N491GM S/N 53375 W/O CO7301EA 11-22-06 ACTT 611.2 ENG 611.2 /HOBBS 611.2 sCYCLES 1242 TQ EVENTS 1641 RUN-ON LANDINGS 44 Downloaded FADEC Fault History. No faults in system. 7” Removed & reinstalled M/R blades to facilitate maintenance. | Performed 300 Hour/12 Month/Annual/24 Month Airframe Periodic Inspections, and ail! 6 Events of the Airframe Progressive Inspection per Bell's 407 Maintenance Manual. Performed 150 Hour/300 Hour Engine Inspections per Rolls Royce C47B Maintenance Manual. Performed annual P/N and S/N check of components with records. Drained and reserviced transmission & T/R gearbox oils with Royco 555, Drained and reserviced engine oil with Mobil 254. Greased swashplate, pitch link trunnions, & T/R pitch change assembly with Mobil 28. Greased T/R hanger bearing & oil cooler bearings with Mobil 28. Serviced Concorde lead acid battery P/N RG407A1 S/N 40104102. Washed engine compressor. Engine oil flow checked 226cc. Cieaned hydraulic filters. Drained and reserviced hydraulic fluid. Installed new airframe fuel filter P/N 1743645-02. Installed new transmission oil filter P/N 204-040-760-109. Installed new CEFA oil filter P/N 23066697. Lubed hydraulic pump adapter with Plastilube. Lubed litter door seal. Performed 100 Hour Inspection of M/R yoke. . Performed 300 Hour recurring torque checks and swashplate tilt friction check. Adjusted swashplate tilt friction. Performed 300 Hour Inspection of BHT Optional Equipment. Performed Inspections of

958801 SERIAL NO. REGISTRATION NO. AIRCRAFT MODEL 7 NY9\6™m PILOT DATE TYPE OF, ACFT, HRS. ENG. STARTS TORQUE | LANDINGS POWER ENG. 1 ENG. 2 FLIGHT ENG. 1 ENG. 2 | EVENTS | Pua—on |} ASSURANCE i p ~| AIRCRAFT & ENGINE AIRCRAFT ENG. BO ENG. CYCLES TORQUE | ANDINGS|| | CERTIFY THAT THE DAILY FLIGHT HRS / CYCLES / RIN HOURS ENG. 1 ENG. 1 ENG.2 | EVENTS | Ry n-On INSPECTION WAS COMPLETE! , ACCORDING TO THE TOTALS BROUGHT FORWARD: [10-4 |oi9-9 | Liv'a [194 —— NE TOTALS FOR TODAY: Po ACCUMULATIVE TOTAL: NEXT SCHEDULED bbl. Thm! NAME & CERTIFICATE NO, INSPECTION DUE: EL (60, 100, ETC.) he PILOTS AND MAINTENANCE RECORD ANNUAL INSPECTION DUE DATE: \\-D-00"} PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT REMARKS DISCREPANCIES 1 pate (1-3-9 b act lt. sn Das? a THIS AIRCRAFT WAS INSPECTED AND FOUND TO BE IN AIRWORTHY CONDITION FOR THE ————— MAINTENANCEIALTERATIONS PERFORMED. PERTINENT DETAILS OF THE WORK PERFORMED ARE ON FILE AT THIS AGENCY UNDER WORK ORDER(S) ACTION 30/ERA . THE AIRCRAFT IS APPROVEG FOR RETURN TO SERVICE FOR TEST FLIGHTS TO CONDUCT REQUIRED OPERATIONAL CHECKS OF THE “PERFORMED PER FAR 91.407(B). 2 —S———— INSPECTOR FOR CORRECTIVE EDWARDS & ASSOCATIES, ING. ACTION FAA REPAIR STATION FKFR9300 3 DATE f//- 22-06 ACTT _66/3./ SIN _ 93375 CORRECTIVE PERFORMED MAINTENANCE TEST FLIGHTS TO CONDUCT REQUIRED OPERATIONAL CHECKS OF MAINTENANCE/ALTERATIONS PERFORMED AND = — FOUND NO APPRECIABLE CHANGES TO THE FLIGHT CHARACTERISTICS AND NO S

