Attachment 1 - JPATS GMM-Rev2.pdf

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Attached to
AIRCRAFT LEASING Federal contract opportunity
Solicitation number
djms-11-jpt-r-0023
Issued by
Department of Justice US Marshals Service Justice Prisoner and Alien Transportation System Contracts Division

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STATEMENT OF WORK - ATTACHMENT 1

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Other files attached to AIRCRAFT LEASING, newest first.
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Statement of Work - May 2011.doc DOC document
AMENDMENT 0001 - QUESTIONS RESPONSES.doc DOC document
Attachment 3 - Leased-Charter Flight Personnel Data Sheet.pdf PDF
Delivery Inspection Checklist - Attachment 7.XLS XLS spreadsheet
Attachment 5 - Performance Measurement and Reporting.doc DOC document
Attachment 2 - GSE.doc DOC document
Attachment 8 - Subcontracting Plan Requirements.doc DOC document
Pre-Award Inspection Checklist - Attachment 6.XLS XLS spreadsheet
COMBINED SYNOPSIS - SOLICITATION.pdf PDF
Attachment 4 - Lease Plane Flight Log.pdf PDF

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INDEX

INDEX............................................................................................................................................................. i FOREWORD................................................................................................................................................ iii TABLE OF CONTENTS............................................................................................................................v RECORD OF REVISIONS ......................................................................................................................xv LIST OF EFFECTIVE PAGES .............................................................................................................xvii

Original – June 2007 Index - i Proprietary Information. All Right Reserved.

Revision 2 – October 2008 Section 10—Page - i

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GROUND SUPPORT EQUIPMENT

JPATS ON SITE POLICY

PURPOSE

APPLICABILITY

RESPONSIBILITY

PROCEDURES

FREQUENCY/INTERVAL

QUALIFICATION/TRAINING REQUIREMENTS

RECORDS RETENTION:

GROUND SUPPORT EQUIPMENT (GSE) MAINTENANCE PROCEDURES

RESPONSIBILITIES

GROUND SUPPORT EQUIPMENT (GSE) MAINTENANCE

TRAINING PROCEDURES

ATTACHMENTS

ATTACHMENT 1 – USMS WEEKLY GSE INSPECTION ITEMS CHECKLIST

ATTACHMENT 2 – GSE MAINTENANCE FORM

ATTACHMENT 3 – GSE EQUIPMENT PARTS REFERENCE

ATTACHMENT 4 – OJT TRAINING RECORD

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Section 10—Page - ii Revision 1 – September 2008

Revision 1 – September 2008 Section 10—Page - 1

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GROUND SUPPORT EQUIPMENT

JPATS ON SITE POLICY

PURPOSE

To prevent damage and premature degradation of Ground Support Equipment (GSE) due to time, usage and climatic exposure.

APPLICABILITY

All GSE utilized by the JPATS Air Operations Division.

RESPONSIBILITY

1. The Director of Maintenance is responsible for the overall GSE program as provided by the JPATS

Chief of Maintenance.

2. The GSE mechanic is primarily responsible for the success of the GSE maintenance program.

3. The on site Supervisor will monitor day to day operation of the GSE program and report to the onsite JPATS Maintenance Coordinator.

PROCEDURES

1. The GSE mechanic will use various types of inspections under this program to establish a regularly scheduled maintenance routine for each piece of GSE.

2. A maintenance logbook will be established for each piece of GSE to document maintenance actions.

3. The logbooks shall be available to the onsite JPATS Maintenance Coordinator.

FREQUENCY/INTERVAL

Continuous or as required by specific inspection determined by the manufacture. At each site the JPATS Maintenance Coordinator will provide what maintenance manuals that is available.

QUALIFICATION/TRAINING REQUIREMENTS

Each on site Supervisor shall give the on site JPATS Maintenance Coordinator the GSE mechanic Qualifications prior to working on the GSE provided by the JPATS.

RECORDS RETENTION:

All GSE records will be retained by the contractor and given over to the on site JPATS Maintenance Coordinator at the end of the contract period.

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GROUND SUPPORT EQUIPMENT (GSE) MAINTENANCE

PROCEDURES

RESPONSIBILITIES

1. The Director of Maintenance shall:

a. Ensure adequate resources, time and training is made available to the GSE maintenance program.

b. Assign additional maintenance personnel to assist the GSE mechanic as required.

2. On-Site Contractor Supervisor

a. Monitor the day to day operation of the GSE maintenance program.

b. Make recommendations to the Director of Maintenance for continuous improvement in the GSE program.

c. Ensure all maintenance records are being maintained.

d. Ensure only qualified mechanics are working on the GSE.

3. GSE Mechanic:

a. The GSE mechanic is directly responsible to the On-Site Contractor Supervisor

b. Perform weekly inspections as outlined in USMC Weekly GSE Inspection Items Checklist (See Attachment 1).

c. Perform equipment scheduled and unscheduled maintenance and document the maintenance preformed on GSE Maintenance Form (See Attachment 2).

d. Maintain all maintenance records.

e. Routine fueling of GSE.

f. Researching and preparing maintenance procedures for equipment, which does not have manufactures, recommended maintenance procedures or intervals.

g. Document all materials used as out lined in the GSE Equipment Parts Reference (See Attachment 3).

h. Red tag all GSE that is inoperative and report what is wrong with the piece of GSE to the on site JPATS Maintenance Coordinator.

i. Hourly Inspections. Equipment which has inspections performed on hourly cycles shall be inspected at the appropriate times. The hour meter reading will be taken during the weekly inspection and recorded on USMS Weekly GSE Inspection Checklist (See Attachment 1).

j. Make all records and support documentation available to the on site JPATS Maintenance Coordinator.

k. Wash the GSE on a monthly basis.

