequences of the identified hazard.
Block 9. List the name of Existing defences to control risk(s) available in VAECO belong to the following categories: technology, training,
regulation.
Mitigation: evaluating the risk index based on the risk index matrix and its corresponding acceptability/ decision criteria in according
with Safety Management System Manual 9.5.4. The taken actions mitigate that risk down to Acceptable Safety Level.
For example: Foreign object ingestion: to clean up FOD in the engine run-up area
Block 10. Risk index: the index related to the identified hazard which based on Probability and Severity of occurrence. Eg: 5A.
Block 11. Risk tolerability: the risk index is changed due to Existing defences to control risk(s). Eg: 4A.
Block 12. List all other action to reduce risk.
Block 13. The reduced risk index after carrying out action to mitigate the risk.
Block 14. Risk tolerability: the risk index is changed due to further action.
Block 15. Responsible person or department who carry out action to mitigate the risk.
Block 16. Assessed by: person who carry out assessment.
ISS. 02, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 2101
Block 17. Date: date of accomplishment this form. Eg. 01 JAN 2010
Block 18. Signature of person who carry out assessment.
Block 19. Approved by: person who approved the assessment.
Block 20. Date: date of approval. Eg. 01 JAN 2010
Block 21. Signature of person who approved the assessment.
ISS. 02, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 2102
SUMMARY HAZARD IDENTIFICATION AND RISK ASSESMENT (HIRA) REPORT

BO CO TNG HP XC NH MI NGUY HIM V NH GI RI RO
1.HIRA
Report No
2.Department /
Centre
3.Description type of the

safety event
8.Reported by:
9.Date:
ISS. 02, REV. 02 - DATE: 01 AUG 2015
4.Identified hazard
5.Risk
assessment
6.Risk control/ mitigation and/or

7.Status
Corrective action
(open/close)
11.Approved by:
10.Signature
12.Date:
13.Signature
PAGE:
FORM 2102

Block 1.
State of HIRA report number.
Block 2.
Name of Department or Centre that performed assessment.
Block 3.
Description type of the safety event briefly, what, when, and how it happened?
Block 4.
Identify all kinds of hazard as consequence of the event.
Block 5.
The Risk Index of identified hazard and associated risk.
Block 6.
Solution for the associated hazard and risk to mitigate. Evaluating the risk index based on the risk index matrix and its corresponding
acceptability/ decision criteria in according with Safety Management System Manual 9.5.4. The taken actions mitigate that risk down
to Acceptable Safety Level.
Block 7.
Either open for in progress or close for in acceptable safety level.
Block 8.
Name of reporter.
Block 9.
Date of accomplished report. Eg: 1 JAN 2010.
Block 10. Signature of reporter.

Block 11. Name of the authorized person who approved this report.
Block 12. Date of approval. Eg: 1 JAN 2010.
Block 13. Signature of the authorized person approved this report.
ISS. 02, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 2106
LIST OF HAZARDS AND ASSOCIATED RISK

DANH MC CC MI NGUY HIM V RI RO LIN QUAN
1. Department/Centre:
2. Procedure/facility/equipment:
3. No.
5. Specific components
4. Generic hazard
of the hazard
10. Assessed by:

11. Date:
6. Associated risk of
hazard
RISK INDEX
9. Mitigation
7. Probability 8. Severity of
of occurrence occurrence
13. Approved by:

12. Signature:
ISS.02, REV.02, DATE: 01 AUG 2015
14. Date:
15. Signature:
PAGE:
FORM 2106

Block 1. Enter name of department or centre that carries out assessment.
For example: Base maintenance centre HAN.
Block 2. Enter main procedure, facility, and equipment to be assessed. For example:
Procedure such as: procedure of engine run-up, engine change, maintenance data transcription, etc.
Facility: hangar, workshop, office, etc.
Equipment: hoist, bore scope equipment, lift-truck, etc.
Block 3. Enter sequence number of Procedure/ Facility/ Equipment

Block 4. Enter initiating hazard related to procedure/facility/equipment
For example: Aircraft engine operating
Block 5. Enter components of hazard contributed to the initiating hazard.
For example: Engine intake suction
Block 6. Associated risk of hazard: risk might involve in the contributory hazard (list the worst consequence might happen)
For example: Foreign objects ingestion.
Block 7. Probability of occurrence: the likelihood that a situation of danger might occur. Its divided in 5 levels: frequent, occasional,
remote, improbable, extremely improbable.
Block 8. Severity of occurrence: the possible consequences of a situation of danger. Its divided in 5 levels: catastrophic, hazardous, major,
minor, negligible.
Block 9. Mitigation: evaluating the risk index based on the risk index matrix and its corresponding acceptability/ decision criteria in
according with Safety Management System Manual 9.5.4. The taken actions mitigate that risk down to Acceptable Safety Level.
For example: Foreign object ingestion: to clean up FOD in the engine run-up area.
Block 10. Assessed by: person who carry out assessment.
Block 11. Date of accomplishment this form. E.g.: 1 JAN 2010.
Block 12. Signature: signature of person who carry out assessment.
Block 13. Approved by: person who approved the assessment.
ISS.02, REV.02, DATE: 01 AUG 2015
PAGE:
FORM 2106
Block 14. Date of approval. E.g.: 1 JAN 2010.

Block 15. Signature: signature of person who approved the assessment.
ISS.02, REV.02, DATE: 01 AUG 2015
PAGE:
FORM 3001
ASSESSMENT OF EQUIVALENT TOOL/ EQUIPMENT
1. AET/E No:
NH GI DNG C THIT B TNG NG
..................................
2.Subject:
3.Reason for assessment:

Assessment of available alternate T/E
Assessment of new manufactured T/E
4.Description of Original T/E:
Designate:
Original P/N:
Reference Document:
Used on A/C or Engine:
5.Description of available Alternate T/E:

Alternate P/N:
Alternate S/N:
Designate:
Reference Document:
6.Description of new manufactured Alternate T/E:

(Attached with the following but not limited to: drawing/ sketch, material, manufacturing process, test results,
specification, standards, etc. )
7. Requested by (Full name):
8. Approved by (Full name):
Signature:
Signature:
Date:
Date:
9. ENGINEERING ASSESSMENT
Technical Assessment:
(Assessment on Function/ Specification/ Limit/ Tolerance, etc)
ISS. 02 REV. 01- DATE: 01 AUG 2015
PAGE:
FORM 3001
Safety Assessment:
Compliance statement and justification:
10. Assessed by (Full name):
Signature:
Signature:
Date:
Date:
12.QC ASSESSMENT
Compliance statement:
13.Assessed by (Full name):
14.Approved by (Full name):
Signature:
Signature:
Date:
Date:
15. AUTHORITY APPROVAL (if applicable)

Approved by (Full name):
ISS. 02 REV. 01- DATE: 01 AUG 2015
Signature:
Date:
PAGE:
FORM 3001

This form is used to assess a equivalent tool/equipment by Engineering and Information
Technology Department and request QA Department for approval (or CAAV approval in specific
cases).
Block 1.
State Assessment Number
Block 2.
State Subject
Block 3.
State Reason for assessment by marking in appropriate box;
Block 4.
State Description of Original Tool/Equipment (Designate, Original Part Number,
Reference Document, Used on Aircraft/Engine)
Block 5.
State Description of Available Alternate Tool/Equipment (Alternate Part Number,
Alternate Serial Number, Designate and Reference Document)
Block 6.
State Description of new manufactured Alternate T/E
Block 7.
Full Name and Signature of Assessor; Date shall be in the format dd mmm yyyy. E.g:
15 JUL 2010
Block 8.
Full Name and Signature of Approval Person; Date shall be in the format dd mmm
yyyy. E.g: 15 JUL 2010
Block 9.
State Engineering Assessment (Technical Assessment, Safety Assessment,
Compliance Assessment and Justification )
Block 10. Full Name and Signature of Assessor; Date shall be in the format dd mmm yyyy. E.g:
15 JUL 2010
Block 11. Full Name and Signature of Approval Person; Date shall be in the format dd mmm
Block 12. State Assessment of QC (Compliance Statement)
Block 13. Full Name and Signature of Assessor; Date shall be in the format dd mmm yyyy. E.g:
15 JUL 2010
Block 14. Full Name and Signature of Approval Person; Date shall be in the format dd mmm
Block 15. Information of Authority approval (If Available)
ISS. 02 REV. 01- DATE: 01 AUG 2015
PAGE:
FORM 3002
AMASIS USER LIST
DANH SCH TI KHON NGI DNG AMASIS

1.No. 2. VAECO ID
3. Name
4. Department/ Center
5. Division/ Squad
6. User AMASIS
7. Access Right/ Functions
8. Date: ......./......../...........
9. CREATED BY
ISS.01, REV.02, DATE 01 AUG 2015
PAGE:
FORM 3002

Block 1. Enter Ordinal number such as 1,2,3,4...
Block 2. Enter VAECO identification number
Block 3. Enter Full name of the staff
Block 4. Enter Name of department/ center at where the staff is working
Block 5. Enter Name of division/ squad at where the staff is working
Block 6. Enter User AMASIS granted to the staff to access the AMASIS
Block 7. Enter Access rights/ functions granted to the staff to access AMASIS.
Block 8. Enter Date of the list issuance in the format dd/mm/yyyy. (E.g: 15/11/2014)
Block 9. Enter Name and signature of person who created this list.
ISS.01, REV.02, DATE 01 AUG 2015
PAGE:
FORM 3003
PROCESS
APPROVAL
ENGINEERING ORDER
CH LNH K THUT
1. EO No:
REV.
ISSUED DATE:
OTHER REF:
2. TITLE :
3. EFFECTIVITY BY REG/MSN NUMBER/ENG.S/N /PART NUMBER
4. CATEGORY
Mandatory
Alert
Recommended
Attrition
Retrofit
5. TASK TYPE
Modification
Inspection
Repair/Deviation
Maint prgm change
A/C
6. SCHEDULING PRIORITY
Prior to:
Engines
Units
7. MANUALS AFFECTED
Maintenance Manual
Illustrated Parts Catalogue
Wiring diagram
Overhaul Manual
FM/FCOM
Other
Interval:
Limit:
8. WEIGHT & BALANCE

Wt. Change (+/- lbs)
Center of Gravity Change (+/- % MAC)

9. COMMENTS
10. APPROVAL (ENGINEERING DEPT.)

Engineering Division
Performed by:
Sign:
Accepted by:
Sign:
Date:
Date:
11. COST/ INVESTMENT (if required)
12. MANAGEMENT APPROVAL (if required)
Man hour
Material
Tools/ Equipment
Total per unit
Date:
Total fleet investment

ISS. 02, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 3003
ENGINEERING ORDER
WORKSHEET
CH LNH K THUT
EO No.
REV.
ISSUED DATE
OTHER REF:
TITLE :
13. PLANNING INFORMATION
A/C REG./ MSN
WO No.
CARD No.
STATION
DEADLINE
WP Ref.
14. TOOLING AND MATERIALS

ITEM
P/N
15. WORK RECORD

ITEM
COMMENTS:
DESCRIPTION
QTY.
WORK REQUIREMENT
MECH.
GRN
INSP.
16. Statement:
The article identified above was maintained/ altered and inspected in accordance with current regulations
of the competent Authority and is approved for return to service.
The work specified above was carried out in accordance with EASA Part-145 and in respect to that work
the aircraft / aircraft component is considered ready for release to service.
..........................................................................................................................................................................
..........................................................................................................................................................................

EASA approval No. EASA.145.

.......................................
18. Date: .......................... Name: ................................................ Signature / Stamp:

19. TECH. RECORD REQUIREMENT:
Signature/ Stamp:
ISS. 02, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 3003

This form is used to issue an engineering order.
PROCESS APPROVAL part of this form is completed by qualified engineer in Engineering
Department and approved by related manager as applicable.
WORKSHEET part of this form is completed by qualified planner of Planning Department
and mechanics/ authorised staff/ inspection personnel as applicable.
Block 1.
Enter the information of the EO such as: Engineering Order Number, Revision/
Issued date, Other reference
Block 2.
The title/ name of the Engineering Order.
Block 3.
Affectivity of the Engineering Order by Registration Number / Manufacturing

Serial Number or Engine Serial Number or Part Number: Mark with a tick in the
appropriate box and fill specific information into the table.
Block 4.
Enter category of the Engineering Order: Mark with a tick in the appropriate
box.
Block 5.
Enter Task type of the Engineering Order: Mark with a tick in the appropriate
box.
Block 6.
Scheduling Priority of the Engineering Order: Mark with a tick in the appropriate
square and fill additional information (if necessary).
Block 7.
Enter Manuals affected: Mark with a tick in the appropriate box.
Block 8.
Enter Weight and Balance: fill in specific information (if necessary).
Block 9.
Enter any necessary information.
Block 10.
Engineerings Approval: Name and signature of the person who prepared this
EO and the qualified person who approved this EO. The date of prepare and
approval should be given in the format of dd mmm yyyy. E.g.: 15 JAN 2010
Block 11.
Enter estimated cost or investment (if required leave blank if not required).
Block 12.
The approval of the customer (if required).
Block 13.
Enter following information in appropriate sub-block (By maintenance planner):
Block 14.
A/C Reg.: Aircraft Registration
Station: the station in which the EO should be carried out
WO: Work Order number
WP Ref: Work package reference number
Card No.: Card number
Deadline: This date that the EO must be completed
Comments: Enter other necessary information.
Enter tooling and materials information required to perform the EO:

-
Item: Sequence number of materials, tooling
P/N: Part Number
Description: Name of materials or tooling
ISS. 02, REV. 03 - DATE: 01 AUG 2015
PAGE:
Block 15.
Qty.: Quantity
GRN: Good Received Number
FORM 3003
Enter following information in appropriate sub-block:

-
Item: Sequence number
Work requirement
Mech.: The signature of the mechanic who carried out the task.
Insp.: The signature and authorization number or stamp of the person who
inspected the task.
Block 16.
Mark with a tick in appropriate box to specify the regulations or requirements

that the article is maintained/ altered and inspected in accordance with.
Block 17.
Block 18.
The hand-written normal signature and authorization number or stamp of the

authorised staff/ inspection personnel. The date of inspection should be given
in the format of dd mmm yyyy. E.g.: 15 JAN 2010.
Block 19.
Enter technical record requirement. This requires Technical-record staff

recording the EO performance into A/C log book and/or Engine log book.
Block 20.
Enter any remark/ finding while carrying out the EO.
ISS. 02, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 3004
ENGINEERING REQUEST (ER)

YU CU K THUT
1. TO:
2. ER No.:
3. DOC REF.:
4. SUBJECT:
5. ATA SUB:
6. DUE DATE:
7. EFFECTIVITY (A/C Reg./ MSN and/or Eng. S/N /P/N)
A/C
Engines
Other:
8. DISCRIPTION:
9. REQUEST:
10. PREPARED BY
11. APPROVED BY
SIGNATURE:
SIGNATURE:
DATE:
DATE:
12. PERFORMANCE/ FINDING/ CORRECTIVE ACTION
13. SIGNATURE
AND DATE
14. REPLIED BY
SIGNATURE:
DATE:
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE
FORM 3004

Block 1.
Enter department, division to whom this ER is sent.
Block 2.
Enter the engineering request number.
Block 3.
Enter the related document reference
Block 4.
Enter the subject of the request
Block 5.
Enter Aviation Transportation Association code and sub ATA code
Block 6.
Due date in the format dd mmm yyyy. E.g.: 15 JAN 2014
Block 7.
Enter effectivity of the engineering request by registration number/ manufacturing

serial number or engine serial number or part number. Mark with a tick in the
appropriate box and fill specific information into the table.
Block 8.
Enter description of request
Block 9.
Enter content of the request
Block 10. Enter name and signature of preparation person

Block 11. Enter name and signature of person who approves for request
Block 12. Enter Performance, Finding, Corrective action taken
Block 13. Enter signature of the RTS staff and performed date.
Block 14. Enter name and signature of person who replies and reply date.
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE
FORM 3005
REQUEST TO MODIFY MAINTENANCE DATA

YU CU SA I D LIU BO DNG
1. TO: VAECO ENGINEERING DEPARTMENT
2. REQUEST BY:
Signature:
3. A.C TYPE:
Date:
4. A/C REG./MSN OR S/N:
5. P/N:
6. Maintenance Data to be modified:
7. Issuer of the Maintenance Data:
8. Reason of modification:
9. Proposal of modification:
10. Received by:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
11. Date:
PAGE:
FORM 3005

This form is used to make a request to modify a maintenance data when an error is found in
maintenance data.
Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Block 10.
Block 11.
Request is sent to Engineering department.

State department/ individual who requests the maintenance data modification.
Signature of person making request. The request date should be given in the
format of dd mmm yyyy. E.g.: 15 JAN 2010.
State aircraft type
State Aircraft Registration/ Manufacturing Serial Number
State Part Number of component related to the error.
State specific reference to Maintenance data proposed to be modified.
State The issuer of the Maintenance Data
State reason of modification.
State proposal of modification if applicable.
State the acknowledgment of the receiver.
The review date should be given in the format of dd mmm yyyy. E.g.: 18 JAN
2010.
MODIFIED MAINTENANCE DATA

D LIU BO DNG SA I
2. A.C TYPE:
FORM 3006
1. File Ref.:
MI/............/yy
3. A/C REG./MSN OR S/N:
4. P/N:
5. Maintenance Data to be modified:
6. Issuer:
7. New reference of Maintenance Data:............................................/VAECO Revision:

Content/Subject:
8. Reason of modification:
9. TC/STC holder/manufacturer information:
10. Content after modification: (The modification should be highlighted with yellow colour)
11. VAECO Engineering:
12. Approval:
Date:
Date:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 3006

Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Block 10.
Block 11.
Block 12.
State File reference.

State aircraft type.
State Aircraft Registration/ Manufacturing Serial Number.
State Part number
State Maintenance Data proposed to be modified
The issuer of the Maintenance Data.
New reference of Maintenance Data / Revision/ Content or Subject
modified
State Reason of modification
Type Certificate/ Supplemental Type Certificate holder/manufacturer
information
Content after modification with the modification should be highlighted with
yellow colour
The approval of VAECO Engineering. The approved date should be given
in the format dd mmm yyyy. E.g: 15 JUL 2010.
The approval of VAECO Quality Assurance Department. The approved
date should be given in the format dd mmm yyyy. E.g: 15 JUL 2010.
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 3007
MAINTENANCE DATA AMBIGUITIES AND INACCURACIES REPORT

BO CO V THNG TIN KH HIU TRONG D LIU BO DNG
1. FROM: ...................................................................................................................................
2. TO: .........................................................................................................................................
3. CC: .........................................................................................................................................
4. DATE: ....................................................................................................................................
5. AFFECTED DOCUMENT: .....................................................................................................
...................................................................................................................................................
6. FINDINGS:
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
7. REPORTED BY
(Signature & full name)
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 3007

Block 1.
Enter department or center name
Block 2.
Enter Engineering and IT department
Block 3.
Enter related department or center name
Block 4.
Enter date of the report.
Block 5.
Enter affected maintenance data/ document.
Block 6.
Enter details of findings: describe the ambiguities and/ or inaccuracies
Block 7.
Enter full name and signature of the person who makes this report.
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 3008
NOTICE FOR TEMPORARY REVISION OF MAINTENANCE DATA

THNG BO SA I TM THI D LIU BO DNG
1. REF. No: ................................
2. DATE: ...........................................
3. TO: ..............................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
4. SUBJECT: ...................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
5. TC/STC HOLDER IFORMATION: ...............................................................................................
6. CONTENT:
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
7. Prepared by:
8. Approved by:
Sign:
Sign:
Date:
Date:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 3008

Block 1. State reference number
Block 2. State date in the format dd mmm yyyy. E.g: 15 JUL 2010
Block 3. State the destination of this notice (department/ center)
Block 4. State the subject of temporary revision content.
Block 5. State the TC/ STC holder information: type certificate/ supplementation type
certificate information
Block 6. State the temporary revision content
Block 7. State the name and signature of preparation person. The date should be given in the
format dd mmm yyyy. E.g: 15 JUL 2010
Block 8. State the name and signature of approval person. The date should be given in the
format dd mmm yyyy. E.g: 15 JUL 2010
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 3009
TECHNICAL MEMORANDUM (TM)

GHI NH K THUT
1. FROM:
2. TM No.:
TO:
3. DOC Ref.:
CC:
4. ATA SUB:
5. SUBJECT:
6. AFFECT TO (A/C Reg./ MSN and/or P/N, S/N):
7. REASON:
8. RECOMMENDATION/ NOTICE:
9. PREPARED BY
10. APPROVED BY
SIGNATURE:
SIGNATURE:
DATE:
DATE:
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE /
FORM 3009

Block 1.
Enter department, division from whom this TM is issued and to whom this TM is
sent.
Block 2.
Enter the technical memorandum number.
Block 3.
Enter the related document reference.
Block 4.
Enter Aviation Transportation Association code and sub ATA code.
Block 5.
Enter the subject of the memorandum.
Block 6.
Enter registration number/ manufacturing serial number or engine part number/

serial number or component part number/ serial number that affected by this
memorandum.
Block 7.
Enter reason of memorandum.
Block 8.
Enter recommendation or notice of memorandum.
Block 9.
Enter name and signature of preparation person and date.
Block 10. Enter name and signature of person who approves the TM and date.
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE /
FORM 3010
1. Ref.:
EO SPARES AND TOOL LIST

DANH MC VT T, DNG C THC HIN EO
3. SB/AD/OTHER REFERENCE:
2. EO No.:
4. DATE REQUIRED OR DEADLINE:
5. DESCRIPTION:
6. APPLICABLE TO A/C:
ENGINE:
COMPONENT:
7. SPARES AND MATERIALS:

Item
Part number
Description
Type
Qty
IPC/Ref. doc
Description
Type
Qty
IPC/Ref. doc
8. TOOLS:
Item
Part number
9. COMMENT:
10. PREPAIRED BY:
11. APPROVAL:
Sign:
Sign:
Date:
Date:
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 3010

Block 1. State the reference number of EO Spare & Tool List (ESTL)
Block 2. State the reference number of EO
Block 3. State the reference number of AD, SB or the document which the EO refers to.
Block 4. Specify the deadline which the spares, materials and tools should be available.
Block 5. Description of the maintenance action will be performed IAW the EO.
Block 6. If the ESTL is applicable to A/Cs, specify the A/C type.
If the ESTL is applicable to Engines, specify the Engine Type.
If the ESTL is applicable to components, specify the component P/N.
Entry the MSN or engines S/N or components S/N which the ESTL is applicable to.
Block 7, 8. Entry the P/N, description, the type, quantity of the spare, material and tool required.
Note: Type is defined as follow:
-
CO: material (including OIL/HYD/FUEL) - mandatory item.
EP: non-material spare (including seal / filters...) mandatory item.
TO: tool mandatory item.
AR: spare as required (only need when theres defect).
TA: tool as required (only need when theres defect).
Mandatory item: material, spare, tool which always need to carry out the task (including
removal/installation for access if it is mandatory).
As required: only need when the defect arise during the task.
Block 9. Put the comment on:
-
Specify if the indicated quantity is for all the fleet or for only one WO.
The support program from vendor if available.
Other information related to ordering spares, materials and tooling.
Block 10. Enter Name and Signature of the qualified engineer. And enter date of prepare (day/
month/ year).
Block 11. Enter Name and Signature of the approved person. And enter date of approval (day/
month/ year).
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 3011
AD/SB REQUISITION
YU CU THC HIN AD/SB
1. Ref.:....
VAECO ENGINEERING AND IT DEPARTMENT REQUESTS TO INCORPORATE THE

FOLLOWING AD/SB FOR THE COMPOMENTS LISTED BELOW.
2. Requested
AD/SB:
5. Schedule:
3. Description:
4. AD/SB
Evaluation:
SEND TO SHOP FOR AD/SB INCORPORATION
AT SHOPVISIT WHENEVER ACCESS AVAILABLE
AT NEXT SHOPVISIT
DEADLINE:
6. Comments:
7. P/N
8. Description
9. S/N
10. Cost (USD)
VAECO ENGINEERING & IT DEPT.

Requested by: . Signature:
Date:
VAECO LOGISTICS DEPT.

Return to Engineering & IT dept. a copy of the shop finding report/ repair report/ strips report
Comment:
Name/ Sign:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
Date:
PAGE
FORM 3011
Form 3011 completion guide:

Block 1.
File reference number
Block 2.
Number of requested AD/SB
Block 3.
Description of AD/SB
Block 4.
Reference number of AD/SB evaluation sheet
Block 5.
Tick in appropriate box. Specify the deadline (if any). The date should be given in
format of dd mmm yyyy (first two-digit day, three letters of the month and four-digit
year)
Block 6.
Commends of EGD, if any
Block 7.
Part number of component affected by AD/SB
Block 8.
Description of component affected by AD/SB
Block 9.
Serial number of component(s) affected by AD/SB
Block 10. Cost of implementing of AD/SB
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 3012
LIST OF AD POTENTIALLY APPLICABLE TO ENGINES, COMPONENTS
1. Ref.: .
DANH MC CC AD CN LU KHI KIM TRA/ TIP NHN NG C, THIT B

The listed below identifies the components and the AD which potentially effects to the airworthiness of the components.
Please inform VAECO Engineering & IT Dept. if any component received with affected AD not complied.
Note: this is supporting document only, the inspector is responsible for final decision to accept the component or not.
2. AD
3. Related SB
4. ATA
5. Description
6. P/N affected
7. S/N affected
8. Vendor
9. Remark
10. Reported by (VAECO Engineering):

Signature:
Date:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 3012

This form is issued by Engineering Department and used to determine the AD compliance status of concerning parts.
Block 1. State Reference Number
Block 2. State Airworthiness Directive number
Block 3. State Related Service Bulletin number
Block 4. State ATA code
Block 5. State Description
Block 6. State Part Number Affected
Block 7. State Serial Number Affected
Block 8. State Vendor
Block 9. State Remark
Block 10. Name and signature of report person. The date should be given in format of dd mmm yyyy (first two-digit day, three letters of
the month and four-digit year)
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 3014
DOCUMENT MASTER LIST

DANH MC CC TI LIU HIN HNH
2. DEPARTMENT:..
NO.
4. DOCUMENT
5. EFFECTIVITY
6. ISSUER
1. Ref.:
3. DATE:
7. FORMAT
8. QTY.
9. ATA
10. P/N
11. REV.
12. REV. DATE
13. REMARK
14. REPORT BY VAECO LIBRARY

(Name &Signature)
ISS. 02, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 3014

This form is used to control approved document
Block 1.
Sate the reference of the master list
Block 2.
State the holder of documents.
Block 3.
The issued date of the list should be given, in the format , in the format dd mmm yyyy. E.g.: 15 JUL 2010.
Block 4.
State the name of the document/ maintenance data.
Block 5.
State the effectivity of the document/ maintenance data.
Block 6.
State the name of the issuer of the document/ maintenance data.
Block 7.
State the format of the document/ maintenance data. E.g: paper, CD-ROM, DVD ect.
Block 8.
State the quantity of the document/ maintenance data.
Block 9.
State the ATA number of the document/ maintenance data if applicable.
Block 10.
State the part number of the component specified in the document/ maintenance data if applicable
Block 11.
State the revision number of the document/ maintenance data.
Block 12.
State the revision date (dd mmm yyyy) of the document/ maintenance data.
Block 13.
State the remark if necessary.
Block 14.
State the person of Library issuing the list.
ISS. 02, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 3015
TECHNICAL ASSISTANCE REQUEST

YU CU TR GIP K THUT
1. TO:
2. TAR No.:
FROM:
ITEM:
3. CUSTOMER:
4. ATA SUB:
5. EFFECTIVITY:
6. DOC REF.:
A/C type:
A/C Reg.:
AMM task ref.:

AD/SB ref.:
A/C status:
SDR ref.:
A/C FH:
A/C FC:
Other ref.:
7. DESCRIPITION
8. REQUEST:
9. ISSUE DATE
10. DUE DATE:
11. REQUESTED BY
15. PREPARED BY
16. APPROVED BY
12. APPROVED BY
13. REPLY:
14. REPLY DATE
17. MESSAGE RECEIVED BY
18. CORRECTIVE ACTION TAKEN:
19. COMPLETED
YES
20. CHECK DATE
21. CHECKED BY
NO
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE
FORM 3015

Block 1. Enter the information as follows:
- TO: Department
- FROM: Department / Center.
Block 2. Enter the technical assistance request (TAR) number.
The reference number will be named as follows: xxx/yy/zzz as maintenance center
code/year code/sequence number (from 001 to 999)
Maintenance center
HAN Base Maintenance Center
HAN Ramp Maintenance Center
HCM Base Maintenance Center
HCM Ramp Maintenance Center
HAN Component Maintenance Center
HCM Component Maintenance Center
DAD Ramp Maintenance Center
Code
HBM
HLM
SBM
SLM
HCM
SCM
DLM
E.g.: HBM/11/001.
In case therere some different feedbacks or replies for a TAR (same subject),
Enter the different ITEM, e.g.: ITEM 01 to 99.
Block 3. Select the appropriate Customer or Operator in the box.
Block 4. ATA-SUB: Aviation Transportation Assosiation code
Block 5. Enter the effectivity, select: A/C type, A/C Registration, A/C status (AOG, Transit
Check) and enter A/C Flight Hours, A/C Flight Cycles in the suitable box.
Block 6. Enter the related document reference. Mark or to suitable box.
Block 7. Enter description of assistance content, background of the situation.
Block 8. Enter the request (or question) for assistance.
Block 9. Enter the issue date of this TAR, in the format dd mmm yyyy. E.g.: 15 JAN 2010.
Block 10. Enter the date that needed to be replied, in the format dd mmm yyyy. E.g: 15 JAN
2010
Block 11. Enter name and signature of requester
Block 12. Enter name and signature of requesters manager.
Block 13. Enter description of assistance feedback
Block 14. Enter reply date in the format dd mmm yyyy. E.g.: 18 JAN 2010
Block 15. Enter name and signature of person who reply this request
Block 16. Enter name and signature of person who approves for reply
Block 17. Enter name and signature of person who receive this request
Block 18. Enter corrective action that has been performed.
Block 19. Enter the work is completed or not by marking or on YES or NO box.
Block 20. Enter check date, in the format dd mmm yyyy. E.g: 20 JAN 2010.
Block 21. Enter name and signature of authorized person who checks this request
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE
FORM 3016

BO CO HNG HC CU TRC
1. Ref.: SDR/
Rev.:
2. Airlines:
3. Station:
4. Date:
5. A/C Model:
A/C REG.:
MSN:
6. Current FH:
Current FC:
7. ATA:
8. Damage found during:

Base maintenance check type:
Transit check
Other: ...
9. Zone:
10. Detail of damage:

Damaged Part (Component):
P/N:
S/N:
ATA:
Classification
Dimension
Location
Crack
Corrosion
Debonding
Dent
Erosion
Scratch
Other:
Additional information:
Length:
Width:
Depth:
Other dimension:
.
.
.
Sketch / Photo:
See pages:
11. Damage assessment:

Allowable: .
..
Non allowable but repair procedure is given in SRM
Non allowable and repair procedure is NOT given in SRM
12. Action taken:
..
..
13. Action Request:
..
..
Deadline:
14. Reported by:
Name:
Signature:
15. Received by:

Name:
Signature:
Date:
Date:
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE

BO CO HNG HC CU TRC
FORM 3016
1. Ref.: SDR/
Rev.:
16. OVERVIEW LOCATION OF DAMAGE

(To provide location of the damage on the aircraft or component)
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE

BO CO HNG HC CU TRC
FORM 3016
1. Ref.: SDR/
Rev.:
17. DETAILED SKETCH OF DAMAGE

(With dimensions of damage and its distances to adjacent areas)
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE
FORM 3016

Block 1.
Enter a unique Reference Number of Structure Damage Report and revision.

The reference number will be named as SDR/xxx/yy/zzz in which:
+ xxx is maintenance center code specified in following table.
+ yy is two last digits of the year.
+ zzz is sequence number of the SDR in the year xx (of the maintenance center xxx)
Maintenance center
Code (xxx)
HAN Base Maintenance Center
HBM
HAN Ramp Maintenance Center
HLM
HCM Base Maintenance Center
SBM
HCM Ramp Maintenance Center
SLM
DAD Ramp Maintenance Center
DLM
E.g: SDR/HBM/11/001.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Block 10.
Block 11.
Block 12.
Block 13.
Block 14.
Block 15.
Block 16.
Block 17.
The reference number must be the same in all pages.

Enter the name of customer (Airlines name)
Enter the station where the damage was found (HAN; SGN or Other).
Date of damage found in the format of dd mmm yyyy. E.g.: 15 JUL 2010.
Enter aircraft model such as A320-214, aircraft registration and manufacturer serial
number.
Enter current flight hour and current flight cycle.
Enter Aviation Transport Association code.
Enter the time period that the damage is found.
Enter Zone of the A/C that damage located.
Enter the detail information of damage (affected part number, dimensions, location,
type of damage)
Enter the assessment of damage by marking the X symbol into the appropriate
box; If the damage does not allow the A/C returned to service the making of X
symbol is not required, however work required shall be specified in the block 13.
Enter the Action taken preliminary by the reporter.
E.g.: - Smooth of scratch ref. SRM 51-73-00.
- Restore surface protection ref. SRM 51-75-12.
- C/O NDT no crack found ref NTM 51-10-02.
- Temporary allowable damage given in SRM 53-21-11 diagram 105.
Enter action/ work requested to be performed.
E.g.: - Request to detail evaluation and repair.
Deadline: before flight
Enter the name, signature of the reporter. The date of report in the format of dd
mmm yyyy. E.g.: 15 JUL 2010.
Enter the name, signature of the receiver. The date of report receipt in the format of
dd mmm yyyy. E.g.: 15 JUL 2010.
Describe overall location of damage on aircraft or component by figure.
Describe detailed location and dimensions of the damage and distances to adjacent
areas by figure.
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE
FORM 3017
TECHNICAL INSTRUCTION
HNG DN K THUT
1. TI No.:
2. Rev.:
3. Date:
4. SUBJECT:
5. EFFECTIVITY
A/C
Engines
Component
Tools
6. REASON FOR JOB:
7. REFERENCE DOCUMENT:
8. MANPOWER:
9. WEIGHT & BALANCE

10. TOOL & MATERIAL
11. ILLUSTRATION:
12. WORKING PROCEDURE
13. PREPAIR BY
14. VAECO ENGINEERING & IT APPROVAL
Name:
Name:
Sign.:
Sign.:
Date:
Date:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
Page
of
FORM 3017

This form is used to give technical instruction for performance work such as repair instruction,
inspection procedure or local modification instruction or others when have Technical assistance
requirement from maintenance department.
Block 1.
Provide Technical instruction number;
Block 2.
Provide Revision number of this TI;
Block 3.
Provide issue date of TI, in the format day/month/year;
Block 4.
Provide subject of TI, that summary TI content, e.g.: Technical instruction for
fabrication of flap waste of aircraft A320;
Block 5.
Stick on corresponding box: aircraft or engines or component or tools that TI applied

to. The row below give detail information such as: Name, P/N, S/N, and others
information;
Block 6.
Provide reason for issuing the TI, for example: Issue following Order/ Official letter
from other unit;
Block 7.
Provide document reference base on that to prepare/ issue TI. For example:
approved maintenance data, Airbus drawing
Block 8.
Manpower for perform work in this TI;
Block 9.
Provide weight & balance that change if applied this TI for aircraft or aircraft
component installed on aircraft;
Block 10.
Tools and material required for perform work in this TI;
Block 11.
Provide illustration: for example provide drawing and picture to illustrate the items in
the procedure;
Block 12.
Provide procedure/ instruction for perform work;
Block 13.
Provide Name/sign/date of engineering staff who prepare TI, date must be in the
format day/month/year;
Block 14.
Provide Name/sign/date of EGD for TI approval, date must be in the format

day/month/year;
Note: N/A must be filled in un-used block.
ISS. 01, REV. 02 - DATE: 01 AUG 2015
Page
of
FORM 3020
TECHNICAL INSTRUCTION FOR PART FABRICATION

HNG DN K THUT CH TO CHI TIT MY BAY
1. TI No.:
2. Rev.:
3. Date:
4. PART DESCRIPTION:
5. ORIGINAL P/N:
6. VAECO P/N:
7. EFFECTIVITY
A/C
Engines
8. REASON FOR JOB:
9. REFERENCE DOCUMENTS/ DRAWINGS:
10. MANPOWER:
11. WEIGHT & BALANCE

12. TOOL & MATERIAL
13. ILLUSTRATION:
14. MANUFACTURING PROCESS:
15. INSPECTION AND TEST REQUIREMENTS:
APPROVAL
16. VAECO ENG & IT DEPT.
17. VAECO QA DEPT.
18. CUSTOMER
19. AUTHORITY
Name:
Name:
Name:
Name:
Sign.:
Sign.:
Sign.:
Sign.:
Date:
Date:
Date:
Date:
ISS. 01, REV. 01 - DATE: 01 AUG 2015
Page
of
FORM 3020

Block 1.
Enter Technical instruction number;
Block 2.
Enter Revision number of this TI;
Block 3.
Enter issue date of TI, in the format day/month/year;
Block 4.
Enter description of the fabricated part;
Block 5.
Enter original P/N;
Block 6.
Enter VAECO P/N, If the original manufactured P/N is AAA, the VAECO fabricated
P/N: AAA-VAE.
Block 7.
Stick on corresponding box: aircraft or engines or component or tools that TI applied

to. The row below give detail information such as: Name, P/N, S/N, and others
information;
Block 8.
Enter reason for issuing the TI, for example: Issue following Order/ Official letter from
other unit;
Block 9.
Enter document/drawing references base on that to prepare/ issue TI. For example:
approved maintenance data, Airbus drawing
Block 10.
Manpower for perform work in this TI;
Block 11.
Enter weight & balance that change if applied this TI for aircraft or aircraft component
installed on aircraft;
Block 12.
Tools and material required for perform work in this TI;
Block 13.
Enter illustration: for example provide drawing and picture of fabricating tools
Block 14.
Enter procedure/ instruction for perform work;
Block 15.
Enter inspection and test procedures;
Block 16.
Enter Name/sign/date of EGD for TI approval, date must be in the format

day/month/year;
Block 17.
Enter Name/sign/date of QAD for TI approval, date must be in the format

day/month/year;
Block 18.
Enter Name/sign/date of Customer for TI approval, date must be in the format

day/month/year;
Block 19.
Enter Name/sign/date of Authority for TI approval, date must be in the format

day/month/year;
Note: N/A must be filled in un-used block.
ISS. 01, REV. 01 - DATE: 01 AUG 2015
Page
of
FORM 3022
SAMPLE MODIFICATION RECORD

1. Reference No.
BIN BN TH NGHIM
2. Modified Maintenance Instruction:
3. Application for:
A/C
A/C Reg:
MSN:
Engines
P/N:
S/N:
Units
4. TEST METHOD:
5. RESULT/ EVALUATION:
6. Engineering Representative 7. Maint. Center Representative

(Name & Signature)
(Name & Signature)
Date:
Date:
8. QA Representative
(Name & Signature)
Date:
ISS. 01, REV. 01 - DATE: 01 AUG 2015

PAGE
FORM 3022

Block 1.
State Reference Number
Block 2.
State Modified Maintenance Instruction Title & Number
Block 3.
State the effectivity of the modification data by marking on appropriate box and
giving information of Aircraft Registration Number; A/C Manufacturer Serial
Number; Engine Part Number and Engine Serial Number; or Component Part
Number and Serial Number. State N/A if not applicable.
Block 4.
State Used Test Method
Block 5.
State details of Results/ Evaluation
Block 6.
State the name, signature of the Engineering Representative. The date should
be given in the format of dd mmm yyyy. E.g: 15 JUL 2010.
Block 7.
State the name, signature of the Maintenance Center Representative. The

date should be given in the format of dd mmm yyyy. E.g: 15 JUL 2010.
Block 8.
State the name, signature of the Quality Assurrance Representative. The date
should be given in the format of dd mmm yyyy. E.g: 15 JUL 2010
ISS. 01, REV. 01 - DATE: 01 AUG 2015

PAGE
FORM 3024
PREMILINARY EVALUATION SHEET

BN NH GI S B SB
1. Reference No.:
2. SB No:
3. Issue Date:
4. ATA:
5. Vendor:
6. Description:
7.EFFECTIVITY
A/C
A/C Reg:
MSN:
Desirable
Engines
Units
Optional
P/N:
S/N:
Other (as specified below)

....
8. Related AD/CN:
9. COMMENT:
10. EVALUATED BY:
Name:
Signature:
ISS. 01, REV. 02; DATE: 01 AUG 2015
Date:
PAGE:
FORM 3024

Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
State Reference Number

State SB Number
State Issue Date of the SB
State Effected ATA Chapter Code (State N/A if not applicable)
State Vendor who issue the Service Bulletin
State Content of the SB (in general)
State the Effectivity of the SB:
+ The SB apply to A/C; Engines; or Components

+ A/C Registration Number; A/C Manufacturer Serial Number; Engine Part
Number and Serial Number; or Component Part Number and Serial Number
(State N/A if not applicable)
+ Category of the SB by marking in appropriate box (Desirable, Optional,

