Upload
others
View
3
Download
0
Embed Size (px)
Citation preview
Aircraft Rego VH -
Aircraft Serial No Aircraft Model No
FH on Aircraft FC
Report Date
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
24 Nov 20202500Equipme
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
24 Nov 2020
Broome Air Maintenance 2021131
11,084.5Scott Carlson30 Nov 2020
Closed
Test 2020-1018
2500Equipme
ELT BatteryBattery
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
FL
FHFC
24 Nov 2020
Broome Air Maintenance 2021131
11,084.5Scott Carlson30 Nov 2020
Closed
Replace 2020-1018
4 Nov 20206100Propeller
Propeller HartzellPHC-J3YF-1RF
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
FL
FHFC1
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Overhaul 2020-0872
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
2600 FireProtectio
Hand Held Fire Ext (Halon)Avtrac Form 05-010
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Reweigh 2020-0872
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
3700Vacuum
Vacuum System HosesC210 MM
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Replace 2020-0872
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
Page 1Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Service 2020-0872
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
5500Stabilsers
Horizontal Stabilizer Aft Attach BracketCAP 55-10-01
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
2500Equipme
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
5700Wings
Spar Corrosion Protection SchemeEO TDE3486-01-R1
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
5700Wings SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
3300Lights
Landing Light and Beacon Light SwitchesTR D2057-3TR11
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Replace 2020-0872
2700Flight
Elevator and Trim Tab InspectionSEB85-7 R04
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
3200Landing
Nose Gear GuideP/N 9882024-1
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
0500Maintena
100 Hour InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
Page 2Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
0500Maintena
50 Hour InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
0500Maintena
Radio Periodic InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
0500Maintena
Operational InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
5700Wings
Wing Lower Spar Cap InspectionSID 57-11-04
Carried out satisfactorily nil defects
FL
FHFC
4 Nov 2020
Broome Air Maintenance 2021112
11,069.1Scott Carlson5 Nov 2020
Closed
Inspect 2020-0872
2300Communi
Static WickU/S
New wick installed
Scheduled FL
FHFC
4 Nov 2020
Broome Air Maintenance 20210112
11,069.1Scott Carlson5 Nov 2020
Closed
2020-0872
3200Landing
Shimmy Dampenerleaking
Resealed IAW C210 MM
Scheduled FL
FHFC
4 Nov 2020
Broome Air Maintenance 20210112
11,069.1Scott Carlson5 Nov 2020
Closed
2020-0872
FL
FHFC
4 Nov 2020
Broome Air Maintenance 20210112
11,069.1Scott Carlson5 Nov 2020
Closed
2020-0872
30 Jun 20202500Equipme
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Test 2020-0439
0500Maintena
Maintenance ReleaseCASA Form 918
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Replace 2020-0439
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
7400Engine
Magneto Bendix LH 500 HourTCM SB 643B
Carried out satisfactorily nil defects
FL
FHFC1
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
Page 3Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
7400Engine
Magneto Bendix RH 500 HourTCM SB 643B
Carried out satisfactorily nil defects
FL
FHFC1
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
2600 FireProtectio
Hand Held Fire Ext (Halon)Avtrac Form 05-010
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Reweigh 2020-0439
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
7600Engine
Propeller ControlC210 MM
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Service 2020-0439
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
2700Flight
Elevator Trailing Edge & Elevator Trim TabCAP 27-30-02
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
Page 4Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
2800 Fuel Quick Drain Valves - Fuel Reservoir & Fuel TanksCAP 28-30-01
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
2900Hydraulic
MLG Hydraulic Hose & Component ReplacementCAP 29-10-01
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Replace 2020-0439
3200Landing
Nose Gear Turning StopCAP 32-50-01
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
3900Electrical
Engine Compartment Wiring & Equipment InstallationCAP 39-00-01
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
3200Landing
Main Landing Gear Actuator Mounting BoltsCAP 32-30-01
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
3200Landing
Gear Warning/Fuel Pump Switch Control ImprovementCAP 32-60-01
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
2500Equipme
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
5700Wings SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
5700Wings
Wing Structure Corrosion InspectionSID 57-11-02
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
2700Flight
Elevator and Trim Tab InspectionSEB85-7 R04
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
0505Airworthin
Primary Flight Control Cable TerminalsAD/GENERAL/87 Amdt 1
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
Page 5Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3200Landing
Nose Gear GuideP/N 9882024-1
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
0500Maintena
100 Hour InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
0500Maintena
50 Hour InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
0500Maintena
Radio Periodic InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
0500Maintena
Operational InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
0500Maintena
200 Hour InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
0500Maintena
Electrical & Instrument InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
5700Wings
Wing Lower Spar Cap InspectionSID 57-11-04
Carried out satisfactorily nil defects
FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920230
10,971.6Scott Carlson
2 Jul 2020
Closed
Inspect 2020-0439
3200Landing
MLG WheelsBearings require lubrication
Cleaned, inspected, and greased as required
Unscheduled FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920320
10,971.6Scott Carlson
2 Jul 2020
Closed
2020-0439
3200Landing
NLG WheelBearings U/S
Bearings replaced
Unscheduled FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920320
10,971.6Scott Carlson
2 Jul 2020
Closed
2020-0439
2400Electrical
BatteryU/S
Replaced with new item
Unscheduled FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920320
10,971.6Scott Carlson
2 Jul 2020
Closed
2020-0439
Page 6Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
7300Engine
Fuel BowlO-rings U/S
Replaced IAW C210 AMM
Unscheduled FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920320
10,971.6Scott Carlson
2 Jul 2020
Closed
2020-0439
7800Engine
Engine LH Exhaust MountBroken
Replaced IAW C210 MM
Unscheduled FL
FHFC
30 Jun 2020
Broome Air Maintenance 1920320
10,971.6Scott Carlson
2 Jul 2020
Closed
2020-0439
24 Jun 20205700Wings
Wings - Lower Main Spar Cap 2SID 57-11-03
Carried out satisfactorily nil defects
FL
FHFC
24 Jun 2020
Broome Air Maintenance 1920320
10,971.5Scott Carlson26 Jun 2020
Closed
Inspect 2020-0462
16 Mar 20206100Propeller
Propeller HartzellPHC-J3YF-1RF
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
FL
FHFC1
16 Mar 2020
Broome Air Maintenance 1920
10,956.4Scott Carlson18 Mar 2020
Closed
Overhaul 2020-0202
27 Nov 20192300Communi
TransponderCAO 100.5 (14)
Carried out satisfactorily nil defects
FL
FHFC
27 Nov 2019
Broome Air Maintenance 1920181
10,906.5Scott Carlson17 Dec 2019
Closed
Test 2019-1203
3100Instrumen
LH AltimeterCAO 100.5 (4.4)
Carried out satisfactorily nil defects
FL
FHFC
27 Nov 2019
Broome Air Maintenance 1920181
10,906.5Scott Carlson17 Dec 2019
Closed
Test 2019-1203
3100Instrumen
Pitot Static TestCAO 100.5 (3.4)
Carried out satisfactorily nil defects
FL
FHFC
27 Nov 2019
Broome Air Maintenance 1920181
10,906.5Scott Carlson17 Dec 2019
Closed
Test 2019-1203
2300Communi
Automatic Altitude Encoder TestCAO 100.5 (4.7)
Carried out satisfactorily nil defects
