BGA 274 Airworthiness Directive and Life Limitations Report

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This form is used for glider AD & lifed item status listing. it should be noted that non compliance with AD’s or mandatory life limitations will invalidate the C of A.

BGA Number

Registration
G-

Type

Airworthiness Directives and BGA inspections

Airworthiness Directive or BGA inspection
Number

Associated TN, TI, SB (optional)

Subject

* Method of
compliance and date/reference

Next due

One time Repeat

AD Compliance statement: All airworthiness Directives for airframe, engine, propeller and equipment (as applicable) have been reviewed and applied as required up to the following listings:

CAA CAP 747 issue

amendment /

EASA Airworthiness Directives. Date

(DD/Month/YYYY)

State of design airworthiness directives Date

(DD/Month/YYYY)

FAA Bi-weekly listing

/

Compliance with AD’s must be recorded in the aircraft records. All repeat AD’s and inspections must recorded in the aircraft log book detailing when next due

With the exception of optional equipment and modifications the above airworthiness directive information can be found on the BGA web site and in the BGA TNS for BGA recognised Glider and Motor Glider types.

* Method of compliance e.g.– Tested, inspected, modified, replaced, PCW (previously complied with), not applicable to (type)
(serial no) etc. Include Date and reference of compliance.

Page 1 of 2 AMP Leaflet 1-3 Appendix 24

BGA 274, R3 07/13

Lifed items (as applicable)

Item

Reference (MM or AD)

Interval

Last compliance

Next due

Example (Glider with 3500 hours and 5500 launches, nose release replaced at 3690 launches)

Airframe life

MM

12000 Hours

N/A

12,000 H

Airframe intermediate life inspection
Nose release

MM AD 1989-018/3

3000 Hours 2500 Launches

2950 H 3690 L

5950 H 6190 L

Airframe life
Airframe life intermediate life inspection
Nose release

N/A

C of G release

Engine TBO

Propeller TBO
Engine intermediate inspection
Oxygen Cylinder

Life remaining
8500 H 2450 H 690 L

I certify that the above AD and Lifed item status report is complete and accurate to the best of my knowledge. (Release unit and Engine requirements depending on model installed if applicable)

Name:

Signed:

BGA Insp No:

Date:

Page 2 of 2 AMP Leaflet 1-3 Appendix 24

BGA 274, R3 07/13