Other as specified)
Block 8. State Related AD/CN (If any) otherwise state NIL
Block 9. State any Comment
Block 10. State the name, signature of the evaluation personnel. The date of report in the
format of dd mmm yyyy. E.g: 15 JUL 2010
ISS. 01, REV. 02; DATE: 01 AUG 2015
PAGE:
FORM 3026
ONBOARD TECHNICAL DATA LIST

DANH MC CC TI LIU K THUT TRN TU BAY
1. AIRCRAFT TYPE : 2. AIRCRAFT REGISTRATION:.. 3. DATE: ..
4. No.
5. DOCUMENT
6. REVISION
7. REV. DATE
8. REMARK
9. VAECO LIBRARY
(Name &Signature)
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 3026
Form Completion Guidance:

This form is used to control approved document
Block 1.
State of Aircraft type
Block 2.
State of Aircraft registration number
Block 3.
The issued date of the list should be given, in the format ,dd mmm yyyy. E.g.: 15
JUL 2010.
Block 4.
Item number
Block 5.
State the name of the document/ maintenance data .
Block 6.
State the revision number of the document/ maintenance data.
Block 7.
State the revision date (dd mmm yyyy) of the document/ maintenance data.
Block 8.
State the remark if necessary.
Block 9.
State the person of Library issuing the list.
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 3027
TOOL / EQUIPMENT MAINTENANCE PROGRAM

CHNG TRNH BO DNG DNG C / THIT B
1. Reference number:
Revision:
Date:
2. Description:
3. Manufacturer:
4. P/N, Model:
5. S/N:
6. Reference doc.:
No.
7. Maintenance task
8. Interval
9. Remark
10. Created by
11. Approved by
Engineering & Information Technical Director
Name:
Name:
Signature:
Signature:
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 3027

Block 1. Enter the reference number, revision and date of this maintenance program;
Block 2. Enter the name of tool/ equipment;
Block 3. Enter the Manufacturer of the tool/ equipment;
Block 4. Enter the Part number or Model of the tool/ equipment;
Block 5. Enter the Serial number (s) of the tool/ equipment that is effected;
Block 6. Enter the reference documents used to create the tool/ equipment maintenance
program. E.g.: the tool/ equipment operating manual of manufacturer;
Block 7. Enter the maintenance tasks;
Block 8. Enter the maintenance interval(s);
Block 9. Enter any remark if necessary;
Block 10. Enter the name, signature of the person who creates the maintenance program and
date of preparation in the format of dd mmm yyyy. E.g.: 15 JUL 2010.
Block 11. Enter the name, signature of the person who approves the maintenance program and
date of approval in the format of dd mmm yyyy. E.g.: 15 JUL 2010.
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 3028
LIST OF COCKPIT STOWED MEDIA

DANH MC CC A TRN COCKPIT
2. MSN:
1. A/C Reg.:
No.
5. Description
3.Type:
6. Part number
4. Operator:
7. Revision 8. Quantity
9. Remark
10. Prepared by:
11. Approved by:
12. Received by:
Signature:
Signature:
Signature
Date:..
Date:
Date:..
ISS.01; REV.01 DATE: 01 AUG 2015
PAGE:
FORM 3028

This form is issued by Engineering Department to list cockpit stowed media
Block 1.
Enter Aircraft Registration Number
Block 2.
Enter the MSN of the Aircraft
Block 3.
Enter the Type of the Aircraft
Block 4.
Enter the Name of Operator
Block 5.
Enter the Description of the media
Block 6.
Enter the Part number of the media
Block 7.
Enter the Revision of the media
Block 8.
Enter the Quantity of the media
Block 9.
Enter Remark , if any
Block 10.
Enter Name and signature of the person who prepares the list.
Block 11.
Enter Name and signature of the person who approves the list.
Block 12.
Enter Name and signature of the person who receives the list.
PAGE:
FORM 3029
LIST OF LOADABLE SOFTWARE DISKETTES/MEDIA BINDERS

DANH MC CC A PHN MM TRN BINDERS
1. A/C Reg.:
No
5. LRU Description
2. MSN:
3.Type:
6. Software name
7. Software P/N
4. Operator:
8. Disk set P/N
9. Remark
10. Prepared by:
11. Approved by:
12. Received by:
Signature:
Signature:
Signature:
Date:..
Date:
Date:..
PAGE:
FORM 3029

This form is issued by Engineering Department to list loadable software diskettes/ media binders
Block 1.
Block 2.
Enter the MSN of the Aircraft
Block 3.
Enter the Type of the Aircraft.
Block 4.
Enter the Name of Operator.
Block 5.
Enter the LRU Description of the aircraft component/ equipment.
Block 6.
Enter the software name of diskette
Block 7.
Enter the software part number of diskette
Block 8.
Enter the disk set part number
Block 9.
Enter Remark, if any
Block 10.
Enter Name and signature of the person who prepares the list
Block 11.
Enter Name and signature of the person who approves the list
Block 12.
Enter Name and signature of the person who receives the list
PAGE:
FORM 3030
PRODUCT ACCEPTANCE REPORT

BIN BN NGHIM THU SN PHM
1. DESCRIPTION/ Tn sn phm:
2. REFERENCE No./ S Tham chiu:
4. SERIAL NUMBER/ S xut xng:
3. PART NUMBER/ S quy cch:
5. REFERENCE DOCUMENTS/ Ti liu tham chiu: (OEM documents, Drawing No., Fabrication worksheet):
6. ACCEPTANCE PROCESS/ NI DUNG KIM TRA

A. Specification check/ Kim tra c tnh sn phm theo yu cu
No.
REQUIRED PRODUCT
SPECIFICATION
DESCRIPTION
FABRICATED PRODUCT
SPECIFICATION
EVALUATION
RESULT
B. Function/operation check/ Kim tra tnh nng - hot ng
7. CONCLUSION/ KT LUN:
.......................................................................................................................................................................................
.......................................................................................................................................................................................
.......................................................................................................................................................................................
.......................................................................................................................................................................................
.......................................................................................................................................................................................
8. ACCEPTANCE TEAM/ Thnh phn t nghim thu:
9. AGREEMENT/ Chp nhn
FULL NAME/ H v Tn
DEPT./ CENTER/ n v
SIGN/ Ch k
NO/
YES/
Khng
ng
ng
Disagreement reason/
L do khng ng
10. PERFORMANCE DATE / Ngy thc hin:
ISS.01; REV.01; DATE: 01 AUG 2015
PAGE
FORM 3030

This form is used for product acceptance after fabrication, alteration and before being used in
maintenance activities.
Block 1. Enter the product description according to design or relating documents.
Block 2. Enter the reference number of this Report, e.g.: CH2013-01,-02
Block 3. Enter the part number of the product.
Block 4. Enter the serial number of the product.
Block 5. Enter the reference document such as OEM data, VAECO engineering data,
fabrication worksheet
Block 6. Enter the acceptance process. Specify the checking steps including:
- Specification check compared with OEM/ Drawing (if OEM specs are not
available) specification,
- Function/operation check. E.g.:
A. Specification check/ Kim tra c tnh sn phm theo yu cu
No.
DESCRIPTION
REQUIRED PRODUCT
SPECIFICATION
FABRICATED PRODUCT
SPECIFICATION
EVALUATION
RESULT
Aluminum
Aluminum
Satisfied
Materials
Dimension A (see
Drawing No. DR2012-01)
610 mm
610 mm
Satisfied
Dimension B (see
550 552 mm
551 mm
Satisfied
Dimension C (see
40 42mm
41 mm
Satisfied
B. Function/operation check/ Kim tra tnh nng - hot ng

1
Function 1: This Tool (Equipment..) (P/N ., S/N ..) is used to open/ cover/
remove/ install/ transport .. for ..(how many) times and found satisfied.
Function 2:
Block 7.
Enter conclusion of the acceptance team leader. This conclusion should include the
statement for meeting all OEM (or design) specification and pre-defined function and
accepting for safety and repeatable usage.
Block 8. Enter the name, department/ center and sign of acceptance team, including:
- Delegated person of the fabricated design data department - Leader
- Authorized staff who perform the test
- Quality Control Division staff
Block 9. Enter final agreement of individual in the team.
Block 10. Enter the date (dd/mm/yyyy), e.g.: 01/06/2014.
ISS.01; REV.01; DATE: 01 AUG 2015
PAGE
FORM 3031
BIN BN BN GIAO H S BO DNG

MAINTENANCE RECORD HANDOVER SHEET
1. FROM: .................................................................................
2. TO: ....................................................................
3. MAINTENANCE RECORDS TRANSFERRED ON:

4. No.
5. AIRCRAFT/
COMPONENT
6. MAINTENANCE RECORD TYPE AND

DESCRIPTION
7. SENDER
Name:
7. REMARK
8. RECEIVER
Name:
Sign:
Sign:
ISS. 01, REV.02 - DATE: 01 AUG 2015
Date:
Page
of
FORM 3031

Block 1: Enter Department/ Center who sends Maintenance Record.
Block 2. Enter Department/ Center who receives Maintenance Record.
Block 3. Enter Date (DD/MMM/YYYY) and time (HH:MM) of delivery.
Block 4. Enter sequent number of each item.
Block 5. Enter Aircraft Registration Number and/or Component of which Maintenance Actions
have been recorded.
Block 6. Enter Type and Description of maintenance record, E.g.: Out of Phase Maintenance
Work Order (OPM WO) VN12345678, Work package (WP) VN12345678, Technical
Log page (TLP) 12345 - 12355
Block 7. Enter Remark (if any). E.g.: Lack of TLP 12350
Block 8. Enter Name and Signature of the sender.
Block 9. Enter Name and Signature of the Receiver, Date (DD/MMM/YYYY) of receive.
Hng dn in Mu 3031
Mc 1: Ni bn giao h s bo dng.
Mc 2: Ni nhn bn giao h s bo dng.
Mc 3. Ghi ngy, gi bn giao (dng ngy/ thng/nm, trong thng vit 3 k t u). V d: 15
JAN 2013, 13:30.
Mc 4. S th t.
Mc 5. S ng k my bay v/hoc tn thit b.
Mc 6. Loi v m t h s bn giao.
Mc 7. Ghi ch. V d: Thiu TLP 12350
Mc 7. Ngi c trch nhim bn giao ghi tn, k xc nhn.
Mc 10. Ngi c trch nhim nhn bn giao ghi tn, k xc nhn v ghi ngy nhn dng ngy/
thng/nm, trong thng vit 3 k t u. V d: 15/JAN/2013.
ISS. 01, REV.02 - DATE: 01 AUG 2015
Page
of
FORM 3032
MAINTENANCE REQUEST & APPROVAL SHEET

PHIU YU CU PH CHUN CNG VIC BO DNG
I. MAINTENANCE REQUEST
1. Ref. No.:
2. Purpose:
SUPPORT AN UNSERVICEABLE AIRCRAFT

OCCASIONAL LINE MAINTENANCE
3. Customer information
4. Aircraft information
Name:
Type:
ICAO Code:
Reg. No.:
5. Requested work
10. Approval required:
6. Location:
7. Time period:
8. Responsibility for
materials
9. BDD Director
(name and signature)
11. Maintenance data
FAR 145 EASA 145
CAAV Part 5
Date:
Others:
II. REQUEST EVALUATION AND APPROVAL
Evaluated item
12. Result
13. Evaluated by
Housing and facility

Tools and equipment
Material
Maintenance data
14. Overall assessment result and remark:
15. EGD Director

Date:
Evaluated item
16. Result
13. Evaluated by
Scope of work
Nature of work
Repetitive maintenance
17. Details of approval and limitation:
18. QAD Director

Date:
ISS. 01, REV. 00 - DATE: 01 JUN 2015
PAGE
FORM 3032

Block 1.
Enter reference number (BDD).
Block 2.
Check appropriate box for the maintenance work to be requested
Block 3.
Enter operators name and ICAO code
Block 4.
Enter aircraft type and registration number, as applicable
Block 5.
Enter description of work to be perform
Block 6.
Enter the location where the maintenance to be perform
Block 7.
Enter time duration for the work
Block 8.
Specify the responsibility for materials need for the maintenance work
Block 9.
Enter name and signature of Business Development Department Director
Block 10. Enter the required approval for the maintenance

Block 11. Specify the maintenance data used for the work
Block 12. Enter the evaluation result (adequate/ lack)
Block 13. Enter name and signature of person who perform the evaluation
Block 14. Enter description for the evaluation result, indicate the company have adequate
resource for the requested work or not
Block 15. Enter name and signature of Engineering Department Director
Block 16. Enter the evaluation result (satisfied/ not satisfied)
Block 17. Enter details of the approval with limitation (if any), or not accept for the requested
work
Block 18. Enter name and signature of Quality Assurance Department Director
ISS. 01, REV. 00 - DATE: 01 JUN 2015
PAGE

FROM LOGISTICS DEPARTMENT
Fax :
38840748
1. TO:
Fax:
2. NUMBER: .................................................................
FORM 4002
MAINTENANCE/ REPAIR REQUEST

(IN HOUSE REPAIR)
YU CU SA CHA/ BO DNG
NI B
3. DATE: .......................................................................
4. DESCRIPTION:
5. PART NUMBER:
6. REMOVE FROM A/C:
7. SERIAL NUMBER:
8. REMOVAL DATE:
9. TSN:
10. CSN:
11. TSI:
12. CSI:
TSN:
CSN:
14. NUMBER OF TYRE CHANGE:
13. QTY:
15. REASON FOR REMOVAL/ FOR REQUEST:
16. REQUEST FOR:
TYRE CHANGE
REPAIR
TEST
BATERY CHARGE
OVERHAUL
OTHER
17. SB/ AD/ ADDITIONAL WORKS REQUISITION:

PLEASE PERFORM SB/ AD NUMBER:
.........................................................................................................................................................................
18. NOTE:
.............................................................................................................................................................................
.............................................................................................................................................................................
.............................................................................................................................................................................
.............................................................................................................................................................................
.............................................................................................................................................................................
19. NAME:
SIGNATURE
TITLE:
ISS. 02, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 4002

This form is used to make a request of maintenance of aircraft component to a Component
maintenance centre within VAECO.
Block 1.
State the Component maintenance center is requested
Block 2.
State the Request Number
Block 3.
The date (dd/mm/yyyy) of request should be given
Block 4.
The name or description of the item must be given
Block 5.
State the Part Number. Preference must be given to use of the IPC number
designation.
Block 6.
The Registration mark of Aircraft that the component was removed.
Block 7.
State the Serial number of the component
Block 8.
The date (dd/mm/yyyy) of removal should be given.
Block 9.
Time since new
Block 10.
Cycle since new
Block 11.
Time since inspection
Block 12.
Cycle since inspection
Block 13.
State the quantity
Block 14.
The number of Tire change, this box is applied for tire change request only.
Block 15.
It is necessary to state any reason for removal/ for request
Block 16.
Place a check mark or a cross in the check box relating to maintenance/ repair
request.
Block 17.
State the SB/ AD requested to accomplished with maintenance/ repair.
Block 18.
State any note as applicable
Block 19.
State the name and title of the person requesting. The hand-written normal
signature of him/ her must be signed
ISS. 02, REV. 01 - DATE: 01 AUG 2015
PAGE:
FROM LOGISTIC DEPARTMENT

Fax : 38840748
MAINTENANCE/ REPAIR REQUEST

(OUTSIDE REPAIR)
TO:
Fax:
NUMBER: .......................................................
FORM 4003
YU CU BO DNG/ SA CHA BN NGOI
DATE: ............................................................
1. DESCRIPTION :
2. PART NUMBER :
9. REMOVE FROM A/C :
3. SERIAL NUMBER:
10. REMOVAL DATE :
4. TSN:
5. CSN:
11. TSN :
6. TSI:
7. CSI:
12. CSN :
8. QTY:
13. NUMBER OF TYRE CHANGE :
14. REASON FOR REMOVAL/ FOR REQUEST :
15. REQUEST FOR :

TYRE CHANGE
REPAIR
TEST
BATERY CHARGE
OVERHAUL
OTHER
16. SB/ AD/ ADDITIONAL WORKS REQUISITION :

PLEASE PERFORM SB/ AD NUMBER :
.........................................................................................................................................................................
17. NOTE :
.............................................................................................................................................................................
.............................................................................................................................................................................
.............................................................................................................................................................................
.............................................................................................................................................................................
18. NAME :
SIGNATURE
TITLE :
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 4003

This form is issued by Logistics Department to request an outside maintenance/ repair:
For VAECO unserviceable part and the work that is not within the capability of VAECO, this
form is sent directly to maintenance organization in the VAECO List of approved maintenance
contractor.
For VNA unserviceable part and the work that is not within the capability of VAECO, this form
is sent to VNA Supply Department.
Block 1.
State Name of the Part will be repaired outside
Block 2.
State PART NUMBER
Block 3.
State SERIAL NUMBER
Block 4.
State Time Since New
Block 5.
State Cycles Since New
Block 6.
State Time Since Inspection
Block 7.
State Cycles Since Inspection
Block 8.
State Quantity
Block 9.
State Remove From Aircraft
Block 10.
State Removal Date
Block 11.
State Time Since New
Block 12.
State Cycles Since New
Block 13.
State Number Of Tyre Change
Block 14.
State Reason For Removal/ For Request
Block 15.
State Request For: (Tick in the appropriate box)

-
Tyre Change
Repair
Test
Battery Change
Overhaul
Other
Block 16.
Service Bulletin/ Airworthiness Directive/ Additional Works Requisition
Block 17.
State Note
Block 18.
State Full Name with Title and Signature
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 4004
DISCREPANCY REPORT
BO CO SAI LCH
1. Date: ........................................................................................ 2. D/R No.: ........................................

3. Name of part/ equipment: .....................................................................................................................
4. Part No.: ................................................................................................................ 5. Quantity: ..........
6. Serial No.: ............................................................................................................................................
.................................................................................................................................................................
For store inspector only
7. P.O Number: ....................................................... 8. Supplier: .............................................................
9. Received Date: ................................................... 10. Airway Bill No.: .................................................
11. Discrepancy category:
No approved certificate
Wrong Part Number
Wrong Quantity
Wrong Serial Number
No Purchase Order
Damage
Others: .............................................................
12. Explanation of discrepancy:
................................................................................................................................................................
................................................................................................................................................................
................................................................................................................................................................
................................................................................................................................................................
................................................................................................................................................................
................................................................................................................................................................
................................................................................................................................................................
13. Reported by: ...................................................... 14. Signature
15. LGD Instructions. ..............................................................................................................................

................................................................................................................................................................
................................................................................................................................................................
................................................................................................................................................................
................................................................................................................................................................
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 4004
Form 4004 completion guidance.

This form is issued by Store Inspector or Tool controller to report any discrepancy of aircraft
part or tool/ equipment to Logistics Director or applicable Component Maintenance Center
Director during incoming inspection. This form can be used by maintenance staff to report
any suspected unapproved part to Logistics Director and Quality Assurance Director.
Block 1.
Enter Reporting date in format dd mmm yyyy. E.g: 15 JUL 2010
Block 2.
Enter Discrepancy Report Number
Block 3.
Enter Name of the part/ equipment
Block 4.
Enter Part Number
Block 5.
Enter Quantity
Block 6.
Enter Serial Number (s) or Batch Number
Block 7.
Enter Purchase Order Number
Block 8.
Enter Supplier name/ vendor code
Block 9.
Enter Received Date.
Block 10.
Enter Airway Bill Number
Block 11.
Enter Discrepancy category by ticking on appropriate box.
Block 12.
Enter Explanation of discrepancy and comment.
Block 13.
Enter Name of Reporter
Block 14.
Enter Signature of the Reporter
Block 15.
Enter Logistic Director Instructions
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
AIRCRAFT PART ACCEPTANCE SHEET

PHIU TIP NHN VT T PH TNG MY BAY
1. Description:
2. Manufacturer:
3. Customer:
4. PN:
5. SN:
6. Shelf life:
7. P/O:
8. Qty:
10. Received
Status
11. Original
Certificate
9. GRN or Control No.:
New
Repair
Insp./ Test
Other:
FAA 8130-3
FORM 4006
EASA Form 1
Modification
COC
Overhaul
Serviceable Tag
Other:
12. Remark:
13. Date:
14: Inspected by
15. Stamp & Signature
ISS. 02, REV. 03 - DATE: 01 AUG 2015

This form is used to identify part/ material has passed the incomming inspection process.
Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Block 10.
Block 11.
Block 12.
Block 13.
Block 14.
Block 15.
Enter the name of the accepted part.

Enter the manufacturer of of the accepted part
Enter customers name
Enter the part number of the accepted part
Enter the serial number of the accepted part
Enter the shelf life of the part/ material
Enter the purchace order number.
Enter the quatity of aircraft part
Enter the Goods Received Number (GRN) or control number.
Enter the status of the aircraft part. Tick the X symbol into the appropriate box and fill in
specific information.
Enter the reference document attached with the aircraft part. Tick the X symbol into the
appropriate box and fill in specific information
Enter any remarks such as special manufacturer requirements about storage
temperature and humidity, special handle; If this component is approved to service by
the manufacturer under PMA/ EPA it must be witten in this block.
Enter the date of acceptance in the format of dd mmm yyyy. E.g.: 15 JAN 2010.
Enter the full name of the store inspector.
Enter the approved stamp and signature of the store inspector.
FORM 4007
SUSPECTED UNAPPROVED PARTS REPORT

BO CO VTPT NGHI NG CHA C PH CHUN
1. Date the part was discovered:
2. Part Name:
3. Part Number:
4. Serial Number:
5. Quantity:
6.Assembly Name
Assembly Number:
7. Aircraft Make & Model:
8. Name, Address, and Description of the Company or Person Who Supplied or Repaired the Part:
Name:
Address:
Country:
Phone Number:
ZIP Code:
Check One Of the Following Applicable to the Company or Person Who Supplied or Repaired the Part:
Maintenance Centre
Production Approval Holder
Owner/ Operator/ Air Carrier
Manufacturer
Supplier
Other
Distributor
Unknown
9. Description of the Issue:
10. Where the Part Was Discovered:

Main store:
On aircraft:
Line store:
On the hangar:
Workshop:
Other:
Address/ Location:
11. Name and Address of the Reporter:

Name:
Department:
Centre:
Phone Number:
Authorization No:
Signature:
12. Date of This Report:

13.
There is additional sheet attached with this report.
14. Assessment of Quality Assurance Department:
15. Quality Director:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
Date:
Sign:
PAGE:
FORM 4007

This form is used to describe the non compliance of the suspected part/ materials.
Block 1. State Date the unproved suspected part was discovered
Block 2. State Part Name or description of unproved suspected Part
Block 3. State Part Number of the unproved suspected Part
Block 4. State Manufacturing Serial Number (if Available)
Block 5. State Quantity (Number of suspected Part)
Block 6. State Assembly Name, Assembly Number
Block 7. State Aircraft Model (Aircraft Registration Number)
Block 8. State Name, Address, and Description of the Company or Person Who Supplied
or Repaired the Part. Tick the X symbol into the appropriate boxes.
Block 9. State Description of the Issue (Why knowing that the Part has not yet approved).
Block 10. State Tick the X symbol in the appropriate box and Where the Part Was
Discovered
Block 11. State Name and Address of the Reporter
Block 12. State Date of This Report (The Date should be given in the format
day/month/year).
Block 13. Check this box if There is additional sheet attached with this report.
Block 14. State Assessment of Quality Assurance Department.
Block 15. State Quality Director (or a authorized person) sign and date in format: dd mmm
yyyy. E.g: 15 JUL 2010.
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 4008
MISSING PARTS LIST

DANH MC THIT B THO KHI CM THIT B
1. ASSY P/N:
2. ASSY S/N:
3. ASSY STATUS:
4. ASSY LOCATION:
5. REMOVAL REASON OF ASSEMBLY (FOR U/S ASSY): ..............................................................................................................................................................................

.............................................................................................................................................................................................................................................................................
NOTE:
No
THE FOLLOWING ITEMS WHICH MADE THE ASSEMBLY DEVIATES FROM STANDARDS CONFIGURATION.
6. Description
ISS. 01, REV. 02 - DATE: 01 AUG 2015
7. REMOVED P/N
8. REMOVED S/N
9.Qty
10. Reason
11. Removed by
(Date/ Stamp)
12. Installed by
(Date/ Stamp)
PAGE
OF
FORM 4008

This form is used for controlling robbed component/ part from an assembly.
Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Block 10.
Block 11.
Block 12.
State Manufacturing Assembly Part Number

State Manufacturing Assembly Serial Number
State Assembly Status (Serviceable or Unserviceable)
State removal reason of unserviceable assembly. For serviceable assembly state N/A
State Aircraft Registration Number if remove from assembly installing on A/C. State IN STORE if the assembly is in store
State Name of the component to be cannibalised (robbed) from assembly
State Part Number of the component to be cannibalised (robbed) from assembly
State Serial Number of the component to be cannibalised (robbed) from assembly. State N/A if not applicable
State Quantity (number of removed component).
State Reason of Removal.
Stamp of removal person. The date of removal should be given in the format dd mmm yyyy. E.g: 15 JUL 2010
Stamp of installation person. The date of installation should be given in the format dd mmm yyyy. E.g: 20 JUL 2010
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
OF
FORM 4011
PART TECHNICAL RELATION CONFIRMATION
PHIU YU CU XC NH TNH TRO I THIT B/ PH TNG THAY TH

1. Applicability:
3. Issuance date:
2. Efectivity:
5. Item
6. CAGE
4. Ref. number:
7. Part number
8. Description
9. ATA
[1]
[2]
10. Request to reply before:
11. Requesters Dept./ Center:
12. Name:
Signature:
13. Degree of Interchangeability

13.1.
14. Action to be taken
15. Action taken
One way Interchangeable
- AMASIS code: J
(The opposite code: X)
14.1.
13.2.
- AMASIS code: I
14.2.
Use all stock item [1]
before issuing item [2]. Maintain
separate stock location
13.3.
14.3.1
Two ways Interchangeable
New reference
Do not reorder item [1]
15.1.
ROP set to NFO
15.2.
Stock location item
[2] created
Scrap all stock item [1]
15.3.
Item [1] handled as
directed
14.3.2
Route all stock item [1] for
rework as per attached schedule
- AMASIS code: N
(The opposite code: O)
14.3.3
Route all stock item [1] to
surplus sales
13.4.
Restrictive Interchangeable
- AMASIS code: R
13.5.
Super restrictive
interchangeable
14.4.
See special instructions
15.4.
below
Detail information
14.5.
See special instructions
15.5.
below
Detail information
- AMASIS code: S
13.6.
Not interchangeable
- AMASIS code: 0
13.7.
Specific Part
Reverse order
16. Store/supplies action by:
17. Action Date:
18.
Not reorder item [1]
Signature:
INDICATE ACTION TAKEN AND RETURN ONE COPY OF THIS SHEET TO LOGISTIC DIRECTOR
19. Reason of change:
20. Reference document:
21. Complied by:
22. Approved by:
Signature:
Signature:
23. Distribution:
LG,
ISS. 02, REV. 01 - DATE: 01 AUG 2015
PL,
RM,
BM,
Date:
CM
PAGE:
FORM 4011
A. Mc ch:
Mu 4011 s dng yu cu xc nh v ph duyt tnh lp ln (Interchangeability) v tng ng
(OEM part v Aircraft/ Engine Manufacturer part)
B. Trch nhim:
+
+
Mc 1, 2, 3, v cc mc t s 5 n s 12 do ngi lp yu cu ghi
Mc 4, 13, 14 (gm nhiu mc nh) v cc mc 19, 20, 21, 22, 23 do Ban KT v CNTT ghi/ xc
nhn. Sau khi c ph duyt ca ngi c thm quyn, Ban KT v CNTT khai bo/ to lp
manufacturer/ specific part reference trn AMASIS sau chuyn phiu ny cho Ban CUVT v
n v yu cu.
Mc 15, 16, 17 v 18 do Nhn vin ca Ban CVT in/ xc nhn sau khi nhn c tr li ca
Ban KT v CNTT. Sau khi thc hin v xc nhn, nhn vin x l gi mt bn copy cho Trng
ban CVT.
C. Hng dn hon thin mu 4011:
Mc 1. Applicability: p dng cho i tu bay (v d All, B777, )
Mc 2. Effectivity: p dng cho c th tu bay no nu khng th trng.
Mc 3. Issuance date: Ngy lp phiu yu cu.
Mc 4. Ref. number: S tham chiu do Ban K thut v CNTT to v kim sot.
Mc 5. Item: S th t, y c hiu l phi xc nh item [2] c thay th cho item [1] c
khng?.
Mc 6. CAGE: Vendor code hay cage code, code ca OEM (nu c)
Mc 7. Part number: S quy cch
Mc 8. Description: Tn VTPT, dng c
Mc 9. ATA: ATA, nu khng c th trng.
Mc 10. Request to reply before: ngh xc nh v tr li trc ngy (ghi ngy cn thng tin phn
hi)
Mc 11. Requester: n v yu cu
Mc 12. Name, Signature: Tn ngi yu cu, k tn
Mc 13. Degree of interchangeability: Mc thay th, c th:
13.1 One way interchangeability: thay th mt chiu, AMASIS code: J (the opposite code: X)
c khai bo khi ti liu ghi: replaced by (ngc li replaces), hoc optional to, hoc
interchangeable with (one-way forward)
13.2 Two way interchangeability: thay th hai chiu, AMASIS code: I, c khai bo khi ti
liu ghi: two way interchangeable with (I/W), hoc totally interchangeable with, hoc cng
mt v tr figure number trong ti liu,
13.3 New reference: khi OEM (Type certificate Holder) sn xut part mi thay th cho part
trc , AMASIS code: N new (the opposite code: O), c khai bo khi ti liu ghi:
supperseded by, obsolete Khi h thng s t ng ngn khng th t hng c Part
trc (item [1]).
13.4 Restrictive interchangeability: thay th hn ch, AMASIS code: R, c khai bo theo

ti liu k thut lin quan v phi tun th cht ch cc hng dn khi thay th
13.5 Supper restrictive interchangeability: thay th rt hn ch, AMASIS code: S, c khai

bo theo ti liu k thut lin quan v phi tun th cht ch cc hng dn khi thay th
13.6 Not interchangeable: khng thay th c, AMASIS code: 0 (s khng, khng phi ch
ci O)
13.7 Specific Part: Khng nh S quy cch thuc item [1] l S quy cch theo cch nh s
ca Nh sn xut my bay, ng c (Boeing, Airbus, GE, PW...). S quy cch thuc item [2]
l S quy cch theo cch nh s ca Nh sn xut gc OEM. Nu ngc vi th t trn
(item [1] l OEM P/N, item [2] l Aircraft/ Engine manufacturer P/N) th xc nhn vo
reverse order.
Mc 14. Action to be taken: Khuyn co ca Ban K thut v CNTT yu cu Ban CVT thc hin
tng ng vi tng mc thay th nu trong mc 13:
ISS. 02, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 4011
14.1 Do not order item [1]: khng t hng cho item [1], s dng khi trong ti liu khuyn
co khng t hng item [1], trong trng hp ngc li th trng
14.2 Use all stock item [1] before issuing item [2]. Maintain separate stock location: Khuyn
co s dng ht item [1] (part 1), sau mi xut kho item [2] (part 2) trng hp ngc li
th trng. m bo hai v tr ring.
14.3.1 Scrap stock all item [1]: khuyn co hy ton b item [1], trong trng hp ngc li
th trng
14.3.2 Route all stock item [1] to rework as per attached schedule: khuyn co a tt c
item [1] ang c trong kho i nng cp theo ti liu km theo, trong trng hp ngc li th
trng.
14.3.3 Route all stock item [1] to supplus sale: khuyn co a tt c item [1] ang c trong
kho vo kho cch ly (hng d tha c th bn li)
14.4 See special intruction: Xem ti liu nh km
15.1 ROP set to NFO: theo khuyn co ti (14.1) Ban CVT a im ti t hng v
khng theo di.
15.2 Stock location item [2] created: theo khuyn co ti (14.2), Ban CVT to v tr kho
ring cho item [2] trn h thng.
15.3 Item [1] handled as directed: Item [1] c Ban CVT x l theo ng khuyn co
tng ng ti ct (14)
15.4 Detail information below: Ban CVT thc hin theo ng hng dn nh km
14.5 See special intruction: Xem ti liu nh km

Mc 15. Action taken: Ban CVT vt t xem xt v x l theo cc khuyn co ct (14). Sau khi x
l s xc nhn trn ct (15).
Mc 16.
Mc 17.
Mc 18.
Mc 19.
Mc 20.
Mc 21.
Mc 22.
Mc 23.
15.5 Detail information below: Ban CVT thc hin theo ng hng dn nh km
Store/supplies action by: Nhn vin Ban CVT khng nh x l cc khuyn co (tn,
ch k)
Action Date: Ngy x l xong khuyn co (Ban CVT thc hin)
Do not order item [1]: nh du khng nh Ban CVT s khng t hng item [1], nu
khng c th trng.
Reason of change: Nguyn nhn thay i (v d SB, AD, )
Referrence document: Ti liu php l tham chiu n.
Complied by: Tn v ch k ca Nhn vin nh gi tnh thay th (Ban KT v CNTT).
Approved by: Tn, ch k ca Ngi c thm quyn ph duyt v ngy ph duyt (Ban KT
v CNTT).
Distribution: Ni nhn ti liu ny: LG - Ban CVT, PL - Ban k hoch, RM - TTBD Ngoi
trng; BM - TTBD Ni trng; CM - TTBD Thit b.
ISS. 02, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 4011
A. Purpose
The Form 4011 is used to certify and approve interchangeability of parts and equivalence between OEM
part and Aircraft/ Engine Manufacturer part
B. Resposibities
+
+
Block 1, 2, 3 and item from 5 up to 12 is filled up by requester

Block 4, 13, 14, 19, 20, 21, 22, 23 are filled up by Engineering &IT Department. After approval,
Engineering &IT Dept. input the information of manufacturer/ specific part reference in AMASIS
system, then send a copy to Logistics Dept.
Block 15,16,17,18 is filled by Logistics Dept after getting the feedback from Eng&IT Dept. The
action taken is recorded and sent to Logistics director.
C. Intruction
Block 1. Applicability: which fleet is applied to (ATR72, A320)
Block 2. Effectivity: effective to which aircraft, otherwise left blank .
Block 3. Issuance date: Date to send request in the format day/ month/ year.
Block 4. Ref. number: Reference number is given by Engineering & IT Dept.
Block 5. State Item number
Block 6. CAGE: Vendor code or cage code
Block 7. Part number
Block 8. Description
Block 9. ATA: ATA chapter
Block 10. Request to reply before: deadline to reply in the format day/ month/ year
Block 11. Requester name of requester
Block 12. Name, Signature
Block 13. Degree of interchangeability such as :
13.1 One way interchangeability: AMASIS code: J (the opposite code: X), normally use
when the related document wrote as: replaced by (oppositely replaces), or optional to, or
interchangeable with (one-way forward)
13.2 Two way interchangeability: AMASIS code: I, normally use when the related document
wrote as: two way interchangeable with (I/W), or totally interchangeable with, or same
figure number in related document,
13.3 New reference: when OEM (Type certificate Holder) produces new part to replace the
old one, AMASIS code: N new (the opposite code: O), normally use when the related
document wrote as: supperseded by, obsoleted Then AMASIS prevents from ordering
the old part number (item [1]).
13.4 Restrictive interchangeability: AMASIS code: R, strickly follows technical document.

13.5 Supper restrictive interchangeability: AMASIS code: S, strickly follows technical
document.
13.6 Not interchangeable: AMASIS code: 0 (zero, not a letter)

13.7 Specific Part: use when item [1] is Aircaft or engine manufacturer part number
(Boeing, Airbus, GE, PW...), item [2] is type certificate holder (TCH) part number.
Otherwise (item [1] is TCH P/N, item [2] is Aircraft/ Engine manufacturer P/N) mark on
reverse order.
Block 14. Action to be taken : requested by Tech.&IT Dept. to Logistics Dept. to perform in according
with Degree of Interchangeability 13:
14.1 Do not order item [1], otherwise left blank

14.2 Use all stock item [1] before issuing item [2]. Maintain separate stock location.
14.3.1 Scrap stock all item [1]: otherwise left blank
14.3.2 Route all stock item [1] to rework as per attached schedule,otherwise left blank
ISS. 02, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 4011
14.3.3 Route all stock item [1] to supplus sale, otherwise left blank
14.4 See special intruction attached.
14.5 See special intruction attached.
Block 15. Action taken: Logistics Dept. take action in according with recommendation in column (14),
then stick on column (15) accordingly.
Block 16.
Block 17.
Block 18.
Block 19.
Block 20.
Block 21.
Block 22.
Block 23.
15.1 ROP set to NFO: Reordering point set to Not Followed.

