Cover Sheet

Babcock MCS France

FR.CAMO.0076

Exec Doc Type A/C Model A/C Reg # Eng 1 Part # Eng 2 Part #
Line EC135P2 F-HSEI 3053245-01 3053245-01
Exec Doc # Aircraft S/N Eng 1 Serial # Eng 2 Serial #
WP01-011917-2022 0415 PCE-BJ0129 PCE-BJ0257
Work Center # Station Scheduled Start Date Scheduled End Date
FR-AVN-LINE AVIGNON 03/03/2022 04/03/2022

Work Package Title:

50 Heures moteurs + AD 2012-0085
butée à 6422:01

Documentation Used Title Revision # Revision Date

Aircraft Maintenance Program BMCSF EC135P2 Aircraft Maintenance Edition 3 Amendement 23/03/2022
Program 14
Aircraft Maintenance Manual ORION EC135 Rev. 11 26/01/2022
Engine Maintenance Manual PW206B2 MAINTENANCE MANUAL Rev. 45.0 06/12/2021
Component Maintenance Manual

This Package consists of:

• Cover Sheet
• Tally Sheet - Planned Tasks
• Tally Sheet - Discrepancies
• Tally Sheet - Component Replacements
• Tally Sheet - Tools Required
• Tally Sheet - Part Requirements
• Task Information Sheets
• Discrepancy Report Forms

Signature Date
Prepared By RENA1980 09/02/2022

Accepted By
BOUG8245 30/03/2022
RAS Updated by

CAMO reviewed by

Printed by: Hichem Bougandoura Printed Date: 29/03/2022 10:56:16 Page 1 of 9

Cover Sheet

Babcock MCS France

Exec Doc Type A/C Model A/C Reg # Eng 1 Part # Eng 2 Part #
Line EC135P2 F-HSEI 3053245-01 3053245-01
Exec Doc # Aircraft S/N Eng 1 Serial # Eng 2 Serial #
WP01-011917-2022 0415 PCE-BJ0129 PCE-BJ0257
Work Center # Station Scheduled Start Date Scheduled End Date
FR-AVN-LINE AVIGNON 03/03/2022 04/03/2022

This Work Package has to be performed before:

Date: Parameter:

Printed by: Hichem Bougandoura Printed Date: 29/03/2022 10:56:16 Page 2 of 9

Tally Sheet - Planned tasks

Babcock MCS France

Exec Doc Type A/C Model A/C Reg # Eng 1 Part # Eng 2 Part #
Line EC135P2 F-HSEI 3053245-01 3053245-01
Exec Doc # Aircraft S/N Eng 1 Serial # Eng 2 Serial #
WP01-011917-2022 0415 PCE-BJ0129 PCE-BJ0257
Work Center # Station Scheduled Start Date Scheduled End Date
FR-AVN-LINE AVIGNON 03/03/2022 04/03/2022

Tally # Task # / Rev # Task description Remarks

Part #
Serial #

1 EASA-AD-2012-0085 ## Perform EASA-AD-2012-0085/Rev.6 § 2 // ATA 62 – Main Rotor System –

Main Rotor Hub – Inspection / Replacement
/
2 PWC206B2-MM-0520-50H ## Engine Inspection - 50 Hours
3053245-01
PCE-BJ0257 /
3 PWC206B2-MM-0520-50H ## Engine Inspection - 50 Hours
3053245-01
PCE-BJ0129 /
4 BMCSF-FOD ## Remove all tools and other items from work area.
/

Printed by: Hichem Bougandoura Printed Date: 29/03/2022 10:56:16 Page 3 of 9

Tally Sheet - Discrepancies

Babcock MCS France

Exec Doc Type A/C Model A/C Reg # Eng 1 Part # Eng 2 Part #
Line EC135P2 F-HSEI 3053245-01 3053245-01
Exec Doc # Aircraft S/N Eng 1 Serial # Eng 2 Serial #
WP01-011917-2022 0415 PCE-BJ0129 PCE-BJ0257
Work Center # Station Scheduled Start Date Scheduled End Date
FR-AVN-LINE AVIGNON 03/03/2022 04/03/2022

