Instructions：
1． This report shall be submitted annually, included the information from 1st January last year to 1st January of this year, and submitted to CAAC before 1st February.
2． The CAAC address is as follows: Continue Airworthiness & Maintenance Division Flight Standards Department of CAAC 155 Dongsi Street West, Beijing 100710, P. R. China Tel: 86-10-64092423/64091402 Fax:86-10-64030987
3． This report shall be filled carefully, clean and tidy, better in printing.
4． If the blank given is not enough, please write in attached pages and mark clearly in the form.
F145-4(08/2005)
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CCAR Part 145- Civil Aircraft Maintenance Organization Certification Regulations No.152 Statute of General Administration of Civil Aviation of China
1．Any changes in the following of the company: Amendment to the Maintenance Organization Manual; (refer to §145.30 of CCAR145) Significant change in Facilities; (refer to §145.20 of CCAR145) Significant change in Tools and Equipment; (refer to §145.21 of CCAR145) Significant Change in Personnel; (refer to §145.23 of CCAR145) Significant change in Procedures;
Other significant change. If “Yes”, please tick “×” before the above item, and give details in the blank below. Details of the change:
Have the changes been reported to CAAC? Yes No
F145-4（08/2005）
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CCAR Part 145- Civil Aircraft Maintenance Organization Certification Regulations No.152 Statute of General Administration of Civil Aviation of China
2．Maintenance service provided to Chinese Customer within the year of report.
Maintenance Item Part Number/ Type Serial/ Batch Number AAC-038 Form/Release Certificate Tracking Number Chinese Customer Date of Releasing Maintenance Function
F145-4（08/2005）
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CCAR Part 145- Civil Aircraft Maintenance Organization Certification Regulations No.152 Statute of General Administration of Civil Aviation of China
3．Major repair and modification provided to Chinese Customer within the year of report.
Maintenance Item Maintenance Function Date of Completion Quality feedback
Have been reported to CAAC and filled out the Form AAC-085？ Yes No
4．Unairworthy condition report to CAAC within the year of report.
Content of report Description for the related aircraft or its component Date of report
Have been reported to CAAC and filled out the Form F145-5？ Yes No
F145-4（08/2005）
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CCAR Part 145- Civil Aircraft Maintenance Organization Certification Regulations No.152 Statute of General Administration of Civil Aviation of China
5．Self-audit within the year of report:
（1）Have been developed self-audit plan of the year？
Yes No
（2）Was the self-audit conducted according to the plan？
Yes No If “No”, please give the reason of plan change or un-conduct in the blank below:
（3）Major findings from self-audit:（Please describe in the blank below）
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