15.2 Stock location item [2] created.
15.3 Item [1] handled as directed
15.4 Detail information below.
15.5 Detail information below.
Store/supplies action by Logistics dept.
Action Date in the format day/ month/ year.
Do not order item [1], otherwise left blank.
Reason of change (expl: SB, AD, )
Referrence document
Complied by: Tech.&IT dept staff certified .
Approved by: Tech.&IT dept staff certified.
Distribution: LG Logistics Dept, PL Planning Dept, RM Ramp Maintenance Center;
BM Base Maintenance Center; CM Component Maintenance Center.
ISS. 02, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 4014
LIST OF AIRCRAFT PART/ MATERIALS TO BE EXPIRED

DANH MC KH TI SP HT HN
1. Date: ........../....../................
2. Ref. No:.............
3. From: ........../....../................
To: ........../....../................
4.IT
5. Description
6. Part Number
7. S/N or
B/N
8.Qty
9.MU
10.Unit
price
11.Sub total
price
12.
Currency
13. GRN
14. Expiry
date
15. Location
16.
Type
17.Removed
by
18. Total price:

19. Reporter:
20. Inventory team:
21. Store Manager:
Name:.
Name:.
Name:.
Signature:
Signature:
Signature:
ISS. 01, REV. 03- DATE: 01 AUG 2015
PAGE:
FORM 4014

This form is issued monthly by Store Control Division for controlling and processing the spare part/ materials to be expired in the following
month.
Block 1.
Enter the issuance date of the list, the date should be given in the format day/month/year
Block 2.
Enter the reference number
Block 3.
Enter the period of the report, the date should be given in the format day/month/year
Block 4.
Enter sequence number
Block 5.
Enter name of the spare parts/ materials
Block 6.
Enter Part Number
Block 7.
Enter the Serial number or Batch number of the part/ materials
Block 8.
Enter the quantity of spare parts/ materials
Block 9.
Enter the manufacturing unit of spare parts/ materials
Block 10.
Enter the unit price
Block 11.
Enter the sub-total price equals Unit x unit price
Block 12.
Enter the currency used to purchase each spare part or each batch of materials such as USD, JPY, EUR
Block 13.
Enter the Goods Receive Number
Block 14.
Enter the expired date of each spare part given in the format day/month/year
Block 15.
Enter the storage of each spare part or each batch of materials.
Block 16.
Enter the category
Block 17.
Enter the name and signature of the person who removed the expired spare parts/ materials from the store.
Block 18.
Enter the Total price
Block 19.
Enter Name and Signature of the reporter
Block 20.
Enter Name and Signature of the Inventory teams representative
Block 21.
Enter Name and Signature of the person who received this list
ISS. 01, REV. 03- DATE: 01 AUG 2015
PAGE:
FORM 4015
LIST OF AIRCRAFT PART/ MATERIALS NEEDED TO BE INVENTORIED

DANH MC KH TI CN KIM K
1. Date: ........../....../................
2. Ref. No:.............
3. Store Location:
4.IT
5.Description
6.Mark
7.P/N
8.Qty 9.MU
10.Unit 11.Total
price
price
12.Currency
13.GRN
14.Store
date
15.Storage 16.Category 17.Remark
18. Store Inspector:
19. Inventory team:
20. Materials Supply Manager:
Name:.
Name:.
Name:.
Signature:
Signature:
Signature:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 4015

This form is issued monthly by Store Control Division and sent to Materials Supply Director for controlling and processing.
Block 1.
State the issuance date of this list, the date should be given in the format dd mmm yyyy. E.g: 15 JUL 2010
Block 2.
State the reference number
Block 3.
State the Store Location
Block 4.
State sequence number
Block 5.
State name of the spare parts/ materials
Block 6.
State the mark of the spare parts/ materials
Block 7.
State Part Number
Block 8.
State the quantity of spare part/ materials
Block 9.
State the manufacturing unit of spare parts/ materials
Block 10. State the unit price
Block 11. State the total price
Block 12. State the currency used to purchase each spare part or batch of materilas such as USD, JPY, and EUR
Block 13. State the Goods Receive Number
Block 14. State the store date of each spare part or batch of materilas
Block 15. State the storage of each spare part or batch of materilas
Block 16. State the category
Block 17. State the remark (if necessary)
Block 18. The information of the reporter: Name and Signature
Block 19. The information of Inventory teams representative: Name and Signature
Block 20. The information of the person who received this list: Name and Signature
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 4021
CONDEMNED PART LOG

DANH MC VT T, THIT B THI LOI
1. Date: .............................................................................
2. Ref. No:.............
3. To: ..........................................................................................................................................
4. No
5. Description
6. P/N
7. S/N or B/N
8. Destroyed by
9. Qty
10. Date
13. Store Control Division:
14. Received and accepted by:
Name:.
Name:.
Signature:
Signature:
ISS. 01, REV. 01 - DATE: 01 AUG 2015
11. Reason
12. Remark
PAGE:
FORM 4021

This form is issued by Repair Control Division of Logistics Department to record all information of condemned part being mutilated and sent to
Logistics Director for tracking purpose.
Block 1.
State the issuance date of the log-book, the date should be given in the format dd mmm yyyy. E.g: 15 JUL 2010
Block 2.
Block 3.
State the address to be sent of the logbook
Block 4.
Block 5.
State name of the components/ parts which was destroyed
Block 6.
State Part Number
Block 7.
State Serial Number
Block 8.
State the department/ division that destroyed these parts
Block 9.
State the quantity of the components/ parts
Block 10.
State the destruction date of each component/ parts in the format dd mmm yyyy. E.g: 15 JUL 2010
Block 11.
State the reason that each component/ spare part was destroyed
Block 12.
State the remark (if necessary)
Block 13.
The information of Store Control Divisions representative: Name and Signature
Block 14.
The information of the person who received and approved the logbook: Name and Signature
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 4023
REQUEST FOR SUPPLY

PHIU YU CU CUNG CP VT T
Ngy/ Date:
S t hng ca Ban CUVT/

Supply register No:
A CH NH CUNG CP/ Suggested Supplier

Address:
S T HNG/ Originators Ref.:

Ngy/ Date:
N V/ Department/ Center:
NGI YU CU/ Originators name:
S
TT
Item
K hiu & Tn gi
Part Number & Description
CH K/ Signature:
S
n v Mc u tin & hn yu cu S tham chiu
Lng
UoM
Priority & Deadline
Original No.
Quantity
Ti liu - Ghi Ch/ Document ref Remark
10
LOI MY BAY/ Aircraft Type:
THIT B MT T/ Equipment/Vehicle Type:
S ng k my bay/ A/C Reg No:
N V S DNG/ End User:
DIN GII/GHI CH/ Remarks/ Justification:

Ti liu nh km/ Support Documents:
TH TRNG N V
Department Head
H tn v K/ Authorised Signature
Trng/White - Thng K/Inventory; Hng/Pink Mua Hng/Purchasing; Xanh/Green Ngi yu cu/Originator
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 4023
Hng dn s dng Mu 4023
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 4023
1. Mu 4023 dng yu cu cung cp VTPT sau khi kim tra khng c PTVT hoc khng
PTVT thc hin mt cng vic. Sau khi nhp thng tin yu cu v VTPT trn h thng
AMASIS ngi yu cu in mu ny t AMASIS ra giy A4. i vi trng hp yu cu
PTVT phc v cng vic phi my bay (khng c WO trn AMASIS) ngi yu cu c th
in bng tay vo mu in sn.
2. Mc (1), (2) do Ban CUVT ghi v xc nhn khi nhn yu cu khng c lp trn h thng
AMASIS. Cc mc cn li do n v yu cu ghi, hon thin/ xc nhn.
3. Hng dn in tng mc:
Mc (1) Ngy Ban CUVT nhn c yu cu, trng nu yu cu qua AMASIS.
Mc (2) S ng k ti Ban CUVT, trng nu yu cu trn AMASIS.
Mc (3) S t hng ca n v c nhu cu, trong trng hp to trn h thng AMASIS,
h thng s t cho s v n v yu cu theo s ny tra cu tt c cc x l
tip theo ca Ban CUVT.
Mc (4) Ngy t hng ca n v c nhu cu, trong trng hp to trn h thng
AMASIS, h thng s t ng to ngy.
Mc (5) a ch nh cung cp gi , nu n v c nhu cu trong qu trnh tra cu ti liu
bit c, ngc li th trng.
Mc (6) n v c nhu cu: tn n v c nhu cu t hng.
Mc (7) H v tn ca ngi yu cu.
Mc (8) Ch k ca ngi yu cu.
Mc (9) P/N s quy cch vit in hoa v 1 k t vo1 .
Mc (10) S lng yu cu.
Mc (11) n v tnh.
Mc (12) Mc u tin (3-AOG, 2-CRITICAL, 1-NORMAL) v ngy yu cu VTPT phi
c.
Mc (13) S tham chiu: c th b trng, trong trng hp to trn AMASIS th c th c
cc s tham chiu nh: s WP nu trong nh k, s Ch lnh cng vic do
AMASIS to ra (WO) nu trong shop, s ADD nu phc v sa cha hng hc
ngoi ngoi trng
Mc (14) Tn hng ha (VTPT, dng c thit b). Danh t vit trc, v d: Engine B777,
Tire B777.
Mc (15) Ti liu tham chiu ghi ch: trong trng hp to trn AMASIS, ti liu (IPC,
CMM,): ATA-Fig- It v cc ghi ch khc nu c.
Mc (16) Loi my bay: v d B777, A320, khng p dng th b trng;
Mc (17) Tn thit b mt t: khi t VTPT phi my bay, khng khai bo trn AMASIS,
VTPT ny dng cho cc thit b mt t;
Mc (18) S ng k tu bay, khng p dng b trng, v d trong trng hp t VTPT
phi my bay.
Mc (19) n v s dng: ni s s dng VTPT, trng nu l n v pht hnh yu cu.
Mc (20) Ghi ch tng th khi t hng, v d: t theo chng trnh FAA,
Mc (21) Ti liu nh km b xung nu c.
Mc (22) Th trng n v - Ngi c thm quyn ph duyt
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 4023

1. This form is used to request spare parts/ materials which are not available in stock or not
enough to perform the required task. This form could be printed out after all necessary
information is entered the AMASIS. For the work that is not related to aircraft/ aircraft
component maintenance the requester can fill directly in the pre-printed form and submit to
Logistics Department (LGD).
2. Block (1) and (2) are filled by LGD staff if the request is not created via AMASIS. All
remaining blocks is filled/ signed by requester.
3. Explanation:
Block (1) The date that the LGD receive this request, leave blank if this request is printed out
from AMASIS.
Block (2) The Supply register Number, leave blank if this request is printed out from
AMASIS.
Block (3) Originator reference number automatically generated by AMASIS if this request is
input in AMASIS. The requester uses this number to follow up further actions of
LGD. In other case, this number is given by requester.
Block (4) Request date.
Block (5) The address of suggested supplier if available, otherwise leave this block blank
Block (6) The name of requested department/ center.
Block (7) The name of requester.
Block (8) The signature of the requester.
Block (9) Part number are written in upper case and one character in one box
Block (10) Requested quantity
Block (11) Unit Of Measurement
Block (12) Priority (3-AOG, 2-CRITICAL, 1-NORMAL) and date that required goods must be
available to perform the work order/ repair the ADD.
Block (13) Original reference number such as Work pack number (for base check), Work
order (for componance maintenance in shop) generated by AMASIS, ADD number
(for ramp maintenance), otherwise left blank.
Block (14) Description of goods (spare parts/ materials/ tool/ equipment). E.g: Tire B777
Block (15) Refered document (IPC, CMM/ IPL) and figure- item and other note.
Block (16) Type of aircraft. E.g: B777, A320. For ground equipment maintenance, leave this
block blank.
Block (17) Name of Ground Equipment if request for ground equipment maintenance. For
aircraft/ aircraft component maintenance, leave this block blank.
Block (18) Aircraft registration number. For ground equipment maintenance, leave this block
blank.
Block (19) The name of center that use the requested spare parts/ materials/ tool/ equipment
(end user). If the end user is the request center leave this block blank.
Block (20) The remark or general information of the request. This block can be blank.
Block (21) The attached document description if available.
Block (22) Name and signature of the department director or delegated person.
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
PHIU XUT KHO

Stock Requisition
Ngy/Date: ........./......./ 20.....

Kho/ Store: .
n v nhn:
Type of Issue
nh k/Maint. Check:
S Cvic/Job No., WO
Item
S/Number:...................
L do xut:
Service Center
My bay/Aircraft:
S
TT
FORM 4024
S Quy cch v Tn gi
Part Number & Description
Khc/Other:
S tip nhn,
Thnh
n gi
tin
S xut xng,
n v Yu cu Thc xut Hon kho
Unit
Extended
L nhp
S lng/Quantity
MU
Request
Issued
Return
GRN, S/N, BN
Price
Amount
V tr
Bin
Location
10
11
Cng tin hng/ Sub-Total:
Loi tin/ Currency:
Tng cng tin bng ch/ Total in words: ...........................................................................................................................................................

............................................................................................................................................................................................................................................
Ph trch cung ng
Authorised Supply Units Head
(K, h tn Sign., name)
Thng k/Inventory
K ton trng
Chief Accountant
Xut ngy/Date Issued // 20.

Ngi yu cu
Ngi nhn
Th kho
Requested by
Received by
Storeperson
Trang/ Page:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
FORM 4024
HNG DN S DNG MU 4024
Thng k/Inventory
Trang/ Page:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
FORM 4024
Mu ny ch yu dng yu cu xut vt t ph tng ang c trong kho. Form ny c s dng trong 3 trng
hp sau y:
S dng cc n v yu cu Ban CUVT xut VTPT, hng ha sau khi kim tra c vt t trn H thng
AMASIS:
+
i vi vt t quay vng (type 4, 5): ti H Ni kim tra trong kho NBA, EGA; ti TP HCM kim tra trong
kho SGN, EVA; ti Nng kim tra trong kho MRV;
+
i vi vt t tiu hao (type 1, 2, 3, 6): ti H Ni kim tra trong kho HAN, ti TP HCM kim tra trong kho
HMC, ti Nng kim tra trong kho DAD;
S dng xut kho phiu xut hoc lun chuyn ni b - chuyn kho;
S dng hon kho cho hng ha xut phiu hon ng phiu xut. Trong trng hp ny s dng
thm du khc sn xc nhn hng ha serviceable hon kho.
2. Trong trng hp lp phiu xut trn h thng AMASIS th form ny in trn giy carbon c 4 lin.
3. Cc mc (1), (2) t (4) n (12) v (19) do ngi lp yu cu in thng tin v khi lnh vt t ngi nhn xc nhn
vo (25);
4. Cc mc (3), t (13) n (18) do nhn vin ca Ban Cung ng Vt t in thng tin. Ngi ph trch cung ng
xc nhn vo (24), th kho xc nhn vo (27) khi xut vt t.
5. Cc mc (16), (17), (20), (21) v (22) do nhn vin ca Ban Ti chnh k ton in v (26) do K ton trng xc
nhn khi thanh ton ti chnh.
6. Hng dn hon thin tng mc:
Mc (1)
Ngy yu cu xut kho
Mc (2)
Kho xut hng (NBA, SGN)
Mc (3)
S phiu xut ly t h thng AMASIS i vi VTPT, dng c qun l trn AMASIS, khi xut kho th kho
s thao tc ngay ly s t h thng, trong trng hp ngc li ly theo s h thng ca Ban cung
ng. Nn ly 2 s u l k t v 8 s tip theo l s.
Mc (4)
n v nhn: Tn n v s dng;
Mc (5)
L do xut: Ghi l do xut s dng hoc lun chuyn ni b, trong trng hp to trn h thng AMASIS
th chn trn menu ca h thng;
Mc (6)
My bay: S ang k my bay, v d VN-A347. Trong trng hp khng c th trng;
Mc (7)
nh k: in s Work Pack ly t h thng AMASIS, trong trng hp khng c th trng
Mc (8)
S cng vic: S Job card, Work Order tng ng t h thng AMASIS, trong trng hp khng c th
trng
Mc (9)
Khc: Cc cng vic khc trong trng hp hng ha khng khai bo trn h thng AMASIS
Mc (10) S Quy cch vit ch in hoa v 1 k t vo 1 .
Mc (11) n v tnh;
Mc (12) S lng yu cu xut;
Mc (13) S lng thc xut (ch c th nh hn hoc bng s lng yu cu (10);
Mc (14) S lng hon kho (ch c th bng hoc nh hn s lng thc xut (12);
Mc (15) S tip nhn (GRN), s xut xng (S/N), S l (Batch number ) ca hng ha, Cc thng tin lin quan
ca hng ha, ghi ch v d: Thit b ny khng c, ht hng ghi ch item ca thit b c S quy cch
tng ng, hoc xut t nhiu l
Mc (16) n gi;
Mc (17) Thnh tin;
Mc (18) V tr ca hng ha trong kho;
Mc (19) Tn gi ca thit b/ hng ha;
Mc (20) Cng tin hng;
Mc (21) Loi tin;
Mc (22) Tng cng tin bng ch;
Mc (23) Ngy thc xut;
Mc (24) H tn v ch k ca ngi c thm quyn ph duyt thuc Ban Cung ng vt t hoc n v c Cng
ty giao thc hin vic cung ng vt t thng thng;
Mc (25) H tn v ch k ca K ton trng hoc ngi c y quyn;
Mc (26) H tn v ch k ca ngi yu cu: i vi cc PTVT phc v bo dng my bay l Nhn vin c
chng ch y quyn (RTS staff), i vi cc cng vic khc l th trng n v (Gim c hoc ngi
c y quyn);
Mc (27) H tn v ch k ca ngi nhn;
Mc (28) H tn v ch k ca th kho xut hng.
1.
Thng k/Inventory
Trang/ Page:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
FORM 4024
1. This form is used to issue spare parts, material which are available in stock. This form is used in the following
circumstances:
To request Logistics Department to issue goods after checking the following store on the AMASIS and found its
availability:
+
For the Rotatable parts (type 4, 5), check in store coded NBA, EGA at Hanoi, store coded SGN, EVA at
Hochiminh City or store coded MRV at Danang.
+
For the Comsumable/ Expendable materials (type 1, 2, 3, 6), check in store coded HAN at Hanoi, store
coded HMC at Hochiminh City or store coded DAD at Danang.
To deliver goods to Requester or transfer internally to other Store.
To return no-use or remaining spare parts and materials to store/ serviceable warehouse . The Logistics staff
use stamp to certify spare parts and material as serviceable when recieving.
2. In case of this form to be printed out from AMASIS, it will be printed in carbon papers which have 4 copies.
3. Block (1), (2), (4) to (12) and (19) are filled by requester, block (25) is signed by receiver upon receiving spare parts
and materials.
4. Block (3), (13) to (18) are filled by Logistics dept staff. Block (24) is signed by Logistics Head or Delegated person,
block (27) is signed by store keeper upon delivery the spare parts and materials.
5. Block (16), (17), (20), (21) and (22) are filled by Finance & Accounting Dept staff. Block (26) is sign by Director of
Finance & Accounting Dept.
6. Explanation :
Block (1)
Requested date
Block (2)
Store (NBA, SGN)
Block (3)
Issue number (IS) generated by AMASIS for all P/Ns which are managed by AMASIS, otherwise this
number is given by Logistics Dept. The first two characters of IS are letter, the next 6 characters are
digit.
Block (4)
Service center requester of goods
Block (5)
Type of issue or reason for issue
Block (6)
Aircarft registration number such as VN-A348, if no A/C concerned leave this block blank
Block (7)
Work pack number generated by AMASIS, otherwise left blank
Block (8)
Work order number generated by AMASIS, otherwise left blank
Block (9)
Other number may be used as referrence number
Block (10)
Requested quantity
Block (11)
Part number are written in upper case and one character in one box
Block (12)
Measuring Unit
Block (13)
Issued quantity (should not more than requested quantity)
Block (14)
Return quantity (should not more than issued quantity)
Block (15)
Good receipt number or Serial number or batch number
Block (16)
Unit price
Block (17)
Extended Amount
Block (18)
Location in warehouse
Block (19)
Description of goods
Block (20)
Sub-Total
Block (21)
Currency
Block (22)
Total in words
Block (23)
Issued date
Block (24)
Name, signature of Authorised Supply Units Head.
Block (25)
Name, signature of Chief Accountant or delegated person.
Block (26)
Name, signature of Requester: RTS staff for A/C maintenance, Director or delegated person for the work
other than A/C maintenance.
Block (27)
Name, signature of personnel who receives the part/ materials
Block (28)
Name and signature of Store Keeper.
Thng k/Inventory
Trang/ Page:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
FORM 4025
REQUEST FOR CLOSURE OF REQUISITE ITEMS

PHIU YU CU KT THC T HNG
N V/ Department/ Center: (1)
Ngy/ Date: (2)
S cng vic/ WO Number:
NGI YU CU/ Originators name: (5)
(3)
My bay/ Registration: (4)
CH K/ Signature: (6)
TT
No
S t hng
RQ Number
Mc/ RQ Item(s)
Ghi ch/ Remark
(7)
(8)
(9)
(10)
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 4025

Block (1)
Enter name of requested department/ center.
Block (2)
Enter request date.
Block (3)
Enter number of WO to which requisite items link (if any).
Block (4)
Enter registration of A/C (if any).
Block (5)
Enter name of person who issue this request.
Block (6)
Enter signature of person who issue this request.
Block (7)
Enter order number of entries.
Block (8)
Enter requisite form number.
Block (9)
Enter requisite item which is requested to be canceled.
Block (10) Enter remark (if any).
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 5001
RE-CERTIFIED CERTIFICATE
1. Certificate Ref:
CHNG CH CHO PHP S DNG THIT B
..
Organization approved by the authority to issue this Form:
2. Work Order/ Contract Ref:

Main Facility: Noi Bai International Airport, Ha Noi, Viet Nam
Satellite Facility: Tan Son Nhat Intl Airport, Hochiminh city, Viet Nam
3. Item
4. Description
5. Part Number
6. Quantity
7. Serial No./ Batch No.
8. Status/ Work
9. Remarks
10. Statement:
Certifies that the work specified in block 8 except as otherwise specified in block 9 was carried out in accordance with the current
regulation of the competent Authority and in respect to that work, the aircraft component is considered ready for release to service.
..................................................................................................................................................................................................................
..................................................................................................................................................................................................................

12. Name
ISS. 02, REV. 04 - DATE: 01 AUG 2015

13. Signature
....................................................................................................
14. Authorization Number
15. Location
16. Date (dd mmm yyyy)
PAGE:
FORM 5001

Block 1.
Enter Certification Number
Block 2.
Enter Work order/ contract reference.
Block 3.
Enter ordinal number of the component
Block 4.
Enter Description of the component
Block 5.
Enter Part Number
Block 6.
Enter Quantity
Block 7.
Enter Serial Number or Batch Number
Block 8.
Enter Status/ Work performed.
Block 9.
Enter Remark
Block 10. Mark with a tick in appropriate box to specify the regulations or requirements that the work is performed in accordance with.
Block 11. Tick on appropriate Approval Number of the competent Authority.
Block 12. Enter Name of the person who issues this certificate.
Block 13. Enter Signature of the person who issues this certificate.
Block 14. Enter Authorization number of the person who issues this certificate.
Block 15. Enter IATA code of the station where this certificate is issued. E.g.: HAN for Noi Bai International Airport.
Block 16. Enter date of issuance in the format of dd mmm yyyy. E.g.: 15 JAN 2010.
ISS. 02, REV. 04 - DATE: 01 AUG 2015
PAGE:
FORM 5002
RAMP MAINTENANCE SHIFT/ TASK HANDOVER SHEET

PHIU BN GIAO CNG VIC NGOI TRNG
1. Customer: ................. 2. A/C Reg.: ...................
3. Flight No.: ...........
5. JOB HAND-OVER
Shift/ Team:
Date:
7.Item
4. TLP/ WO No.: ...................
6. JOB TAKE-OVER
Shift/ Team:
Time:
8. Uncompleted Job
Date:
Time:
9. Following Action Taken
10. Remark:
11. HAND-OVER PERSON

(Sign/ name/ stamp)
ISS. 02, REV. 05 - DATE: 01 AUG 2015
12. TAKE-OVER PERSON

(Sign/ name/ stamp)
PAGE
FORM 5002

Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Block 10.
Block 11.
Block 12.
Enter Customer name or abbreviation.

Enter Aircraft Registration
Enter Flight Number
Enter Techlog Page number or Work Order number.
Enter information of Job Hand-Over, including:
- Number or name of Shift or Team.
- Date in the format of dd mmm yyyy (E.g. 15 JUL 2010)
- Local time in the format of hh:mm (E.g. 15:00)
Enter information of Job Take-Over, including:
- Number or name of Shift or Team.
- Date in the format of dd mmm yyyy (E.g. 15 JUL 2010)
- Local time in the format of hh:mm (E.g. 15:00)
Enter Item Number
Enter description of un-completed Job
Enter action required to continue
Enter Remark if necessary
Enter signature, name and stamp of Hand-Over person
Enter signature, name and stamp of Take-Over person
ISS. 02, REV. 05 - DATE: 01 AUG 2015
PAGE
FORM 5003
TOOL AND EQUIPMENT TRANSFER ORDER

PHIU YU CU IU CHUYN DNG C THIT B
1. S/ Ref.:
MC CH IU CHUYN/ PURPOSE
2. Phc v cho/ Applied for:
Bo dng my bay/ A/C maint. Bo dng thit b MB/ A/C component maint. Cng vic khc/ Other
3. Loi my bay/ Aircraft Type:
S ng k my bay/ Registration No.:
4. Thit b my bay/ A/C component:

S quy cch/ Part Number:
S xut xng/ Serial Number:
5. Ni dung cng vic/ Work description:
6. K hoch s dng DCTB/ Schedule:

Date:
Time:
7. Ni s dng DCTB/ Used by:

Station:
Center:
DNG C THIT B CN IU CHUYN/ TOOLS AND/OR EQUIPMENT REQUIRED TO TRANSFER

8.TT
Item
9.S quy cch

Part Number
10.Tn gi
Description
11.S lng 12.Ni gi

Quantity
Original
13.Ni n
Destination
14. Ghi ch/ Remarks:
15. Ni nhn yu cu/ Order to:
16. Ngy yu cu/ Requesting Date:
HAN Component Center

HCM Component Center
Other
17. n v yu cu/ Requesting Dept./ Center:
ISS. 01, REV. 01 - DATE: 01 AUG 2015
18. H tn v ch k/ Name & Signature:
PAGE:
FORM 5003

This form is used to order transferring of Tool and/or Equipment (T/E) to perform aircraft/ aircraft
component maintenance or to meet the requirement of authority/ customer.
Block 1. Enter order reference number that is specified by requester. E.g.: MCC1210-01, in which
MCC is the center that issues the order, 12 is year, 10 is October, 01 is sequential number of
the order in month.
Block 2. Tick or cross X in checkbox to specify the using purpose of the T/E.
Block 3. Enter Aircraft type, A/C registration number. Enter N/A if not applicable.
Block 4. Enter Component description, Part number, Serial number. Enter N/A if not applicable.
Block 5. Enter description of work to be performed such as AMM task, SRO, EO, CMM and
reference number (if applicable) or the requirement of authority/ customer.
Block 6. Enter date and time when the work is performed.
Block 7. Enter code of station and center where the work is performed. E.g.: SGN and HCM BMC
Block 8. Enter item sequential number.
Block 9. Enter Part number of the T/E.
Block 10. Enter description of the T/E.
Block 11. Enter quantity of tool & equipment needed to transfer.
Block 12. Enter name/ code of the original Center/ Store where the T/E to be transferred.
Block 13. Enter name/ code of the destination Station/ Center/ Store:
- Enter TS5/ TS6/ TS7 for SGN/ HAN/ DAD store respectively.
- Enter Station code for station other than HAN, SGN, DAD. E.g.: VII, CXR
Block 14. Enter remarks or necessary information (if any).
Block 15. Tick or cross X in checkbox to specify the Center that receives and performs this order.
Block 16. Enter requesting date.
Block 17. Enter name of the Center/ Department that issues this order.
Block 18. Enter name and signature of the requester that is manager or assigned staff of requesting
center/ department.
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 5004
OUT OF PHASE MAINTENANCE REQUIREMENT NOTICE

THNG BO CNG VIC BO DNG KHNG THNG K
1. A/C Type: .............................
2. A/C Registration: ....................
3. Report Date: .......................
4. OPM Tracking Number:.....................

5. Report of:
new OPM requirement
closing an OPM requirement
Interval adjustment
6. Description: ...............................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
7. Interval: .................. Flight Hours .................... Cycles ................. Days
...............................................
8. Open Date (UTC): ............................ 9. Close Date (UTC): ...................... 10. TLP No: ..........................
11. Additional Information: .............................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
12. MATERIAL & TOOLS REQUIRED
Type
Part Number
Description
Qty.
Unit
13. REFERENCE
Doc. Type
Reference
Remark
14. Est. M/H: .............. 15. Est. Downtime: ................ 16. Special Skill:......................................................
17. Name: ............................................... Stamp: ...................................Signature: ...................................
This notice must be faxed or sent to the MCC via VAECO website.
Ff
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 5004

Block 1. Enter type of aircraft such as: A320, A321, B777...;
Block 2. Enter Aircraft registration number, e.g.: VN-A141, VN-A372
Block 3. Enter date at which the notice is created.
Block 4. Enter Tracking number of OPM item.
Block 5. Enter The OPM related information for which notice must be created.
Block 6. Enter description of requirements for maintenance activity/ Out of phase maintenance
(OPM) tasks.
Block 7. Enter interval of the required maintenances/ OPM tasks (such as 500FH, 100FC, 8 days,
First flight of each day...). In case of adjust the interval specify the new interval in this block.
Enter N/A if the related blank is not applicable.
Block 8. Enter date at which the OPM requirement is raised or adjusted (UTC).
Block 9. Enter date at which the OPM requirement is closed (UTC).
Block 10. Enter Technical log page number that the OOP related activity was recorded.
Block 11. Enter additional Information which related to OPM. Enter N/A or NIL if no more information.
Block 12. Enter all parts, material, tools and equipment required for performance of OPM.
Block 13. Enter all reference documents.
Block 14. Enter estimated Man-hour to do this OPM
Block 15. Enter estimated down time to do this OPM
Block 16. Enter special skill to do this OPM such as BSI, engine run-up, jacking
Block 17. Enter full name, stamp and signature of the staff who issues this notice.
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 5036
LINE AND BASE HANDOVER SHEET

PHIU BN GIAO GIA NGOI V NI TRNG
1. Work Request No: ........................................... 2. Customer Request Ref: ...........................
3. Date of Request: .............................................
4. Dead Line:..............................................
5. A/C TYPE:...................................................... 6. A/C REG.: ..........................................

8. TYPE OF WORK: MOD/ AD/ SB
REPAIR
Station:..............
CHECK
INSP
7. A/C MSN: .............................

OTHERS:.........................
9. DOC. REF.: ..................................................................................

10. JOB/ DEFECT DESCRIPTION:
.....................................................................................................................................................................................................................
.....................................................................................................................................................................................................................
.....................................................................................................................................................................................................................
.....................................................................................................................................................................................................................
.....................................................................................................................................................................................................................
.....................................................................................................................................................................................................................
.....................................................................................................................................................................................................................
11. REASONS FOR HANDOVER
LACK OF MANPOWER/ MAN-HOUR

LACK OF TOOLINGS/ FACILITIES
OTHER:
12. DETAILS OF REASON:
....................................................................................................................................................................................................................
....................................................................................................................................................................................................................
....................................................................................................................................................................................................................
....................................................................................................................................................................................................................
....................................................................................................................................................................................................................
....................................................................................................................................................................................................................
....................................................................................................................................................................................................................
....................................................................................................................................................................................................................
13. RAMP MAINTENANCE CONTROL CENTER
14. BASE MAINTENANCE CONTROL CENTER
Name:...................................................................
Name: .............................................................
Sign: ....................................................................
Sign: ................................................................
Date: ....................................
Date: ..................
ISS. 02, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 5036
Form 5036 Completion Guidance

Block 1.
State Work Request number
Block 2.
State Customer Request reference number (for VNA, this is AMASIS work
order or work pack number) and station code such as HAN, SGN
Block 3.
State date of request in the format dd mmm yyyy. E.g.: 15 JAN 2010
Block 4.
State deadline in the format dd mmm yyyy. E.g.: 18 JAN 2010
Block 5.
State aircraft type. E.g.: A321
Block 6.
State aircraft registration number. E.g.: VN-A348
Block 7.
State aircraft manufacturer serial number
Block 8.
State type of work by making (X symbol) into the appropriate box
Block 9.
State document reference
Block 10.
State Job/ defect description
Block 11.
State category of reason for handover by marking on appropriate box
Block 12.
State details of reason for handover
Block 13.
State name and signature of Ramp MCC shift leader. Date should be given
in the format dd mmm yyyy. E.g.: 15 JAN 2010
Block 14.
State name and signature of Base MCC shift leader. Date should be given in
the format dd mmm yyyy. E.g.: 15 JAN 2010
ISS. 02, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 6001
NON - ROUNTINE CARD

1. NRC No.:...................
PHIU CNG VIC PHT SINH

2. Customer:
3. A/C Type:
4. A/C Reg.:
5. Source doc. Ref.:
6. W/O:
7. WP&Item:
8. CHK Type:
9. Raised by:
10. Zone:
11. ATA:
12. SKILL:
13. Date raised:......
14. Defect description: .........................................................................................................................................................

..............................................................................................................................................................................................
15.
A/C CRS
Structure
Composite
16. Tool/ component/ material required
Paint
Cabin
17. Before .......
Other: ..............................................
18. Confirmed by supply:
Yes
No
..............................................................................................................................................................................................
..............................................................................................................................................................................................
..............................................................................................................................................................................................
19. Maint. Procedure prepared by
20. Job card attaching sheet:
Title:
No
21. No. of attached NRC cont. form (if any): ...
Name:
23.
Yes
Sign.:
DII
RII
Critical
ITEM
22. C/O before:

ETOP
24. EST MHRS:
25. WORK DESCRIPTION
26. MECH.
27. INSP.
28. COMPONENT/ MATERIALS USED

ITEM
DESCRIPTION
P/N OFF
S/N OFF
P/N ON
S/N ON
GRN
QTY
29. Statement:
The article identified above was maintained/ altered and inspected in accordance with current regulations of the competent
Authority and is approved for return to service.
The work specified above was carried out in accordance with EASA Part-145 and in respect to that work the aircraft / aircraft
component is considered ready for release to service.
...........................................................................................................................................................................................
...........................................................................................................................................................................................
31. FIRST AUTHORISED STAFF

Sign
Stamp
ISS. 02, REV. 03 - DATE: 01 AUG 2015
Date (d/m/y)
........................................
32. SECOND AUTHORISED STAFF

Sign
Stamp
Date (d/m/y)
PAGE:
FORM 6001
NON - ROUNTINE CARD

1. NRC No.:...................
PHIU CNG VIC PHT SINH

2. Customer:
3. A/C Type:
4. A/C Reg.:
5. Source doc. Ref.:
6. W/O No:
7. WP & Item:
8. CHK Type:
9. Raised by:
10. Zone:
11. ATA:
12. SKILL:
13. Date raised:.......
Manhours:
33.Work
34.VAECO
ID
35.Name
ISS. 02, REV. 03 - DATE: 01 AUG 2015
36.Hours 37.Item
38.Job date
39.Hour
Type
40.Remark
PAGE:
FORM 6001

This form is used to record any additional work.
Block (1)
Enter the Non-routine Card Number
Block (2)
Enter the name or code of the Customer
Block (3)
Enter the aircraft type
Block (4)
Enter the Registration number of the aircraft
Block (5)
Reference number of the Job card/ Worksheet, base on which the Non Routine Card is
raised. In case the Non Routine Card is raised for the discrepancy found during
preliminary inspection, this block should be stated PI. In case the NRC is raised as
request of customer, this block should be stated the reference number or name of the
request. In other cases, this block should be specified N/A.
Block (6)
Enter the reference number of Work Order that automatically generated by AMASIS.
Block (7)
Enter the reference number of Work Pack and Sequence (Item)
Block (8)
Enter the check type as defined in AMS
Block (9)
Enter the name or authorization number of the person raising this card
Block (10)
Enter the aircraft zone
Block (11)
Enter the defect code comply with ATA 100 Specification
Block (12)
The skill of the person that raises this card
Block (13)
Enter the date the card is raised in the format of dd mmm yyyy. E. g.: 15 JAN 2010;
Block (14)
Enter the defect description
Block (15)
Enter type of work. Mark with a tick in the check box relating to maintenance section.
Block (16)
Enter the tool/ component/ material required for the work.
Block (17)
Enter the deadline of the order of tool/ component/ materials in the format of dd mmm
yyyy. E. g.: 15 JAN 2010.
Block (18)
Mark with a tick in appropriate box to confirm the ordered tool/ component/ materials
from supply division.
Block (19)
Enter the name and title of the person that prepares the maintenance procedure.
Block (20)
Mark with a tick in the YES check box if there is at least one Job card attaching sheet
is attached with this NRC otherwise mark in NO check box.
Block (21)
Enter the number of attached NRC continuation form (if any)
Block (22)
Enter the due date that defect shall be rectified.
Block (23)
Mark with a tick in the check box relating to the special requirement
Block (24)
Enter the estimated man-hours
Block (25)
Enter description of the performed work.
Block (26)
Signature of mechanics
Block (27)
Signature and authorization number or stamp of person who carry out inspection.
Block (28)
Enter the information of component/ material used to rectify the defect
Block (29)
article was maintained/ altered and inspected in accordance with.
Block (30)
ISS. 02, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 6001
Block (31)
Enter the hand-written normal signature and authorization number or stamp of the first
authorized staff who states that The articles identified above were maintained/altered
and inspected in accordance with current regulations of the competent Authority and is
approved for return to service or as required by competent Authority. The date of
inspection should be given in the format of dd mmm yyyy. E. g.: 15 JAN 2010.
Block (32)
This Block is reserved for the second authorized staff in case of the work requires
special inspection marked in Block 23 (in case not applicable, please write N/A).
Block (33)
Enter Product Code (if any).
Block (34)
Enter company ID of employee who carry out the order (VAE00145, VAE00124,).
Block (35)
Enter the first name/ full name of employee who carry out the order
Block (36)
Enter working duration time in hour.
Block (37)
Enter item of request (if any).
Block (38)
Enter the job date.
Block (39)
Enter hour type code.
Block (40)
Enter the manhour additional information (if any).
ISS. 02, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 6002
PRELIMINARY INSPECTION FINDING LIST

DANH MC HNG HC TRONG KIM TRA BAN U
1. Customer:
2. A/C Type:
3. A/C Reg.:
4. Check type:
5. WP No.:
6. Customer Request Ref.:
7.No.
8. DESCRIPTION

(Sign & stamp)
ISS. 02, REV. 03 - DATE: 01 AUG 2015
9. PRODUCTION PLANNER ACTION
11. PRODUCTION PLANNER

(Sign & stamp)
PAGE:
FORM 6002

This form is used to record any findings/ defect found in primary inspection process.
Block 1.
Enter name or code of the Customer, e.g. VNA
Block 2.
Enter aircraft type, e.g. A321
Block 3.
Enter Registration mark of Aircraft, e.g. VN-A348
Block 4.
Enter check type as defined in the Work Order
Block 5.
Enter reference number of the Work Pack.
Block 6.
Enter reference number of customer request.
Block 7.
Enter sequential number of defect during preliminary inspection.
Block 8.
Enter descriptions of inspection findings/ defects.
Block 9.
Enter appropriate planning controller actions such as: Transfer to NRC No. etc.
Block 10. Enter hand-written signature and stamp of the QC authorized staff.
Block 11. Enter hand-written signature and stamp of the production planner.
ISS. 02, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 6003
NON-ROUTINE CARD LIST

DANH MC CNG VIC PHT SINH
1. Customer: ............................ 2. A/C Type: .............................. 3. A/C Reg.: ................................................
4. WO No.: ............................... 5. WP No.: ................................ 6. Customer Request Ref.: .........................
7. NRC No.
8. Description
9. DOC. REF.
12. Performed
14. QC AUTHORISED STAFF
13. PRODUCTION PLANNER.
Signature:
Signature:
Stamp:
Stamp:
ISS. 01, REV. 05 - DATE: 01 AUG 2015
10. ZONE 11. M/H
PAGE
FORM 6003

Block 1.
Enter name of customer. E.g.: VNA.
Block 2.
Enter type of aircraft. E.g.: A321.
Block 3.
Enter registration number of the aircraft. E.g.: VN-A348.
Block 4.
Enter the reference number of the Work Order.
Block 5.
Enter the related work pack number.
Block 6.
Enter customer request reference number. For VNA, enter service order number (if
any) otherwise enter N/A.
Block 7.
Number in sequence of Non Routine Card.
Block 8.
Enter brief description of the work recorded in the Non Routine Card. This should be
the same with content in block 14 of related Non Routine Card (defect description).
Block 9.
Enter the information that specified in block No. 5 of related Non Routine Card.
Block 10.
Enter the zone where the discrepancy is found.
Block 11.
Enter the actual man-hour for the work specified on the Non Routine Card.
Block 12.
The related authorized staff should enter the performed date in the format of dd mmm
yyyy (E.g. 15 JAN 2010), his signature and stamp should be given in this block.
Block 13.
Enter Signature and stamp of the production planner.
Block 14.
Enter Signature and stamp of the QC authorized staff.
ISS. 01, REV. 05 - DATE: 01 AUG 2015
PAGE
FORM 6004
BASE MAINTENANCE SHIFT/ TASK HANDOVER SHEET

PHIU BN GIAO CNG VIC NI TRNG
1. A/C Reg.:
2. Check type:
3. WP No.:
5. From shift:
6. To shift:
7. A/C POWER STATUS: ELEC:

8. ITEM
4. Date:
ON
9.TASK DESCRIPTION
11. HAND-OVER PERSON

(Sign/ name/ stamp)
ISS. 01, REV. 06 - DATE: 01 AUG 2015
OFF
PNEU:
ON
OFF
HYD:
ON
OFF
10. FOLOW UP
12. TAKE-OVER PERSON

(Sign/ name/ stamp)
PAGE
FORM 6004

Block 1.
Enter aircraft registration
Block 2.
Enter the check type as specified in the Work Oder.
Block 3.
Enter the reference number of the Work Pack.
Block 4.
Hand over date given in the format of dd mmm yyyy. E.g. 15 JAN 2010.
Block 5.
Name of the outgoing shift in number: 1 or 2 or 3.
Block 6.
Name of the incoming shift in number: 1 or 2 or 3.
Block 7.
Specified information of aicraft power status, Tick the X symbol into the box,
such as: ELEC - electrical, PNEU - pneumatic and HYD - hydraulic.
Block 8.
Numbering the handover item in sequence.
Block 9.
Enter description of the work need inform/ hand over to incoming shift.
Block 10.
Enter actions required to be performed by incoming shift.
Block 11.
Signature, name and stamp of hand-over person.
Block 12.
Signature, name and stamp of take-over person.
ISS. 01, REV. 06 - DATE: 01 AUG 2015
PAGE
FORM 6005
JOB CARD ATTACHING SHEET CONTROL LIST

DANH MC PHIU YU CU CNG VIC
1. Customer: ............................ 2. A/C Type: .......................... 3 A/C Reg.: ...........................................
4. WO: ..................................... 5. WP No.: ............................. 6. Customer Request Ref.: ................ ...
7.JCAS No.
8. Description
ISS. 01, REV. 04 - DATE: 01 AUG 2015
9. Source doc. REF.
10. M/H
11. Performed
PAGE
FORM 6005

Block 1.
Block 2.
Enter type of aircraft. E.g.: A321.
Block 3.
Block 4.
Block 5.
Enter related work pack number.
Block 6.
Enter customer request reference number. For VNA, enter service order number
(if any) otherwise enter N/A.
Block 7.
Number in sequence of Job Card Attaching Sheet.
Block 8.
Brief description of the work recorded in the Job Card Attaching Sheet.
Block 9.
Enter reference number of related Job card/ Worksheet that the Job Card
Attaching Sheet must be attached with.
Block 10. Enter the actual man-hour for the work specified on the Non Routine Card.
Block 11. The related authorized staff should Enter the performed date in the format of dd
mmm yyyy (E.g. 15 JAN 2010), his signature and stamp should be given in this
block.
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE
FORM 6006
NON-ROUTINE WORK/ WORKPACK CHANGE REQUEST

PH CHUN CNG VIC PHT SINH/ THAY I GI CNG VIC
1. Ref. No.:
2. Customer:
3. Workpack No.:
4. Customer Order No.:
5. A/C Reg.:
6. Reference doc.: (NRC, additional tasks):
7. Description:
8. Schedule Impact:
Yes
No
Estimated Schedule Delay:

Reason for Schedule Impact:
9. Prepared by:
10. Approved by:
Production Planner (name)
VAECO Representative (Name &

Signature)
Customer (Name & Signature)
Date:
Date:
Date:
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE: __ / __
FORM 6006

Block 1.
Enter the Reference number IAW the following rules:

Customer code-XXYY-ZZ, e.g.: VNA-1305-01, CEB-1305-01. Where:
- XX is the last two digits of the year;
- YY is two digits of the month;
- ZZ is the ordinal number, this shall be in sequence: 01, 02, 03for each
request.
Block 2.
Enter Customer name or code. E.g.: VNA
Block 3.
Enter the reference number of Work Pack.
Block 4.
Enter the Customer orders number (applied for additional work requested by
Customer).
Block 5.
Enter the Registration number of Aircraft, e.g.: VN-A349
Block 6.
Enter the Reference document (NRC, Additional Tasks). E.g.: NRC0007
Block 7.
Enter the description of the non-routine work/ workpack change request.
Block 8.
Enter the Schedule impact information:

- Tick YES if the request leads to extend the time to complete the WP, The
Estimated Schedule Delay (hour) and Reason for Schedule Impact shall be
specified.
- Tick NO if the request wont delay the scheduled maintenance plan.
Block 9.
Enter the name of the Production Planner staff who prepares the request and the
requesting date.
Block 10. Enter the name and signature of VAECO representative (BDD personnel or
delegate) and Customer representative who approve the request and date.
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE: __ / __
FORM 6007
JOB CARD ATTACHING SHEET

PHIU YU CU CNG VIC
1. JCAS No.: .....................
2. Customer: ..................................
3. A/C Type.: ................................
4. A/C Reg.: .................................................
5. WO No.: ....................................
6. WP No: ....................................
7. Source doc. Ref.: ...................................
8. Requested by: ..........................................................
9. Received by: ..................................................................
Signature: ....................... Date: ..................................
Signature: ............................... Date: ................................
Department/Section: .....................................................
Department/ Section: ........................................................
10. P/N: .............................................
12: Description.........................
13. C/O Before: .......................................
11. S/N: ..............................................
..................................................
.................................................................
14. No
15. WORK REQUEST
16. ACTION SUMMARY
17. Materials used:
28. EST MH:

29. ACT MH:
20. Statement:
The article identified above was maintained/ altered and inspected in accordance with current regulations of the
...........................................................................................................................................................................
...........................................................................................................................................................................
22. Name: Signature

ISS. 02, REV. 04 - DATE: 01 AUG 2015

EASA approval No. EASA.145
Stamp:

...........................................
Date (d/m/y): .......................

