Part 5 Feb07

Maintenance Organisation PART 5
Exposition APPENDICES
PART 5
APPENDICES
ISSUE No. 1 REV. 0

DATE March, 2007. PAGE 5-1
5.1. Standard Forms Index.
Chapter Form number Abbreviation Form name
5.1.1 OА001-05 LAS List of Approved Suppliers

5.1.2 OА002-05 SQSA Standard Questionnaire for Supplier’s Approval
5.1.3 OА003-05 ST Serviceable Tag
5.1.4 OА004-05 UT Unserviceable Tag
5.1.5 OА005-05 QT Quarantine Tag
5.1.6 OА006-05 MCR Material Conformity Report
5.1.7 OА007-05 CS Calibration Sticker
5.1.8 OА008-05 TIF Tool Individual File
5.1.9 OА009-05 LCTE List of Calibrated Tools and Equipment
5.1.10 OА010-05 POR Part Order Request
5.1.11 OА011-05 MLTE Master List of Tools and Equipment
5.1.12 OА012-02 CAC Company Authorization Certificate
5.1.13 OА013-05 IT Identification Tag
5.1.14 OА014-05 PO Purchase Order
5.1.15 OА015-05 TDL Tool Distribution LOG
5.1.16 OА016-04 MJSSRG MJSS Register Log
5.1.17 OА017-03 MLD Master List of Documentation
5.1.18 OА018-04 WO Work order
5.1.19 OА019-03 EO Engineering Order
5.1.20 OA020-02 SUP Suspected unapproved parts
5.1.21 OА021-04 MJC Maintenance Job Card
5.1.22 OА022-04 MJO Maintenance Job Order
5.1.23 OА023-04 NRC Non-Routine Card
5.1.24 OА024-04 ADD Acceptable Deferred Defects
5.1.25 OА025-06 MJSS Maintenance Job Summary Sheet
5.1.26 OА026-06 CRS Certificate of Release to Service (EASA Form One)
5.1.27 OА027-02 MDR Malfunction or Defect Report
5.1.28 OА028-02 OLMR Occasional Line Maintenance Acceptance Report
5.1.29 OА029-04 MPS Maintenance Preparation Sheet
5.1.30 OА030-04 LCS List of Certifying Staff
5.1.31 OА031-03 ADR AD’s Register
5.1.32 OA032-02 Q Questionnaire
5.1.33 OА033-02 AR Audit Report
5.1.34 OA034-02 CAR Corrective Actions Request
5.1.35 OА035-02 OR Occurrence report
5.1.36 OА036-04 LA List of Applicable AD/CN
5.1.37 OА037-03 LMP List of Modifications performed
5.1.38 OA038-04 ADS AD Status
5.1.39 OA039- 03 TDR Technical Documentation Register
5.1.40 OА040-05 LCO List of Contracted Part-145 Organisations
5.1.41 OА041-05 RO Repair Order
5.1.42 OA042-05 RSUP Register of Suspected Unapproved Parts
ISSUE No. 1 REV. 0

5.1.1. List of Approved Suppliers.
Page
LIST OF APPROVED SUPPLIERS
Pages
Form OA001-05 Rev.0 Date: March 2007.
Date
Supplier / Address, Description of Contract Appropriate Note
Subcontractor Name phones & etc. product / Approval
service № Date of
signing
Prepared by: Logistic engineer ________________

Print Date: Approved by: Quality Assurance Manager__________________
ISSUE No. 1 REV. 0

5.1.2. Standard Questionnaire for Supplier’s Approval.

Standard Questionnaire for Supplier’s
Approval Doc
Form OA002-05 Rev.0 Date: March 2007. No.:________
FROM: TO:
Federal State Unitary Enterprise
Orenburg Airlines (ORENAIR)
Airport, Orenburg, Orenburg Region
460049, Russian Federation
Tel.: +7-3532-70-68-60, +7-3532-70-59-10 Tel.:

Fax: +7-3532-70-59-10 FAX:
ATTN: Mr.
SUBJECT: Standard Questionnaire for Supplier’s Approval
Dear Valued Supplier,
FSUE ORENAIR has been approved by Part-145 for Aircraft Line (ref. _________).
It is the policy of the FSUE ORENAIR to select and use approved Suppliers/
Subcontractors/Vendors in order to be assured of supplied product quality.
With this purpose the questionnaire is developed. Answers to its questions will help us to
estimate quality system of your company and at positive results you will be included in List
of Approved Suppliers. This will create a base on which our two companies future co-
operation can be build.
Therefore we would appreciate if you already today could take the time to fill out the
questionnaire and return it by fax to above number together with copies of all your
certificates.
If you have any questions, please fell free to contact me or our Quality Manager
(tel.: +7-3532-21-22-11), to whom this questionnaire will be forwarded.
Yours sincerely_________
ISSUE No. 1 REV. 0

Standard Questionnaire for Supplier’s Approval

Form OA002-05
Quality System Standard Questionnaire
Organization: City:
Division of: State:
Address: Country:
Phone:
E-mail: Fax:
SITA:
Is your Quality System certified in accordance with (if yes please attach all copies of
Certificates):
 Part-145  FAR-145  ISO 9000 series
Other ____________________________________
Is you approved distributor for any manufacturer? Yes  No 

(If yes please attach all copies of Approvals)
Which ones?
_________________________________________________________
_________________________________________________________
We declare that information herein is, to the best of our knowledge, correct ant truthful.
For and behalf of __________________________________________________________
__________________________ __________________________________
1. Date Signature
__________________________ __________________________________
Title Please type or print your name here
ISSUE No. 1 REV. 0