ee PILOT DATE | TYPE OF| ACFT. HRS. ENG. STARTS | TORQUE [LANDINGSI) POWER ENG.1 ENG. 2 revi Sat ENG. 2 | EVENTS ASSURANCE Pp > tones fasted rN a FT Keiy | C Por CuSherre TOTAL FOR THE DAY: AIRCRAFT & ENGINE AIRCRAFT ENG. CYCLES | CERTIFY THAT THE DAILY FLIGHT HRS / CYCLES / RIN HOURS ENG. 1 ENG. 2 INSPECTION WAS COMPLETED ACCORDING TO THE TOTALS BROUGHT FORWARD: RY 2. Bere MAINTENANCE MANUAL. RY 2. a, . TOTALS FOR TODAY: Do \ “- an aan yy” NEXT SCHEDULED _ 7 NAME & CERTIFICATE NO. INSPECTION DUE: TYPE INSPECTION | (60, 100, ETC.) ATE: ANNUAL INSPECTION DUE DATE: PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS 1 CORRECTIVE ACTION CORRECTIVE ACTION 3 iia ita it cp enigma per es in fa CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG Bell Helicopter A Subardiaty af Teatron nc 7861 55349 REV 195 | y x / ) POSF OFFICE BON 407 « FEAT WORTH, FEXAD THO titties HOUSE_OVERSIGHT_006088

Ee at te oy = +i= et i “ENG. — TORQUE. PLANDINGSIT: ENG. 7 ENG. 2 | EVENTS 1og \48 Wertyta n/ AIRCRAFT & ENGINE AIRCRAFT ENG. CYCLES | CERTIFY THAT THE DAILY FLIGHT HRS / CYCLES / RIN HOURS ENG. 1 ENG. 2 INSPECTION WAS COMPLETED TOTALS BROUGHT FORWARD: e - ACCORDING TO THE TOTALS FOR TODAY: MAINTENANCE MANUAL. NEXT SCHEDULED NAME & CERTIFICATE NO. INSPECTION DUE: 6 7 . an = ¢ : ~! f TYPE INSPECTION : (60, 100, ETC.) S “ DATE: ANNUAL INSPECTION OUE DATE: > Lo PILOTS AND MAINTENANCE RECORD PILOTS ENTER OISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS | CORRECTIVE ACTION r4 a CORRECTIVE ACTION ee a aha ee a en fn hh aon ne UI a 3 a cm ee a CORRECTIVE ACTION 4 CORRECTIVE ACTION 5 CORRECTIVE ACTION HELICOPTER LOG Bell Helicopter ms ses nev 98 | PORT OFFICE BOX 463 s FORT WORTH, tune ™_ HOUSE_OVERSIGHT_006087

A, a ee 3 o ihe, og i oe a sere i) ae | a + ute Lk Her rae Pe setae BE22 4S? S330S Nw ud] em &}) A GrhSLA ne "Aa S548" PILOT DATE [TYPE OF] ACFT. HRS. ENG. STARTS | TORQUE|LANDINGS|| POWER ENG.7 ENG 2 FLIGHT ENG. 1 ENG. 2 EVENTS ASSURANCE RoPR! Gy Ra |_ToRaue 2 | TOTHTE Vew VER UnCL<e a IE cds pur Visas k, Co a WS UB TOTAL. FOR THE DAY: ns va 7 | CERTIFY THAT THE DAILY INSPECTION WAS COMPLETED ACCORDING TO THE MAINTENANCE MANUAL. AIRCRAFT & ENGINE FLIGHT HRS / CYCLES / RIN TOTALS BROUGHT FORWARD: TOTALS FOR TODAY: ACCUMULATIVE TOTAL: NEXT SCHEDULED INSPECTION DUE: TYPE INSPECTION (60, 100, ETC.) ANNUAL INSPECTION DUE DATE: PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS 1 CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION 4 CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG | | Bell Heticopter Lizdich) baad Ol Peeled Ine 7861 55349 REV 195 So) 4 _ Tieie OH ‘ /) OST CRFICE M7 492 5 FORT OATH, TETAS THIGH HOUSE_OVERSIGHT_006086

