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
Please remove this form template insights section before publishing.
The form is structured around six distinct operational blocks that mirror the physical workflow of aircraft maintenance:
Mandatory Questions Recommendation
Please remove this mandatory questions recommendation section before publishing.
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.