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AOT Ref: A35N006-14 Rev 01 - Appendix A

Emergency Oxygen Generators - Reporting sheet

Airline:
Aircraft type:
MSN:
Date:

How many generators activated correctly:


How many generators failed:

Activation ok?
Oxygen generator details (colour
indicator)
Manufacturing Installation
Part Number Lot code Removal date Activation date Yes or No
Date date on Aircraft

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