航空快運安全質量模塊-f01-05-01協(xié)議維修單位調查表

1、協(xié) 議 維 修 單位 調查表maintenance capability check list清單號(list no.): 代理方信息 general information of lm provider (以下信息由代理方提供fill up by provider)單位名稱company name單位地址address許可證編號certificate no.法人代表/責任人responsibleperson of juristic person/management official姓名name職務title電話tel傳真faxe-mail業(yè)務聯(lián)系人contact for business

2、operation姓名name職務title電話tel傳真faxe-mail人力資源 human resources:1.批準的維修能力口747-400737-300/400737-800其他 other:approved maintenance capability(2) 合格飛機工程師人數：licensed aircraft engineer (lae):(3) 持有合格證書的維修人員：oualified license mechanics:(4) 持有caac執(zhí)照人數：caac license holder:(5) 持有其他國家執(zhí)照人數：other license holder:(6)

3、持有合格機型證書的維修人員：b737-3/400機型合格維修人員：b737-3/400 oualified staffs:b737-800機型合格維修人員：b737-800 oualified staffs:b747-400機型合格維修人員：b747-400 qualified staffs:人員培訓 personnel training:1. 人員按照批準的培訓大綱進行培訓是/yes否/nopersonnel is trained by authorized training program2. 至少每2年完成一次的復訓是/yes否/noretraining is implemented f

4、or once per 2 years at least手冊資料 manual & datum:1. 手冊資料經過當地民航局批準是/yes否/nomanual & datum is approved by local aviation authority?2. 手冊資料能夠覆蓋所有工作是/yes否/noall maintenance work is covered by manual & datum設施和設備 facility & equipment:維修設施 maintenance facility設施facility適用機型/數量type/number維修機

5、坪rampnone 737-3/4: 737-8:口747:機庫情況hangar capacitynone 737-3/4: 737-8:口747:勤務設備 ground handling equipment設備名稱equipment name適用機型/數量type/number輪擋chocknone 737-3/4: 737-8:口747:拖把tow bar none 737-3/4: 737-8:口747:拖車tow tractornone 737-3/4: 737-8:口747:電源車ground power unit none口737-3/4: 737-8:口747:氣源車air st

6、arternone 737-3/4: 737-8:口747:高空車fork liftnone 737-3/4: 737-8:口747:除冰車de-icing equipmentnone 737-3/4: 737-&口747:尾撐tail jack/ or aircraft tethering. none口747:remark （備注）:地錨ground anchor on cargo parking areanone口747:remark （備注）：停機位都配備地錨前輪釋壓銷nose gear steering pinnone 737-3/4: 737-8:口747:其它可提供的重要器

7、材設備special holding and required tooling and facilitiesnoneremark （備注）：航線維修設備 maintenance equipment設備名稱equipment name適用機型/數量type/number換輪工具（套）wheel change tool （set）none 737-3/4: 737-8:口747:輪軸千斤頂none 737-3/4:axle jack 737-8:口747:輪胎充氣工具tire inflation tool none 737-3/4: 737-8:口747:氮氣瓶n? bottlenone 737-

8、3/4: 737-8:口747:扭力磅表torque wrenchnone 737-3/4: 737-8:口747:輪胎壓力表tire pressure gaugenone 737-3/4: 737-8:口747:指揮棒(牌)batonnonenall:空地耳機headsetnonedall:工作梯stairs none 737-3/4: 737-8:口747:計量器具按計量管理要求進行校驗m曰心才是/y否/ncalibrate the measuring instruments by measuring management requirements備注：該表未列出的其他設備，請在空欄內填寫

9、。note: other equipments which are not in the form, please fill in the blank簽字人確認上述材料正確、真實、有效，并對此負責。signatory confirms the material is correct, real, effective.簽名(signature):日期(date):以下部分由揚子江快運人員填寫the following sections are completed by the yangtze river express staff only.揚子江快運質量中心審核員評估意見：evaluation of yangtze river