Appendix IX — EASA Form 53
— Certificate of Release to Service
Regulation (EU) No 748/2012
Appendix IX
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CERTIFICATE OF
RELEASE TO SERVICE [APPROVED PRODUCTION ORGANISATION NAME] Production organisation
approval Reference: Certificate of release to service in
accordance with 21.A.163(d). Aircraft: ………………...…………. Type: ………………...…………. Constructor No/Registration: ………………...…………. has been maintained as specified in Work Order: …………………………………………………………………………………….. Brief description of work performed: Certifies that the work specified was carried out in accordance with 21.A.163(d) and in respect to that work the aircraft is considered ready for release to service and therefore is in a condition for safe operation. Certifying Staff (name): (signature): Location: Date: . . - . . - . . . . (day, month, year) |
EASA
Form 53
COMPLETION INSTRUCTIONS
The Block BRIEF DESCRIPTION OF WORK PERFORMED appearing in EASA FORM 53 should include reference to the approved data used to perform the work.
The Block LOCATION appearing in EASA FORM 53 refers to the location where the maintenance has been performed, not to the location of the facilities of the organisation (if different).
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