QUALITY ASSURANCE MANUAL

Tracer Repair and Overhaul, LLC

2005 Burnwood Court
Brookfield, WI 53045

COPY: President
Tracer Repair and Overhaul QAM Page 1
Section: TOC/LOEP REV: Original

Table Of Contents/List Of Effective Pages

Title Section Page Rev

Table of Contents/List Of Effective Pages Same 1 Original

2 Original

Record of Revisions Same 1 Original

Tracer Repair and Overhaul Overview 1 1 Original

Quality System and Quality Manual 1 1 Original

A. Quality System
B. Manual Availability
C. Contents Current 2 Original
D. ASA Notification of Changes
E. Contents of Manual 3 Original
4 Original

Self-Audit Program 2 1 Original

A. Self Audit/Evaluation
B. Accreditation

Facilities 3 1 Original
A. Storage
B. Security
C. Non-Aircraft Activities
D. Segregation of Parts

Training and Authorized Personnel 4 1 Original

A. Scope of Training
B. Authorization of Inspectors
C. Documentation of Training
D. Roster of Personnel
E. SUPs and Counterfeit Parts

Procurement 5 1 Original
A. Trace and Documentation
B. Special Requirements
C. Approved Supplier List
2 Original
D. Disclosure/Documentation 3 Original

Receiving Inspection 6 1 Original

A. Scope of Inspection
B. Fasteners
C. SUPs
D. Use of Stamps
E. Standard Parts

Measuring and Test Equipment 7 1 Original

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Section: TOC/LOEP REV: Original

Title Section Page Rev

Material Control 8 1 Original
A. Material Handling
B. Batch/Lot Control
C. Recall Control
D. Packaging
E. ESD
F. Storage of Parts
G. Part Numbering
H. Non-Conforming Material 2 Original
I. Scrapped Parts
J. SUPs
K. Removing Parts from a NHA

Shelf Life Control 9 1 Original

Certification and Release of Materials 10 1 Original

A. Documentation to Provide
B. Disclosure of Information
C. Trace
D. Accountability of Copies

Shipping 11 1 Original
A. Packaging
B. Scope of Shipping Inspection
C. Drop Shipping

Records 12 1 Original
A. Scope and Duration
B. Fasteners
C. Fasteners
D. Life Limited Parts
E. Protection

Technical Data Control 13 1 Original

APPENDIX A: DOC. MATRIX Same 1 Original

Forms Same 1 Original
QAM Distribution List QAMFORM1 1 Original
Inspector Roster QAMFORM2 1 Original
Self-Audit Findings QAMFORM3 1 Original
Record of OJT/Training QAMFORM4 1 Original
Supplier Audit QAMFORM5 1 Original
2 Original
3 Original
4 Original
Receiving Inspection Guide QAMFORM6 1 Original
Shipping Inspection Guide QAMFORM7 1 Original
Receiving Discrepancy Log QAMFORM8 1 Original
Record of Scrapped Parts QAMFORM9 1 Original
Shelf Life Controlled Parts QAMFORM10 1 Original
Material Certification Same 1 Original
Log of Parts Removed QAMFORM11 1 Original
Parts Removed from NHA Tag QAMFORM12 1 Original
Tracer Repair and Overhaul QAM Page 1
Section: Record of Revisions REV: Original

REVISION REVISION DATE DATE INSERTED INITIALS OF STAFF

INSERTING REVISION

Original 11/25/13

Approved By: __________________________________

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Section: 1 REV: Original

Tracer Repair and Overhaul Overview

Tracer Repair and Overhaul is a firm with its principle place of business at:

2005 Burnwood Court

Brookfield, WI 53045
414-875-1234

This place of business is a residence with segregated areas for its office and storage of
any parts. At this time, off-site storage of oversized or heavy parts is accomplished by:

Jet AirWerks
3015 N. Summit Street
Arkansas City, KS 67005

Tracer Repair and Overhaul’s primary line of business consists of the following:
 Distribution of new and aftermarket aircraft parts
 Brokering of new and aftermarket aircraft parts
 Sourcing of parts requiring maintenance

Most sales consist of brokering parts, meaning parts are shipped from approved suppliers
directly to the customer in accordance with the Drop Ship procedures of section 11.C. In
some cases, sales may consist of parts which were harvested from a next higher assembly
in accordance with the procedures listed in section 8.K

Tracer Repair and Overhaul uses the Quantum ERP system which has provisions for
tracking inventory, issuing built-in sales and purchasing orders, tracking suppliers,
creating unique batch numbers known as control numbers, and creating reports among
other functions. Tracking and control of off-site stored inventory is accomplished in
Quantum.

Quality System and Quality Manual

1.A) The purpose of this manual is to define and assure that Tracer Repair and
Overhaul has a system sufficiently adequate to assure a quality product that
complies with customer specifications. The quality system, including procedures
and operations shall be described in detail in this manual, and address all
elements/paragraphs of the ASA-100.

1.B) This manual shall be made readily available to management and supervisory
personnel responsible for the activities described. This system shall contain all of
the applicable elements of the adopted governing specification, which is the ASA-
100 and FAA AC 00-56, and be described in sufficient detail to be used as
operating instructions.
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Section: 1 REV: Original

Quality System and Quality Manual (continued)

1.C) This manual shall be kept current and readily available to employees, the
customer’s auditor or designee, and the ASA.

1.D) Significant changes to this manual (those changes involving the processes and
procedures used to comply with the ASA-100 and AC 00-56) shall be submitted
to the ASA for written acceptance of the changes prior to implementation. Minor
changes involving administrative or editorial changes (changes in title for
example) may be made unilaterally and distributed without prior written
acceptance from the ASA. Note that the ASA is on distribution for the Manual,
which includes all revisions, significant or minor.