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4. JPATS Maintenance Coordinator:

The JPATS Maintenance Coordinator can and shall remove any peace of GSE from the contractor if he finds that it’s not properly being maintained or operated.

GROUND SUPPORT EQUIPMENT (GSE) MAINTENANCE

TRAINING PROCEDURES

1. On-Site Contractor Supervisor:

The On-Site Contractor Supervisor shall be responsible to ensure all personal that are operating any GSE is properly trained prior to operating any GSE.

2. GSE Mechanic:

a. The GSE mechanic shall provide formal training to all prospective GSE operators.

b. The GSE mechanic shall maintain training records on each individual that is trained on a specific piece of GSE, as per OJT Training Record (See Attachment 4). These training records shall be available to the JPATS Maintenance Coordinator.

3. The standard baseline for training to operators shall include the following with additional specific items prepared by the GSE mechanic:

a. General safety precautions.

b. Specific safety precautions relative to the actual equipment.

c. Use of controls and indicators.

d. How to perform a walk around inspection of the specific item and what areas require extra attention.

e. Routine maintenance problems and recommended actions.

f. At least some hands-on operation of the actual equipment.

g. Document the formal training on the OJT Training Record (See Attachment 4).

Revision 1 – September 2008 Section 10—Page - 3

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ATTACHMENT 1 – USMS WEEKLY GSE INSPECTION ITEMS CHECKLIST

Section 10—Page - 4 Revision 1 – September 2008

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ATTACHMENT 2 – GSE MAINTENANCE FORM

Revision 1 – September 2008 Section 10—Page - 5

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ATTACHMENT 3 – GSE EQUIPMENT PARTS REFERENCE

Section 10—Page - 6 Revision 1 – September 2008

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ATTACHMENT 4 – OJT TRAINING RECORD

Revision 1 – September 2008 Section 10—Page - 7

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Section 10—Page - 8 Revision 2 – October 2008

Original – June 2007 Section 4—Page - i

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TECHNICAL DATA, FORMS, &

REPORTS

TECHNICAL DATA LIBRARY

GENERAL

FORMS

GENERAL

AIRCRAFT FLIGHT LOG BOOK

SERVICE DIFFICULTY REPORT

USMS FLIGHT TEST / EVALUATION REQUEST

MALFUNCTION AND DEFECT REPORT

AIRCRAFT PRE & POST LEASE MAINTENANCE INSPECTION

MINIMUM EQUIPMENT LIST EXTENSION AUTHORIZATION REQUEST

SPECIAL FLIGHT PERMIT

BOMB THREAT QUESTIONNAIRE

MAINTENANCE BOMB THREAT INSPECTION

SUSPECTED UNAPPROVED PARTS NOTIFICATION

DEFERRED MAINTENANCE ITEMS

ALTERNATE CERTIFICATION OF GFP

REQUIRED INFORMATION FOR PARTS (RIP) FORM USMS RIP

USMS AIRCRAFT & EQUIPMENT WORK ORDER FORMS

USMS BACKGROUND REQUEST FORM

REPORTS

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TECHNICAL DATA, FORMS, &

REPORTS

TECHNICAL DATA LIBRARY

GENERAL

The USMS and their contract maintenance providers maintain technical data libraries in the JPATS facilities located in Oklahoma City, OK, Alexandria, LA, Mesa, AZ, and Aguadilla, PR that contains the technical data required for maintaining its fleet of aircraft.

These libraries contain manufacturer's manuals, service bulletins, airworthiness directives, and other technical material necessary for the maintenance of the respectively stationed USMS JPATS aircraft.

FORMS

GENERAL

The USMS utilizes commercial maintenance organization's forms when applicable to record maintenance performed on its aircraft and equipment. These forms are documented by commercial maintenance programs applicable to each aircraft and approved FAA forms used by various commercial repair facilities.

Records for purchase of spare parts, components, etc., are maintained by using maintenance contractor forms and requiring applicable information to be included on their forms.

Certain forms unique to USMS operations or where commercial forms are not applicable are maintained by the USMS Aircraft Maintenance Organization. These forms and the procedures for completing them are described in this Section.

USMS FORM NUMBER TITLE AND PURPOSE

None Aircraft Flight Log Book - Used to record flight time, servicing, and maintenance requirements and actions on USMS owned aircraft.

USMS GMM FLT REQ Flight Test / Evaluation Request - Used to show aircraft has been released for flight test, record results of flight test, and show flight crew acceptance.

None Aircraft Pre and Post Lease Maintenance Inspection - Used to inspect leased aircraft prior to and when returning leased aircraft.

USMS MEL EXT REQ Minimum Equipment List Extension Authorization Request - Used to grant an extension to a time

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USMS GMM SFP Special Flight Permit - Used to document ferry flights and special flight permits.

USMS GMM BTQ Bomb Threat Questionnaire - Used to question callers who are threatening U.S. Marshal aircraft or equipment.