FL
FHFC
27 Nov 2019
Broome Air Maintenance 1920181
10,906.5Scott Carlson17 Dec 2019
Closed
Test 2019-1203
5700Wings
Wing Front Spar InspectionSID 57-30-01
Carried out satisfactorily nil defects
FL
FHFC
27 Nov 2019
Broome Air Maintenance 1920181
10,906.5Scott Carlson17 Dec 2019
Closed
Inspect 2019-1203
Page 7Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
6 Nov 20192500Equipme
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Test 2019-1062
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
2600 FireProtectio
Hand Held Fire Ext (Halon)Avtrac Form 05-010
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Reweigh 2019-1062
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
7300Engine
Fuel Injection NozzlesC210 MM
Carried out satisfactorily nil defects
FL
FHFC1
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
7100Power C210 MM
Carried out satisfactorily nil defects
FL
FHFC1
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Replace 2019-1062
7100Power
Engine Rubber HosesC210 MM
Carried out satisfactorily nil defects
FL
FHFC1
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Replace 2019-1062
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
Page 8Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Service 2019-1062
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
5500Stabilsers
Horizontal Stabilizer Aft Attach BracketCAP 55-10-01
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
2500Equipme
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
5700Wings
Wings - Lower Main Spar Cap 1SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
5300Fuselage
Carry-Thru Spar Corrosion InspectionSID 53-11-01
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
5300Fuselage
Carry-Thru Spar InspectionSID 53-11-02
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
5300Fuselage
Cabin Interior Skin Panels Corrosion InspectionSID 53-30-01
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
5700Wings
Wing Structure InspectionSID 57-11-01
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
5700Wings
Wing Root Rib Corrosion InspectionSID 57-12-01
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
5700Wings
Flap Tracks Corrosion InspectionSID 57-53-01
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
Page 9Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3100Instrumen
LH AltimeterCAO 100.5 (4.4)
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Test 2019-1062
3100Instrumen
Pitot Static TestCAO 100.5 (3.4)
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Test 2019-1062
2700Flight
Elevator and Trim Tab InspectionSEB85-7
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
3200Landing
Nose Gear GuideP/N 9882024-1
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
0500Maintena
100 Hour InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
0500Maintena
50 Hour InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
0500Maintena
Radio Periodic InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
0500Maintena
Operational InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
0505Airworthin
ELT Inspection/Modification/ReplacementEASA AD 2019-0235
Carried out satisfactorily nil defects
FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
Inspect 2019-1062
2300Communi
1x Static WickU/S
Wick replaced
Unscheduled FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
2019-1062
3200Landing
Nose Gear Guide ShieldU/S
Shield replaced with new item
Unscheduled FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
2019-1062
Page 10Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
7400Engine
12x Spark PlugsU/S
12 new spark plugs installed
Unscheduled FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
2019-1062
3300Lights
BeaconU/S
Globe replaced
Unscheduled FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
2019-1062
3100Instrumen
Static SystemLeak
Tightened loose fitting on the ASI & Altimeter
Unscheduled FL
FHFC
6 Nov 2019
Broome Air Maintenance 1920173
10,895.4Scott Carlson7 Nov 2019
Closed
2019-1062
14 Oct 20195700Wings
Wing Front Spar InspectionSID 57-30-01
Carried out satisfactorily nil defects
FL
FHFC
14 Oct 2019
Broome Air Maintenance M/R
10,851.0Scott Carlson7 Nov 2019
Closed
Inspect 2019-1114
25 Sep 20190505Airworthin
Primary Flight Control Cable TerminalsAD/GENERAL/87 Amdt 1
Carried out satisfactorily nil defects
FL
FHFC
25 Sep 2019
Broome Air Maintenance M/R S/NA222522
Scott Carlson7 Nov 2019
Closed
Inspect 2019-1123
25 Jul 20193100Instrumen
Air Speed IndicatorCAO 100.5 (5.4)
Carried out satisfactorily nil defects
FL
FHFC
25 Jul 2019
Broome Air Maintenance 1920053
10,823.6Scott Carlson1 Aug 2019
Closed
Test 2019-0746
3 Jul 20195700Wings Mandatory Service Bulletin
Carried out satisfactorily nil defects
FL
FHFC
3 Jul 2019
Broome Air Maintenance 1920004
10,808.1Scott Carlson
8 Jul 2019
Closed
Inspect 2019-0643
24 May 20192500Equipme Battery
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Test 2019-0449
0500Maintena
Maintenance ReleaseCASA Form 918
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Replace 2019-0449
Page 11Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
2600 FireProtectio
Hand Held Fire Ext (Halon)Avtrac Form 05-010
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Reweigh 2019-0449
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
3200Landing
Wheel BearingsC210 MM
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
3100Instrumen
Gyro Central Air FilterC210 MM
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
Page 12Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3200Landing
Nose Gear Steering Collar & Upper Torque LinkCAP 32-50-02
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
2500Equipme
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
5700Wings
Wings - Lower Main Spar Cap 1SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
2700Flight
Elevator and Trim Tab InspectionSEB85-7
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
3200Landing
Nose Gear GuideP/N 9882024-1
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
0500Maintena
100 Hour InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
0500Maintena
50 Hour InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
0500Maintena
Radio Periodic InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
0500Maintena
Operational InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
0500Maintena
200 Hour InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
0500Maintena
Electrical & Instrument InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Inspect 2019-0449
Page 13Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3200Landing
RH MLG Wheel BrakeCaliper Guide Pins worn
New pins installed
Unscheduled FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
2019-0449
8000Engine
Starter AdapterRequires replacement
Starter adapter & gasket replaced
Unscheduled FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
2019-0449
7500Engine
Engine Air FilterC210 MM
Carried out satisfactorily nil defects
FL
FHFC1
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
Replace 2019-0449
5600Windows
Vista VentWon’t open
New vent installed
Unscheduled FL
FHFC
24 May 2019
Broome Air Maintenance 1819331
10,794.2Scott Carlson29 May 2019
Closed
2019-0449
14 Dec 20182500Equipme
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Test 2018-1292
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
2600 FireProtectio
Hand Held Fire Ext (Halon)Avtrac Form 05-010
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Reweigh 2018-1292
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
3700Vacuum
Vacuum Relief Valve FilterC210 MM
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Replace 2018-1292
3200Landing
BrakesC210 MM
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
Page 14Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3400Navigatio
Magnetic Compass CompensationC210 MM
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
7500Engine
Engine Air FilterC210 MM
Carried out satisfactorily nil defects
FL
FHFC1
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Replace 2018-1292
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
5500Stabilsers
Horizontal Stabilizer Aft Attach BracketCAP 55-10-01
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Record 2018-1292
3200Landing