1.E) This manual shall include, but not be limited to a detailed description of the
following:

1.E.1) The Quality Department including an organization chart showing the relationship
of Quality to the rest of the organization:

President

Sales/Purchasing Director Of Quality

Inspectors

1.E.2) Assignment of personnel by title responsible for the specific functions within the
quality system:

-President: The President is ultimately responsible to assure that the integrity of the
quality system is maintained. Such responsibility for routine functions is
delegated to staff members as may be described in this manual. The
President currently performs the duties of the DOQ, Sales and Purchasing,
and Inspectors.
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Section: 1 REV: Original

Quality System and Quality Manual

-DOQ: The Director Of Quality is responsible for the following functions:

a) Maintenance of the QAM, QAM distribution roster, and Inspector
rosters
b) Training of personnel
c) Self Audit program
d) The receiving and shipping inspection functions
e) Assuring any publications referred to in this manual are kept current
f) Maintenance of the approved supplier list and quality history
g) Assuring shelf life and limited life products are properly documented
and stored
h) Records
i) Material control of parts in the storage area

Inspectors: These employees perform shipping and receiving inspections in

accordance with QAMFORMs 6 and 7, and must be so authorized by the
DOQ as noted on the Inspection Roster.

-Sales/Purchasing personnel: Performs sales to customers and purchases from suppliers in

accordance with the applicable procedures of this manual.

1.E.3) The distribution and revision control system for quality documentation and other
technical data. See section 13 for Technical Data.

The Director of Quality (DOQ) shall maintain a list of those on distribution for
controlled copies of the manual. The form used to track distribution is
QAMFORM 1. Due to the anticipated changes in distribution, the entries on this
form shall be kept separately from this manual by the DOQ, but the list shall be
available and posted in the Master copy.

The QAM’s record of revision page is used to note the latest revision date and
revision level, and the List of Effective Pages lists the revision level of every
page. The DOQ’s QAM is the Master QAM, and all copies of controlled QAM’s
shall be kept to its level of revision.

The DOQ shall approve all revisions, as noted on the space provided on the
Record Of Revision page. In order to ease identification of revised passages, a
vertical line shall be placed in the left margin adjacent the change of the affected
page.

Persons who are assigned controlled copies of the QAM shall initial the Record of
Revision page, indicating they understand the revision, and acknowledging the
filing of the changes.
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Section: 1 REV: Original

Quality System and Quality Manual (continued)

1.E.4) Record keeping: See section 12

1.E.5) Training requirements and records: See section 4

1.E.6) Shelf life control: See section 9

1.E.7) Discrepant parts control: See section 8

1.E.8) Receiving Inspection: See section 6

1.E.9) Tool and test equipment calibration program: At this time Tracer Repair and
Overhaul does not utilize any tools or test equipment requiring calibration in its
distribution operation

1.E.10) The storage facilities and applicable specifications. See section 3

1.E.11) Parts identification: See section 8

1.E.12) Environmental Controls: At this time Tracer Repair and Overhaul does not store
any parts which require peculiar storage temperatures. Nonetheless, the storage
areas as described in section 3 are protected from environmental damage.

1.E.13) Control of stamps: At this time Tracer Repair and Overhaul does not use
inspection or signature stamps.

1.E.14) Self Audit program: See Section 2

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Section: 2 REV: Original

Self-Audit Program

2.A) The purpose of Tracer Repair and Overhaul’s Self Audit program is to assure that
the adopted AC 00-56 and ASA-100 quality system has been implemented, and to
provide the necessary feedback for continuous improvement in the operation. The audit
shall be conducted in its entirety, yearly. The checklist to be used for this purpose is the
checklist developed by the ASA (latest available at the time of performance). Findings
shall be recorded on QAMFORM3. Findings shall be categorized as either a Discrepancy
or a Concern, defined as follows:

Discrepancy: A finding that fails to meet the requirements of the standard or QAM

Concern: A finding that if left unattended could develop into a discrepancy

Additionally, use of QAMFORM3 shall assure that:

I) Responses are appropriate and prompt as required- Usually no more than 1 month
from date of finding
II) Corrective action has been performed and documented
III) If similar findings exist in other areas they are addressed
IV) Root causes are identified
V) Follow-up action if required, is implemented.

2.B) Accreditation: A distributor that is seeking accreditation to the ASA-100 Standard

shall contact ASA. ASA-100 is subject to both copyright and trademark protection. ASA
is the only entity who is authorized to provide a certification statement certifying
compliance to the ASA-100 Standard. In order to participate in the ASA Accreditation
program the distributor is required to sign a contract and ASA shall audit the distributor
under a preset audit plan determined by ASA as stated in the contract. Upon notification
by ASA of a successful audit, ASA shall provide the distributor with the appropriate
documentation needed to participate in FAA AC 00-56 accreditation. A distributor is not
considered accredited until it meets the requirements of FAA AC 00-56. An acceptable
audit result does not relieve the distributor from maintaining its quality system.
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Section: 3 REV: Original

Facilities

3.A) Tracer Repair and Overhaul’s facility shall be configured to assure that storage
does not damage inventory. Storage areas shall have adequate space and
appropriate racks so that parts are stored in a manner that will preclude damage.

3.B) The storage area is secured to prevent unauthorized access. The entire facility is
secure.

3.C) Tracer Repair and Overhaul deals solely with aircraft parts in its brokering and
distribution operation

3.D) Serviceable parts (including new, overhauled, inspected, repaired etc.) shall be
segregated from unserviceable parts (including unserviceable, as removed, as is,
repairable, etc.) in a manner that will control the issuance of those parts. Such
segregation shall include physically storing these parts in designated areas, and by
indicating their condition in Tracer Repair and Overhaul’s computerized
inventory/sales system.
Tracer Repair and Overhaul QAM Page 1
Section: 4 REV: Original

Training and Authorized Personnel

4.A) Tracer Repair and Overhaul shall have personnel who are properly trained to
perform inspection, handling and record keeping procedures to support the
adopted quality system, which is the ASA-100 and AC 00-56.

