Provide complete aircraft and incident details to establish traceability and operational impact assessment. All fields marked mandatory are required for regulatory compliance and insurance documentation.
Aircraft Tail Number/Registration Mark
Aircraft Manufacturer and Model
Aircraft Serial Number (MSN)
Original Flight Number
Scheduled Flight Route Details
Origin Airport (IATA/ICAO) | Scheduled Departure | Destination Airport (IATA/ICAO) | Scheduled Arrival | ||
|---|---|---|---|---|---|
A | B | C | D | ||
1 | JFK/KJFK | 1/15/2024, 2:30 PM | LHR/EGLL | 1/16/2024, 6:00 AM | |
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10 |
Actual Grounding Date/Time (UTC)
Grounding Location - Airport Name and ICAO Code
Specific Ground Position (Gate, Hangar, Stand Number)
Detailed Physical Location Description
Is the aircraft location accessible 24/7 for emergency deliveries?
Describe access restrictions and required coordination:
Primary Reason for Grounding (Technical Fault Description)
ATA Chapter Reference
Troubleshooting Actions Already Performed
Operational Impact Assessment - Select all affected areas
Passenger Disruption (Delays/Cancellations)
Crew Duty Time Limitations
Downline Flight Rotations
Cargo/Logistics Chain Impact
Hub Connectivity
Charter/Lease Contractual Penalties
Maintenance Schedule Cascade
Spare Aircraft Availability
Number of Passengers Directly Affected
Number of Downline Flights Cancelled or Delayed
Is this aircraft designated as a 'Lead Aircraft' for a fleet modification program?
Provide program name and impact of delay:
Complete part identification and certification data is mandatory for regulatory compliance. Incomplete traceability may result in rejection of the part for installation. All fields in this section are considered safety-critical.
Part Number (P/N) - Manufacturer
Alternate Part Number (if applicable)
Serial Number (S/N) of the REQUIRED spare part
Part Nomenclature/Description
ATA Chapter
Exact Failure Mode and Symptoms Observed
Aircraft Maintenance Manual (AMM) Reference for Replacement
Illustrated Parts Catalog (IPC) Reference
Is this a 'No-Go' item per MEL/CDL?
CRITICAL: AOG classification confirmed. Expedited dispatch protocols are mandatory. Ensure Section 3 logistics are marked as 'Emergency Courier'.
Required Airworthiness Certification Form
FAA Form 8130-3 (Authorized Release Certificate)
EASA Form 1 (Airworthiness Approval Tag)
Dual Release (FAA & EASA)
Manufacturer Certificate of Conformance (C of C) only
Not Known/To Be Determined
Does your regulatory authority accept C of C for this part classification?
ALERT: You must obtain FAA Form 8130-3 or EASA Form 1 before part acceptance. Dispatch may be delayed.
Explain certification investigation plan:
Does the replacement part require 'New' condition or is 'Serviceable' (Overhauled) acceptable?
NOTE: 'New' condition requirement may significantly limit supplier options and increase cost. Verify with engineering if 'Serviceable' can be accepted via Alternative Parts Request.
Preferred Supplier/Vendor Name
Supplier Certificate Number
Is the part available from in-house inventory or another company aircraft (cannibalization)?
Source Location/Aircraft Tail Number:
Has an Engineering Order (EO) or Alternative Parts Request been submitted for this part?
EO/APR Number and Approval Date:
Upload Preliminary Fault Isolation Report (PDF)
Upload Digital Photographs of Failed Component and Installed Location
Time-critical logistics planning is essential for AOG recovery. This section captures procurement decisions, shipping methodology, and regulatory compliance for cross-border part movement. Incomplete customs documentation is a primary cause of AOG delays.
Primary Sourcing Strategy
Direct from OEM with Emergency Shipping
In-Stock at Regional Distribution Center
Hand-Carry via On-Board Courier (OBC)
Aircraft-on-Ground (AOG) Desk Charter Service
Cannibalization from Company Fleet
Third-Party AOG Logistics Provider
Inter-airline Borrow Agreement
On-Board Courier Contact Name and Mobile Number:
Charter Service Provider and Flight Number:
Third-Party AOG Provider Name and Reference Number:
Lending Airline and Interline Agreement Reference:
Does this shipment require customs clearance (cross-border/international)?
Customs Pre-Coordination Status - Select all completed actions
ATA Carnet Prepared
Temporary Import Bond (TIB) Secured
EORI/Customs ID Number Verified
HS Tariff Code Classified
Commercial Invoice and Packing List Prepared
Phytosanitary/CITES Certificate (if applicable)
Pre-Clearance with Local Customs Authority
24/7 Customs Broker Contact Established
Cost Authorization and Budget Impact
Cost Category | Estimated Cost | Approved Budget Limit | Cost Center/WBS Code | Approved by Finance | ||
|---|---|---|---|---|---|---|
A | B | C | D | E | ||
1 | Part Unit Cost | $0.00 | $0.00 | |||
2 | Emergency Shipping/OBC | $0.00 | $0.00 | |||
3 | Customs Duties/Taxes | $0.00 | $0.00 | |||
4 | Installation Labor (Overtime) | $0.00 | $0.00 | |||
5 | ||||||
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Purchase Order (PO) Number or Emergency Procurement Reference
Supplier Contact Name (24/7 Emergency Line)
Supplier Emergency Phone/Mobile
Supplier Email for Documentation
Physical Shipping Origin Address
Final Delivery Destination Address
Latest Acceptable Delivery Time (Aircraft UTC)
Is a backup/secondary part source identified?
Backup Supplier and Part Availability Details:
Does the part require special handling (HazMat, ESD, temperature-controlled)?
