Maintenance Facility Name
AMO / Part-145 Certificate #
Work Order / Task Card ID
Aircraft Registration (Tail #)
Aircraft Make / Model / Series
Aircraft Serial Number (MSN)
Total Airframe Hours (TSN) in Hours
Total Airframe Cycles (CSN) in Cycles
Maintenance Check Type
Line Maintenance
A-Check
C/D-Check
Unscheduled
To be completed by the licensed engineer performing part removal:
Part Name / Nomenclature
ATA Chapter & Section Code
Part Number (P/N)
Serial Number (S/N)
Position / Position Code
#1 Eng
#2 Eng
L/H
R/H
APU
Accumulated Hours / Cycles
Reason for Removal
Failed/Defective
Time Expired
Robbery/Swap
Removal Date & Time
Removing Technician Signature
License #
To be completed by the licensed engineer performing part installation:
Part Name / Nomenclature
Part Number (P/N)
Serial Number (S/N)
Airworthiness Certification Tag ID: Form 8130-3 / EASA Form 1 #
Component Condition
New / Factory
Overhauled
Serviceable
Installation Date & Time
Installing Technician Signature
Check and verify all required post-installation safety actions:
Verification Step | Pass | Fail | N/A | ||
|---|---|---|---|---|---|
1 | Part number approved per Aircraft Illustrated Parts Catalog (IPC)? | ||||
2 | Torques applied to specified manual limits and wire-locked / cotter-pinned? | ||||
3 | Operational BITE test / functional test performed without fault? | ||||
4 | Leak check / pressure test completed satisfactorily (if applicable)? | ||||
5 | Foreign Object Debris (FOD) sweep completed in work area? |
Provide detailed technical notes regarding the failure symptoms or removal cause:
Authorized Certifying Staff Attestation:
"I certify that the component replacement detailed above has been performed in accordance with applicable airworthiness requirements, approved maintenance manuals, and regulation standards, and in respect to that work, the aircraft/component is considered ready for release to service."
A&P / LAE License Number
Certifying Inspector Signature
Release Date & Time
Form Template Insights
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The form is structured around six distinct operational blocks that mirror the physical workflow of aircraft maintenance:
Mandatory Questions Recommendation
Important Note:
This section explains why certain fields in this form are marked as required and provides general guidance on how these requirements may support the collection of complete, accurate and relevant information.
Required fields and information-collection obligations may vary depending on your industry, jurisdiction, business operations and intended use of the form. A field marked as required in this template does not necessarily mean that collecting the information is legally mandatory.
Please review each required field to determine whether it is necessary, appropriate and lawful for your particular purpose. Consider applicable privacy, data protection, consent and industry-specific requirements, and consult an appropriately qualified legal, privacy or compliance professional where necessary.
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The five mandatory fields on the Aircraft Maintenance, Part Removal & Installation Log Form, along with the legal, regulatory, and flight safety reasons why they cannot be skipped, are detailed below.