ENGINEERING

DEPARTMENT

DEFECT SHEET
Aircraft Type: CRJ-200 Work Order No.: ERROR2
Aircraft Registration: 6O-PAA
Date Completed.: Hrs: Serial No: 7126
Check: OPENED IN ERROR Cycles:

No Task No Defect Rectification Task Mech/Tech Authorization Date

1 000−26−900−750-AFT
Hydrostatic test of the extinguisher,
water fire cabin
AFT PN : 892480

2 000−26−900−750-CPT
Hydrostatic test of the portable fire
extinguisher, cockpit PN: BA51015-
5.

3 000−26−900−750-FWD
Hydrostatic test of the portable fire
extinguisher, cabin
FWD PN : BA22594GR-3.

4 000-12-900-702 Sanitization of the Galley Potable

Water System

5 000-12-900-703 Sanitization of the Lavatory Potable

Water System

6 000-24-310-700 Carry out Restoration (Overhaul) of

the Main Battery.

7 000-24-900-700 Operational Check of the Main and OP

APU Battery Solid State Controllers

8 000-25-220-702 Operational Check of the Socata

ELT Including Inertia Switch (G-
Switch)

9 000-25-280-701 Detailed Inspection of the Cargo DI

Compartment Window-Louver Panel

Assembly Along With Its Cage

Assembly

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No Task No Defect Rectification Task Mech/Tech Authorization Date

10 000-26-270-750-LAVHydrostatic test of the lavatory fire

extinguisher, automatic PN :
BA23217-1

11 000-28-900-750 Functional Test of the Collector

Tank Check Valve

12 000-28-900-752 Detailed Inspection of the Wing DI

Tank Fasteners

13 000-28-900-753 Pressure Leak Test of the Fuel Tank FC

Vent and Fuel Line Shrouds

14 000-33-900-720 Functional Test of the Door Exit- FC

Sign BETA Lights

15 000-34-220-722 Functional Check of the Standby FC

Airspeed/Altimeter Indicator
(Accuracy Test)

EFFECTIVITY:
Pre Modsum TC601R15984 or Pre
SB 601R-34-137 or Pre SB 601R-34-
139

16 000-34-220-730 Functional Test of the Standby FC

Compass (Swing)

17 000-34-900-720 Functional Test of the Air-Data- FC

Computer Overspeed Warning

18 000-38-140-700 Restoration (Cleaning) of the Galley

Water-Tank Filter

19 000-38-280-700 Restoration (Cleaning) of the

Lavatory Water-Tank Filter

20 000-52-810-500 Detailed Inspection of the Main DI

Avionics Compartment Door-Stop

Support-Structure

21 000-52-830-500 Detailed Inspection of the Passenger

Door Pin Fittings and Attachments.

22 000-52-830-501 Detailed Inspection of the Left

Overwing Emergency-Exit Latch

Fittings and Door Stops.

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No Task No Defect Rectification Task Mech/Tech Authorization Date

23 000-52-830-502 Detailed Inspection of the Left

Overwing Emergency-Exit Internal
Support Structure

24 000-52-830-503 Detailed Inspection of the Crew

Escape Hatch Pin Fittings and Stop

Bracket

25 000-52-830-504 Detailed Inspection of the Cargo

Door Stop Fittings

26 000-52-830-505 Detailed Inspection of the Crew

Escape Hatch Stop Support Structure

27 000-52-830-506 Detailed Inspection of the Cargo

Door Internal Structure

28 000-52-840-500 Detailed Inspection of the Right

Overwing Emergency-Exit Latch

Fittings and Door Stops

29 000-52-840-501 Detailed Inspection of the Right

Overwing Emergency-Exit Internal
Support Structure

30 000-52-840-502 Detailed Inspection of the Service

Door Internal Structure

31 000-53-120-500 Detailed Inspection of the

NLGTrunnion Fitting and
Diagonal Member

32 000-53-120-501 Detailed Inspection of the NLG

Internal Box Structure FS169.0 to

FS235.0

33 000-53-130-500 Detailed Inspection of the Forward

Jacking Fitting at FS278.0

34 000-53-140-500 Detailed Inspection of the Passenger

Door Hinge on Fuselage

35 000-53-140-501 Detailed Inspection of the Main

Avionics Compartment Door Fittings

on Fuselage

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No Task No Defect Rectification Task Mech/Tech Authorization Date

