Number painted on the aircraft (Damage Item on AMOS system): ____________

WORK ORDER
STRUCTURAL DAMAGE REPORT FORM SDR No
A/C REGISTRATION: A/C S/N: A/C W V (ONLY AIRBUS): DATE
DD MM YYYY
A/C HOURS: A/C CYCLES: STATION:
NON ROUTINE No, A/C LOG BOOK REPORT, WORK ORDER: HIL :
COMPONENT: P/N: S/N:
Note: Write the P/N and S/N for all nacelle structural components and flight controls surfaces (Rudder, slats, flaps, elevators, spoilers, Nose Cowl, Fan cowls, Thrust reverser etc.)
DAMAGE DESCRIPTION:

TECHNICIAN SUP / INSP

GAIN INTERNAL AND EXTERNAL ACCESS TO THE DAMAGE AS REQUIRED PER SRM, AMM, ETC, AND CLEAN AND
PREPARE SURFACE FOR EVALUATION AS REQUIRED (REMOVE SEALANT, PAINT, ETC)
1 For scratches, corrosion, gouges, nicks, you must remove (clean-up) the damage down to a smooth contour and compare with the
allowable damage limits in the SRM, AMM, etc. After rework, the damaged area must be checked to make sure
that the allowable limits have not been exceeded.
DAMAGE SKETCH include all dimensions in accordance with applicable SRM / AMM, etc. e.g.: length, width, depth, diameter,
distance from edge, area, mods or production joints, original thickness, material removed, affected fasteners, distance fastener to fastener
from adjacent repair, fasteners type.

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the aplicable arrows
direction

OTHER DIMENSIONS AS REQUIRED PER SPECIFIC

DIMENSIONS DEPTH WIDTH LENGTH DIAMETER
SRM/AMM/CMM CHAPTER eg: Area, A/Y, A, B.
Millimeters (mm)
3 inches (in)
Original thickness: Remaining thickness: % Material removed:
Note: The dimensions depends on the SRM chapter requirements, write the additional dimensions required to evaluate the damage.
RECORD THE EXACT DAMAGE LOCATION:
STA/FRAME/RIB: to STA/FRAME/RIB: STRINGER: to STRINGER:
4 O'CLOCK POSITION* ACCESS: LH
OTHER: RH
* To report at O´Clock position, you must be positioned like Captain seated position (only for damages on Inlet Cowl, Thrust Reverser, CNA)
DAMAGE TYPE
DENT HOLE PUNCTURES BURN MARK / LIGHTNING STRIKE
5 SCRATCH CRACK NICK CORROSION
ABRASION GOUGE DELAMINATION MISSING FASTENER
OTHER:
DAMAGE NOMENCLATURE:
SKIN* WEB FITTING STRINGER
FASTENER HEAD DOUBLER FRAME RIB
6
FASTENER HEAD & SKIN
OTHER:
* Specify if the damage is in the upper, lower or both skins (only for flaps, slats, elevator, leading edge)

F-ENG-094A R0 APR 10, 2015 CONTINUE…

 TECHNICIAN SUP / INSP
TYPE OF INSPECTION USED TO EVALUATE THE DAMAGE:
DVI - EXTERNAL DVI - INTERNAL
HFEC - EXTERNAL UT RDC
7 HFEC - INTERNAL TAP TEST X-RAY
ROTO - PROBE LFEC THERMOGRAPHY OTHER:
MANUAL REF.: NDT REPORT# (IF APPLICABLE):
EVALUATE THE DAMAGE IN ACCORDANCE WITH SRM, AMM, OR ANY OTHER APPLICABLE DOCUMENT:
IS THE DAMAGE WITHIN ALLOWABLE LIMITS? YES NO
When the damage is out of limits a repair is necessary, go to step 9.
8 If the damage is within allowable limits, then go to step 10 and sign step 9 as N/A (Not Applicable).
MANUAL REF.:

FOR DAMAGES OUT OF ALLOWABLE LIMITS: Accomplish the applicable repair per SRM, AMM, CMM, SR, TD as applicable.
CAUTION: Before you do this repair, read the Operator Implementation Plan Manual, refer to applicable Operator
regulatory manual, ensure that damage tolerance data is obtained and applied to embody repairs affecting any fatigue
NOTE: If you cannot find any applicable repair or if you have any question, contact Support Engineering Department.
MANUAL / JIC, USED TO PERFORM THE REPAIR:
REPAIR DOUBLER / PLY MATERIAL AND THICKNESS:
9 FASTENERS TYPE:
COLD WORKING*: YES NO IF YES, WRITE THE STDN
SKIN CUT-OUT? YES NO IF YES, DIAMETER: OR, LENGHT: WIDTH:
PROXIMITY TO ADJACENT REPAIR: YES NO
IF YES, RECORD THE DISTANCE FASTENER TO FASTENER FROM ADJACENT REPAIR:
RECORD OTHER REVELANT INFORMATION:
REPAIR SKETCH , include as many dimensions as possible e.g: length, width, diameter, distance from edge, other repairs etc .

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direction

10

DAMAGE / REPAIR CLASSIFICATION:

ALLOWABLE DAMAGE PERMANENT REPAIR WITHOUT INSPECTIONS
TEMPORARY/TIME LIMITED REPAIR PERMANENT REPAIR/ALLOWABLE DAMAGE WITH INSPECTIONS
11 WRITE THE FURTHER ACTION (Specify Threshold and Manual to accomplish the Further Action):

Note: For temporay repairs, write the threshold to accomplish the permanent repair.
For allowable damages within limits, write the threshold to accomplish inspection and/or repair, if applicable.
For permanent repairs with inspections, write the future inspection reference according to the specific SRM chapter.
12 Add this damage or repair in the structural book list aboard the aircraft by hand and write the new item
Paint or paste the consecutive number on the affected area.
13 Note: If for any reason it is not possible to paint the consecutive number, inform to the MCC in order to program the number painting at next
maintenance convenience.

14 Mark the Work Order as Structural and fill out required information on AMOS system
REMARKS:

ACRONYMS
AD: Airworthiness Directive FR: Frame S/B: Service Bulletin STDN: Standard Tool Diameter Number
A/C: Aircraft HFEC: High Frequency Eddy Current S/N: Serial Number UT: Ultrasonic
CMM: Component Maintenance Manual LFEC: Low Frequency Eddy Current SRM: Structural Repair Manual WV: Weight Variant only for Airbus A/C
DVI: Detailed Visual Inspection RDAS: Repair Design Approval Sheet STA: Station
F-ENG-094A R0 APR 10, 2015