4.B) Inspection personnel shall be properly trained and authorized. Tracer Repair and
Overhaul personnel authorized to perform receiving inspections, shipping
inspections, and to sign Tracer Repair and Overhaul certs shall be so authorized
on QAMFORM2, Inspection Roster. A blank sample is included in this manual.
In order to be placed on this roster, personnel must at a minimum have the
following training criteria documented on QAMFORM4 (Record of
training/OJT):

I) Suspected Unapproved Parts (SUPs) including Counterfeit Parts

II) Receiving and Shipping Inspection
III) ASA-100 Familiarization
IV) Parts and warehousing
V) Standard Terminology
VI) FAA AC 00-56 Familiarization
VII) ESD Handling

4.C) All training, both OJT or Classroom, shall be documented on QAMFORM4, or be

documented on a certificate of training (or equivalent) in the event the training
was performed by organizations external to Tracer Repair and Overhaul. Training
records shall be maintained by employee name, and kept on file for up to two
years after having left employment. In order to demonstrate skill and experience,
records may include documents from past employment, credentials, diplomas,
military records, etc., as applicable. The DOQ is responsible for maintaining
training records.

4.D) The roster of personnel authorized to perform inspection functions and their
alternates shall be maintained on QAMFORM2 as previously described.
The DOQ shall be responsible to maintain this roster current including their
alternates. Due to expected routine changes in this roster, the form shall be
maintained separate from this manual, and each time the list is updated, the date
shall be noted on the form. The Master QAM shall contain the roster of names.

4.E) Tracer Repair and Overhaul shall have a training program that addresses
unapproved parts, counterfeit parts and materials. Personnel involved in
procurement, receiving inspection, shipping inspection and material control shall
be trained in these topics, and the same shall be recorded on QAMFORM4.
 Tracer Repair and Overhaul QAM Page 1
Section: 5 REV: Original

Procurement

5.A) Tracer Repair and Overhaul’s procurement system shall assure that parts
purchased conform to the specified documentation requirements contained in
Appendix A: Documentation Matrix. Tracer Repair and Overhaul’s record
keeping system described in section 12 of this manual shall serve as the record to
demonstrate traceability of such purchased materials to at least its prior source.
This record of traceability is supplemented by Tracer Repair and Overhaul’s
computerized inventory, sales, and purchasing system, Quantum.

5.B) In cases where a customer informs Tracer Repair and Overhaul of any special
requirements regarding a part to be purchased, Tracer Repair and Overhaul shall
communicate such special requirements to its procurement sources via its
purchase order. Deviations of customer’s purchase orders shall be disclosed and
approved by the customer.

5.C) Tracer Repair and Overhaul maintains an Approved Suppliers List (ASL). The
ASL shall consist of the following information: Name, Scope of Service, approval
basis, certificate expiration dates if applicable, and any comments. Purchasing
personnel shall adhere to the following conventions regarding use of approved
vendors, here summarized, and illustrated in the flow chart:

 Purchases from PAH’s, Airlines, repair stations, Standard Parts

Manufacturers, or Accredited Distributors are not subject to being
approved via use of QAMFORM5, the Supplier Audit form, but must be
listed on the ASL
 Purchases from all other sources must be sent the QAMFORM5. The
DOQ is responsible to ensure that no purchases are made unless
QAMFORM5 has been sent, and subsequently approved and on file.
QAMFORM5 is only issued upon initial setup of the supplier; the
customer’s continued provision of quality parts serves as the basis for the
sustained approved supplier listing
 The receiving discrepancy log, QAMFORM8 shall serve to establish the
quality history of all suppliers.

SEE THE FLOWCHART ON FOLLOWING PAGE WHICH

DETAILS THE APPROVED SUPPLIER PROCESS
 Tracer Repair and Overhaul QAM Page 2
Section: 5 REV: Original

Is the supplier a Type

Certificate holder (TC), 1) Add the supplier to the ASL, listing
or Production Approval the PAH (TC, PMA or TSOA) basis.
Holder (PAH holding
Yes 2) Remove restriction in Quantum.
a PMA, or TSOA? 3) Proceed with purchase

No

1) Add the supplier to the ASL, listing

the “121 Operator” as the basis.
Is the Purchase from a
domestic airline?
Yes 2) Remove restriction in Quantum.
3) Proceed with purchase

No

1) Add the supplier to the ASL, listing

either “129 Operator”or “Foreign
Will the customer accept Yes
Is the Purchase from a
Yes trace to this source? Airline” as the basis.
foreign airline? 2) Remove restriction in Quantum.
3) Proceed with purchase

No No

END

No

Obtain a copy of the Repair

Station Certificate, Operations
Is the Order for a Repair, Specifications, and 1) Add the supplier to the ASL, listing
OH, Inspection, or Capabilities List. “145 Repair Station” as the basis
Modification by a Repair Is the work required covered 2) Remove restriction in Quantum.
Station, or for a Purchase
Yes Yes
by these documents, or is the 3) Retain the copies of the Repair
of parts from the same? Station Documents on file
component to be purchased a
part or subassembly on the 4) Proceed with purchase
Capability List?

No
1) Add the supplier to the ASL, listing
“Standard Part MFG” as the basis
2) Add a Warning in Quantum
”Approved for Standard Parts
Is the Purchase for a
Yes Purchases Only”.
Standard Part?
3) Remove restriction in Quantum
4) Proceed with purchase

No 1) Add the supplier to the ASL, listing

Is the purchase from an “FAA 00-56 Accredited” as the basis
accredited distributor as shown 2) Add the expiration date to the ASL
in the www.aviationsuppliers.org Yes
web site?
3) Remove restriction in Quantum
4) Proceed with purchase

In order to be considered, the supplier must fill out a QAMFORM5.