Quality System Standard Questionnaire.
1. Quality System and Manual yes no n/a

1.1. Is there an established, documented and maintained quality system?
Is a Quality Manual established in accordance with the applicable
1.2.
International standard?
1.3. Does the Quality Manual adequately describe the quality system?
Are the contents of the procedures in accordance with the complexity of the
1.4.
activities and with personnel ability?
Does the Quality Manual and/or other documentation include a detailed
1.5.
description of:
The organization and relationship of the QC department to the rest of the
1.5.a
organization?
1.5.b An assignment of personnel and specific responsibilities?
1.5.c The revision control system for the quality system documentation?
1.5.d Record keeping system?
1.5.e Control of incoming discrepant parts and supplies?
1.5.f Receiving inspection procedures?
1.5.g Test and inspection equipment calibration program?
1.5.h Storage facilities and specifications?
1.5.i Part identification program?
1.5.j Environmental controls as appropriate?
1.5.k Internal audit/evaluation program?
2. Internal Quality Audit yes no n/a
Do you have established, documented and maintained internal audit
2.1.
procedure?
Do the quality audits verify that quality activities and results conform to the
2.2.
provided dispositions and allow determining the quality system efficiency?
2.3. Are the results of the internal quality audits recorded?
Are the implementation and effectiveness if corrective actions taken
2.4.
verified by follow-up audits?
2.5. Are the follow-up audit activities recorded?
3. External Quality Audit yes no n/a
Are you willing to let the authorities or other interested parties to do audit
3.1.
and surveillance of your quality program?
3.2. Are you willing to supply your Quality Manual to ORENAIR if required?
ISSUE No. 1 REV. 0

4. Training and Authorized Personnel yes no n/a

Are personnel who perform inspection, shipping and receiving functions
4.1
properly trained?
4.2. Is inspection personnel properly authorized?
4.3. Is inspection personnel trained to identify unapproved and bogus parts?
Are both formal classroom and on-the-job training documented and
4.4.
maintained?
Is a roster of personnel authorized to perform inspection functions
4.5.
maintained?
5. Purchasing yes no n/a
Is there established a documented procedure to ensure that purchase
5.1.
products conform to applicable requirements?
Does the system assure that parts conform to the customer’s purchase
5.2.
request and that the customer approves deviations in writing?
Are purchases performed only from authority approved manufacturer as
5.3.
applicable?
5.4. Do you purchase from sources other than original manufacturer? *
* If yes, does the system require original manufacturer’s certificate or
5.5.
approved maintenance organization’s certificate?
Does the system require maintaining a list of approved sources and a
5.6.
quality history of each source?
FAA, EASA approved Airline
FAA, EASA approved Repair Station
FAA approved Manufacturer (OEM, FAR Part21)

Materials/parts are certified
5.7
traceable to:
FAA approved Manufacturer Maintenance Facility
OEM approved Vendor/Distributor
Accepted Industry Standards (Standard Parts only)
6. Receiving Inspection yes no n/a

Is all incoming material held in a separate area or shelf until accepted by
6.1.
receiving inspection?
6.2. Is there segregated shelf for rejected items?
6.3. Does the inspection program include:
6.3.a Inspection if the package for transportation damage?
6.3.b Inspection of the material for transportation damage?
ISSUE No. 1 REV. 0

Check of the compliance with the purchase order in regards to quality and
6.3.c
quantity?
Verification of part number, model number, etc. to match the
6.3.d
documentation?
6.3.e Visual inspection for surface treatment, corrosion etc.?
6.3.f Check of appropriate markings in the product?
Check of material certification, other applicable certificates, certificate of
6.3.g
origin as may be required?
Check of certification matching in accordance with specification (or
6.3.h
ordered work)?
6.4. Does the system include an inspection program for new standard parts?
7. Storage yes no n/a
Do storage areas provide adequate space and relevant racks to preclude
7.1.
damage or mishandling?
7.2. Is the storage area secure from unauthorized access?
7.3. Is there segregation of aircraft from non-aircraft functions?
7.4. Is there segregation of serviceable from non-serviceable parts?
Does the system have a procedure for storage of flammable, toxic or
7.5.
volatile materials?
Does the system have a procedure for storage and handling of materials
7.6.
against damage by electrostatic discharge?
Does the system have a procedure for storage and handling of materials
7.7.
against the corrosion?
7.8. Are the temperature and humidity in the storage areas controlled?
7.9. Is the environmental control system periodically checked and calibrated?
Are there established procedures to verify, at appropriate intervals, the
7.10.
condition of products in stock in order to detect deterioration?
8. Material Control yes no n/a
Is material handled in an appropriate manner and protected from damage
8.1
and deterioration?
8.2. Is the storage area periodically checked for overall effectiveness?
8.3. Is batch/lot control maintained for parts so identified by the manufacturer?
Whenever practical, is material stored and delivered in the manufacturer’s
8.4.
original packaging?
Does the system require the packaging to identify the manufacturer,
8.5.
distributor, serial number, etc?
8.6. Does the system assure that no part number ambiguity exists?
Does the system require segregation of nonconforming material from
8.7.
usable stock?
8.8. Is there a documented procedure in place to mutilate scrapped parts?
ISSUE No. 1 REV. 0
Does the system require records and documentation to be kept on all

8.9.
serialized scrapped parts?
9. Material Certification yes no n/a
9.1. Have you ATA 106 certification?
10. Shipping yes no n/a
Do the shipping instructions require an inspection to ensure that the product
10.1 conforms to the purchase order and that applicable document and
certificates are attached?
Are the packages in accordance with ATA requirements for packing as
10.2.
applicable?
Does the system require supplying the original manufacturer’s certificate to
10.3
the customer?
Should the copy be sent in case the customer purchases only a part of the
10.4.
certified batch/lot?
11. Record System yes no n/a
Does the record system require retention for at least 7 years from the date of
11.1.
sale to the customer?
Does the system provide product traceability (batch/lot and serial number)
11.2. to original manufacturer and/or maintenance organization for at least 5
years?
Are records readily available and identifiable to each customer; each
11.3.
purchase?
Does the quality system include a system governing the storage,
11.4. distribution and retrieval of documents confirming the physical and
chemical properties if fasteners and raw material?
Are records confirming fastener integrity required to be maintained for 7
11.5.
years?
Does the system require all life-limited part to have records confirming life
11.6.
limited status?
11.7. Are records protected against damage, alternation, deterioration and loss?
12. Technical Data Control yes no n/a
Does the quality system provide for maintaining technical data in a manner,
12.1.
which ensures such data, is up-to-date and accessible?
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5.1.3. Serviceable Tag.
SERVICEABLE
TAG No ________
Discription:
P/N:
S/N:
QTY:
Vendor/ Contractor/Owner:
Storage Condition:
Permitted Shelf Life Till:
Date Logist Inspector

