LOG CARD Section 1

NOTICE:THIS FORM, DULY UPDATED, MUST FOLLOW THE ASSY ATA Chapter …………………………………

DESCRIPTION (1) P/N (2) S/N (3) MANUFACTURER NAME (4) ASSEMBLY/MANUFACTURING DATE (5) RETIREMENT LIFE / TIME LIMITS (6)

P/N (7) S/N (8) MANUFACTURER NAME (9) DATE OF CHANGE (10) RETIREMENT LIFE / TIME LIMITS (11)

P/N (7) S/N (8) MANUFACTURER NAME (9) DATE OF CHANGE (10) RETIREMENT LIFE / TIME LIMITS (11)

NOTES

ASSEMBLY HISTORICAL RECORD

INSTALLATION REMOVAL
A/C ASSY A/C ASSY
TOTAL FLIGHT TOTAL HOURS TIME SINCE OH TOTAL FLIGHT ACTUAL TOTAL TOTAL HOURS TIME SINCE OH
R. MARKS HOURS (15) (16) (17) HOURS (20) HOURS (21) (23)
WITH PENALTY
(13) ORGANIZATION, ORGANIZATION,
FACTOR (22)
DATE (12) TOTAL TOTAL LANDINGS STAMP AND DATE (19) TOTAL ACTUAL TOTAL LANDINGS REASON FOR REMOVAL (24) STAMP AND
LANDINGS (15) LANDINGS (16) SINCE OH (17) SIGNATURE (18) LANDINGS (20) LANDINGS (21) SINCE OH (23) SIGNATURE (25)
TOTAL LANDINGS.
S/N (14) TOTAL TOTAL TOTAL ACTUAL TOTAL WITH PENALTY
LIFTS/CYCLES LIFTS/CYCLES
LIFTS/CYCLES LIFTS/CYCLES LIFTS/CYCLES LIFTS/CYCLES FACTOR (22)
SINCE OH (17) SINCE OH (23)
(15) (16) (20) (21)

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 LOG CARD Section 2
NOTICE:THIS FORM, DULY UPDATED, MUST FOLLOW THE ASSY ATA Chapter …………………………………

COMPONENTS INSTALLED ON ASSY

ASSY P/N (26) ASSY S/N (27)

COMPONENT DATA INSTALLATION REMOVAL

ASSY COMPONENT ASSY COMPONENT
MANUFACTURING TOTAL TOTAL TIME SINCE OH TOTAL TOTAL TOTAL HOURS TIME
P/N (29) DATE (36) DATE (42)
DATE (31) HOURS (33) HOURS (34) (35) HOURS (38) HOURS (39) WITH PENALTY SINCE OH (41)
FACTOR (40)
DESCRIPTION (28) TOTAL TOTAL LANDINGS TOTAL TOTAL LANDINGS
LANDINGS (33) LANDINGS (34) SINCE OH (35) STAMP AND LANDINGS (38) LANDINGS (39) SINCE OH (41) STAMP AND
SIGNATURE TOTAL LANDINGS SIGNATURE
RETIREMENT LIFE / TOTAL TOTAL TOTAL
S/N (30) LIFTS/CYCLES (37) TOTAL WITH PENALTY LIFTS/CYCLES (43)
TIME LIMITS (32) LIFTS/CYCLES LIFTS/CYCLES LIFTS/CYCLES
SINCE OH (35) LIFTS/CYCLES (38) FACTOR (40) SINCE OH (41)
(33) (34) (39)

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 LOG CARD Section 3
NOTICE:THIS FORM, DULY UPDATED, MUST FOLLOW THE ASSY ATA Chapter …………………………………

ASSEMBLY ACTIVITY HISTORY

ASSY P/N (44) ASSY S/N (45)

TOTAL HOURS (47)

STAMP AND
DATE (46) TOTAL LANDINGS (47) TASKS (48) ACTIVITIES (49) ORGANIZATION (50)
SIGNATURE (51)
TOTAL LIFTS/CYCLES (47)