USMS GMM BTI Maintenance Bomb Threat Inspection - Used to inspect aircraft for bomb(s).

USMS R W/O USMS Routine Work Order form - Used to track man-hours spent completing routine maintenance items.

USMS NR W/O USMS Non-routine Work Order form - Used to track deferred discrepancies and account for man-hours spent completing non-routine maintenance items/correcting discrepancies.

USMS BACKGROUND REQ USMS Background Check Request letter - Used when conducting a background check of USMS or contractor employees.

USMS GFP-AC001 Request for Alternate Certification of GFP - Used to determine serviceability and request approval to utilize specific government furnished parts.

USMS RIP Required Information for Parts - Used to document component traceability from cannibalization actions.

AIRCRAFT FLIGHT LOG BOOK

The U.S. Marshals Service, JPATS, Aircraft Flight Log Book is used to record operations and maintenance data and is part of the aircraft permanent record system. The Aircraft Flight Log Book is printed on NCR (No Carbon Required) paper and thus requires special handling to ensure that no writing is done on paper covering these sheets. All entries except signatures will be PRINTED legibly and accurately in BLACK ink. The fly sheet attached to the back cover must be inserted under the yellow sheet before any entries are made. Each aircraft flight log book page consists of four sheets: blue, pink, white, and yellow, in that order. The following procedures will be used:

1. Entries

a. Reg # - Enter United States Registry Identification. Example; N113.

b. Mission Category - Enter the mission category identifier that best suits the aircraft mission.

c. Trip # - If flight scheduled by JPATS, enter the trip number provided, if not supplied; enter the mission category identifier and week number.

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NOTE: Use a separate log page for each trip number.

d. USMS Base - Use the station identifier symbol. Example; "OKC".

e. Date - Date shall be entered as month/day/year.

f. PIC acceptance per GMM - The pilot-in-command, assigned for the day, shall sign his/her name. A signature in this block indicates the PIC has reviewed the deferred maintenance items and accepts the aircraft as mission capable.

g. Flight Crew Members - Enter the (Last) name of each crew member assigned the respective duties of PIC, SIC, FE, and OTH.

h. Duty Time - The PIC (or his designee) shall enter the Start and End time of each crew member.

Duty times shall be entered in 24-hour local standard time of the time zone departed from.

i. Pilot Flying - Enter the last name of the pilot flying the respective leg. Note: If the log page is used for discrepancies and/or corrective action with no flight, enter “Maint. Only” in large print in this block.

j. Arpt Id - Enter station identified symbol (OKC = Oklahoma City) in the From and To blocks.

k. Flight Time - Enter the time the moment an aircraft leaves for the intent of flight in the Out block and the time when the aircraft is shutdown at the landing point in the In block. Flight times shall be entered in 24-hour local standard time of the time zone departed from. Enter Total elapsed time in tenths as follows:

i. 1 - 2 min. = .0

ii. 3 - 8 min. = .1

iii. 9 - 14 min. = .2

iv. 15 - 20 min. = .3

v. 21 - 26 min. = .4

vi. 27 - 33 min. = .5

vii. 34 - 39 min. = .6

viii. 40 - 45 min. = .7

ix. 46 - 51 min. = .8

x. 52 - 57 min. = .9

xi. 58 - 62 min. = 1.0

l. Total Flight Hours - Total the time for each leg and enter. This time is used for crew/mission flight time.

m. Hobbs Time - Enter the meter (hobbs) reading before take-off in the Off block and the meter reading after landing in the On block. Total the sum of each leg and enter in the add block. For the first flight recorded on the page, enter the complete hobbs meter number, not just the last three digits, in the first block.

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n. ACFT HOURS Total - Enter the aircraft total time from previous page in the Carried Fwd block. Total together the Aircraft Total Time carried forward with the add of total Hobbs Time and enter in the total block as the current aircraft total time.

o. Wthr, Nght - Enter the total flight time the pilot flew in Weather or at Night per leg.

p. T/Off - Enter the total number of takeoffs the pilot performed in Day or Night per leg.

q. Appr - Enter the total number of instrument approaches the pilot performed per leg.

r. Ldgs - Enter the total number of aircraft landings the pilot performed per leg. Specify Day (Da) or Night (Nt). Total the sum of each leg and enter in the add block.

s. ACFT LDGS - Enter the aircraft total landings from the previous page in the Carried Fwd block. Total together the Aircraft Total Landings carried forward with the added total of landings and enter in the Total block as the current total of aircraft landings.

t. Fuel Consumption: Add - Enter the amount of fuel added at the “From” location in gallons;

Total - Enter the total amount of fuel on-board before the flight in pounds; @Landing - Enter the total fuel remaining after landing in pounds, as indicated on the fuel quantity gauges; do not use the fuel used gauge, if installed.

u. APU Hours - After the last flight of the day, enter the total APU hours indicated on the APU (Hobbs) meter.

v. Discrepancy Block - Discrepancies, (preparing for flight, during flight, immediately following flight, and while performing line maintenance) shall be entered in this column.

w. item #, Arpt Id - Enter the appropriate item number for each discrepancy. Item numbers shall be sequential for each calendar year. Enter the arriving airport identifier in the discrepancy Arpt Id block to denote which flight the discrepancy was discovered.