PAGE
FORM 6007

This form is used to record any work raised from an original work specified in the job card or
Technical log page.
Block 1.
Enter the reference number of Job card attaching sheet.
Block 2.
Enter the name or code of the Customer, e.g. VNA.
Block 3.
Enter the aircraft type, e.g. A321.
Block 4.
Enter the Registration mark of Aircraft, e.g. VN-A348.
Block 5.
Enter the reference number of Work Order.
Block 6.
Enter the reference number of Work Pack.
Block 7.
Enter the original Job card/ Worksheet that requires performing this work in the
workshop.
Block 8.
The name, the hand-written normal signature and the Department/ section of the
person that requests this transferred work. The date should be given in the format
of dd mmm yyyy. E.g. 15 JAN 2010;
Block 9.
The name, the hand-written normal signature and the Department/ section of the
person that receipts this sheet. The date should be given in the format of dd mmm
yyyy. E.g. 15 JAN 2010
Block 10.
Enter the Part Number of transferred component.
Block 11.
Enter the Serial Number of transferred component.
Block 12.
The name or description of transferred component.
Block 13.
The work requested shall be carried out before the specified limit (date and/or
flight hours and/or flight cycles). The date should be given in the format of dd
Block 14.
Sequence number of the work request.
Block 15.
Enter the work requests
Block 16.
Enter the action taken
Block 17.
Enter the material used
Block 18.
Enter the estimate man-hour
Block 19.
Enter the actual man-hour
Block 20.
Mark with a tick in appropriate box to specify the regulations or requirements that
the article was maintained/altered and inspected in accordance with.
Block 21.
Block 22.
Full name, signature and stamp of authorized personnel/ inspector. The date of
inspection should be given in the format of dd mmm yyyy. E.g. 15 JAN 2010.
ISS. 02, REV. 04 - DATE: 01 AUG 2015
PAGE
FORM 6009
STRUCTURE REPAIR ORDER

YU CU SA CHA CU TRC
1. A/C Type:
2. Station:
3. SRO No.:
SRO/
4. SDR Ref. No.:
5. Date:
6. A/C Reg.:
7. Check:
8. Work pack:
9. Work order:
10. ADD/ NRC No.:
11. Part Number:
12. Serial Number:
13. WRITTEN BY:
14. ACCEPTED BY:
15. SCHEDULING PRIORITY
Name:
Name:
Prior to:
Title:
Title:
Interval:
Signature:
Signature:
Limit:
16.DOWNTIME
17. Est. M/H
18. WORK DESCRIPTION:
19. TOOLING AND MATERIALS:

20. No. 21. P/N
22. DESCRIPTION
23. QTY
25. No. 26. WORK REQUIREMENT
27. MECH.
24. GRN
28. INSP.
29. Statement:
The article identified above was maintained/ altered and inspected in accordance with current regulations of
........................................................................................................................................................................................
........................................................................................................................................................................................


31. Name: Signature
Stamp:

........................................
Date (d/m/y):
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE
FORM 6009

Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Block 10.
Block 11.
Block 12.
Block 13.
Block 14.
Block 15.
Block 16.
Block 17.
Block 18.
Block 19.
Block 20.
Block 21.
Block 22.
Block 23.
Block 24.
Block 25.
Block 26.
Block 27.
Block 28.
Block 29.
Block 30.
Block 31.
Block 32.
Enter aircraft type

Enter station code such as HAN, SGN.
Enter structure repair order number. Structure repair order uses the same reference number
as structure damage report. The only difference is SDR and SRO.
Example 1: SRO/ HBM/11/001 will be the repair doc for SDR/HBM/11/001.
Example 2: SRO/ SLM/11/001 will be the repair doc for SDR/SLM/11/001, event if the repair
is performed by HAN Base Maintenance Center or HCM Base Maintenance Center.
In case the SRO has both temporary repair and permanent repair, please use item 01 for
temporary repair and item 02 for permanent repair.
E.g.: Launch SRO/ SLM/11/002 item 01 for temporary repair, and SRO/ SLM/11/002 item
02 for permanent repair.
Enter related structure damage report reference number
Enter the issuance date of this structure repair order (SRO) in the format of dd mmm yyyy.
E.g. 15 JAN 2010.
Enter aircraft registration number.
Enter Check type or N/A if this SRO is not belonged to a work pack.
Enter Work Pack or N/A if this SRO is not belonged to a work pack.
Enter AMASIS Work Order number.
Enter the ADD number and/or NRC number.
Enter Part Number of the affected component.
Enter Serial Number of the affected component.
Full Name, Title and Signature of the person who prepare this SRO.
Full Name, Title and Signature of the person who evaluates and accepts this SRO.
Mark with a tick in the appropriate box "Prior to and/ or Interval and/ or Limit" with specified
number for SCHEDULING PRIORITY
Enter required ground time for the defect rectification.
Enter estimated manhour for the defect rectification.
Enter title or description of this Structure Repair Order.
Enter Tooling and Materials
Enter item number
Enter Part Number of the tool or material
Description of the tool or material
Quantity of the tool or material
Enter Good Receive Number
Enter item number
Enter Work requirement for each work step.
Signature of the Mechanic
Signature and stamp/ authorization number of the inspection personnel.
Mark with a tick in appropriate box to state the regulations or requirements that the article was
maintained/altered and inspected in accordance with.
The name, signature and stamp of the return-to-service staff. The date should be given in the
format of dd mmm yyyy. E.g.: 15 JAN 2010
Enter any Remark/ Findings.
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE
FORM 6010

H S HON THIN SA CHA CU TRC
1. Ref. Number: SRR/
Rev:
4. A/C Type:
A/C Reg.:
MSN:
2. Date:
3. Page:
5. Current FH:
6. SDR related:
Current FC:
7. Customer:
8. Station:
9. Repaired during:
10. ATA:
11. Zone:
12. SRO:
13. Damage description:
14. Repair references:
15. Repair status:
Temporary Limit:
Permanent
Re-inspection
16. Further action required:
17. Repair classification:
Minor
Major 18. RAS approval:
Interim
Definitive
19. Reported by
Name:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
Signature:
Date:
Page
of
FORM 6010

H S HON THIN SA CHA CU TRC
1. Ref. Number: SRR/
Rev:
2. Date:
3. Page:
20. Drawing of the repair:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
Page
of
FORM 6010

Block 1. Enter reference number and revision number
Structure repair report uses the same reference number as structure damage report and
structure repair order. The only difference is SDR or SRR or SRO.
In case the SRO has both temporary repair and permanent repair, use item 01 for temporary
repair and item 02 for permanent repair.
E.g.: Launch SRO/ SLM/11/001 item 01 for temporary repair, and SRO/ SLM/11/001 item
02 for permanent repair, then using SRR/ SLM/11/001 item 01 and SRR/ SLM/11/001
item 02 respectively for structure repair reports.
Block 2. Enter Revision Date in the format of dd mmm yyyy. E.g. 15 JAN 2010
Block 3. Enter Ordinal Page Number
Block 4. Enter information the concerned aircraft including:
- A/C type: aircraft type
- A/C reg.: aircraft registration
- MSN: manufacturer serial number
Block 5. Enter current flight hour and current flight cycle.
Block 6. Enter reference number of related structure damage repair.
Block 7. Enter name or abbreviation of the customer.
Block 8. Enter IATA station code.
Block 9. Enter the line or base check during repair performed.
Block 10. Enter code specified by Air Transport Association for that work.
Block 11. Enter zone number.
Block 12. Enter reference number of related structure repair order.
Block 13. Enter damage description.
Block 14. Enter related references used to repair.
Block 15. Tick the X symbol into the relevant box of repair status block.
Block 16. Enter information of further action if required
Block 17. Tick the X symbol into the relevant box of repair classification (if it is specified by the
approved agency)
Block 18. Tick the X symbol into the relevant box of RAS type (if available)
Block 19. Enter full name and signature of structure engineer. The Date should be given in the format
of dd mmm yyyy. E.g. 15 JAN 2010
Block 20. Enter drawing of the repair.
ISS. 01, REV. 02 - DATE: 01 AUG 2015
Page
of
FORM 6011
AIRCRAFT HANDOVER SHEET

PHIU BN GIAO MY BAY
1. Customer: .........................................
2. Station:....................................
3. Ref. No: .....................................
4. A/C Type: ..........................................
5. A/C Reg.: ................................
6. A/C MSN: ..................................
7. From:.............................................................................
8. To: .........................................................................
9. Reason: ................................................................................................
10. Handover time: ............................
..................................................................................................................
11. Handover date: ............................
AIRCARFT STATUS SUMMARY

No
12. Description
Deferred defects type B
Deferred defects type C
Dent and Buckle
Removed/ robbed component
Fuel on board (Kg)
Emergency equipment list (Airbus)
Loose equipment list (Boeing, ATR)
Out of phase requirement
Exemption, Concession
10
Maintenance release certificate
11
A/C security check
12
Other: .............................................
13. Status
(Yes/ No)
14. Detail information
........................................................
........................................................
15. DELIVERED BY
(Sign/ Name/ Title)
ISS. 01, REV. 03 - DATE: 01 AUG 2015
16. RECEIVED BY
(Sign/ Name/ Title)
PAGE:
FORM 6011

Block 1.
Enter Customer/ operators name
Block 2.
Enter Station code
Block 3.
Enter Reference number of this sheet
Block 4.
Enter Aircraft type
Block 5.
Block 6.
Enter Aircraft Manufacturer Serial Number
Block 7.
Enter the name of the maintenance center that deliver the aircraft
Block 8.
Enter the name of the maintenance center that receive the aircraft
Block 9.
Enter the handover reason. E.g.: To perform check A04, To release the A/C after
check A04
Block 10.
Enter local handover time in the 24 hour format. E.g.: 15:30
Block 11.
Enter local handover date in the format dd mmm yyyy. E.g.: 18 JAN 2010
Block 12.
Description of items to be transferred with the aircraft
Block 13.
Enter Yes if the item specified in block 12 is available otherwise enter No
Block 14.
Enter detail information concerning the item specified in block 12:
Item No 1: Enter all opening ADD numbers, dead-lines and Request for supply
number. These information may be specified in an other list. In this case, state See
attached list reference No otherwise state No ADD
Item No 2: Enter all opening ADD numbers, dead-lines and Request for supply
number. These information may be specified in an other list. In this case, state See
attached list reference No otherwise state No ADD
Item No 3: Enter all opening dents and buckles information or refer to an attached
list. E.g. See attached list reference No.
Item No 4: Enter all components that have been removing/ robbing from this A/C
These information may be specified in an other list. In this case, state See
attached list reference No otherwise state No robbed/ removed
component.
Item No 5: Enter fuel remaining in each tank (kg).
Item No 6 and 7: List all discrepancies compare with the standard list supplied by
the Planning department/ customer. If this item is not required to check (in
accordance with the contract) enter N/A.
Item No 8: Enter all out-of-phase tasks and dead-lines or refer to an attached list.
E.g. See attached list reference No
Item No 9: Enter all opening concession/ exemption numbers. These information

may be specified in an other list. In this case, state See attached list reference
No otherwise state NIL.
Item No 10: Enter the information of the current maintenance release certificate
such as certificate number
Item No 11: Enter detail information (if applicable).
Block 15.
Full name, Signature and Title of deliverer
Block 16.
Full name, Signature and Title of receiver.
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 6012
LIST OF ACCEPTABLE DEFERRED DEFECTS

DANH MC CC HNG HC C TR HON SA CHA
1. Customer: .....................................
2. Aircraft Type: ............................... 3. A/C Registration: .......................... 4. WO No.: ..............................................
5. Work pack No.: ............................
6. Type of Check: ............................. 7. Start Date: ................................... 8. Finish Date: ........................................
A. ACCEPTABLE DEFERRED DEFECTS RELATED TO A/C SYSTEMS

9. ADD
No.
10. Description
11. Open date
12. NRC Ref.
13. Document ref.
14. Time limit
15. Order No./

Order date
16. Reason
17. Remark
B. ACCEPTABLE DEFERRED DEFECTS RELATED TO A/C STRUCTURE

9. ADD
No.
10. Description
11. Open date
12. NRC Ref.
18. Confirmed by (name):

Auth. No.:
13. Document ref.
14. Time limit
15. Order No./

Order date
16. Reason
17. Remark/
Follow-up repair
document ref.
19. Accepted by Customer (Representative name):

Signature:
ISS. 01, REV. 04 - DATE: 01 AUG 2015
Date:
Title:
Signature:
Date:
PAGE
FORM 6012

Block 1.
Enter Name or code of the Customer, e.g.: VNA
Block 2.
Enter Aircraft type, e.g.: A321
Block 3.
Enter Registration number of Aircraft, e.g.: VN-A348
Block 4.
Block 5.
Enter Reference number of related Work Pack
Block 6.
Enter Check type as defined in the work pack content
Block 7.
Enter start and finished date of check. The date should be given in the format of dd mmm yyyy. E.g. 15 JAN 2010
Block 8.
Enter finished date of check. The date should be given in the format of dd mmm yyyy. E.g. 15 JAN 2010.
Block 9.
Enter the reference number of ADD (if any). Enter N/A if it is not available.
Block 10. Enter Description of the defect that need to be deferred.

Block 11. Enter the date that defect is raised in the format of dd mmm yyyy. E. g.: 15 JAN 2010.
Block 12. Enter the reference number of NRC that was raised for the defect (if any).
Block 13. Enter the maintenance data specified that the defect can be deferred (MEL item, SRM, AMM task).
Block 14. Enter the next due of the ADD/ SRO.
Block 15. Enter all order number and order date of required tool/ component/ materials (if any). E. g.: HM01110070
Block 16. Enter any remark or follow-up repair document such as SRO reference (if any).
Block 17. Enter name, hand-written normal signature of the Authorized staff and his/ her stamp. The date of inspection should be given in the
format of dd mmm yyyy. E.g.: 15 JAN 2012.
Block 18. Enter name, the hand-written normal signature of the Customer representative. The date of acceptance should be given in the
format of dd mmm yyyy. E.g.: 15 JAN 2012. Enter N/A if the Customer is VNA (except otherwise specified by VNA).
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE
FORM 6013
LIST OF ACCEPTABLE DEFERRED TASKS

DANH MC CC CNG VIC BO DNG C TR HON
1. Customer: ................................
2. Aircraft Type: ............................ 3. A/C Registration: .................... 4. WO No.: ...................................
5. Work pack No.: .........................
6. Type of Check: ......................... 7. Start Date: ... 8. Finish Date: .......
9. No
10. TASK REF & DESCRIPTION
11. REASON FOR DEFERMENT
12. REFERENCE
DOCUMENT
13. CONDITIONS
14. Production planner:
15. Maintenance Planner:
16. Customer:
Name: .............................................................
Name: .......................................................
Name ..............................................................
Sign & Stamp:
Sign & Stamp:
Title:................................................................
Date:
Date:
Sign:
ISS. 01, REV. 04 - DATE: 01 AUG 2015
Date:
PAGE
FORM 6013

Block 1.
Enter the name or code of the Customer, e.g.: VNA
Block 2.
Enter the aircraft type, e.g.: A321
Block 3.
Block 4.
Enter Reference number of the Work Order.
Block 5.
Enter the reference number of related Work Pack
Block 6.
Enter the check type.
Block 7.
Block 8.
Block 9.
Enter Sequence number.
Block 10. Enter reference number and description of the task that need to be deferred.
Block 11. Enter the reason that the task has to be deferred.
Block 12. Enter the maintenance data specified that the task can be deferred.
Block 13. Enter any conditions need to be complied with as required in maintenance data mention in block 12.
Block 14. Enter hand-written normal signature and stamp of the Production planner. The date of inspection should be given in the format of
dd mmm yyyy. E. g.: 15 JAN 2010.
Block 15. Enter hand-written normal signature and stamp of the Maintenance planner. The date of inspection should be given in the format
of dd mmm yyyy. E. g.: 15 JAN 2010. This block is only applied for Operators that VAECO controls the aircraft maintenance
schedule (AMS) such as VNA. (Enter N/A for other Operator)
Block 16. Enter hand-written normal signature of the Customer representative must be signed. The date of inspection should be given in the
format of dd mmm yyyy. E. g.: 15 JAN 2010.
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE
FORM 6014
LIST OF REPLACED COMPONENT

DANH MC CC THIT B THAY TH
1. Customer: ..............................
2. Aircraft Type: ......................
3. A/C Registration: .................
4. Work Order No.: ..........................
5. Work pack No: .......................
6. Type of Check: ...................
7. Start Date: .
8. Finish Date: ....
9. No
10. DESCRIPTION
11. P/N OFF
12. S/N OFF
13. P/N ON
14. S/N ON
15. J/C. REF.
Tick box if next page used

ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE
FORM 6014

Block 1.
Enter the name or code of the Customer, e.g.: VNA
Block 2.
Enter the aircraft type, e.g.: A321
Block 3.
Block 4.
Enter Reference number of the Work Order.
Block 5.
Enter the reference number of related Work Pack
Block 6.
Enter the check type as defined in AMS
Block 7.
Block 8.
Block 9.
Block 10. Enter Description of the replaced component.

Block 11. Enter part number of removed component;
Block 12. Enter serial number of removed component.
Block 13. Enter part number of installed component.
Block 14. Enter serial number of installed component.
Block 15. Enter reference number of related Job card/ Worksheet.
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE
FORM 6015

DANH SCH NHN VIN THC HIN BO DNG
A/C Reg.: ............................................ Customer: ....................................... WO/ WP No.: .................................
CATEGORY C CERTIFICATED STAFF

No.
NAME
AUTH. No.
SIGNATURE
AUTH. No.
SIGNATURE
AUTH. No.
SIGNATURE
FOREMAN
No.
NAME
QC AUTHORIZED STAFF
No.
NAME
CATEGORY
PRODUCTION PLANNER
No.
NAME
ISS. 01, REV. 10 - DATE: 01 AUG 2015
AUTH. No.
SIGNATURE
PAGE
FORM 6015

SUPERVISOR
No.
NAME
ISS. 01, REV. 10 - DATE: 01 AUG 2015
FUNCTION
AUTH. No.
SIGNATURE
PAGE
FORM 6015

AUTHORIZED MAINTENANCE STAFF

No.
NAME
ISS. 01, REV. 10 - DATE: 01 AUG 2015
CATEGORY
AUTH. No.
SIGNATURE
PAGE
FORM 6015

Section: .......................................................................................
QUALIFIED MECHANIC STAFF
No.
NAME
ISS. 01, REV. 10 - DATE: 01 AUG 2015
COMPANY ID
SIGNATURE
PAGE
FORM 6015

This form is used for maintenance staffs to register before carrying out maintenance workpack.
Block A/C Reg.
: Enter Aircraft Registration Number, e.g.: VN-A348
Block Customer
: Enter name of the customer, e.g.: VNA
Block WO/ WP No.
: Enter Work Order or Work Pack reference number.
Block Section
: Enter the appropriate name of zone or group, e.g.: Zone 34, Cabin,
Cleaning
Block No.
: Enter number in sequence order.
Block NAME
: Maintenance person enters his full name.
Block AUTH. No.
: Authorized person enters (write down or stamp) his authorized number.
Block SIGNATURE
: Maintenance person signs on the correlative box.
Block CATEGORY
: Authorized person enters his category, e.g.: A, B1, B2,
Block FUNCTION
: Supervisor enters his function, e.g.: B1, B2, Airframe, Powerplant, Avionic,
Electrical, Routine Tasks,
Block COMPANY ID.
: Mechanic enters his company ID.
ISS. 01, REV. 10 - DATE: 01 AUG 2015
PAGE
FORM 6016
WORK PACK HANDOVER

BIN BN BN GIAO GI CNG VIC
1.A/C Type: ............
2.A/C Reg.: ................
5. WO No.: ........................................
3. Customer: ....................
4. Customer request ref.: .....................
6. WP No.: ........................................ . 7. Handover date: ............................
FINAL WORKPACK CONTAINS THE FOLLOWING LISTS

8. No.
1
2
9. Description
Work Order
Maintenance Release Certificate
(Certificate Ref No.: .................................)
10. Ref. Document
11. Avail.
12. Page(s)
(YES/ NO)
13. Note
VAECO Form 1002

VAECO Form 2012
Mechanics/ Engineers Register
VAECO Form 6015
Work pack contents
VAECO Form 1004
Job card index
AMASIS Form
OOP index
AMASIS Form
List of engineering request
AMASIS Form
Documents removed from Tech Log.:

ENG Dent & Buckle chart record
Airframe Dent & Buckle chart record
Maintenance check requirements
Maintenance Release Certificate
(Certificate Ref No.: ....................................)
Master job card/ worksheet index
VAECO Form 6019
10
Last minute items list
VAECO Form 1006
11
Additional tasks list
VAECO Form 6020
12
Removal/ installation of access panel
AMASIS Form
13
List of acceptable deferred tasks
VAECO Form 6013
14
List of acceptable deferred defects
VAECO Form 6012
15
Preliminary inspection findings list
VAECO Form 6002
16
Non-routine card list
VAECO Form 6003
17
Job card/ non-routine card continuation list
VAECO Form 6023
18
Job cards attaching control cist
VAECO Form 6005
19
List of replaced component
VAECO Form 6014
20
Job cards
AMASIS Form
21
Job card attaching sheets
VAECO Form 6007
22
Non-routine cards
VAECO Form 6001
23
Job card/ NRC continuation forms
VAECO Form 6017
24
25
14. HANDED OVER BY
15. RECEIVED BY
Name: ......................................................................
Name: .................................................................
Sign: ................................ Date: ...............................
Sign: ............................ Date: ..................
ISS. 01, REV. 05 - DATE: 01 AUG 2015
PAGE:
FORM 6016

This form is used to handover completed work pack. For the work pack issued using AMASIS system,
records in the work pack should be kept in order as listed. For other customers, records should be kept
as the same manner or as required by customers.
Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Block 10.
Block 11.
Block 12.
Block 13.
Block 14.
Block 15.
Enter Aircraft Type, e.g.: A321

Enter customer request reference number. For VNA, enter service order number (if any)
otherwise enter N/A.
Enter Work Pack reference number.
Enter handover date in the format of dd mmm yyyy. E.g. 15 JAN 2010.
Enter Description of handover items that contain in the work pack.
Enter the Reference of document of each item such as VAECO Form number, Customer
reference document number.
Enter status that this item is containing in the handover work pack or not.
Enter total number of pages for each handover item.
Enter other necessary information.
Enter name, signature of staff who is responsible to hand over the work pack.
Enter name, signature of Tech. record staff who is responsible for receiving the work pack.
ISS. 01, REV. 05 - DATE: 01 AUG 2015
PAGE:
FORM 6017
JOB CARD/ NON ROUTINE CARD CONTINUATION FORM

PHIU CNG VIC TIP TC
1. Customer:
2. A/C Reg.:
3. WP No.:
4. Annex to:
5. JC/ NRC Cont. No.:
6. Issued by:
7. Signature and Stamp:
8.No.
9. WORK DESCRIPTION
10. MECH 11. INSP
12. COMPONENT/ MATERIALS USED

Description
P/N
GRN
Qty
Description
P/N
GRN
Qty
13. Statement:
The article identified above was maintained/ altered and inspected in accordance with current regulations of
........................................................................................................................................................................
........................................................................................................................................................................
EASA approval No. EASA.145...
15. Name: Signature
ISS. 02, REV. 04 - DATE: 01 AUG 2015
Stamp:
.......................................
Date (d/m/y): ....................
PAGE: __ / __
FORM 6017
JOB CARD/ NON ROUTINE CARD CONTINUATION FORM

PHIU CNG VIC TIP TC
1. Customer:
2. A/C Reg.:
4. Annex to:
3. WP No.:
5. JC/ NRC Cont. No.:
Manhours:
Work
VAECO ID
Name
Hours
Item
Job date
Hour Type
Remark
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
ISS. 02, REV. 04 - DATE: 01 AUG 2015
PAGE: __ / __
FORM 6017

Block (1)
Enter name or code of the Customer, e.g.: VNA
Block (2)
Enter Registration number of Aircraft, e.g.: VN-A301
Block (3)
Enter reference number of Work Pack.
Block (4)
Enter related job card /NRC reference number.
Block (5)
Enter Reference number of the NRCC.
Block (6)
Enter name of the RTS staff who issued this form.
Block (7)
Enter registered signature and stamp/ authorization number of the RTS staff who
issues this form.
Block (8)
Sequence number of the work requirements.
Block (9)
Enter performed work.
Block (10)
Enter Signature of mechanics.
Block (11)
Enter signature and stamp/ authorization number of authorized inspection staff.
Block (12)
Enter the description, part number, GRN and quantity of the component/ materials
used.
Block (13)
Mark with a tick in appropriate box to specify the regulations or requirements that
the maintenance/ alteration and inspection are performed in accordance with.
Block (14)
Mark with a tick in appropriate Approval Number of competent Authority.
Block (15)
Enter the registered signature and stamp/ authorization number of the authorized
staff. The date should be given in the format of dd mmm yyyy. E.g. 15 JAN 2010.
Block (16)
Enter Product Code (if any).
Block (17)
Enter company ID of employee who carry out the order (VAE00145,

VAE00124,).
Block (18)
Enter the first name/ full name of employee who carry out the order
Block (19)
Enter working duration time in hour.
Block (20)
Enter item of request (if any).
Block (21)
Enter the job date.
Block (22)
Enter hour type code.
Block (23)
Enter the manhour additional information (if any).
ISS. 02, REV. 04 - DATE: 01 AUG 2015
PAGE: __ / __
FORM 6019
MASTER JOB CARDS/WORKSHEETS INDEX

DANH MC GI CNG VIC
1. A/C Reg:
2. Customer:
3. Check Type:
4. Work pack No.:
5. AMS/ MPD Ref.:

6. WP
Item
No.
7. REFERENCE
Issue:
8. ZONE
Rev./Amd.:
10. PERFORMED
9. DESCRIPTION
Sign & Stamp
Perf. date
11. CUSTOMER
Signature:
Signature:
Signature:
Title:
Stamp:
Stamp:
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE:
FORM 6019

Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Block 10.
Block 11.
Block 12.
Block 13.

Enter check type as specified in the work pack.
Enter Work pack reference number.
Enter Aircraft Maintenance Schedule (AMS) or MPD reference that includes information
of issue and revision/ amendment.
Enter the assigned number of the job card/ worksheet in the work pack.
Enter reference number of job card/ worksheet.
Enter zone number where the work required in the job card/ worksheet.
Enter description of the required maintenance work. Normally the description is the
same as specified in the job card/ worksheet.
Enter responsible authorized staff sign and stamp to declare that the required
maintenance work on this work pack item has been performed. He also Enters the
performed date.
Enter Signature and title of customer representative to confirm that all the maintenance
work specified on the Master job cards/worksheets index are accepted (if required by
customer). For VNA, enter N/A (It is not required by VNA).
Enter Signature and stamp of Production planner.
Enter Signature and stamp of QC authorized staff to certify that all above maintenance
works have been performed.
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE:
FORM 6020
ADDITIONAL TASKS LIST

DANH MC CNG VIC B SUNG
1. A/C Reg:
2. Customer:
3. Check Type:
4. Work pack No.:
5. WP
Item
No.
6. REFERENCE
7. ZONE
9. PERFORMED
8. DESCRIPTION
Sign & Stamp Perf. date
10. CUSTOMER
11. MAINTENANCE PLANNER

All above tasks have been performed.
Signature:
Signature:
Signature:
Title:
Stamp:
Stamp:
ISS. 01, REV. 03 DATE 01 AUG 2015
PAGE:
FORM 6020

Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Enter the assigned number of the job card/ worksheet in the work pack.
Block 6.
Enter reference number of job card/ worksheet.
Block 7.
Enter zone number where the work required in the job card/ worksheet.
Block 8.
Enter description of the required maintenance work. Normally the description is the
same as specified in the job card/ worksheet.
Block 9.
Enter signature and stamp of responsible authorized staff to declare that the required
maintenance work on this work pack item has been performed. Enter performed date in
the format dd mmm yyyy. E.g.: 15 JUL 2010.
Block 10. Enter signature and title of customer to confirm that all the maintenance work specified
on the Master job cards/worksheets index are requested by customer.
Block 11. Enter signature and stamp of maintenance planner
Block 12. Enter Signature and stamp of QC authorized staff to certify that all above maintenance
works have been performed.
ISS. 01, REV. 03 DATE 01 AUG 2015
PAGE:
FORM 6021
JOB CARD/WORKSHEET/NRC BOOKING IN & OUT RECORD

NG K NHN V TR JOB CARD/WORKSHEET/NRC
1. A/C Reg:
2. Customer:
3. Work pack No.:

8. STATUS
4. DATE
5. TASK CARD No.
6. TAKE OUT
7. RETURN
9. M/H
OPEN CLOSE
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE:
FORM 6021

Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.

Enter the working date in the format of dd mmm yyyy. E.g.: 15 JUL 2010.
Enter the assigned number of the Job card/ worksheet. Normally this number is work
pack item number (card No).
Name and signature of maintenance staff who bring out the Job card/ worksheet out of
dock control room for maintenance.
Name and signature of production planer who receive the Job card/ worksheet from
maintenance staff.
Status of the task card (open or closed) specified by maintenance staff by tick in
appropriate box.
Enter the actual man hour.
ISS. 01, REV. 04 - DATE: 01 AUG 2015
PAGE:
FORM 6022
TECHNICAL ASSITANCE REQUEST INDEX

DANH MC YU CU TR GIP K THUT
1. CUSTOMER: ............................. 2. A/C TYPE: ..................................
3. A/C Reg.: .............................................
4. CHECK TYPE: .......................... 5. WO No.: ......................................
6. WP No.: ...............................................
7. No.
8. TAR REFERENCE
9. RELATED TASK CARD
ISS. 01, REV. 03 - DATE: 01 AUG 2015
10. RAISE DATE
11. ANSWER DATE
PAGE
FORM 6022
Block 1.
Block 2.
Enter Aircraft type, e.g.: VN-A320
Block 3.
Block 4.
Block 5.
Enter Work Order reference number
Block 6.
Block 7.
Enter Sequence number
Block 8.
Enter reference number of the TAR
Block 9.
Enter Reference of the Jobcard/ worksheet that need technical assistance.
Block 10.
Enter date of request (for technical assistance) in the format of dd mmm yyyy. E.g.:
15 JUL 2010.
Block 11.
Answer date in the format of dd mmm yyyy. E.g.: 15 JUL 2010.
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE
FORM 6023
JOB CARD/ NON-ROUTINE CARD CONTINUATION LIST

DANH MC PHIU CNG VIC TIP TC
1. A/C Reg.: .......................
4. No.
2. Customer: ...........................
5. Description
3. WP No.: ....................................................
6. Document Reference
8. Performed
10. AUTHORISED STAFF
Name:
Name:
Signature:
Signature:
Stamp:
Stamp:
ISS. 01, REV. 03 - DATE: 01 AUG 2015
7. M/H
PAGE
FORM 6023

Block 1.
Block 2.
Block 3.
Enter the reference number of Work pack.
Block 4.
Enter reference number of Job Card/ Non-Routine Card Continuation Form.
Block 5.
Brief description of the work recorded in the respective Job Card/ Non-Routine Card
Continuation Form.
Block 6.
Enter the reference number of the source document to which the respective Job Card/
Non-Routine Card Continuation Form refers. The source document may be Job Card
or NRC.
Block 7.
Enter the actual man-hour for the work specified on the Job Card/ Non-Routine Card
Continuation Form.
Block 8.
The related authorized staff should enter the performed date in the format of dd mmm
yyyy (E.g. 15 JAN 2010), his signature and stamp should be given in this block.
Block 9.
Enter Name, Signature and stamp of the staff who is authorised as production
planner.
Block 10.
Enter Name, Signature and stamp of the authorized staff who perform releasing the
A/C to service.
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE
FORM 7001
CALIBRATION/ REPAIR/ MAINTENANCE REQUEST FOR TOOL/ EQUIPMENT

PHIU YU CU HIU CHUN/ SA CHA/ BO DNG DNG C/ THIT B
1. Date: ............................
2. Ref.:.
3. From: .......................................................
5. Request:
Calibration
Repair
4. To: ..........................................................
Maintenance
Others: .............................................................................................................
6. Expected date:
7. Owner:
8. Description:
9. Appendix:
10. P/N:
13. GRN:
11. S/N:
12. Qty:
14. Manufactured date:
15. Manufacturer:
16. Accompanied parts:
17. Accompanied documents :
Origin
Copy
.........................................................................................................................
.........................................................................................................................
18. Physical condition:
19. Technical status:
20. Reason of calibration, repair, maintenance:
21. Detailed requirements:
22. Delivered by:
23. Received by:
Signature:
Signature:
PAGE
FORM 7001

This form is used to make a request of calibration/ maintenance/ repair of tool/ equipment.
Block 1.
Give the date of request in the format of dd mmm yyyy (first two-digit day,
three letters of the month and four-digit year), E.g.: 15 JUL 2010.
Block 2.
Block 3.
State the Department/ Center raises this request
Block 4.
State the Department/ Center that request is send to
Block 5.
Check in appropriate check box;
Block 6.
State the expected date that request shall be done in the format of dd mmm
yyyy (first two-digit day, three letters of the month and four-digit year), E.g.:
15 JUL 2010;
Block 7.
State the owner or user of the tool/ equipment such as the name of tool
store, maintenance shop
Block 8.
Give the name or description of tool/ equipment;
Block 9.
State the number of appendix, if any
Block 10.
State the Part Number of tool/ equipment;
Block 11.
State the Serial Number of tool/ equipment;
Block 12.
State the quantity;
Block 13.
State the Goods Receipt Number;
Block 14.
State the manufactured date;
Block 15.
Give the name of Manufacturer;
Block 16.
List all the accompanied parts;
Block 17.
List all the accompanied documents;
Block 18.
State the physical condition of tool/ equipment;
Block 19.
Describe the technical status of tool/ equipment;
Block 20.
Give the reason of calibration, repair, maintenance;
Block 21.
Express details of requirements;
Block 22.
Give the name and the hand-written signature of the deliverer;
Block 23.
Give the name and the hand-written signature of the receiver.
PAGE
FORM 7002
OVERDUE MAINTENANCE NOTICE

THNG BO QU HN BO DNG
1. Date: .............................
2. Ref.: ......................
3. To:
4. No
5. Description
6. P/N
7. S/N
8. Maintenance
due date
9. Maintenance
organization
11. Component Maintenance Control Center:
12. Received and accepted by:
Name:.
Name:.
Signature:
Signature:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
10. Remark
PAGE:
FORM 7002

This form is used for Component Maintenance Control Center staff who found overdue
maintenance of T&E to fill in all necessary information and send to the related division/ center.
Block 1.
State the issuance date of the notice, the date should be given in the format of dd
mmm yyyy. (first two-digit day, three letters of the month and four-digit year), E.g. 15
JUL 2010
Block 2.
State the reference number is a unique number that is generate upon successful
completion of a form.
Block 3.
State the address the notice to be sent
Block 4.
Block 5.
State name of the components
Block 6.
State Part Number
Block 7.
State Serial Number
Block 8.
State maintenance due date
Block 9.
State maintenance organizations who maintains the equipment
Block 10. Give any remark (if necessary)

Block 11. The information of Engineering and Planning devisions representative: Name and
Signature
Block 12. The information of the person who received and accepted the notice: Name and
Signature
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 7003
LIST OF TOOL AND EQUIPMENT TO BE CALIBRATED

DANH MC CC DNG C/ THIT B N HN HIU CHUN
1. Date: ..................................................................
2. Ref.: .....................................................................................
3. Send to: .................................................................................................................................................................................................................................

