15 oct 2020 - avtrac · instrumen altimeter cao 100.5 (4.4) carried out satisfactorily nil defects...
TRANSCRIPT
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
18 Feb 20210500Maintena
Periodic InspectionInspection Document OA
Carried out satisfactorily nil defects
11,992.0 FL
FHFC
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Inspect 2021-0122
CLOSED
0500Maintena
12 Month InspectionInspection Document 01
Carried out satisfactorily nil defects
11,992.0 FL
FHFC
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Inspect 2021-0122
CLOSED
0500Maintena
24 Month InspectionInspection Document 02
Carried out satisfactorily nil defects
11,992.0 FL
FHFC
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Inspect 2021-0122
CLOSED
0500Maintena
400hr - 12 month InspectionInspection Document 07
Carried out satisfactorily nil defects
11,992.0 FL
FHFC
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Inspect 2021-0122
CLOSED
0500Maintena
800hr - 12 month InspectionInspection Document 09
Carried out satisfactorily nil defects
11,992.0 FL
FHFC
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Inspect 2021-0122
CLOSED
0500Maintena
800hr - 24 month InspectionInspection Document 10
Carried out satisfactorily nil defects
11,992.0 FL
FHFC
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Inspect 2021-0122
CLOSED
0505Airworthin
Engine OilAD/Eng/5 amd 9
Carried out satisfactorily nil defects
11,992.0 FL
FHFC1
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Replace 2021-0122
CLOSED
0505Airworthin
Bridge Chip Detector Magnetic Poles Carried out satisfactorily nil defects
11,992.0 FL
FHFC1
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Inspect 2021-0122
CLOSED
2300Communi
ELT Functional TestArtex ME406
Carried out satisfactorily nil defects
11,992.0 FL
FHFC
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Test 2021-0122
CLOSED
3100Instrumen
Fuel Quantity GaugesCAO 100.5 (6.4)
Carried out satisfactorily nil defects
11,992.0 FL
FHFC
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Test 2021-0122
CLOSED
3700Vacuum
Relief Valve Air FilterVacuum System
Carried out satisfactorily nil defects
11,992.0 FL
FHFC
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Replace 2021-0122
CLOSED
Page 1Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
5200Doors
Pilot Co-Pilot Door Trim - InspectionSTC: SA01747WI (a)
Carried out satisfactorily nil defects
11,992.0 FL
FHFC
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Carry Out 2021-0122
CLOSED
5200Doors
Pilot Co-Pilot Door Trim - InspectionSTC: SA01747WI (b)
Carried out satisfactorily nil defects
11,992.0 FL
FHFC
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Carry Out 2021-0122
CLOSED
6100Propeller
Propeller RPMSTC SA02467LA (c)
Carried out satisfactorily nil defects
11,992.0 FL
FHFC
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Inspect 2021-0122
CLOSED
7200Engine
Starter Generator InspectionGearbox Spline wear check
Carried out satisfactorily nil defects
11,992.0 FL
FHFC1
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Inspect 2021-0122
CLOSED
7300Engine
Engine Desalination (Compressor and CT)PT6A-42A MM
Carried out satisfactorily nil defects
11,992.0 FL
FHFC
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Check 2021-0122
CLOSED
7300Engine
Aux Dry Pump - InspectionSTC SA4626NM
Carried out satisfactorily nil defects
11,992.0 FL
FHFC
18 Feb 2021
Broome Air Maintenance 2021191
5,568.0Scott Carlson22 Feb 2021Inspect 2021-0122
CLOSED
15 Oct 20200500Maintena
Maintenance ReleaseCASA
Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Replace 2020-0794
CLOSED
2300Communi
ELT Functional TestArtex ME406
Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Test 2020-0794
CLOSED
7200Engine
Engine InspPT6 Health Check Run
Carried out satisfactorily nil defects
11,904.0 FL
FHFC1
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Carry Out 2020-0794
CLOSED
0505Airworthin
Power Recovery WashAD/Eng/5 amd 9
Carried out satisfactorily nil defects
11,904.0 FL
FHFC1
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Carry Out 2020-0794
CLOSED
0500Maintena
VFR Radio Periodic InspectionCASA schedule 5
Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Inspect 2020-0794
CLOSED
Page 2Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
0505Airworthin
Engine Oil FilterAD/Eng/5 amd 9
Carried out satisfactorily nil defects
11,904.0 FL
FHFC1
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Service 2020-0794
CLOSED
7300Engine
Fuel Pump OutletFilter P/N 3059779-01
Carried out satisfactorily nil defects
11,904.0 FL
FHFC1
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Replace 2020-0794
CLOSED
2600 FireProtectio
Hand Held Cockpit InspectionP/N 103335
Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Reweigh 2020-0794
CLOSED
0500Maintena
Periodic InspectionInspection Document OA
Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Inspect 2020-0794
CLOSED
0500Maintena
200hr - 12 month InspectionInspection Document 06
Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Inspect 2020-0794
CLOSED
0500Maintena
Table 601 Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Inspect 2020-0794
CLOSED
7500Engine
Compressor Bleed ValveP & W MM
Carried out satisfactorily nil defects
11,904.0 FL
FHFC1
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Inspect 2020-0794
CLOSED
3700Vacuum
Central Air FilterVacuum System
Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Replace 2020-0794
CLOSED
3700Vacuum
Relief Valve Air FilterVacuum System
Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Replace 2020-0794
CLOSED
0500Maintena
1,600hr - 24 month InspectionInspection Document 11
Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Inspect 2020-0794
CLOSED
0505Airworthin
1st Stage CompressorAD/ENG/5 amd 9
Carried out satisfactorily nil defects
11,904.0 FL
FHFC1
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Carry Out 2020-0794
CLOSED
Page 3Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