36 000-53-140-502 Detailed Inspection of the Main

Avionics Compartment-Door Cutout
Interior Surrounding Structure

37 000-53-140-503 Detailed Inspection of the Exterior

Lower Skin Panels, FS280.0 to

FS409.0 and STR 17L/R

38 000-53-140-505 Detailed Inspection of the Cabin

Floor Support Structure, FS280.0 to
FS409.0

39 000-53-150-500 Detailed Inspection of the Floor

Support Structure, FS409.0 to
FS409.0 +128

40 000-53-160-500 Detailed Inspection of the Left Wing

Attachment Link, FS513.0

41 000-53-160-501 Detailed Inspection of the Right DI

Wing Attachment Link, FS513.0

42 000-53-160-502 Detailed Inspection of the Pressure

Floor-Support Beams, FS409.0 +128
to FS559.0

43 000-53-160-503 Detailed Inspection of the Left MLG

Uplock Structure, FS513.0 to

FS559.0

44 000-53-160-504 Detailed Inspection of the Right

MLG Uplock Structure, FS513.0
to FS559.0

45 000-53-160-505 Detailed Inspection of the Aft Keel

Beams in the MLG Wheel Well Area

46 000-53-170-501 Detailed Inspection of the Floor

Support Structure, FS559.0 to
FS599.0 +80

47 000-53-170-502 Detailed Inspection of the Floor

Beam Attachment to the Rear
Pressure Bulkhead

48 000-53-170-503 Detailed Inspection of the Interior

Skin Panels, Frames and Stringers
Below Floor, FS559.0 +80 to
FS621.0

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No Task No Defect Rectification Task Mech/Tech Authorization Date

49 000-53-170-504 Detailed Inspection of the Forward

Side of Rear Pressure Bulkhead
Below Floor

50 000-53-190-500 Detailed Inspection of the Aft-

Lavatory Servicing Point Structure

51 000-53-230-500 Detailed Inspection of the Fuselage

Skin Around Passenger-Door Cutout

52 000-53-260-500 Detailed Inspection of the Left

Overwing Emergency-Exit Stop

Fittings on Fuselage

53 000-53-260-501 Detailed Inspection of the Right

Overwing Emergency-Exit Stop

Fittings on Fuselage

54 000-53-280-500 Detailed Inspection of the Cargo

Door-Stop Fittings

55 000-53-280-501 Detailed Inspection of the Cargo

Door Cut-Out Interior Surrounding
Structure

56 000-53-280-503 Detailed Inspection of the Rear

Pressure Bulkhead Forward Face
Above Floor

57 000-53-310-501 Detailed Inspection of the Rear

Pressure Bulkhead Vertical Stiffeners

58 000-53-310-502 Detailed Inspection of the Interior

Skin Panels, Frames and Stringers,
from FS621.00 to FS755.00

59 000-53-310-503 Detailed Inspection of the Exterior

Skin Around APU Exhaust

60 000-53-310-505 Detailed Inspection of the Engine

Support Beam Structure

[1] Pre Modsum TC601R15054 or

Pre SB 601R-53-059 Rev. A or later

[2] Post Modsum TC601R15054 or

Post SB 601R-53-059 Rev. A or later

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No Task No Defect Rectification Task Mech/Tech Authorization Date

61 000-53-310-505 Detailed Inspection of the Engine

Support Beam Structure

[1] Pre Modsum TC601R15054 or

Pre SB 601R-53-059 Rev. A or later

[2] Post Modsum TC601R15054 or

Post SB 601R-53-059 Rev. A or later

62 000-53-310-507 Detailed Inspection of the Lower

Transverse Beam Structure

63 000-53-350-502 Detailed Inspection of the Vertical

Stabilizer Front Spar-to-Fuselage

Attach Fitting Leg

64 000-53-350-503 Detailed Inspection of the FS755.0

Frame Structure Aft Side Below
WL125.0

65 000-53-360-500 Detailed Inspection of the VS67.5%

Frame Structure Aft Side

66 000-53-840-500 Detailed Inspection of the Exposed

Surfaces of the Service Door Side
Frames, Sills and Backup Structure
Cutout Interior Surrounding Structure

