Appendix IV — EASA Form 53B — Certificate of release to service
Regulation (EU) 2022/1358
Appendix IV
Certificate of
release to service — EASA Form 53B
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CERTIFICATE OF RELEASE TO SERVICE [PRODUCTION ORGANISATION NAME] Production organisation reference: Certificate of release to service in accordance with 21L.A.126(e) or 21L.A.273(8) of Annex Ib (Part 21 Light) to Regulation (EU) No 748/2012 (delete as appropriate). 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 21L.A.126(e) or 21L.A.273(8) of Annex Ib (Part 21 Light) to Regulation (EU) No 748/2012 (delete as appropriate) 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 53B — Issue 1
COMPLETION INSTRUCTIONS
The Block BRIEF DESCRIPTION OF WORK PERFORMED appearing in EASA FORM 53B should include a reference to the approved data used to perform the work.
The Block LOCATION appearing in EASA FORM 53B 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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