D D M M Y Y
Installation
A/C No Station POS
D D M M Y Y
Date MECHANIC INSPECTOR

D D M M Y Y
Form OA003-05 Rev. 0 Date March 2007.
ISSUE No. 1 REV. 0

5.1.4. Unserviceable Tag.
UNSERVICEABLE
TAG No _________
Discription:
P/N:
S/N:
QTY:
I n i t i a l D o c . R e f. :
For inventory control only

Subject to be Subject to be
SCRAPPED REPAIRED
D D M M Y Y
Removed from:
A/C No Station POS

D D M M Y Y
Reason for removed:
ISSUE No. 1 REV. 0

5.1.5. Quarantine Tag.
QUARANTINE
TAG No _______
Discription:
P/N:
S/N:
QTY:
I n i t i a l D o c . R e f. :
For inventory control only

Subject to be Subject to be
Serviceable Unserviceable
D D M M Y Y
Removed from:
A/C No Station POS

D D M M Y Y
Reason for Quarantine:
ISSUE No. 1 REV. 0

PART 5
Maintenance Organisation Exposition
APPENDICES
5.1.6. Material Conformity Report (store in).

MATERIAL CONFORMITY REPORT (STORY IN) DATE:
Form OA006-05 REV. 0 DATE March 2007.
PAGE 1 of ___
N/N Description Type/Part No Serial No QTY P.O.R. Location Remark
Serviceable Quarantine Unserviceable
Name Signature Stamp

Supervisor
Inspector Name Signature Stamp
ISSUE No. 1 REV. 0

5.1.7. Calibration Sticker.
CALIBRATION STICKER
Identification
Last Calibration DD MM YY
Expire date DD MM YY
Stamp Signature
Form OA007-05 Rev.0 Date: March 2007.
ISSUE No. 1 REV. 0

5.1.8. Tool Individual File.
TOOL INDIVIDUAL FILE Doc. NO___

Form OA008-05 Rev. 0 Date March 2007. Page 1 of __
Identification:
Tool names
Vendor/Manufacturer/Supplier
Identification Number
Part Number
Serial Number
Periodical inspection
Traceability:
NN Last Document Location Next Calibration Remarks
Calibration Reference
ISSUE No. 1 REV. 0

PART 5
APPENDICES
5.1.9. List of Calibrated Tools and Equipment.
Date
LIST OF CALIBRATED TOOL AND EQUIPMENT
Form OA009-05 REV. 0 DATE March 2007.
Page 1 of __
Vendor/
Tool/Equipment Calibration Last Inventory Next
NN Manufacturer/ Part No Serial No ID No Location Remarks
Name Interval Calibration Check Calibration
Supplier
LD Manager Name Signature Stamp
ISSUE No. 1 REV. 0

5.1.10. Part Order Request.
PART ORDER REQUEST (POR) No ______

A/C Reg. No. Initial Doc. Ref. POR Date MEL Code Due to Date
Reason
for Order:
Manufacturer Ref. Document

Document Name
Section Page Figure Item
Est. time Required Run Up required
Remarks
NoNo Description Part Number QTY
Ordered by: Checked by:
ISSUE No. 1 REV. 0

PART 5
APPENDICES
5.1.11. Master List of Tools and Equipment.
MASTER LIST of TOOLS AND EQUIPMENT

Form OA011-05. Rev. 0 Date March 2007.
MFCR'S
APPLICABILITY AVAILABILITY ID. No.
Maintenance Check
DATA
CERTIFICATE #
MJC/MJO
CONDITION
ITEM
QTY
Optional
OWNER
TOOL NAME P/N
B737
QTY
ISSUE No. 1 REV. 0
5.1.12. Company Authorization Certificate.
Front side
Limitations
COMPANY
This is to confirm that I understand the applicable Limitations and I AUTHORIZATION
will follow to these Limitations for CRS issue.
Date: Holder Signature: ORENAIR Maintenance Organization

EASA 145.хххх
Reverse Side
Scope of Authorizations
License №
Company Authorization Aircraft (Engine Validity
Cat
ORG012-02 Rev.0 Date Sep-23 ______________ Limitations
Type) From Until
Name: Stamp
_____________________________
This is certify that the holder is authorized to carry out in the name and on behalf of
OA works or procedures listed in Scope of Authorizations and Customer’s
Limitations of this document and within Company’s effective regulatory approvals
in accordance with approved company procedures.
The holder is not entitled to issue the Certificate to Release to Service in respect of any aircraft
or aircraft component unless this license includes an appropriate rating.
Date of Issue: _________ Quality Manager:_________

Date: Holder Signature:
ISSUE No. 1 REV. 0

5.1.13. Identification Tag.
IDENTIFICATION
TAG No _______
Discription:
P/N:
S/N:
QTY:
Initial Doc. Ref.:

D D M M Y Y
Removed from
A/C No Station POS

D D M M Y Y
R e a s o n f o r r e m o ve d :
ISSUE No. 1 REV. 0

5.1.14. PURCHASE ORDER (Form OA014-05)
Order placed to Order placed by P.O. №
Attn: Deliver to:
Tel: Tel: Tel:

Fax: Fax: Fax
E-mail: E-mail
Qty Part Number Description Condition Unit cost Total
Shipment details: Shipment:
Delivery terms: Total:

Order priority:
A/C type, tail No:
Please confirm order receipt by return e-mail or fax & advice shipment details, when
they become available.
Notes:
1. Unless otherwise stated, either EASA Form One or as per AMC 145.A.42(a) must accompany
aircraft component.
2. For standard parts copy of manufacturer’s Certificate of Conformity is required.
3. Full traceability since new or last overhaul is required.
4. For life limited parts Life limit information is required.
5. Original invoices must accompany part(s).
6. Certificate of calibration should accompany tools and equipment
If you have any questions, please contact us on the above Tel./Fax No.
Best regards,
_________________ Signed:
Order date:
ISSUE No. 1 REV. 0

5.1.15. Tool Distribution LOG.
Tool Distribution LOG

Form OA015-05 Rev.0 Date March 2007.
Delivery by: Received by:

A/C (With knowledge of
Identification Maint.
Date Part Name Reg. instruction)
Tag Check
No.
Name Signature Name Signature
1 2 3 4 5 6 7 8 9
ISSUE No. 1 REV. 0

5.1.16. MJSS Register Log.
Журнал регистрации карт-нарядов на ТО АТ/ Page 1

MJSS Register Log
Form OA016-04. Rev.0. Date March 2007. Pages _____
Issue MJSS to Work Shop Return MJSS to PPCG
Выдача карты-нарядов для ТО Сдача карт-нарядов в ГППК
Item Date MJSS QTY A/C A/C Mainte- Name, Date QTY Name,
No Type Reg nance Signature Signature
Form
№№ Дата Карта- Кол-во Тип Бортов Форма Фамилия Дата Кол-во Фамилия
наряд листов ВС ой ТО и подпись листов и подпись
№ номер лица лица
ВС получившего сдающего
карту-наряд карту-наряд
ISSUE No. 1 REV. 0

PART 5
APPENDICES
5.1.17. Master List of Documentation.
Page 1 of ____
Master List of Documentation.
Form OA017-03. Rev. 0 Date March 2007 Date of issue:
Total № Rev.
Description Volume Distribution
Doc Number Format QTY Date
(Title) QTY
Eng T Lib LM Net BGQ BGP BGR
Aviation Authorities documentation (EASA, FAA, DGAC/GSAC, FAA of RF and other);
ISSUE No. 1 REV. 0

PART 5
APPENDICES
Page 1 of ____
_____________
Total № Rev.
(Title) QTY
Manufacturer/maker instructions of aircraft and/or aircraft component;
ISSUE No. 1 REV. 0

PART 5
APPENDICES
Page 1 of ____
_____________
Total № Rev.
(Title) QTY
Internal (developed by the ORENAIR Engineering department) documents.
ISSUE No. 1 REV. 0

5.1.18. Work Order.
WORK ORDER N ____

Page 1 of ___
Form OA018-04. Rev. 0
Attachment: _____
Date March 2007.
A/C Type: A/C Reg. No: A/C line No: Maintenance event:
Line maintenance Base maintenance Defect rectification

Deadline: AOG URGENT till date: ___/___/____ ROUTINE till date: ___/___/___
Work required: FABRIC MAINTENANCE REPAIR OVERHAUL INSPECTION OTHER
Parts / Materials required YES NO
Defect or required works description: ____________________________________

______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
Ordered by: ________________________ Date: _____/_____/_____ Time _____/____

(Signature)
Order received by: ___________________ Date: _____/_____/_____ Time _____/____

(Signature)
ISSUE No. 1 REV. 0

5.1.19. Engineering Order.
Engineering Order (EO) No______

(Airworthiness Directive AD/CN, Service Bulletin)
Form OA019-03.Rev.0. Date March 2007. Page1 of __
Customer EO - Type EO Number Issue ATA
Reason for issue:
Initial Doc. Reference:

No. Number of Document Issued by Revision Date Note
Description:
Effectively: A/C Type:

Engine Type:
Unit:
Part Name:
Affected: A/C Engine Type: Unit:
A/C Type: S/N P/N
Reg. No
S/N
Implementation Limits:
Deadline /
Par. Method of compliance Para. Status AD status
Interval
Material POR No: Scheduling Priority

Information Next check/shop visit
Maintenance Next heavy maintenance visit
Job Order As scheduled by PPCG
Base
Order report to:
Accomplishment report to:
Attachment:
Name Phone Date Signature
Prepared by Engineer of ED
Approved by Manager of ED
Dispatch: ......... Issue Date: .......
ISSUE No. 1 REV. 0

5.1.20. Suspected unapproved parts notification .
Suspected unapproved parts (SUP) Page:

notification Form.
Form OA020-02 Rev.0 Date March 2007. Pages:
1. Date: 2. Part Name:
3. Part No: 4. Serial No:
5. Aircraft Manufacturer/Model: 6. QTY: 7. Next Assembly Name & No:
8. Name & address of the person(s) who provided or repaired the part:
Name:
Street:
City: Phone:
Country: Fax:
Zip:
9. Description of facts that makes you think that the part is not approved: _______________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
10. Date of the discovery:
11. Place of the discovery of the part:
Name:
Street:
City: Phone:
Country: Fax:
Zip:
Check the suitable slot regarding the person having discovered the part:
Manufacturer: Repair Station:

Supplier: Other:
Operator:
12. Reporter Name:
Name:
Street:
City: Phone:
Country: Fax:
Zip:
13. Check here if you wish that name of the reporter remains confidential
ISSUE No. 1 REV. 0

5.21. Maintenance Job Card.
MAINTENANCE JOB CARD A/C type

MJC No.: Aircraft Reg. No.: MJSS No.
PAGE: 1 of 2 PAGE:
A/C (effectivity): ZONE: TRADE:
INTERVAL: ACCESS: MANPOWER:
TITLE: Date: Rev.:
REFERENCE: MS ITEM: Issued by:
I. Materials.
No. P/N Description Qty. Note
II. Equipment and Tools.