67 000-53-840-501 Detailed Inspection of the Fuselage

Skin Around Service Door Cutout

68 000-53-900-503 Detailed Inspection of the Left Side

Seat Rail Structure Forward of
FS409.0 +128

69 000-53-900-504 Detailed Inspection of the Right Side

Seat Rail Structure Forward of
FS409.0 +128

70 000-53-900-505 Detailed Inspection of the Left Side

Seat Rail Structure Aft of FS409.0
+128

71 000-53-900-506 Detailed Inspection of the Right Side

Seat Rail Structure Aft of FS409.0
+128

72 000-54-410-500 Detailed Inspection of the Left Pylon

Front Spar

73 000-54-420-500 Detailed Inspection of the Right

Pylon Front Spar

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No Task No Defect Rectification Task Mech/Tech Authorization Date

74 000-55-320-500 Detailed Inspection of the Vertical

Stabilizer Front Spar Attach-Fittings

75 000-55-320-501 Detailed Inspection of the Vertical

Stabilizer Skin Around Access Panel
Cutouts

76 000-55-320-502 Detailed Inspection of the Horizontal

Stabilizer Pivot-Fittings

77 000-55-330-500 Detailed Inspection of the Left

Horizontal Stabilizer Elevator-Hinge
Fittings

78 000-55-330-501 Detailed Inspection of the Left

Horizontal Stabilizer PCU Attach
Fittings

79 000-55-330-502 Special Detailed Inspection

(Borescope) of the Left Horizontal
Stabilizer Hinge Ribs

80 000-55-330-503 Detailed Inspection of the Left

Horizontal Stabilizer Interior
Structure

81 000-55-340-500 Detailed Inspection of the Right

Horizontal Stabilizer Elevator-Hinge
Fittings

82 000-55-340-501 Detailed Inspection of the Right

Horizontal Stabilizer PCU Attach
Fittings

83 000-55-340-502 Special Detailed Inspection

(Borescope) of the Right Horizontal
Stabilizer Hinge Ribs

84 000-55-340-503 Detailed Inspection of the Right

Horizontal Stabilizer Interior
Structure

85 000-57-540-500 Detailed Inspection of the Left Wing

Auxiliary Spar Assembly

86 000-57-550-500 Detailed Inspection of the Left Wing

Dry Bay Interior Structure

87 000-57-580-500 Detailed Inspection of the Left

Inboard Flap Lower Skin

88 000-57-580-502 Detailed Inspection of the Left Wing

Ground-Spoiler-Hinge Ribs, Spars
and Skin

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No Task No Defect Rectification Task Mech/Tech Authorization Date

89 000-57-580-503 Detailed Inspection of the Left

Inboard Flap Vane Skin

90 000-57-580-505 Detailed Inspection of the Left

Inboard Flap Vane Actuator
Carriages and Support Structure

91 000-57-580-506 Detailed Inspection of the Left

Inboard Flap Hinge Support Ribs

92 000-57-580-507 Detailed Inspection of the Left

Inboard Flap Hinge Lug Plates

93 000-57-590-500 Detailed Inspection of the Left Wing

Aileron Hinge Fittings

EFFECTIVITY:
P/N 601R13000

94 000-57-590-501 Detailed Inspection of the Left

Flight Spoiler Hinge Fittings, Spar
and Skin

95 000-57-590-502 Detailed Inspection of the Left Wing

Spoileron Assembly

96 000-57-590-503 Detailed Inspection of the Left

Aileron Hinge Fittings

EFFECTIVITY:
P/N 601R13000-1

97 000-57-590-505 Detailed Inspection of the Left

Outboard Flap Outboard Hinge Arm
Assembly

98 000-57-590-507 Detailed Inspection of the Left

Inboard Flap Hinge Boxes

99 000-57-590-508 Detailed Inspection of the Left

Outboard Flap Hinge Boxes

100 000-57-590-509 Detailed Inspection of the Left

Outboard Flap Inboard Hinge Arm
Assembly

101 000-57-640-500 Detailed Inspection of the Right

Wing Auxiliary Spar Assembly

102 000-57-650-500 Detailed Inspection of the Right

Wing Dry Bay Interior Structure

103 000-57-680-500 Detailed Inspection of the Right

Inboard Flap Lower Skin

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No Task No Defect Rectification Task Mech/Tech Authorization Date