Main Gear Downlock ActuatorCAP 32-30-02
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
2500Equipme
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
5700Wings
Spar Corrosion Protection SchemeEO TDE3486-01-R1
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
Page 15Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
5700Wings
Wings - Lower Main Spar Cap 1SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
3200Landing
Main Landing Gear Retraction System InspectionSID 32-10-01
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
3200Landing
Landing Gear Spring Corrosion InspectionSID 32-13-01
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
3200Landing
Nose Gear Torque Link and Fork InspectionSID 32-20-01
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
5300Fuselage
Carry-Thru Spar InspectionSID 53-11-02
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
5300Fuselage
Firewall InspectionSID 53-12-02
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
5300Fuselage
Seat Rails and Seat Rail Structure Corrosion InspectionSID 53-47-01
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
5500Stabilsers
Horizontal Stabilizer, Elevator, and AttachmentsInspectionSID 55-10-01
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
5500Stabilsers
Vertical Stabilizer, Rudder and Attachments InspectionSID 55-30-01
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
5700Wings
Aileron Support Structure InspectionSID 57-51-01
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
2700Flight
Elevator and Trim Tab InspectionSEB85-7
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
Page 16Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3200Landing
Main Landing Gear ActuatorSEB01-02
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
3200Landing
Nose Gear GuideP/N 9882024-1
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018Inspect 2018-1292
0500Maintena
100 Hour InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
0500Maintena
50 Hour InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
0500Maintena
Radio Periodic InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
0500Maintena
Operational InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
Inspect 2018-1292
3400Navigatio
Compass Cup (Holder)Melted
New holder installed
Unscheduled FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
2018-1292
2300Communi
Comm 2 RadioMissing knob
Serviceable knob installed
Unscheduled FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
2018-1292
5200Doors
Pilot’s Door Sill (Lower)U/S
New sill manufactured and installed
Unscheduled FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
2018-1292
3300Lights
RH Strobe LightU/S
Globe replaced
Unscheduled FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
2018-1292
3200Landing
RH MLG Wheel BrakePad missing
New pad installed
Unscheduled FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
2018-1292
Page 17Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
7800Engine
LH Exhaust ManifoldCracked
Repaired manifold installed
Unscheduled FL
FHFC
14 Dec 2018
Broome Air Maintenance 1819177
10,691.5Scott Carlson17 Dec 2018
Closed
2018-1292
27 Sep 20180505Airworthin
Primary Flight Control Cable TerminalsAD/GENERAL/87 Amdt 1
Carried out satisfactorily nil defects
FL
FHFC
27 Sep 2018
Broome Air Maintenance 1819098Scott Carlson12 Oct 2018
Closed
Inspect 2018-1091
2300Communi
2 Static Wicks U/S New wicks installed
Unscheduled FL
FHFC
27 Sep 2018
Broome Air Maintenance 1819098Scott Carlson12 Oct 2018
Closed
2018-1091
2700Flight
Wing FlapsAssymetrical (Pilot report)
Flaps re-rigged IAW C210 MM Ch 7
Unscheduled FL
FHFC
27 Sep 2018
Broome Air Maintenance 1819098Scott Carlson12 Oct 2018
Closed
2018-1091
16 Aug 20182500Equipme
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Test 2018-0842
0500Maintena
Maintenance ReleaseCASA Form 918
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Replace 2018-0842
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
7300Engine
Fuel Injection NozzlesC210 MM
Carried out satisfactorily nil defects
FL
FHFC1
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
Page 18Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
2500Equipme
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
5700Wings
Wings - Lower Main Spar Cap 1SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
2700Flight
Elevator and Trim Tab InspectionSEB85-7
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
3200Landing
Nose Gear GuideP/N 9882024-1
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018Inspect 2018-0842
0500Maintena
100 Hour InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
0500Maintena
50 Hour InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
Page 19Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
0500Maintena
Radio Periodic InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
0500Maintena
Operational InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
0500Maintena
200 Hour InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
0500Maintena
Electrical & Instrument InspectionBroome Aviation C210 SOM
Carried out satisfactorily nil defects
FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
Inspect 2018-0842
2800 Fuel Fuel StrainerNot shutting off
Adjusted IAW C210 AMM, no defect
Unscheduled FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
2018-0842
2400Electrical
AlternatorBelt loose
Tension adjusted IAW C210 AMM
Unscheduled FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
2018-0842
3200Landing
RH MLG Wheel BrakeOuter bearings and cup
Bearings and cup replaced IAW C210 AMM
Unscheduled FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
2018-0842
3200Landing
RH MLG Wheel BrakeInner Linings U/S
Linings replaced IAW C210 AMM
Unscheduled FL
FHFC
16 Aug 2018
Broome Air Maintenance 1819062
10,598.8Scott Carlson16 Aug 2018
Closed
2018-0842
6 Jun 20182500Equipme
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Test 2018-0491
0500Maintena
Maintenance ReleaseCASA Form 918
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Replace 2018-0491
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Inspect 2018-0491
Page 20Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
7400Engine
Magneto Bendix LH10-349350-4
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
FL
FHFC1
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Overhaul 2018-0491
7400Engine
Magneto Bendix RH10-349350-5
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
FL
FHFC1
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Overhaul 2018-0491
7400Engine
Magneto Bendix LH 500 HourTCM SB 643B
Carried out satisfactorily nil defects
FL
FHFC1
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Inspect 2018-0491
7400Engine
Magneto Bendix RH 500 HourTCM SB 643B
Carried out satisfactorily nil defects
FL
FHFC1
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Inspect 2018-0491
2600 FireProtectio
Hand Held Fire Ext (Halon)Avtrac Form 05-010
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Reweigh 2018-0491
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Inspect 2018-0491
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Inspect 2018-0491
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Inspect 2018-0491
0500Maintena
Periodic InspectionCASA Maintenance Schedule
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Inspect 2018-0491
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Inspect 2018-0491
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Inspect 2018-0491
Page 21Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Inspect 2018-0491
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Inspect 2018-0491
2800 Fuel Quick Drain Valves - Fuel Reservoir & Fuel TanksCAP 28-30-01
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Inspect 2018-0491
5500Stabilsers
Horizontal Stabilizer Aft Attach BracketCAP 55-10-01
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Record 2018-0491
3200Landing
Main Landing Gear Actuator Mounting BoltsCAP 32-30-01
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Inspect 2018-0491
0500Maintena
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Inspect 2018-0491
5700Wings
Wings - Lower Main Spar Cap 1SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Inspect 2018-0491
2700Flight
Elevator and Trim Tab InspectionSEB85-7