7300Engine
Engine Desalination (Compressor and CT)PT6A-42A MM
Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Check 2020-0794
CLOSED
2700Flight
Primary Flight Control Cable Assembly RetirementAD/GENERAL/87 Amdt 2
Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Inspect 2020-0794
CLOSED
2700Flight
Rudder Gust Lock InspectionSTC SA3649NM
Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Inspect 2020-0794
CLOSED
2400Electrical
Garmin Periodic InspectionSTC SA01933LA-D
Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Check 2020-0794
CLOSED
7300Engine
Aux Dry Pump - InspectionSTC SA4626NM
Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Inspect 2020-0794
CLOSED
5200Doors
Pilot Co-Pilot Door Trim - InspectionSTC: SA01747WI (a)
Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Carry Out 2020-0794
CLOSED
6100Propeller
Propeller RPMSTC SA02467LA (c)
Carried out satisfactorily nil defects
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Inspect 2020-0794
CLOSED
6100Propeller
Propeller OverhaulHC-E4N-3P/D9900/D630-3P
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,904.0 FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 2020Overhaul 2020-0794
CLOSED
3200Landing
RH MLG Wheel BrakeCaliper leaking
Caliper resealed
Scheduled FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 20202020-0794
CLOSED
3200Landing
RH MLG Wheel BrakeLinings U/S
New linings installed
Scheduled FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 20202020-0794
CLOSED
2100Airconditi
LH Vent BlowerInop
New motor installed
Scheduled FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 20202020-0794
CLOSED
Page 4Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
2800 Fuel Fuel LeakLH Wing Underside
Screws resealed, found ok
Scheduled FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 20202020-0794
CLOSED
2700Flight
Flap PushRod LH Fwd bearingWorn
New rod-end installed
Scheduled FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 20202020-0794
CLOSED
2300Communi
Static Wicks (xs2)U/S
Static wicks replaced
Scheduled FL
FHFC
15 Oct 2020
Broome Air Maintenance 2021094
5,468.6Scott Carlson19 Oct 20202020-0794
CLOSED
12 Oct 20203100Instrumen
AltimeterCAO 100.5 (4.4)
Carried out satisfactorily nil defects
FL
FHFC
12 Oct 2020
Broome Air Maintenance 2021
5,465.2Scott Carlson12 Oct 2020Test 2020-0820
CLOSED
3100Instrumen
Pitot Static TestCAO 100.5 (3.4)
Carried out satisfactorily nil defects
FL
FHFC
12 Oct 2020
Broome Air Maintenance 2021
5,465.2Scott Carlson12 Oct 2020Test 2020-0820
CLOSED
3100Instrumen
Air Speed IndicatorCAO 100.5 (5.4)
Carried out satisfactorily nil defects
FL
FHFC
12 Oct 2020
Broome Air Maintenance 2021
5,465.2Scott Carlson12 Oct 20202020-0820
CLOSED
3100Instrumen
Automatic Altitude Encoder TestCAO 100.5 (4.7)
Carried out satisfactorily nil defects
FL
FHFC
12 Oct 2020
Broome Air Maintenance 2021
5,465.2Scott Carlson12 Oct 2020Test 2020-0820
CLOSED
0505Airworthin
TransponderAD/RAD/47 amd 2
Carried out satisfactorily nil defects
FL
FHFC
12 Oct 2020
Broome Air Maintenance 2021
5,465.2Scott Carlson12 Oct 2020Test 2020-0820
CLOSED
4 Aug 20202300Communi
ELTArtex ME406
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
FL
FHFC
4 Aug 2020
Broome Air Maintenance 2021006
5,417.4Scott Carlson12 Aug 2020Replace 2020-0614
CLOSED
7900Engine
Engine HosesNon Teflon
Carried out satisfactorily nil defects
FL
FHFC1
4 Aug 2020
Broome Air Maintenance 2021006
5,417.4Scott Carlson12 Aug 2020Check 2020-0614
CLOSED
Page 5Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
11 Jun 20202300Communi
ELT Functional TestArtex ME406
Carried out satisfactorily nil defects
11,826.0 FL
FHFC
11 Jun 2020
Broome Air Maintenance 1920395
5,369.6Scott Carlson12 Jun 2020Test 2020-0393
CLOSED
2600 FireProtectio
Hand Held Cockpit InspectionP/N 103335
Carried out satisfactorily nil defects
11,826.0 FL
FHFC
11 Jun 2020
Broome Air Maintenance 1920395
5,369.6Scott Carlson12 Jun 2020Reweigh 2020-0393
CLOSED
0500Maintena
Periodic InspectionInspection Document OA
Carried out satisfactorily nil defects
11,826.0 FL
FHFC
11 Jun 2020
Broome Air Maintenance 1920395
5,369.6Scott Carlson12 Jun 2020Inspect 2020-0393
CLOSED
3700Vacuum
Relief Valve Air FilterVacuum System
Carried out satisfactorily nil defects
11,826.0 FL
FHFC
11 Jun 2020
Broome Air Maintenance 1920395
5,369.6Scott Carlson12 Jun 2020Replace 2020-0393
CLOSED
2400Electrical
Main BatteryCapacity Check
Carried out satisfactorily nil defects
11,826.0 FL
FHFC
11 Jun 2020
Broome Air Maintenance 1920395
5,369.6Scott Carlson12 Jun 2020Inspect 2020-0393
CLOSED
7300Engine
Engine Desalination (Compressor and CT)PT6A-42A MM
Carried out satisfactorily nil defects
11,826.0 FL
FHFC
11 Jun 2020
Broome Air Maintenance 1920395
5,369.6Scott Carlson12 Jun 2020Check 2020-0393
CLOSED
7300Engine
Aux Dry Pump - InspectionSTC SA4626NM
Carried out satisfactorily nil defects
11,826.0 FL
FHFC
11 Jun 2020
Broome Air Maintenance 1920395
5,369.6Scott Carlson12 Jun 2020Inspect 2020-0393
CLOSED
5200Doors
Pilot Co-Pilot Door Trim - InspectionSTC: SA01747WI (a)
Carried out satisfactorily nil defects
11,826.0 FL
FHFC
11 Jun 2020
Broome Air Maintenance 1920395
5,369.6Scott Carlson12 Jun 2020Carry Out 2020-0393
CLOSED
6100Propeller
Propeller RPMSTC SA02467LA (c)
Carried out satisfactorily nil defects
11,826.0 FL
FHFC
11 Jun 2020
Broome Air Maintenance 1920395
5,369.6Scott Carlson12 Jun 2020Inspect 2020-0393
CLOSED
2800 Fuel Fuel Selector WarningUnavailable
New horn installed
11,826.0Unscheduled FL
FHFC
11 Jun 2020
Broome Air Maintenance 1920305
5,369.6Scott Carlson12 Jun 20202020-0393
CLOSED
2700Flight
RH Aileron Forward Rod-EndWorn
New rod-end installed
11,826.0Unscheduled FL
FHFC
11 Jun 2020
Broome Air Maintenance 1920305
5,369.6Scott Carlson12 Jun 20202020-0393
CLOSED
Page 6Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
3300Lights
Pilot Side Flood Lights (x3)U/S
Globes (x3) replaced
11,826.0Unscheduled FL
FHFC
11 Jun 2020
Broome Air Maintenance 1920305
