姓名 :                                                       申請檢定類別:
Name :                                                       Applied Ratings :

項目:             註 : 項目得視情況酌減
Item :                Note : Examiner checks Applicable Items

比重%
Weight

扣分
Minus

航空器機體維護類別 ( Airframe )

1.飛機(直昇機)維護與檢查(含地面勤務)
( Aircraft Maintenance and Inspection)

10

2.油縫焊工，白鐵與結構修理
(Painting, Seaming, Welding, Sheet metal and Structure Repair)

5

3.機身裝配與校正(Assembly and Rigging)

5

4.燃油系統(Fuel system)

10

5.液壓系統(含起落架剎車等)(Hydraulic system)

10

6.儀表(含自動駕駛儀)(Instruments and Autopilots)

10

7.電器系統(Electrical system)

10

8.飛機稱重及平衡(Aircraft Weight and Balance)

10

9.修護文件與維護記錄(Maintenance Forms and Records)

20

10.機艙加壓與溫度調節系(Cabin Pressurization and Air Conditioning)

10

備註(Remarks)

機體類別評分
Score on Airframe

航空器發動機維護類別(Powerplant )

1.往復式發動機之維護檢查(Piston Engine Maintenance and Inspections)

5

2.噴射式發動機之維護檢查(Turbine Engine Maintenance and Inspections)

10

3.燃油系統(Fuel system)

10

4.潤滑系統(Lubrication system)

10

5.點火及電器系(含起溫警告系)(Ignition and Electrical system)

5

6.發動機儀表(Engine Indication)

5

7.螺旋槳(含調速氣)(Propeller and Governor)

10

8.修配(含焊工、機工、熱處理等)
(Engine Repair, including Welding, Machining and Heat Treatment)

5

9.發動機試車(Engine Run-up and Functional check)

20

10.修護文件與維護記錄(Maintenance Forms & Records)

20

備註(Remarks)

發動機類別評分
Score on Powerplant

檢定人員意見及措施(Examiner’s Recommendation and Action)
合格檢定項目   
Eligible Rating                                                                                                  
檢定日期                   檢定證號碼                   檢定人員簽署
Date of Rating             Certificate No.              Examiner’s Signature

民用航空局檢查員措施(CAA Inspector’s Action)
□核准日期  Approved Date                  □不准
                                         Not approved
                                                 民用航空局檢查員簽署
                                                 CAA Inspector Signature