104 000-57-680-502 Detailed Inspection of the Right

Wing Ground Spoiler Hinge Ribs,
Spars and Skin

105 000-57-680-503 Detailed Inspection of the Right

Inboard Flap Vane Skin

106 000-57-680-505 Detailed Inspection of the Right

Inboard Flap Vane Actuator
Carriages and Support Structure

107 000-57-680-506 Detailed Inspection of the Right

Inboard Flap Hinge Support Ribs

108 000-57-680-507 Detailed Inspection of the Right

Inboard Flap Hinge Lug Plates

109 000-57-690-500 Detailed Inspection of the Right

Wing Aileron Hinge Fittings

EFFECTIVITY:
P/N 601R13000

110 000-57-690-501 Detailed Inspection of the Right

Wing Flight Spoiler Hinge Fittings,
Spar and Skin

111 000-57-690-502 Detailed Inspection of the Right

Wing Spoileron Assembly

112 000-57-690-503 Detailed Inspection of the Right

Aileron Hinge Fittings

EFFECTIVITY:
P/N 601R13000-2

113 000-57-690-505 Detailed Inspection of the Right

Outboard Flap Outboard Hinge Arm
Assembly

114 000-57-690-507 Detailed Inspection of the Right

Inboard Flap Hinge Boxes

115 000-57-690-508 Detailed Inspection of the Right

Outboard Flap Hinge Boxes

116 000-57-690-509 Detailed Inspection of the Right

Outboard Flap Inboard Hinge Arm
Assembly

117 000-57-900-500 Detailed Inspection of the Left Wing

Rear Spar Aft Face, WS48.0 to
WS389.0

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No Task No Defect Rectification Task Mech/Tech Authorization Date

118 000-57-900-501 Detailed Inspection of the Right

Wing-Rear Spar Aft Face, WS48.0
to WS389.0

119 000-57-900-502 Detailed Inspection of the Left Wing

Upper Plank Exterior Surface,
BL47.0 to Canted WS314.50

120 000-57-900-503 Detailed Inspection of the Right

Wing Upper Plank Exterior Surface,
BL47.0 to Canted WS314.50

121 000-57-900-504 Detailed Inspection of the Upper Left

Wing Skin Exterior Surface,
WS314.50 to WS389.0

122 000-57-900-505 Detailed Inspection of the Upper

Right Wing Skin Exterior Surface,
WS314.50 to WS389.0

123 000-57-900-506 Detailed Inspection of the Lower

Left Wing Skin Exterior Surface,
WS314.50 to WS389.0

124 000-57-900-507 Detailed Inspection of the Lower

Right Wing Skin Exterior Surface,
WS314.50 to WS389.0

125 000-57-900-508 Detailed Inspection of the Left Wing

Flap Box Attach Fittings

126 000-57-900-509 Detailed Inspection of the Right

Wing Flap Box Attach Fittings

127 000-57-900-510 Detailed Inspection of the Left Wing

Ground/Flight Spoilers and
Spoileron Hinge Fittings

128 000-57-900-511 Detailed Inspection of the Right

Wing Ground/Flight Spoilers and
Spoileron Hinge Fittings

129 000-57-900-521 Detailed Inspection of the Left Wing Performed Detailed Inspection of the
Lower Wing Plank Access Holes Left Wing Lower Wing Plank Access
from BL0.0 to WS314.50 Holes from BL0.0 to WS314.50 and
found to be satisfactoery IAW Task 000-
57-900-521

130 000-57-900-522 Detailed Inspection of the Right Detailed Inspection of the Right Wing
Wing Lower Wing Plank Access Lower Wing Plank Access Holes from
Holes from BL0.0 to WS314.50 BL0.0 to WS314.50 carried out. Wing
tank nterior found to be satisfactory and
there were no cracks, corrosion, dents,
gouges or scratches

Page 10 of 16
No Task No Defect Rectification Task Mech/Tech Authorization Date

131 000-76-440-100 Special Detailed Inspection of the SDI

Right Engine Throttle Control
Gearbox Rack and Gear Teeth
Engagement Wear and Verification
of Torque Value on the Mounting
Hardware. EFFECTIVITY :P/N
2100140-010

132 08-11-00 Weigh the aircraft in accordance

with AMM 8-11-00-588-801.

133 31-31-01-970-801 Carry out a readout of the Flight

Data Recorder.