III. Accomplishment instructions.

Stamp
No. JOB DESCRIPTION
Certif. Insp.
STATION Page executed

Date Name Signature/Stamp
ISSUE No. 1 REV. 0

5.1.22. Maintenance Job Order.
MAINTENANCE JOB ORDER A/C type:

MJO No.: Aircraft Reg. No.: MJSS No.
PAGE: 1 of 3 PAGE:
TITLE: Date: Rev.:
REFERENCE:
Prepared by: Checked by: Concurred with:
Date: Name: Signature: Date: Name: Signature: Date: Name: Signature:
I. Materials
II. Equipment and Tools

III. Accomplishment instructions

Stamp
No JOB DESCRIPTION
Certif. Insp.

ISSUE No. 1 REV. 0

MJO (Extra page)

OA022-04. Rev. 0 Date March 2007.
PAGE: 2 of 3 Date: Rev.: PAGE:
No JOB DESCRIPTION
Stamp
Certif. Insp.

ISSUE No. 1 REV. 0

MJO (Feedback page)

OA022-04. Rev. 0 Date March 2007.
PAGE: 3 of 3 PAGE:
TITLE: Date: Rev.:
REFERENCE:
MANDATORY
IMPORTANT : REPORT ALL FINDINGS & ANY ACTION TAKEN

(Include Part Numbers, Serial Numbers and Aircraft position where applicable)
FEEDBACK to: ED ; X QD ; X PPCG X
RESULT
...........................................................................................................................................................
............................................................................................................................................................
..................................................................................................................................................
If necessary additional sheets may be used.

1. Have all the above mentioned partings been undertaken in full compliance. Yes/No *
2. If “No” please specify partings, give details below on action taken and advise PPCG as
appropriate.
NOTE: Any given deferment must not exceed a mandatory compliance interval (deadline).

ISSUE No. 1 REV. 0

5.1.23. NON-ROUTINE CARD (NRC)
NON-ROUTINE CARD (NRC)

Form OA023-04 Rev.1 Date March 2007. No.
Карта-наряд на выполнение дополнительных работ
Форма OA023-04 .Рев.0. Дата Март 2007 Issue Date / Дата выпуска: ______
MJSS No / Planning Mhrs Issued by /
A/C Type / Тип ВС: A/C Reg / Рег. номер: / Кол-во Кем выдано:
Номер MJSS:
B 737-________ VP-B__ чел.часов:
Task /Defect (Description, Location) /

Задача /Неисправность (Описание,
Расположение)
Item/ Action Required Action Taken / Mech / Insp. /

№. Необходимое действие Проведенные работы Механик Инспектор
Parts/Materials required / Необходимые Части/Материал

Item/ Description / Описание Part No. / QTY / IPC Ref. / POR No. (if required) /
Номер POR (если нужно)
№. Номер части Кол-во Ссылка IPC
1
Part No. OFF / Serial No. OFF/ Serial No. ON /

Item / Номер Part No. ON/ Номер Серийный номер
Description / Описание Серийной номер
№. заменяемой
заменяемой части
установленной части установленной
части части
Working Mhrs / Кол-во чел. часов: Station / База Accomplished /

Date / Дата
Выполнил:
ISSUE No. 1 REV. 0

5.1.24.Acceptable Deferred Defects.
ACCEPTABLE DEFERRED DEFECT No ___________

Form OA024-04. Rev.0 Date March 2007. Page 1 of __
Station: Issue Date: Maintenance:
Aircraft Type A/C Reg. A/C Serial
Total FH Total FC
Reference MEL / CDL Code:
Issued by Up to date:
Discrepancy / Deferred Defect Action:
Signature: Stamp: Signature: Stamp:

Reason for deferred: Required materials and components: POR No
Part Name: Part Number: QTY:
Additional remarks / Recommendations:
Component change details

Part No. Serial No. Part No. Serial No.
Description
OFF OFF ON ON
Estimate Records
Planning Mhrs: Working Mhrs:
This Deferred Item has been brought to the attention and PPCG
is planned by the PPCG up to date.
Name Date Sign.
ISSUE No. 1 REV. 0

5.1.25. Maintenance Job Summary Sheet.
MAINTENANCE JOB SUMMARY SHEET No

Page 1 of
Work Order № Arrival Date /Time: Departure Date /Time:
Maintenance Event:
Handling Line maintenance Base maintenance Defect rectification Other
Aircraft Type: A/C Reg. A/C Serial APU Type: APU S/N:
Total FHR Total CYC FHR CYC

Engine Type: #1 S/N #2 S/N
FHR CYC FHR CYC
1. Routine Tasks (Planned by PPCG)
Item Doc. Ref. No Description Stamp
1
2
3
4
5
Prepared by PPCG:
NRC.
___ NRC, which has been raised during Maint. Check accomplished see page: Stamp
QTY
Equipment/Tool/Part/Material.
Equipment/Tool/Part/Material, which has been used during Maint. Check see page: Stamp
RELEASE to SERVICE STATEMENT.

I certify that the work specified except as other-wise specified was carried out in accordance with PART-
145.50 and in respect to that work the aircraft is considered ready for Release to service
Signature………………Stamp…………….
Date: …………/…………………/………….…….
Day Month Year
Beginning of Maintenance: End of Maintenance: Stamp
Capt. Accepted
(Sign.)*
* Signature under this Document “Certifies that the Walk Around Check is accomplished and A/C is ready for
the flight IAW National Rule and Aircraft Operational Manual
Part145 approved maintenance organisation №________
ISSUE No. 1 REV. 0

2. NRC.
Item NRC No Item NRC No Item NRC No
3. Servicing
FUEL OIL Eng. #1 Eng. #2 APU
Remaining Kg QTY
Added Ltrs Gal
S.G. 0  Hydraulic Sys #1 Sys #2 Sys #3
Order No Added (Gal)
Total on Board Kg QTY
All filler caps and servicing caps, doors, access panels and cowlings are re-inspected for correct
attachment and security on completion of oil, fuel, hydraulic refilling servicing.
Mechanic Name _____________ Signature_______________ Stamp _________
4. Equipment/Tool/Part/Material which has been used during maintenance