5,369.6Scott Carlson12 Jun 20202020-0393
CLOSED
3200Landing
LH & RH MLG WheelsTires require rotation
Tires rotated
11,826.0Unscheduled FL
FHFC
11 Jun 2020
Broome Air Maintenance 1920305
5,369.6Scott Carlson12 Jun 20202020-0393
CLOSED
0500Maintena
Maintenance ReleaseCASA
Carried out satisfactorily nil defects
11,826.0 FL
FHFC
11 Jun 2020
Broome Air Maintenance 1920395
5,369.6Scott Carlson19 Aug 2020Replace MC2020-0393
CLOSED
28 May 20202300Communi
ELT Functional TestArtex ME406
Carried out satisfactorily nil defects
FL
FHFC
28 May 2020
Broome Air Maintenance 1920302
5,358.6Scott Carlson28 May 2020Test 2020-0385
CLOSED
0505Airworthin
Engine Fuel NozzlesAD/Eng/5 amd 9
Carried out satisfactorily nil defects
FL
FHFC1
28 May 2020
Broome Air Maintenance 1920302
5,358.6Scott Carlson28 May 2020Test 2020-0385
CLOSED
0505Airworthin AD/Eng/5 amd 9
Carried out satisfactorily nil defects
FL
FHFC1
28 May 2020
Broome Air Maintenance 1920302
5,358.6Scott Carlson28 May 2020Test 2020-0385
CLOSED
0505Airworthin
Borescope InspectionAD/Eng/5 amd 9
Carried out satisfactorily nil defects
FL
FHFC1
28 May 2020
Broome Air Maintenance 1920302
5,358.6Scott Carlson28 May 2020Inspect 2020-0385
CLOSED
26 Feb 20200500Maintena
Maintenance ReleaseCASA
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Replace 2020-0141
CLOSED
2300Communi
ELT Functional TestArtex ME406
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Test 2020-0141
CLOSED
7200Engine
Engine InspPT6 Health Check Run
Carried out satisfactorily nil defects
11,750.0 FL
FHFC1
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Carry Out 2020-0141
CLOSED
Page 7Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
0505Airworthin
Engine OilAD/Eng/5 amd 9
Carried out satisfactorily nil defects
11,750.0 FL
FHFC1
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Replace 2020-0141
CLOSED
0505Airworthin
Power Recovery WashAD/Eng/5 amd 9
Carried out satisfactorily nil defects
11,750.0 FL
FHFC1
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Carry Out 2020-0141
CLOSED
0505Airworthin
Bridge Chip Detector Magnetic Poles Carried out satisfactorily nil defects
11,750.0 FL
FHFC1
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Inspect 2020-0141
CLOSED
0500Maintena
VFR Radio Periodic InspectionCASA schedule 5
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Inspect 2020-0141
CLOSED
0505Airworthin
Engine Oil FilterAD/Eng/5 amd 9
Carried out satisfactorily nil defects
11,750.0 FL
FHFC1
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Service 2020-0141
CLOSED
2600 FireProtectio
Hand Held Cockpit InspectionP/N 103335
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Reweigh 2020-0141
CLOSED
0500Maintena
Periodic InspectionInspection Document OA
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Inspect 2020-0141
CLOSED
0500Maintena
12 Month InspectionInspection Document 01
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Inspect 2020-0141
CLOSED
0500Maintena
200hr - 12 month InspectionInspection Document 06
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Inspect 2020-0141
CLOSED
0500Maintena
400hr - 12 month InspectionInspection Document 07
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Inspect 2020-0141
CLOSED
0500Maintena
400hr - 24 month InspectionInspection Document 08
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Inspect 2020-0141
CLOSED
Page 8Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
0500Maintena
800hr - 12 month InspectionInspection Document 09
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Inspect 2020-0141
CLOSED
0500Maintena
Table 601 Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Inspect 2020-0141
CLOSED
3700Vacuum
Relief Valve Air FilterVacuum System
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Replace 2020-0141
CLOSED
2400Electrical
Main BatteryCapacity Check
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Inspect 2020-0141
CLOSED
0505Airworthin
1st Stage CompressorAD/ENG/5 amd 9
Carried out satisfactorily nil defects
11,750.0 FL
FHFC1
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Carry Out 2020-0141
CLOSED
7300Engine
Engine Desalination (Compressor and CT)PT6A-42A MM
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Check 2020-0141
CLOSED
2700Flight
Rudder Gust Lock InspectionSTC SA3649NM
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Inspect 2020-0141
CLOSED
7300Engine
Aux Dry Pump - InspectionSTC SA4626NM
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Inspect 2020-0141
CLOSED
5200Doors
Pilot Co-Pilot Door Trim - InspectionSTC: SA01747WI (a)
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Carry Out 2020-0141
CLOSED
6100Propeller
Propeller RPMSTC SA02467LA (c)
Carried out satisfactorily nil defects
11,750.0 FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 2020Inspect 2020-0141
CLOSED
5600Windows
Pilot’s Storm WindowSeal U/S
New seal installed
11,750.0Scheduled FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 20202020-0141
CLOSED
Page 9Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
7400Engine
1x IgniterU/S
1x Igniter replaced IAW PT6-42 MM
11,750.0Scheduled FL
FHFC
26 Feb 2020
Broome Air Maintenance 1920247
5,273.2Scott Carlson26 Feb 20202020-0141
CLOSED
10 Feb 20207700Engine
Fuel Flow IndicationInop
Fuel Flow Transducer replaced with overhauled item
Unscheduled FL
FHFC
10 Feb 2020
Broome Air Maintenance 1920235
5,261.9Scott Carlson10 Feb 20202020-0108
CLOSED
22 Nov 20197200Engine
Engine Start Temp850 degrees
Within acceptable limits IAW P&WC MM. New battery installed
Unscheduled FL
FHFC
22 Nov 2019
Broome Air Maintenance 1920189
5,185.0Scott Carlson22 Nov 20192019-1155
CLOSED
14 Nov 20192300Communi
ELT Functional TestArtex ME406
Carried out satisfactorily nil defects
11,669.0 FL
FHFC
14 Nov 2019
Broome Air Maintenance 1920177
5,179.4Scott Carlson15 Nov 2019Test 2019-1105
CLOSED
2600 FireProtectio
Hand Held Cockpit InspectionP/N 103335
Carried out satisfactorily nil defects
11,669.0 FL
FHFC