134 AD CF-93-02R1 Part 6(a)

Lubricate the passenger door latch
pins in accordance with the
Accomplishment Instructions,
paragraph 2B, Part "A", items (26) to
(28) of Alert Service Bulletin A601R-
52-009 Revision B or later revisions.

135 AD CF-93-02R1 Part 6(b)

Lubricate the passenger door outer
handle in accordance
with the Accomplishment
Instructions, paragraph 2B, item (28)
of Bombardier Alert Service Bulletin
A601R-52-021 Revision A or later
revisions.

136 Carry out Return to service

procedures after long-term storage
IAW AMM 10-12-00

137 Carry out Return to service

procedures after long-term storage
IAW AMM 10-12-00

138 Check the Technical log and

deferred defect logs for any open
defects and rectify

139 Please check cockpit and ensure

presence and validity of the onboard
documents.

140 Please place current operator

Technical Log onboard the aircraft.

141 AD CF-2023-03 Part I - Please performed return-to-service Operational

perform the return-to-service AMM Test of the Rudder Control System IAW
Task 27-21-00-710-805 − AMM Task 27-21-00-710. Operational
Operational Test of the Rudder test successful
Control System.

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No Task No Defect Rectification Task Mech/Tech Authorization Date

142 AD CF-2023-03 Part I - Please Performed the return-to-service AMM

perform the return-to-service AMM Task 27-31-00-710-803 − Operational
Task 27-31-00-710-803 − Test of the Elevator Control System and
Operational Test of the Elevator was successful
Control System

143 AD CF-2023-03 Part I - Please

perform AMM task 27-23-01-220-
801 − Detailed Inspection of the
Rudder PCU Rod End Spherical Ball.

144 AD CF-2023-03 Part 1 - Please Performed Detailed Inspection of the

perform AMM Task 27-33-01-220- Elevator PCU Rod End Spherical Ball
801 − Detailed Inspection of the IAW AMM Task 27-33-01-220-801 and
Elevator PCU Rod End Spherical found satisfactory.
Ball

145 AD CF-2022-42 - Fire Protection - Carrieed out Operational Check of the

Lavatory Smoke Detector - Lavatory Smoke Detector in accordance
Operational Check of the Lavatory with CMR Task C26-25-140-01 and
Smoke Detector. found satisfactory.

Please perform an Operational

Check of the
Lavatory Smoke Detector in
accordance with CMR Task C26-25-
140-01

146 AD CF-2021-32R1 - Oxygen- Third

crew member oxygen mask-
Introduction of chaffing protection
for flex hose and rerouting of
electrical harness.

Inspect and correct, if required, the

observer’s oxygen mask stowage box
and stowage compartment, the
observer’s mask oxygen hose
connections, hose routing and the
associated electrical harness; reroute
the electrical harness and apply
protective sealant IAW Part A.
Section 2.B. of SB 601R-35-022,
Revision B or later.

147 AD CF-2022-16R1 Part I - Perform a

test of the bleed air leak detection
system sensing elements to
determine if they are serviceable,
IAW Section 2 Part A through Part F
of the Accomplishment Instructions
of SB 601R-36-021.

Page 12 of 16
No Task No Defect Rectification Task Mech/Tech Authorization Date

148 FAA AD 2020-21-02 - Do an

inspection to determine the part
number and serial number of the
cargo fire extinguisher halon bottles
installed in the cargo
compartment.

149 AD CF-2022-32 Part IB - Carry out

CMR task C26-20-131-04
Restoration (Pressure Switch test) of
Engine and APU fire extinguisher
bottles.
If it is determined that an affected
part, as identified in paragraph (g)(3)
of this AD, is installed, before
further flight, replace the part with a
serviceable part IIAW Kidde SB
473957-26-518 or SB 473919-26-
521.

150 AD CF-2018-17 - ATA 27- Stall

Protection System - Out of Tolerance
AOA Transducers:

Replace the AOA transducer(s) PN

45-150-340, C16258AA and
C16258AB IAW SB 601R-26-165.