No
4. Description
5. Part number
6. Serial number
7. User
8. Calibration
Due Date
9. Intended
Calibration Date
10. Calibration
Place
11. Remark
12. Reported by:
PAGE
FORM 7003

This form is used to inform users all calibration required tool/ equipment that will be expired in the following month.
Block 1.
Enter the issued date (dd mmm yyyy), E.g.: 25 JUN 2010.
Block 2.
Enter the reference number of the list
Block 3.
Enter the name of department/ center that has been using/ keeping the listed tools and equipment.
Block 4.
Enter description or name of tools/ equipment
Block 5.
Enter Part number
Block 6.
Enter Serial number
Block 7.
Enter name of division/ team/ shop or staff ID who has been using/ keeping the tool or equipment.
Block 8.
Enter calibration due date (dd mmm yyyy), E.g.: 15 JUL 2010
Block 9.
Enter scheduled calibration date (dd mmm yyyy), E.g.: 15 JUL 2010.
Block 10.
Enter name of calibration agency/ place
Block 11.
Enter remark if any.
Block 12.
Enter full name (or AMASIS user name) of person who prepared this list.
PAGE
FORM 7005
OVERDUE CALIBRATION NOTICE

THNG BO QU HN HIU CHUN
1. Date:.......
2. Ref.:......................
3. Send to:
4.No.
5.Description
6.Part number
7.Serial number 8.Cal. Due date
9. User
10.Remark
11. Noticed by Calibration Workshop

Name:.
Signature:
12. I confirm that the above T&E has been tagged with Tool/ Equip. Unserviceable Tag, quarantined
and not to be used to maintain the A/C or A/C component.
User/ Owner representatives name and signature
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 7005

This form is prepared by the related component maintenance center staff and accepted by
Calibration Workshop Manager. It is used to report the calibration status of tool/ equipment to
the representative of the related division/ center or user of the tool/ equipment.
Block 1.
Enter the issuance date of the notice, the date should be given in the format of dd
mmm yyyy. (two-digit day, three letters of the month and four-digit year), E.g. 15 JUL
2010
Block 2.
Enter the reference number is a unique number that is generate upon successful
Block 3.
Enter the address the notice to be sent
Block 4.
Enter sequence number
Block 5.
Enter name of the tool/ equipment
Block 6.
Enter Part Number
Block 7.
Enter Serial Number
Block 8.
Enter Calibration due date
Block 9.
Enter user who are keeping the tool/ equipment
Block 10. Enter any remark (if necessary) such as user (VAECO staff ID) or location in store.
Block 11. Enter name and signature of Calibration Workshop Manager or delegate person.
Block 12. Enter name and signature of User/ owner representative.
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
VIETNAM A IRLINES ENGINEERING COMPANY
FORM 7006
TOOL & EQUIPMENT MAINTENANCE PLAN

K HOCH BO DNG DNG C & THIT B
1. User: ........................................................................................................................................................................................................
2. No. 3.Tool/Equipment Name
4.P/N
5.S/N
Jan
Feb
Mar
Apr
May
Jun
Jul
7. Prepared by:
8. Reviewed by:
9. Approved by:
Signature:
Signature:
Signature:
Date:
Date:
Date:
ISS. 02, REV. 01 - DATE: 15 JUL 2015
Year: ......................................
Aug
Sep
Oct
Nov
PAGE:
Dec
VIETNAM A IRLINES ENGINEERING COMPANY
FORM 7006

Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Enter the user of the tools and/ or equipments and the year of the maintenance plan
Enter Sequence Number
Enter the name of the tools and/ or equipments
Enter the part number
Enter the serial number
Enter periods of tool and equipment maintenance plan
Enter name and signature of the person who issues the tool and equipment maintenance plan
Enter name and signature of the person who reviews the tool and equipment maintenance plan
Enter name and signature of the person who approves the plan
ISS. 02, REV. 01 - DATE: 15 JUL 2015
PAGE:
FORM 7007
CAPABILITY SELF-EVALUATION SHEET

PHIU T NH GI NNG LC BO DNG
1. Ref. No.: CSE

2. Purpose:
Rating Supplement
Capability Supplement
Maintenance limitation Change
SRU apply.
Capability Suspended
Other:
3. Limited Rating:
4. Applicable Aircraft Type/ Powerplant Model:
5. Part Number/ Model:
6. ATA Code:
7. Nomenclature:
8. Manufacturer/ Vendor:
9. Maintenance Limitation:
10. Approved Technical Document/ Specification:

11. Housing/ Facility:
12. Required Tools/ Equipment:
13. Material:
14. Trained/ Authorized Personnel:
15. Miscellaneous Information:
16. Responsible Maintenance Unit:
17. Contractor:
Contracted Maintenance Function:
18. Aviation Authority Application
CAAV
FAA
EASA
Others
19. Evaluated by:

Name:
Signature:
Date:
Signature:
Date:
20. QA Director Assessment/ Approval

Name:
PAGE /
FORM 7007

This form is used to self-evaluate the maintenance capability.
Block 1.
Enter the reference number of this self-evaluation sheet.
Block 2.
Enter purpose of the evaluation by marking in appropriate check box.
Block 3.
Enter the limited rating that cover evaluated maintenance capability. E.g.:
Airframe, Engine, Propellers, Instruments, Radio Equipment, Accessory, Landing
gear components, Emergency equipment
Block 4.
Enter the applicable Aircraft Type/ Powerplant Model.
Block 5.
Enter the Part Number or the model of the component/ part.
Block 6.
Enter the ATA chapter
Block 7.
Enter the nomenclature or description of part/ component.
Block 8.
Enter the name of Manufacturer
Block 9.
State the maintenance limitation. If there is any limitation it shall be specified

otherwise state No limitation.
Block 10. Enter the approved Technical Document including current status (revision
number and date)
Block 11. Describe the evaluation result of housing/ facility including:
- Receiving & Preliminary inspection area; Disassembly area; Cleaning area;
Inspection, testing area; Assembly area
- Office area with necessary equipments.
Block 12. Enter the statement to confirm the availability or order of the required tools/
equipment. Use following table to list all tools/ equipment required by the
manufacturer and confirms the availability/ order of those. If an alternate P/N of
tool/ equipment is used other than specific P/N specified in the maintenance data
(CMM) the equivalency document such as Assessment of Equivalent Tool/
Equipment (Form 3001), equivalency confirmation letter from A/C or A/C
component manufacturer or from OEM of tool/ equipment manufacturer must be
specified.
I. Specific Tools/ Equipment
No
Description
Part Number
Alternate P/N
Status
Equivalency
document
Remark
II. Non-specific Tool/ Equipment

No
Description
Required specification
Available P/N or Model
Manufacturer
Remark
PAGE /
FORM 7007
Block 13. Enter the statement to confirm that the required materials are available or
ordered. Use following table to list all required materials required by the
manufacturer and status of those.
No
Description
Required specification,
P/N or Type
Alternate P/N or
Type
Status
Equivalency
document
Remark
Block 14. Enter the statement to confirm the availability of trained and/or authorized
personnel by referring to appropriate approved roster or attendance list of
appropriate training course (if the staff or function is not specified in the roster).
Block 15. Enter any miscellaneous information if necessary.
Block 16. Enter the name of workshop and maintenance center that perform the
supplement work or remove the work from its capability list.
Block 17. Enter name of the contracted maintenance organization and contracted
maintenance function (if any)
Block 18. Select the appropriate check box for applicable authority.
Block 19. Enter name and signature of the related Center/ Department Director or
delegated person who performs the evaluation. The date should be specified in
the format of dd mmm yyyy. E.g. 15 JAN 2010.
Block 20. Enter name and signature of the Quality Assurance Director or delegated person.
The date should be specified in the format of dd mmm yyyy. E.g. 18 JAN 2010.
PAGE /
FORM 7008
FUNCTION/ USAGE PURPOSE CHANGE REQUEST

PHIU YU CU THAY I CHC NNG/ MC CH S DNG
1. Date: ..
2. Ref.:...............................
3. Owner:
4. Name:
5. Mfr:
6. P/N:
7. S/N:
8. Cal. Certificate No:
9. Issued by:
11. Specifications
Error/ Uncertainty
No
Cal. Quantities
Manufacturer
After
calibration
Current job
request
Only use with
12. T&E Controller
13. Calibration W/S Manager
14. Engineering Director
Name:
Name:
Name:
Signature:
Signature:
Signature:
Date: .
Date: ..
Date:..
PAGE
FORM 7008

This form is used to to request a change in function or using purpose of a tool or equipment.
Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Block 6.
Block 7.
Block 8.
Block 9.
Block 10.
Block 11.
Block 12.
Block 13.
Block 14.
Ssate the requested date should be given, in the format of dd mmm yyyy. E.g.
15 JAN 2010
State the name of department/ division/ team that used these tool or equipment
State the name of tool or equipment
State the Manufacturer of tool or equipment
State the Part number of tool or equipment
State the Serial number of tool or equipment
State the Calibration number (if applicable)
State the Name of calibration agency.
State the detailed physical condition of tool or equipment,
Specify specification of tool or equipment is include the followings:
- Calibration quantities
- Error/ Uncertainty of Manufacturer
- Error/ Uncertainty after calibration
- Error/ Uncertainty of current job request
- Only used with
Confirmation of tool and equipment inspector
- Full name
- Signature
- Date in the format of dd mmm yyyy. E.g. 15 JAN 2010
Confirmation of Calibration workshop Manager
- Full name
- Signature
Confirmation of Engineering and Informatics Director
- Full name
- Signature
PAGE
FORM 7009
SIGNIFICANT OUT OF TOLERANCE REPORT

BO CO V SAI LCH LN TRONG HIU CHUN
1. Date:
2. Ref.: .....................
3. From:
4. To:
5. Name:
6. Mfr:
7. P/N:
8. S/N:
9. Cal. Certificate No:
10. Issued by:
12. SPECIFICATIONS
Error/ Uncertainty
o
Cal. Quantities
Manufacturer
Before adjusting
13. T&E Controller

(Name/ Sign/ Stamp)
PAGE
FORM 7009

This form is used to report any significant out of torlerance of a tool or equipment.
Block 1.
The date of report should be given, in the format day/month/year
Block 2.
Block 3.
State the Department raises this report
Block 4.
State the Department that report is send to
Block 5.
The name or description of tool/ equipment must be given
Block 6.
The name of Manufacturer must be given
Block 7.
State the Part Number of tool/ equipment
Block 8.
State the Serial Number of tool/ equipment
Block 9.
State the Calibration certificate number
Block 10.
The name of the Calibration laboratory issuing the certificate is stated in Block 9
Block 11.
State the physical condition of tool/ equipment
Block 12.
State the specifications of tool/ equipment
Block 13.
State the name, hand-written normal signature and stamp of the Tool/ Equipment
control personnel.
PAGE
FORM 7010
LOST/ DAMAGED TOOL/ EQUIPMENT REPORT

BIN BN MT/ HNG DNG C / THIT B
1.
Report of lost tool/ equipment
Report of damaged/ unserviceable tool/ equipment
2. Description: ..................................................................................... 3. Ref.: ........................................

4. Center/ Dept.:
5. Squad/ Div./ workshop:
6. Part No./ Type:
7. Serial No./ Code No.:
8. Accompanied parts and document: ........................................................................................................

...................................................................................................................................................................
...................................................................................................................................................................
9. Problem exposition: ................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
10. Time & date:......................................... 11. Reported by (Name/ sign.):
12. Investigation (exposition of cause and action taken): ..............................................
......................................................................................................................................
13. Respective
Manager (name/
signature)
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
Quality Control Acceptance (for lost tool/ equipment)
14. This report is closed?
Yes
No
15. If No enter the follow-up action: ........................................................................................................

...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
16. Date:
Name:
ISS. 01, REV. 05 - DATE: 01 AUG 2015
Signature :
PAGE:
FORM 7010

This form is used for reporting lost or damaged tool/ equipment.
Block 1.
Tick on appropriate box.
Block 2.
Enter description of the involved tool/ equipment.
Block 3.
Enter the Reference Number of the report. This is a unique number in the format of
AAxxyyzz-vv. In which AA=BH for HAN BMC, RH for HAN RMC, CH for HAN CMC,
BS for HCM BMC, RS for HCM RMC, CS for HCMCMC, RD for DAD RMC,;
xxyyzz is two digits of year, month, day and vv=01, 02 E.g.: BH110525-01.
Block 4.
Enter the name of the department/ center using the tool/ equipment.
Block 5.
Enter the name of the squad or division or workshop using the tool/ equipment.
Block 6.
Enter Part Number or type/ model of the tool/ equipment.
Block 7.
Enter Serial Number or Code number the tool/ equipment.
Block 8.
Enter any parts and documents accompanied with the tool/ equipment.
Block 9.
Express the detail of the problem.
Block 10. Enter the time (hh:mm) and date of the finding in the format of dd mmm yyyy. E.g.:
15:30/ 25 MAY 2011.
Block 11. Enter the user or person-in-charges name and signature.
Block 12. Enter investigation result including cause and action taken such as search area/
zone, Aircraft, search result.
Block 13. The name and signature of the manager who using/ managing the tool/ equipment
Block 14. Circle the appropriate conclusion of the report.
Block 15. Enter further action to be performed if No is circled.
Block 16. Enter date, name and signature of Quality Control personnel.
ISS. 01, REV. 05 - DATE: 01 AUG 2015
PAGE:
FORM 7011
RECEIVING/DELIVERING MINUTE OF TOOL/ EQUIPMENT

BIN BN BN GIAO DNG C / THIT B
1. Date: ......
2. Ref.:
3. Delivered by:
4. Received by:
Name:.............................................................
Name:...............................................................
Dept./ Center: .................................................
Dept./ Center: ...................................................
Signature:
Signature:
5. Tool / Equipment specifications:

Description:
......................................................................................................................................
P/N:
......................................................................................................................................
S/N:
......................................................................................................................................
Manufacturer:
......................................................................... Date of manufacturing: ......................
6. Equipment check:
No.
Result
Check details
7. Equipment documents & Accessories:

No.
Description
ISS. 01, REV. 02 - DATE: 01 AUG 2015
P/N
S/N
Condition
PAGE:
FORM 7011

This form is used for handover T&E between Logistics Dept and Component maintenance centre.
Block 1.
Enter issuance date of the receiving/ delivering minute, the date should be given in
the format of dd mmm yyyy. E.g. 15 JAN 2010
Block 2.
Enter the reference number is a unique number that is generate upon successful
Block 3.
Enter the name, department/ center and the signature of the deliverer
Block 4.
Enter the name, department/ center and the signature of the receiver
Block 5.
Enter the tool/ equipment information to be delivered/ received:

- Description
- Part number
- Serial number
- Manufacturer and date of manufacturing
Block 6.
Enter the details of equipment checks:

- Number of sequence
- Check details
- Results
Block 7.
Enter the details of equipment documents and accessories:

- Number of sequence
- Description
- Part number
- Serial number
- Condition
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 7013
TOOL/ EQUIPMENT REFUSAL REPORT

BIN BN T CHI TIP NHN DNG C / THIT B
1. Date: ...................................................
2. Ref. No.:.........................
3. Department: .................................................................................................................................
4. Description: .................................................................................................................................
5. Appendix: ....................................................................................................................................
6. P/N: .............................................................
7. S/N: .............................................................
8. Qty.: ..............................................................
9. GRN: ............................................................
10. Manufacturer: ............................................
11. Manufacture date: ......................................
12. Accompanied parts: ..................................................................................................................

........................................................................................................................................................
........................................................................................................................................................
13. Accompanied documents :
Origin
Copy
1. .....................................................................................................................
2. .....................................................................................................................
3. .....................................................................................................................
14. Physical condition: .....................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
15. Technical status: ........................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
16. Reason of refusal: .....................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
17. Remark: .....................................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
18. Inspected by:
Full name:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
Signature:
PAGE:
FORM 7013

This form is used for rejecting T&E during inpection in component maintenance centre.
Block 1.
State Date of check. The date should be given in the format of dd mmm yyyy.
E.g. 15 JAN 2010.
Block 2.
State Reference Number is a unique number that is generate upon successful

completion of a form
Block 3.
State Department that refusal T&E
Block 4.
State Description Tool/ Equipment refused
Block 5.
State Appendix Number
Block 6.
State Part Number
Block 7.
State Serial Number
Block 8.
State Quantity of Refused T&E
Block 9.
State Good Receipt Number
Block 10.
State Manufacturer of Tool/ Equipment
Block 11.
State of Manufacture Date of Tool/ Equipment in the format of dd mmm yyyy.

E.g. 15 JAN 2010.
Block 12.
State Accessories accompany with Tool/ Equipme
Block 13.
State original document or copy of document accompany with Tool/

Equipment
Block 14.
State Physical Condition
Block 15.
State Technical Condition
Block 16.
State Reason of Refusal
Block 17.
State other necessary information
Block 18.
State Full Name and Signature of the Tool controller
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 7014
WORK REQUEST (For workshop)

CH LNH SN XUT (Dng cho bo dng xng)
1. WR No:
2. Shop:
3. AMASIS FS No:
CUSTOMER INFORMATION:
COMPONENT INFORMATION:
4. Name:..................................................................................
8. Nomenclature: ...........................................................
5. Req. No.: ............................................................................
9. P/N: ............................................................................
6. Priority: ................................ (AOG, CRITICAL, NORMAL)
10. S/N: .............................................11. Qty: ...............
7. Certify I.A.W:
CAAV APPROVAL No VN-268/CAAV
12. Additional information: ..............................................
FAA APPROVAL No V48Y426B
........................................................................................
FAA APPROVAL No V48Z426B
........................................................................................
13. TYPE OF WORK:
14. DETAIL OF WORK:
Overhaul
.........................................................................................................................................
Repair
.........................................................................................................................................
Testing
.........................................................................................................................................
Mod/AD/SB
.........................................................................................................................................
Produce
15. Document Ref.: ..........................................................................................................
Other: ...........................
.........................................................................................................................................
WORK REQUEST ISSUANCE:
16. ISSUE DATE:
17. Prepared by:
18. Approved by:
Signature:
Signature:
WORK REQUEST PERFORMANCE:
19. BEGIN DATE:
20. FINISH DATE:
21. WORK REJECTED, IF ANY:
22. WORK PERFORMED:
Reject reason:
...........................................................................................
Out of capability
...........................................................................................
Lack of tools/equipments
...........................................................................................
Lack of spares/materials
...........................................................................................
Cancel by customer
Remark:.............................................................................
Other: .........................................................................
...........................................................................................
Details: ................................................................................
...........................................................................................
.............................................................................................
...........................................................................................
.............................................................................................
...........................................................................................
Rejected by: ..................................................................
Accomplished by: ..........................................................
Signature/Stamp: .........................................................
Signature/Stamp: ...........................................................
ISS. 02, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 7014

This form is used to request a maintenance work of an aircraft maintenance in a workshop.
Block 1.
State the number of Work Request issued by the Component Maintenance Centre.
Block 2.
State the name or code of shop.
Block 3.
State the number of AMASIS Follow up sheet generated from AMASIS, state N/A
if not applicable.
Block 4.
State the name of the Customer, state N/A if not applicable.
Block 5.
State the Customers request number. For VNA, this is AMASIS work order.
Block 6.
State the priority of request: AOG, Critical or Normal.
Block 7.
Specify what regulation the work is performed and certified by marking on

appropriate box. The FAA approval number of Hanoi main facility is V48Y426B and
Hochiminh City satellite facility is V48Z426B.
Block 8.
The name or description of aircraft part/ component.
Block 9.
State the Part Number
Block 10.
State the Serial Number
Block 11.
State the quantity
Block 12.
State the additional useful information such as number of overhaul, number of tire
change for wheel; time since new for slide/ raft... State NIL if no more information.
Block 13.
Mark in appropriate check box relating to the category of work
Block 14.
State the details of work.
Block 15.
State the document reference number used to perform the work such as CMM xxxx-xx with revision number/ date, AD/ SB number, SAE number and revision, OMM
number and revision.
Block 16.
State the issuance date in the format of dd mmm yyyy. E.g.: 15 JAN 2010.
Block 17.
The name and signature of the person who prepares this request.
Block 18.
The name and signature of the person who approves this request. This person can
be Director/ Manager or delegated person.
Block 19.
State the starting date in the format of dd mmm yyyy. E.g.: 15 JAN 2010.
Block 20.
State the completion date in the format of dd mmm yyyy. E.g.: 18 JAN 2010.
Block 21.
If reject this request, the reject reason must be given by marking or cross in the
appropriate check box and other information of reject reason could be written after
details word. The name and signature/ stamp of the person who reject this
request shall be entered. State N/A if the work was performed.
Block 22.
State the work performed with any remark. The name and signature/ stamp of the
authorized staff.
ISS. 02, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 7015
LIST OF TOOL AND EQUIPMENT TO BE MAINTAINED

DANH MC CC DNG C/ THIT B N HN BO DNG
1. Date:
2. Ref.:...........................
3. Send to:..
No
4. Description
5. Part number
6. Serial number
7. User
8. Maint. Due
Date
9. Intended
Maint. Date
10. Maintenance
Place
12. Prepared by:
13. Approved by
14. Received by
Signature:
Signature:
Signature
Date:.
Date:..
11. Remark
PAGE
FORM 7015

This form is used to inform users all maintenance required tool/ equipments that will be expired in the following month.
Block 1.
Sated the issued date (dd mmm yyyy), E.g.: 28 JUN 2010.
Block 2.
State the reference number of the list
Block 3.
State the name of department/ center that has been using/ keeping the listed tools and equipments.
Block 4.
State description or name of tools/ equipments
Block 5.
State Part number
Block 6.
State Serial number
Block 7.
State name of division/ team/ shop or staff ID who has been using/ keeping the tool or equipment.
Block 8.
State maintenance due date (dd mmm yyyy), E.g.: 15 JUL 2010
Block 9.
State scheduled maintenance date (dd mmm yyyy), E.g.: 15 JUL 2010.
Block 10.
State name of maintenance agency
Block 11.
State remark if any.
Block 12.
Full name and Signature of person who prepaired the list.
Block 13.
Full name and Signature of approval person. Date should be in format of dd mmm yyyy, E.g.: 28 JUN 2010
Block 14.
Full name and Signature of Receiver. Date should be in format of dd mmm yyyy, E.g.: 28 JUN 2010
PAGE
FORM 7016
LIST OF CALIBRATION REQUIRED TOOL AND EQUIPMENT

DANH MC CC DNG C/ THIT B C YU CU HIU CHUN
1. Date:
No
3. Description
2. Department/ Center: .
4. Part number
5. Serial
number
6. Manufacturer
7. Calib. 8. Calib.
9. Calib.
date Interval (m) due date
10. Calib.
Agency
11. User 12.Status
13. Remark
14. Prepared by:

Signature:
PAGE
FORM 7016

This form is used to list all calibration required tool/ equipments of VAECO and/or those managed by each department/ center.
Block 1.
State the report date (dd mmm yyyy), E.g.: 25 JUN 2010.
Block 2.
State the name of department/ center that has been using/ keeping the listed tools and equipments. All means all calibration
required tool/ equipments of VAECO listed.
Block 3.
State description or name of tools/ equipments.
Block 4.
State Part number of the tool or equipment.
Block 5.
State Serial number of the tool or equipment.
Block 6.
State the name of the manufacturer.
Block 7.
State the calibration date of the tool or equipment.
Block 8.
State the calibration interval of the tool or equipment.
Block 9.
State the next due date of the calibration of the tool or equipment.
Block 10.
State the name of calibration organization/ place.
Block 11.
State the staff ID/ shop ID if the tool/ equipment are keeping by a VAECO staff/ work shop, or the code of tool store (TS5/ TS6) if
tool/ equipment are preserving in HAN or HMC tool store.
Block 12.
State status of tool or equipment (S means serviceable or US means unserviceable).
Block 13.
Block 14.
Full name and Signature of person who prepaired the list.
PAGE
FORM 7017
LIST OF SPECIFIC TOOL AND EQUIPMENT

DANH MC CC DNG C/ THIT B CHUYN DNG
1. Date:
No
3. Description
2. Department/ Center: ...................................................................

4. Part number
5. Serial number
6.Status
7. User
8. Remark
9. Prepared by:
Signature:
PAGE
FORM 7017

This form is used to list specific tools/ equipment in each unit or all VAECO.
Block 1.
State the report date (dd mmm yyyy), E.g.: 25 JUN 2010.
Block 2.
State the name of department/ center that has been using/ keeping the listed tools and
equipments. All means all specific tool/ equipments of VAECO listed.
Block 3.
State description or name of tools/ equipments.
Block 4.
State Part number of the tool or equipment.
Block 5.
State Serial number of the tool or equipment.
Block 6.
State status of tool or equipment (Serviceable or Unserviceable).
Block 7.
State the staff ID/ shop ID if the tool/ equipment are keeping by a VAECO staff/ work
shop, or code of tool store (TS5, TS6, TS7) if the tool/ equipment are preserving in HAN,
DAD or SGN tool store.
Block 8.
Block 9.
Full name and Signature of person who prepared the list.
PAGE
FORM 7018
LIST OF SPARES/ MATERIALS BEING STORED AT THE SHOP

DANH MC VT T/ HA CHT LU TI TRM BO DNG
1. Shop Name:
5.No.
2. Storage location:
6. Description
13. Prepared by:
ISS. 01, REV. 01 DATE: 01 AUG 2015
7. Part Number
8. GRN
Signature:
3. Center:
9. Expiry date 10. Quantity
11. Storage
Condition
4. Ref.:
12. Remark
Date:
PAGE
FORM 7018

This list is created each month and update whenever there is a change to monitor the status of materials being stored at the shop
Block 1. Enter Name of the maintenance shop
Block 2. Enter location of storage such as Refrigerator No. 01, Chemical store 01
Block 3. Enter Name of the maintenance center
Block 4. Enter Reference number of the List
Block 5. Enter sequent number
Block 6. Enter Description of the materials being stored.
Block 7. Enter Part Number of the materials being store
Block 8. Enter Goods Received Number of the materials being store
Block 9. Enter the expiry date of the materials
Block 10. Enter quantity at the time this List is issued. If the quantity is changed it could be recorded in the Remark column until new list is issued.
Block 11. Enter storage condition as required by the manufacturer such as temperature, humidity
Block 12. Enter any remark such as information to update the status of the spares/ materials (between 2 issuances of the List). E.g.: run-out on
[date], discarded on [date]
Block 13. Enter Name and signature of the person who creates this list and date of creation.
ISS. 01, REV. 01 DATE: 01 AUG 2015
PAGE
FORM 7022
CALIBRATION RESULT EVALUATION REPORT

PHIU NH GI KT QU HIU CHUN
1. Date:.
2. Ref. No.:..
3. Owner: ...............................................................................................................................................
4. Description: ......................................................
5. Manufacturer: ...................................................
6. P/N: ..................................................................
7. S/N: ..................................................................
8. Calibration number: ..........................................
9. Issued by: .........................................................
10. Document reference: ........................................................................................................................

N
11. Cal. Quantities
12. Actual Deviation
13. Deviation limitation
14. Evaluation
Results
15. Conclusion: ..............................................................................................................................

.........................................................................................................................................................
.........................................................................................................................................................
Evaluated by
Name/ Sign/ Stamp
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 7022

This form is used for Tool controller to evaluate, analyze the calibration result specified in
calibration certificate and/or finding report of calibration required tool and equipment (CR
T&E).
Block 1.
State Date of check. The date should be given in the format of dd mmm yyyy.
E.g.: 15 JAN 2010.
Block 2.
State Referent Number is a unique number that is generate upon successful

Block 3.
State Owner
Block 4.
State Description of the Tool or Equipment to be evaluted
Block 5.
State Name of Manufacturer Tool/ Equipment
Block 6.
State Part Number
Block 7.
State Serial Number
Block 8.
State Calibration Number
Block 9.
State Organization Issue Calibration Certificate
Block 10.
State document used to evaluation.
Block 11.
State Calibration Quantities
Block 12.
State actual deviation
Block 13.
State allowable deviation limitation
Block 14.
State evaluation conlusion with Full Name, Signature and Stamp of Tool
controller.
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 7023
LIST OF FABRICATED SOFT FURNISHINGS
DANH MC CC VT PHM NI THT C PHP SN XUT

1. Nomenclature: ........................................................................ 2. Reference: ............................
3. Aircraft type/ Registration No.: ................................................ 4. Drawing No.: .........................
5. VAECO P/N
6. Description
7. ID No.
8. Drawing
Sheet No.
9. Remark
10. Submitted by:
11. Quality Assurance Department Acceptance
Name:
Name:
Signature:
Signature:
Date:
Date:
ISS. 01, REV.01 01 AUG 2015
PAGE
FORM 7023

Block 1.
Enter nomenclature of the soft furnishings.
Block 2.
Enter reference number of this list.
Block 3.
Enter aircraft type or aircraft registration number on which the soft furnishings is
to be installed.
Block 4.
Enter drawing number of the soft furnishing parts.
Block 5.
Enter part number of the soft furnishings that is defined by VAECO.
Block 6.
Enter description of the soft furnishings fabricated by VAECO.
Block 7.
Enter identification number of the part in the installation sheet. Enter N/A if the
identification number is the part number (in block 5).
Block 8.
Enter drawing sheet number of the part.
Block 9.
Enter any other necessary information otherwise leave it blank.
Block 10.
Name and signature of the person who submits this list. Date should be given in
the format of dd mmm yyyy (E.g.: 15 JAN 2010).
Block 11.
Name and signature of the person in Quality Assurance Department who accepts
this list. Date should be given in the format of dd mmm yyyy (E.g.: 18 JAN 2010).
ISS. 01, REV.01 01 AUG 2015
PAGE
FORM 7028
ASSESSMENT OF EQUIVALENT NDT EQUIPMENT/ METHOD

NH GI PHNG PHP/ DNG C NDT TNG NG
1. Ref: .
2. Description of assessment:
3. Reference Document: ...............................................................................................................................

......................................................................................................................................................................
4. ORIGINAL INSPECTION METHOD: ........................................................................................................
Equipment
Probe/ Search unit
Calibration block/
standard
Accessories
5. EQUIVALENT INSPECTION METHOD: ...................................................................................................

Equipment
Probe/ Search unit
Calibration block/
standard
Accessories
6. Technical Assessment:
7. Conclusion:
8. Assessed by (Full name):
Signature:
Signature:
Date:
ISS. 01; REV. 01 - DATE: 01 AUG 2015
Date:
PAGE
FORM 7028

Block 1. Enter Reference number of this assessment. This number shall be traceable,
consistent and in sequent;
Block 2. Enter description of assessment;
Block 3. Enter Document referred to perform NDT such as NTM, CMM, SB... with revision
number/ date;
Block 4. Enter Original method of inspection with information of equipment, probe/ search unit,
calibration standard/ block and accessories. Enter N/A if not applicable.
Block 5. Enter Equivalent method of inspection with information of equipment, probe/ search
unit, calibration standard/ block and accessories. Enter N/A if not applicable.
Block 6. Enter detail of technical assessment
Block 7. Enter conclusion that specifies the equivalency of practical inspection method/
equipment in comparison with original inspection method/ equipment.
Block 8. Name and signature of person who assesses the equivalency of equipment/ method;
Date of assessment shall be given in the format of dd mmm yyyy (E.g.: 15 JAN
2011).
Block 9. Name and signature of person who approves the equivalent equipment/ method.
Date of approval shall be given in the format of dd mmm yyyy (E.g.: 15 JAN 2011).
ISS. 01; REV. 01 - DATE: 01 AUG 2015
PAGE
FORM 7031
WORK TRANSIT SHEET

PHIU CHUYN GIAO CNG VIC
1. WR No:................................
2. WO No: .........................
3. Issue Date: .....................
4. Ref.:......................
5. P/N:..........................................
6. S/N:.................................
7. Desc.:.......................................................
8. NHA P/N: .................................
9. NHA S/N: .........................
10. Desc.: ......................................................
11. SECTION REQUEST: .............................................
12. DISPATCH TO: .........................................................
13. REQUESTED BY: ...................................................
14. RECEIVED BY: .....................................................
SIGN: .......................... STAMP: ..............................
SIGN: ............................ DATE: ..............................
15. BRIEF DESCRIPTION OF WORK REQUIRED:
No
16. DETAILS OF WORK CARRIED OUT
17. WORKER
(Signature)
18. INSPECTOR
(Signature/date/stamp)
19. SPARES/ MATERIALS USED

DESCRIPTION
P/N OFF
S/N OFF
P/N ON
S/N ON
QTY.
20. Total Man-hour: .....................
ISS. 02, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 7031

This form is used to record the work is transferred to other shop.
Block 1.
State the reference number of Work Request issued by Component

Maintenance Centre of Planning department.
Block 2.
State the reference number of customer work order. For VNA, this number is
AMASIS work order.
Block 3.
State the issue date of work transit sheet in the format of dd mmm yyyy. E.g. 15
JAN 2010.
Block 4.
State the reference number of this work transit sheet.
Block 5.
State the Part Number of the component to be maintained.
Block 6.
State the Serial Number of the component to be maintained.
Block 7.
The name or description of component/ part must be given.
Block 8.
State the Part Number of Next Higher Assembly.
Block 9.
State the Serial Number of Next Higher Assembly.
Block 10.
The name or description of the Next Higher Assembly must be given
Block 11.
State the name of section that make the request
Block 12.
The name, the hand-written normal signature of the person that make the
request and his/ her stamp
Block 13.
State the name of section that the request is dispatched to
Block 14.
The name, the hand-written normal signature of the person that receive the
request and the received date
Block 15.
State the brief description of work required
Block 16.
State the works carried out.
Block 17.
Signature of mechanics
Block 18.
Signature and stamp of person who carries out inspection. The date should be in
the format of dd mmm yyyy. E.g. 15 JAN 2010.
Block 19.
Specify all the spares/material used to perform the work.
Block 20.
State the total man-hour to complete the work.
ISS. 02, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 7032
A/C COMPONENT MAINTENANCE WORKSHEET

PHIU BO DNG THIT B MY BAY
1. WR No.: ...........................
2. P/N: ...................................
5. W/S Code:.........................................
3. S/N:.........................
4. Ref.: ......................
6. Document ref.:....................................................................................
7. SHOP IN REASON: .......................................................................................................................................................

8. TOOLS AND MATERIALS:
9. PRECAUTION/ NOTE:
11. INSPECTION
10. CONDITION ON RECEIPT

- Paint Cond.:
12. PRELIMINARY
INSPECTION
Satisfactory
(Sign/Stamp/Date)
Blister
Stripped
- Overheated :
Yes
No
- Exterior contamination:
Yes
No
- Harness wire condition:
Good
Not Good
- NDT Require:
Yes
No
- P/N, S/N, and Document check:
Yes
N/A
N/A
N/A
No
- Other : .....................................................................
13. HIDDEN DAMAGE INSP. Require:
Yes
No
STANDARD MAINTENANCE WORK RECORD

14. No
15. WORK PROCEDURE
16. DOC. REF.
17. MECH.
18. INSP.
(Sign)
(Sign/Stamp/Date)
19. TOTAL MAN-HOUR OF STANDARD WORK:

ISS. 02, REV. 03 - DATE: 01 AUG 2015
PAGE
FORM 7032
ADDITIONAL WORK RECORD

20.No.
21.DEFECTS/ ADDITIONAL WORK
22.ACTION TAKEN
23.MECH.
24.INSP.
(Sign)
(Sign/Stamp/Date)
25. TOTAL MAN-HOUR OF ADDITIONAL WORK:

26. Statement:
The article identified above was maintained/altered and inspected in accordance with current regulations of the
......................................................................................................................................................................................
......................................................................................................................................................................................
.................................................................................................
28. Date: .. 29. Name: Signature / Stamp: ....................................

30. Attachment:
NIL
TRANSIT FORM
ISS. 02, REV. 03 - DATE: 01 AUG 2015
DATA SHEET / CHECK TEST RECORD
LRU UNSVC TAG
OTHERS: ...............................................................................
PAGE
FORM 7032

This form is used to record maintenance work of aircraft part/ component.
Block 1.
Enter number of the Work Request issued by the component maintenance center.
Block 2.
Enter the Part Number of the component to be maintain
Block 3.
Enter the Serial Number of the component to be maintain
Block 4.
Enter the reference number of the worksheet. The AMASIS Work order could be used
as this reference number.
Block 5.
Enter the Work Sheet code and Issue number and/or revision number.
Block 6.
Enter the document used/ referred to perform the work such as CMM, AMM,
manufacturing manual
Block 7.
Enter the reason to send the part/ component to the shop.
Block 8.
Enter any specific tool, testing and measurement tool and equipment; materials used
for maintenance.
Block 9.
Enter any precaution and/ or note
Block 10.
Enter condition of component when receive.
Block 11.
Signature, stamp of authorized inspection staff and date of performance (dd mmm
yyyy. E.g.: 15 JAN 2010)
Block 12.
Mark with a tick in the appropriate box when perform preliminary inspection.
Block 13.
Mark with a tick in the appropriate box.
Block 14.
Ordinal number
Block 15.
Enter main work or specific tasks such as repair/ replacement/ test... The following
information should be specified in this block:
- Specific maintenance data that used to perform the work (chapter/ page or title of
CMM section, AMM task...)
- Part Number and Serial Number of measurement tool (if any)
- The measured value/ task result (if any)
- Conclusion that the test/ measured value is satisfied or not (if any)
- Decision based on the test/ measured value (if any)
Block 16.
Enter the title or section/ page of referred document, e.g. CMM 24-38-51 page 4
Block 17.
Enter signature and the Company ID/ Authorization number of the performer
(appropriate mechanic or authorised staff). If a step of work is not applicable or does
not required to perform, the RTS staff shall enter N/A (Not Applicable). If a step of
work is inspection work and only be performed by authorized staff two diagonal lines
connecting each 2 corners of the block may be preprinted in this block (no signature is
required).
Block 18.
Enter signature, stamp/ authorization number of person who carry out inspection and
the date (dd mmm yyyy. E.g.: 15 JAN 2010).
Block 19.
Enter total man-hour for standard work
Block 20.
Enter ordinal number
Block 21.
Record any defects/ discrepancies found during any inspection/ maintenance stages
and additional work to be carried out. State NIL if not used
ISS. 02, REV. 03 - DATE: 01 AUG 2015
PAGE
Block 22.
FORM 7032
The records any action taken to correct the defects/ discrepancies or performance of
any additional work.
- When a certain work/sub-component is sent to another workshop for maintenance,
record the document reference (Transit Sheet number/ Job card Attaching Sheet
number) issued for the work carried out.
Block 23.
The same as block 17.
Block 24.
The same as block 18.
Block 25.
Total man-hour used to rectify the defects or perform any additional work.
Block 26.
article was maintained/ altered and inspected in accordance with.
Block 27.
Block 28.
The date of inspection in the format of dd mmm yyyy. E.g.: 15 JAN 2010.
Block 29.
The name and signature/ stamp of the component authorized staff.
Block 30.
Mark with a tick in appropriate box relating to attached document, if any.
ISS. 02, REV. 03 - DATE: 01 AUG 2015
PAGE
FORM 7033

BO CO HNG HC, SA CHA
1. Customer:...........................................................
5. P/N: ......................................................
8. TSN:............... CSN: ..............
11. CAT OF WORK:
2. Customer Request No.: ................................
6. S/N: ..........................................................
7. Description: ...............................................................................................
TSO: ................. CSO:................. TSI: ................ CSI: ...............
MAINT.
REPAIR
OVH
3. WR No.: ......................................... 4. Ref.: ...............................
9. SHOP IN: ...........................
FUNCTIONAL TEST
10. SHOP OUT: .
OTHERS ....................................................................................
12. TECHNICAL DOCUMENT/ MOD REF.: ..............................................................................................................................................................................................................

13. INSPECTION & TEST FINDINGS/ DEFECTS
15. FAILURE CONFIRMATION:

17. WARRANTY CLAIM:
YES
YES
14. ACTIONS TAKEN
NO
N/A
NO
16. FINAL TEST:

18. WARRANTY DISPOSITION:
ACCEPTED
DENIED
N/A
REPLACED PARTS FROM ASSEMBLY DURING SHOP VISIT

19. P/N OFF
20.S/N OFF
21. DESCRIPTION
22.QTY
23. P/N ON
24. S/N ON
25. GRN
26. REMARK: .............................................................................................................................................................................................................................................................

27. REPORT DATE:
28. REPORTED BY:.

(Name/Sign)
29. CHECKED BY:

(Name/Sign/Stamp)
.....................................................................................
...............................................................................
ISS. 02, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 7033

This form is use to report any defects (findings) found during maintenance of a component and action taken to rectify the defects.
Block 1.
Specify the name of the Customer
Block 2.
Specify the reference number of Customer request. For VNA, this number could be AMASIS work order, repair order.
Block 3.
Specify number of the Work Request issued by the component maintenance center
Block 4.
Specify reference number of the finding/ repair report
Block 5.
Specify the Part Number of the component
Block 6.
Specify the Serial Number of the component
Block 7.
The name or description of the component
Block 8.
Specify the Time Since New (TSN), Cycle Since New (CSN), Time Since Overhaul (TSO), Cycle Since Overhaul (CSO), Time
Since Inspection (TSI), Cycle Since Inspection (CSI),
Block 9.
Specify the date (dd mmm yyyy) that the component received to maintain in the shop. E.g.: 15 JAN 2010
Block 10.
Specify the date (dd mmm yyyy) that the component released from the shop. E.g.: 18 JAN 2010
Block 11.
Check (make X mark) in appropriate box, if Other box is marked the type of work shall be specified
Block 12.
Specify the Technical document used to repair or Modification reference number
Block 13.
Specify all the findings/ defects found during inspection or functional test
Block 14.
Specify all actions taken to rectify the findings/ defects found:

- If the required corrective action is out of approved work scope of the shop, the component authorized staff shall entry NIL - OUT
OF WORKSCOPE in this box before returning the component to requester.
- If repair of defects is not economic, the component authorized staff shall entry NIL - OUT OF ECONOMIC BENIFIT in this box
before returning the component to requester.
Block 15.
Make a X mark on YES if failure is determined and successfully repaired or NO if failure is not determined (the component is sent
back with Unserviceable tag) or N/A for the work such as assembly.
Block 16.
The result of final test must be given in this box
ISS. 02, REV. 02 - DATE: 01 AUG 2015
PAGE
Block 17.
FORM 7033
Check (make X mark in) the appropriate box relating to the warranty claim:
- Check YES if the component is in warranty period (the information of warranty is provided by Logistics department/ Customer
together with Repair Order/ Request);
- Check NO if the component is out of warranty period or no information from Logistics department/ Customer.
Block 18.
Check (make X mark in) the appropriate box relating to the warranty disposition:
- If the component is in warranty period and the defects is belonged to the manufacturer check ACCEPTED otherwise check
DENIED (for the defects are caused by maintenance organization).
- If the component is out of warranty period check N/A (Not Applicable).
Block 19.
The part number of the component/ sub-assembly removed from assembly during maintenance
Block 20.
The serial number of the component/ sub-assembly removed from assembly during maintenance
Block 21.
The description of the component/ sub-assembly removed from assembly during maintenance
Block 22.
The quantity of sub-assembly removed from assembly during maintenance
Block 23.
The part number of the component/ sub-assembly installed on assembly during maintenance
Block 24.
The serial number of the component/ sub-assembly installed on assembly during maintenance
Block 25.
The Good Received Number of the part/ sub-assembly installed
Block 26.
Other necessary information
Block 27.
Specify the date of report in the format of dd mmm yyyy. E.g.: 18 JAN 2010
Block 28.
Full name and signature of the reporter
Block 29.
Full name, signature and stamp of the component authorized staff.
ISS. 02, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 7035
FABRICATION WORKSHEET
PHIU SN XUT
1. Shop : ................................. 2. W/S Code: ................................ 3. Ref.: ..............................................
4. Description: ................................................................................ 5. WR No.: ........................................
6. P/N: .................................... 7. S/N: .......................................... 8. Doc. Ref.: ......................................
9. Batch No: ................................................................................... 10. Others Ref.:.................................
11. Tools and Materials:
12. No.
14. MECH.
(Sign)
13. Task
16. Statement:
15. INSP.
(Date/Sign/Stamp)
The articles identified above were fabricated in accordance with current regulations of the
competent Authority and are approved for return to service.
The recorded works above has been carried out in accordance with all the requirements of the
VAECO and the Customer.
......................................................................................................................................................
...........................................................................................................................................................