14 Nov 2019
Broome Air Maintenance 1920177
5,179.4Scott Carlson15 Nov 2019Reweigh 2019-1105
CLOSED
0500Maintena
Periodic InspectionInspection Document OA
Carried out satisfactorily nil defects
11,669.0 FL
FHFC
14 Nov 2019
Broome Air Maintenance 1920177
5,179.4Scott Carlson15 Nov 2019Inspect 2019-1105
CLOSED
3700Vacuum
Central Air FilterVacuum System
Carried out satisfactorily nil defects
11,669.0 FL
FHFC
14 Nov 2019
Broome Air Maintenance 1920177
5,179.4Scott Carlson15 Nov 2019Replace 2019-1105
CLOSED
3700Vacuum
Relief Valve Air FilterVacuum System
Carried out satisfactorily nil defects
11,669.0 FL
FHFC
14 Nov 2019
Broome Air Maintenance 1920177
5,179.4Scott Carlson15 Nov 2019Replace 2019-1105
CLOSED
2400Electrical
Main BatteryCapacity Check
Carried out satisfactorily nil defects
11,669.0 FL
FHFC
14 Nov 2019
Broome Air Maintenance 1920177
5,179.4Scott Carlson15 Nov 2019Inspect 2019-1105
CLOSED
7300Engine
Engine Desalination (Compressor and CT)PT6A-42A MM
Carried out satisfactorily nil defects
11,669.0 FL
FHFC
14 Nov 2019
Broome Air Maintenance 1920177
5,179.4Scott Carlson15 Nov 2019Check 2019-1105
CLOSED
Page 10Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
2700Flight
Primary Flight Control Cable Assembly RetirementAD/GENERAL/87
Carried out satisfactorily nil defects
11,669.0 FL
FHFC
14 Nov 2019
Broome Air Maintenance 1920177
5,179.4Scott Carlson15 Nov 2019Inspect 2019-1105
CLOSED
2400Electrical
Garmin Periodic InspectionSTC SA01933LA-D
Carried out satisfactorily nil defects
11,669.0 FL
FHFC
14 Nov 2019
Broome Air Maintenance 1920177
5,179.4Scott Carlson15 Nov 2019Check 2019-1105
CLOSED
7300Engine
Aux Dry Pump - InspectionSTC SA4626NM
Carried out satisfactorily nil defects
11,669.0 FL
FHFC
14 Nov 2019
Broome Air Maintenance 1920177
5,179.4Scott Carlson15 Nov 2019Inspect 2019-1105
CLOSED
5200Doors
Pilot Co-Pilot Door Trim - InspectionSTC: SA01747WI (a)
Carried out satisfactorily nil defects
11,669.0 FL
FHFC
14 Nov 2019
Broome Air Maintenance 1920177
5,179.4Scott Carlson15 Nov 2019Carry Out 2019-1105
CLOSED
6100Propeller
Propeller RPMSTC SA02467LA (c)
Carried out satisfactorily nil defects
11,669.0 FL
FHFC
14 Nov 2019
Broome Air Maintenance 1920177
5,179.4Scott Carlson15 Nov 2019Inspect 2019-1105
CLOSED
2100Airconditi
Aircon Hose FittingFound damaged causing leak
Fitting replaced. System gassed
11,669.0Unscheduled FL
FHFC
14 Nov 2019
Broome Air Maintenance 1920177
5,179.4Scott Carlson15 Nov 20192019-1105
CLOSED
28 Aug 20190500Maintena
Maintenance ReleaseCASA
Carried out satisfactorily nil defects
11,563.0 FL
FHFC
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Replace 2019-0819
CLOSED
2300Communi
ELT Functional TestArtex ME406
Carried out satisfactorily nil defects
11,563.0 FL
FHFC
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Test 2019-0819
CLOSED
7200Engine
Engine InspPT6 Health Check Run
Carried out satisfactorily nil defects
11,563.0 FL
FHFC1
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Carry Out 2019-0819
CLOSED
0505Airworthin
Power Recovery WashAD/Eng/5 amd 9
Carried out satisfactorily nil defects
11,563.0 FL
FHFC1
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Carry Out 2019-0819
CLOSED
0500Maintena
VFR Radio Periodic InspectionCASA schedule 5
Carried out satisfactorily nil defects
11,563.0 FL
FHFC
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Inspect 2019-0819
CLOSED
Page 11Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
0505Airworthin
Engine Oil FilterAD/Eng/5 amd 9
Carried out satisfactorily nil defects
11,563.0 FL
FHFC1
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Service 2019-0819
CLOSED
7900Engine
Engine HosesNon Teflon
Carried out satisfactorily nil defects
11,563.0 FL
FHFC1
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Check 2019-0819
CLOSED
0500Maintena
Periodic InspectionInspection Document OA
Carried out satisfactorily nil defects
11,563.0 FL
FHFC
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Inspect 2019-0819
CLOSED
0500Maintena
200hr - 12 month InspectionInspection Document 06
Carried out satisfactorily nil defects
11,563.0 FL
FHFC
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Inspect 2019-0819
CLOSED
0500Maintena
Table 601 Carried out satisfactorily nil defects
11,563.0 FL
FHFC
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Inspect 2019-0819
CLOSED
3700Vacuum
Relief Valve Air FilterVacuum System
Carried out satisfactorily nil defects
11,563.0 FL
FHFC
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Replace 2019-0819
CLOSED
2400Electrical
Main BatteryCapacity Check
Carried out satisfactorily nil defects
11,563.0 FL
FHFC
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Inspect 2019-0819
CLOSED
0505Airworthin
1st Stage CompressorAD/ENG/5 amd 9
Carried out satisfactorily nil defects
11,563.0 FL
FHFC1
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Carry Out 2019-0819
CLOSED
7300Engine
Engine Desalination (Compressor and CT)PT6A-42A MM
Carried out satisfactorily nil defects
11,563.0 FL
FHFC
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Check 2019-0819
CLOSED
2700Flight
Rudder Gust Lock InspectionSTC SA3649NM
Carried out satisfactorily nil defects
11,563.0 FL
FHFC
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Inspect 2019-0819
CLOSED
7300Engine
Aux Dry Pump - InspectionSTC SA4626NM
Carried out satisfactorily nil defects
11,563.0 FL
FHFC
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Inspect 2019-0819
CLOSED
Page 12Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
5200Doors
Pilot Co-Pilot Door Trim - InspectionSTC: SA01747WI (a)
Carried out satisfactorily nil defects
11,563.0 FL
FHFC
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Carry Out 2019-0819
CLOSED
5200Doors STC: SA01747WI (b)
Carried out satisfactorily nil defects
11,563.0 FL
FHFC
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Carry Out 2019-0819
CLOSED
6100Propeller
Propeller RPMSTC SA02467LA (c)
Carried out satisfactorily nil defects
11,563.0 FL
FHFC
