Page 2
Verification of Checks and repairs
AIX
Serial number: ……………………….……………
First check by ICARO / date: ….…………………
………………………….
Name/ Stamp
Check (C)
Repair (R)
Which repair/ Check?
Check valid until?
Performed by/ date
Check (C)
Repair (R)
Which repair/ Check?
Check valid until?
Performed by/ date
Check (C)
Repair (R)
Which repair/ Check?
Check valid until?
Performed by/ date
Check (C)
Repair (R)
Which repair/ Check?
Check valid until?
Performed by/ date