Only upon the DOQ’s approval of the survey, can the supplier be
No
added to the ASL. The ASL’s basis shall be listed as “Survey on
File”.
Tracer Repair and Overhaul QAM Page 3
Section: 5 REV: Original

Procurement

5.D) Tracer Repair and Overhaul shall assure that:

1) A part from an aircraft or engine that is known to have been subjected to

extreme stress, heat or environment is identified as having been exposed to
such circumstances. Tracer Repair and Overhaul’s Purchase Orders to its
suppliers requires that such parts be identified. When so identified, Tracer
Repair and Overhaul will disclose this to the customer upon initial contact,
and on the Material Certification Form supplied to the customer with the
part.

2) All Airworthiness Directives (AD’s) that are represented as having been

accomplished, are documented. Certification of compliance shall specify
AD number, AD amendment number, date, and method of compliance,
i.e., “AD xx-xx-xx terminated (date). Replaced shaft seal with
P/N _______ shaft seal (signature).” Receiving Inspection shall check for
such documentation.

3) Items identified as overhauled, rebuilt, repaired, inspected, or modified

have the appropriate signed and dated documentation attached to
substantiate the condition of the part. Receiving Inspection shall check for
the presence of such documentation.
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Section: 6 REV: Original

Receiving Inspection

6.A) Receiving inspections shall be carried out in accordance with QAMFORM6, the
Receiving Inspection Guide.

6.B) Sample inspections of fasteners for workmanship and documentation shall be

performed during the receiving process. Original Certified Statements are subject
to the requirements of Section 11 regarding records.

6.C) Suspected Unapproved Parts shall be reported in accordance with FAA AC 21-29

6.D) At this time Tracer Repair and Overhaul does not use inspection stamps

6.E) At this time Tracer Repair and Overhaul makes only occasional purchases of
standard parts, fasteners, or raw materials; it is not a significant distributor of such
commodities.
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Section: 7 REV: Original

Measuring and Test Equipment

At this time Tracer Repair and Overhaul does not use any measuring and test equipment,
either required by contract or for conducting sample inspections.
Tracer Repair and Overhaul QAM Page 1
Section: 8 REV: Original

Material Control

8.A) Material in Tracer Repair and Overhaul’s possession shall be handled in an

appropriate manner and shall be protected from damage and deterioration. Special
packaging shall be maintained as necessary. A visual check of the storage area
shall be performed periodically in conjunction with the self-audit to assure the
effectiveness of storage and identification methods. Any flammable materials
shall be stored in protective cabinets/lockers.

8.B) Batch/Lot control: Segregation of batch and lot shipments for parts so identified
by the manufacturer shall be observed. This extends to parts of the same kind
received to be stored on the same purchase order. These parts will not be co-
mingled with parts of the same P/N of another batch/lot. The Quantum system is
used to track quantities of the same batch/lot reduced by successive sales by use
of unique assigned control numbers

8.C) In the event of a recall by a manufacturer or other operator, Tracer Repair and
Overhaul shall use its records and computerized history of sales and purchases to
effect a recall and notification of its parts either in inventory, or already shipped
to customers.

8.D) Whenever practical, Tracer Repair and Overhaul shall store and deliver parts in
the manufacturer’s original packaging. Packaging or attached paperwork shall
identify the manufacturer or distributor, the P/N, serial number or lot batch/lot
number, and quantity. Tracer Repair and Overhaul shall use ATA Spec 300
packaging or equivalent, or use customer specified packaging when so stated, for
example, on the customer’s purchase order. In the event flammable, toxic, or
volatile materials are to be shipped, they shall be packaged in a safe manner per
manufacturer’s instructions, local regulations, or HAZMAT regulations as
applicable.

8.E) ESD protection: Material subject to ESD shall be packaged, handled and
protected with necessary precaution, and in accordance with requirements for safe
handling as stated in its training program.

8.F) Tracer Repair and Overhaul shall assure that serviceable parts or components are
adequately protected against the environment and damage by being properly
wrapped, packaged, boxed etc., as appropriate. All fluid passages, lines, or
electrical connections shall be capped or plugged. When specified by the
manufacturer or Repair Station, parts whose performance would be adversely
affected by an ‘unclean’ environment will be protected in accordance with
instructions from those sources.

8.G) In order to preclude part number ambiguity, Tracer Repair and Overhaul shall use
only the manufacturer’s part number in their storage and labeling of parts. Tracer
Repair and Overhaul shall not alter or replace any data plates under any
circumstances.
Tracer Repair and Overhaul QAM Page 2
Section: 8 REV: Original

Material Control

8.H) If, during the receiving inspection process, a shipment is found to be discrepant or
non-conforming, the part shall be segregated and placed in an area so designated
until such time that the discrepancy is cleared or returned to the supplier. Parts
that cannot be cleared of such discrepancies in a timely manner shall be placed in
an area so designated. All discrepant or non- conforming shipments shall be
documented on QAMFORM8, Receiving Discrepancy Log. Corrective action
shall be logged on this form as well. This log shall form the basis of a quality
history for affected suppliers. Suppliers without any entries are considered in
good standing. Note that Tracer Repair and Overhaul does not deal in non-aircraft
transactions.