Carried out satisfactorily nil defects
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
Inspect 2018-0491
3200Landing
Nose Gear GuideP/N 9882024-1
FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018Inspect 2018-0491
3200Landing
LH MLG Wheel AssemblyTire worn
New tire fitted
Unscheduled FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
2018-0491
3200Landing
RH NLG Flipper DoorEye-bolt U/S
New bolt installed
Unscheduled FL
FHFC
6 Jun 2018
Broome Air Maintenance 1718202
10,498.8Scott Carlson7 Jun 2018
Closed
2018-0491
Page 22Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3 Apr 20183200Landing
MLG “UP” LightNot working
Could not fault
Unscheduled FL
FHFC
3 Apr 2018
Jandakot Flight Center 180403
10,454.3Scott Carlson11 Apr 2018
Closed
2018-0297
3300Lights
Port Nav LightNot working
Replaced faulty globe and cleaned contacts. Cover also repalced
Unscheduled FL
FHFC
3 Apr 2018
Jandakot Flight Center 180403
10,454.3Scott Carlson11 Apr 2018
Closed
2018-0297
2500Equipme
Fuel GasculatorSticking
Joint cleaned and lubricated. Working satisfactorily
Unscheduled FL
FHFC
3 Apr 2018
Jandakot Flight Center 180403
10,454.3Scott Carlson11 Apr 2018
Closed
2018-0297
7800Engine
RH Exhaust CollectorCracked
Weld repairs made by Raindance Aero Works. Exhaust refitted with new gaskets
Unscheduled FL
FHFC
3 Apr 2018
Jandakot Flight Center 180403
10,454.3Scott Carlson11 Apr 2018
Closed
2018-0297
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
3 Apr 2018
Jandakot Flight Center 180403
10,454.3Scott Carlson11 Apr 2018
Closed
Inspect 2018-0292
16 Mar 20182400Electrical
Engine Compartment Wiring & Equipment InstallationCAP 39-00-01
Carried out satisfactorily nil defects
FL
FHFC
16 Mar 2018
Jandakot Flight Center 180316SJG
10,439.7Scott Carlson23 Mar 2018
Closed
Inspect 2018-0242
5300Fuselage
Carry-Thru Spar InspectionSID 53-11-02
Carried out satisfactorily nil defects
FL
FHFC
16 Mar 2018
Jandakot Flight Center 180316SJG
10,439.7Scott Carlson23 Mar 2018
Closed
Inspect 2018-0242
3300Lights
Port Nav LightIntermittent
No fault found
Unscheduled FL
FHFC
16 Mar 2018
Jandakot Flight Center 180316SJG
10,439.7Scott Carlson23 Mar 2018
Closed
2018-0242
3200Landing
Gear Warning HornSoft
Found that the pilot was not pressing the Test button hard enough
Unscheduled FL
FHFC
16 Mar 2018
Jandakot Flight Center 180316SJG
10,439.7Scott Carlson23 Mar 2018
Closed
2018-0242
5600Windows
WindowsSealant cracked and dry
Repalced cracked and dried sealant
Unscheduled FL
FHFC
16 Mar 2018
Jandakot Flight Center 180316SJG
10,439.7Scott Carlson23 Mar 2018
Closed
2018-0242
Page 23Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
31 Jan 20183100Instrumen
Fuel Quantity GaugesCAO 100.5 (6.4)
Carried out satisfactorily nil defects
FL
FHFC
31 Jan 2018
Jandakot Flight Center 180130SJG
10,418.7Scott Carlson15 Feb 2018
Closed
Record 2018-0118
2700Flight
MLG Indicator LightsInop
Replaced incorrectly positioned globes
Unscheduled FL
FHFC
31 Jan 2018
Jandakot Flight Center 180130SJG
10,418.7Scott Carlson15 Feb 2018
Closed
2018-0118
16 Jan 20180505Airworthin
TransponderCAO 100.5 (14)
Carried out satisfactorily nil defects
FL
FHFC
16 Jan 2018
Jandakot Flight Center M/RScott Carlson11 Apr 2018
Closed
Inspect 2018-0298
3100Instrumen
LH AltimeterCAO 100.5 (4.4)
Carried out satisfactorily nil defects
FL
FHFC
16 Jan 2018
Jandakot Flight Center M/RScott Carlson11 Apr 2018
Closed
Test 2018-0298
3100Instrumen
Pitot Static TestCAO 100.5 (3.4)
Carried out satisfactorily nil defects
FL
FHFC
16 Jan 2018
Jandakot Flight Center M/RScott Carlson11 Apr 2018
Closed
Test 2018-0298
3100Instrumen
Automatic Altitude Encoder TestCAO 100.5 (4.7)
Carried out satisfactorily nil defects
FL
FHFC
16 Jan 2018
Jandakot Flight Center M/RScott Carlson11 Apr 2018
Closed
Test 2018-0298
6 Dec 20172300Communi
TransponderNo ALT Mode
Transponder replaced, tested satis
Unscheduled FL
FHFC
6 Dec 2017
Jandakot Flight Center 171129SJG
10,410.4Scott Carlson15 Feb 2018
Closed
2018-0117
2300Communi
Comm 1TR scratchy
Unit removed, repaired, and reinstalled
Unscheduled FL
FHFC
6 Dec 2017
Jandakot Flight Center 171129SJG
10,410.4Scott Carlson15 Feb 2018
Closed
2018-0117
2300Communi
RadioStrobe noise evident
Advised customer of action to eliminate noise. Noise reduced to satis level
Unscheduled FL
FHFC
6 Dec 2017
Jandakot Flight Center 171129SJG
10,410.4Scott Carlson15 Feb 2018
Closed
2018-0117
3100Instrumen
Turn CoordinatorRequires repair
TC replaced with satis unit (See OC Report for details Off/On)
Unscheduled FL
FHFC
6 Dec 2017
Jandakot Flight Center 171129SJG
10,410.4Scott Carlson15 Feb 2018
Closed
2018-0117
Page 24Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3100Instrumen
AHRequires repair
Removed, repaired, and resinstalled
Unscheduled FL
FHFC
6 Dec 2017
Jandakot Flight Center 171129SJG
10,410.4Scott Carlson15 Feb 2018
Closed
2018-0117
2700Flight
FlapsDropping in flight
Replaced Flap Lower Microswitch
Unscheduled FL
FHFC
6 Dec 2017
Jandakot Flight Center 171129SJG
10,410.4Scott Carlson15 Feb 2018
Closed
2018-0117
2400Electrical
BatteryFlat
Battery replaced with new unit
Unscheduled FL
FHFC
6 Dec 2017
Jandakot Flight Center 171129SJG
10,410.4Scott Carlson15 Feb 2018
Closed
2018-0117
26 Oct 20172300Communi
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
Test 2017-0816
0500Maintena
Maintenance ReleaseCASA Form 918
Carried out satisfactorily nil defects
FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
Replace 2017-0816
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
Inspect 2017-0816
2600 FireProtectio
Hand Held Fire Ext (Halon)Avtrac Form 05-010
Carried out satisfactorily nil defects
FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
Reweigh 2017-0816
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
Inspect 2017-0816
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
Inspect 2017-0816
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
Inspect 2017-0816
0500Maintena
Periodic InspectionCASA Maintenance Schedule
Carried out satisfactorily nil defects
FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
Inspect 2017-0816
Page 25Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
Inspect 2017-0816
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
Inspect 2017-0816
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
Inspect 2017-0816
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
Inspect 2017-0816
0500Maintena
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
Inspect 2017-0816
5700Wings
Wings - Lower Main Spar Cap 1SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
Inspect 2017-0816
5700Wings
Flap Tracks Corrosion InspectionSID 57-53-01
Carried out satisfactorily nil defects
FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
Inspect 2017-0816
2700Flight
Elevator and Trim Tab InspectionSEB85-7
Carried out satisfactorily nil defects
FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
Inspect 2017-0816
7400Engine
Spark Plugsx6 U/S
REPLACED X6 SPARK PLUGS IAW C210 MM
Unscheduled FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
2017-0816
7900Engine
Engine Filler CapLeaking
Replaced gasket IAW C210 MM
Unscheduled FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
2017-0816
7300Engine
Fuel StrainerBolw seeping
Replaced seals IAW C210 AMM, NIl defects evident
Unscheduled FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
2017-0816
Page 26Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3200Landing
RH MLG WheelBrake caliper pistons leaking
Replaced seals
Unscheduled FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
2017-0816
3200Landing
NLGBearings U/S
New bearings installed
Unscheduled FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
2017-0816
3200Landing
Shimmy DampenerLeaking
Re-sealed shimmy dampener
Unscheduled FL
FHFC
26 Oct 2017
Broome Air Maintenance 1718057
10,403.7Scott Carlson1 Nov 2017
Closed
2017-0816
21 Jul 20172300Communi
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Test 2017-0532
0500Maintena
Maintenance ReleaseCASA Form 918
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Replace 2017-0532
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Inspect 2017-0532
2600 FireProtectio
Hand Held Fire Ext (Halon)Avtrac Form 05-010
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Reweigh 2017-0532