x. Corrective Action - Enter the corrective action for the discrepancy, with reference to the appropriate approved data.

y. Sign/Cert#/Date - Each discrepancy will be signed off with an appropriate rated mechanic to include signature, certificate number, and date. If the maintenance is a required inspection item, a designated RII must also sign in the appropriate box.

z. Item/Component Replacement - Maintenance will enter discrepancy item number, part number, position location, and serial number in the appropriate blocks.

aa. Oil Added - Enter oil in pints, quarts, or gallons as appropriate in space provided.

bb. DAILY Inspection - This space is provided for a certificated mechanic to annotate the compliance of a USMS approved daily inspection.

cc. APPROVED for Return to Service - This space is provided for the USMS authorized certificated mechanic to release the aircraft for flight after maintenance has performed a Daily/Weekly inspection and/or repair. An authorized signature in this block verifies that:

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i. All inspection panels and hatches (interior and exterior) are closed and secured for flight.

ii. Aircraft total time and total landings are entered correctly.

iii. Daily inspection is completed and signed.

iv. So far as the discrepancy/corrective actions the aircraft is prepared for flight.

v. All the RII blocks are completed as required by GMM.

vi. All deferred items have been reviewed for status, and no NTE times have elapsed, without a proper extension.

dd. Engine Trend Monitoring Check - Flight crews shall record engine readings during cruise at least once a day, weather permitting. Pratt & Whitney engines shall then be entered in the Engine Condition Trend Monitoring (ECTM) software program.

2. Disposition of Forms While aircraft are on itinerary, all sheets shall remain in the Aircraft Flight Log Book until the aircraft lands at or returns to the USMS home maintenance base, at which time the pink sheet (second copy) will be removed and delivered to the activity maintaining the flight crew information. All discrepancies must have corrective action entered and signed off before blue and white sheets are removed. Entries stating "Deferred" with appropriate references are considered corrective action. Each day the blue sheet will be removed and forwarded to the USMS Quality Assurance Specialist. The white sheet will be retained by the maintenance facility.

The yellow sheet remains in the logbook.

NOTE: It is the responsibility of the person filing the blue sheets to review the sheets for accuracy of all time entries. Incorrect entries may cause inspections or replacement of flight-hours-controlled items to occur too early or too late, resulting in increased cost or unsafe conditions.

When new log books are initiated, maintenance shall enter the date and log page number of the previous flight log in the appropriate block on the new log book cover. The new log page number and date shall be entered on the cover of the previous log book.

3. Reconciliation of Aircraft Log Book Entries Airframe and engine times and number of landings shown in the aircraft log book will be reconciled by the USMS Quality Assurance Specialist as follows:

a. Prior to starting each scheduled inspection.

b. When logbook is completed.

c. When an aircraft is reassigned.

A written entry showing the date and signature of the person making the reconciliation will be made on the appropriate page of the Aircraft Log Book.

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AIRCRAFT FLIGHT LOG BOOK FORM

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SERVICE DIFFICULTY REPORT

This form is used by the USMS Maintenance personnel to report aircraft problems or incident occurrences to the FAA. A complete description of the problem shall be provided, including the conditions subsequent to, any emergency measures taken, and any significant facts that may help reduce or eliminate recurrence.

1. Entries Completed as instructed on the reverse page of the form.

2. Disposition Forms to be completed by the Quality Assurance Program Manager, or his designee with copies to the following:

a. Copy to Quality Assurance Program Manager;

b. Copy to Chief of Maintenance;

c. Copy to Aviation Safety Officer;

d. Original to the FAA local office.

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SERVICE DIFFICULTY REPORT

FAA Form 8070-1

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SERVICE DIFFICULTY REPORT

FAA Form 8070-1

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USMS FLIGHT TEST / EVALUATION REQUEST

This form is used to request a test/evaluation flight. It provides spaces for sign off by maintenance personnel showing the aircraft has been properly prepared for the flight.

1. Entries

a. Reg # - Enter the "N" number of the aircraft being tested.

b. BLOCK 1a. - Quality Control (QC) Inspector or RII who is properly authorized by the Repair Station and/or the USMS who will sign the Maintenance Release certifying the aircraft has meet all maintenance manual requirements and is released for the test/evaluation flight.

c. BLOCK 1b. - USMS Supervisory Maintenance Coordinator, or his designee, will sign to certify the aircraft has been inspected in accordance with USMS policy and is ready for test/evaluation flight.

d. BLOCK 1c. - Enter the reason for the test/evaluation flight.

e. BLOCK 1d. - Flight crew will sign to show the flight was completed.

f. BLOCK 1e. - Flight crew will indicate the results of the flight and if "Unsatisfactory", enter the discrepancy.

g. Time: & Date: - Enter the time and date of the sign-off.

h. W/O #: - Enter the work order number generating the request.

i. BLOCK 2a. - If "Unsatisfactory" was indicated, the QC Inspector will sign certifying the aircraft has been repaired; all maintenance manual requirements have been met, and is released for a second test/evaluation flight.

j. Upon the completion of a "Satisfactory" test/evaluation flight, the QC Inspector shall make the appropriate entries in the aircraft's records to return the aircraft to service.

2. Disposition of Form One form shall be initiated for each item / discrepancy generating the request. Completed forms will be attached to the appropriate work order and forwarded to the USMS Quality Assurance Specialist for filing in the aircraft records.