8.I) Parts to be scrapped shall be mutilated by drilling, grinding, weld cutting, or other
means as necessary to the extent that will preclude the possibility of their being
restored or returned to service.
1. Records of such mutilation shall be kept for any scrapped parts
including serialized and life limited parts. Any person on the
Inspection Roster shall be responsible to Witness the part was
mutilated before being discarded. The DOQ however, is
responsible for the overall scrap program. QAMFORM9 shall be
used to record P/N, description, serial number or lot/batch number,
the method of mutilation, and a signature of the Inspector attesting
to its mutilation and a witness. Customers wishing for a receipt of
the action may have a copy of the QAMFORM9.
2. This procedure is applicable to scrapping of all Life Limited Parts
and the QAMFORM9 must list the affected serial numbers. All
scrap records shall be retained for at least seven years.
3. In the event parts are scrapped at a subcontractor or repair station
on behalf of Tracer Repair and Overhaul, these same procedures
shall be flowed down.

8.J) SUPs shall be addressed in accordance with the FAA’s AC-21-29 Guidance.

8.K) Parts removed from a Next Higher Assembly (NHA):

This section describes the process used to track parts removed from a NHA. In
most cases the part removed from the NHA is sold immediately, but in some
cases the part removed is stored in stock until sold.
a) The NHA: The purchase of the NHA already created a traceability record
and unique control number in Quantum. When parts are harvested from
that Assembly, QAMFORM11 shall be used to visibly track the removed
parts. QAMFORM11 is affixed to the NHA and contains provisions for
comments and entry of the control number of the part removed.
b) The part(s) removed: In Quantum, the removed part is assigned its own
unique control number which serves to document its traceability to the
NHA. In cases where the removed part is to remain in stock, the
QAMFORM12 Tag is attached to the part to visibly show its trace while
in stock.
 Tracer Repair and Overhaul QAM
Page 1
Section: 9 REV: Original

Shelf Life Control

9.A) Parts which have shelf life limitations shall be placed in an area of the warehouse
so designated for such parts. The inventory control system shall designate the
storage area as ‘SL xx.’ Parts placed in this area shall be entered in
QAMFORM10, Shelf Life Controlled Parts. The form contains provisions for
location, part number, quantity, and expiration dates. The form shall be posted in
the area of storage and checked prior to removing and issuing stock. Parts that
have reached the end of their useful shelf life shall be removed from this stock
and placed in the Q Cage for further dispositioning. The DOQ is responsible for
the administration of the Shelf life control program.

The determination of whether a part is shelf life limited is determined solely by

the manufacturer or other certificate holder, such as an airline, or repair station.
Tracer Repair and Overhaul shall rely on supplied documentation, part marking,
teardown reports, or package marking to determine if shelf life limits exist. Parts
that typically have been known to have limitations may include:

I) Certain O rings, gaskets, and seals, greases, paint, and sealants.

II) Certain parts with batteries contained in the assembly. These may include
Flight Data Recorders, Voice Recorders, life vests, life rafts, and
Emergency Locator Transmitters (ELTs). It is the batteries in these units
that establish shelf life
III) Certain parts are required to be tested every 24 months according to FAR
requirements regardless of whether they are installed or not. This includes
ATC transponders governed by FAR 91.413.
IV) Parts that are pressure vessels such as oxygen bottles, or fire extinguisher
bottles. These usually require periodic hydrostatic testing

These are just examples of typical shelf life commodities. The determination of
whether a part is shelf life limited is determined solely by the manufacturer or
other certificate holder, such as an airline, or repair station.
Tracer Repair and Overhaul QAM Page 1
Section: 10 REV: Original

Certification and Release of Materials

10.A) It is Tracer Repair and Overhaul’s experience that most customers want the
original certs that came with the part. Because of this, all original certs are sent to
the customer. Certs shall conform to the requirements of Appendix A in the
column labeled “Required For Shipment”. Paragraph 10D of this section details
procedures for “CERTIFIED TRUE COPY”.

10.B) The following conditions, when disclosed to Tracer Repair and Overhaul, shall
likewise be disclosed to the customer on Tracer Repair and Overhaul’s material
cert.

I) Parts removed from and aircraft, engine or that were subjected to extreme
stress of heat or environment such as major engine failure, accident, fire,
or salt water immersion.
II) Parts subjected to extreme stress or heat (i.e., warehouse fire)
III) Parts obtained from Government, public aircraft or military sources

10.C) Tracer Repair and Overhaul’s record keeping system described in section 12 of
this manual shall serve as the record to demonstrate traceability of purchased
materials as required by section 5.

10.D) Accountability procedure when copies are made for redistribution shipments and
Certs are copied:
This procedure applies to the instance where for example, 100 parts were received
and there is a single cert for all 100, and a partial shipment is required.

I) As previously mentioned, it is Tracer Repair and Overhaul’s policy to

store parts together that arrived on the same purchase order, batch and/or
lot number. These parts will not be co-mingled with other parts of the
same P/N with other lot/batch numbers.
II) The single cert shall remain with the parts
III) The Inventory control system shall designate the location and quantity of
the part number
IV) As parts are issued (which are not the total quantity) the inventory control
system decrements the number of those in stock.
V) A copy of the original cert is sent with a stamped statement on it
“Certified True Copy” of original. This statement is certified by an
authorized inspector’s ‘Name’, ‘Signature,’ ‘date.’”
VI) With the last shipment of the parts from this cert, either the original will
be sent or kept on file depending on the requirements of the customer.
Tracer Repair and Overhaul QAM Page 1
Section: 11 REV: Original

Shipping

11.A) Tracer Repair and Overhaul shall use ATA-300 packaging or equivalent, or as
specified by the customer. Parts shall be packed in such a manner to preclude
damage from rough handling of the container

11.B) Shipping inspections shall be carried out in accordance with QAMFORM7, the
Shipping Inspection Guide.