le ae te et "ENG STARTS | TORQUE LAND! ENG.1 ENG. 2 ASSURANCE Rot) -_ ; ON KEUB.CO revi : Qn NELBOn Kan LR | oy ma kes lo yl, 4313 | AONE inn spss to Za AIRCRAFT & ENGINE AIRCRAFT ENG. HOURS FLIGHT HRS / CYCLES / RIN HOURS ENG. 1 ENG, 2 TOTALS BROUGHT FORWARD: TOTALS FOR TODAY: Ne ee ee ee eee ee eee eS reeves eee ere NEXT SCHEDULED INSPECTION DUE; TYPE INSPECTION ANNUAL INSPECTION DUE DATE: SEP Ob ENG. 1 “ENG. 2 | | CERTIFY THAT THE DAILY INSPECTION WAS COMPLETED ACCORDING TO THE MAINTENANCE MANUAL. PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS 1 COARECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE - ACTION HELICOPTER LOG Bell Helicopter 7661 55349 REV 195 POST OFFICE ROR 202 + FORT WORTH, TEAM 18401 HOUSE_OVERSIGHT_006085

ee =e ere oo ~ raed [fa a | CERTIFY THAT THE DAILY INSPECTION WAS COMPLETED ACCORDING TO THE MAINTENANCE MANUAL. TOTA1. FOR THE DAY: AIRCRAFT & ENGINE AIRCRAFT ENG. CYCLES FLIGHT HRS / CYCLES / RIN HOURS ENG. 1 ENG. 2 TOTALS BROUGHT FORWARD: yy, TOTALS FOR TODAY: ACCUMULATIVE TOTAL: CT NEXT SCHEDULED INSPECTION DUE: TYPE INSPECTION (50, 100, ETC.) ANNUAL INSPECTION DUE DATE: PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS Y) OHR/SAMTH SWASHAATE Wht: hve - Ha Lentutth, LEVEVIUESER SC CORRECTIVE CTION Wd SOL Sint SWASHVIATE UE Zhp fe! BHT-YO7-MM At Aca S2b6,4% osti/ot 7 New DveE 47 4c7T 626, OR AUG OG OWA hecnste PS 2S FES Z CORRECTIVE “4 ACTION 3OOHL / 3TH Tie PC wpe dvVE - Obert HVE CORRECTIVE Yi AGHon w 300 He /simtH TH PC LUBE Tf BRT -Y°7-MM_ AT A LS OSL8/ Ob Yy NOT DVE 47 AcT 876.4 of Ave OF HC cuore, BY, RRECTIVE Vi a (action : ul 50 #2 DSC POC BISPEcrioN ATA 26 OSME/OL Tht! b0 927 MM é act wl, AIC EVTEIE, 25 HR AihobiTIOWIWE ZNS¢EcTIOW AVE - Lo PYOVUI2G2 CORRECTIVE | ACTION Cful 2548 AC TASPECTION T/hhd ACA LCA's Ar Act 576.4 oshe/fot ML wip dh, AFYZYHIGIE le ELE ont HELICOPTER LOG Bell Helicopter [iti a Svbadiory oF Teelron Ine 7861 55349 REV 195 POST OF FICE BOK 402 + FORT ORTH. FETAN THR HOUSE_OVERSIGHT_006084

i ' Tt ere Te Pe ee a De a ee eye ay Y u . Bs s Lalas: a, af 5 es Seranrely Ase. VE WV Ec 0 AIRCRAFT & ENGINE FLIGHT HRS / CYCLES / RIN EVENTS TOTALS BROUGHT FORWARD: VAN WEUAcK oa AIRCRAFT ENG. CYCLES | CERTIFY THAT THE DAILY HOURS ENG. 1 ENG. 2 INSPECTION WAS COMPLETED , : ACCORDING TO THE ¥ 7 MAINTENANCE MANUAL. TOTALS FOR TODAY: N \ ACCUMULATIVE TOTAL C79 5 Ne NEXT SCHEDULED NAME & CERTIFICATE NO. INSPECTION DUE: TYPE INSPECTION (50, 100, ETC.) DATE: ANNUAL INSPECTION DUE CATE: PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS 1 CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION CORAECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG Bell Helicopter L2LiLCL A SyPaitiaty af feairon be 7861 55349 REV 195 Cf ie, 4 Z_) a POST OFFICE BOX 407: FOWT OATH, TEASE TH1BE HOUSE_OVERSIGHT_006083