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 2019Inspect 2019-0819
CLOSED
3300Lights
LH Landing LightU/S
New landing light installed IAW C208 MM
11,563.0Unscheduled FL
FHFC
28 Aug 2019
Broome Air Maintenance 1920092
5,079.3Scott Carlson29 Aug 20192019-0819
CLOSED
27 Jul 20192200Autopilot
AutopilotRequires fault finding
Carried out fault finding as required. Cleaned all connectors and re-racked the computer.Carried out satisfactory test flight
Unscheduled FL
FHFC
27 Jul 2019
Jandakot Instruments JA103705M
5,013.6Scott Carlson6 Aug 20192019-0756
CLOSED
6 Jun 20195700Wings
Wing Strut FittingsSID 57-60-01
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2019
Broome Air Maintenance 1819351
4,999.0Scott Carlson10 Jun 2019Inspect 2019-0473
CLOSED
5300Fuselage
Fuselage to Strut Attach FittingsSID 53-20-07
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2019
Broome Air Maintenance 1819351
4,999.0Scott Carlson10 Jun 2019Inspect 2019-0473
CLOSED
5300Fuselage
Fuselage Skin DoublerSID 53-20-14
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2019
Broome Air Maintenance 1819351
4,999.0Scott Carlson10 Jun 2019Inspect 2019-0473
CLOSED
2400Electrical
Standby Alternator9910592-2
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
FL
FHFC1
6 Jun 2019
Broome Air Maintenance 1819351
4,999.0Scott Carlson10 Jun 2019Overhaul 2019-0473
CLOSED
0500Maintena
Periodic InspectionInspection Document OA
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2019
Broome Air Maintenance 1819351
4,999.0Scott Carlson10 Jun 2019Inspect 2019-0473
CLOSED
Page 13Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
0500Maintena
72 Month InspectionInspection Document 04
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2019
Broome Air Maintenance 1819351
4,999.0Scott Carlson10 Jun 2019Inspect 2019-0473
CLOSED
3700Vacuum
Relief Valve Air FilterVacuum System
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2019
Broome Air Maintenance 1819351
4,999.0Scott Carlson10 Jun 2019Replace 2019-0473
CLOSED
7300Engine
Engine Desalination (Compressor and CT)PT6A-42A MM
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2019
Broome Air Maintenance 1819351
4,999.0Scott Carlson10 Jun 2019Check 2019-0473
CLOSED
7300Engine
Aux Dry Pump - InspectionSTC SA4626NM
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2019
Broome Air Maintenance 1819351
4,999.0Scott Carlson10 Jun 2019Inspect 2019-0473
CLOSED
5200Doors
Pilot Co-Pilot Door Trim - InspectionSTC: SA01747WI (a)
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2019
Broome Air Maintenance 1819351
4,999.0Scott Carlson10 Jun 2019Carry Out 2019-0473
CLOSED
6100Propeller
Propeller RPMSTC SA02467LA (c)
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2019
Broome Air Maintenance 1819351
4,999.0Scott Carlson10 Jun 2019Inspect 2019-0473
CLOSED
30 May 20192600 FireProtectio
Hand Held Cabin Inspection Carried out satisfactorily nil defects
6,528.0 FL
FHFC
30 May 2019 3,703.3Allan Jeursen7 May 2019Reweigh MC2019-0279
CLOSED
24 May 20192300Communi
ELT Functional TestArtex ME406
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819339
4,992.9Scott Carlson11 Jun 2019Test 2019-0542
CLOSED
2600 FireProtectio
Hand Held Cockpit InspectionP/N 103335
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819339
4,992.9Scott Carlson11 Jun 2019Reweigh 2019-0542
CLOSED
16 May 20190502CAMO
Certificate of Maintenance ReviewForm 02-011
Carried out satisfactorily nil defects
11,366.0 FL
FHFC
16 May 2019 4,904.3Allan Jeursen16 May 2019Action MC2019-0443
CLOSED
Page 14Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
17 Apr 20192400Electrical
Main BatteryCapacity Check
Carried out satisfactorily nil defects
FL
FHFC
17 Apr 2019
Broome Air Maintenance 1819291
4,904.3Scott Carlson11 Jun 2019Inspect 2019-0540
CLOSED
11 Mar 20190505Airworthin
Engine P & W HSI InspAD/Eng/5 amd 9
Carried out satisfactorily nil defects
11,366.0 FL
FHFC1
11 Mar 2019
ARC C2853
4,904.3Allan Jeursen7 May 2019Inspect MC2019-0279
CLOSED
7200Engine
Engine InspPT6 Health Check Run
Carried out satisfactorily nil defects
FL
FHFC1
11 Mar 2019 4,903.9Allan Jeursen7 May 2019Carry Out MC2019-0279
CLOSED
0505Airworthin
Engine Oil FilterAD/Eng/5 amd 9
Carried out satisfactorily nil defects
FL
FHFC1
11 Mar 2019 4,903.9Allan Jeursen7 May 2019Service MC2019-0279
CLOSED
0505Airworthin
Engine OilAD/Eng/5 amd 9
Carried out satisfactorily nil defects
FL
FHFC1
11 Mar 2019 4,903.9Allan Jeursen7 May 2019Replace MC2019-0279
CLOSED
0500Maintena
Periodic InspectionInspection Document OA
Carried out satisfactorily nil defects
11,366.0 FL
FHFC
11 Mar 2019 4,904.3Allan Jeursen8 May 2019Inspect MC2019-0279
CLOSED
8 Mar 20197300Engine
Engine Desalination (Compressor and CT)PT6A-42A MM
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2019
HP11344
4,904.2Allan Jeursen10 Apr 2019Check MC2018-0279
CLOSED
0505Airworthin
Bridge Chip Detector Magnetic Poles Carried out satisfactorily nil defects
FL
FHFC1
8 Mar 2019
HP11344
4,904.2Allan Jeursen10 Apr 2019Inspect MC2018-0279
CLOSED
27 Feb 20193700Vacuum
Central Air FilterVacuum System
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
27 Feb 2019
HP10770
4,903.9Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
Page 15Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
3100Instrumen
Fuel Quantity GaugesCAO 100.5 (6.4)
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
27 Feb 2019
HP10770
4,903.9Allan Jeursen
3 Apr 2019Test MC2019-0279
CLOSED
26 Feb 20192700Flight
Primary Flight Control Cable Assembly RetirementAD/GENERAL/87
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP11031
4,903.5Allan Jeursen11 Apr 2019Inspect MC2019-0279
CLOSED
0500Maintena
12 Month InspectionInspection Document 01
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP11031
4,903.5Allan Jeursen11 Apr 2019Inspect MC2019-0279
CLOSED
0500Maintena
200hr - 12 month InspectionInspection Document 06
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP11031
