17
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Leaders in Aviation and Maritime Life Support Products
MAINTENANCE CARRIED OUT ON POSEIDON VICTIM HARNESS
NAME :
David Manzi
Signature :
DATE :
REFERENCE DATA :
MAINTENANCE:
ANNUAL 06 MONTH HARNESS
INSPECTION
LICENCE No.
PART No.
BATCH No.
QUANTITY
Pass
Fail
DATE
CLIENT ORDER NUMBER
WORK ORDER
L/P FLOW CHART No.
FORM TWO LABEL REFENCE No.
GARMENT SERIAL No.
MODEL NUMBER
PART No.
AIR TEMPERATURE
ACCOUNTS INVOICE No.
Front Left Waist Adjustment Buckle
Shoulder/Neck Comfort Pad
Front Right Horizontal Waist Webbing
Rear Waist (Black) Adjustment Webbing
Front Right Vertical Webbing
Front Left Shoulder Adjustment Buckle
Front Right Shoulder Adjustment Buckle
Front Left Horizontal Waist Webbing
Outer Nappy Fabric
Seat Horizontal Webbing
Front Right Waist Adjustment Buckle
Instructions - horizontal Under Grab Handle
The maintenance recorded has been carried out in accordance with the requirements of Aviation Rule Part 43 and in respect of that maintenance the component is released to service:
Note:
"Component" being Poseidon NZ made Victim Harness.
ANNUAL 06 MONTH VISUAL HARNESS INSPECTION
Left Thigh Comfort Pad
Front Left Vertical Webbing
Inner Nappy Fabric
Lower Back Horizontal Webbing
Left Rear Diagon Webbing
Grab Handle
Right Thigh Comfort Pad
Right Rear Diagonal Webbing
PVH2365
Front Left Diagonal Waist/Thigh Webbing To Crotch
Karabiner for correct locaking/Unlocking Action
Left Shoulder/Waist Attachment to Attachment Ring
Right Shoulder/Waist Attachment to Attachment Ring
Front Right Diagonal Waist/Thigh Webbing To Crotch
ITEM E
Component Level Inspection
ITEM D
ITEM C
ITEM B
DESCRIPTION OF REPAIRS/REPLACEMENT CARRIED OUT :
EXPIRY DATE
ITEM A
ITEM 4
ITEM 5
Poseidon NZ
FORM ONE MAINTENANCE RECORD
Inspection Facility :
SIGNED DIGITALLY - D MANZI
ITEM 3
POSEIDON VICTIM HARNESS
73807
DESCRIPTION OF WORK CARRIED OUT :
ITEM 1
ITEM 2