EST i THOT COT Pet] te eee eer? (EE Waren fee ries LENG? atl RNG? 24 {lm Od TOTAL FOR THE DAY: Dace + §£ AIRCRAFT & ENGINE AIRCRAFT ENG. HOURS | CERTIFY THAT THE DAILY FLIGHT HRS / CYCLES / RIN HOURS ENG.1 ENG. 2 INSPECTION WAS COMPLETED TOTALS BROUGHT FORWARD: ys | ACCORDING TO THE MAINTENANCE MANUAL, Th OD veal en ;__1f ye, . ™ NEXT SCHEDULED H NAME & CERTIFICATE NO. INSPECTION OUE: t TYPE INSPECTION a : 2 9&8 Jat Cs ANNUAL INSPECTION ; DUE DATE: TF a PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS COOKkS OTH Eg OL CHalGE DUE SA Vesronwle. ApeyAsege 1 CORRECTIVE ACTION Lt) GOO MH Eile O Opal6e Lfhafd RRCYI-B Ly , MAnl 4 EH S75 Q3/22/o6 Next bvé AT EN UNINS th SP OL iN \ N ON CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG Bell HeltcopterLi.uic A Suteaidiaty at Featipe ing 7861 55349 REV 1956 ; ROOT OFFICE BOR G57 ¢ FORT WORTH FETA T8455 HOUSE_OVERSIGHT_006082

| CERTIFY THAT THE DAILY INSPECTION WAS COMPLETED ACCORDING TO THE MAINTENANCE MANUAL. AIRCRAFT & ENGINE FLIGHT HRS / CYCLES / RIN TOTALS BROUGHT FORWARD: TOTALS FOR TODAY: ACCUMULATIVE TOTAL: DISCREPANCIES 1 NEXT SCHEDULED mr @ce STS NO, INSPECTION DUE: TYPE INSPECTION SS / 4 -alo Oo 6 (60, 100, ETC.) DATE: ANNUAL INSPECTION DUE DATE: PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT REMARKS CORRECTIVE ACTION 2 a a gp CORRECTIVE ACTION par -siineeniii e 3 Ce CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG Bell Helicopter {i34.0)) 7861 553949 REY 195 A Subanbary af Fenton inc Post OFFICE S08 4925 FORT WORTH, TERAR THIGE HOUSE_OVERSIGHT_006081

TOTAL FOR THE DAY: AIRCRAFT & ENGINE AIRCRAFT TORQUE | CERTIFY THAT THE DAILY FLIGHT HRS / CYCLES / RIN HOURS EVENTS INSPECTION WAS COMPLETED ACCORDING TO THE MAINTENANCE MANUAL. TOTALS BROUGHT FORWARD: TOTALS FOR TODAY: or Gls. ACCUMULATIVE TOTAL: NEXT SCHEDULED INSPECTION DUE: TYPE INSPECTION ANNUAL INSPECTION PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED NUN A. $2077 TAME t & CERTIFICATE NO. FLIGHT DISCREPANCIES REMARKS Cine BS ho ork Corl. Efe Pantlere BbpelaD (rgrihvcre— COARECTIVE ACTION §ULy ff Ane 5 OA VA te apes, (PIC JS hY Ef9# eioore 3 2 f a A LU 6 Lut Mie ARP POEL ff 17 ISP. E 1 CORRECTIVE ACTION Z~R J WOG 3 ; . 3 3 O pe Fiona PLA: Si Le Be Pre) Ath PO pAp ate CORRECTIVE RD ag ee ACTION 5 AS ga . ecg ayz Gof ROGY AVI S387 2 R-2z4 OL 4 _ } , L) Scone smtH Tie Pl Upe Hof BAT 07MM CLM peut pt Y2VUSESE | CORRECTIVE am ff ATT SS HS beafeshy ACTION MGOLYAY TADST DASPCTION T# BHT YO7 WA = ° | SW _ = Mn, APYHBSES 2 A 7.8 O2/2v/og | conrion” Cf (wed Gehound Hewhle whee lus pen 557.8 02feyloe Gone HELICOPTER LOG WYeY 16324 ¢- Bell Helicopteriisiuc) 7861 55349 REV 195 rein rere POST OFFICE BOE 482 > FORT WORTH. TERSG Tere HOUSE_OVERSIGHT_006080