Disc. Related Discrepancy Description Closed by Closed date

Tally # Task Tally #

Printed by: Hichem Bougandoura Printed Date: 29/03/2022 10:56:16 Page 4 of 9

Tally Sheet - Comp Replacement

Babcock MCS France

Exec Doc Type A/C Model A/C Reg # Eng 1 Part # Eng 2 Part #
Line EC135P2 F-HSEI 3053245-01 3053245-01
Exec Doc # Aircraft S/N Eng 1 Serial # Eng 2 Serial #
WP01-011917-2022 0415 PCE-BJ0129 PCE-BJ0257
Work Center # Station Scheduled Start Date Scheduled End Date
FR-AVN-LINE AVIGNON 03/03/2022 04/03/2022

Comp Rel.
Repl. Task Item Part # Description Serial # Tracking form
Tally # Tally # details

P/N in

P/N out

P/N in

P/N out

P/N in

P/N out

P/N in

P/N out

P/N in

P/N out

P/N in

P/N out

P/N in

P/N out

P/N in

P/N out

Printed by: Hichem Bougandoura Printed Date: 29/03/2022 10:56:16 Page 5 of 9

Tally Sheet - Tools Required

Babcock MCS France

Exec Doc Type A/C Model A/C Reg # Eng 1 Part # Eng 2 Part #
Line EC135P2 F-HSEI 3053245-01 3053245-01
Exec Doc # Aircraft S/N Eng 1 Serial # Eng 2 Serial #
WP01-011917-2022 0415 PCE-BJ0129 PCE-BJ0257
Work Center # Station Scheduled Start Date Scheduled End Date
FR-AVN-LINE AVIGNON 03/03/2022 04/03/2022

Tool Rel. Next

Tally Task Tool # Description Qty Serial # Calibration
# Tally # Date

Printed by: Hichem Bougandoura Printed Date: 29/03/2022 10:56:16 Page 6 of 9

Tally Sheet - Parts Required

Babcock MCS France

Exec Doc Type A/C Model A/C Reg # Eng 1 Part # Eng 2 Part #
Line EC135P2 F-HSEI 3053245-01 3053245-01
Exec Doc # Aircraft S/N Eng 1 Serial # Eng 2 Serial #
WP01-011917-2022 0415 PCE-BJ0129 PCE-BJ0257
Work Center # Station Scheduled Start Date Scheduled End Date
FR-AVN-LINE AVIGNON 03/03/2022 04/03/2022

Part Rel. Qty Qty Lot/Serial &

Req. Task Part # Description Required consumed Certificate #
Tally # Tally #

Printed by: Hichem Bougandoura Printed Date: 29/03/2022 10:56:16 Page 7 of 9

Task Information Sheet
Babcock MCS France

A/C Model A/C Reg # Exec Doc #

EC135P2 F-HSEI WP01-011917-2022

Related ATA # Task Description Sign off details

Task Task # Maint. Manual Ref.
Tally # Part # Parameter Reading
Serial #

1 6200 Perform EASA-AD-2012-0085/Rev.6 § 2 Discrep. Parts Tools Comp. Critical

EASA-AD-2012-0085 // ATA 62 – Main Rotor System – Main Found Req.? Req.? Replace? Task?
Rotor Hub – Inspection / Replacement Tally # Tally # Tally # Tally #
EASA-AD-2012-0085/Rev.6 § 2
No
/ / / /
Actual Date & Time Sign-off 1 Date & Time Sign-off
Man-hours 2
29/03/2022 @ 11:00

0:15
Comments: EASA-AD-2012-0085/Rev.6 § 2 CARRIED-OUT
2 0500 Engine Inspection - 50 Hours CT : Discrep. Parts Tools Comp. Critical
PWC206B2-MM-0520- 4123
................... 1654
PT : ................... IMP : Found Req.? Req.? Replace? Task?
50H 763
................. BMCSF AMP EC135P 6.41 Tally # Tally # Tally # Tally #
3053245-01
PCE-BJ0257 No
/ / / /
Actual Date & Time Sign-off 1 Date & Time Sign-off
Man-hours 2
29/03/2022 @ 11:00

