The concern sheet
Text extracted from the PDF.
Airworthiness Concern Sheet
Date:
Reason for Airworthiness Concern:
Attachments:
Service Difficulty Report Accident/Incident Data System Service Letter / Bulletin Special Airworthiness Information Bulletin Federal Aviation Administration or National Transportation Safety Board Safety Recommendation Airworthiness Directive Alternate Means of Compliance Risk Analysis Transmittal:
Federal Aviation Administration Airplane Owners and Pilots Association Experimental Aircraft Association Type Club Type Certificate Holder O t h e r :
Response Requested By:
Emergency (10 days) Alert (30 days) Information (90 days) This Airworthiness Concern Sheet (ACS) is intended as a means for FAA Aviation Safety Engineers to coordinate airworthiness concerns with aircraft owners/operators through associations and type clubs. At this time, the FAA has not made a determination on what type of corrective action (if any) should be taken. The resolution of this airworthiness concern could involve Airworthiness Directive (AD) action or a Special Airworthiness Information Bulletin (SAIB), or the FAA could determine that no action is needed at this time. The FAA’s final determination will depend in part on the information received in response to this ACS.
The FAA endorses dissemination of this technical information to all manufacturers and requests association and type club comments.
M a k e :
Model / Series:
Serial Numbers:
Reply to:
N a m e :
Title:
O f f i c e :
Department:
Street Address:
City, State, ZIP:
Telephone:
Electronic Mail:
Federal Aviation Administration (FAA) Description of Airworthiness Concern
Request for Information (For example: Proposed alternate inspection or repair procedures, cost impact, etc. Your comments or replies to the FAA need to be as specific as possible. Please provide specific examples to illustrate your comments or concerns.)
U.S. Department of Transportation
Federal Aviation Administration