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USMS FLIGHT TEST / EVALUATION REQUEST FORM

USMS GMM FLT REQ

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MALFUNCTION AND DEFECT REPORT

Reports of defects and/or unairworthy conditions shall be reported to the USMS Maintenance Coordinator in letter format or using FAA Malfunction and Defect Report, FAA form 8010-4.

1. Entries

a. BLOCK 1 - Aircraft registration number of the aircraft

b. BLOCK 2 - Aircraft manufacturer, model/series, and serial number

c. BLOCK 3 - Powerplant manufacturer, model/series, and serial number

d. BLOCK 4 - Propeller manufacturer, model/series, and serial number

e. BLOCK 5 - Specific part of component causing trouble

i. Part Name

ii. Manufacturer's model or part number

iii. Serial number

iv. Part/Defect location

f. BLOCK 6 - Appliance/component assembly that includes part

i. Appliance/component name

ii. Manufacturer

iii. Model or part number

iv. Serial number

v. Part total time

vi. Part time since overhaul and last overhaul facility

vii. Part condition

g. BLOCK 7 - Date the report is submitted

h. BLOCK 8 - Comments describing the malfunction or defect and the circumstances under which it occurred. State the probable cause and the recommendations to prevent recurrence. Include whether an accident or incident was involved, disposition of the component/part, and any other information that would assist in the investigation of the malfunction or defect. Indicate date and conditions under which it was discovered (i.e., 10/23/92 during C-1 check.)

i. The report shall be identified with the following information:

i. Name of the submitter (i.e., AXZ Repair Station, BCA Aviation, etc.)

ii. USMS as the operator

iii. Date submitted

iv. Telephone number (405) 680-3460 for further details.

The report shall be filed even though all information required above is not available. When additional information, including information from the manufacturer or other agency, Section 4—Page - 12 Original – June 2007

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MALFUNCTION AND DEFECT REPORT FORM

FAA Form 8010-4

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AIRCRAFT PRE & POST LEASE MAINTENANCE INSPECTION

This form is used by the JPATS Air Operations Maintenance personnel prior to accepting and prior to returning aircraft that are leased. A visual inspection shall be performed for general condition with particular attention to damage, scratches, crazing, excessive corrosion, loose fasteners, missing panels, worn areas, and evidence of fluid leaks. Area condition shall be indicated in the blocks provided.

Unacceptable conditions or defects shall be noted on the discrepancy section of the form. The inspector making the inspection shall use a separate set of forms (4 pages each) for each aircraft lease duration.

1. Entries Entries are self explanatory.

2. Disposition of Forms Completed Forms will be forwarded to the master file maintained by the USMS Quality Assurance Program Manager. A copy of the discrepancies will be forwarded to the Contracting Officer, as necessary.

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AIRCRAFT PRE & POST LEASE MAINTENANCE INSPECTION FORM (page 1)

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AIRCRAFT PRE & POST LEASE MAINTENANCE INSPECTION FORM (page 2)

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AIRCRAFT PRE & POST LEASE MAINTENANCE INSPECTION FORM (page 3)

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AIRCRAFT PRE & POST LEASE MAINTENANCE INSPECTION FORM (page 4)

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MINIMUM EQUIPMENT LIST EXTENSION AUTHORIZATION REQUEST

This form is to grant an extension when the repair can not be accomplished within the specified time interval granted in the Minimum Equipment List.

1. Entries

a. MEL Control Number. To be obtained from the USMS Supervisory Maintenance Coordinator

b. Aircraft and ATA Code and MEL Item No. Self explanatory.

c. MEL Nomenclature and Category. In accordance with the MEL

d. Time Recorded in Aircraft Log Book and Date. Self explanatory.

e. Expiration Time. In accordance with MEL (hours, days, and/or landings).

f. Supply Document Number and Estimated Delivery Date. Information concerning parts on order.

g. Justification for Extension. Parts availability, etc.

h. Maintenance Person Requesting Extension. Signature and title of person requesting extension.

i. Amount of Extension Authorized. To be determined by the USMS Chief of Maintenance.

j. Expiration Time and Date. To be determined by the USMS Chief of Maintenance.

k. Extension Authorized By. Signature of USMS Chief of Maintenance or Designee.

2. Disposition of Form Copies of the form will be distributed as per Section 3 -- Minimum Equipment List Management Program.

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MINIMUM EQUIPMENT LIST EXTENSION AUTHORIZATION REQUEST FORM

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SPECIAL FLIGHT PERMIT

This form is provided for maintenance activities to document requests for ferry flights and special flight permits.

1. Entries The items on this form are self explanatory.

2. Disposition Per Section 3 – Special Flight Permits of this Manual.

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SPECIAL FLIGHT PERMIT FORM

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BOMB THREAT QUESTIONNAIRE

This form is provided for maintenance personnel to use if they receive a bomb threat by telephone. The individual receiving the call should follow the instructions on the form.

1. Entries The items on this form are self explanatory.

2. Disposition Per Section 9 – Bomb Threats of this Manual.

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BOMB THREAT QUESTIONNAIRE (Page 1)

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BOMB THREAT QUESTIONNAIRE (Page 2)

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BOMB THREAT QUESTIONNAIRE (Page 3)

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MAINTENANCE BOMB THREAT INSPECTION

This form is for use by maintenance personnel when a bomb threat call has been received indicating a bomb has been placed on board an aircraft.