Select all applicable special handling requirements
HazMat Declaration Required
Electrostatic Discharge (ESD) Packaging
Temperature-Controlled Transport (+2°C to +8°C)
Fragile/Shock-Resistant Packaging
Magnetized Material
Dangerous Goods (IATA DGR)
Shipment Tracking Number(s) and Real-Time Tracking URL
Logistics Risk Assessment - Probability of On-Time Delivery
Very Low (0-20%)
Low (21-40%)
Medium (41-60%)
High (61-80%)
Very High (81-100%)
This section ensures installation is performed per approved data and verified through systematic testing. All steps must be completed before Return to Service (RTS) sign-off. Any deviation requires Engineering concurrence.
Lead Aircraft Maintenance Technician (LMT) Name
LMT License/Authorization Number
Additional Mechanics Assigned (Names and Licenses)
Does this installation require specialized tooling or ground support equipment?
List all special tooling, part numbers, and calibration due dates:
Does the AMM require an Engine Ground Run or System Operational Test?
Select all required post-installation tests
Engine Ground Run - Low Power
Engine Ground Run - High Power
Engine Ground Run - Full Throttle
System BITE Test
Leak Check (Pressurized System)
Functional Check Flight (FCF)
APU Ground Run
Electrical Load Test
Is a Licensed Aircraft Maintenance Engineer (LAE) Inspector required for witness/verification?
Inspector Name and Authorization:
Installation Step-by-Step Verification Checklist
AMM Step Reference | Action Performed | Completed | Technician Initials | Completion Time (UTC) | ||
|---|---|---|---|---|---|---|
A | B | C | D | E | ||
1 | AMM 73-31-00-000-801-A00 | Remove LH Engine FCU access panel | Yes | 1/15/2024, 6:30 PM | ||
2 | AMM 73-31-00-000-801-A20 | Disconnect fuel lines and electrical connectors | Yes | 1/15/2024, 6:45 PM | ||
3 | AMM 73-31-00-000-801-A40 | Remove FCU mounting bolts and extract unit | Yes | 1/15/2024, 7:00 PM | ||
4 | ||||||
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10 |
Were any installation difficulties or defects discovered during removal/installation?
Describe discrepancy and corrective action taken:
Was the replacement part physically inspected upon receipt?
Receipt Inspection Results - Select all verified conditions
No Physical Damage (Shipping or Handling)
Correct Part Number Verified
Serial Number Matches Documentation
8130-3/EASA Form 1 Present and Valid
ESD Packaging Intact (if applicable)
Manufacturing Date Acceptable (not shelf-life expired)
All Required Labels and Placards Present
Pre-Flight System Check Results and Parameters Recorded
Is a post-maintenance test flight required before commercial release?
Test Flight Profile and Restrictions:
Upload Completed Installation Work Order/Task Card (PDF)
Upload Post-Installation System Test Printout/Digital Log File
Final authorization requires dual sign-off from both technical and operational leadership. This certifies that all maintenance actions are complete, verified, and comply with regulatory requirements. The aircraft is safe for flight and operational risks are acknowledged and accepted.
Lead Aircraft Maintenance Technician (LMT) Full Name
LMT License Number and Issuing Authority
LMT Sign-Off Timestamp (UTC)
LMT Confirmation: I have personally performed or directly supervised all maintenance actions. All steps have been completed per approved data, required inspections passed, and the aircraft is safe for the intended operation.
Did the LMT identify any open deferred defects or carry-over items?
List all deferred defects with MEL/CDL reference and expiry:
AOG Operations Director Full Name
AOG Operations Director Employee ID or Authorization Code
AOG Operations Director Sign-Off Timestamp (UTC)
AOG Operations Director Confirmation: I accept operational risk and authorize Return to Service. All stakeholders have been notified and flight planning is coordinated.
Are there any operational restrictions or limitations for the next flight?
Detail all operational restrictions (MEL items, performance penalties, routing limitations):
Final Aircraft Status
Fully Serviceable - No Restrictions
Serviceable with MEL/CDL Deferrals
Serviceable with Performance Penalties
Test Flight Required - Not for Commercial Service
Maintenance Incomplete - Do Not Release
Actual Time of Return to Service (TAT)
Total Aircraft Ground Time (Hours)
Post-Dispatch Monitoring Requirements (e.g., trend monitoring, repetitive inspections)
Has the Flight Operations team been briefed on the maintenance performed?
Has the Crew Scheduling team been updated on aircraft availability?
Has the Ground Operations team been notified for pushback and departure sequencing?
Lead Aircraft Maintenance Technician Digital Signature
AOG Operations Director Digital Signature
Upload Final Technical Logbook Entry (PDF)
Upload Completed Airworthiness Release Certificate (ARC) / Form
Complete documentation distribution ensures regulatory compliance and provides an audit trail for quality assurance and continuous improvement. All stakeholders must receive relevant excerpts of this authorization form.
Select all departments that must receive a copy of this completed dispatch authorization
Quality Assurance (QA) / Compliance
Reliability Engineering
Flight Operations/Dispatch
Crew Scheduling
Ground Operations
Finance/Procurement
Regulatory Affairs
Insurance/Risk Management
Fleet Management
Technical Records/Archives
Form Completed By (Name)
Form Completion Timestamp (UTC)
Will this AOG event trigger a formal Reliability Investigation?
Reliability Investigation Reference Number:
Will this AOG event be reported to the aircraft manufacturer via Technical Service Request (TSR)?
TSR Number:
Overall AOG Response Effectiveness Rating (1=Poor to 5=Excellent)
Lessons Learned and Process Improvement Recommendations
To configure an element, select it on the form.