4,903.5Allan Jeursen11 Apr 2019Inspect MC2019-0279
CLOSED
3100Instrumen
Pitot Static TestCAO 100.5 (3.4)
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP11031
4,903.5Allan Jeursen11 Apr 2019Test MC2019-0279
CLOSED
3100Instrumen
Pilot and Static HosesCessna MM
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP11031
4,903.5Allan Jeursen11 Apr 2019Replace MC2019-0279
CLOSED
3700Vacuum
Vacuum HosesCessna MM
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP11031
4,903.5Allan Jeursen11 Apr 2019Replace MC2019-0279
CLOSED
0500Maintena
IFR Radio Periodic InspectionCASA schedule 5
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP11031
4,903.5Allan Jeursen11 Apr 2019Inspect MC2019-0279
CLOSED
2600 FireProtectio
Hand Held Cockpit Fwd103335
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC
26 Feb 2019
HP11031
4,903.5Allan Jeursen11 Apr 2019Replace MC2019-0279
CLOSED
0505Airworthin
Engine Fuel NozzlesAD/Eng/5 amd 9
Carried out satisfactorily nil defects
11,365.0 FL
FHFC1
26 Feb 2019
HP10770
4,903.5Allan Jeursen11 Apr 2019Test MC2019-0279
CLOSED
0505Airworthin
Power Recovery WashAD/Eng/5 amd 9
Carried out satisfactorily nil defects
11,365.0 FL
FHFC1
26 Feb 2019
HP10770
4,903.5Allan Jeursen11 Apr 2019Carry Out MC2019-0279
CLOSED
Page 16Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
3100Instrumen
Compass SwingAWB 34-008 Issue 1
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP10770
4,903.5Allan Jeursen11 Apr 2019Inspect MC2019-0279
CLOSED
0500Maintena
24 Month InspectionInspection Document 02
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP10770
4,903.5Allan Jeursen11 Apr 2019Inspect MC2019-0279
CLOSED
0500Maintena
48 Month InspectionInspection Document 03
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP10770
4,903.5Allan Jeursen11 Apr 2019Inspect MC2019-0279
CLOSED
0500Maintena
400hr - 12 month InspectionInspection Document 07
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP10770
4,903.5Allan Jeursen11 Apr 2019Inspect MC2019-0279
CLOSED
0500Maintena
400hr - 24 month InspectionInspection Document 08
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP10770
4,903.5Allan Jeursen11 Apr 2019Inspect MC2019-0279
CLOSED
0500Maintena
800hr - 12 month InspectionInspection Document 09
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP10770
4,903.5Allan Jeursen11 Apr 2019Inspect MC2019-0279
CLOSED
0500Maintena
800hr - 24 month InspectionInspection Document 10
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP10770
4,903.5Allan Jeursen11 Apr 2019Inspect MC2019-0279
CLOSED
2300Communi
ELT Functional TestArtex ME406
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP10770
4,903.5Allan Jeursen11 Apr 2019Test MC2019-0279
CLOSED
2700Flight
Rudder Gust Lock InspectionSTC SA3649NM
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP10770
4,903.5Allan Jeursen11 Apr 2019Inspect MC2019-0279
CLOSED
7900Engine
AGB Internal Scavenge PumpTable 601
Carried out satisfactorily nil defects
11,365.0 FL
FHFC1
26 Feb 2019
HP10770
4,903.5Allan Jeursen11 Apr 2019Inspect MC2019-0279
CLOSED
2400Electrical
Main BatteryCapacity Check
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP10770
4,903.5Allan Jeursen12 Apr 2019Inspect MC2019-0279
CLOSED
Page 17Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
2300Communi
ELTArtex C406-N
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC
26 Feb 2019
HP10770
4,903.5Allan Jeursen12 Apr 2019Replace MC2019-0279
CLOSED
2400Electrical
Garmin Periodic InspectionSTC SA01933LA-D
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP10770
4,903.5Allan Jeursen12 Apr 2019Check MC2019-0279
CLOSED
3700Vacuum
Relief Valve Air FilterVacuum System
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019
HP10770
4,903.5Allan Jeursen12 Apr 2019Replace MC2019-0279
CLOSED
3200Landing
MLG Inspection48 Month Inspection
Carried out satisfactorily nil defects
FL
FHFC
26 Feb 2019 4,903.9Allan Jeursen7 May 2019Inspect MC2019-0279
CLOSED
0500Maintena
Table 601 Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019 4,903.5Allan Jeursen7 May 2019Inspect MC2019-0279
CLOSED
0500Maintena
Maintenance ReleaseCASA
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019 4,903.5Allan Jeursen7 May 2019Replace MC2019-0279
CLOSED
3100Instrumen
Air Speed IndicatorCAO 100.5 (5.4)
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019 4,903.5Allan Jeursen7 May 2019MC2019-0279
CLOSED
3100Instrumen
Automatic Altitude Encoder TestCAO 100.5 (4.7)
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019 4,903.5Allan Jeursen7 May 2019Test MC2019-0279
CLOSED
3100Instrumen
AltimeterCAO 100.5 (4.4)
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Feb 2019 4,903.5Allan Jeursen7 May 2019Test MC2019-0279
CLOSED
31 Jan 20190500Maintena
IFR Radio Periodic InspectionCASA schedule 5
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
31 Jan 2019
HP11301
4,903.9Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
Page 18Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
29 Jan 20192600 FireProtectio
Hand Held Cockpit InspectionP/N 103335
Carried out satisfactorily nil defects
11,366.0 FL
FHFC
29 Jan 2019 4,904.3Allan Jeursen8 May 2019Reweigh MC2019-0279
CLOSED
26 Jan 20190500Maintena
1,600hr - 24 month InspectionInspection Document 11
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
26 Jan 2019
HP11245
4,903.9Allan Jeursen
3 Apr 2019Inspect MC2019-0279
CLOSED
25 Jan 20192700Flight
Rudder Gust Lock InspectionSTC SA3649NM
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
25 Jan 2019
HP11245
4,903.9Allan Jeursen10 Apr 2019Inspect MC2019-0279
CLOSED
3700Vacuum
Relief Valve Air FilterVacuum System
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
25 Jan 2019
HP11245
4,903.9Allan Jeursen10 Apr 2019Replace MC2019-0279
CLOSED
0505Airworthin
TransponderAD/RAD/47 amd 2
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
25 Jan 2019
HP11245
4,903.9Allan Jeursen10 Apr 2019Test MC2019-0279
CLOSED
20 Dec 20187200Engine
Engine P & WPT6A-42A