1. Entries The items on this form are self explanatory.

2. Disposition Per Section 9 – Bomb Threats of this Manual.

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MAINTENANCE BOMB THREAT INSPECTION (Page 1)

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MAINTENANCE BOMB THREAT INSPECTION (Page 2)

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MAINTENANCE BOMB THREAT INSPECTION (Page 3)

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MAINTENANCE BOMB THREAT INSPECTION (Page 4)

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SUSPECTED UNAPPROVED PARTS NOTIFICATION

This form is for use by maintenance personnel when aircraft parts are suspected to be bogus or unapproved. Maintenance personnel shall quarantine the suspected part(s), as practical, and notify the USMS Supervisory Maintenance Coordinator via this form.

1. Entries Complete as instructed on the reverse page of this form.

2. Disposition Forms will be forwarded to the USMS Supervisory Maintenance Coordinator when completed.

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SUSPECTED UNAPPROVED PARTS NOTIFICATION

FAA Form 8120-11

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SUSPECTED UNAPPROVED PARTS NOTIFICATION

FAA Form 8120-11

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DEFERRED MAINTENANCE ITEMS

NOTE: This form has been replaced by the USMS NR W/O form. For procedures in deferring maintenance items refer to Section 3 – Minimum Equipment Lists Management “Maintenance Procedures” and “Time Extensions” and Section 4 – “USMS Aircraft and Equipment Work Order Forms”.

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ALTERNATE CERTIFICATION OF GFP

USMS Form GFP-AC001, Request for Alternate Certification of Government Furnished Parts is to be utilized to request approval from the USMS Chief of Maintenance for use of these items in accordance with Section 8 – Government Furnished Parts.

1. Entries: This form is to be completed as follows:

a. Date of Request. Enter the date the request is being processed

b. Requesting Organization. Enter the name of the USMS organization requesting the approval.

c. OEM Part Number. Enter the part number of the item as shown in the original equipment manufacturer’s (OEM) illustrated parts catalog.

d. OEM Nomenclature. Enter the nomenclature of the item as shown in the original equipment manufacturer’s illustrated parts catalog.

e. Illustrated Parts Catalog Reference(s). Enter the location (figure and item number) where the item is located in the manufacturer’s IPC.

f. Item Identification Part Number. Enter the part number shown on the item or from other sources or on any document accompanying the item. If none is available, so state.

g. Item Nomenclature. Enter the nomenclature of the item shown on accompanying documents or from other sources. If none is available, so state.

h. Make/Model. Enter the make and model of the aircraft on which the item is to be installed.

For example, Hawker 800.

i. N-Number. Enter the registration number of the aircraft on which the item is to be installed.

j. Source(s) of Item. Enter the source of the item. For example, “From the FAA Aeronautical Center in Oklahoma City”.

k. Conditions Surrounding Need for Request. Enter the conditions that necessitated the request. For example, “Part received without any paper work.”

Answer each question shown on the bottom of the form by circling either “YES” or “NO”.

After completing the form, the USMS Quality Assurance Specialist must sign and date the form. The USMS Supervisory Maintenance Coordinator must sign and date the form signifying they agree with the determination reached by the Quality Assurance Specialist.

2. Disposition The form together with a copy of operational checks and/or special inspections required shall be forwarded to the USMS Chief of Maintenance for approval.

When the USMS Chief of Maintenance approves the request, the original is attached to the component. Upon installation, the original is filed with the appropriate aircraft’s permanent records.

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REQUEST FOR ALTERNATE CERTIFICATION OF GOVERNMENT FURNISHED PARTS

USMS Form GFP-AC001

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REQUIRED INFORMATION FOR PARTS (RIP) FORM USMS RIP

1. Entries

To ensure a systematic disassembly of aircraft for spare parts and document cannibalization actions where parts/components from one serviceable aircraft are removed and installed in another serviceable aircraft, regardless of the length of time the part or component is to be installed in the receiving aircraft, the USMS requires the completion of form USMS RIP, Required Information for Parts.

Completion of form USMS RIP is as follows:

a. Nomenclature. Enter the nomenclature from the OEM Illustrated Parts Catalog (IPC) of the part or component being removed.

b. Part #. Enter the part number from the OEM IPC of the part or component being removed.

c. Serial #. Enter the serial number, if applicable, of the part or component being removed.

d. ATA. Enter the Air Transport Association (ATA) Specification 100 code number for the part or component.

e. IPC Ref. Enter the OEM IPC chapter/figure/item reference number for the part or component.

f. Position. Circle the position location (if applicable) for the part or component.

g. A/C Type. Enter the type of aircraft from which the part or component is removed.

h. A/C Reg #. Enter the registration number of the aircraft from which the part or component is removed.

i. A/C Line #. Enter the line number of the aircraft from which the part or component is removed.

j. A/C Serial #. Enter the manufacturer’s serial number of the aircraft from which the part or component is removed.

k. Date. Enter the date on which the part or component is removed from the aircraft.

l. Base/Location. Enter the Base or location where the aircraft was located when the part or component is removed.

m. Removed By. Enter the signature of the individual who removed the part or component and completed this portion of the form.

n. Cert #. Enter the certificate type and number of the individual who removed the part or component.

o. Cleaned. Circle if the item was cleaned or not after removal.

p. By. Enter the signature of the individual who cleaned the part or component after removal, if applicable.