151 Task 000-05-900-991- Service Check

152 Task 000-12-220-701 - Lubrication

of the Horizontal Stabilizer Pitch
Trim Switches

153 Task 000-23-360-760 - Restoration COCKPIT VOICE RECORDER

of the CVR Underwater Locator removed from aircraft and the
Device Underwater Locator Device found not
due for restoration, due April 2025

154 Task 000-23-900-730 - Functional

Test of the Cockpit Voice Recorder
(CVR) for Intelligibility

155 Task 000-24-900-700 - Operational

Check of the Main and APU Battery
Solid State Controllers

156 Task 000-25-220-700 - Operational

Check of the Emergency Locator
Transmitter (ELT)

157 Task 000-26-280-700 - Operational

Test of the Lavatory Smoke Detector.

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No Task No Defect Rectification Task Mech/Tech Authorization Date

158 Task 000-26-280-701 - General

Visual Inspection of the Lavatory
Fire Extinguisher

159 Task 000-26-900-700 - Weight Carried out Weight Check of the

Check of the Portable Fire- Portable Fire-Extinguisher Bottles IAW
Extinguisher Bottles AMM 26-900-700
Flight compartment 1.567kgs, wardrobe
closet 1.992 kgs, aft pax compartment
3.006kgs. Flight compartment F.E below
minimum rwequirement.

160 Task 000-28-900-700 - Operational

Test of the Engine Fuel Shutoff-
Valves

161 Task 000-28-900-701 - Operational

Test of the APU Fuel-Feed Shutoff
Valve

162 Task 000-33-900-720 - Functional

Test of the Door Exit-Sign BETA
Lights

163 Task 000-34-220-730 - Functional

Test of the Standby Compass (Swing)

164 Task 000-34-220-732 - Detailed

Inspection of the Pitot-Static Propes
(RVSM operation only) Post-SB
601R-34-080 or Option CR34-365
This task is required for aircraft
RVSM cannot be a subject of
escallation.certification and the task
schedule

165 Task 000-34-900-720 - Functional

Test of the Air-Data-Computer
Overspeed Warning

166 Task 000-35-900-700 - Operational

Test of the Portable Oxygen Bottles

167 Task 000-35-900-705 - Detailed Carried out Detailed Inspection of the

Inspection of the Passenger Oxygen Passenger Oxygen Masks IAW Task 000-
Masks 35-900-705 AND FOUND
SATISFACTORY.

168 Task 000-35-900-720 - Operational

Test of the Passenger Oxygen System

169 Task 000-38-270-720 - Detailed

Inspection of the Toilet Waste Tank
and Drain Valve.

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No Task No Defect Rectification Task Mech/Tech Authorization Date

170 Task 000-24-220-701 - Functional

Check (In-Flight Deployment) of the
Air Driven Generator (ADG)

171 Task 000-24-900-703 - Functional

Check (On-Ground) of the
Hydraulic Air Driven Generator

(ADG)

172 Task 000-34-220-723 - Functional

Check of the Altimeter Scale Error
Post-SB 601R-34-080

173 AD CF-2021-16 - ATA 28-Fuel

System - Corrosion of Hydraflow
Clamshell Couplings.

Remove and replace the fuel

clamshell couplings IAW SB 601R-
28-068.

174 Carry out Task 000-24-900-140 -

Detailed Inspection of the Left Wing
Wiring Harness Clipping Along the
Front and Rear Spar

175 Carry out Task 000-24-900-141 -

Detailed Inspection of the Right
Wing Wiring Harness Clipping
Along the Front and Rear Spar Flaps

176 Carry out Task 000-24-900-142 - - Detailed Inspection of the Center Tank
Detailed Inspection of the Center Wiring Harness Clipping Along the Front
Tank Wiring Harness Clipping and Rear Spar carried out and found to
Along the Front and Rear Spar be satisfactory.

177 Carry out Task 000-28-900-140 - Detailed Inspection of the Critical

Detailed Inspection of the Critical Bonding Jumpers carried out, no
Bonding Jumpers corrosion, damaged, cut astrands or any
missing sealant. Found to be in good
condition.

178 Carry out Task 000-28-900-141 -

Functional Check of the Critical
Bonding Jumpers

179 Carry out Task 000-28-900-142 - Performed Detailed Inspection of the

Detailed Inspection of the Sealant on Sealant on In-Tank LRUs and found
In-Tank LRUs satisfactory IAW Task 000-28-900-142

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No Task No Defect Rectification Task Mech/Tech Authorization Date

The undersigned "certifies that the work specified was carried out in accordance with the current regulations and in
respect of that work, the aircraft or aircraft component is considered ready for release to service"

Authority: Signature: Date

Page 16 of 16