Item Description Part/ID No QTY Stamp
Date Station Accomplished: Stamp

2.
ISSUE No. 1 REV. 0

5.1.26. Certificate of Release to Service (EASA Form 1)
Front EASA Form 1.
1. Approving Competent 2. 3. Form Tracking Number
AUTHORISED RELEASE
Authority / Country
CERTIFICATE
EASA FORM 1
4. Approved Organization Name and Address: 5. Work Order/Contract/
Invoice
FSUE «ORENAIR»
Airport, Orenburg,
Orenburg District,
Orenburg Region,
460049, Russia
Tel.: +7-3532-70-68-60
Tel/Fax.: +7-3532 70-59-10
6. Item 7. Description 8. Part No 9. Eligibility 10. Qty 11. Serial/Batch No 12. Status/Work
13. Remarks
14.Certifies that the items identified above were manufactured in conformity to: 19. PART-145.A.50 Release to Service Other regulation specified in
block 13
approved design data and are in condition for safe operation
non- approved design data specified in block 13 Certifies that unless otherwise specified in block 13, the work identified in
block 12 and described in block 13, was accomplished in accordance with
PART-145 and in respect to that work the items are considered ready for
release to service.
15. Authorized Signature 16. Approval/Authorization Number 20. Authorized Signature 21. Certificate/Approval Ref. No
17. Name 18. Date (d/m/y) 22. Name 23. Date (d/m/y)
EASA Form 1 – Issue 1. * Installer must cross-check eligibility with applicable technical data
ISSUE No. 1 REV. 0

Reverse side EASA Form 1.
Authorized release certificate

EASA Form 1 USER/INSTALLER
RESPONSIBILITIES
Note:
1. It is important to understand that the existence of the Document alone does not automatically
constitute authority to install the part/component/assembly.
2. Where the user/installer works in accordance with the national regulations of an Airworthiness
Authority different from the Airworthiness Authority specified in block 1 it is essential that the
user/installer ensures that his/her Airworthiness Authority accepts parts/components/assemblies
from the Airworthiness Authority specified in block 1.
3. Statements 14 and 19 do not constitute installation certification. In all cases the aircraft
maintenance record must contain an installation certification issued in accordance with the
national regulations by the user/installer before the aircraft may be flown.
5.1.27.Malfunction or Defect Report .
ISSUE No. 1 REV. 0

Malfunction or Defect Report Document No:

Form OA027-02 Rev.0 Date March 2007. ________________
Subject:
PROBLEM DESCRIPTION:
Date: Flight No: A/C Type: A/C Reg. No: A/C Serial No:
___/___/___ From: To:
SPECIFIC PART CAUSED TROUBLE:

ATA Code: Part Name: MFG Part Serial No: Location:
No:
PART CONDITION:
Total FHR: Total CYC: General Condition:
DEFECT: ______________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
CORECTIVE ACTION: ___________________________________________________________

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
ADDITION COMENTS: ___________________________________________________________

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
ORIGINATOR:
Name: Title: Issue date: Signature:
Dispatch: Report to EASA Principal Inspector:
5.1.28. Occasional Line Maintenance acceptance Report.
OCCASIONAL LINE MAINTENANCE Page

ACCEPTANCE REPORT
Form OA028-02. Rev. 0 Date March 2007. Pages
ISSUE No. 1 REV. 0

Location Maintenance event Layover time
A/C type A/C Reg. No Serial No
1. Facility
2. Personnel
3. Equipment/ Tools
4. Maintenance data
5. Spare parts/consumable
Prepared by Checked by
PM
Name Signature Name Signature
Approved by EASA
 approved Restriction:
 not approved Position Name Signature
5.1.29.Maintenance Preparation Sheet.
Maintenance Preparation Sheet

FormOA029-04.Rev. 0.Date: March 2007. №___
ISSUE No. 1 REV. 0

Maintenance event:  FAA AD  GCAS CN  Modification  Manufacturer SB

Other ______________________________________________________________
A/C Type WO A/C Reg. No A/C S/N
POR  Yes  No EO: Dead Line:

Reason for Order:
Part Name:
Spec. Number: (if any)
Part Number: QTY:
IPC Sec.: Page: Fig.: Item:
Additional Expendables for Part Yes No

PREPARED BY: SIGNATURE: DATE (dd/mm/yy):
ISSUE No. 1 REV. 0

PART 5
APPENDICES
5.1.30. List of Certifying Staff.
List of Certifying Staff Page 1 of ___

Company
Date of first Date of
No Name Qualification Scope of Authorizations Authorization Remark
delivery expire
Certificate
ISSUE No. 1 REV. 0

PART 5
APPENDICES
5.1.31. AD’s Register (FORM OA031- 03).
System Engineer
Biweekly or Rev. Entry Date EO Number EO Issue Date Rev. MJO Issue Date
(Name/ Rev. EO MJO Number
AD/CN Number AD/CN AD/CN AD/CN Effective Date Prepared by MJO Prepared by
Signature)
Дата выпуска
Номер сборника Системный инженер Номер выпущен-ного Дата выпуска ЕО, Ревизия
Ревизия Дата поступления
(подпись о EO. Дата Ревизия ЕО Номер MJO MJO,
директивы директивы
или директивы получении) эффективности кем выпущен MJO
кем выпущен
1 2 3 4 5 6 7 8 9 10
ISSUE No. 1 REV. 0

5.1.32. Questionnaire .
Questionnaire Quality
Department
Form OA032- 02 Rev. 0 Date March 2007. Page 1 of _____
Questionnaire to Audit Report No_____

Required Corrective
Question Expected result Findings
Actions No
No № требуемого
Ожидаемый
Вопрос Замечания корректирующего
результат
действия
Prepared by: Quality Auditor