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q. Inspected By. Enter the signature and stamp (if applicable) of the employee who inspected the part or component after removal.

r. Cert #. Enter the certificate type and number of the individual who inspected the part or component after removal.

s. Condition. Circle the term that describes the condition of the part or component determined by the inspection.

t. Part Time. Enter the part or component times and cycles as applicable.

u. Life Limit. Enter all of the appropriate information that describes the factor(s) affecting the life limit on the part or component.

NOTE: Complete the following blocks only if the part or component is to be placed in inventory.

v. Preservation. Check the type of preservation required and accomplished for the part or component.

w. Disposition. Enter the registration number and job number of the aircraft on which the part or component was installed if it was immediately installed on another aircraft. If the part or component was not immediately installed, enter STOCK in this block.

x. Packaged By. Enter the name of the individual who packaged the part or component if it was prepared for storage.

y. Date. Enter the date the part or component was packaged, if applicable.

z. Location. Enter the base, building, aisle, row, shelf, and bin that identifies where the part or component was stored.

aa. Inventoried By. Enter the signature of the individual that placed the part or component into storage.

bb. Computer Entry By. Enter the signature of the individual that entered the part or component into the computer.

2. Disposition Attach the original completed form USMS RIP to the part or component and place a copy in the Aircraft Log Book file of the aircraft from which the part or component was removed.

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REQUIRED INFORMATION FOR PARTS (RIP) Form USMS RIP

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USMS AIRCRAFT & EQUIPMENT WORK ORDER FORMS

1. Entries

All maintenance tasks, routine and non-routine, shall be documented on a USMS work order form and forwarded to the USMS Quality Assurance Specialist responsible for the aircraft’s historical records. Separate work order identification shall be used for each aircraft, GSE, etc.

Each task to be accomplished and/or discrepancy generated against a work order shall be documented using a USMS routine or non-routine work order and completed as indicated below.

a. USMS Routine Work Order Form, USMS R W/O

i. Contract #. Enter the contract number, if applicable, under which the maintenance is being performed.

ii. CRS: & #. Enter the Certified Repair Station (CRS) name and FAA certificate number.

iii. A/C #. Enter the aircraft registration number.

iv. W/O #. Enter the work order number assigned to the aircraft.

v. (Item #. Enter the item number from the work order under which the work is being performed.

vi. Est. Hrs. Enter the estimated hours required to accomplish the proposed maintenance.

vii. USMS Authorization. Enter the signature of the USMS person authorizing the maintenance action, concurrence with deferral, and the estimated hours required to accomplish the proposed maintenance.

viii. Rev. Hrs. Enter the revised estimated hours required to accomplish the proposed maintenance, if the estimated hours are to be exceeded.

ix. USMS Authorization. Enter the signature of the USMS person approving the revised estimated hours required to accomplish the proposed maintenance, if applicable.

x. Generated From. Enter the source of the required maintenance action. (i.e.: Work Card 1629, MAD 97-8, etc.)

xi. (Planned Action. Enter a brief description of the process to be taken in accomplishing the required maintenance action.

xii. RII. Check either YES or NO to indicate if an RII is required following the maintenance action.

xiii. ATA. Enter the Air Transport Association (ATA) Specification 100 code that describes the area where maintenance is planned.

xiv. Written By. Enter the signature of the individual that prepared the work order.

xv. Date. Enter the date the work order was prepared.

xvi. Partial Work Accomplished, Remarks. Enter the work accomplished by significant stages. This block serves as a turnover in cases where the maintenance action spans more than one shift, is interrupted, or any other action where a status of work in progress is essential.

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xvii. Mechanic. Enter the signature of the mechanic making the remarks in the Partial Work Accomplished section.

xviii. Inspector. Enter the signature, or stamp, of the inspector, if applicable, that inspects the mechanic’s work.

xix. Corrective Action. Enter the final corrective or closing action for the maintenance activity described under Planned Action.

xx. Ref Approved Data. Enter the reference for approved data used during the maintenance action taken. (i.e. MM32-16-21, SB78-3021, etc.)

xxi. Nomen. Enter the location (Loc), part number off (P/N Off), serial number (S/N), part number on (P/N On), and serial number on (S/N) in the blocks provided, if components were replaced.

xxii. Ops Check By. Enter the signature of the person performing the check, certificate number (Cert#), and date of the operations check, if applicable.

xxiii. Mech. Enter the signature, certificate number (Cert#), and date of the mechanic that completes the work order.

xxiv. Insp. Enter the signature or stamp, certificate number (Cert#), and date of the inspector that conducts the final inspection of the maintenance action, if applicable.

When the routine work order is issued and work has begun, check the block at the top of the form, [ ] In Work, to indicate work has been initiated.

b. Non-Routine USMS Work Order Form, USMS NR W/O

USMS non-routine work orders shall be utilized for all discrepancies generated by routine tasks, other discrepancies, or flight crew. All non-routine maintenance tasks accomplished on JPATS aircraft by the prime contractor (or JPATS personnel) shall be documented on form USMS NR W/O. In addition, the Aircraft Flight Log Book shall be used to record all discrepancies noted, together with actions taken, between scheduled inspections.