FAA approval No. V48Z426B
..............................................................................................
18. Date: 19. Name: ............................................ Signature/Stamp:

20. Total Man-hour: .............................
21. Attachment:
NIL
DATA SHEET/ CHECK TEST RECORD
ISS. 02, REV. 03 01 AUG 2015
OTHERS: ..........................................
PAGE
FORM 7035

Block 1. Enter name of the fabricating shop
Block 2. Code of the approved worksheet. This code shall be unique and consistent. The issue number
and/or revision number of the worksheet code shall be specified in this block.
Block 3. Enter reference number of this worksheet. This number could be AMASIS Work order number.
Block 4. Main work of the worksheet
Block 5. Reference number of the Work Request issued by the Component Maintenance Center
Block 6. Part number of the aviation product
Block 7. Serial number of the aviation product
Block 8. The document used/ referred to perform each work/ task specified in block 12 such as CMM,
AMM, manufacturing manual...
Block 9. Batch number of the aviation product
Block 10. Other concerned document such as patterns, specifications, standards
Block 11. Enter any specific tool, testing and measurement tool and equipment; materials used for
production.
Block 13. Enter main work or specific tasks such as repair/ replacement/ test... The following information
should be specified in this block:
Specific maintenance data that used to perform the work (chapter/ page or title of CMM
section, AMM task...)
Part Number and Serial Number of measurement tool (if any)
The measured value/ task result (if any)
Conclusion that the test/ measured value is satisfied or not (if any)
Decision based on the test/ measured value (if any)
Block 14. Signature of the mechanic. If a task shall only be performed by authorized staff the "N/A" (Not
Applicable) or 2 diagonal lines connecting each 2 corners of the block shall be marked in this
block.
Block 15. Date, signature and stamp of component authorized staff. Date should be given in format of dd
mmm yyyy. E.g.: 15 JAN 2010.
Block 16. Mark with a tick in appropriate box to specify the regulations or requirements that the article
was fabricated in accordance with.
Block 17. Mark with a tick in appropriate Approval Number of the competent Authority.
Block 18. Enter the released date in format of dd mmm yyyy. E.g.: 15 JAN 2010.
Block 19. Enter name, authorization number and signature of the authorized staff
Block 20. Enter total man-hour for whole worksheet
Block 21. Mark with a tick in appropriate box. The document name shall be specified if other box is
marked.
ISS. 02, REV. 03 01 AUG 2015
PAGE
FORM 7036
CERTIFICATE OF CONFORMITY
CHNG CH PH HP
1. Description: ...........................................................................
2. Certificate No.: ..................................
3. Customer: .................................... 4. Order No.: ............................

6.Item
7. Part Number
8. S/N or B/N
5. WR No.: ................................
9. Description
10. Qty
11. Remark: ..............................................................................................................................................

...................................................................................................................................................................
...................................................................................................................................................................
It is hereby certified by VAECO that the aforementioned article were fabricated/ maintained/ modified in
accordance with the approved/ accepted data and are approved for return to service.
12. Qualified staff/ Inspection personnel
Date:
Name:
ISS. 01; REV. 06 - DATE: 01 AUG 2015
Sign/Stamp:
PAGE
FORM 7036

Block 1.
Enter description or name of the article or batch of articles.
Block 2.
Enter Certificate number.
Block 3.
Enter name/ code of Customer or N/A if no information.
Block 4.
Enter Customer work order number or N/A if no information.
Block 5.
Enter Work Request number issued by the respective Maintenance Centre.
Block 6.
Enter sequence number.
Block 7.
Enter Part number of the articles.
Block 8.
Enter Serial Number or Batch number of the articles.
Block 9.
Enter description of each article.
Block 10.
Enter quantity of respective part number.
Block 11.
Enter remarks (if any) such as specification, shelf life of the article.
Block 12.
Enter release date (day/ month/ year), Full name, signature and stamp of qualified
staff/ Inspection personnel who release the articles to service.
ISS. 01; REV. 06 - DATE: 01 AUG 2015
PAGE
FORM 7040
WORKSHOP SHIFT/ TASK HANDOVER SHEET

PHIU BN GIAO CNG VIC TRONG XNG
1. Shop:.............................................................................................
5.Ind.
6. Work completion
2. Shift:...............................
3. Date:.........................
7. Work incompletion
9. OUTGOING SHIFT LEADER
10. INCOMING SHIFT LEADER
(Name/ Signature/ Stamp)
(Name/ Signature/ Stamp)
ISS. 01; REV. 04 - DATE: 01 AUG 2015
4. Time:........:.......
8. Contact person
PAGE
FORM 7040
Block 1. State Shop Name

Block 2. State the leaving shift (Morning, Afternoon, Night)
Block 3. State the performance date in the format of dd mmm yyyy. E.g. 15 JAN 2010
Block 4. Time (hh:mm)
Block 5. Ordinal Number (Index)
Block 6. Specify all the work that has been completeted in the shift
Block 7. Specify all the work that has not been completeted in the shift and to be transfered to next shift (including
information of borrowed tool and equipment that is not returned)
Block 8. Name of the contact person (staff that doing the incompleted work or using borrowed tool)
Block 9. Name, Signature and Stamp of the outgoing shift leader
Block 10. Name, Signature and Stamp of the incoming shift leader
ISS. 01; REV. 04 - DATE: 01 AUG 2015
PAGE
FORM 7042
NDT REPORT
BO CO KT QU KIM TRA KHNG PH HY
1. A/C Type:
2. A/C Reg.:
4. Original Ref.:
3. Ref.:
5. Station:
6. Date:
7. Components or areas are inspected:

P/N:
S/N:
8. Document reference:
VAECO-NDTM
ASTM E1444-05
ASTM E1417-05
................................................
9. ORIGINAL INSPECTION METHOD:
10. PRACTICAL INSPECTION METHOD:
Equipment:
Equipment:
Probe:
Probe:
Calibration standard:
Calibration standard:
Accessories:
Accessories:
Materials:
Materials:
11. Equivalent assessment & approval:
12. Inspection result:

Defect found:
YES
NO
N/A
13. Detail of Inspection result:
14. Remark:
15. Total man-hour:
16. Performed by:
17. Inspected by:
Signature:
Signature & Stamp:
ISS. 02, REV. 03 - DATE: 01 AUG 2015
PAGE
FORM 7042

Block 1.
Enter Aircraft type;
Block 2.
Enter Aircraft registration number. Enter N/A if not applicable;
Block 3.
Enter Reference number of this NDT report. This number shall be traceable,
consistent and in sequent;
Block 4.
Enter Original reference such as Job card attaching sheet number, transit sheet
number, SRO number...;
Block 5.
Enter station code such as HAN, SGN...;
Block 6.
Enter NDT date of performance in the format of dd mmm yyyy (E.g.: 15 JAN 2010);
Block 7.
Enter Part number and Serial number of components or areas being inspected such
as frame number, zone number...;
Block 8.
Enter Document used to perform NDT such as NTM, CMM, SB... with revision
number/ date;
Block 9.
Enter original method of inspection with information of equipment, probe/ search unit,
materials, calibration standard/ block and accessories. Enter N/A if not applicable.
Enter No specific if no part number or type of equipment/ component/ materials
specified in the document.
Block 10.
Enter practical method of inspection with information of equipment, probe/ search unit,
materials, calibration standard/ block and accessories. Enter N/A if not applicable.
Block 11.
Name and signature of person who approves the equivalent equipment (applied for
UT and ET method) or description of approval document from responsible level 3
personnel or OEM.
Block 12.
Enter Inspection result:

+ Any crack found circle YES;
+ No crack found circle NO;
+ Not used to find defect/ crack (E.g.: to measure thick layer of painting...) circle N/A.
Block 13.
Enter detail of inspection result, if no more information entry "NIL";
Block 14.
Enter any remark concerning the inspection result;
Block 15.
Enter Total man-hour;
Block 16.
Enter Name, and Signature of the NDT performer;
Block 17.
Enter Name, Signature and Stamp of Inspection personnel.
ISS. 02, REV. 03 - DATE: 01 AUG 2015
PAGE
FORM 7043
BORESCOPE INSPECTION REPORT

BO CO KT QU KIM TRA SOI
1. A/C Type:
2. A/C Reg.:
4. Original Ref.:
3. Ref.:
5. Station:
6. Date:
7. Description of component/ assembly to be inspected:

P/N:
S/N:
8. Document reference:
9. Job Description:
10. Description of equipments used:

P/N:
S/N:
11. Borescope inspection result:

Defect found:
YES
NO
12. Detail of Borescope inspection result:
13. Remark:
14. Total man-hour:
Full Name
Signature & Stamp
15. Borescope Inspection

personnel:
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 7043

Block 1.
Enter Aircraft type;
Block 2.
Enter Aircraft registration number;
Block 3.
Enter Reference number of this Borescope inspection report. This number shall be
traceable, consistent and in sequent;
Block 4.
Enter Original reference such as Job card attaching sheet number, work order
number, transit sheet number...;
Block 5.
Enter station code such as HAN, SGN...;
Block 6.
Enter Borescope inspection date of performance in the format of dd mmm yyyy (E.g.:
10 AUG 2012);
Block 7.
Enter Name, location, Part number and Serial number of Engine/ APU or component/
assembly to be inspected;
Block 8.
Enter Document used to perform Borescope such as AMM, EMM, SB... with revision
number/ date;
Block 9.
Enter job description.
Block 10.
Enter Description, Part number and Serial number of equipment used to perform
borescope inspection.
Block 11.
Enter Borescope result:

+ Any defect found circle YES;
+ No defect found circle NO;
Block 12.
Enter detail of borescope result and detail of referred document.
Block 13.
Enter any requirement concerning the borescope result in accordance with referred
document;
Block 14.
Enter Total man-hour;
Block 15.
Enter Name, Signature and Stamp of Borescope inspection personnel.
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 7045
TOOL/ EQUIPMENT MONITORING RECORD

PHIU THEO DI MN - TR DNG C / THIT B
1. Desc.: ..................................................................................................................
3. P/N: .......................................................................
5. Code: ................................
4. S/N: .....................................................................
6. Location: .....................................
7. Cal. Expiry Date: ..........................
8. Borrow
Bor. Date
Use for
A/C
E.R.D
EO/ WO/
Doc.
Receiver
Task/ NRC
(Y/N) (ID No./Sign)
No.
ISS. 01, REV. 03 - DATE: 01 AUG 2015
2. Ref.: ......................
9. Return
Section
Ret. Date
Status &
Deliverer
(ID No./Sign)
Doc.
Store
Keeper
PAGE:
FORM 7045

This form is used for controlling the tool/ equipment by the tool store keeper when providing/
receiving of tool/ equipment.
Block 1.
Enter Name of tool/ equipment
Block 2.
Enter Reference number of this record.
Block 3.
Enter Part Number of tool/ equipment
Block 4.
Enter Serial Number of tool/ equipment
Block 5.
Enter Code of tool/ equipment, Enter N/A if not applicable.
Block 6.
Enter Store location of tool/ equipment
Block 7.
Enter Calibration expiry date; enter N/A if not applicable.
Block 8.
Enter the following information in the borrow block:

-
Borrow Date
Aircraft Registration
Expected Return Date
EO/ WO/ Task/ NRC Number (this information is only required for B787
maintenance laptop)
Document accompanied with the tool (Y/N)
VAECO staff ID Number and Signature of Receiver
- Section of receiver, E.g. Airbus squad of HAN base maintenance centre (AB6),
Avionic Squad of HCM base maintenance center (AV5)
Block 2.
Enter the following information in the Return block:

-
Return Date
Status of equipment/ tool (Ser. or Unser.) and document returned (With Doc. or No
Doc.)
VAECO staff ID Number and signature of deliverer
Store Keeper name and signature
ISS. 01, REV. 03 - DATE: 01 AUG 2015
PAGE:
FORM 7046
TOOL INVENTORY AND CONTROL RECORD

S THEO DI MN TR DNG C
3. Borrow
No.
1. Tool/ Equip. Name
2.Qty
Use for A/C
ISS. 01, REV. 02 - DATE: 01 AUG 2015
Borrow Date
Expected
Return Date
4. Return
Receiver
(ID No./Sign)
Section
Ret. Date
Status
Deliverer
(ID No./Sign)
5. Remark
Sto.Keeper
PAGE:
FORM 7046

This form is used to record whenever a non-serialised tool is borrowed from or returned to tool store:
Block 1.
State Name of Tool/ Equipment
Block 2.
State Quantity of tool
Block 3.
State the following information in the borrow block:
Block 4.
Block 5.
Aircraft Registration
Borrow Date
Expected Return Date
VAECO staff ID Number and signature of receiver
Section of receiver. E.g. Airbus squad of HAN base maintenance centre (AB6), Avionic Squad of HCM base maintenance
center (AV5)
State the following information in the return block::

-
Return Date
Status (Serviceable / Unserviceable)
VAECO staff ID Number and signature of deliverer
Store keeper name and signature
State any useful information.
ISS. 01, REV. 02 - DATE: 01 AUG 2015
PAGE:
FORM 7050
DANH MC S XUT XNG

SERIAL NUMBER LIST
2. WR No: ...............................
3. Customer WO No: ........................ 4. Shop: ...............................
5. P/N: .............................................
7. No.
8. S/N
1. Ref. : ........................
No.
6. Batch No.: ............................................................

S/N
No.
S/N
9. Date: ........................... 10. Issued by: ....................................... 11. Sign/ stamp: ............................
ISS. 01, REV.02 01 AUG 2015
PAGE
FORM 7050

Block 1.
Reference number of the list. This number shall be referred from Form ONE or
Certificate of Conformity.
Block 2.
Reference number of the Work Request issued by the component maintenance

center
Block 3.
Reference number of the customer work order.
Block 4.
Name of the maintenance/ manufacture shop
Block 5.
Part number of the maintenance component/ aviation product
Block 6.
Batch number of the maintenance component/ aviation product
Block 7.
Ordinal number
Block 8.
Serial number of the maintenance component/ aviation product
Block 9.
Completion date in the format of dd mmm yyyy (E.g.: 15 JAN 2010)
Block 10.
Name of the authorized staff
Block 11.
Authorization number and signature of the authorized staff
ISS. 01, REV.02 01 AUG 2015
PAGE
FORM 7051
TOOL / EQUIPMENT MAINTENANCE WORKSHEET

PHIU BO DNG DNG C / THIT B
1. Description:
2. Ref.:
3. Part number:
4. Serial number:
5. Maintenance type:
6. Maintenance code:
7. Start date:
8. Finish date:
No.
Rev.
10. Name,
Signature
9. Content of work/ maintenance requirements
11. Total Man x Hour:

12. Note:
- Maintenance requirements in this worksheet meet tool/ equipment manufacturer's requirements
- Part Number and Serial Number of measuring and test tools shall be recorded in block 18.
ADDITIONAL WORK
No.
13. Finding
15. Name,
Signature
14. Action taken
16. Total Man x Hour:

TOOLS AND MATERIALS/ SPARES
No.
17. Desciption
18. Part Number /

Serial Number
19. Qty
20. GRN /
BATCH No.
21. Inspection and Assessment
22. Name:
ISS. 02, REV. 01 - DATE: 01 AUG 2015
Signature:
Date:
PAGE:
FORM 7051

Block 1.
Enter the name of tool or equipment
Block 2.
Enter a unique number that is generate upon successful completion of the form (e.g.
WO number)
Block 3.
Enter Part number of Tool / Equipment
Block 4.
Enter Serial number of Tool / Equipment
Block 5.
Enter maintenance type (e.g. 03 months maintenance.)
Block 6.
Enter Maintenance code of Tool/ Equipment maintenance type. Revision number shall
be specified.
Block 7.
Enter start date of maintenance (dd mmm yyyy), E.g.: 15 JAN 2010;
Block 8.
Enter finish date of maintenance (dd mmm yyyy), E.g.: 15 JAN 2010;
Block 9.
Enter content of work (step by step) i.a.w maintenace type
Block 10. Enter name and signature of performer

Block 11. Enter total man-hour to perform the work specified in block 9.
Block 12. Enter any other information/ requirement
Block 13. Enter any findings or additional works
Block 14. Enter action taken to rectify any findings or performance of additional works
Block 15. Enter name and signature of performer
Block 16. Enter total man-hour to perform additional work or repair defects.
Block 17. Enter description of measurement or precise tool and materials/ spares used to perform
the maintenance.
Block 18. Enter part number of tool or material used. If measuring or test tool is used its serial
number shall be recorded in this block.
Block 19. Enter quantity of material/ tool used together with unit.
Block 20. Enter good received number or batch number of material used. In case no GRN &
BATCH No. Enter NIL.
Block 21. Enter final inspection and assessment result.
Block 22. Enter name and signature of the personnel who performs the overall/ final inspection,
date of inspection (dd mmm yyyy), E.g.: 15 JAN 2010.
ISS. 02, REV. 01 - DATE: 01 AUG 2015
PAGE:
FORM 7053
APPROVED WORKSHEETS LIST

DANH MC PHIU CNG VIC C PH CHUN
1. Shop: ..................................................................................
5. Issue/
6. Revision Date
3.No. 4. Worksheet Code
7. Work Description
Revision
2. Ref.: ..........................
9. Reference Document
8. Apply for P/N
10. Remark
(Issue/ Revision, Date)
11. Prepared by (Name/ Sign):
12. Approved by (Name/ Sign):
Date:
Date:
ISS.01, REV.01 01 AUG 2015
PAGE
FORM 7053

Block 1. Name of the maintenance/ manufacture shop
Block 2. Reference number of this list
Block 4. Code of the approved worksheet
Block 5. Issue and/or Revision number of the worksheet
Block 6. Revision date of the worksheet
Block 7. Description of work
Block 8. Part Number of the component that worksheet applied to maintenance/ manufacture
Block 9. Reference documents used to prepare the related worksheet code such as CMM, AMM, OMM, SB. The Issue/ Revision number and
date shall be specified.
Block 10. Other necessary information.
Block 11. Name and signature of the staff who prepare this list and creating date.
Block 12. Name and signature of the maintenance director or MCC manager or delegated person who approve for all worksheets in this list to
be used in the workshop and approval date (day/month/year).
ISS.01, REV.01 01 AUG 2015
PAGE
FORM 7054
SHOP COMPONENT RECEIVE/ RELEASE RECORD

DANH MC THIT B TIP NHN/ BN GIAO
1. Shop:
3.No
4. Description
ISS.02, REV.02 01 AUG 2015
5. Part Number
6.Serial Number
2. Year:
7.WR
Number
8. Receiving
date
9. Received by
10.Release
date
11. Released by
12. Remark
PAGE
FORM 7054

Block 1. Name of the maintenance/ manufacture shop
Block 2. Specify year of component receive date
Block 4. Description of the component sent to the shop for maintenance
Block 5. Part Number of the component sent to the shop for maintenance
Block 6. Serial Number of the component sent to the shop for maintenance
Block 7. Reference number of the Work Request issued by component maintenance center
Block 8. Date of component received in the format of dd mmm yyyy (E.g.: 15 JAN 2010)
Block 9. Name of the staff who performed incoming inspection
Block 10. Date of component released in the format of dd mmm yyyy (E.g.: 18 JAN 2010)
Block 11. Name of the authorized staff who signed for the component returned to service
Block 12. Other necessary information.
ISS.02, REV.02 01 AUG 2015
PAGE
FORM 7055
CURRENT DOCUMENT AND TECHNICAL DATA LIST

DANH MC CC TI LIU HIN HNH
1. Department/ Centre:......................................................................................
3. No.
4. Description
5. Document Code
2. Division/ Workshop: .................................................................................
6.Iss./ Rev. No. 7.Revision date
10. Issued by:
11. Approved by:
Signature:
Signature:
ISS. 01, REV. 01 01 AUG 2015
8. Issuer
9. Remark
12. Date:
PAGE
FORM 7055

This form is prepared by the technical service staff or dedicated staff
Block 1. Name of the Department or Centre who receives this list.
Block 2. Name of the Division/ Workshop who receives this list.
Block 3. Ordinal Number.
Block 4. Name of the document
Block 5. Document code or abbreviation such as CMM, AMM....
Block 6. Issue number/ revision number of the document
Block 7. Revision date or issue date of the document
Block 8. Name of the author or issuing organization of the document. Name of the Center for the worksheet
Block 9. Other necessary information
Block 10. Name and Signature of the staff who prepares this list.
Block 11. Name and signature of Director or delegated person who approve all document in this list to be used in maintenance activities or operation
of the workshop/ division.
Block 12. Date of the approval in the format of dd mmm yyyy (E.g.: 15 JAN 2010)
ISS. 01, REV. 01 01 AUG 2015
PAGE
FORM 7056
ACCEPTANCE PART LIST

DANH MC PH TNG C CHP NHN
1. Ref.: ..
2. No
3. Item description
4. Item P/N
5. Item S/N
6. Qty
7. Original component
Statement: All items above have been inspected and approved for return to service.
8. Approved by (name):
ISS. 01, REV. 01 - DATE: 01 AUG 2015
Signature:
Date:
PAGE
OF
FORM 7056

Block 1.
Enter reference number of the acceptance part list
Block 2.
Enter the sequence number.
Block 3.
Enter the description of the item
Block 4.
Enter the Part number of the item
Block 5.
Enter the Serial number of the item (enter N/A if not applicable)
Block 6.
Enter the quantity of the item.
Block 7.
Enter the description, P/N and S/N (or batch number) (if available) of the original component from which the item is removed
Block 8.
Enter the name, signature of the person who approved the list and date of approval.
ISS. 01, REV. 01 - DATE: 01 AUG 2015
PAGE
OF
VAECO TRAINING CENTER
FORM 8000
CERTIFICATE OF RECOGNITION
Certificate number:
(1)
This certificate of recognition is issued to:
(2)
Date of birth:
(3)
Place of birth:
(4)
by VAECO Training Center, NoiBai Int Airport, Phu Minh, Soc Son, Ha Noi - an
Approved Training Organization to provide training and conduct examination within its
approval scope of training and in accordance with Part 7 and Part 9 of Vietnam
Aviation Regulation, reference No. VN-168/ATO.
This certificate confirms that above named person has successfully passed the
approved training course stated below and the related examination/ assessment in
compliance with the Vietnam Aviation Regulation for the time being in force.
(5)
Course code:
(6)
Time frame:
(7)
Location:
(8)
Issue Date: (9)

Training Director
(11)
(10)
(12)
ISS. 01, REV. 01 - DATE: 01 AUG 2015
EXAMINATION REPORT
to certificate number
(1)
Course title:
(5)
Course code:
(6)
This is to certify that:
(2)
Date of birth:
(3)
Place of birth:
(4)
has successfully passed the approved training course stated above with the
following examination/ assessment result(s):
1.
(13)
(14)
(15)
2.
3.
Issue Date: (9)

Training Division Manager
(16)
(17)
ISS. 01, REV. 01 - DATE: 01 AUG 2015

Block (1)
Enter number of issued certificate.
Block (2)
Enter name of the trainee who is awarded the attestation of course

completion.
Block (3)
Enter date of birth of the trainee (dd/mm/yyyy).
Block (4)
Enter place of birth of the trainee (province/city).
Block (5)
Enter name of the course.
Block (6)
Enter code of the course.
Block (7)
Enter the period of time that the course is taken place (dd/mm/yyyy).
Block (8)
Enter place where the course is organized.
Block (9)
Enter date (dd/mm/yyyy) that the certificate is issued.
Block (10)
Enter stamp of Training Center.
Block (11)
Enter signature of the approval person (Training Center Director or

Delegate).
Block (12)
Enter name of the approval person (Training Center Director or Delegate).
Block (13)
Enter the module name one on each row (e.g: ATA 21, ATA 22)
Block (14)
Enter score mark in % of the trainee for that module.
Block (15)
Enter the result (Passed or Failed bases on the passing rate).
Block (16)
Enter signature of the approval person (Training Division Manager).
Block (17)
Enter name of the approval person (Training Division Manager).
ISS. 01, REV. 01 - DATE: 01 AUG 2015
FORM 8001
CERTIFICATE
OF COURSE COMPLETION
Certificate No.: (1)
This is to certify that

(2)
Date of birth: (3)
Company/ Department: (4)
Staff ID: (5)
has successfully completed the training course:

(6)
Course code: (7)
Time frame: (8)
Location: (9)
Hanoi, date (10)
(11)
(12)
(13)
Training Director
VAECO TRAINING
CENTER
ISS. 01, REV. 06 - DATE: 01 AUG 2015

Block (1)
Block (2)

completion.
Block (3)
Block (4)
Enter company/ department or center that the trainee is working for.
Block (5)
Enter staff ID of trainee.
Block (6)
Enter name of the course that is arranged by the Training Center.
Block (7)
Enter code of the course which defined by VAECO Training Center.
Block (8)
Block (9)
Block (10) Enter date (dd/mm/yyyy) and place that the certificate is issued.
Block (11) Enter stamp of Training Center.
Block (12) Enter signature of the approval person (Training Center Director or
Delegate).
Block (13) Enter name of the approval person (Training Center Director or
Delegate).
FORM 8001
ATTESTATION
OF COURSE ATTENDANCE

(2)
Date of birth: (3)
Staff ID: (5)
has attended the training course:

(6)
Course code: (7)
Time frame: (8)
Location: (9)
Hanoi, date (10)
(11)
(12)
(13)
Training Director
VAECO TRAINING
CENTER
ISS. 01, REV. 06 - DATE: 01 AUG 2015

Block (1)
Enter number of issued attestation.
Block (2)

attendance.
Block (3)
Block (4)
Enter company/ department that the trainee is working for.
Block (5)
Enter staff ID of trainee.
Block (6)
Enter name of the course.
Block (7)
Block (8)
Block (9)
Block (12) Enter signature of the approval person (Training Center Director).
Block (13) Enter name of the approval person (Training Center Director).
FORM 8003
CERTIFICATE

(2)
Date of birth: (3)
Staff ID: (5)
has passed on the
TEST OF AVIATION ENGLISH-DOCWISE

Exam code: (6)
Exam date: (7)
Location: (8)
Score scale: (9)
Expiration date: (10)
Hanoi, date (11)
(12)
(13)
(14)
Training Director
ISS. 01, REV. 08 - DATE: 01 AUG 2015

Block (1)
Block (2)
Enter name of the examinee/trainee who is awarded the certificate of

achievement.
Block (3)
Enter date of birth of the examinee/ trainee (dd/mm/yyyy).
Block (4)
Enter company/ department or center that the examinee/ trainee is

working for.
Block (5)
Enter staff ID of examinee/ trainee.
Block (6)
Enter code of the Test of Aviation English-Docwise which arranged by

the Training Center.
Block (7)
Enter date of the exam that is organized (dd/mm/yyyy).
Block (8)
Block (9)
Enter exam mark (%).
Block (10) Enter date (dd/mm/yyyy) that the certificate is valid up to.
Block (13) Enter signature of the approval person (Training Center Director or
Delegate).
Block (14) Enter name of the approval person (Training Center Director or
Delegate).
FORM 8004
TOEFA REPORT
BO CO KT QU THI DOCWISE
(Attached with the Dispatch No. (1) ./CTKT-TTT, Dated (2) )
Title: (3)
Code: (4)
No
Full name
Staff ID
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
(8)
(9)
Company/
Department
(10)
Date: (5)
DOB
Score
(11)
(12)
Location: (6)
Exam
Exam result
violation
(13)
(14)
Participant(s): (7)
Certificate No.
(15)
Expiration
date
(16)
Prepared by
(17)
(18)
Note:
- Passed Score is equal to or greater than 75%;
- For Online Exam, the expiration date is 06 months;
- Register for retaking exam must be at least 03 months from the latest
exam date.
ISS. 01, REV. 06 - DATE: 01 AUG 2015
PAGE /
FORM 8004

Block (1)
Number of the Dispatch.
Block (2)
Date of the Dispatch that is signed by Training Center Director (dd/mm/yyyy)
Block (3)
Name of the TOEFA exam.
Block (4)
Code of the exam which defined by the Training center.
Block (5)
Date of the exam that is organized (dd/mm/yyyy).
Block (6)
Place where the exam is organized.
Block (7)
Total of examinees.
Block (8)
Full name of examinees.
Block (9)
VAECO ID of examinees.
Block (10) Company/ Department or Center of examinees.

Block (11) Date of birth of examinees.
Block (12) Exam mark (%) of examinees.
Block (13) Breaking the exam law.
Block (14) Passed or Failed
Block (15) Number of issued certificate for each examinee.
Block (16) Date that the certificate is valid until to.
Block (17) Name and Signature of the person who prepare the report
Block (18) Name and Signature of the Training Division Manager.
ISS. 01, REV. 06 - DATE: 01 AUG 2015
PAGE /
FORM 8005
TRAINING COURSE CRITIQUE

PHN HI KHA O TO
(1) Title: ....................................................................................................
(2) Code: ...........................................................
(3) Name (opt.): ...................................................................................
(4) Date:.............................................................
Your feedback and/or comments will help us to improve training quality!

Please rate the following aspects with cross (X):
No
(5) Description
Super
The instructors
Preparation/ Presentation
b.
Knowledge/ Skill/ Experience
c.
Class/ time management
The course
a.
Course contents
b.
Training materials
c.
Practical/ Fieldtrip/ Aircraft visit (if any)
The facilities
a.
The classroom/ workshop (if any)
b.
Training aid equipment
c.
Training environment
Which aspects need to be improved? Details: (7)
(6) Rating
Good
Fair
Poor
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
What can we do better? (8)

.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
Other comment: (9)

.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
Thank you for your time!
ISS. 01; REV. 06 - DATE: 01 AUG 2015
PAGE
FORM 8005

Block (1)
The course title.
Block (2)
The code of the course.
Block (3)
Your name (this is an option).
Block (4)
The date which you make this CRITIQUE.
Block (5)
Describe each item to be criticized
Block (6)
State the rating of each item.
Block (7)
The details of thing that instructor, training material, facilities should improve.
Block (8)
The details of thing that VAECO Training Center need do better.
Block (9)
Other comment if any.
ISS. 01; REV. 06 - DATE: 01 AUG 2015
PAGE
FORM 8006
PARTICIPANT DATA COLLECTION
PHIU TNG HP THNG TIN HC VIN

(1)Title:
(2)Code:
(3)Duration:
(4)Location:
Please fill this Form with BLOCK CAP LETTER. All information will be used for issuing the Certificate/Attestation.
No.
(5)Full Name
(6)Staff ID
(7)Company/ Department/
Place of Birth
(8)DOB
(9)Function (10)Basic (11)DOCWISE
(dd/mm/yyyy)
(M/A)
(E/T)
(Y/N)
(12)Signature
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Note: DOB=Date of birth, M/A (if any)=Mechanic/Avionics, E/T(if any)=Engineer/Technician, Y=holding a valid certificate/N=not available.
ISS. 01, REV. 07 - DATE: 01 AUG 2015
PAGE
FORM 8006

Block (1)
Name of the course/exam.
Block (2)
Code of the course/exam.
Block (3)
The period of time that the course/exam is taken place (dd/mm/yyyy).
Block (4)
Place where the course/exam is organized.
Block (5)
Full name of trainees/examinees.
Block (6)
Staff ID of trainees/examinees.
Block (7)
Company/Department/ Place of Birth of the trainees/examinees.
Block (8)
Date of birth of trainees/examinees.
Block (9)
Function of trainees/examinees (Mechanic or Avionics).
Block (10) Basic Training of trainees/examinees (Engineer or Technician).

Block (11) Y if holding a Valid DOCWISE certificate, N if not available.
Block (12) Signature of the trainees/examinees.
ISS. 01, REV. 07 - DATE: 01 AUG 2015
PAGE
FORM 8007
TRAINING COURSE PLAN

K HOCH KHA O TO

Title: (3)
Code: (4)
Compliance with:
(30)
MTOE
AMOTP
RSTP
Others
Description: (5)
Topic: (6)
New staff Recurrent Mandatory Job specific
Objective: (7)
Upon completion of the course, the trainee will be able to:
Type: (8)
Classroom
Seminar
Self-study (CBT/Online)
Case Study
Embedded
Task training/Practical
Duration: (9)
Training days/hours:
Training time:
Capacity: (10)
Recommended:
Minimum:
Maximum:
Prerequisites: (11)
Materials: (12)
Document handout:
Tool/equipment:
Exam: (13)
Exam type:
Pass mark:
Qualification: (14)
The trainee will be qualified as completed the course and/or received the
Certificate of Recognition/ Certificate of Course Completion/ Attestation
of Course Attendance if he/she:
Attended minimum of 90% course duration, and
Passed all exams (if any), and
Does not be expelled from the course.
Knowledge:
Skill:
Experience:
Aviation English-DocWise:
Location: (15)
Participant list: (16)
ISS. 01, REV. 08 - DATE: 01 AUG 2015
PAGE
FORM 8007
I. Training Schedule:
No
Date
Contents
Instructors
Remark
(17)
(18)
(19)
(20)
(21)
(22)
3
4
5
6
Total training hours:
II. Standby Instructor List:
Note: Depending on the actual situation, the instructors listed in the Training Schedule and
the Standby Instructor List with same approved function can be substituted for each others.
1
(23)
2
3
III. Estimated Training Cost:
No
Description
Cost (VND)
Remark
(24)
(25)
(26)
Total (VND):
Prepared by
Date (28)
FOR VAECO PRESIDENT & CEO
Training Center Director
(27)
(29)
ISS. 01, REV. 08 - DATE: 01 AUG 2015
PAGE
FORM 8007

Block (1)
Block (2)
Block (3)
Enter name of the training course.
Block (4)
Enter code of the training course.
Block (5)
Enter description of course.
Block (6)
Enter topic offered. New staff/ Job specific/ Mandatory/ recurrent.
Block (7)
Enter objective of the course.
Block (8)
Enter type of training. It may be Classroom/ Self-study (CBT/Online)/ Seminar/Task

training/ Practical/ Embedded or combination of them.
Block (9)
Enter duration of course in days and hours
Block (10)
Enter number of trainee in course.
Block (11)
Enter minimum prerequisites for trainees whom attend the training course.
Block (12)
Enter training material for trainee such as: document hand-out, tool & equipment.
Block (13)
Enter examination type and pass mark required by course. E.g.: Closed book, multiple
choices, practical assessment, essay question; 75% for multiple choice, 5/10 for practical
assessment, 5/10 for essay question. If exam is not required, enter N/A.
Block (14)
Enter requirements for trainee qualification.
Block (15)
Enter location where the course is organized.
Block (16)
Enter list of trainee for the training course provided by Customer.
Block (17)
Enter period of time in date for each training courses modules.
Block (18)
Enter content of each training courses modules.
Block (19)
Enter period of time in hour for each training courses modules.
Block (20)
Enter the level (IAW ATA 104) of each training courses modules.
Block (21)
Enter name of instructor for each training courses modules. E.g.: Nguyen Truong Son
(VAE01886)
Block (22)
Enter remark if any.
Block (23)
Enter name of standby instructor for the training course. E.g E.g.: Nguyen Truong Son
(VAE01886)
Block (24)
Describe all items in the training course which require cost.
Block (25)
Enter cost for each item.
Block (26)
Enter note for each item in the list of training course cost, if any.
Block (27)
Enter name and signature of preparation person.
Block (28)
Enter approval date of this plan (dd/mm/yyyy)
Block (29)
Enter name, signature and stamp of Training Center Director
Block (30)
Marking in appropriate check box for the capability organizing training courses compliance
with MTOE/AMOTP/RSTP document
ISS. 01, REV. 08 - DATE: 01 AUG 2015
PAGE
FORM 8008
TRAINING ATTENDANCE RECORD

PHIU IM DANH HC VIN
Title: (1)
Code: (2)
Duration: (3)
Location:
(4)
Note: Trainees must sign for attendance. Instructor signs and names to confirm. If any trainee is absent, instructor must cross (X) to the respective box.
Signature of trainees
Company/
No
Name of trainees
Staff ID
Date: (8)
Date:
Date:
Date:
Date:
Department
M
A
M
A
M
A
M
A
M
1
(5)
(6)
(7)
(9)
(10)
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
ISS. 01, REV. 06 - DATE: 01 AUG 2015
Signature of the instructor
(11)
Name of the instructor
(12)
PAGE
FORM 8008

Block (1)
Block (2)
Block (3)
Block (4)
Block (5)
Block (6)
Block (7)
Block (8)
Block (9)
Block (10)
Block (11)
Block (12)
Name of the training course.

Code of the training course.
The period of time that the course is taken place (dd/mm/yyyy).
Place where the course is organized.
Full name of trainees.
Staff ID of trainees.
Company/ Department or Center of the trainees.
Date of the training (dd/mm/yyyy)
Signature of trainees who attend the training in the morning of date specified in block (8)
Signature of trainees who attend the training in the afternoon of date specified in block (8).
Signature of the instructor
Name of the instructor
ISS. 01, REV. 06 - DATE: 01 AUG 2015
PAGE
FORM 8009
MINUTES OF EXAM
BIN BN THI
Title: (1)
Code: (2)
Date: (3)
Time: (4)
(7) 1st Exam
Content: (6)
No
Name of examinees
Staff ID
Company/
Department
EQ No.
Signature of
examinees
1
(8)
(9)
(10)
(11)
(12)
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Note:
-( )
* This section is for examiners ONLY.
- If violation of the exam regulation is detected, the examiner should inform to the exam violator
and sign to respective box.
ISS. 01, REV. 06 - DATE: 01 AUG 2015
Location: (5)
Retaking Exam
Record for violation of the exam regulation (*)

Exam
1st violation 2nd violation
Marking
Suspension
(13)
(14)
(15)
(16)
1st Examiner
2nd Examiner
(17)
(18)
PAGE
FORM 8009

Block (1)
Name of the training course/exam.
Block (2)
Code of the training course/exam.
Block (3)
Exam date (dd/mm/yyyy).
Block (4)
Time frame for the exam.
Block (5)
Place where the exam is organized.
Block (6)
Content of exam.
Block (7)
State the Exam attendance (Mark on appropriate box).
Block (8)
Full name of examinees/trainees.
Block (9)
Staff ID of examinees/trainees.
Block (10) Company/Department of the examinees/trainees.

Block (11) Exam Questionnaire No. that trainee takes.
Block (12) Signature of examinees who take the exam.
Block (13) Examiner signature for first violation of appropriate examinee
Block (14) Examiner signature for second violation of appropriate examinee
Block (15) Examiner signature for violation of appropriate examinee that the exam result is reduced
Block (16) Examiner signature for violation of appropriate examinee that the exam result is suspended
Block (17) Signature and name of the first examiner.
Block (18) Signature and name of the second examiner (if any).
ISS. 01, REV. 06 - DATE: 01 AUG 2015
PAGE
FORM 8010
MULTIPLE CHOICE QUESTIONNAIRE

PHIU THI TRC NGHIM
Title:
(1)
Code:
(2)
Contents: (3)
Date:
(4)
Question Qty.: (6)
Duration:
(7)
(9) Retaking Exam:
Prepared by:
(10)
Questionnaire No.: (5)

(8) 1st Exam:
Do NOT WRITE or MARK on this form or you will pay the PENALTY!
PLEASE ANSWER QUESTIONS BELOW
Chapter/ ATA: (11)
1.
QUESTION ONE?
A.
Answer A
B.
Answer B
C.
Answer C
ISS. 01, REV. 06 - DATE: 01 AUG 2015
(12)
PAGE
FORM 8010

Block (1)
Block (2)
Block (3)
Block (4)
Block (5)
Block (6)
Block (7)
Block (8)
Block (9)
Block (10)
Block (11)
Block (12)

Content of exam.
Examination date (dd/mm/yyyy).
Number of questionnaire.
Quantity of question in questionnaire.
Period of time in minute for the exam.
Mark for the first exam.
Mark for re-exam.
Name of person who prepares the questionnaire.
Name of module/ chapter/ ATA in the questionnaire
Content of multiple choice questions in the questionnaire.
ISS. 01, REV. 06 - DATE: 01 AUG 2015
PAGE
FORM 8011
MULTIPLE CHOICE ANSWER SHEET

PHIU TR LI THI TRC NGHIM
Title:
(1)
Code:
(2)
Contents:
(3)
Date:
(4)
Duration:
(7)
Questionnaire No.: (5)
Question Qty.: (6)
Examinees name: (8)
Examinees signature: (9)

Note: - To answer the question, choose the best of answers and fill the respective box a cross: X.
- To cancel the chosen answers, circle the chosen cross: .
- To choose again the circled cross, write into the blank box a CAP BLOCK LETTER relevant to the
chosen answer: A or B or C.
Chapter (11)
No
Chapter
C
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
No
Chapter
B
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
No
Chapter
B
No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
This section is for authorized person ONLY
Examination result: (12)

Chapter :........ (13)..........
Chapter :.........................
Chapter :.........................
Chapter :.........................
Examiner
Supervisor
(14)
(15)
ISS. 01, REV. 06 - DATE: 01 AUG 2015
PAGE
FORM 8011

Block (1)
Block (2)
Block (3)
Content of exam.
Block (4)
Examination date (mm/dd/yyyy).
Block (5)
Number of questionnaire.
Block (6)
Quantity of question in questionnaire.
Block (7)
Period of time in minute for the exam.
Block (8)
Full name of examinee.
Block (9)
Signature of examinee.
Block (10) Company/ Department of examinee.