11.C) Drop Shipping: Drop shipping is the process whereby a part is shipped from the
supplier straight to the customer without having the interim stop at Tracer Repair
and Overhaul. This process shall adhere to the following procedure:
A. Before the shipment, a Tracer Repair and Overhaul Inspector shall be
provided copies of the supplier’s trace documents. Only upon the Inspector’s
satisfaction shall the shipment be made.
B. The Tracer Repair and Overhaul Material Cert shall either be conspicuously
stamped or electronic remarks entered stating “NOTE: This part was drop-
shipped to you and because of this, was not physically inspected by a Tracer
Repair and Overhaul Inspector.”
Tracer Repair and Overhaul QAM Page 1
Section: 12 REV: Original

Records

12.A) Tracer Repair and Overhaul’s records consist of two areas of storage:

I) Records of purchases and sales as kept on its computerized inventory,

purchases and sales system, Quantum
II) Hard copies of applicable documents such as tags, material certs,
certificates of conformity etc. This shall include those documents that
contain information such as serial number and lot or batch numbers when
applicable

Through the combination of these records, Tracer Repair and Overhaul maintains
a system such that data is readily available and identifiable for each customer, and
each purchase. The indexing of the records is tied to the control number assigned
by Quantum. Such records shall be maintained for at least 7 seven years from the
date of sale to the customer.

12.B) For new purchases of fasteners or raw stock, records of physical and chemical test
properties, and conformity statements with applicable technical specifications,
copies and records as described in 12.A shall also be kept on file for at least 7
years from date of sale to the customer.

12.C) See paragraph 12.B

12.D) All life-limited parts shall have records, traceable to a FAA-certificated source or
other acceptable source (in accordance with AC 00-56 para. 4(h)), confirming
current life-limited status.

12.E) Records are stored in an area of the operation protected against damage,
alteration, deterioration, or loss. Computer records are periodically backed up.
Tracer Repair and Overhaul QAM Page 1
Section: 13 REV: Original

Technical Data Control

13.A) At this time, Tracer Repair and Overhaul does not maintain any technical data,
per-se. It is understood however, that documents referred to in this QAM shall be
kept current. This includes the ASA-100, AC 00-56, AC 21-29, and ATA Spec
300. Outdated, or any technical data not on revision service shall be
conspicuously marked “For Reference only.”

Policies regarding revisions to this manual have already been put forth in section
1.
Tracer Repair and Overhaul QAM Page 1
Section: APPENDIX A: DOCUMENTATION MATRIX REV: Original
Draft Template QAM Page 1
Section: Forms REV: Original

Forms

This section contains the following blank forms:

QAMFORM1 QAM Distribution List

QAMFORM2 Inspector Roster
QAMFORM3 Self Audit Findings
QAMFORM4 Record of OJT/Training
QAMFORM5 Supplier Audit
QAMFORM6 Receiving Inspection Guide
QAMFORM7 Shipping Inspection Guide
QAMFORM8 Receiving Discrepancy Log
QAMFORM9 Record of Scrapped Parts
QAMFORM10 Shelf life controlled parts
QAMFORM11 Log of Parts Removed
QAMFORM12 Parts Removed From NHA Tag

Use/Instructions

QAMFORM1 The DOQ maintains this list in front of the Master QAM. The fields are self-
explanatory
QAMFORM2 The DOQ maintains this list in front of the Master QAM. The fields are self-
explanatory. Whenever names are added or deleted, the form’s “Roster revision
date;” shall be updated.
QAMFORM3 The self-auditor fills out this form during the self-audit process. This form and
the checklist are kept in the Self Audit binder. The fields are self-explanatory
QAMFORM4 The DOQ is responsible to assure that when training or OJT is given, that such
training is documented. These records shall be kept in a binder and maintained
for each employee up to two years after their departure. The fields are self-
explanatory
QAMFORM5 The DOQ is responsible to assure that suppliers fill this out when required by
section 5 of this manual. After the Supplier returns the form, the DOQ indicates
the Supplier’s approval status by filling in the applicable block on page 1. The
fields are self-explanatory
QAMFORM6 The guide shall be referred to during the Receiving Inspection Process
QAMFORM7 The guide shall be referred to during the Shipping Inspection Process
QAMFORM8 The Receiving Inspector shall log discrepancies observed during the receiving
process in this log. The log shall be maintained in the like- titled binder at the
receiving bench. The fields are self-explanatory
QAMFORM9 This form shall be maintained by the DOQ and kept in a binder. Section 8
contains instructions, and the all fields are self-explanatory
QAMFORM10 Receiving Inspectors placing shelf life limited parts into the SL location shall be
responsible to fill in the form. The DOQ is responsible to assure that all out of
date parts are segregated. Section 9 contains some instructions and all the fields
are self-explanatory
QAMFORM11 This form is affixed to the NHA which parts are being removed from. The
“Control Number” refers to the unique control number created for the part
removed as reflected in Quantum. Section 8 contains some instructions, and the
other fields are self-explanatory
QAMFORM12 This form is affixed to parts removed from a NHA and which are being kept in
stock. The “Control Number” refers to the unique control number created for the
part removed as reflected in Quantum. Section 8 contains some instructions, and
the other fields are self-explanatory
MATERIAL CERT The Material Certification form is provided to the customer to contain in single
form, items of information important to the sale, and most of the blocks are self-
explanatory. Block 13A Remarks, contains provisions to attest to issues as may
be necessary for disclosure when applicable and required by the QAM. Blocks
13B and 14-17 shall be used for New Parts, and blocks 13C and 18-21 shall be
used for Used, Repaired, or Overhauled Parts.
 Quality Assurance Manual Distribution List

COPY 1:

COPY 2:

END OF ASSIGNED HARD COPIES

QAMFORM1 Rev Original

 INSPECTION ROSTER
Roster Revision date:

Receiving Inspections: Name: Initials Signature

__________________ ______ ____________

__________________ ______ ____________

__________________ ______ ____________

Shipping Inspections:

__________________ ______ ____________

__________________ ______ ____________

__________________ ______ ____________

Material Certifications:

__________________ ______ ____________

__________________ ______ ____________

__________________ ______ ____________

HAZMAT:

__________________ ______ ____________

QAMFORM2 Rev: original

Documentation of findings discovered during the Self Audit process

STANDARD: __________________________________ DATE: _________________________

DISCREPANCY/CONCERN NUMBER_____:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

DO SIMILAR DISCREPANCIES EXIST IN OTHER AREAS? HAVE THEY BEEN

CORRECTED?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

WHAT WAS THE ROOT CAUSE?