At the top of the form, enter the aircraft zone where the work is to be accomplished. Check the Flight Evaluation Requested block, if applicable, and enter the signature of the individual requesting the flight evaluation.

Complete the remaining blocks on the USMS non-routine work order form as follows:

i. Contract #. Enter the contract number, if applicable, under which the maintenance is being performed.

ii. CRS: & #. Enter the Certified Repair Station (CRS) name and FAA certificate number.

iii. A/C #. Enter the aircraft registration number.

iv. W/O #. Enter the work order number assigned to the aircraft.

v. Item #. Enter the item number from the work order under which the work is being performed.

vi. Est. Hrs. Enter the estimated hours required to accomplish the proposed maintenance.

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vii. USMS Authorization. Enter the signature of the USMS person authorizing the maintenance action, concurrence with deferral, and the estimated hours required to accomplish the proposed maintenance.

viii. Rev. Hrs. Enter the revised estimated hours required to accomplish the proposed maintenance, if the estimated hours are to be exceeded.

ix. USMS Authorization. Enter the signature of the USMS person approving the revised estimated hours required to accomplish the proposed maintenance, if applicable.

x. Generated From. Enter the source of the required maintenance action. (i.e.: Flight Log Book page 96 0761, etc.), and the item number (i.e.: #8)

xi. Discrepancy. Enter a brief description of the discrepancy. This may be taken directly from the Flight Log Book, etc.

xii. ATA. Enter the Air Transport Association (ATA) Specification 100 code that describes the area where maintenance is planned.

xiii. Written By. Enter the signature of the individual that prepared the work order.

xiv. Date. Enter the date the work order was prepared.

xv. Planned Action. Enter a brief description of the process to be taken in correcting the discrepancy.

xvi. Priority. Circle the priority as defined by the Quality Control Program (i.e.: � Safety of

Flight,� Discrepancy is Deferrable, or� Cosmetic or convenience item)

xvii. RII. Check either YES or NO to indicate if an RII is required following the maintenance action.

xviii. Partial Work Accomplished, Remarks. Enter the work accomplished by significant stages. This block serves as a turnover in cases where the maintenance action spans more than one shift, is interrupted, or any other action where a status of work in progress is essential.

xix. Mechanic. Enter the signature of the mechanic making the remarks in the Partial Work Accomplished section.

xx. Inspector. Enter the signature, or stamp, of the inspector, if applicable, that inspects the mechanic’s work.

xxi. Deferred By. Enter the signature of the individual that authorized the deferral of the discrepancy.

xxii. Cert #. Enter the certificate number of the individual that authorized the deferral of the discrepancy.

xxiii. MEL Item. Check the block indicating if the deferred item is an MEL item.

xxiv. MEL ref. Enter the MEL reference for the item deferred, if applicable.

xxv. NTE. Enter the date by which the MEL item must be corrected, if applicable.

xxvi. Corrective Action. Enter the final corrective or closing action for the discrepancy.

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xxvii. Also See Log Page: Item#. Enter the Aircraft Flight Log Book page and item number containing the corrective action for the discrepancy.

xxviii. Ref Approved Data. Enter the reference for approved data used during the maintenance action taken. (i.e. MM32-16-21, SB78-3021, etc.)

xxix. Nomen. Enter the location (Loc), part number off (P/N Off), serial number (S/N), part number on (P/N On), and serial number on (S/N) in the blocks provided, if components were replaced.

xxx. Ops Check By. Enter the signature of the person performing the check, certificate number (Cert#), and date of the operations check, if applicable.

xxxi. Mech. Enter the signature, certificate number (Cert#), and date of the mechanic that completes the work order.

xxxii. Insp. Enter the signature or stamp, certificate number (Cert#), and date of the inspector that conducts the final inspection, if applicable.

2. Disposition When the work order has been completed and signed off by the mechanic and, if applicable, the inspector, check the block at the bottom of the form, [ ] Completed, File, and forward it to the USMS Quality Assurance Specialist.

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USMS ROUTINE WORK ORDER FORM, USMS R W/O

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USMS Non-Routine Work Order Form, USMS NR W/O

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USMS Non-Routine Work Order Form, USMS NR W/O Cont

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USMS BACKGROUND REQUEST FORM

All USMS and contractor personnel associated with maintenance on JPATS aircraft shall have a background check prior to being employed.

A letter of request shall be completed by the applicant and submitted to the USMS, JPATS Security Branch:

1. Entries

a. The items on this form are self explanatory.

b. TITLE OF POSITION: Enter the title the applicant will hold while employed on the USMS facility.

c. APPLICANT’S SIGNATURE: Applicant to sign certifying the information is true.

2. Disposition of Form

a. If applicant meets minimum qualification for the position requested, the USMS Supervisory

Maintenance Coordinator shall forward the background request to the Security Branch.

b. Upon completion of the background check, Security will forward the results to the Chief of Maintenance.

c. The results will be entered into the USMS data base and the completed form will be destroyed using local procedures.

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UNITED STATES MARSHALS SERVICE - BACKGROUND REQUEST

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REPORTS

(RESERVED FOR FUTURE USE)

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Index - ii Original – June 2007

Foreword Aircraft operated by the U.S.

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File details come from the government source that posted it. Updated .