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Inspect 2017-0532
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Inspect 2017-0532
7300Engine
Fuel Injection NozzlesC210 MM
Carried out satisfactorily nil defects
FL
FHFC1
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Inspect 2017-0532
3200Landing
Wheel BearingsC210 MM
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Inspect 2017-0532
Page 27Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3700Vacuum
Gyro Central Air FilterC210 MM
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Inspect 2017-0532
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Inspect 2017-0532
0500Maintena
Periodic InspectionCASA Maintenance Schedule
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Inspect 2017-0532
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Inspect 2017-0532
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Inspect 2017-0532
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Inspect 2017-0532
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Inspect 2017-0532
5500Stabilsers
Horizontal Stabilizer Aft Attach BracketCAP 55-10-01
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Record 2017-0532
0500Maintena
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Inspect 2017-0532
5700Wings
Wings - Lower Main Spar Cap 1SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Inspect 2017-0532
2700Flight
Elevator and Trim Tab InspectionSEB85-7
Carried out satisfactorily nil defects
FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Inspect 2017-0532
Page 28Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3700Vacuum
E.D. Dry Vacuum Pump CouplingDrive Coupling
Carried out satisfactorily nil defects
FL
FHFC1
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 2017
Closed
Replace 2017-0532
7400Engine
Spark Plugsx6 U/S
Spark plugs replaced
Unscheduled FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 20172017-0532
2300Communi
Static Wicksx2 U/S
x2 static wicks replaced
Unscheduled FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 20172017-0532
3200Landing
LH MLGShell assembly U/S
New shell assembly installed
Unscheduled FL
FHFC
21 Jul 2017
Broome Air Maintenance 1718011
10,309.9Scott Carlson27 Jul 20172017-0532
17 May 20172300Communi
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Test 2017-0328
0500Maintena
Maintenance ReleaseCASA Form 918
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Replace 2017-0328
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
3700Vacuum
Vacuum Relief Valve FilterC210 MM
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Replace 2017-0328
7500Engine
Engine Air FilterC210 MM
Carried out satisfactorily nil defects
FL
FHFC1
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Replace 2017-0328
Page 29Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
0500Maintena
Periodic InspectionCASA Maintenance Schedule
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
3200Landing
Gear Warning/Fuel Pump Switch Control ImprovementCAP 32-60-01
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
0500Maintena
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
0500Maintena
Spar Corrosion Protection SchemeEO TDE3486-01-R1
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
5700Wings
Wings - Lower Main Spar Cap 1SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
2700Flight
Elevator Trim Pulley Bracket and Actuator BracketStructure InspectionSID 27-30-02
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
Page 30Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3200Landing
Main Landing Gear Retraction System InspectionSID 32-10-01
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
2700Flight
Elevator and Trim Tab InspectionSEB85-7
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
3200Landing
Main Landing Gear ActuatorSEB01-02
Carried out satisfactorily nil defects
FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
Inspect 2017-0328
3200Landing
NLG WheelTire worn
New tire installed IAW C210 AMM
Unscheduled FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
2017-0328
3200Landing
LH Shell PadU/S
New pad installed IAW C210 AMM
Unscheduled FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
2017-0328
7400Engine
MagnetoTiming out 2 degrees at 20 degrees
MAgs retimed to 22 degress IAW C210 AMM
Unscheduled FL
FHFC
17 May 2017
Broome Air Maintenance 1617815
10,211.0Scott Carlson22 May 2017
Closed
2017-0328
12 May 20172400Electrical
AlternatorC611503-0102
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
FL
FHFC1
12 May 2017
Broome Air Maintenance M/R
10,203.5Scott Carlson22 May 2017
Closed
Overhaul 2017-0385
8 Mar 20173200Landing
RH MLG BrakeCaliper leaking
Caliper Piston Seals replaced IAW C210 AMM
Unscheduled FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
2017-0139
2300Communi
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Test 2017-0139
0500Maintena
Maintenance ReleaseCASA Form 918
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Replace 2017-0139
Page 31Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Inspect 2017-0139
7400Engine
Magneto Bendix LH 500 HourTCM SB 643B
Carried out satisfactorily nil defects
FL
FHFC1
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Inspect 2017-0139
7400Engine
Magneto Bendix RH 500 HourTCM SB 643B
Carried out satisfactorily nil defects
FL
FHFC1
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Inspect 2017-0139
2600 FireProtectio
Hand Held Fire Ext (Halon)Avtrac Form 05-010
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Reweigh 2017-0139
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Inspect 2017-0139
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Inspect 2017-0139
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Inspect 2017-0139
0500Maintena
Periodic InspectionCASA Maintenance Schedule
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Inspect 2017-0139
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Inspect 2017-0139
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Inspect 2017-0139
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Inspect 2017-0139
Page 32Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Inspect 2017-0139
5500Stabilsers
Horizontal Stabilizer Aft Attach BracketCAP 55-10-01
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Record 2017-0139
0500Maintena
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Inspect 2017-0139
5700Wings
Wings - Lower Main Spar Cap 1SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Inspect 2017-0139
5300Fuselage
Carry-Thru Spar InspectionSID 53-11-02
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Inspect 2017-0139
2700Flight
Elevator and Trim Tab InspectionSEB85-7
Carried out satisfactorily nil defects
FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
Inspect 2017-0139
3200Landing
RH MLG BRakeLinings worn
Linings replaced
Unscheduled FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
2017-0139
5600Windows
Rear WindowRequires reseal
Rear window resealed
Unscheduled FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
2017-0139
5600Windows
WindscreenRequires reseal
Windscreen resealed
Unscheduled FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
2017-0139
2800 Fuel RH Fuel CapSeal requires replacement
Part on order
Unscheduled FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
2017-0139
7800Engine
LH Forward BaffleSupport U/S
New baffle support installed
Unscheduled FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
2017-0139
Page 33Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
7300Engine
Engine Fuel DrainU/S
New drain installed
Unscheduled FL
FHFC
8 Mar 2017
Broome Air Maintenance 1617778
10,112.6Scott Carlson21 Mar 2017
Closed
2017-0139
20 Dec 20162300Communi
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Test 2016-0827
0500Maintena
Maintenance ReleaseCASA Form 918
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Replace 2016-0827
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
7300Engine
Fuel Injection NozzlesC210 MM
Carried out satisfactorily nil defects
FL
FHFC1
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
2500Equipme
Copilot SeatsRestraint Assembly
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Replace 2016-0827
2500Equipme
Passenger SeatsRestraint Assembly
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Replace 2016-0827