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

IS FOLLOWUP ACTION REQUIRED?

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

CORRECTIVE ACTION
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Signature and date of person implementing corrective action _____________________________

QAMFORM3 Rev: original

 Record of OJT and Training

Name of employee_______________________

TITLE NAME/SIG. OF INSTRUCTOR ORGANIZATION DATE/LENGTH OJT or

CLASSROOM

__________________________________ _________________________ _____________ ___________________ ___ ___

__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
__________________________________ _________________________ _____________ ___________________ ___ ___
QAMFORM4 Rev: original
Page 1 of 4

Dear Sir/Madam

In order for your firm to be placed on our Approved Supplier List, it is necessary that the responsible person in your
firm fill out this audit form and return it to us at the address noted below. Alternatively, you may fax the information to
the noted number. Please include copies of any Certificates attesting to the quality system in use.

Supplier Audit Form

Company:

Address:

Phone:

Fax:

Person to contact regarding the information provided on this form.

Name: Title:
(Please Print)

I certify the information contained within this surveillance form is true and correct.
Signature: Date:

Approved: Not Approved:

Comments:

By Date:
DOQ
QAMFORM5 Rev Original
P1
 Vendor Surveillance Form
Y N N/A
1. Quality System and Manual at a Glance
A. Is there an established quality system?
Does the quality manual adequately describe the quality system?
B. Is the quality manual available to appropriate personnel?
C. Is the quality system documentation kept current and readily available to
employees, customers, auditors or designee?
D. Does the quality assurance manual and/or other documentation include a
detailed description of:
1) the organization and relationship of the QA department to the rest of the
organization?
2) an assignment of personnel and specific responsibilities?
3) the revision control system for the quality system documentation?
4) record keeping system?
5) training requirements and records?
6) shelf life control system?
7) control of incoming discrepant parts and supplies?
8) receiving inspection procedures?
9) test and inspection equipment calibration program?
10) storage facilities and specifications?
11) part identification system?
12) environmental controls (as appropriate)?
13) inspection stamp control?
14) self-audit/evaluation program?
2. Self-Audit / Evaluation Program
A. Is there an established documented self-audit/evaluation program which
identifies who within the company is responsible for conducting self-audits,
the frequency of audits, audit documentation, and corrective action.
3. Facilities
Do storage areas provide:
A. adequate space and appropriate racks to preclude damage or mishandling?
B. secure from unauthorized access?
C. segregation of aircraft from non-aircraft functions?
D. segregation of serviceable from non-serviceable parts?
4. Training and Authorized Personnel
A. Are personnel who perform inspection, shipping and receiving functions
properly trained?
B. Are inspection personnel properly authorized?
C. Are both formal classroom and on-the-job training documented and
maintained?
D. Is a roster of personnel authorized to perform inspection functions
maintained?

QAMFORM5 Rev original P2

 Y N N/A

5. Procurement
A. Does the system assure that parts procured conform to the documentation
requirements of ASA-100 Appendix A?
B. Does the system assure special requirements are adequately communicated to
the procurement source?
Does the system assure that parts conform to the customer’s purchase request
and that deviations are approved in writing by the customer?
Does the system require the distributor/dealer to maintain a list of approved
suppliers and a quality history for each source?
C. Does the quality system assure that parts procured for sale:
1) which have been subjected to extreme stress or heat are identified as such?
2) that all represented Airworthiness Directives (AD’s) which have been
accomplished are documented?
3) if identified as overhauled, repaired or modified have all appropriate
signed and dated documentation?
6. Receiving Inspection
A. Does the inspection program include:
1) a check for obvious physical damage?
2) verification of appropriate plugs & caps installed?
3) verification of part number, model number, etc. match the documentation?
4) verification of quantity, part numbers or noted substitution, match the
purchase order?
5) verification that all appropriate documentation is at hand, properly
completed & signed?
6) sample visual check for general workmanship and presence of
certification & test report of aircraft fasteners?
7) procedure for reporting unapproved parts in accordance with FAA
Advisory Circular, AC 21-29?
B. Are inspection stamps controlled by a formal system?
C. Does the system include an inspection program for new standard parts?
7. Material Control
A. Is material handled in an appropriate manner and protected from damage &
deterioration?
Is the storage area periodically checked for overall effectiveness?
B. Is batch/lot control maintained for parts so identified by the manufacturer?
C. Is there a system in place for recall control which ensures that
parts shipped can be traced and recalled?
D. Whenever practical, is material stored & delivered in the manufacturer’s
original packaging?
Does the system require the packaging to identify the manufacturer,
distributor, P/N, serial number, etc.?
Does the system have a procedure for storage of flammable, toxic or
volatile materials?
E. Does the system specify material control requirements for material subject to
damage by electrostatic discharge?
F. Does the system assure that serviceable parts/components are adequately
protected against the environment?
QAMFORM5 Rev original P3
 Y N N/A

