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    FORM 8070-1 b737-700 PDF

    Uploaded by

    Juan Esteban Arcila Sereno
    This form is used to report occurrences or detections of failures, malfunctions, or defects in aircraft. It collects information about the aircraft, component, issue, and submitter over approximately 1 hour. All responses are required by law to help identify issues and improve safety.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    FORM 8070-1 b737-700 PDF

    Uploaded by

    Juan Esteban Arcila Sereno
    183 views3 pages
    This form is used to report occurrences or detections of failures, malfunctions, or defects in aircraft. It collects information about the aircraft, component, issue, and submitter over approximately 1 hour. All responses are required by law to help identify issues and improve safety.

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    FORM 8070-1 b737-700.pdf

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    This form is used to report occurrences or detections of failures, malfunctions, or defects in aircraft. It collects information about the aircraft, component, issue, and submitter over approximately 1 hour. All responses are required by law to help identify issues and improve safety.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    183 views3 pages

    FORM 8070-1 b737-700 PDF

    Uploaded by

    Juan Esteban Arcila Sereno
    This form is used to report occurrences or detections of failures, malfunctions, or defects in aircraft. It collects information about the aircraft, component, issue, and submitter over approximately 1 hour. All responses are required by law to help identify issues and improve safety.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Paperwork Reduction Act Burden Statement: This form reports occurrences or detection of each failure, malfunction, or defect in an aircraft.

    A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a
    penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is
    2120-0663. Public reporting for this collection of information is estimated to be approximately 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the
    collection of information. All responses to this collection of information are required per 14 CFR Part 135. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the FAA at:
    800 Independence Ave SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, AES-200.

    FORM APPROVED
    OMB No. 2120-0663 Exp. 10/31/2020

    DEPARTMENT OF TRANSPORTATION RIS- WS 8070-1


    FEDERAL AVIATION ADMINISTRATION
    Control No.
    U.S. Department
    of Transportation
    Federal Aviation
    Service Difficulty Report 0.1
    Administration ATA Code
    AERONAUTICAL EQUIPMENT 90
    27

    MAJOR EQUIPMENT IDENTITY


    Enter pertinent data MANUFACTURER MODEL/SERIES SERIAL NUMBER N-HK 0099
    AIRCRAFT Boeing 737-790
    30663
    POWERPLANT CFM CFM56-7B27/2 67895
    INTERNACIONAL
    PROPELLER NO APLICA NO APLICA
    No aplica.

    PROBLEM DESCRIPTION
    DATE STATUS CARRIER ATA AIRCRAFT TYPE N- CONTROL NO.
    04/09/20 En tierra Aerolineas 27 Transporte de HK 0099 0.1
    20
    del sur pasejeros
    TEXT
    Fue impactada por un carro de abastecimiento de
    combustible impactando el plano derecho de la parte
    inferior y dañando el flap exterior del lado derecho.

    SPECIFIC PART CAUSING PROBLEM


    PART NAME MFG. PART NUMBER PART CONDITION PART/DEFECT LOCATION

    Report PART TT PART TSO


    COMPONENT/APPLIANCE ABOVE PART INSTALLED ON whole
    hours
    COMP/APPL NAME MANUFACTURER MFG. MODEL/NUMBER SERIAL NO.

    SUBMITTED BY
    SUBMITTER (Check one) A B C D E F G H I P. S. L. ALERT OPER/D.O.

    Juan Esteban Arcila CARRIER REP


    STA.
    OPER MECH AIR
    TAXI
    MFG FAA OTHER Spec.

    Sereno.
    PREC. PROC. NATURE STAGE STAT ROLL Frame SYS. SYS.

    ADDITIONAL COMMENTS
    FAA Form 8070-1 (11-84) SUPERSEDES PREVIOUS EDITION Shaded Areas are for FAA USE ONLY
    All Submitters - Instructions for Completing FAA Form 8070-1

    Major Equipment Identity

    TITLE ENTRY

    Identify major equipment related to problem. Enter manufacturer, model, and serial
    Aircraft
    number per FAA/MANUFACTURER type certificate data sheet. If amateur built, use
    Powerplant
    plan or kit name. Use military model designators when appropriate. Avoid colloquial
    Propeller
    names and market titles.

    N- Aircraft Registration Number.

    Problem Description

    Date Give date problem occurred (i.e., 7-1-84).

    Text Whenever possible, describe conditions subsequent to, or leading up to, the reported problem:
    (a) Identify the cause for malfunction and emergency measures execute. (b) Include com-
    pliance or noncompliance with Airworthiness Directives, Service Bulletins, STC's, and PMA's.
    (c) Provide any significant fact you feel may help to reduce or eliminate recurrence (i.e., cycles,
    landings, and suggested changes).

    Part Name Skin, rib, shaft, Venturi, transistor, capacitor, etc. Avoid colloquial names.

    Mfg. Part Number Alphanumeric part identifiers assigned by manufacturer.

    Part Condition Cracked, bent, burned, corroded, shorted, etc.

    Part/Defect Location L.H. alternator, audio, R.H. outboard, range switch, etc.

    Part TT Total service time on part in whole hours (i.e., 00531).

    Part TSO Service time on part since overhaul in whole hours (i.e., 00200)

    Comp/Appl Name Fuselage, wing, alternator, carburetor, VOR receiver, etc.

    Manufacturer Comp/appl manufacturer: Beech, Cessna, Prestolite, Bendix, Collins, etc.

    Alphanumeric model and serial numbers or identifiers assigned by comp/appl manufacturer


    Mfg. Model/Number,
    (i.e., ALU8403, NAS3A1, 51 RVII). Do not repeat ''MAJOR EQUIPMENT IDENTITY" in these
    Serial Number locations.

    Submitted By

    Submitter As noted on form.

    FAA District Offices - Refer to FAA Order 8010.2

    U.S. GOVERNMENT PRINTING OFFICE: 1984-461-823-21521

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