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 LOG CARD Section 4
NOTICE:THIS FORM, DULY UPDATED, MUST FOLLOW THE ASSY ATA Chapter …………………………………

AIRWORTHINESS DIRECTIVES AND BULLETINS COMPLIANCE

ASSY P/N (52) ASSY S/N (53)

AIRWORTHINESS DIRECTIVES AND MANDATORY BULLETINS OPTIONAL BULLETINS

AIRWORTHINESS DIRECTIVE/ MANDATORY BULLETIN
ASSY TOTAL HOURS (57) OPTIONAL BULLETIN NUMBER (59) ASSY TOTAL HOURS (57)
NUMBER (54)
ORGANIZATION STAMP AND ORGANIZATION STAMP AND
ASSY TOTAL LANDINGS (57) (58) SIGNATURE (59) ASSY TOTAL LANDINGS (57) (58) SIGNATURE (59)
DATE OF DATE OF
ISSUE / REVISION (55) ASSY TOTAL LIFTS/CYCLES ISSUE / REVISION (55) ASSY TOTAL LIFTS/CYCLES
COMPLIANCE (56) COMPLIANCE (56)
(57) (57)

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 LOG CARD Annex A
NOTICE:THIS FORM, DULY UPDATED, MUST FOLLOW THE ASSY ATA Chapter …………………………………

PENALTY FACTORS RECORD

ASSY/COMPONENT ASSY/COMPONENT ASSY/COMPONENT
DESCRIPTION (60) P/N (61) S/N (62)

APPLICABLE PENALTY FACTOR

HOURS (65)
FLIGHT ID / # (66) (68) (70) (72) (74)
DATE (64)
(63)
LANDINGS HOURS LANDINGS HOURS LANDINGS HOURS LANDINGS HOURS LANDINGS HOURS LANDINGS
(65) (67) (67) (69) (69) (71) (71) (73) (73) (75) (75)

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 LOG CARD - FILLING INSTRUCTIONS

GENERAL

Cross out all the log card boxes where required data are not applicable to the assy/component.
SECTION 1 - HEADER

1. P/N description
2. P/N
3. S/N
4. Manufacturer name (Vendor / LH plant)
5. Assembly or manufacturing date
6. Approved data applicable time limits description: “RL”: Retirement Life, “DT”: Discard Time, “OH”: Overhaul or “N/A”: Not Applicable
7. New P/N replacing previous P/N
8. New S/N replacing previous S/N
9. New manufacturer name (Vendor / LH plant)
10. Modification date
11. Approved data applicable time limits description: “RL”: Retirement Life, “DT”: Discard Time, “OH”: Overhaul or “N/A”: Not Applicable

SECTION 1 - NOTES
SECTION 1 - ASSEMBLY HISTORICAL RECORD

12. Assy installation date

13. Helicopter registration
14. Helicopter S/N
15. Helicopter total flight hours / landings / lifts/cycles at the assy installation date
16. Assy total hours (flight hours, operating hours, running hours, rotor hours) / landings / lifts/cycles at the installation date (hours / landings / lifts at the date of the last removal +
penallty factors, if applicable)
17. Assy hours (flight hours, operating hours, running hours, rotor hours) / landings / lifts/cycles since last overhaul at the installation date
18. Organization that performed the installation, Stamp and signature of the technician that performed the installation
19. Assy removal date
20. Helicopter total flight hours / landings / lifts/cycles at the assy removal date
21. Assy total hours (flight hours, operating hours, running hours, rotor hours) / landings / lifts/cycles at the removal date
22. Total flight hours / landings calculated applying Penalty Factors, if applicable (refer also to Log Card Annex A for Penalty Factors data)
23. Assy hours (flight hours, operating hours, running hours, rotor hours) / landings / lifts/cycles since last overhaul at the removal date
24. Reason for assy removal from the helicopter
25. Organization that performed the removal, Stamp and signature of the technician that performed the removal
SECTION 2 - COMPONENTS INSTALLED ON ASSY

