TECHNICAL DELAY REPORT

Form No. SJ/TSD/014 Issue 1

Revision -2 (Aug. 2005)
Time declared
Type of Aircraft Location & Flight Total time of technical
Date STA STD Time defect found serviceable to ETD ATA ATD
and Registration Number delay
operation

Reason for Technical Delay (Defect) Action Taken Remarks and Delays

Consequential

Engg.

A/P Services

Ops.

ATC

Any Other

Snag reported by Pilot / Observed by AME at ____________hrs__________mts. Classification of Defect: MAJOR/ MINOR

Details of Components Replaced: P/No. S/No.

OFF:

ON:

Signed: Name & Licence / Approval No. Position: Date:____________________

Status of Investigation: OPEN / CLOSE. QAD:___________________

Distribution:
DAW (NR) EVP CE.Engg.
CEO VPEngg. LMM.
TSM Reliability Engineer.

Procedure Ref: LMP -15 Page 01 of 01