Department of the Army (Type in your Unit Name) (Type in your Base)
Office Symbol Date
MEMORANDUM FOR: Federal Aviation Administration Airworthiness Inspector
SUBJECT: Concurrent powerplant experience of TYPE YOUR NAME HERE for FAA
Powerplant rating I/A/W FAR Part 65.
1. YOUR NAME, SSN has performed the following maintenance of the Lycoming
T53-L13, General Electric T-7000-701/701C and Allison T-63-A-700 turbine
engines consistently and concurrently while serving in the following Military
Occupational Specialties: 67N10 Mechanic, 67N1F Flight Engineer and 67T10
Mechanic.
2. The time period FROM DATE TO DATE (# OF MONTHS) YOUR NAME has
Performed Inspection, Removal, Repair, Preservation, Installation, Replacement,
Rigging, Adjustment, Troubleshooting and Trimming of Engine:
A. GENERAL COMPONENTS # OF MONTHS:
Accessory Gearbox Module XX
Baseplate and Spindle Gearboxes XX
Compressor Halves XX
High Speed Shaft XX
Power Turbine Governor Replacement XX
Load Demand Spindle Cables XX
Load Demand Rotary Inputs XX
Engine Control Unit XX
Engine Igniter Removal, Inspection & Replacement XX
Engine NI, NP, TGT, Torque, N2, Oil Pressure Instruments XX
Engine Mounts XX
Engine Struts XX
Engine Water Wash Hosing XX
Gas Generator Rotors XX
Compressor Bleed Air Valves and Tubes XX
Common Drain Tubing XX
B. FUEL AND FUEL METERING SYSTEM
Hydromechanical Unit XX
Fuel Filter Bypass Indicator XX
Fuel Control/Power Turbine Governor Rigging XX
Fuel Filter XX
Fuel Pressure Sensor XX
Pressure and Overspeed Drain Valve XX
C. OIL LUBRICATION SYSTEMS
Engine Oil Filter Bypass Indicator XX
Engine Electrical Chip Detector XX
Axis "G" Seal XX
Oil Filter XX
Oil Temperature Sensor XX
Oil Pressure Indicator and Switch XX
D. ENGINE HEALTH INDICATOR TEST (HIT)
Tested and Established Baseline for Proper Engine Functions XX
E. PNEUMATIC AND INDUCTION SYSTEMS
Anti-Icing Start and Bleed Valve XX
Anti-Ice Thermostat Switch XX
Air Start Inlet Line XX
Air Turbine Pneumatic Starter XX
Air Flexible Connection Housing XX
Pneumatic Starter Face Plate XX
Pneumatic Starter Tubing XX
Inlet Swirl Frame XX
Inlet Particle Separator Blower Set XX
Inlet Particle Separator Blower Duct XX
Inlet Particle Separator Blower XX
F. FIRE DETECTION AND PROTECTION SYSTEM
Fire Bottle Extinguisher Tubing XX
Fire Bottle Squib XX
Engine Halon Fire Bottles XX
Engine Fire Detector Optical Sensor XX
G. EXHAUST SYSTEMS
Primary Exhaust Nozzles XX
Secondary Exhaust Nozzles XX
Exhaust Gas Temperature Harness XX
Exhaust Gas Temperature Probes XX
H. ENGINE INSPECTION
10 Hour/14 Day Inspection of:
Oil Tank Level XX
Oil Tank Filler Cap XX
Engine Electrical Cable for Chaffing XX
Fuel Oil and Air Tubes for Security & Evidence
of Chaffing or Leakage XX
PAS & LDS Cable Controls for Security & Proper Rigging XX
V-Band Clamps on HMU/IPS Blower Duct/Inlet Swirl
Frame/Exhaust System XX
Exterior of Engine for Evidence of Oil, Fuel & Air Leaks XX
Oil Filter for Impending Bypass XX
Fuel Filter for Impending Bypass XX
Engine Mounts for Security XX
Engine Inlet & Exhaust for FOD XX
P3 Line to HMU for Cracks and Security XX
I. BORSCOPE INSPECTION ON THE FOLLOWING:
Compressor Section XX
Combustion Section XX
J. COMPRESSOR CLEANING
Cleaned Compressor Using Universal Water Flush
Kit/Cleaning Solvent XX
3. YOUR NAME has demonstrated the ability, knowledge, experience and training
to take the examination for General, Airframe and Powerplant licenses.
SIGNATURE BLOCK
Commander, Maintenance
Officer or A&P Mechanic
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