TOTAL FOR THE DAY: AIRCRAFT & ENGINE AIRCRAFT TORQUE | CERTIFY THAT THE DAILY FLIGHT HRS / CYCLES / RIN HOURS EVENTS INSPECTION WAS COMPLETED ACCORDING TO THE MAINTENANCE MANUAL. TOTALS BROUGHT FORWARD: TOTALS FOR TODAY: or Gls. ACCUMULATIVE TOTAL: NEXT SCHEDULED INSPECTION DUE: TYPE INSPECTION ANNUAL INSPECTION PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED NUN A. $2077 TAME t & CERTIFICATE NO. FLIGHT DISCREPANCIES REMARKS Cine BS ho ork Corl. Efe Pantlere BbpelaD (rgrihvcre— COARECTIVE ACTION §ULy ff Ane 5 OA VA te apes, (PIC JS hY Ef9# eioore 3 2 f a A LU 6 Lut Mie ARP POEL ff 17 ISP. E 1 CORRECTIVE ACTION Z~R J WOG 3 ; . 3 3 O pe Fiona PLA: Si Le Be Pre) Ath PO pAp ate CORRECTIVE RD ag ee ACTION 5 AS ga . ecg ayz Gof ROGY AVI S387 2 R-2z4 OL 4 _ } , L) Scone smtH Tie Pl Upe Hof BAT 07MM CLM peut pt Y2VUSESE | CORRECTIVE am ff ATT SS HS beafeshy ACTION MGOLYAY TADST DASPCTION T# BHT YO7 WA = ° | SW _ = Mn, APYHBSES 2 A 7.8 O2/2v/og | conrion” Cf (wed Gehound Hewhle whee lus pen 557.8 02feyloe Gone HELICOPTER LOG WYeY 16324 ¢- Bell Helicopteriisiuc) 7861 55349 REV 195 rein rere POST OFFICE BOE 482 > FORT WORTH. TERSG Tere HOUSE_OVERSIGHT_006080

TOTAL FOR THE DAY: AIRCRAFT & ENGINE AIRCRAFT ENG. HOURS FLIGHT HRS / CYCLES / RIN HOURS ENG.1 ENG. 2 TOTALS BROUGHT FORWARD: cr +s | a | CERTIFY THAT THE DAILY INSPECTION WAS COMPLETED ACCORDING TO THE MAINTENANCE MANUAL. Ys Na ‘ie. NAME & CERTIFICATE NO. TOTALS FOR TODAY: ACCUMULATIVE TOTAL: vad ona NEXT SCHEDULED INSPECTION DUE: TYFE INSPECTION (60, 100, ETC.) ANNUAL INSPECTION DUE DATE: PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMAR KS 1 CORRECTIVE ACTION CORRECTIVE ACTION 3 rr ah i CORRECTIVE ACTION CORRECTIVE ACTION . & CORRECTIVE ACTION | HELICOPTER LOG Bell Heticopterti3tLie A Subaidiany of Fratron foc 7861 55349 REV +95 PORT OFAICE BOK 48ts FONT WOATH, TELAD FH161 HOUSE_OVERSIGHT_006079

