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Layang Layang Aerospace Sdn. Bhd.

”Form derived as per CAD 8601 requirements Para 5.8”

MAN-HOUR AND FOD CLEARANCE


DECLARATION FORM
REGISTRATION 9M-DON SERIAL NUMBER 172S12493
JOB NUMBER : LL/CAMO/DON/102

A. CERTIFICATION

NO TECHNICIAN NAME TECHNICIAN AML ENGINEER NAME AML ENGINEER


SIGN SIGN
1
2
3
4
5
6
7
8
9
10

*Fill in after completion of maintenance.

B. MAN HOURS
NO DESCRIPTION TECH LAE
MAN HOURS MAN HOURS TOTAL
1 TO CARRY OUT PROPELLER AND SPINNER
REMOVAL AND INSTALLATION
2 TO CARRY OUT PROPELLER MOUNTING BOLT,
MAGNETIC PARTICLE INSPECTION
3
4
5
6
7
8
9
10
11
12
TOTAL MAN HOURS INVOLVED

C. DECLARATION OF TOOLS AND FOD CLEARANCE


(AFTER COMPLETION OF MAINTENANCE)

A general verification has been carried out to ensure that the aircraft or component is clear of
tools, equipment and any extraneous parts or material, and that all access panels removed have
been refitted.

SATISFACTORY UNSATISFACTORY REMARKS

Form No: LLA/CAMO/016-01 Page 1 of 2


Layang Layang Aerospace Sdn. Bhd.

D. DECLARATION OF SPECIAL/CALIBRATED TOOLS AND EQUIPMENTS.

NO TASK TOOLS TOOLS TOOLS CALIBRATION READING USER


DESCRIPTION PART NO SERIAL NO DUE DATE VALUE

E. DECLARATION OF CRITICAL MAINTENANCE TASK.

NO TASK CARRIED SIGNATURE,STAMP INDEPENDENT SIGNATURE,STAMP


OUT BY AND DATE INSPECTION AND DATE
(NAME) (NAME)

Certifies that the work specified, except as otherwise specified, was carried out in accordance with CAA Malaysia
Requirements and in respect to that work the aircraft/aircraft component is considered ready for release to service.

*Note: For schedule maintenance, technical controller shall fill up the task required for independent inspection
based on the maintenance planning meeting.

F. DECLARATION FOR BMR.

REQUIRED: YES / NO
IF YES, PLEASE STATE THE BMR SERIAL NO: _______________________

G. ENGINEER IN CHARGE
I hereby certify that the worksheet has been completed and being certified by the correct
authorised personnel.

….………………………..………..

Name :
Date :

Form No: LLA/CAMO/016-01 Page 2 of 2

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