Customer : KFR Type : A318/A319/A320/A321 Rev.

Date : November 1, 2011

Manual: TSM Selected effectivity: ALL

Figure 05-50-00-991-00200-A / SHEET 1 - Vibration Reporting Sheet

NOTE FOR FLIGHT CREWS (Print also the complete paragraph 3.A.) When permitted by time and flight conditions, the flight crew must complete the VRS correctly. This will help the maintenance personnel to find the post-flight corrective actions. - All fields with the mark (*) are mandatory. - Vibration observations (start or stop) must be done in relation to the normal flight sequence (in stabilized flight or after a parameter change made to obey the flight plan). In each box, please tick the applicable division. NOTE: FOR MAINTENANCE PERSONNEL, REFER TO TSM TASK 05-50-00-810-801 FOR FAULT ISOLATION PROCEDURE. (1) FLIGHT CONDITIONS WHEN VIBRATIONS OCCURRED GROSS WEIGHT: ALT: *SPEED: ENG VIBRATION PARAMETERS: *FLIGHT PHASE: AIR TURBULENCE: CLIMB YES NO 0 1 #1 CRUISE L/G: 2 #2 DESCENT UP 3 DOWN FULL APPROACH

*SLAT/FLAP POSITION:

(2) OBSERVATIONS WHEN VIBRATIONS OCCURRED -*FLIGHT CONTROL OSCILLATION IS VISIBLE ON ECAM: RUDDER -*AFFECTED AREA: COCKPIT AILERON R L YES NO ELEVATOR R L

FWD CABIN

MID CABIN

AFT CABIN

SPECIFIC LOCATION: * AUDIBLE NOISE (except rumbling) Y N VIBRATION INTENSITY : VIBRATION FELT IN : LIGHT LATERAL RUMBLING NOISE Y N MODERATE VERTICAL STRONG UNKNOWN

(3) PARAMETER CHANGE (AP ON) THAT HAS AN EFFECT ON VIBRATIONS (VIBRATIONS START OR STOP) TURN Y N ALTITUDE Y N THRUST Y N AIRBRAKES Y EXTENSION N (4) PARAMETER CHANGE (AP OFF, FDs ON) THAT HAS AN EFFECT ON VIBRATIONS If permitted by time and flight conditions, the flight crew can apply flight control inputs (with AP OFF, which is not permitted in RVSM airspace in level flight or during cleared FL altitude capture) to identify the vibrations source. The flight control inputs must be small and smooth and applied on: -The sidestick for pitch and roll to obey FD orders -The rudder trim (+/- 1.5 MAX) for yaw. Do not use the rudder pedals. VIBRATIONS WERE STOPPED BY SMALL FLIGHT CONTROL INPUT ON: Y N Y N

Y N

GENERAL CREW COMMENTS (FREQUENCY, SOURCE, NOISE, SPEED CHANGE EFFECT, VIBRATIONS STOP AT END OF CLIMB, VIBRATIONS START AT START OF DESCENT, AP STATUS,..., OTHER COMMENTS):

N_TS_055000_2_ABM0_01_01

Figure 05-50-00-991-00200-A / SHEET 1 - Vibration Reporting Sheet ** ON A/C ALL

Print Date: December 5, 2011 Local Time

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