Block (11) Name of modules in the questionnaire.
Block (12) Result of examination for each module.
Block (13) Mark per chapter.
Block (14) Name and signature of examiner.
Block (15) Name and signature of supervisor.
ISS. 01, REV. 06 - DATE: 01 AUG 2015
PAGE
FORM 8012
EXAM QUESTIONNAIRE/ PRACTICAL ASSESSMENT

PHIU NH GI THC HNH
1. Title:
2. Code:
3. Contents:
4. Date:
5. Questionnaire No.:
8. Exam time:
6. Question Qty.:
st
nd
rd
7. Duration:
9. Prepared by:
10. Examinees information

Examinees name:
Examinees signature:
Staff ID:
Company/ Department:
11. Question and result
Question description
Pass
Fail
12. Overall assessment (This section is for instructors)

Pass
Final mark:
Fail
Conclusion:
1st Examiner
2nd Examiner
Please tick if continue on next page

ISS. 01, REV. 08 - DATE: 01 AUG 2015
PAGE
FORM 8012
13. Answer/ Preparation sheet (This section is for examinee)

Code:
Date:
Staff ID:
Signature:
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................

ISS. 01, REV. 08 - DATE: 01 AUG 2015
PAGE
FORM 8012

Block 1.
Enter name of the training course.
Block 2.
Enter code of the training course.
Block 3.
Enter content of exam.
Block 4.
Enter examination date (mm/dd/yyyy).
Block 5.
Enter number of questionnaire.
Block 6.
Enter quantity of question in questionnaire.
Block 7.
Enter exam duration in minute.
Block 8.
Mark at appropriate exam time.
Block 9.
Enter name of person who prepares the questionnaire.
Block 10. Enter name, Staff ID, company/ department and signature of the examinee.
Block 11. Enter question description and result for each question.
Block 12. Enter final mark and conclusion, name and signature of each examiner.
Block 13. Enter answer/ preparation content of examinee

ISS. 01, REV. 08 - DATE: 01 AUG 2015
PAGE
FORM 8013
EXAM RESULT
KT QU THI
Title: (1)
Code: (2)
1st Exam: (5)
Retaking Exam: (6)
No
Trainees name
Staff ID
(8)
(9)
Duration: (3)
Location: (4)
This exam result is updated on: (7)
(15)
Exam score per chapter (%)
Total
Pass
Fail
(10)
(11)
(12)
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Note:
- The exam pass mark is 75% per chapter, after consideration to exam violation.
- Trainees, that failed any exam chapter, are briefed by respective instructor and
are permitted for one time retaking ONLY.
ISS. 01; REV. 06 - DATE: 01 AUG 2015
Prepared by
(13)
(14)
PAGE
FORM 8013

Block (1)
Name of the course/exam.
Block (2)
Code of the course.
Block (3)
Time frame that the course is taken place.
Block (4)
Block (5)
Mark for the first exam.
Block (6)
Mark for retaking exam.
Block (7)
Date that the exam result is updated on (dd/mm/yyyy).
Block (8)
Block (9)
Block (10)
Score mark in % for each module of the training course.
Block (11)
Number module that a trainee passes.
Block (12)
Number module that a trainee fails.
Block (13)
Name and Signature of the person who prepare the report
Block (14)
Name and Signature of the Training Division Manager.
Block (15)
Name of chapter/subject
ISS. 01; REV. 06 - DATE: 01 AUG 2015
PAGE
FORM 8014
TRAINING COURSE REPORT
BO CO KT QU KHA O TO
Title: (3)
Code: (4)
Duration: (5)
Location: (6)
Total participants: (7)
Training hours: (8)
Total training chapters: (9)
Total exam chapters: (10)
No
1
Exam status
Full name
Staff ID
Company/
Department
Attendance
status
Pass
(11)
(12)
(13)
(14)
(15)
Fail
Discipline
status
Course
result
Certificate No.
Remark
(16)
(17)
(18)
(19)
(20)
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Note:
The trainee will be qualified as course completion if:
- Attends at least 90% training hours and,
- Passes all exam and,
- Not be expelled from the course.
ISS. 01, REV. 06 - DATE: 01 AUG 2015
Prepared by
(21)
(22)
PAGE
FORM 8014

Block (1)
Block (2)
Block (3)
Name of the course.
Block (4)
Code of the course.
Block (5)
Time frame that the course is taken place (dd/mm/yyyy).
Block (6)
Block (7)
Total trainees in the training course.
Block (8)
Total time in hour of the training course.
Block (9)
Total modules of the training course.
Block (10)
Total exam modules of the training course.
Block (11)
Block (12)
Block (13)
Company/ Department that the trainee is working for.
Block (14)
Number of hour that a trainee attends in the training course.
Block (15)
Number of modules that a trainee passes.
Block (16)
Number of modules that a trainee fails.
Block (17)
Breaking the course law status.
Block (18)
The last the training courses result of a trainee (complete or incomplete)
Block (19)
The number of certificate that is issued (if any).
Block (20)
Note to add more information for some field in this form.
Block (21)
Name and Signature of the person who prepares the report
Block (22)
Name and Signature of the Training Division Manager.
ISS. 01, REV. 06 - DATE: 01 AUG 2015
PAGE
FORM 8015
TRAINING COURSE CURRICULUM

CHNG TRNH KHA O TO
Title
(1)
Code
(2)
Rating
(3)
Compliance with (23)
MTOE AMOTP
Description
(4)
Topic
(5) New staff
RSTP
Others
Recurrent
Mandatory
Job specific
Frequency : (6)
Remedial:
Objectives
Upon completion of the course, the trainee will be able to: (7)
Type
(8) Classroom
Duration
Capacity
Prerequisites
Materials
Exam
Qualification
Course content
No
Embedded
Yes
No
Self-study (CBT/Online)
Seminar
Case Study
Task training/Practical
(9)
Training days:
Training hours:
(10)
Recommended:
Minimum:
Maximum:
(11)
Knowledge:
Skill:
Experience:
Aviation English - DocWise:
(12)
Document handout:
Tool/equipment:
(13)
Exam type:
Pass mark:
(14)
The trainee will be qualified as completed the course and/or received the Certificate
of Recognition/ Certificate of Course Completion/ Attestation of Course Attendance
if:
Attended minimum of 90% course duration, and
Passed all exams (if any), and
Does not be expelled from the course.
I.A.W the following table/ Training Worksheet code:
Description
Level
(if any)
Duration
(hour)
Remark
(15)
(16)
(17)
(18)
Total
Prepared by:
(19)
Date: (20)
Approved by:
(21)
Date: (22) ..
ISS. 01, REV. 09; DATE: 01 AUG 2015
Page
FORM 8015

Block (1)
Enter course name.
Block (2)
Block (3)
Enter rating of course.
Block (4)
Enter description of course.
Block (5)
Enter topic offered: New staff/ Job specific/ Mandatory/ Recurrent.
Block (6)
Enter frequency for recurrent course/remedial training (if any)
Block (7)
Enter objective of the course.
Block (8)
Enter type of training. It may be Classroom/ Self-study (CBT/Online)/ Seminar/Task

training/ Practical/ Embedded or combination of them.
Block (9)
Enter duration of course in days (dd/mm/yyyy) and hours
Block (10) Enter number of trainee in course.

Block (11) Enter minimum prerequisites for trainees whom attend the training course.
Block (12) Enter training material for trainee such as: document hand-out, tool & equipment.
Block (13) Enter examination type and pass mark required by course. If exam is not required,
enter N/A.
Block (14) Enter requirements for trainee qualification.
Block (15) Enter descriptions/ subject of topics of course.
Block (16) Enter required training level IAW ATA 104 for each topic (if any)
Block (17) Enter required training hours for each topic.
Block (18) Enter remark for each topic, if any.
Block (19) Enter name and signature of person who prepares the training curriculum.
Block (20) Enter preparing date (dd/mm/yyyy).
Block (21) Enter name and signature of person who approves the training curriculum.
Block (22) Enter approval date (dd/mm/yyyy).
Block (23) Marking in appropriate check box for the capability approved compliance with
ISS. 01, REV. 09; DATE: 01 AUG 2015
Page
FORM 8016
TRAINING WORKSHEET
PHIU O TO THC HNH
Title: (1)
Code: (2)
Duration: (3)
Location: (4)
Trainees name
Staff ID
Company/ Department
Signature
(5)
(6)
(7)
(8)
The instructors named below sign and confirm that the trainee named above:
No
1
has completed the required tasks in this Training Worksheet under instruction/ supervision of the instructors, and
is able to safely perform the tasks signed by the instructors in this Training Worksheet.
Instructors name
Chapter concerned
Company/ Department
Signature
(9)
(10)
(11)
(12)
2
3
4
5
6
7
8
ISS. 01, REV. 07 - DATE: 01 AUG 2015
PAGE
Instruction
Task Code
Task Category
(Cat)
FORM 8016
This document provides contents and evidence of tasks, which trainees are required to gain on the above mentioned title.
The required tasks may be carried out on the aircraft, components, simulator, training device or others.
Trainee must obey all requirements of instructors and the safety/security requirements at the training location.
Trainee must read and follow the instructions of reference documents.
MEL Minimum Equipment List.
D/O
Description and Operation (PB 100).
LOC
Location of Components (PB 100).
M/P
Maintenance Practices (PB 200).
S/G
Servicing/Ground Handling (PB 300).
R/I
Removal/Installation (PB 400).
D/R
Deactivation/Reactivation (PB 400).
A/T
Adjustment/Test (PB 500).
OT
Operational test (PB 500).
FT
Functional test (PB 500).
ST
System test (PB 500).
I/C
Inspection/Check (PB 600).
DI
Detailed Inspection (PB 600).
GVI
General Visual Inspection (PB 600).
SDI
Special Detailed Inspection (PB 600).
C/P
Cleaning/Painting (PB 700).
AR
Approved Repairs (PB 800).
The related task is mandatory for completion of the course.
The related task is not mandatory for perform but must at least be reviewed and brief by instructor.
75% of the related tasks must be accomplished for the completion of course.
The related task is not mandatory for completion of the course, but recommend for trainee to improve their skills.
ISS. 01, REV. 07 - DATE: 01 AUG 2015
PAGE
FORM 8016
TRAINING WORKSHEET
Title: (1)
Item
Subject
Reference Documents
Task
Code
Task
Cat.
A/C
REG
Date
(13)
(14)
(15)
(16)
(17)
(18)
19)
ISS. 01, REV. 07 - DATE: 01 AUG 2015
Signature of
Trainee
Instructor
(20)
(21)
Applicable
for
(22)
PAGE
FORM 8016

Block (1)
Name of the course.
Block (2)
Code of the course.
Block (3)
Time frame that the course is taken place.
Block (4)
Block (5)
Full name of trainee.
Block (6)
Staff ID of trainee
Block (7)
Company/Department that the trainee is working for.
Block (8)
Signature of trainee.
Block (9)
Full name of instructors
Block (10) ATA that instructor teach the trainee
Block (11) Company/ Department that the instructor is working for.
Block (12) Signature of instructors.
Block (13) Number of items/ tasks in the record
Block (14) Name of items/ tasks in the record.
Block (15) Document to refer for items/ tasks in the record.
Block (16) Code of each item/ task as specified in table.
Block (17) Category of each item/ task as specified in table.
Block (18) Registration of an aircraft that the task/item is done on.
Block (19) Date that the task is finished.
Block (20) Signature of Trainee
Block (21) Signature of Instructor
Block (22) Category (A, B1, B2) that the task applies for.
ISS. 01, REV. 07 - DATE: 01 AUG 2015
PAGE
FORM 8017
TRAINING LIST
DANH MC O TO
Revision: (1)
I. (2)
No.
Course Title
Course Rev.
Course Code
(3)
(4)
(5)
(6)
No.
Course Title
Rev.
Course Code
(3)
(4)
(5)
(6)
II. (2)
APPROVED BY
PREPARED BY
(7)
(8)
Date:
ISS. 01, REV. 08 DATE : 01 AUG 2015
Date:
PAGE:
FORM 8017

Block (1)
Enter Revision Number.
Block (2)
Enter training rating, such as: A/C Basic training, A/C type training
Block (3)
Enter Sequential Number.
Block (4)
Enter the course name.
Block (5)
Enter revision of course.
Block (6)
Enter the code of the course.
Block (7)
Name and Signature of Approval Person and Date (dd/mm/yyyy).
Block (8)
Name and Signature of Preparation Person and Date (dd/mm/yyyy).
ISS. 01, REV. 08 DATE : 01 AUG 2015
PAGE:
FORM 8018
INSTRUCTOR ROSTER
DANH SCH GIO VIN
Rev.: (1)
I. (2)
No
Name
Staff ID
Approved Course
Approved Function
Approval Doc.
Approval
date
Expiry date
(3)
(4)
(5)
(6)
(7)
(8)
(9)
APPROVED BY
(10)
PREPARED BY
(11)
Date:
Date:
ISS. 01; REV. 07 - DATE: 01 AUG 2015
PAGE
FORM 8018

Block (1)
Block (2)
Block (3)
Block (4)
Block (5)
Block (6)
Block (7)
Block (8)
Block (9)
Block (10)
Block (11)
Revision number of the instructor roster.

Enter title instructor title , such as: Basic Aircraft Training Instructor, Aircraft Type Training-A320/321 (CFM56/V2500) Instructor
Enter the instructor name.
Enter instructors staff ID.
Enter the course which approved to be instructed.
Enter the function which approved to be instructed.
Enter the instructor approval document number.
Enter the approval date (dd/mm/yyyy).
Enter the expired date of approval, if any (dd/mm/yyyy)
Enter Name and Signature of Approval Person and Date (dd/mm/yyyy)
Enter Name and Signature or Preparation Person and Date (dd/mm/yyyy)
ISS. 01; REV. 07 - DATE: 01 AUG 2015
PAGE
FORM 8019
INSTRUCTOR APPROVAL
PH CHUN GIO VIN
1. Name: .................................................................................................................................................................
2. Ref.: ..........................................................................
3. Title: ......................................................................................................................................................................
4. PNA: ........................................................................
5. Function:.................................................................................................................................................................................................................................................................
6. Approved compliance with: MTOE
AMOTP
RSTP
Others
7. Documentation assessment result:

No
Evaluation item
Basic training
Topics Training
Teaching skills Training
Experience in teaching
Experience in topic
Meet
requirements
Yes
No
Assessed by
Result
Assessed by
8. Demo instruction assessment result (if required)

No
Evaluation subject
1
2
3
4
5
9. Overall evaluation:
Accepted
Not accepted
10. Evaluated by:

Date:
11. Approved by:

Date:
ISS. 01; REV. 09 - DATE: 01 AUG 2015
PAGE
FORM 8019

Block 1.
Block 2.
Block 3.
Block 4.
Block 5.
Enter approval reference.

Enter name of the Course that instructor intend to conduct.
Enter name of the instructor need to approval.
Enter title of instructor.
Cross to the box related to function of the instructor.
Block 6.
Marking in appropriate check box for the capability approved compliance with
Rate all the evaluation item with cross (X) to the box related with the rating.
Write the comment to evaluate the capability of the instructor related to knowledge,
skill, experience or teaching ability.
Cross to related box if instructor is Accepted or Not accepted to escalate to QAD for
approval.
Enter evaluating person name and signature.
Enter approval person name and signature.
Block 7.
Block 8.
Block 9.
Block 10.
Block 11.
ISS. 01; REV. 09 - DATE: 01 AUG 2015
PAGE
FORM 8020
TRAINING COURSE CAPABILITY SELF-EVALUATION SHEET

PHIU T NH GI NNG LC KHA HC
1. Training course title:

2. Ref. No.:
3. Rating:
4. Purpose:
Rating Supplement
Capability Supplement
Other:
5. Training course curriculum attached:
6. Training Material:
7. Training aid:
8. Instructor List:
TT
Full Name
Staff ID
Certificate No./
Approval Doc
Approved Function
Note
1
2
3
9. Facility:
10. Compliance with:

MTOE
AMOTP
RSTP
Others
11. Evaluated by:
Name:
12. Approved by:
Name:
Signature:
Accepted
Signature:
Date:
Not accepted
Date:
PAGE
FORM 8020

This form is used to self-evaluate the training course capability.
Block 1.
Enter the title of this training course. E.g.: A320/321 (CFM56) ENGINE RUNUP
Block 2.
Enter the reference number of this training course capability self-evaluation sheet. E.g.:
A320/321 (CFM56) - ER/YYZZ
Block 3.
Enter the rating that cover this training course, such as Type training A320/A321,
CFM56 Engine run-up. E.g.: Engine run-up
Block 4.
Enter purpose of the evaluation by marking in appropriate check box.

Rating supplement: applicable to the training course to be applied is covered in current
approved capability of Training center (Listed in AMOTP/ RSTP/ MTOE)
Capability supplement: applicable to the training course to be applied is not covered in
current approved capability of Training center (Listed in AMOTP/ RSTP/ MTOE)
Block 5.
Enter the title of the Training course curriculum attached. E.g.: A320/321 (CFM56)
ENGINE RUNUP, Code A320/321 (CFM56) - ER/YYZZ as revise.
Block 6.
Enter the training material required for the training course, such as: Training manual
E.g.: A320/321 (CFM56) ENGINE RUNUP training manual
Block 7.
Enter the Training aid required for the training course, such as: CBT, VACBI. If not
available, state N/A
Block 8.
Enter the list of approved instructor(s) with respective training course approval. Specify
the theoretical and/ or practical course.
Block 9.
The facility to arrange the training course: Training room available. E.g.: Class room and
pertinent Aircraft are available and sufficiency for the training.
Block 10. Marking in appropriate check box for the capability approved compliance with
MTOE/AMOTP/RSTP documment.
Block 11. Enter name and signature of the Training Center director or delegated person who
performs the evaluation. The date should be specified in the format of dd/mm/yyyy.
Block 12. Enter name and signature of the Quality Assurance Director or delegated person. The
date should be specified in the format of dd/mm/yyyy.
PAGE
FORM 8024
CLASSROOM/ EXAMINATION ROOM ASSESSMENT

NH GI PHNG HC/ PHNG THI
(1) Title: .................................................................................................... (2) Code:...........................................................

(3) Date: .................................................................................................... (4) Location: ...................................................
No
(5) Description
(6)
Quantity
(7) Rating
Good
Classroom/ Examination room
Area
b.
Lighting system
c.
Ventilation system
Air conditioner (as demanded)
Clock
Cleaning up
Other
Training equipment
a.
Desk/chair for instructor
b.
Desk/chair for trainees
c.
Projector and screen
Computer for instructor
Computer for trainees (as demanded)
Network (as demanded)

Training aid equipment (diagrams, samples,
pictures) (as demanded)
Board/ Clout
Audio equipment (microphone, amplifier,
speaker, headphone) (as demanded)
Consumable materials
a.
Marker
b.
Water for trainees/instructors
c.
Office stationery
d.
Other
Conclusion (8)
The room condition can afford for the intended course/examination.
g
h
q
Yes
Approved by:
ISS. 01; REV. 01 - DATE: 01 Aug 2015
Fair
Poor
No
(9)
Date: (10)
PAGE
FORM 8024

Block (1)
The intended course title.
Block (2)
Block (3)
The date which you make this assessment.
Block (4)
Location of training
Block (5)
Describe each item to be assessed
Block (6)
Quantity of each item to be assessed
Block (7)
Block (8)
Conclude if the room can afford for the intended course/examination or not.
Block (9)
Enter name and signature of person who approves the intended
course/examination
Block (10) Enter approval date (dd/mm/yyyy).
ISS. 01; REV. 01 - DATE: 01 Aug 2015
PAGE
FORM 8025
EXAMINATION ASSESSMENT REPORT

BO CO NH GI THI
(1) Title: .................................................................................................... (2) Code:...........................................................

(3) Date Exam: ..................................................................................... (4) Location: ...................................................
(5) Contents:
........................................................................................
Chapter (7)
No
Chapter
%
No
(6) CAR No: ....................................................
Chapter
F
No
Chapter
F
No
10
10
10
10
11
11
11
11
12
12
12
12
13
13
13
13
14
14
14
14
15
15
15
15
16
16
16
16
17
17
17
17
18
18
18
18
19
19
19
19
20
20
20
20
21
21
21
21
22
22
22
22
23
23
23
23
24
24
24
24
25
25
25
25
P: Passed; F: Failed; %=P/F
ISS. 01; REV. 01 - DATE: 01 AUG 2015
PAGE
FORM 8025
8. NON-CONFORMITY DESCRIPTION:
(This section is to be completed by the auditee)
9. IDENTIFICATION OF ROOT CAUSE(S):
10. CORRECTIVE ACTION(S):
11. PREVENTIVE ACTION(S)/ PLAN:
12. Analysis Person Name:
13. Signature:
14. Date:
15. Training Director:
16. Signature:
17. Closure Date:
ISS. 01; REV. 01 - DATE: 01 AUG 2015
PAGE
FORM 8025

Block (1)
The intended course title.
Block (2)
Block (3)
The date which you make this assessment.
Block (4)
Location of exam.
Block (5)
Enter content of exam.
Block (6)
The Request number in the format CARddmmyy(-xx) in which ddmmyy is the same
as audit report number. If there are more than one request concerning one audit
report it shall be separated by xx (xx= 01, 02,...). E.g.: The audit report number
RE151009 has one request CAR151009 or many requests CAR151009-01,
CAR151009-02...
Block (7)
Block (8)
Show detailed description of the non-conformity
Block (9)
Show the root cause of the non-conformity. This section is filled out by auditee.
Block (10) Show the corrective action taken. This section is filled out by auditee. If this activity
is not completed before the due date the schedule completion date shall be
specified in this block
Block (11) Show the plan or action to prevent the mistake happens again (to eliminate the root
cause of the non-conformity). This section is filled out by auditee. If this activity is
not completed before the due date the schedule completion date shall be specified
in this block.
Block (12) Analysis person Name.
Block (13) Signature of the person that named in block 12.
Block (14) The response date that is specified by the auditee in the format dd/mm/yyyy
Block (15) Training Director Name.
Block (16) Signature.
Block (17) Date that the request is closed in the format of dd/mm/yyyy.
ISS. 01; REV. 01 - DATE: 01 AUG 2015
PAGE
FORM 8031
POSITION NEEDS ASSESSMENT
NH GI YU CU CHC DANH CNG VIC

TITLE: (1)
DATE EFFECTIVE: (2)
COMPANY/DEPARTMENT: (3)
REPORTS TO: (4)
ESSENTIAL RESPONSIBILITIES: (5)
ESSENTIAL TASKS/DUTIES: (6)
POSITION ASSESSMENT REQUESTED BY: (7)

Title: ...................................... Department: ..................................... Date: .......................
EDUCATION, TRAINING, KNOWLEGES REQUIRED: (8)
1.
INITIAL
2.
CONTINUATION
LICENSE REQUIRED: (9)
SKILLS REQUIRED (10)
EXPERIENCE REQUIRED: (11)
APPROVAL: (12)
QA Director: ............................................................... Date ..................................................
ISS. 01, REV. 02; DATE: 01 AUG 2015
Page
FORM 8031

Block (1)
The title of the position need to be assessed.
Block (2)
Effective date of this Position Needs Assessment.
Block (3)
Company/Department/ maintenance center who give a position to be assessed.
Block (4)
The destination of this Position Needs Assessment sheet (QA department).
Block (5)
ESSENTIAL RESPONSIBILITIES of position.
Block (6)
ESSENTIAL TASKS/DUTIES of position.
Block (7)
Name, title and department of person requests for Position Needs Assessment, date
of request should be given in format dd/mm/yyyy.
Block (8)
Minimum prerequisite requirements of EDUCATION, TRAINING, KNOWLEGES for

position (both INITIAL and CONTINUATION)
Block (9)
LICENSE REQUIRED for position.
Block (10)
SKILLS REQUIRED for position.
Block (11)
Minimum EXPERIENCE required for position.
Block (12)
Name and signature of Quality Director or delegated person. The date should be
given in format dd/mm/yyyy.
ISS. 01, REV. 02; DATE: 01 AUG 2015
Page
FORM 8032
EMPLOYEE NEED ASSESSMENT

1. Personal Infomation
Full name:
Title:
Date Of Birth:
Speciality:
Aviation Joint Date:
Sex:
3. Photo
2. Working Place
Department:
Division:
Team:
4. Staff ID
5. Job Postion Assign
No
JP Description
E/E Date
Roster
Remark
Result
E/E Date
Remark
Valid to
E/E Date
Remark
Valid to
E/E Date
Remark
Valid to
E/E Date
Remark
6. Training Need Assessment

No
Training Requirement
7. License Assessment
No
License Requirement
8. English Assessment
No
English Requirememt
9. Authorization Assessment
No
Authorization Requirement
10. Printed Date:
ISS. 01; REV. 01 - DATE: 01 AUG 2015
PAGE
FORM 8032

This form is used to assess employee needs.
Block 1.
State the personel information as name, date of birth, aviation joint date, title,
speciality, sex.
Block 2.
State the working place of employee as department, division, team.
Block 3.
Show the employees photo.
Block 4.
State the employees ID (VAExxxxx).
Block 5.
Show the job postion assigned to employee included: JP description, expected/

expired date.
Block 6.
Show the training requirement, result, and expected/expired date (if application).
Block 7.
Show the license requirement, license valid, expected/expired date (if

application).
Block 8.
Show the english requirement, english valid, expected/expired date (if

application).
Block 9.
Show the authorization requirement, authorization valid, expected/expired date

(if application).
Block 10.
Show the printed date (automatically).
ISS. 01; REV. 01 - DATE: 01 AUG 2015
PAGE
FORM 8033
EMPLOYEE TRAINING/ LICENSE PLAN

1. Personal Information
Full name:
Title:
Date Of Birth:
Speciality:
Sex:
3. Photo
2. Working Place
Department:
Division:
Team:
4. Staff ID
..
5. Job Position Assign
No JP Description
E/E Date
FAA Roster
Remark
Planned Date
Remark
Planned Date
Remark
Planned Date
Remark
Planned Date
Remark
6. Training Plan
No Training Course
7. License Plan
No License
8. English Plan
No English level
9. Authorization Plan
No Authorization
10. Printed Date:
ISS. 01; REV. 01 - DATE: 01 AUG 2015
PAGE
FORM 8033

This form is used to monitor employees training/ license plan.
Block 1.
State the personel information as name, date of birth, aviation joint date, title,
speciality, sex.
Block 2.
Block 3.
Block 4.
State the employees ID (VAExxxxx).
Block 5.
Show the job postion

expected/expired date.
Block 6.
Show the plan of training course, and planned date (if application).
Block 7.
Show the plan of license, and planned date (if application).
Block 8.
Show the plan of english level, and planned date (if application).
Block 9.
Show the plan of authorization, and planned date (if application).
Block 10.
ISS. 01; REV. 01 - DATE: 01 AUG 2015
assigned
to
employee
included:
JP
description,
PAGE
FORM 8034
EMPLOYEE TRAINING RECORD

1. Personal Infomation
Full name:
Title:
Date Of Birth:
Speciality:
Sex:
3. Photo
2. Working Place
Department:
Division:
Team:
4. Staff ID
5. Training Records
Item Course Description
Result
Cert. #/ Evidence
Start Date
End Date
Recurrent Req
Remark
6. Printed Date:
ISS. 01; REV. 03 - DATE: 01 AUG 2015
PAGE
FORM 8034

This form is used to record training course that employee has been training.
Block 1.
State the personel information as name, date of birth, aviation joint date, title, speciality, sex.
Block 2.
Block 3.
Block 4.
Show the employees ID (VAExxxxx).
Block 5.
Show the training records that employee has been training as course description, result, certificate number or evidence of the
training, start date, end date, recurrent date.
Block 6.
ISS. 01; REV. 03 - DATE: 01 AUG 2015
PAGE
FORM 8035
TRAINING WAIVER
MIN TR O TO
1. NAME:
2. REF.:
3. TITLE:
4. DEPARTMENT:
5. ITEM REQUESTED FOR WAIVER

.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
6. REASON FOR REQUESTING WAIVER:
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
7. OPERATIONS (describe the potential impacts to this job function and the time frame):
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
8. CORRECTIONS:
No warranty or work corrections are required of this employee
9. DEMONSTRATION (one or more of the following relating to the training topic above):
Identify the demonstration and attach documentation:
Passing score on a training class exam ..................................................................................................................
Actual demonstration .............................................................................................................................................
10. WAIVER REQUESTED by:
Employee ........................................................................................... Date .................................................................

11. APPROVAL:
Waiver Approved
Waiver Not Approved
QAD .................................................................................................... Date ......................................................
ISS. 01, REV. 03; DATE: 01 AUG 2015
Page --- /---
FORM 8035

Block 1.
Name of employee request for waiver.
Block 2.
Reference number of this approval (Example: TW1234).
Block 3.
Title of employee request for waiver.
Block 4.
Department/ maintenance center of employee request for waiver.
Block 5.
Specify the item which requesting for waiver.
Block 6.
Explain the reason for requesting for waiver.
Block 7.
describe the potential impacts to this job function and the time frame
Block 8.
Certify that NO warranty or work corrections are required of the particular
employee.
Block 9.
Employee specify knowledge related to topic by identifying the demonstration and
attaching documentation (either passing score on a training class exam or actual
demonstration)
Block 10.
Employee signature and date
Block 11.
QAD approval signature.
ISS. 01, REV. 03; DATE: 01 AUG 2015
Page --- /---
FORM 8036
ASSESSOR APPROVAL
PH CHUN ST HCH VIN

Name:
(1)
Ref.:
(2)
Title:
(3)
PNA Title:
(4)
Function: (5)
Please rate following item with cross (X)
No
Evaluation item (6)
Education, Training, Knowledge requirements
License requirements
Skill requirements
Experience requirements
Rating (7)
Meet
requirements
Remark
Yes
No
Comment (8)
Overall evaluation (9)
Accepted
Evaluated by: (10)
Approval (11)
Approved by: (12)
ISS. 01; REV. 02 - DATE: 01 AUG 2015
Not accepted
Date:
Approved
Not approved
Date:
PAGE
FORM 8036

Block (1)
Enter Name of the assessor need to approval
Block (2)
Enter Reference number of this approval
Block (3)
Enter Name of training course types that assessor intend to conduct.
Block (4)
Enter Title of assessor in PNA (POSITION NEED ASSESSMENT)
Block (5)
Enter Function of the assessor
Block (6)
Enter all items to be evaluated (depend on requirements in PNA)
Block (7)
Enter Rate the evaluation with cross, enter remark if any
Block (8)
Enter the comment to evaluate the capability of the assessor related to

knowledge, skill, experience or teaching ability.
Block (9)
Cross to related box if assessor is accepted or not accepted to submit to

approval
Block (10)
Enter evaluated person name and signature
Block (11)
Cross to related box to approval or not approval (by QAD)
Block (12)
Enter Approval person name and signature
ISS. 01; REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 8037
ASSESSOR ROSTER
DANH SCH ST HCH VIN
Rev.: (1)
No
Name
Title
Assessor approval
Ref.
Functions
Approval
date
Expiry date
Staff ID/
Dept.
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
APPROVED BY
(10)
PREPARED BY
(11)
Date:
Date:
ISS. 01; REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 8037

Block (1)
Block (2)
Block (3)
Block (4)
Block (5)
Block (6)
Block (7)
Block (8)
Block (9)
Block (10)
Block (11)
Enter revision number of the assessor roster.

Enter ordinal number
Enter the assessor name.
Enter the assessor title.
Enter the assessor approval reference number
Enter the exam function that is approved
Enter the approval date (dd/mm/yyyy)
Enter the expired date of approval, if any (dd/mm/yyyy)
Enter the VAECO staff ID or department of assessor.
Enter Name and Signature of Approval Person and Date (dd/mm/yyyy)
Enter Name and Signature or Preparation Person and Date (dd/mm/yyyy)
ISS. 01; REV. 02 - DATE: 01 AUG 2015
PAGE
FORM 8039
THNG BO K HOCH KIM TRA PHN VN P V THC HNH

(ORAL AND PRACTICAL ASSESMENT SCHEDULE NOTICE)
Tun th theo quy nh nu trong quy trnh t chc kim tra phn vn p v thc hnh i vi
nhn vin k thut bo dng tu bay (AMT) v nhn vin sa cha chuyn ngnh hng khng
(ARS), ban hnh km theo cng vn s 3429/CHK-TCATB ngy 09/09/2014,
Thc hin theo quy trnh 3.10, ti liu Gii trnh T chc o to bo dng v vic thng bo k
hoch kim tra phn vn p v thc hnh cho Cc Hng khng Vit Nam.
Knh gi: PHNG TIU CHUN AN TON BAY - CC HNG KHNG VIT NAM
a im t chc kim tra:
HAN
HCM
Thi gian kim tra:

T ngy:
n ngy:
K hoch kim tra phn vn p v thc hnh:
H Ni, ngy . thng nm .
TRNG BAN M BO CHT LNG
ISS.01, REV.02 DATE 01 AUG 2015
PAGE:
FORM 8039
Hng dn in Form 2039

a im t chc kim tra: Chn a im thch hp HAN hoc HCM bng du .
Thi gian kim tra:
- in thng tin ngy bt u t kim tra theo k hoch.
- in thng tin ngy kt thc t kim tra theo k hoch.
K hoch kim tra phn vn p v thc hnh: in thng tin chi tit ca t kim tra (v d: - Chi
tit c nu trong k hoch kim tra s: xyz form 2039).
ISS.01, REV.02 DATE 01 AUG 2015
PAGE:
1.
2.
MU MT
GIY XC NHN S PH HP CA THIT B
B GIAO THNG VN TI
CAAV FORM 1
CC HNG KHNG VIT NAM
AUTHORIZED
RELEASE CERTIFICATE
CAA OF VIETNAM
4. Tn v a ch t chc c ph chun/ Approved Organization Name and Address:
3. S Giy xc nhn
Form tracking Number
5. Ch lnh cng vic/ hp ng/

Work Order/ Contract /Invoice:
Cng ty TNHH K thut My bay VAECO
ho n
Tr s chnh: Sn bay Quc t Ni bi, Sc Sn, H Ni. Chi nhnh: Sn bay Quc t Tn Sn Nht, T.P H Ch Minh
6. Thit b s/ 7. Tn, loi thit b/ Description
8. S quy cch/
9. S lng/ 10. S xut xng/
11. Trng thi/ cng vic
Item
Part No.
Quantity
Status/ Work
Serial No.
12. Ghi ch/ Remarks
13a. Xc nhn cc thit b trn c sn xut ph hp vi:

Certifies that the items identified above were manufactured in conformity to:
H s thit k c ph chun v trong tnh trng cho php khai thc an ton
Approved design data and are in condition for safe operation
H s thit k khng c ph chun nh nh r ti 12
Non-approved design data specified in Block 12
14a.
Cho php khai thc theo Phn 5, QCATHK

VAR Part 5 Release to Service
Quy nh khc nu 12
Other regulation specified in Block 12
Xc nhn cng vic nu 11 v c miu t 12, ngoi tr quy nh khc 12, c thc
hin ph hp vi QCATHK Phn 5, v do cc thit b trn tiu chun a vo khai thc
Certifies that unless otherwise specified in Block 12, the work specified in Block 11 and described in Block 12,
was accomplished in accordance with VAR Part 5 and in respect to that work, the items are considered ready for
release to service.
13b. Ch k ca ngi c u quyn/
13c. S ph chun/ u quyn
14b. Ch k ca ngi c u quyn
14c. S chng ch /ph chun
Authorized Signature
Approval/ Authorization No.
Authorized Signature
Certificate/ Approval No.
VN-268/ CAAV
13d. H tn/ Name
13e. Ngy, thng, nm

Date (dd/mmm/yyyy)
14d. H tn/ Name
14e. Ngy, thng, nm

Date (dd/mmm/yyyy)
*Nhn vin lp t phi kim tra cho tiu chun lp t v tham s k thut Installer must cross-check eligibility with applicable technical data.
CAAV FORM 1 COMPLETION GUIDANCE
HNG DN S DNG V HON THIN GIY XC NHN/ MU MT

+
Giy xc nhn phi c lm theo mu nh km sau y, cng vi s v cch b tr cc . Kch thc mi c th thay i cho ph hp vi vic
p dng c th, nhng khng c thay i ti mc khng nhn ra c Giy xc nhn ny.
Ni dung in trong Giy xc nhn phi r rng, d c.
Giy xc nhn phi c in trc hoc in bng my tnh, nhng trong c hai trng hp ng nt v ch ci ca bn in phi r rng, d c. C th
in trc cu din t theo mu, nhng khng c c thm bt k iu khon xc nhn no khc. Ting Vit phi c in pha trn ting Anh.
Cc chi tit a vo trong Giy xc nhn c th in bng my ch/ my tnh hoc vit tay bng ch in, sao cho r rng, d c. Cn hn ch ti a li
vit tt.
Khong trng mt sau ca Giy xc nhn c th c ngi lp s dng ghi cc thng tin b sung, nhng khng c ghi thm iu khon xc
nhn no.
Giy xc nhn gc phi i km thit b v phi tng lin vi thit b. Mt bn sao ca Giy xc nhn phi c lu ti t chc bo dng thit b .
Nu s dng mt Giy xc nhn xut xng mt s lng ln thit b v cc thit b ny sau c phn phi i cc ni khc nhau, th phi gi
bn sao Giy xc nhn i km cc thit b, cn Giy xc nhn gc th phi c t chc bo dng tip nhn c l thit b lu gi. Vic khng lu
gi Giy xc nhn gc c th lm mt tnh trng c xut xng hp php ca cc thit b.
CH : Cc HKVN khng gii hn s lng cc bn sao Giy xc nhn gi cho khch hng hoc c t chc lp lu gi.
Giy xc nhn gi km thit b c th b vo trong phong b bng vt liu bn bo v.
Ngoi tr c quy nh khc, tt c cc phi c in nhng ni dung sau Giy xc nhn c hiu lc:
1 Logo Cc Hng khng Vit Nam v tn c quan Cc Hng khng Vit Nam. Thng tin ny c in trc.
2 In trc "Mu Mt - Giy xc nhn s ph hp ca thit b".
3 S th t phi c in trc trong ny kim sot Giy xc nhn v truy tm lai lch. Nu Giy xc nhn c lp bng my tnh, th s ny s
c in t ng nh chng trnh phn mm.
4 Tn y v a ch ca t chc c ph chun cho php xut xng thit b cng vi Giy xc nhn ny. ny c in trc Cng ty
TNHH K thut My bay VAECO, Tr s chnh: Sn bay quc t Ni bi, Sc Sn, H Ni, Chi nhnh: Sn bay Quc t Tn Sn Nht, T.P H Ch
Minh.
5 Mc ch ca ny l ghi tham chiu ch lnh cng vic/hp ng/ ha n hoc qu trnh ni b khc ca t chc, c th thit lp h thng
truy tm lai lch nhanh chng.
6 ny to iu kin thun tin cho t chc s dng Giy xc nhn trong vic tham chiu "Ghi ch" 12 bng vic s dng cc s thit b. Vic
in thng tin vo ny l khng bt buc.
page 1
Nu mt Giy xc nhn c s dng cho s lng ln thit b th c th s dng Giy xc nhn hng dn tham kho danh mc ring bit v lp
danh sch cho mi danh mc cn li.
7 Phi ghi tn hoc m t thit b vo ny. Cn u tin s dng k hiu trong Danh mc thit b c minh ho (IPC) ca nh sn xut.
8 Ghi s quy cch (P/N) ca thit b. Cn u tin s dng s quy cch trong IPC ca nh sn xut.
9 Ghi s lng thit b c php xut xng.
10 Ghi s xut xng ca thit b hoc s l nu p dng, nu khng p dng, th ghi "Khng p dng".
11 Nhng t trong ngoc kp sau y, vi cc nh ngha ca chng, ch ra trng thi ca thit b c xut xng. Mt t hoc t hp cc t ny phi
c trnh by trong ny:
1. "I TU" / OVERHAUL: L s phc hi cc thit b s dng bng kim tra, th nghim v thay th theo tiu chun c ph chun,
ko di thi hn khai thc(*).
2. "KIM TRA/TH NGHIM" / INSPECTION/ TEST: L s kim tra thit b xc nh thit b c p ng tiu chun c ph chun
khng(*).
3. "CI TIN" / MODIFICATION: L s thay i kt cu thit b theo tiu chun c ph chun (*).
4. "SA CHA"/ REPAIR: L s phc hi cc thit b t trng thi dng c theo tiu chun c ph chun (*).
5. "P LI" / RETREAD: L s phc hi lp s dng theo tiu chun c ph chun (*).
6. "LP RP LI" / ASSEMBLY: L s lp rp li thit b theo tiu chun c ph chun (*). V d: Lp rp b cnh qut sau qu trnh vn
chuyn.
GHI CH: iu khon ny ch c s dng cho thit b vn c nh sn xut lp rp hon chnh theo cc quy nh ch to, chng hn nh
cc QCATHK Phn 21/ EASA Part 21...
(*) Tiu chun c ph chun c ngha l tiu chun ch to/ thit k/ bo dng/ cht lng c Cc HKVN ph chun hoc cng
nhn.
c Cc HKVN ph chun ngha l c Cc HKVN ph chun trc tip hoc ph hp vi quy trnh c Cc HKVN ph chun.
Cc cam kt trn phi c h tr thm bng tham chiu thng tin trong 12 ti cc ti liu hng dn/ d liu bo dng/ tiu chun k
thut c ph chun s dng trong qu trnh bo dng.
12 Bt buc phi ghi vo ny mi thng tin, trc tip hoc tham chiu ti ti liu h tr, nhm nu r cc d liu c th hoc cc gii hn c lin
quan n cc thit b c xut xng. Cc thng tin ny l cn thit ngi s dng/ lp t xc nh kh nng iu kin bay ca thit b. Thng
tin phi r rng, y , v c vit mt cch ph hp nhm mc ch xc nh tnh iu kin bay ca thit b.
Mi cam kt phi c lin quan n thit b. Nu khng c cam kt th ghi "Khng".
page 2
Sau y l mt s v d v thng tin c trch dn:

- Tnh thng nht v pht hnh ti liu bo dng c s dng nh tiu chun c ph chun.
- Cc ch lnh iu kin bay/ thng bo k thut bt buc c thc hin v/hoc c xc nh l thc hin, mt cch thch hp.
- Cc sa cha c thc hin v/hoc c xc nh l thc hin, mt cch thch hp.
- Cc ci tin c thc hin v/hoc c xc nh l thc hin, mt cch thch hp.
- Cc chi tit thay th c lp t v/hoc c xc nh l lp t, mt cch thch hp.
- Lai lch cc chi tit c th mnh.
- Sai lch so vi ch lnh cng vic ca khch hng.
- i vi cc bnh my bay, s quy cch, s xut xng, tn ca nh sn xut v tnh trng mi/ p li ca lp lp ln phi c ch r. Ngoi ra,
nu lp lp ln c p li, s ln p li ca lp cng phi c nu.
- Ghi r quy ch ca quc gia, nu khng phi l QCATHK Phn 5.
- Li cam kt xut xng p ng yu cu bo dng ca nc ngoi.
- Li cam kt xut xng p ng cc iu kin trong tho thun quc t v bo dng.
GHI CH: Hai li cam kt sau cng cho php xut xng kp (dual) theo QCATHK Phn 5 v quy nh bo dng ca nc ngoi, hoc xut
xng n (single) bi t chc bo dng theo quy nh bo dng ca nc ngoi. Tuy nhin cn phi thn trng khi nh du v tr lin quan
trong 14a xut xng c hiu lc. Cng cn phi nhc li l xut xng kp yu cu cc d liu bo dng phi c ph chun/ chp nhn bi
Cc HKVN v nh chc trch hng khng nc ngoi, cn xut xng n ch yu cu cc d liu bo dng c ph chun/ chp nhn bi nh
chc trch hng khng nc ngoi thch hp.
Cc 13a, b, c, d: Khng c s dng cho cc cng vic bo dng do t chc bo dng thc hin. Cc ny c gch cho.
14a Ghi cam kt cho php khai thc theo yu cu ca QCATHK Phn 5, i vi tt c cc cng vic bo dng do t chc bo dng thc hin. Bt
k trng hp no, cng phi nh du vo vung tng ng, vic cho php khai thc c hiu lc.
Cam kt ph chun "ngoi tr ghi ch khc 12" c mc ch m ch cc tnh hung sau:
(a) Trng hp cng vic bo dng khng th thc hin xong.
(b) Trng hp cng vic bo dng c khc bit so vi tiu chun do QCATHK Phn 5 yu cu.
(c) Trng hp cng vic bo dng c thc hin theo yu cu khc vi QCATHK Phn 5.
Bt lun l trng hp no, hoc t hp ca cc trng hp, cng phi nu r trong 12.
14b Dnh cho ch k ca nhn vin xc nhn bo dng do t chc bo dng y quyn.
14c S chng ch ca t chc bo dng do Cc HKVN cp. Thng tin ny c in sn.
14d H tn (ch in hoa) ca ngi k 14b v s chng ch y quyn.
page 3
14e Ngy, thng, nm k cho php xut xng. Thng phi th hin bng ch. V d: 15 APR 2010. Ch c k cho php xut xng sau khi thc
hin xong cng vic bo dng.
page 4
CAA Occurrence Number
OCCURRENCE REPORT
Flight Safety Standard Department
Civil Aviation Authority,
Asica Group,
119 Nguyen Son Str,
Long Bien Dist,
Hanoi,
Vietnam
e-mail: asica@caa.gov.vn
Fax: 04.38271933
Tel: 04.38272291
Please complete and submit this form online or print and send it to the above
AIRCRAFT TYPE & SERIES
REGISTRATION
OPERATOR
LOCATION/POSITION/RW
Are you concerned about the confidentiality of this

report and wish to be contacted before it is processed?
If so, please ensure you provide us with your contact
details.
Confidential?
DATE (dd/mm/yyyy)
Yes
No
TIME OF EVENT UTC (HH:MM)
DAY
NIGHT
TWILIGHT
FLIGHT NO.
ROUTE FROM
ROUTE TO
FL
ALT/HT (FT)
IAS (KT)
TCAS RA
IFR
YES
VFR
NATURE OF FLIGHT
ETOPS
NO
YES
NO
FLIGHT PHASE
ENVIRONMENTAL DETAILS
WIND
DIRN.
SPEED
(kt)
CLOUD
TYPE
PRECIPITATION
HT (ft)
OTHER METEOROLOGICAL CONDITIONS

VISIBILITY
ICING
TURBULENCE
RUNWAY STATE
OAT
(C)
KM
CATEGORY
NM
BRIEF TITLE
DESCRIPTION OF OCCURRENCE
Any procedures, manuals,

pubs. (AIC, AD, SB etc.)
directly relevant to occurrence
and (where appropriate)
compliance state of aircraft,
equipment or documentation.
Form 14 Jan 2015
Page 1 of 2
GROUND STAFF REPORT

A/C CONSTRUCTORS NO. ENGINE TYPE/SERIES ETOPS APPROVED
GROUND PHASE
MAINTENANCE ORGANISATION
MAINTENANCE
YES
NO
GROUND HANDLING
TEL.
UNATTENDED
COMPONENT/PART
MANUFACTURER
PART NO.
REFERENCES:- MANUAL/ATA/IPC
SERIAL NO.
COMPONENT OH/REPAIR ORGANISATION
ORGANISATION AND APPROVAL REFERENCE
NAME
POSITION
DATE (dd/mm/yyyy)
If report is voluntary (i.e.
not subject to
mandatory
requirements) can the
information be
published in the
interests of safety?
YES
Address and tel.no. (if reporter wishes to be contacted privately).
NOTE 1:If additional information, as below, is available, please provide.

