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7 Defect Report

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MAINTENANCE & ENGINEERING
Approved MOE Forms List EGME 501 Chapter: 1.1
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Defect Report
Overhaul and Back Shops

1. Defect Report No.: ..................................................................…………………..… 2. Date: .........…................……….

3. Work Order No.: ..................................................…………………………..………. 4. Date: .........…................……….

5. Send to: ...........................................................................................................……………...................……………………


……………………………………………………..……………………………………………………………………………………

Item Data

6. Description: ...............................................................................................................................………………..

7. Manufacturer: ……………………………………….…... 8. Manufacturer Code: …………………………………...

9. Part No. / Drawing No.: ....................................………..… 10. Serial No. : ..........................................………..........

11. Code No.: ........................................................................ 12. Quantity: ...................................................………..

13. Removed from: A/C Reg.:……………….Position………………… 15. T.S.N.:……………… 16. T.S.L.S.V:…..…….

14. A/C Type: ....................……………………………..……………. 17. C.S.N.:……………. 18. C.S.LS.V: ………

19. NHA Description: ............………………………..………...… 20. NHA P/N: ………… 21. NHA S/N: ……..

22. Reason for Removal

…………………………………………………………………………………………………………………...…....……
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
………

23. Work to be Carried-out

……………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………
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……………………………………………………………………………………………………………………………………………

24. Required AD/CN/SB/Modifications to be carried out


……………………………………………………………………………………………………….……………………………………
………………………………………………………………….…………………………………………………………………………
……………………………………………………………………………………………………………………………………………

25. Production Engineer: …………………… 26. Support Engineer: ……………… 27. Date: ………………

28. Enclosures: ………………………………………………………………………………………………………………………..

29. Warranty Claim No., if applicable.:………………………………………………………..……………………………..


…………………………………………………………………………………………………………………………….……………….
N.B.:
1- If item is beyond economic repair, advise in advance
2- Shop findings report includes incoming inspection findings, investigation & required corrective action.

Form 136

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Issue: 1 Amendment: 0
Issue Date: June. 2012 Page 49 of 210

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