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Part-M GM to Appendix II to Part-M Use of the EASA Form 1 for maintenance
GM to Appendix II to Part-M Use of the EASA Form 1 for maintenance
EASA Form 1 Block 12 ‘Remarks’
Examples of data to be entered in this block as appropriate:-
·  Maintenance documentation used, including the revision status, for all work per-
formed and not limited to the entry made in block 11. A statement such as ‘in accord-
ance with the CMM’ is not acceptable. 
·  NDT methods with appropriate documentation used when relevant. 
·  Compliance with airworthiness directives or service bulletins. 
·  Repairs carried out. 
·  Modifications carried out. 
·  Replacement parts installed. 
·  Life-limited parts status. 
·  Shelf life limitations. 
·  Deviations from the customer work order. 
·  Release statements to satisfy a foreign Civil Aviation Authority maintenance require-
ment. 
·  Information needed to support shipment with shortages or re-assembly after deliv-
ery. 
·  References to aid traceability, such as batch numbers.” 

ED 2010/002/R

229

Appendix III
Airworthiness Review Certificate – EASA Form 15
[MEMBER STATE]
A Member of the European Union (*)

AIRWORTHINESS REVIEW CERTIFICATE
ARC reference: ………..
Pursuant to Regulation (EC) No 216/2008 of the European Parliament and of the Council for the time being into force, the following continuing airworthiness management organisation, approved in accordance with Section A, Subpart G of Annex I (Part M) to Commission Regulation (EC) No 2042/2003
[NAME OF ORGANISATION APPROVED AND ADDRESS] Approval reference: [MEMBER STATE CODE].MG[NNNN]
has performed an airworthiness review in accordance with point M.A.710 of Annex I to Commission Regulation (EC) No 2042/2003 on the following aircraft :
Aircraft manufacturer: ..............................................................................................................
Manufacturer’s designation: ...................................................................................................
Aircraft registration: .................................................................................................................
Aircraft serial number: .............................................................................................................

and this aircraft is considered airworthy at the time of the review.

Date of issue: .................................................... Date of expiry: ............................................
Signed: ............................................................... Authorisation No: .......................................
1st Extension: The aircraft has remained in a controlled environment in accordance with

point M.A.901 of Annex I to Commission Regulation (EC) No 2042/2003 for the last year.
The aircraft is considered to be airworthy at the time of the issue.
Date of issue: .................................................... Date of expiry: .............................................
Signed: ................................................................ Authorisation No: .......................................
Company Name: ................................................ Approval reference: ...................................

2nd Extension: The aircraft has remained in a controlled environment in accordance with
point M.A.901 of Annex I to Commission Regulation (EC) No 2042/2003 for the last year.
The aircraft is considered to be airworthy at the time of the issue.
　
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