0:20
Comments: CARRIED OUT IAW AMP EC135P 6.41
3 0500 Engine Inspection - 50 Hours CT : Discrep. Parts Tools Comp. Critical
PWC206B2-MM-0520- 9269 PT : ...................
................... 3125 IMP : Found Req.? Req.? Replace? Task?
50H 2246 BMCSF AMP EC135P 6.41
................. Tally # Tally # Tally # Tally #
3053245-01
PCE-BJ0129 No
/ / / /
Actual Date & Time Sign-off 1 Date & Time Sign-off
Man-hours 2
29/03/2022 @ 11:00

0:20
Comments: CARRIED OUT IAW AMP EC135P 6.41
4 0000 Remove all tools and other items from Discrep. Parts Tools Comp. Critical
BMCSF-FOD work area. Make sure that there is no Found Req.? Req.? Replace? Task?
(FOD) foreign object, substance, debris Tally # Tally # Tally # Tally #
or article that is not part of the aircraft,
which would potentially cause damage No
and check your personal toolbox to verify / / / /
there is no missing tool, and that all Actual Date & Time Sign-off 1 Date & Time Sign-off
access panels removed have been Man-hours 2
refitted. 29/03/2022 @ 11:00

0:05
Comments: CARRIED OUT

Printed by: Hichem Bougandoura Printed Date: 29/03/2022 10:56:16 Page 8 of 9

 DOC MAI 046
Conformité d’utilisation d’un site d’entretien en
ligne Révision : 1
« occasionnel »
Date: 11/04/2019

L’utilisation d’un site d’entretien en ligne « occasionnel » nécessite d’être conforme aux exigences suivantes :

Exigences Conformité Observation(s)

145.A.25 Environnement de travail

- Les conditions climatiques permettent d’effectuer ☐ OUI ☐ NON

l’entretien dans de bonnes conditions
- L’éclairage est suffisant ☐ OUI ☐ NON
145.A.30 et 35 Personnel de certification et de
soutien

- Au moins un des personnels possède une licence ☐ OUI ☐ NON

avec une QT en relation avec les tâches à effectuer
et dispose d’une habilitation APRS valide pour libérer
l’aéronef

145.A.40 Instruments, outillages et matériels

- Les outillages et instruments nécessaires à la ☐ OUI ☐ NON

réalisation des tâches envisagées sont disponibles
- Les outillages soumis à vérification périodique sont
étalonnés et valides ☐ OUI ☐ NON
- Les outillages spécifiques sont également à
disposition (si nécessaire) ☐ OUI ☐ NON
145.A.42 Acceptation des éléments d’aéronefs

- Les éléments d’aéronefs et consommables devant ☐ OUI ☐ NON

être utilisés sont accompagnés de documents de
conformité ou libératoire (EASA FORM1)

145.A.45 Données d’entretien

- La documentation nécessaire à la réalisation de ☐ OUI ☐ NON

l’entretien est disponible et à jour

145.A.48 Réalisation de l’entretien

- Un personnel qualifié est présent pour effectuer les ☐ OUI ☐ NON N/A
doubles contrôles des tâches critiques et/ou non
critiques (si applicable)

145.A.55 Enregistrement des travaux d’entretien

- Le dossier de travail a été apporté par le ☐ OUI ☐ NON

mécanicien devant réaliser l’entretien

145.A.75 Prérogatives de l’organisme

- L’entretien prévu sur le site est autorisé dans le

domaine d’application de notre MOE (§1.9.3) ☐ OUI ☐ NON

Fait sur le site de : Le :

AVIGNON 29/03/2022
Numéro du dossier de travail : Tâche(s) effectuée(s) :
WP01-011917-2022 50H GTM + EASA-AD-2012-0085/Rev.6 § 2
Nom du/des personnel(s) présent(s) : Signature(s) :
BOUGANDOURA

Remove all the tools and other items from the work area. Make sure that there is no (FOD) foreign object, substance, debris or article that is not part of
the aircraft, which would potentially cause damage.

Printed by: Hichem Bougandoura Printed Date: 29/03/2022 10:56:16 Page 9 of 9