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018
HP10770/81
4,903.5Allan Jeursen
1 Apr 2019Overhaul MC2019-0279
CLOSED
7200Engine
Hub/Rotor3053921-01
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018
HP10770/81
4,903.5Allan Jeursen
1 Apr 2019Replace MC2019-0279
CLOSED
7200Engine
1st Stage Power Turbine3029312
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018
HP10770/81
4,903.5Allan Jeursen
1 Apr 2019Replace MC2019-0279
CLOSED
0505Airworthin
1st Stage CompressorAD/ENG/5 amd 9
Carried out satisfactorily nil defects
11,365.0 FL
FHFC1
20 Dec 2018
HP10770/81
4,903.5Allan Jeursen
1 Apr 2019Carry Out MC2019-0279
CLOSED
Page 19Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
7200Engine
2nd Stage Power Turbine3029313
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018
HP10770/81
4,903.5Allan Jeursen
1 Apr 2019Replace MC2019-0279
CLOSED
7200Engine
Compressor Turbine3049291-01
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018
HP10770/81
4,903.5Allan Jeursen
1 Apr 2019Replace MC2019-0279
CLOSED
7200Engine
Impellor3036793
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018
HP10770/81
4,903.5Allan Jeursen
1 Apr 2019Replace MC2019-0279
CLOSED
7300Engine
Fuel Control3055636-01/4138010-3
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Overhaul MC2019-0279
CLOSED
7500Engine
Comp Bleed Valve (HP)3123122-01
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Overhaul MC2019-0279
CLOSED
7500Engine
Comp Bleed Valve (LP)3123123-01
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Overhaul MC2019-0279
CLOSED
7500Engine
Compressor Bleed ValveP & W MM
Carried out satisfactorily nil defects
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
7300Engine
Flow Divider3019906/25536-4
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Overhaul MC2019-0279
CLOSED
7300Engine
Oil to Fuel Heater3057249-01/10585K
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Overhaul MC2019-0279
CLOSED
7300Engine
Fuel Pump (ARGO)3033808/399700
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Overhaul MC2019-0279
CLOSED
6100Propeller
Propeller Overspeed GovernorD210507BH
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Overhaul MC2019-0279
CLOSED
Page 20Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
6100Propeller
Propeller Governor3074158-1/8210-027-01
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Overhaul MC2019-0279
CLOSED
7300Engine
Engine Components3600 Hour Life
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Overhaul MC2019-0279
CLOSED
7400Engine
Ignition Regulator3055726-01/3244707-8
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Overhaul MC2019-0279
CLOSED
7500Engine
P3 FilterCessna MM
Carried out satisfactorily nil defects
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
7900Engine
Engine Oil Filter ReplacementCessna MM
Carried out satisfactorily nil defects
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
7300Engine
Fuel Pump OutletFilter P/N 3059779-01
Carried out satisfactorily nil defects
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
7200Engine
Isolator Mounts Carried out satisfactorily nil defects
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
7200Engine
Comp STG 23023112
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
7200Engine
Comp STG 33023113
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
0505Airworthin
Borescope InspectionAD/Eng/5 amd 9
Carried out satisfactorily nil defects
11,365.0 FL
FHFC1
20 Dec 2018 4,903.5Scott Carlson27 May 2019Inspect
CLOSED
28 Sep 20180500Maintena
200hr - 12 month InspectionInspection Document 06
Carried out satisfactorily nil defects
11,365.0 FL
FHFC
28 Sep 2018
HP11031
4,903.9Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
Page 21Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
31 Jul 20182300Communi
ELTArtex C406-N
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
11,365.0 FL
FHFC
31 Jul 2018 4,903.5Allan Jeursen11 Apr 2019Replace MC2019-0279
CLOSED
2 Jun 20170505Airworthin
Borescope InspectionAD/Eng/5 amd 9
Carried out satisfactorily nil defects
FL
FHFC1
2 Jun 2017 4,607.9Allan Jeursen7 May 2019Inspect MC2019-0279
CLOSED
10 Jan 20175200Doors
Pilot Co-Pilot Door Trim - InspectionSTC: SA01747WI (b)
Carried out satisfactorily nil defects
FL
FHFC
10 Jan 2017 4,628.9Allan Jeursen16 May 2019Carry Out MC2019-0279
CLOSED
1100Placards
West Wing 11 Seat Passenger - LabelEO: AA2000-02-01 Rev 0
Carried out satisfactorily nil defects
11,366.0 FL
FHFC
10 Jan 2017 4,903.9Allan Jeursen16 May 2019Inspect MC2019-0279
CLOSED
18 Feb 20162400Electrical
Starter GeneratorMG94K-2
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
7,807.0 FL
FHFC1
18 Feb 2016 4,082.5Allan Jeursen30 Oct 2019Overhaul MC2019-0279
CLOSED
7200Engine
Starter Generator InspectionGearbox Spline wear check
Carried out satisfactorily nil defects
7,807.0 FL
FHFC1
18 Feb 2016 4,082.5Allan Jeursen30 Oct 2019Inspect MC2019-0279
CLOSED
5 Jan 20162700Flight
Inboard Forward Flap BellcrankAttaching Parts
Carried out satisfactorily nil defects
8,634.0 FL
FHFC
5 Jan 2016 2,703.2Allan Jeursen8 May 2019Replace MC2019-0279
CLOSED
2 Jan 20152600 FireProtectio
Hand Held Cabin Fire Extinguisher Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
6,528.0 FL
FHFC
2 Jan 2015 3,703.8Allan Jeursen8 May 2019Replace MC2019-0279
CLOSED
Page 22Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
17 Nov 20146100Propeller
Propeller OverhaulAD/PROP/1 amd 2
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
6,528.0 FL
FHFC
17 Nov 2014 3,703.3Allan Jeursen
2 Apr 2019Overhaul MC2019-0279
CLOSED
7900Engine
Engine Hoses TeflonTeflon
Carried out satisfactorily nil defects
6,528.0 FL
FHFC1
17 Nov 2014
ASTB4407
3,703.3Allan Jeursen12 Apr 2019Replace MC2019-0279
CLOSED
7900Engine
Engine HosesNon Teflon
Carried out satisfactorily nil defects
6,528.0 FL
FHFC1
17 Nov 2014
ASTB4407
3,703.3Allan Jeursen12 Apr 2019Check MC2019-0279
CLOSED
0500Maintena
Periodic InspectionInspection Document OA
Carried out satisfactorily nil defects