NOTE 2:If the occurrence is related to a design or manufacturing
deficiency, the manufacturer should also be advised promptly.
NOTE 3:Where applicable, a report of this incident should be forwarded
directly to other agencies involved, e.g. Aerodrome Authority,
ATC agency.
NO
REPORTING ORGANISATION - REPORT

ORGANISATION COMMENTS - ASSESSMENT/ACTION TAKEN/SUGGESTIONS TO PREVENT
UTILISATION - AIRCRAFT
TOTAL
SINCE OH/REPAIR
UTILISATION - ENGINE/COMPONENT
SINCE INSPECTION
TOTAL
HOURS
HOURS
CYCLES
CYCLES
LANDINGS
LANDINGS
REPORTING ORGANISATION
TEL.
REPORTERS REF
SINCE OH/REPAIR SINCE INSPECTION
YES
REPORT
NEW
E-MAIL
NAME
E-MAIL
Form 14 Jan 2015
MANUFACTURER
ADVISED
SUPPL
REPORTERS INVESTIGATION
NIL
CLOSED
OPEN
NO
FDR DATA
RETAINED
YES
NO
FAX
POSITION
TEL
DATE (dd/mm/yyyy)
Page 2 of 2
MAJOR REPAIR OR MODIFICATION

REPORTING FORM
INSTRUCTIONS
Print or type. Do not write in shaded areas, these are
for CAAV use only. Submit original only to the Flight
Safety Standards Department or CAAV Authorized
Person. If additional space is required, use an
attachment.
A. AIRCRAFT:
1. REGISTRATION MARK
2. AIRCRAFT MAKE/MODEL/SERIES
3. AIRCRAFT SERIAL NUMBER
B. REGISTERED OWNER:
1. NAME
4. MAILING ADDRESS
2. TELEPHONE
3. FAX NUMBER
5. E-MAIL ADDRESS
C. UNIT IDENTIFICATION & TYPE OF MAINTENANCE ACTION

UNIT
MAJOR
MAKE
MODEL
SERIAL NUMBER
REPAIR?
MOD?
Airframe
Powerplant
Propeller
Type
Appliance
Manufacture
D. CONFORMITY STATEMENT:
1. ORGANIZATION NAME/ADDRESS
2. TYPE OF LICENSE/ORGANIZATION
a.
AME License
b.
AMO Certificate
c.
Manufacturer
3. NUMBER &RATINGS
E. CERTIFICATION: I certify that the repair and/or modification made to the unit(s) identified above and described on the reverse or attachments hereto have been made
in accordance with the requirements of VAR Part 4 and that the information furnished herein is true and correct to the best of my knowledge.
Date
Signature of Authorized Individual
E. MAIJOR REPAIR OR MODIFICATION APPROVAL BASIS:

1
APPROVAL BY EXAMINATION OF DATA ONLY 1 AIRCRAFT ONLY

The data identified herein complies with the applicable airworthiness requirements and is
approved for the above described aircraft, subject to conformity inspection by a person
authorized in VAR Part 4.
APPROVAL BY EXAMINATION OF THE DATA ONLY DUPLICATION

ON IDENTICAL AIRCRAFT.
The modification identified herein complies with the applicable airworthiness requirements
and is approved for duplication on identical aircraft make, model, and altered configuration
by the original modifier.
APPROVAL BY PHYSICAL INSPECTION, DEMONSTRATION, TESTING,

ETC., OF THE DATA AND AIRCRAFT 1 AIRCRAFT ONLY
The modification (or repair) identified herein complies with the applicable airworthiness
requirements and is approved for the above described aircraft, subject to conformity
inspection by a person authorized in VAR Part 4.
OTHER BASIS (Provide details on reverse)
F. APPROVAL FOR RETURN TO SERVICE: Pursuant to the authority given persons specified below, the unit(s) identified in item 4 was inspected in the manner
prescribed by the Director of the Civil Aviation Authority and is
1.
APPROVED
4
CAAV-FSSD
INSPECTOR
8. DATE
2.
REJECTED
5
6
7
APPROVED
DESIGNATED
DESIGNATED
MAINTENANCE
AIRWORTHINESS
ENGINEERING
ORGANIZATION
REPRESENTATIVE
REPRESENTIVE)
(with appropriate ratings)
9. CERTIFICATE/DESIGNATION NUMBER
10. SIGNATURE OF AUTHORIZED INDIVIDUAL
CAAV Form 523: Major Repair/Modification [0]2009
OTHER (specify)
Page 1 of 2
MAJOR REPAIR OR MODIFICATION

REPORTING FORM
INSTRUCTIONS
Print or type. Do not write in shaded areas, these are
for CAAV use only. Submit original only to the Flight
Safety Standards Department or CAAV Authorized
Person. If additional space is required, use an
attachment.
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. A modification must be compatible with all
previous modifications to assure continued conformity with the applicable airworthiness requirements.
G. DESCRIPTION OF WORK ACCOMPLISHED: (If more space is required, attach additional sheets. Identify each page with aircraft nationality and registration mark and date
work completed.)
CAAV Form 523: Major Repair/Modification [0]2009
Page 2 of 2
CC HNG KHNG VIT NAM
CONCESSION REQUEST
PHIU YU CU NHN NHNG
Mu /Form CAAV/FSSD-AIR 040
To/
Gi n:
From/ B phn
xin nhn nhng:
Date/ Ngy:
Place/ a im:
Time/ Gi:
Signature/ Ch k:
Dept. manual/ S tay cht lng:
Procedure/ Quy trnh
Apply for/ p dng cho:

A/C type/
Loi my bay:
Reg No/
S ng k:
Engine/
ng c:
Details of concession request/ Ni dung xin nhn nhng
Item
Hng
mc
Concession approval/
Ph chun:
Description
M t
Serial No/
S xut xng:
Reason for request/ L do yu cu nhn nhng:
This due
Thi hn phi
thc hin
NO
Khng
Part No/
S quy cch:
Next due request/

Thi hn xin thm
YES
C
Estimated due/
Thi hn d kin
thc hin
Signature, stamp/
Ch k, ng du:
Reason and/or Conditions/ L do v/ hoc iu kin:
Concession No/
S nhn nhng:
CC HNG KHNG VIT NAM
VARIATION REQUEST
PHIU YU CU GIA HN BO DNG
Mu/Form CAAV /FSSD-AIR 042
To/
Gi n:
From/ B phn xin
nhn nhng:
Date/ Ngy:
Time/ Gi:
Station/ a im:
A/C type/Loi my bay:
Reg No/ S ng k:
FH/ Gi bay:
Part No/ S quy cch:
Serial No/ S xut xng:
FC/ Ln CHC:
Signature/Ch k:
Reason for request/L do yu cu nhn nhng:
Item
Hng
mc
Variation Granted/
Ph chun:
Description
M t
This due
Thi hn phi
thc hin
NO
Khng
Next due request/

Thi hn xin
thm
YES
C
Estimated due/
Thi hn d kin
thc hin
Signature, stamp/ Ch k,
ng du:
Reason or Conditions/ L do v/ hoc iu kin:
Variation No/
S ph chun:
CC HNG KHNG VIT NAM
EXEMPTION REQUEST
PHIU YU CU CP PHP MIN TR
Mu/Form CAAV /FSSD-AIR 044
To/
Gi n:
From/ B phn xin
cp php min tr:
Ref No/ S tham kho:
Date/ Ngy:
Time/ Gi:
Reg No/ S ng k:
A/C type/ Loi my bay:
FH/ Gi bay:
Engine/ ng c:
Comp/ Thit b:
FC/ Ln ct h cnh:
Signature/ Ch k:
Details of exemption request/ Ni dung xin cp php min tr:
Assessed by AMO/ nh gi ca t chc bo dng :
Signature/ Date/ Time/

Ch k/ Ngy/ Gi:
AUTHORITY APPROVAL/ PH CHUN CA NH TRC TRCH

Exemption Granted/
Ph chun ngoi l:
NO
Khng
YES
C
Signature// Date/ Time/ Stamp/

Ch k/ Ngy/ Gi/ ng du:
Reason and/or Conditions/ L do v/ hoc iu kin:
Exemption No/
S ph chun:
1. Approving Competent Authority/ Country: 2.
3. Form Tracking Number:
AUTHORISED RELEASE CERTIFICATE

EASA FORM 1
4. Organisation Name and Address:
6. Item
7. Description
5. Work Order/Contract/Invoice:
8. Part No.
9. Qty.
10. Serial No.
11. Status/Work
12. Remarks
13a. Certifies that the items identified above were manufactured in conformity
to:
approved design data and are in a condition for safe operation
non-approved design data specified in block 12
13b. Authorised Signature
13c. Approval/ Authorisation Number
13d. Name
13e. Date (dd/mmm/yyyy)
14a. Part-145.A.50 Release to Service Other regulation specified in block 12

Certifies that unless otherwise specified in block 12, the work identified in block 11
and described in block 12, was accomplished in accordance with Part-145 and in
respect to that work the items are considered ready for release to service.
14b. Authorised Signature
14c. Certificate/Approval Ref. No.
14d. Name
14e. Date (dd/mmm/yyyy)
USER/INSTALLER RESPONSIBILITIES
This Certificate does not automatically constitute authority to install.
Where the user/installer performs work in accordance with regulations of an airworthiness authority different than the airworthiness authority specified in block 1, it is
essential that the user/installer ensures that his/her airworthiness authority accepts items from the airworthiness authority specified in block 1.
Statements in block(s) 13a and 14a do not constitute installation certification. In all cases aircraft maintenance records must contain an installation certification issued in
accordance with the national regulations by the user/installer before the aircraft may be flown.
EASA Form 1 Issue 2
Instructions for the completion of EASA Form 1 Authorized Release Certificate

This form is used to approve for return to service of products and articles. Line by line instruction for completion of EASA Form 1 as follows:
Block No
Required Entry
1
State the name and country of the Competent Authority under whose jurisdiction this Certificate is issued.
Preprinted - no further entry required.
Enter a VAECO generated tracking number.
Preprinted with Vietnam Airlines Engineering Company Ltd. (VAECO), Noi Bai International Airport, Hanoi, Vietnam for Hanoi main base
facility or Vietnam Airlines Engineering Company Ltd. (VAECO), Tansonnhat International Airport, Hochiminh city, Vietnam for Hochiminh
city secondary base facility.
Enter Customer's Purchase Order Number or the VAECO Work Request Number.
Enter line item numbers when there is more than one line item. This block permits easy cross- referencing to the Remarks block 12.
Enter the name or description of the item. Preference should be given to the term used in the instructions for continued airworthiness or
maintenance data (e.g. Illustrated Parts Catalogue, Aircraft Maintenance Manual, Service Bulletin).
Enter the part number as it appears on the item or tag/packaging. In case of an engine or propeller the type designation may be used. If the
article being worked is a subassembly that does not have a part number of its own, enter the next higher assembly number followed by the
word subassembly.
State the quantity of items.
10
If the item is required by regulations to be identified with a serial number, enter it here. Additionally, any other serial number not required by
regulation may also be entered. If there is no serial number identified on the item, enter N/A. If a specific batch or lot number is used, refer
to the instructions for Block 12.
11
The following table describes the permissible entries for block 11. Enter only one of these terms - where more than one may be applicable,
use the one that most accurately describes the majority of the work performed and/or the status of the article:
Entry
OVERHAULED
Meaning
Means a process that ensures the item is in complete conformity with the applicable service tolerances specified
in the type certificate holder's, or equipment manufacturer's instructions for continued airworthiness, or in the
data which is approved or accepted by the Authority. The item will be at least disassembled, cleaned, inspected,
repaired as necessary, reassembled and tested in accordance with the above specified data
REPAIRED
Rectification of defect(s) using an applicable standard*
INSPECTED/TESTED Examination, measurement, etc. in accordance with an applicable standard* (e.g. visual inspection, functional
testing, bench testing and operational checks). The results shall be described or referenced in block 12.
MODIFIED
Alteration of an item to conform to an applicable standard*
* Applicable standard means a manufacturing/design/maintenance/quality norm, method, technique or practice approved by or acceptable to
the Competent Authority. The Applicable Standard shall be described in block 12.
12
State any information in this block, either directly or by reference to supporting documentation, necessary for the user or installer to
determine the airworthiness of the item in relation to the work being certified. If necessary a separate sheet may be used and referenced from
the main Certificate. Each statement must be clearly identified as to which item in block 6 it relates. If there is no statement, state 'None'.
Examples of statements in block 12 are:
+
Maintenance documentation used, including the revision status.
Compliance with airworthiness directives or service bulletins.
Repairs carried out.
Modifications carried out.
Replacement parts installed.
Life limited parts status.
Deviations from the customer work order.
Release statements to satisfy a foreign CAA maintenance requirement.
For tire wheel assembly return to service, tire PN, SN, manufacturers name and the new/ retread status of the tire installed shall be
specified. In addition, if the tire is a retread, the retread level or number must also be included.
If printing the data from an electronic EASA Form 1 any data not appropriate in other blocks should be entered in this block.
13a-13e
Cross through
14a
Mark the appropriate box(es) indicating which regulations apply to the completed work. If the box other regulations specified in block 12
is marked, then the regulations of the other airworthiness authority(ies) must be identified in block 12. At least one box must be marked, or
both boxes may be marked, as appropriate
14b
This space shall be completed with the signature of the authorised person. Only persons specifically authorised under the rules and policies
of the Competent Authority are permitted to sign this block. To aid recognition, a unique number identifying the authorised person may be
added.
14c
Preprinted with approval/authorisation number/reference. This number or reference is issued by the Competent Authority.
14d
Enter the name of the person signing block 14b in a legible form.
Enter the date on which block 14b is signed.
The date must be in the format dd/mmm/yyyy
(dd = 2 digit day, mmm = first 3 letters of the month, yyyy = 4 digit year).
14e
EASA Form 2
European Aviation Safety Agency (EASA)
Competent authority
Type of application
Type of changes
initial application
change
revision of initial application
Notification of surrender
Organisation name
Address(s)
Nominated persons
rating(s)
Contact detail(s)
Number of staff
Part-145 approval reference
EASA.145.0
Part-M/G approval reference
EASA.MG.0
Enter Not applicable in case of application for initial grant.
1. Applicant Name
1. Registered name of applicant
Enter the Registered name of applicant as specified in the Certificate of Incorporation (C of I)
2. Trading name (if different)
2. Applicant Postal Address
1.Postal Address
3.
Address of site(s) requiring approval
1. Principal Place of Business address
Enter the Principal Place of Business as per EC Regulation 2042/2003 article 2(m) as amended by EC Regulation 127/2010
2. Base, Engine and Component Maintenance site(s) (if different from the Principal Place of Business)
Enter Not applicable in the case the maintenance site is the same as the PPB or in the case of EASA Form 2 used for Part M Subpart G applications/approvals.
3. Line maintenance location(s):
Enter Not applicable in the case the maintenance site is the same as the PPB or in the case of EASA Form 2 used for Part M Subpart G applications/approvals.
..
EASA Form 2
Issue 1, 23/07/2013
Foreign Part 145 and Part M Subpart G

Approvals
Page 1 of 4
EASA Form 2
4. Quality Manager Contact Details

Name
Position
Tel Number
Fax Number
Quality E-mail
Organisation
generic E-mail
5. Scope of Part-145/Part M Subpart G Approval relevant to this application
Enter the type of request(s) the organisation is applying to - Complete page 3 or 4 (as applicable) for details of the scope of work
Principal Place of Business
6. Staff number
Base Maintenance site(s)
Line Maintenance site(s)
a) Employees
b) Contractors
a) The total number of staff employed by the organisation in order to comply with EASA Part-145/Part M Subpart G
b) The number of contracted staff associated with the proposed approval
c) Enter Not Applicable in Base Maintenance and Line Maintenance boxes in case of EASA Form 2 used for Part M Subpart G applications/approvals.
7. Certificate of Incorporation
Date of Certificate of Incorporation
Regulation (EC) No. 2042/2003 specifies that an approval may be granted to an organisation which may be either a natural person, a legal entity or part of a legal
entity. Please include with this application the confirmation of the legal status of your organisation and enclose a copy of your Certificate of Incorporation.
8. Other EASA approval (s) hold by the applicant

POA
DOA
MTOA
CAMO
9. Proposed (*) Accountable Manager Contact Details

Name
Position
Tel Number
Fax Number
E-mail Address
Place
Date
Signature of the (proposed*) Accountable Manager
* Proposed is applicable only in the case of a new Part-145/Part M Subpart G Applicant
Note (1) where to send the application: by email to Foreign145@easa.europa.eu or Foreigncamo@easa.europa.eu, by Fax: +49 221
89990999 or by mail to European Aviation Safety Agency, Postfach 10 12 53, DE-50452, Cologne Germany.
Note (2) Fees Payable: In accordance with the current Fees and Charges Regulation applicants and holders of Agency approvals are required to supply a
signed Form 2 application from an authorised representative of the organisation concerned regarding the elements detailed in this Form 2 in order for the
Agency to be able to determine the corresponding fee category. Please provide the following information. For detailed information regarding the current Fees
and Charges please refer to the EASA Fees and Charges Regulation which can be found on the EASA web site www.easa.europa.eu
EASA Form 2
Issue 1, 23/07/2013

Approvals
Page 2 of 4
EASA Form 2
CLASS
SCOPE OF REQUESTED PART-145 APPROVAL (*)

RATING
LIMITATION
A1
Aeroplanes/airships above 5700 Kg
BASE
LINE
Quote the expected aircraft type to be added and / or

deleted. Refer to Appendix I to AMC to Part-66 as
amended by ED decision 2010/011/R and its successive
issues.
[YES/ NO]*
[YES/ NO]*
A2
Aeroplanes/airships 5700 Kg and
below

issues.
[YES/ NO]*
[YES/ NO]*
A3
Helicopters

issues.
[YES/ NO]*
[YES/ NO]*
Quote aircraft type or group
[YES/ NO]*
[YES/ NO]*
AIRCRAFT
A4
Aircraft other than A1, A2 or A3
B1
Turbine
ENGINES
Quote the expected engine type(s) to be added and / or deleted as defined in the engine
TCDS.
B2
Piston
Quote engine manufacturer or group or type ) to be added and / or deleted as defined by

the OEM
B3
APU
COMPONENTS
OTHER THAN
COMPLETE
ENGINES OR
APUs
SPECIALISED
SERVICES
SPECIALISED
ACTIVITIES
C1
Air Cond & Press
C2
Auto Flight
C3
Comms and Nav
C4
Doors Hatches
C5
Electrical Power & Lights
C6
Equipment
C7
Engine APU
C8
Flight Controls
C9
Fuel
C10
Helicopter Rotors
C11
Helicopter Trans
Quote the expected APU type(s) to be added and / or deleted as defined by the OEM
[Shall state aircraft type or aircraft manufacturer or component manufacturer or the

particular component and/or the maintenance task(s) and/or cross refer to a
capability list in the exposition].
C12
Hydraulic Power
C13
Indicating/recording system
C14
Landing Gear
C15
Oxygen
C16
Propellers
C17
Pneumatic & Vacuum
C18
Protection ice/rain/fire
C19
Windows
C20
Structural
C21
Water ballast
C22
Propulsion Augmentation
D1 Non Destructive Testing
C ratings to be ticked where necessary
Eddy Current Inspection

Liquid Penetrant Inspection
Magnetic Particle Inspection
Radiography Inspection
Shearography Inspection
Thermography Inspection
Ultrasonic Inspection
Other Method
Shall state particular NDT method(s)
Quote specialised activities (such as NDT, painting, welding, plating, plasma spray, heat treatment, etc.) intended to be performed
in the course of maintenance under any rating (Ax, Bx or Cx). These activities do not need to be mentioned if contracted to
another EASA Part 145 AMO (as listed in MOE chapter 5.4).
(*): in case of application for change of the scope of work, only the parts of this table affected by the change shall be compiled.
EASA Form 2
Issue 1, 23/07/2013

Approvals
Page 3 of 4
EASA Form 2
SCOPE OF REQUESTED PART-M Subpart G APPROVAL
Aircraft
Manufacturer
Self explanatory
Aircraft type
Quote the aircraft type and the engine
type fitted thereon
Aircraft
Registration
Approved Maintenance
Programme reference
Self explanatory
Self explanatory
Sub-contracted Organisations Working Under this Approval:

End of form
EASA Form 2
Issue 1, 23/07/2013

Approvals
Page 4 of 4
EASA Form 4
European Aviation Safety Agency
[Competent Authority]
1. Details of Management Personnel required to be accepted as specified in Part2. Title / First Name / Surname:
To complete a text box, right click the box, choose Text Box Object>Edit then type your response.
3. Position within the Organisation:
4. Qualifications relevant to the item (3) position:
Use Shift+Return to start a new line in the text box.
5. Work experience relevant to the item (3) position:
6. Organisation:
7. Approval Number relevant to the item (1):
Signature:
Date:
Competent Authority use only

Name and signature of authorised competent authority staff member accepting this
person:
Signature:
Date:
Name:
Office:
End of Form
ED Decision 2003/19/RM (28/11/2003)
Page 1 of 1
04/12/2006
SERVICE DIFFICULTY REPORT (Online)

1. Submitter Information
(a) Unique Control #
(b) Difficulty Date
(c) Registration #
(d) Submitter Type
(mm/dd/yyyy)
2. Codes
(a) Operator Designator
--Choose Type--
(b) Operator Type
(c) JASC/ATA Code

(d) Stage of Operation
(e) How Discovered
(f) Nature of Condition
(g) Precautionary Procedures
(h) FAA Region
(i) District Office
(j) Flight Number
3. Major Equipment Identity

Manufacturer
Model
Serial Number
Total Time
(hours)
Total Cycles
(a) Aircraft
(b) Engine
(c) Propeller
4. Problem Description
(Note: Please limit your description to 1500 characters.)
5. Specific Part or Structure Causing Difficulty

(a) Part Name
(b) Manufacturer's Name
(c) Part Number
(d) Serial Number
(e) Part Condition
(f) Part/Defect Location
(g) Total Time (hours)
(h) Total Cycles
(i) Time Since (hours)
--Choose Location-Overhaul
OR
Repair
Inspection
FAA Service Difficulty Reporting (Online)
Local Production Authorized
6. Component/Assembly That Includes Defective Part

(a) Component Name
(b) Manufacturer's Name
(c) Part Number
(f) Location
(g) Total Time (hours)
(h) Total Cycles
(d) Serial Number
(e) Model Number
(i) Time Since (hours)

Overhaul
Repair
Inspection
7. Submitted By
(This Information is used by the FAA to contact you, only if additional information about the submission is needed and then is removed.)
Name
Telephone
Email Address
Instructions for Completing FAA Form Service Difficulty Report

.
1.
Submitter Information
a. Input not allowed, it is used by FAA as a reference to particular SDR.
b. Date on which the service difficulty was discovered. Formatted as mm/dd/yyy
c. The aircraft registration number.
2.
d. Preprinted with B (REPAIR STATION PART 145)- no further entry required.

Codes
a. Input not allowed, the designator for the operator assigned to the aircraft.
b. Preprinted with Air Carrier- no further entry required.
c. ATA codes with detail in four (4) digits.
Ex. 1210-Fuel Servicing; 1220-Oil Servicing.
d. Preprinted with AA (AIR AMBULANCE) or AB (AEROBATIC) or AG (AGRICULTURE) or AP (APPROACH) or CL (CLIMB) or CR
(CRUISE) or DE (DESCENT) or EX (EXTERNAL LOAD) or FF (FIRE LIGHTING) or HO (HOVERING) or IN (INSP/MAIN) or NR
(NOT REPORTED) or TO (TAKEOFF) or TX (TAXI/GRND HDL) or UK (UNKNOWN) - no further entry required.
e. A code indicating how the difficulty was discovered. Preprinted with 9 (Unknown) or B (Boroscope) or C (Functional Check) or D
(Dye Penetrant) or E (Eddy Current) or L (Light Source) or M (Magnetic Particle) or O (Other) or T (Thermal) or U (Ultrasonic) or V
(Visual) or W (Magnified Visual) or X (X-Ray) - no further entry required.
f. A code describing the nature of the condition associated with the difficulty, preprinted with A (FLAME/FIRE) or B
(SMOKE/FUMES/ODORS/SPARKS) or C (F.O.D) or D (INFLIGHT SEPARATION) or E (VIBRATION/BUFFET) or F (FLT CONT
AFFECTED) or G (MULTIPLE FAILURE) or H (ELECT POWER LOSS-50 PC) or I (FLT. ATTITUDE INST) or J (WARNING
INDICATION) or K (FLUID LOSS) or L (NO TEST) or M (OVER TEMP) or N (FALSE WARNING) or O OTHER or P (NO
WARNING INDICATION) or R (PARTIAL RPM/PWR LOSS) or S (AFFECT SYSTEMS) or T (ENGINE CASE PENETRATION) or
W (INADEQUATE Q C) or X (ENGINE FLAMEOUT) or Y (ENGINE STOPPAGE) or Z (SIGNIFICANT FAILURE REPORT) - no
further entry required.
g. A code describing the actions taken in precaution to the discovery of the reported difficulty, preprinted with A (UNSCHED
LANDING) or B (EMER. DESCENT) or C (ABORTED TAKEOFF) or D (RETURN TO BLOCK) or E (ENGINE SHUTDOWN) or F
(ACTIVATE FIRE EXT) or G (O2 MASK DEPLOYED) or H (DEACTIVATE SYST/CIRCUITS) or I (CABIN DEPRESSURIZATION)
3.
or J (DUMP FUEL) or K (NONE) or L (ABORTED APPROACH) or O (OTHER) or R (AUTOROTATION) - no further entry required.
h. The FAA region as assigned by FAA personel.
i. The assigned Flight Standards District Office (FDSO) number.
j. The flight number on which the service difficulty occurred.
Major Equipment Identity
a. Choose the applicable Manufacturer, Model, Serial Number, Total Times (hour) of, and Total Cycle of the Aircraft.
4.
5.
b. Choose the applicable Manufacturer, Model, Serial Number, Total Times (hour) of, and Total Cycle of the Engine.
c. Choose the applicable Manufacturer, Model, Serial Number, Total Times (hour) of, and Total Cycle of the Propeller.
Problem Description
Used to clearly identify and describe the details of the failure/malfunction/defect. Provide any significant facts leading up to the
difficulty and, if available, any corrective action. Details of the condition of the part/assembly that caused the difficulty should be
included.
Specific Part or Structure Causing Difficulty
a.
b.
c.
d.
e.
f.
6.
The part name as defined by the manufacturer.

The manufacturer of the part, choose one applicable name that are listed.
The part number, assigned by manufacturer.
The serial number, assigned by manufacturer of the part.
The condition of the part; avoid generic terms such as unenviable or repairable, choose applicable one that are listed.
A general defect location. When possible be specific by using the below textbox instead.
g. The total time for part in hours.

h. The total cycles for part.
i. The total time the part has been in service, since its most recent overhaul/repair/inspection, in hours.
Component/Assembly That Includes Defective Part
a. The component name as defined by manufacturer.
7.
b. The manufacture of the component, choose applicable one that are listed.
c. The component part number that assigned by manufacturer.
d. The serial number, assigned by manufacturer of the part.
e. The model number, assigned by manufacturer of the component.
f. The location of the component/ assembly.
g. The total time for component in hours.
h. The total cycles for component.
i. The total time the component has been in service, since its most recent overhaul/repair/inspection, in hours.
Submitted By
Name
Telephone
Emails address
The name of person doing submission.

Phone number to be used by FAA quality assurance to assist in verifying information about the submission.
Email address to be used by FAA quality assurance to assist in verifying information about the submission.
1. Approving Civil Aviation Authority/Country:
FAA/United States
2.
3. Form Tracking Number:

FAA Form 81303, AIRWORTHINESS APPROVAL TAG
4. Organization Name and Address:
6. Item:
7. Description:
FAA Repair Station Certificate No.:
8. Part Number:
9. Quantity:
10. Serial Number:
5. Work Order/ Contract/

Invoice Number:
11. Status/Work:
12. Remarks:
13a. Certifies the items identified above were manufactured in conformity to:
14a.
14 CFR 43.9 Return to Service
Other regulation specified in Block 12
13b. Authorized Signature:
13c. Approval/Authorization No.:
Certifies that unless otherwise specified in Block 12, the work identified in
Block 11 and described in Block 12 was accomplished in accordance with Title
14, Code of Federal Regulations, part 43 and in respect to that work, the items
are approved for return to service.
14b. Authorized Signature:
14c. Approval/Certificate No.:
13d. Name (Typed or Printed):
13e. Date (dd/mmm/yyyy):
14d. Name (Typed or Printed):
Approved design data and are in a condition for safe operation.

Non-approved design data specified in Block 12.
14e. Date (dd/mmm/yyyy):
User/Installer Responsibilities
It is important to understand that the existence of this document alone does not automatically constitute authority to install the aircraft engine/propeller/article.
Where the user/installer performs work in accordance with the national regulations of an airworthiness authority different than the airworthiness authority of the country specified in Block 1, it is essential that the
user/installer ensures that his/her airworthiness authority accepts aircraft engine(s)/propeller(s)/article(s) from the airworthiness authority of the country specified in Block 1.
Statements in Blocks 13a and 14a do not constitute installation certification. In all cases, aircraft maintenance records must contain an installation certification issued in accordance with the national regulations by the
user/installer before the aircraft may be flown.
FAA Form 81303 (0214)
NSN: 0052-00-012-9005
Instructions for the completion of FAA 8130-3 Authorized Release Certificate

This form is used to approve for return to service of products and articles. Line by line instruction for completion of FAA Form 8130-3 as follows:
Block No
Required Entry
1
Enter a VAECO generated tracking number.
- Organization Name and Address: Preprinted with Vietnam Airlines Engineering Company Ltd. (VAECO), Noi Bai International Airport, Hanoi,
Vietnam for Hanoi main facility or Vietnam Airlines Engineering Company Ltd. (VAECO), Tansonnhat International Airport, Hochiminh city,
Vietnam for Hochiminh city satellite facility.
- FAA Repair Station Certificate No.: Preprinted with V48Y426B for Hanoi main facility or V48Z426B for Hochiminh city satellite facility.
Enter Customer's Purchase Order Number or the VAECO Work Request Number.
A single item number or multiple item numbers (for example, same item with different serial numbers) may be used for the same part number.
Multiple items should be numbered in sequence. If a separate list is used, enter "List Attached".
Enter the Name/Description of the Product. Preference should be given to the term used in the instructions for continued airworthiness or
maintenance data (for example, illustrated parts catalog, aircraft maintenance manual, or service bulletin).
Enter each part number of the product or article. In case of an aircraft engine or propeller, the model designation may be used. If the article
being worked is a subassembly that does not have a part number of its own, enter the next higher assembly number followed by the word
subassembly.
Enter the quantity of each product or article shipped.
10
Enter Part Serial Number. If none, enter "N/A". If a specific batch or lot number is used, refer to the instructions for Block 12.
11
As applicable, enter "REPAIRED", "INSPECTED/TESTED", "OVERHAULED", or "MODIFIED". Only one term may be entered which
should reflect the majority of the work performed.
Enter
For
OVERHAULED
A process that ensures the product or article is in complete conformity with the applicable service tolerances
specified in the type certificate holders or equipment manufacturers instructions for continued airworthiness, or
in the data approved or accepted by the authority. The product or article will be at least disassembled, cleaned,
inspected, repaired as necessary, reassembled, and tested in accordance with the approved or accepted data.
REPAIRED
Repair of defect(s) using an applicable standard.
INSPECTED and/or
TESTED
Examination or measurement in accordance with an applicable standard (for example, visual inspection, functional
testing, or bench testing).
MODIFIED
Alteration of a product or article to conform to an applicable standard.
12
13a
Enter a description of the work performed, including any results necessary for the user or installer to determine the airworthiness of the product
or article, information or references to support documentation necessary for the user to make a final determination of airworthiness of the
products listed. Examples of information to be supplied are as follows:
- The identity of maintenance documentation used as the approved standard. Include the revision status and date.
- Compliance with ADs or SBs. Include the revision status and date.
- Repairs or modifications made.
- Replacement/ modification parts installed.
- Life limited parts history.
- If a specific batch or lot number is used to control or trace the product or article, enter the batch or lot number in this block.
- Deviations from the customers work order.
- Identity of national regulation if not part 145.
- Release statements to satisfy another CAAs maintenance requirement.
- Information needed to support shipment with shortages or re-assembly after delivery.
- For tire wheel assembly return to service, tire PN, SN, manufacturers name and the new/ retread status of the tire installed shall be specified.
In addition, if the tire is a retread, the retread level or number must also be included.
Cross through
13b
Cross through
13c
Cross through
13d
Cross through
13e
Cross through
14a
Check the appropriate box indicating which regulations apply to the completed work. If the box Other regulations specified in Block 12 is
checked, the regulations of the other aviation authority must be specifically identified in block 12. The completed work can be accomplished
i/a/w the regulations of the FAA or of another aviation authority. The data used to complete the work must be clearly stated in block 12.
14b
Enter the signature of the individual authorized to approve for return to service.
14c
Preprinted with V48Y426B for Hanoi main facility or V48Z426B for Hochiminh city satellite facility.
14d
Enter the typed / printed name of the authorized representative whose signature appears in Block 14b
14e
Enter the date on which the original work was completed. The date must be in the following format: two-digit day, first three letters of the
month, and four-digit year, for example, 03 Feb 2008. This does not need to be the same as the printing or shipping date, which may occur later.
The use or omission of slashes, hyphens, or spaces in the date does not matter.
Lost FAA Form 8130-3:

If a copy of an FAA Form 8130-3 is requested, correlation must be established between FAA Form 8130-3 and the applicable product(s) or article(s). The
originator must retain a copy of each FAA Form 8130-3 issued to allow verification of the original data. There is no restriction on the number of copies of
FAA Form 8130-3 that may be sent to the customer or retained by the originator.
Re-issuance of Form 8130-3 Because of Typographical Errors on the Original:
The originator may reissue FAA Form 8130-3 to correct typographical errors.
a. The recipient of the incorrect FAA Form 8130-3 must provide a written request and a copy of the incorrect FAA Form 8130-3 to the originator.
b. The request for a corrected FAA Form 8130-3 may be honored without re-verification of the product or article condition. The reissued FAA Form 8130-3 is
not a statement of current condition and must refer to the FAA Form 8130-3 being corrected. Include this reference in Block 12 using the following statement:
This FAA Form 8130-3 corrects the error(s) in Block(s) [enter block number(s) corrected] of the FAA Form 8130-3 [enter form tracking number] dated
[enter issuance date] and does not cover conformity/condition/release to service. The reissued form must be marked as such. Both forms must be retained
according to the retention period.
Note: Both forms should be retained according to the retention period associated with the original form.

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Vietnam Airlines Corporation

VIETNAM AIRLINES ENGINEERING COMPANY LTD.

A: Noi Bai International Airport, Hanoi, Vietnam T: 84-4-38843290 F: 84-4-38865176 W: www.vaeco.com.vn

VIETNAM AIRLINES ENGINEERING CO. LTD.