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
0500Maintena
Periodic InspectionCASA Maintenance Schedule
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
Page 34Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
3200Landing
Nose Gear Turning StopCAP 32-50-01
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
3200Landing
Main Landing Gear Actuator Mounting BoltsCAP 32-30-01
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
0500Maintena
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
5700Wings
Wings - Lower Main Spar Cap 1SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
5300Fuselage
Carry-Thru Spar Corrosion InspectionSID 53-11-01
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
5300Fuselage
Cabin Interior Skin Panels Corrosion InspectionSID 53-30-01
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
5700Wings
Wing Structure InspectionSID 57-11-01
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
Page 35Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
5700Wings
Wing Root Rib Corrosion InspectionSID 57-12-01
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
5700Wings
Wing Front Spar InspectionSID 57-30-01
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
2800 Fuel Dukes Fuel Pump18000-B
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Overhaul 2016-0827
2700Flight
Elevator and Trim Tab InspectionSEB85-7
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Inspect 2016-0827
7200Engine
Engine Cylinder InspectionFAA AD 2016-16-12
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016Inspect 2016-0827
3300Lights
LH StrobeU/S
New Power Supply fitted (See OC Report for details)
Unscheduled FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
2016-0827
3200Landing
NLGTorque Link extender stop loose
Torqued bolts
Unscheduled FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
2016-0827
2700Flight
Elevator TrimPulley U/S
New pulley fitted IAW C208 MM
Unscheduled FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
2016-0827
2300Communi
ELTAntenna U/S
New antenna fitted
Unscheduled FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
2016-0827
3200Landing
NLG DoorFwd bush U/S LH side
New bush installed
Unscheduled FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
2016-0827
3300Lights
Landing Light and Beacon Light SwitchesTR D2057-3TR11
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Replace 2016-0827
Page 36Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3300Lights
Switch (Beacon Light)TR D2057-3TR11
Carried out satisfactorily nil defects
FL
FHFC
20 Dec 2016
Broome Air Maintenance 1617708
10,013.8Scott Carlson21 Dec 2016
Closed
Replace 2016-0827
8 Aug 20162300Communi
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Test 2016-0496
0500Maintena
Maintenance ReleaseCASA Form 918
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Replace 2016-0496
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Inspect 2016-0496
2600 FireProtectio
Hand Held Fire Ext (Halon)Avtrac Form 05-010
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Reweigh 2016-0496
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Inspect 2016-0496
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Inspect 2016-0496
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Inspect 2016-0496
7600Engine
Engine Throttle ControlC210 MM
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Replace 2016-0496
0500Maintena
Periodic InspectionCASA Maintenance Schedule
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Inspect 2016-0496
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Inspect 2016-0496
Page 37Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Inspect 2016-0496
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Inspect 2016-0496
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Inspect 2016-0496
2800 Fuel Quick Drain Valves - Fuel Reservoir & Fuel TanksCAP 28-30-01
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Inspect 2016-0496
5500Stabilsers
Horizontal Stabilizer Aft Attach BracketCAP 55-10-01
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Record 2016-0496
0500Maintena
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Inspect 2016-0496
5700Wings
Wings - Lower Main Spar Cap 1SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Inspect 2016-0496
2700Flight
Elevator and Trim Tab InspectionSEB85-7
Carried out satisfactorily nil defects
FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 2016
Closed
Inspect 2016-0496
7900Engine
Oil CoolerLeaking
New gaskets isntalled
Unscheduled FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 20162016-0496
7400Engine
Spark Pluga(X6) U/S
New plugs installed
Unscheduled FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 20162016-0496
3200Landing
LH BrakeCaliper leaking
New caliper installed
Unscheduled FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 20162016-0496
Page 38Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
5600Windows
RH Rear WindowCrazed & U/S
New window fitted IAW C210 MM
Unscheduled FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 20162016-0496
3200Landing
RH MLH WheelTire U/S
New tire fitted IAW C210 MM
Unscheduled FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 20162016-0496
5600Windows
Pilot’s Side WindowCrazed
New window fitted IAW C210 MM
Unscheduled FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 20162016-0496
3100Instrumen
AHU/S
Overhauled AH installed IAW C210 MM (See OC Report for details)
Unscheduled FL
FHFC
8 Aug 2016
Broome Air Maintenance 1516597
9,914.1Scott Carlson15 Aug 20162016-0496
23 Mar 20162600 FireProtectio
Hand Held Fire Ext (Halon)Avtrac Form 05-010
Carried out satisfactorily nil defects
FL
FHFC
23 Mar 2016
Broome Air Maintenance 1516522
9,814.1Scott Carlson31 Mar 2016
Closed
Reweigh 2016-0280
2400Electrical
Engine Compartment Wiring & Equipment InstallationCAP 39-00-01
Carried out satisfactorily nil defects
FL
FHFC
23 Mar 2016
Broome Air Maintenance 1516522
9,814.1Scott Carlson31 Mar 2016
Closed
Inspect 2016-0280
5300Fuselage
Carry-Thru Spar InspectionSID 53-11-02
Carried out satisfactorily nil defects
FL
FHFC
23 Mar 2016
Broome Air Maintenance 1516522
9,814.1Scott Carlson31 Mar 2016
Closed
Inspect 2016-0280
15 Jan 20162300Communi
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Test 2015-1271
0500Maintena
Maintenance ReleaseCASA Form 918
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Replace 2015-1271
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Inspect 2015-1271
Page 39Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Inspect 2015-1271
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Inspect 2015-1271
3200Landing
Wheel BearingsC210 MM
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Inspect 2015-1271
3700Vacuum
Gyro Central Air FilterC210 MM
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Inspect 2015-1271
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Inspect 2015-1271
0500Maintena
Periodic InspectionCASA Shedule 5
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Inspect 2015-1271
0505Airworthin
TransponderAD/RAD/47 amd 1
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Inspect 2015-1271
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Inspect 2015-1271
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Inspect 2015-1271
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Inspect 2015-1271
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Inspect 2015-1271
Page 40Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
0500Maintena
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Inspect 2015-1271
5700Wings
Wings - Lower Main Spar Cap 1SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Inspect 2015-1271
5700Wings
Flap Tracks Corrosion InspectionSID 57-53-01
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Inspect 2015-1271
2700Flight
Elevator and Trim Tab InspectionSEB85-7
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Inspect 2015-1271
3100Instrumen
LH AltimeterCAO 100.5 (4.4)
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Test 2015-1271
3100Instrumen
Pitot Static TestCAO 100.5 (3.4)
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Test 2015-1271
3100Instrumen
Automatic Altitude Encoder TestCAO 100.5 (4.7)
Carried out satisfactorily nil defects
FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
Test 2015-1271
8000Engine
Starter Adapterfailed
New Starter Adapter fitted IAW IO 520 MM and tested satisfactory
Unscheduled FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
2016-1271
3300Lights
Exterior Step LightsLH & RH inop
x2 new lamps fitted & tested satis IAW C210 MM
Unscheduled FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
2016-1271
7800Engine
LH Exhaustshock mount U/S
New shock mount fitted IAW C210 MM
Unscheduled FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
2016-1271
7200Engine
#6 Cylindermanifold gasket U/S
New gasket fitted IAW C210 MM
Unscheduled FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
2016-1271
Page 41Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
2400Electrical
Alternatorbelt loose
Tightened Alternator Belt IAW C210 MM
Unscheduled FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
2016-1271
3200Landing
Nose Wheel SteeringBungee U/S
New bungee installed IAW C210 MM
Unscheduled FL
FHFC
15 Jan 2016
Broome Air Maintenance 1516497
9,814.1Scott Carlson21 Jan 2016
Closed
2016-1271
25 Nov 20153200Landing
RH MLG Tireflat
RH tire changed
Unscheduled FL
FHFC
25 Nov 2015
Broome Air Maintenance M/R Pt 2
9,803.0Scott Carlson21 Jan 2016
Closed
2016-0105
2 Nov 20152600 FireProtectio
Hand Held Fire ExtAvtrac Form 05-010
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Replace 2015-0985
2300Communi
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Test 2015-0985
0500Maintena
Maintenance ReleaseCASA Form 918
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Replace 2015-0985
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
2600 FireProtectio
Hand Held Fire Ext (Halon)Avtrac Form 05-010
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Reweigh 2015-0985
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
Page 42Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3700Vacuum
Vacuum Relief Valve FilterC210 MM
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Replace 2015-0985
7300Engine
Fuel Injection NozzlesC210 MM
Carried out satisfactorily nil defects
FL
FHFC1
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
3200Landing
BrakesC210 MM
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
3100Instrumen
Magnetic Compass CompensationC210 MM
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
2700Flight
Elevator Trim Tab ActuatorP/N 1260238-2
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Overhaul 2015-0985
7500Engine
Engine Air FilterC210 MM
Carried out satisfactorily nil defects
FL
FHFC1
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Replace 2015-0985
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
0500Maintena
Periodic InspectionCASA Shedule 5
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
Page 43Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
5500Stabilsers
Horizontal Stabilizer Aft Attach BracketCAP 55-10-01
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Record 2015-0985
3200Landing
Main Gear Downlock ActuatorCAP 32-30-02
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
0500Maintena
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
0500Maintena
Spar Corrosion Protection SchemeEO TDE3486-01-R1
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
5700Wings
Wings - Lower Main Spar Cap 1SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
3200Landing
Main Landing Gear Retraction System InspectionSID 32-10-01
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
2700Flight
Elevator and Trim Tab InspectionSEB85-7
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
3200Landing
Main Landing Gear ActuatorSEB01-02
Carried out satisfactorily nil defects
FL
FHFC
2 Nov 2015
BAM 1516462
9,714.4Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
7400Engine
Spark Plugsx6 U/S
New spark plugs installed
Unscheduled FL
FHFC
2 Nov 2015
BAM 1515462
9,714.4Scott Carlson6 Nov 2015
Closed
MC2015-0985
3200Landing
LH MLG Tireworn
New tire fitted
Unscheduled FL
FHFC
2 Nov 2015
BAM 1515462
9,714.4Scott Carlson6 Nov 2015
Closed
MC2015-0985
Page 44Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3200Landing
MLG Brake Calipersleaking around pistons
New O-rings fitted to pistons
Unscheduled FL
FHFC
2 Nov 2015
BAM 1515462
9,714.4Scott Carlson6 Nov 2015
Closed
MC2015-0985
3200Landing
NLGInner & outer bearings U/S
New wheel bearings fitted
Unscheduled FL
FHFC
2 Nov 2015
BAM 1515462
9,714.4Scott Carlson6 Nov 2015
Closed
MC2015-0985
3200Landing
NLGOleo leaking
New O-rings installed on collar. Oleo serviced IAW MM
Unscheduled FL
FHFC
2 Nov 2015
BAM 1515462
9,714.4Scott Carlson6 Nov 2015
Closed
MC2015-0985
3200Landing
NLGOleo Valve Assy U/S
New valve assy fitted
Unscheduled FL
FHFC
2 Nov 2015
BAM 1515462
9,714.4Scott Carlson6 Nov 2015
Closed
MC2015-0985
3200Landing
RH MLG Brakeleaking around leg attach bolt
New O-rings installed to plug in leg IAW MM
Unscheduled FL
FHFC
2 Nov 2015
BAM 1515462
9,714.4Scott Carlson6 Nov 2015
Closed
MC2015-0985
7400Engine
Magneto Bendix LH10-349350-4
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
FL
FHFC1
2 Nov 2015
BAM 1516462
9,714.5Scott Carlson6 Nov 2015
Closed
Overhaul 2015-0985
7400Engine
Magneto Bendix RH10-349350-5
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
FL
FHFC1
2 Nov 2015
BAM 1516462
9,714.5Scott Carlson6 Nov 2015
Closed
Overhaul 2015-0985
7400Engine
Magneto Bendix LH 500 HourTCM SB 643B
Carried out satisfactorily nil defects
FL
FHFC1
2 Nov 2015
BAM 1516462
9,714.5Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
7400Engine
Magneto Bendix RH 500 HourTCM SB 643B
Carried out satisfactorily nil defects
FL
FHFC1
2 Nov 2015
BAM 1516462
9,714.5Scott Carlson6 Nov 2015
Closed
Inspect 2015-0985
28 Jul 20153100Instrumen
Air Speed IndicatorCAO 100.5 (5.4)
Carried out satisfactorily nil defects
FL
FHFC
28 Jul 2015
BAM 1415387
9,614.8Scott Carlson25 Aug 2015
Closed
Test 2015-0829
3100Instrumen
LH AltimeterCAO 100.5 (4.4)
Carried out satisfactorily nil defects
FL
FHFC
28 Jul 2015
BAM 1415387
9,614.8Scott Carlson25 Aug 2015
Closed
Test 2015-0829
Page 45Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3100Instrumen
Pitot Static TestCAO 100.5 (3.4)
Carried out satisfactorily nil defects
FL
FHFC
28 Jul 2015
BAM 1415387
9,614.8Scott Carlson25 Aug 2015
Closed
Test 2015-0829
3100Instrumen
Automatic Altitude Encoder TestCAO 100.5 (4.7)
Carried out satisfactorily nil defects
FL
FHFC
28 Jul 2015
BAM 1415387
9,614.8Scott Carlson25 Aug 2015
Closed
Test 2015-0829
24 Jul 20152300Communi
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
Test 2015-0709
0500Maintena
Maintenance ReleaseCASA Form 918
Carried out satisfactorily nil defects
FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
Replace 2015-0709
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
Inspect 2015-0709
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
Inspect 2015-0709
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
Inspect 2015-0709
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
Inspect 2015-0709
0500Maintena
Periodic InspectionCASA Shedule 5
Carried out satisfactorily nil defects
FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
Inspect 2015-0709
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
Inspect 2015-0709
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
Inspect 2015-0709
Page 46Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
Inspect 2015-0709
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
Inspect 2015-0709
2800 Fuel Fuel Gauging SystemsCAP 28-40-01
Carried out satisfactorily nil defects
FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
Inspect 2015-0709
0500Maintena
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
Inspect 2015-0709
5700Wings
Wings - Lower Main Spar Cap 1SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
Inspect 2015-0709
2700Flight
Elevator and Trim Tab InspectionSEB85-7
Carried out satisfactorily nil defects
FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
Inspect 2015-0709
7900Engine
Oil Coolerleaking
New oil cooler gaskets fitted
Unscheduled FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
MC2015-0743
3200Landing
RH Brakeswivel leaking
new swivel installed and brakes bled
Unscheduled FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
MC2015-0743
3400Navigatio
DGprecessing
Serv O/H DG fitted. See OC file for details.