Исполнитель
ISSUE No. 1 REV. 0

5.33. Audit Report.
Audit Report Quality

Department
Form OA033- 02 Rev. 0 Date March 2007. Page 1 of 2
Audit Report No________

Subject of Audit: _______________________________________________________________
Тема аудита
Date: Station: Depatment: ______________________
Дата Место проведения Подразделение
Concerned Activity: _________________________________________________________
Рассматриваемая деятельность
References: ___________________________________________________________________
Полномочия
Auditirs: ______________________________________________________________________
Аудиторы
Dispatching: __________________________________________________________________
Рассылка
___________________________________________________________________________________________
To Audities: _________________________________________________________________________
Аудити
___________________________________________________________________________________________
To Technical Director ________________________________________________________________
Техническому директору
________________________________________________________________________________
To QA Manager _________________________________________________________________
Начальнику отдела качества
________________________________________________________________________________
Preliminary Report agreed ___________________________________________

Предварительный отчёт согласован в отношении
________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
at ...................................................................... ref
Date of final Report: _____/______/______/
Дата DD MM YY
Lead Auditor Name: _____________________________________________________

Фамилия главного аудитора
Signature: _________________ Date of final Report: _____/______/______/

Подпись Дата DD MM YY
ISSUE No. 1 REV. 0

Audit Report Quality

Department
Form OA033- 02 Rev. 0 Date March 2007 Page 2 of 2
1. Audit Purpose: ___________________________________________________________
Цель аудита
______________________________________________________________________________________
________________________________________________________________________________
2. Audit Goal : _____________________________________________________________
Задача аудитa
_________________________________________________________________________________________
________________________________________________________________________________
3. Audit Technique: _________________________________________________________
Методы аудитa
___________________________________________________________________________________
________________________________________________________________________________
4. Auditee and Attendees : ___________________________________________________
Аудити и присутствующие
___________________________________________________________________________
________________________________________________________________________
Auditor check has been carried out with ____/____/____ on ____/____/____

Аудиторская проверка была проведена с DD MM YY по DD MM YY
5. Compliance means : _______________________________________________________

Средства согласования
_________________________________________________________________________________
________________________________________________________________________________
6. Conclusions: _____________________________________________________________
Выводы
_________________________________________________________________________________________
________________________________________________________________________
_
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
7. Deviations: ______________________________________________________________
Отступления
___________________________________________________________________________________________
________________________________________________________________________
________________________________________________________________________________
Total С.A.R. raised : _________

Общее количество требуемых корректирующих действий
8. Comments: __________________________________________________________________
___________________________________________________________________
Комментарии
________________________________________________________________________________
_________________________________________________________________________________
ISSUE No. 1 REV. 0

_________________________________________________________________________________
5.1.34. Corrective Actions Request .
Corrective Actions Request Quality

Department
Form OA034- 02 Rev. 0. Date March 2007. Page 1 of 1
Corrective Actions Request to audit Report No_______

Sender: _________________________________________________________________________
Аудитор
Date: Request Number:
Дата № запроса
Receiver : ________________________________________________________________
(Аудити)
Detected Discrepancy (Filled up by Sender) : _______________________________________

Обнаруженное несоответствие (заполняется аудитором)
__________________________________________________________
________________________________________________________________________
Name: _________________ Signature: _________________
Corrective Actions (Filled up by Receiver) : ______________________________________________

Корректирующие действия(заполняется аудити)
______________________________________________________________
________________________________________________________________________
Time Scope : ___________________________________________________________________
Запас времени
__________________________________________________________________________________________________________________________
Name: _________________ Signature: _________________
Report on Implementation (filled by Receiver Addressed to Sender) : ____________________________

Сообщение об исполнении (заполняется аудити, адресуется аудитору
______________________________________________________________________
_______________________________________________________________________________
Action Achieved : _______________________________________________________________
Достигнутый результат
____________________________________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________
Proof of implementation :_________________________________________________________
Доказательство выполнения
______________________________________________________________________________________________________________________________________________________________
________________________________________________________________________
Name:______________ Signature: _______________ Date: ______/______/______/
Approval of Sender (Filled by Sender Addressed to Receiver) : ______________________________

Одобрение аудитора (заполняется аудитором, адресуется аудити)
___________________________________________________________________________________
______________________________________________________________________________
Date: _____ /_____ /_____ / Signature: ___________________
ISSUE No. 1 REV. 0

5.1.35. Occurrence report .
Occurrence Report Quality

Department
Form OA035-02 Rev. 0 Date March 2007. Page 1 of ____
Finding Raised Time
No Status Remarks
description performing limit
ISSUE No. 1 REV. 0

5.1.36. List of Applicable AD/SB.
List of Applicable AD/SB Page 1
Form OA036-04 Rev. 0 Date March 2007. Pages _____

Related
AD Aircraft/
AD Revision documents Date of
No Description of AD date component
No No. (SB, EO, Compliance
of issue affected
etc.)
ISSUE No. 1 REV. 0

5.1.37.List of Modifications performed .
List of Modifications performed Page 1

Number Date of
SB/SL Subject / Engineering Stamp
No AD No. Rev work perform Remarks
No. Description Order No. PD
package .
ISSUE No. 1 REV. 0

PART 5
APPENDICES
5.1.38. AD Status .
Page 1
AD Status
Pages _____
Interval At utilization Next performance Remain

Last Due Metod of MJSS
No Work Reference Description
time date compliance No
HRS CYC Days HRS CYC HRS CYC HRS CYC Days
ISSUE No. 1 REV. 0

5.1.39. Technical Documentation Register.
Technical Documentation Register. Page ____

Form OA039- 03 Rev. 0 Date March 2007. Pages ____
No Date Doc. No Description Rev. No QTY Dispatch
ISSUE No. 1 REV. 0

5.1. 40. List of Contracted PART-145 Organizations .
List of Contracted Part-145 Organizations Page 1
No Subcontractor Certificate No. Address Tel/Fax
5.1.41. Repair Order .
ISSUE No. 1 REV. 0