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 LOG CARD - FILLING INSTRUCTIONS

26. Assy P/N (refer to box 2 or 7)

27. Assy S/N (refer to box 3 or 8)
28. Component description
29. Component P/N subject to time limits
30. Component S/N or batch number (mark with * S/N with a dedicated Log Card)
31. Manufacturing date for components with a calendar time limit
32. Approved data applicable time limits description: “RL”: Retirement Life, “DT”: Discard Time, “OH”: Overhaul or “N/A”: Not Applicable
33. Assy total hours (flight hours, operating hours, running hours, rotor hours) / landings / lifts/cycles at the component installation date
34. Component total hours (flight hours, operating hours, running hours, rotor hours, rotor hours) / landings / lifts/cycles at the installation date on the assy
35. Component hours (flight hours, operating hours, running hours, rotor hours) / landings / lifts/cycles since last overhaul at the installation date
36. Component installation date
37. Stamp and signature of the technician that performed the installation
38. Assy total hours (flight hours, operating hours, running hours, rotor hours) / landings / lifts/cycles at the component removal date
39. Component total hours (flight hours, operating hours, running hours, rotor hours) / landings / lifts/cycles at the removal date from the assy
40. Total flight hours / landings calculated applying Penalty Factors, if applicable (refer also to Log Card Annex A for Penalty Factors data)
41. Component hours (flight hours, operating hours, running hours, rotor hours) / landings / lifts/cycles since last overhaul at the removal date
42. Component removal date
43. Stamp and signature of the technician that performed the removal
SECTION 3 - ACTIVITY HISTORY

44. Assy P/N (refer to box 2 or 7)

45. Assy S/N (refer to box 3 or 8)
46. Activity date
47. Assy total hours (flight hours, operating hours, running hours, rotor hours) / landings / lifts/cycles at the date fo the activity
48. Specify the type of the activity (repair, overhaul, modification, test, inspection,…) to be performed on the assy or on components listed in Section 2
49. Detailed description of the activity
50. Organization that performed the installation
51. Stamp and signature of the technician that performed the activity
SECTION 4 - AIRWORTHINESS DIRECTIVES AND BULLETINS COMPLIANCE

52. Assy P/N (refer to box 2 or 7)

53. Assy S/N (refer to box 3 or 8)
54. Identification number of the applicable document (Airworthiness Directive, Bollettino Tecnico, Service Bulletin,...)
55. Document issue / revision index; in case of document composed of multiple sections applied separately, record compliance with each section on different rows
56. Document compliance date
57. Helicopter/assy total hours (flight hours, operating hours, running hours, rotor hours) / landings / lifts/cycles at the date fo the directive compliance

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 LOG CARD - FILLING INSTRUCTIONS

58. Organization that performed the installation

59. Stamp and signature of the technician that performed the activity

ANNEX A - PENALTY FACTORS RECORD

The use of Annex A is not mandatory. Any other method to track and record penalty factors data is acceptable.

60. Assy/Component description (if penalty factors are applicable to component installed on assy)
61. Assy/Component P/N (if penalty factors are applicable to component installed on assy)
62. Assy/Component S/N (if penalty factors are applicable to component installed on assy)
63. Identification of the flight affected by penalty factors
64. Date of the flight affected by penalty factors
65. Flight duration (hours) and number of landings performed during flight
66. Specify the applicable Penalty Factor
67. Flight hours / landings calculated applying penalty factor defined as per note (66)
68. Specify the applicable Penalty Factor
69. Flight hours / landings calculated applying penalty factor defined as per note (68)
70. Specify the applicable Penalty Factor
71. Flight hours / landings calculated applying penalty factor defined as per note (70)
72. Specify the applicable Penalty Factor
73. Flight hours / landings calculated applying penalty factor defined as per note (72)
74. Specify the applicable Penalty Factor
75. Flight hours / landings calculated applying penalty factor defined as per note (74)

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