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MOD FormDW 707B(ADP)

Sheet/
Maintenance Work Order (Compile IAW JAP100C-02 )
(Revised Sep 10)

Serial No

Bar LIS JCN


Code

Work Type Originating Ship / Sqn / Unit SNOW A/C Ser No Day Mth Yr Start Time Day Mth Yr
Time/Date
.
Symptom Fault NRF (X) Action / ADF LIM
Work Done (X) (X)

When / How In Use Work


Found (Code) (X) Centre

A/C
Type
A/F
Hrs
. WIN
Original ADF/Limitation ORN

WUC Reporting
Installation Type BITE
Ship/Sqn/Unit
2 Primary Secondary
Serial Units &
M.Equip Usage
No
Description
Additional
If Main Equipment Replaced Mark Box with (X) Info

Assembly Description Serial No Removed Component Condition (X)


Prefix &
If Assembly Replaced Mark Box with(X) Serv T/R2 T3/4 R3/4 Scrap
Ident No
Units Usage
Removed Component
Sub Assy Description Serial No Primary
Prefix &
Ident No If Sub Assembly Replaced Mark Box with (X) Secondary

Other

3 Replacement Component
Item Description Serial No 4
Prefix & Primary
If Item Replaced Mark Box with (X)
Ident No
Secondary

Other

Replacement Description Serial No


Prefix & Additional Item Idents (X)
If Ident Number Different from
Ident No that Removed, Mark Box with (X)
1 2 3 4 5 6 7 8 9 10

11 12 13 14 15 16 17 18 19 20

5 Continuation
Sheets (X)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Trade Manhours Trade Manhours Trade Manhours Trade Manhours


. . . .
6 . . . .
Management Aid If LIS Action is Co-ordination
Required Mark
Box with Time / Date .
7 (X) 8 Name Signature
*RN Only Certificate of Work
Trade Tradesman Supervisor
Code
Work Required Work Done Man Time Signature Man Time Signature
M/Hrs* Hours Date Printed Name Hours Date Printed Name

1 · ·
2 · ·
3 · ·
4 · ·
5 · ·
6 · ·
7 · ·
8 · ·
9 · ·
10 · ·
11 · ·
12 · ·
13 · ·
14 · ·
MOD Format 707BE
SNOW Aircraft No Day Mth Yr
Maintenance Work Order - Continuation Sheet (Revised Apr 11)

* RN Only Certificate of Work Sheet No ____________


Trade
Code
Tradesman Supervisor
Work Required Work Done Man Time Signature Man Time Signature
* Hours Hours
M/Hrs Date Printed Name Date Printed Name

10

11

12

13
* RN Only Certificate of Work
Trade
Code
Tradesman Supervisor
Work Required Work Done Man Time Signature Man Time Signature
* Hours Hours
M/Hrs Date Printed Name Date Printed Name

14

15

16

17

18

19

20

21

22

23

24

25

26

27
MOD Format 707BE
SNOW Aircraft No Day Mth Yr
Maintenance Work Order - Continuation Sheet (Revised Apr 11)

* RN Only Certificate of Work Sheet No ____________


Trade
Code
Tradesman Supervisor
Work Required Work Done Man Time Signature Man Time Signature
* Hours Hours
M/Hrs Date Printed Name Date Printed Name

10

11

12

13
* RN Only Certificate of Work
Trade
Code
Tradesman Supervisor
Work Required Work Done Man Time Signature Man Time Signature
* Hours Hours
M/Hrs Date Printed Name Date Printed Name

14

15

16

17

18

19

20

21

22

23

24

25

26

27
MOD Format 707BE
SNOW Aircraft No Day Mth Yr
Maintenance Work Order - Continuation Sheet (Revised Apr 11)

* RN Only Certificate of Work Sheet No ____________


Trade
Code
Tradesman Supervisor
Work Required Work Done Man Time Signature Man Time Signature
* Hours Hours
M/Hrs Date Printed Name Date Printed Name

10

11

12

13
* RN Only Certificate of Work
Trade
Code
Tradesman Supervisor
Work Required Work Done Man Time Signature Man Time Signature
* Hours Hours
M/Hrs Date Printed Name Date Printed Name

14

15

16

17

18

19

20

21

22

23

24

25

26

27
MOD Format 707BE
SNOW Aircraft No Day Mth Yr
Maintenance Work Order - Continuation Sheet (Revised Apr 11)

* RN Only Certificate of Work Sheet No ____________


Trade
Code
Tradesman Supervisor
Work Required Work Done Man Time Signature Man Time Signature
* Hours Hours
M/Hrs Date Printed Name Date Printed Name

10

11

12

13
* RN Only Certificate of Work
Trade
Code
Tradesman Supervisor
Work Required Work Done Man Time Signature Man Time Signature
* Hours Hours
M/Hrs Date Printed Name Date Printed Name

14

15

16

17

18

19

20

21

22

23

24

25

26

27
MOD Format 707BE
SNOW Aircraft No Day Mth Yr
Maintenance Work Order - Continuation Sheet (Revised Apr 11)

* RN Only Certificate of Work Sheet No ____________


Trade
Code
Tradesman Supervisor
Work Required Work Done Man Time Signature Man Time Signature
* Hours Hours
M/Hrs Date Printed Name Date Printed Name

10

11

12

13
* RN Only Certificate of Work
Trade
Code
Tradesman Supervisor
Work Required Work Done Man Time Signature Man Time Signature
* Hours Hours
M/Hrs Date Printed Name Date Printed Name

14

15

16

17

18

19

20

21

22

23

24

25

26

27
MOD Format 707BE
SNOW Aircraft No Day Mth Yr
Maintenance Work Order - Continuation Sheet (Revised Apr 11)

* RN Only Certificate of Work Sheet No ____________


Trade
Code
Tradesman Supervisor
Work Required Work Done Man Time Signature Man Time Signature
* Hours Hours
M/Hrs Date Printed Name Date Printed Name

10

11

12

13
* RN Only Certificate of Work
Trade
Code
Tradesman Supervisor
Work Required Work Done Man Time Signature Man Time Signature
* Hours Hours
M/Hrs Date Printed Name Date Printed Name

14

15

16

17

18

19

20

21

22

23

24

25

26

27
MOD Format 707BE
SNOW Aircraft No Day Mth Yr
Maintenance Work Order - Continuation Sheet (Revised Apr 11)

* RN Only Certificate of Work Sheet No ____________


Trade
Code
Tradesman Supervisor
Work Required Work Done Man Time Signature Man Time Signature
* Hours Hours
M/Hrs Date Printed Name Date Printed Name

10

11

12

13
* RN Only Certificate of Work
Trade
Code
Tradesman Supervisor
Work Required Work Done Man Time Signature Man Time Signature
* Hours Hours
M/Hrs Date Printed Name Date Printed Name

14

15

16

17

18

19

20

21

22

23

24

25

26

27

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