[| a ee we ee eee oe Bw i Metis ie hee — _ Tap ‘eRe . oxen tele e is o i Ee 3 as : . ys . ae ¥ TOTAL FOR THE DAY: AIRCRAFT & ENGINE AIRCRAFT ENG. HOURS FLIGHT HRS / CYCLES / RIN HOURS ENG. 1 ENG, 2 TOTALS BROUGHT FORWARD: | CERTIFY THAT THE DAILY INSPECTION WAS COMPLETED ACCORDING TO THE MAINTENANCE MANUAL. TORQUE EVENTS TOTALS FOR TODAY: 7 SAY Gg ACCUMULATIVE TOTAL: N _ QE Y SS — Pe NAME & CERTIFICATE NO. NEXT SCHEDULED JL QE .06 INSPECTION DUE: DATE: TYPE INSPECTION (50, 100, EFC.) ANNUAL INSPECTION DUE DATE: PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS q CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION 5 CORRECTIVE ACTION HELICOPTER LOG Beil Helicopter bis.) A Sahadeaey ol Tealtan fae 7861 55349 REV 195 y, Se WZ ee O . PORT OFFICE BOT 402 2 FOMT ORTH, TREAR TB104 HOUSE _OVERSIGHT_006078

ffadec uu DA 2 TOTAL FOR THE DAY: AIRCRAFT & ENGINE FLIGHT HRS / CYCLES / RIN i CERTIFY THAT THE DAILY INSPECTION WAS COMPLETED ACCORDING TO THE TOTALS BROUGHT FORWARD: Cy yp. TOTALS FOR TODAY: aie MAINTENANCE MANUAL. NEXT SCHEDULED NAME & CERTIFICATE NO, INSPECTION DUE: 5 Sé 2.2 4 . Ged % (50, 100, ETC.) 2° Oo DATE: ANNUAL INSPECTION PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES -— MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS 1 CORRECTIVE ACTION | ACTION a) fo J KOO DNs f 4 __ fn. CORRECTIVE a - ay, ACTION CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG Sell Helicopter & SvPewary ot Halton ing A PORT OFFICE BOA 482 « FORT woRtH. fered FEIOd ~ / rd : 7861 55349 REV 195 HOUSE_OVERSIGHT_006076

TOTAL FOR THE DAY: AIRCRAFT & ENGINE AIRCRAFT ENG. HOURS ENG, CYCLES FLIGHT HRS / CYCLES / RIN HOURS ENG.1 ENG. 2 ENG. 1 gel 2 TOTALS BROUGHT FORWARD: a | CERTIFY THAT THE DAILY INSPECTION WAS COMPLETED ACCORDING TO THE MAINTENANCE MANUAL. ACCUMULATIVE TOTAL: \ \ ~ NEXTSCHEDULED : ad hee SHAME & CERTIEGATENG: INSPECTION DUE: ¥ Gi (60, 100, ETC.) DATE: ANNUAL INSPECTION DUE DATE: ao C PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED TOTALS FOR TODAY: FLIGHT DISCREPANCIES REMARKS ASL WO7-PC-T7/ Dye CORRECTIVE ACTION C4, ASD HO7-26 -2/ a VEL pu lic. Yereco3 FAW ASB ALL 2 + rf Sgkrves> € 206- 6796-CE2Z-(PD 1M CM pPhyymnet eV 7 _L- CORRECTIVE sen RR) Lf of NID [3 wh, by sunvo lI WamPees, Ne PFUF,Z OF-R or: 29S LL COARECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG Bell Helicopter [isa BS Sulaidiarp of Teatro Inc 7861 55349 REV 195 POT OFFICE Boa 457» FORT WORTH FENAD TOTO HOUSE_OVERSIGHT_006077

ffadec uu DA 2 TOTAL FOR THE DAY: AIRCRAFT & ENGINE FLIGHT HRS / CYCLES / RIN i CERTIFY THAT THE DAILY INSPECTION WAS COMPLETED ACCORDING TO THE TOTALS BROUGHT FORWARD: Cy yp. TOTALS FOR TODAY: aie MAINTENANCE MANUAL. NEXT SCHEDULED NAME & CERTIFICATE NO, INSPECTION DUE: 5 Sé 2.2 4 . Ged % (50, 100, ETC.) 2° Oo DATE: ANNUAL INSPECTION PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES -— MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS 1 CORRECTIVE ACTION | ACTION a) fo J KOO DNs f 4 __ fn. CORRECTIVE a - ay, ACTION CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG Sell Helicopter & SvPewary ot Halton ing A PORT OFFICE BOA 482 « FORT woRtH. fered FEIOd ~ / rd : 7861 55349 REV 195 HOUSE_OVERSIGHT_006076