6,528.0 FL
FHFC
17 Nov 2014
ASTB4407
3,703.3Allan Jeursen12 Apr 2019Inspect MC2019-0279
CLOSED
2400Electrical
Starter GeneratorMG94K-2
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
6,528.0 FL
FHFC1
17 Nov 2014
ASTB4407
3,703.3Allan Jeursen7 May 2019Overhaul MC2019-0279
CLOSED
7200Engine
Starter Generator InspectionGearbox Spline wear check
Carried out satisfactorily nil defects
6,528.0 FL
FHFC1
17 Nov 2014
ASTB4407
3,703.3Allan Jeursen7 May 2019Inspect MC2019-0279
CLOSED
7900Engine
Oil CoolerP/N 10964A
Carried out satisfactorily nil defects
6,528.0 FL
FHFC1
17 Nov 2014
ASTB4407
3,703.3Allan Jeursen7 May 2019Flush MC2019-0279
CLOSED
28 Aug 20130500Maintena
72 Month InspectionInspection Document 04
Carried out satisfactorily nil defects
FL
FHFC
28 Aug 2013 4,903.9Allan Jeursen7 May 2019Inspect MC2019-0279
CLOSED
1 Jan 19902700Flight
Inboard Forward Flap BellcrankAttaching Parts
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
3200Landing
NLG Drag Link Spring2643062-3
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
Page 23Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
5700Wings
Center Flap TrackSID 57-50-01
Carried out satisfactorily nil defects
0.0 FL
FHFCRH
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5700Wings
Inboard Flap TrackSID 57-50-01
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5700Wings
Outboard Flap TrackSID 57-50-01
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
7200Engine
Comp STG 23023112
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
0.0 FL
FHFC1
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
5300Fuselage
MLG FittingSID 53-20-04
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
3200Landing
LH MLG AxleC208023-1
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
3200Landing
RH MLG AxleC208023-1
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
3200Landing
LH MLG Trunnion Assy2641012-13
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
3200Landing
RH MLG Trunnion Assy2641012-14
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
3200Landing
LH MLG Attach Pin2641008-2
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
3200Landing
RH MLG Attach Pin2641008-2
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
Page 24Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
3200Landing
LH MLG Axle Fittings2641010-7
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
3200Landing
RH MLG Axle Fittings2641010-7
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
3200Landing
MLG Center Spring2641014-9
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
3200Landing
MLG Spring LH2641013-8
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
0.0 FL
FHFCLH
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
3200Landing
MLG Spring RH2641013-8
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
0.0 FL
FHFCRH
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
3200Landing
Support Assy - NLG Spring2643099-3
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
3200Landing
Fork Assy - NLG Spring2643031-7
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
3200Landing
NLG Assembly2643100-20
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
0505Airworthin
Inboard Forward Flap Bellcrank 2/2003AD/C208/16 amd 1 2(c)
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
2700Flight
Elevator Forward PushrodP/N 2613440-3/5
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
2700Flight
Elevator Aft PushrodP/N 2634009-1, 2634027-1/3
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Replace MC2019-0279
CLOSED
Page 25Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
5700Wings
Wing Strut FittingsSID 57-60-01
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5700Wings
Front SparSID 57-20-02
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5700Wings
Rear SparSID 57-20-03
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5700Wings
Wing Strut AttachmentSID 57-60-02
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5300Fuselage
Fuselage Engine Mount FittingsSID 53-10-01
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5300Fuselage
Cargo and Pax DoorSID 53-20-01
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5300Fuselage
Fuselage to Strut Attach FittingsSID 53-20-07
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5300Fuselage
Lwr Fwd Carry-thru BulkheadSID 53-20-03
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5300Fuselage
MLG Attach FittingsSID 53-20-05
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5300Fuselage
Firewall Brace and Doubler AssySID 53-20-11
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5300Fuselage
Carry Thru Root RibSID 53-20-08
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
Page 26Form revision status: 12 Apr 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.
-
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
20800183 208
ResolutionWork Carried Out
FL
Airframe
A/C FL
CodeATAEng No
Maintenance ActionNameDescription AMO Job Number
Due List StatusCURRENT
Updated Updated Updated
Report Type 054
Aircraft History
A/C FC
ResolvedCertification Date A/C FH
Operator
5,568.00
12 Apr 2021
11,99218 Feb 2021 18 Feb 2021BROOME AVIATION PTY LTD
AMODescription Entry DateEntered ByMC Number
NTQ
5300Fuselage
Crew Door FramesSID 53-20-09
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5300Fuselage
Pax and Cargo Door FramesSID 53-20-10
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5300Fuselage
Seat Rails and StructureSID 53-10-07
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5300Fuselage
Bulkheads and StiffnersSID 53-20-12
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5300Fuselage
StringersSID 53-20-13
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5300Fuselage
Fuselage Skin DoublerSID 53-20-14
Carried out satisfactorily nil defects
0.0 FL
FHFC
1 Jan 1990 0.0Allan Jeursen
2 Apr 2019Inspect MC2019-0279
CLOSED
5300Fuselage
Fuselage to Horizontal StabiliserSID 53-50-0