Unscheduled FL
FHFC
24 Jul 2015
BAM 1415376
9,614.8Scott Carlson30 Jul 2015
Closed
MC2015-0743
30 Apr 20152300Communi
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Test 2015-0368
0500Maintena
Maintenance ReleaseCASA Form 918
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Replace 2015-0368
Page 47Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Inspect 2015-0368
2600 FireProtectio
Hand Held Fire Ext (Halon)Avtrac Form 010
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Reweigh 2015-0368
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Inspect 2015-0368
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Inspect 2015-0368
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Inspect 2015-0368
7600Engine
Propeller ControlC210 MM
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Inspect 2015-0368
0500Maintena
Periodic InspectionCASA Shedule 5
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Inspect 2015-0368
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Inspect 2015-0368
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Inspect 2015-0368
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Inspect 2015-0368
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Inspect 2015-0368
Page 48Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
2900Hydraulic
MLG Hydraulic Hose & Component ReplacementCAP 29-10-01
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Replace 2015-0368
5500Stabilsers
Horizontal Stabilizer Aft Attach BracketCAP 55-10-01
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Record 2015-0368
3200Landing
Main Landing Gear Actuator Mounting BoltsCAP 32-30-01
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Inspect 2015-0368
0500Maintena
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Inspect 2015-0368
5700Wings
Wings - Lower Main Spar Cap 1SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Inspect 2015-0368
2700Flight
Elevator and Trim Tab InspectionSEB85-7
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Inspect 2015-0368
5300Fuselage
Carry-Thru Spar InspectionSID 53-11-02
Carried out satisfactorily nil defects
FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
Inspect 2015-0368
3200Landing
LH Downlock Actuatorleaking
Replaced seals IAW C210 SM. Gear rigging checks c/0.
Unscheduled FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
MC2015-0368
3200Landing
RH MLG Wheel BoltsU/S
New bolts fitted
Unscheduled FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
MC2015-0368
3200Landing
RH MLG Wheel Brake Liningsworn beyond limits
New brake linings fitted
Unscheduled FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
MC2015-0368
3200Landing
RH MLG O/B Wheel Bearingcone & cup U/S
New bearing cone & cup fitted
Unscheduled FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
MC2015-0368
Page 49Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
3200Landing
NLG Up Limit SwitchU/S
New switch installed IAW C210 MM
Unscheduled FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
MC2015-0368
2700Flight
Rudder Trimstuck
Lubricated & checked, found satisfactory
Unscheduled FL
FHFC
30 Apr 2015
BAM 1415282
9,519.7Scott Carlson14 May 2015
Closed
MC2015-0368
17 Mar 20152400Electrical
AlternatorDOFF10300BR
Component changed - refer to Form 130 OSIP Card for Component S/N's and Times OFFand ON
FL
FHFC1
17 Mar 2015
BAM 1415248
9,465.8Scott Carlson
1 Apr 2015
Closed
Overhaul MC2015-0329
2400Electrical
Alternator 500 Hour InspectionElect Special Insp # 2
Carried out satisfactorily nil defects
FL
FHFC1
17 Mar 2015
BAM 1415248
9,465.8Scott Carlson
1 Apr 2015
Closed
Inspect MC2015-0329
15 Dec 20142300Communi
ELTBattery
Carried out satisfactorily nil defects
FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
Test MC2014-1803
0500Maintena
Maintenance ReleaseCASA Form 918
Carried out satisfactorily nil defects
FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
Replace MC2014-1803
0505Airworthin
Fuel Injection Supply LinesAD/CON/60 amd 3
Carried out satisfactorily nil defects
FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
Inspect MC2014-1803
2600 FireProtectio
Hand Held Fire Ext (Halon)Avtrac Form 010
Carried out satisfactorily nil defects
FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
Reweigh MC2014-1803
0505Airworthin
Seat Adjustment MechanismFAA AD/2011-10-09
Carried out satisfactorily nil defects
FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
Inspect MC2014-1803
0505Airworthin
Horizontal Stabiliser Front SparAD/C210/69 amd 2
Carried out satisfactorily nil defects
FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
Inspect MC2014-1803
Page 50Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
7300Engine
Fuel Injection NozzlesC210 MM
Carried out satisfactorily nil defects
FL
FHFC1
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
Inspect MC2014-1803
3700Vacuum
E.D. Dry Vacuum PumpC210 MM Chapter 2
Carried out satisfactorily nil defects
FL
FHFC1
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
Inspect MC2014-1803
0500Maintena
Periodic InspectionCASA Shedule 5
Carried out satisfactorily nil defects
FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
Inspect MC2014-1803
0505Airworthin
Engine Performance RunAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
Inspect MC2014-1803
0505Airworthin
Engine Cylinder Leak CheckAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
Inspect MC2014-1803
0505Airworthin
Engine Oil and Oil Filter ChangeAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
Inspect MC2014-1803
0505Airworthin
Data ReviewAD/ENG/4 Amdt 11
Carried out satisfactorily nil defects
FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
Inspect MC2014-1803
0500Maintena
CD PlayerEO E1921-01R1
Carried out satisfactorily nil defects
FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
Inspect MC2014-1803
5700Wings
Wings - Lower Main Spar Cap 1SEL-57-01-R2
Carried out satisfactorily nil defects
FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
Inspect MC2014-1803
2700Flight
Elevator and Trim Tab InspectionSEB85-7
Carried out satisfactorily nil defects
FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
Inspect MC2014-1803
3200Landing
Nose Wheel BearingsU/S
Replaced cones & caps IAW C210 MM & tested OK
Unscheduled FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
MC2014-1803
Page 51Form revision status: 2 Feb 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
21063529 210N
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
11,084.50
2 Feb 2021
24 Nov 2020BROOME AVIATION PTY LTD
AMODescription
SJG
Entry DateEntered By
Status
MC Number
2400Electrical
Battery Terminal Elec Nipples5 torn
Replaced IAW LTIO IPL DSM & tested OK
Unscheduled FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
MC2014-1803
7700Engine
Oil Temp Indicationappears erroneous (from M/R)
Replaced probe & tested OK
Unscheduled FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
MC2014-1803
2300Communi
Comm 1 & 2Intermittently unreadable
Audio Panel replaced & tested OK
Unscheduled FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
MC2014-1803
5200Doors
Rear Door latchhard to close
Latch rigging adjusted & tested satis IAW C210 MM. NFF
Unscheduled FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
MC2014-1803
2300Communi
TransponderUnder reads by 200 feet
Transponder reracked & op check c/o NFF
Unscheduled FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson5 Jan 2015
Closed
MC2014-1803
5300Fuselage
Carry-Thru Spar InspectionSID 53-11-02
Carried out satisfactorily nil defects
FL
FHFC
15 Dec 2014
BAM 1415181
9,420.5Scott Carlson27 Jan 2015
Closed
Inspect MC2014-1803
24 Nov 2014Refer to Log Books prior to 24/11/2014
FL
FHFC
24 Nov 2014Paul Carey
24 Nov 2014
Closed
End of Report
Page 52Form revision status: 2 Feb 2021 Legend: FH - Aircraft Flight Hours; MO - Months: FC - Aircraft Flight Cycles: FL - Aircraft Flight Landings.