G. Does the system assure that no part number ambiguity exists?

H. Does a closed loop system exist to implement corrective action following
detection of substandard or nonconforming parts?
Does the system require segregation of nonconforming material from usable
stock?
I. Is there a documented procedure in place to mutilate scrapped parts?
Does the system require records and documentation to be kept on serialized
scrapped parts?
8. Shelf Life Control
A. Does the quality system include a system for identifying and controlling shelf
life limited parts?
9. Certification and Release of Materials
A. Does the system call for providing the customer with appropriate certs?
B. Does the system provide for the issuance of a certified statement disclosing
that the material or parts were or were not:
1) removed from an aircraft or engine that was subjected to extreme stress
of heat (as in a major engine failure, accident or fire),
2) themselves subjected to extreme stress or heat (i.e., a warehouse fire);
3) obtained from the U.S. Government or military services.
C. Is a signed document from an FAA approved repair station or air carrier
provided for each serviceable part indicating that the part is serviceable?
D. Does the quality system require providing, upon request, information
pertaining to the approval status of the parts?
10. Shipping
A. Does the quality system require shipments in ATA-300 containers or
equivalent as appropriate for the unit being shipped, or as specified by
the customer?
B. Does the quality system provide for a visual inspection of all items and
accompanying documentation prior to shipping?
11. Records
A. Does the record system require record retention for at least 7 years from the
date of sale to the customer?
Does the system provide serial number or lot & batch traceability?
Are records readily available and identifiable for each customer; each
purchase?
B. Does the quality system include a system governing the storage, distribution
and retrieval of documents confirming the physical and chemical properties
of fasteners and raw stock materials?
C. Are records confirming fastener integrity required to be maintained for
seven years?
D. Does the system require all life limited parts have records confirming life
limited status?
E. Are records protected against damage, alteration, deterioration and loss?
12. Technical Data Control
A. Does the quality system provide for maintaining technical data in a manner
which ensures such data is up-to-date and accessible?

QAMFORM5 Rev Original P 4

 RECEIVING INSPECTION GUIDE

1) IF the part has ESD indicators, perform this inspection at an ESD Station.

2) Check for any material damage

3) Verify that the appropriate caps and plugs are installed, and that tape has
not been used to cover electrical connectors or fluid fittings and openings

4) Verify that the P/N, serial number, lot or batch number on the part
matches the documentation. Check for signatures on certs and
airworthiness documents as applicable

5) Verify that the received documentation matches the purchase order for
P/N, QTY, condition, traceability, or any other special requirements, and
that there have been no substitutions not previously approved.

6) If you are receiving aircraft fasteners, perform a sample visual inspection

for general workmanship and the presence of certifications from the
manufacturer or FAA regulated source

7) SUPs Inspection: If the parts show signs of tampering with the data plate,
unusual coloration, markings or appearance, or if the documentation
shows any evidence of tampering, forgery, or any other irregularities,
bring this to the attention of the DOQ for possible handling in accordance
with FAA AC 21-29

8) Assure that the received material came from a supplier as noted on the
Approved Supplier List (ASL)

9) If the part or documentation shows signs that this is a HAZMAT part,

bring this to the attention of the DOQ

QAMFORM6 Rev original

 SHIPPING INSPECTION GUIDE
1) IF the part has ESD indicators, perform this inspection on an
ESD Station.

2) Check for obvious damage.

3) Verify all plugs or caps are installed, and that tape has not been
used to cover electrical connections or fluid fittings and openings.

4) Verify that the part’s P/N, serial number or batch/lot number,

and condition match the accompanying documentation

5) Verify that all the paperwork required by the customer is

provided. Verify that any additional special requirements asked
for by the customer’s purchase/sales order has been met.

6) Assure the Packing slip contains all items required of the

customer

7) Assure that the shipping container and packing is appropriate for

the part being shipped. If the customer has specified ATA Spec
300 packaging, refer to that document for packing instructions.

8) Verify all appropriate documentation such as maintenance

releases, Material certs, Trace documents etc., are on hand
properly completed and signed.
9) If the part or documentation shows signs that this is a HAZMAT part,
bring this to the attention of the designated person
QAMFORM7 Rev original
 RECEIVING DISCREPANCY LOG
PO NUMBER P/N COMPANY DISCREPANCY CORRECTIVE ACT.

____________ _________ ______________ _____________________________ ____________________

____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
____________ _________ ______________ _____________________________ ____________________
QAMFORM8 Rev original
 SCRAP LOG

P/N/ and S/N or lot batch no NOMENCLATURE METHOD OF SCRAP SCRAPPED BY WITNESSED
AND DATE BY INSP

___________________________ ____________________ _____________________ ______________ ____________

___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________
___________________________ ____________________ _____________________ ______________ ____________

QAMFORM9 Rev original

 SHELF LIFE CONTROLLED PARTS

Part Number Location Expiration/Cure Date

__________________ SL________________ ___________________

__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
__________________ SL________________ ___________________
QAMFORM10 Rev original
 LOG OF PARTS REMOVED

ASSEMBLY P/N_________________ ASSY S/N ______________

REMOVED P/N __ QTY CONTROL NUMBER COMMENTS____________

____________________ ____ ____________________ ________________________

____________________ ____ ____________________ ________________________

____________________ ____ ____________________ ________________________

____________________ ____ ____________________ ________________________

____________________ ____ ____________________ ________________________

____________________ ____ ____________________ ________________________

____________________ ____ ____________________ ________________________

____________________ ____ ____________________ ________________________

____________________ ____ ____________________ ________________________

____________________ ____ ____________________ ________________________

____________________ ____ ____________________ ________________________

____________________ ____ ____________________ ________________________

____________________ ____ ____________________ ________________________

QAMFORM11 Original
Tracer Repair and Overhaul QAM Page 1
Section: QAMFORM12 REV: Original

Size and format are approximate

PART(S) REMOVED FROM NHA

P/N _____________________ QTY ___________

QAMFORM12 ORIGINAL
CONTROL NO: ___________________________
REMOVED FROM P/N _____________________
REMOVED FROM S/N _____________________
Tracer Repair and Overhaul QAM Page 1
Section: Material Cert Form REV: Original