" ——— kt, ad 7 immed IROL — _————<—<_— oc anc ne mS 3. TOTAL FOR THE DAY: AIRCRAFT & ENGINE AIRCRAFT FLIGHT HRS / CYCLES / RIN HOURS TOTALS BROUGHT FORWARD: . i CERTIFY THAT THE DAILY INSPECTION WAS COMPLETED ACCORDING TO THE MAINTENANCE MANUAL. TOTALS FOR TODAY: Sars ACCUMULATIVE TOTAL: = a A Se ee ee FS Ae ee A [ie id ke ied a te SS NEXT SCHEDULED NAME & CERTIFICATE NO, INSPECTION DUE: TYPE INSPECTION {60, 100, ETC.) ANNUAL INSPECTION DUE DATE: F.0€ PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS CORRECTIVE a : = y a Y LEST) cf I PCH] 44 a] 7) dem SA ~f P-OS 2 CORRECTIVE ACTION ify) 50 y / FH St/ASHA4 LUBE Anld S20HRIS NTP TP UE LATi/ Pui O7 MN ‘Tl S37, 2 b2zA7/e Uw AVE; CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG Bell Helicopter A Subneehary of teabon tre 7861 55349 REV 195 POU? GFRCE GOR 442 = FORT WOATH TEMAB TRIE HOUSE _OVERSIGHT_006075

" ——— kt, ad 7 immed IROL — _————<—<_— oc anc ne mS 3. TOTAL FOR THE DAY: AIRCRAFT & ENGINE AIRCRAFT FLIGHT HRS / CYCLES / RIN HOURS TOTALS BROUGHT FORWARD: . i CERTIFY THAT THE DAILY INSPECTION WAS COMPLETED ACCORDING TO THE MAINTENANCE MANUAL. TOTALS FOR TODAY: Sars ACCUMULATIVE TOTAL: = a A Se ee ee FS Ae ee A [ie id ke ied a te SS NEXT SCHEDULED NAME & CERTIFICATE NO, INSPECTION DUE: TYPE INSPECTION {60, 100, ETC.) ANNUAL INSPECTION DUE DATE: F.0€ PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS CORRECTIVE a : = y a Y LEST) cf I PCH] 44 a] 7) dem SA ~f P-OS 2 CORRECTIVE ACTION ify) 50 y / FH St/ASHA4 LUBE Anld S20HRIS NTP TP UE LATi/ Pui O7 MN ‘Tl S37, 2 b2zA7/e Uw AVE; CORRECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG Bell Helicopter A Subneehary of teabon tre 7861 55349 REV 195 POU? GFRCE GOR 442 = FORT WOATH TEMAB TRIE HOUSE _OVERSIGHT_006075

* YZ ri roriaT Soren — . a RoPeiGuer TOTAL FOR THE DAY: AIRCRAFT & ENGINE AIRCRAFT FLIGHT HRS / CYCLES / RIN HOURS | CERTIFY THAT THE DAILY INSPECTION WAS COMPLETED ACCORDING TO THE TOTALS BROUGHT FORWARD: yn MAINTENANCE MANUAL. TOTALS FOR TODAY: ACCUMULATIVE TOTAL: \ ne, ia —E oh NEXT SCHEDULED NAME & CERTIFICATE NO INSPECTION DUE: TYPE INSPECTION (60, 100, ETC.) ANNUAL INSPECTION DUE DATE: PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES — MECHANICS ENTER ALL MAINTENANCE PERFORMED FLIGHT DISCREPANCIES REMARKS 1 CORAECTIVE ACTION CORRECTIVE ACTION or 3 , COARECTIVE ACTION CORRECTIVE ACTION CORRECTIVE ACTION HELICOPTER LOG Bell Helicopter hi3.4h("),. 7861 55349 REV 195 / ) ; A) A Sutadiery of Halion Ire rs PORT OFFICE BOE 852 + FORE PORTH TERAR TEDL HOUSE_OVERSIGHT_006074