Repair Order (RO)

No ________
TO: FROM:
Attn:
Tel./Fax.: E-mail: Tel./Fax.: E-mail:

Warranty Repair: Yes  No 
Description of component: P/N: S/N:
Unit Original Delivery Date:
FHR Months Cycles

Time since new
F
Time since overhaul
Time since last repair
Time since installation
A/C Reg.: A/C Type:

Reason for Removal:
Defect is noted during: Flight  Run up  Inspection  Other 
Remarks:
Date: Name: Signature:
ISSUE No. 1 REV. 0

PART 5
APPENDICES
5.1.42. Register of Suspected Unapproved Parts.
Register of Suspected Unapproved Parts Page:___________________

Form OA042-05. Rev.0 Date March 2007
Pages:__________________
Date Description Part Serial Supplier Name of Reasons for Organisation Shipment Result of
Number. Number inspector suspicion where part sent document investigation
for investigation
ISSUE No. 1 REV. 0

5.2. List of Subcontractors .

Reference PART 145.A.70 (a) (14), PART 145.A.75 (b).
Any work performed for non-PART-145 subcontractors must be performed within the frame of a
contract.
The Quality assurance group lead engineer will keep the list of non-PART-145 subcontractors up to
date. Those documents remain at the disposal of the authorized person.
At present time ORENAIR has no non-PART-145 subcontractors under cover of the maintenance
organization quality system.
ISSUE No. 1 REV. 0

5.3. List of line maintenance locations.

Reference PART 145.A.70 (a) (15), PART 145.A.75 (d)
Localisation of the
№ IATA code Type of aircraft maintenance
maintenance facility
Also please see MOE 1.8.
ISSUE No. 1 REV. 0

5.4. List of contracted PART 145 organisations.

Reference PART 145.A.70 (a) (16).
Certificate Type of
Subcontractor Address Localisation
No. maintenance tasks
ISSUE No. 1 REV. 0

5.5. LIST OF ASSOCIATED PROCEDURES .

1. Company Procedure CP001-ОА-02.
The instruction for development of the coordination and introduction in action the Company
Procedures in «ORENAIR Maintenance Organisation».
2. Company Procedure CP002- ОА-05.
The instruction for Supplier Evaluation and Subcontract Control Procedure.
Instruction for carrying out of incoming inspection procedure.
The instruction for storage, tagging and release of aircraft components and material to aircraft
maintenance.
Instruction for order and use of tools and equipment.
Airworthiness Directive/Service Bulletin and Optional Modification procedure.
Documentation used for maintenance purposes and documentation execution procedure.
Defect rectification procedure.
Aircraft towing procedure.
Aircraft de-icing procedure.
Internal Quality Audit.
Engine run-up procedure.
13. Company Procedure CP013- ОА-04
Filling of aircraft with water, special liquids, charging with gas procedure
General procedures used for working with maintenance documentation.
ISSUE No. 1 REV. 0


Aircraft pressure run procedure.
Borescope Inspection Procedure.
ISSUE No. 1 REV. 0

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Maintenance Organisation PART 5

ISSUE No. 1 REV. 0

5.1. Standard Forms Index.

Chapter Form number Abbreviation Form name

5.1.1 OА001-05 LAS List of Approved Suppliers

ISSUE No. 1 REV. 0

5.1.1. List of Approved Suppliers.

Prepared by: Logistic engineer ________________

ISSUE No. 1 REV. 0

5.1.2. Standard Questionnaire for Supplier’s Approval.

Tel.: +7-3532-70-68-60, +7-3532-70-59-10 Tel.:

SUBJECT: Standard Questionnaire for Supplier’s Approval

Dear Valued Supplier,

ISSUE No. 1 REV. 0

Standard Questionnaire for Supplier’s Approval

Division of: State:

 Part-145  FAR-145  ISO 9000 series

Is you approved distributor for any manufacturer? Yes  No 

ISSUE No. 1 REV. 0

Quality System Standard Questionnaire.

1. Quality System and Manual yes no n/a

ISSUE No. 1 REV. 0

4. Training and Authorized Personnel yes no n/a

FAA, EASA approved Airline

FAA, EASA approved Repair Station

FAA approved Manufacturer (OEM, FAR Part21)

OEM approved Vendor/Distributor

Accepted Industry Standards (Standard Parts only)

6. Receiving Inspection yes no n/a

ISSUE No. 1 REV. 0

Does the system require records and documentation to be kept on all

ISSUE No. 1 REV. 0

5.1.3. Serviceable Tag.

Permitted Shelf Life Till:

Date Logist Inspector

Date MECHANIC INSPECTOR

Form OA003-05 Rev. 0 Date March 2007.

ISSUE No. 1 REV. 0

5.1.4. Unserviceable Tag.

For inventory control only

Date MECHANIC INSPECTOR

Reason for removed:

Form OA004-05 Rev. 0 Date March 2007.

ISSUE No. 1 REV. 0

5.1.5. Quarantine Tag.

For inventory control only

Date MECHANIC INSPECTOR

Reason for Quarantine:

Form OA005-05 Rev. 0 Date March 2007.

ISSUE No. 1 REV. 0

5.1.6. Material Conformity Report (store in).

N/N Description Type/Part No Serial No QTY P.O.R. Location Remark

Serviceable Quarantine Unserviceable

Name Signature Stamp

ISSUE No. 1 REV. 0

5.1.7. Calibration Sticker.

Form OA007-05 Rev.0 Date: March 2007.

ISSUE No. 1 REV. 0

5.1.8. Tool Individual File.

TOOL INDIVIDUAL FILE Doc. NO___

ISSUE No. 1 REV. 0

5.1.9. List of Calibrated Tools and Equipment.

LD Manager Name Signature Stamp

Date of Issue: _ Quality Manager:_

Ordered by: ______________________ Date: _/_/_ Time _/__

Order received by: _________________ Date: _/_/_ Time _/__