航空快运安全质量模块-f01-05-01协议维修单位调查表

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1、协议维修单位调查表MAINTENANCECAPABILITYCHECKLIST清单号(ListNO.):代理方信息GeneralInformationofLMProvider(以下信息由代理方提供fillupbyProvider)单位名称CompanyName单位地址Address许可证编号CertificateNO.法人代表/责任人ResponsiblePersonofJuristicPerson/ManagementOfficial姓名Name职务Title电话Tel传真FaxE-Mail业务联系人ContactforBusinessOperation姓名Name

2、职务Title电话Tel传真FaxE-Mail人力资源HumanResources:1.批准的维修能力口747-400□737-300/400□737-800□其他Other:APPROVEDMAINTENANCECAPABILITY(2)合格飞机工程师人数：LICENSEDAIRCRAFTENGINEER(LAE):(3)持有合格证书的维修人员：OUALIFIEDLICENSEMECHANICS:(4)持有CAAC执照人数：CAACLICENSEHOLDER:(5)持有其他国家执照人数：OTHERLICENSEHOLDER:(6)持有合格机型证书的维修人员：B737

3、-3/400机型合格维修人员：B737-3/400OUALIFIEDSTAFFS:B737-800机型合格维修人员：B737-800OUALIFIEDSTAFFS:B747-400机型合格维修人员：B747-400QUALIFIEDSTAFFS:人员培训PersonnelTraining:1.人员按照批准的培训大纲进行培训□是/YES□否/NOPersonnelistrainedbyauthorizedTrainingProgram2.至少每2年完成一次的复训□是/YES□否/NORetrainingisimplementedforonceper2yearsatlea

4、st手册资料Manual&Datum:1.手册资料经过当地民航局批准□是/YES□否/NOManual&Datumisapprovedbylocalaviationauthority?2.手册资料能够覆盖所有工作□是/YES□否/NOAllmaintenanceworkiscoveredbyManual&Datum设施和设备Facility&Equipment:维修设施MaintenanceFacility设施Facility适用机型/数量Type/Number维修机坪Ramp□NONE□737-3/4:□737-8:口747:机库情况HangarCapacity□N

5、ONE□737-3/4:□737-8:口747:勤务设备GroundHandlingEquipment设备名称EquipmentName适用机型/数量Type/Number轮挡Chock□NONE□737-3/4:□737-8:口747:拖把TowBar□NONE□737-3/4:□737-8:口747:拖车TowTractor□NONE□737-3/4:□737-8:口747:电源车GroundPowerUnit□NONE口737-3/4:□737-8:口747:气源车AirStarter□NONE□737-3/4:□737-8:口747:高空车ForkLift□N

6、ONE□737-3/4:□737-8:口747:除冰车De-icingEquipment□NONE□737-3/4:□737-&口747:尾撐TailJack/oraircrafttethering.□NONE口747:Remark（备注）:地锚GroundAnchoroncargoparkingarea□NONE口747:Remark（备注）：停机位都配备地锚前轮释压销Nosegearsteeringpin□NONE□737-3/4:□737-8:口747:其它可提供的重要器材设备Specialholdingandrequiredtoolingandfaciliti

7、es□NONERemark（备注）：航线维修设备MaintenanceEquipment设备名称EquipmentName适用机型/数量Type/Number换轮工具（套）WheelChangeTool（set）□NONE□737-3/4:□737-8:口747:轮轴千斤顶□NONE□737-3/4:AxleJack□737-8:口747:轮胎充气工具TireInflationTool□NONE□737-3/4:□737-8:口747:氮气瓶N?Bottle□NONE□737-3/4:□737-8:口747:扭力磅表TorqueWrench□NONE