Name:............................................................................................................ ....................

MAINTENANCE EXPERIENCE LOGBOOK Auth. number:..........................................................................................

SỔ XÁC NHẬN KINH NGHIỆM BẢO DƯỠNG
Time period:..............................................................................................

1. Forewords

This logbook is intended to:

- be used to fulfil the 6/24 months maintenance experience requirement, before the issue/re-issue of an individual certification
authorisation;
- be applicable to aircraft and/or component and/or engine and/or specialised services certifying staff and to aircraft base
maintenance support staff;
- be completed by the candidate C/S and/or S/S;

2. Requirements
This logbook is intended to be hand written and considered to be acceptable as following criteria are met:
a. Number of records
- A recording of 180 tasks at different dates or record of 100 working days of maintenance experience in the 2 years period
would be the minimum expected.
- Having recorded 180 tasks or 100 days only during the first year of the 2-year period is not acceptable.
b. Nature of experience
For Aircraft maintenance authorization, hold or intended to be granted:
- Cat A : the experience shall be ensured by means of performing tasks related to the authorization on at least one
aircraft type for each subcategory (A.1-A.18), including servicing, component changes and simple defect
rectification.
- Cat B1/B2 : the experience shall be on that particular aircraft.
- Cat C : the experience shall cover at least one of the aircraft type, endorsed in the authorization.
- For combination of the above categories: the experience shall include some activities in each category.
For component maintenance authorization: the experience shall include exercising the privileges, by means of performing
tasks or exercising the certification privileges of the authorization on each of the rating authorized or intended to be
authorized.
For NDT authorization; the experience shall include exercising the privileges, by means of performing tasks or exercising
the certification privileges of the authorization on each of the NDT method authorised/intended to be authorised

FSSD Form 586 [0]2019-1 Page: 1 / 3 Created Dated 12th Aug, 2019
 Name:............................................................................................................ ....................
MAINTENANCE EXPERIENCE LOGBOOK Auth. number:..........................................................................................
SỔ XÁC NHẬN KINH NGHIỆM BẢO DƯỠNG
Time period:..............................................................................................

3. Personnel data.

Certifying Staff

Name .................................................................................................................................................................................................................................

Surname .................................................................................................................................................................................................................................

Date of birth .................................................................................................................................................................................................................................

Place of birth .................................................................................................................................................................................................................................

Certification Authorisation Number .................................................................................................................................................................................................................................

(if already hold)

Certifying staff Privileges hold .................................................................................................................................................................................................................................

(or intended to be granted)

Signature .................................................................................................................................................................................................................................

FSSD Form 586 [0]2019-1 Page: 2 / 3 Created Dated 12th Aug, 2019
 Name:............................................................................................................ ....................
MAINTENANCE EXPERIENCE LOGBOOK Auth. number:..........................................................................................
SỔ XÁC NHẬN KINH NGHIỆM BẢO DƯỠNG
Time period:..............................................................................................

4. Maintenance logbook records

(7) (8)
Task type Type of act. (11)
(3) (4) (5)
(6) (10) Time

Supervise
(1) (2) A/C or A/C Reg. No. Type of (9) (12) (13)

Training
Perform
Privilege Operation performed Duration
Date Location Comp. or maint. ATA Maint. record ref. Remarks

MOD

INSP
SGH

CRS
REP
FOT

TS
R/I
used (Hrs.)
Type Component S/N (rating)

Battery Comp. EASA Form 1

2/1/14 HAN 123456 C5 X X X X 24 Shop visit for repair 16
(P/N: 123456) cert.staff # 12345

A320/
4/1/14 HCM A332 A1 B1 X X X X 32 RH MLG WHEEL change 1 TLP#123456
CFM56

A330/
5/1/14 HAN A378 A2 B1 X X X X 32 RH MLG WHEEL change 1 JC#123
PW4000

A321/ Inspection of dent

6/1/14 HAN A326 D1 ET X X 57 2 NDT Report#1234
V2500 FR 58-59, STR 27-28

Date: Logbook owner`s signature(*):

(*) I declare that the entries in this logbook are complete and true.

FSSD Form 586 [0]2019-1 Page: 3 / 3 Created Dated 12th Aug, 2019
completion guidance:
Block (1) Date when the maintenance activity was carried out.
Block (2) Location where the maintenance activity was carried out.
Block (3) A/C or component type.
Block (4) A/C registration marks or component serial number
Block (5) Identify the class rating under which the maintenance is carried out.
- A1 : Aircraft maintenance/ defect rectification
- C1 : Air Condition & Pressurization
- C2 : Auto Flight
- C3 : Communication and Navigation
- C4 : Doors and Hatches
- C5 : Component rating for Electrical power & Lights
- C6 : Component rating for Equipment (ex: seats, galley equipments,…)
- C8 : Flight Controls
- C9 : Fuel
- C12 : Hydraulic Power
- C13 : Indicating/ Recording Systems
- C14 : Component rating for Landing gear
- C15 : Oxygen
- C16 : Propellers
- C17 : Pneumatic & Vacuum
- C18 : Protection ice/rain/fire
- C19 : Windows
- C20 : Structural
- D1 : Non-Destructive Testing
Block (6) When the person holds different privileges this block is intended to identify the certifying staff or support staff privilege used
depending from the rating identified in the previous column (i.e. aircraft certifying staff Cat. A or B1 or B2 or C, components or
engines or NDT certifying staff ).
Block (7) Identify the task type using the following term as being the more applicable to the task carried out. More than one term may be
selected (i.e. TS and R/I and SGH, etc.)
FSSD Form 586 [0]2019-1 Created Dated 12th Aug, 2019
 - FOT : Functional / Operational Test.
- SGH : Service and Ground Handling.
- R/I : Removal / Installation.
- TS : Trouble Shooting.
- MOD : Modification
- REP : Repair
- INSP : Inspection
Block (8) Identify the type of activity using the following term as being the more applicable to the activity carried out. More than one term
may be selected.
- Training : the person recording the task in this logbook is under training
- Perform : The maintenance activity recorded in the row was performed by the logbook owner
- Supervise : The maintenance activity recorded in the row was supervised by the logbook owner
- CRS : The maintenance activity recorded in the row was released to service by the logbook owner
Block (9) Enter the ATA chapter which better describes the majority of the activity carried out. More than one ATA chapters may be
entered when necessary/applicable to the activity carried out.
Block (10) This filed is used to provide detailed reference to the task carried out.
Block (11) Enter the total time (in hours) spent to accomplish the activity recorded in the row.
Block (12) Enter the precise reference of the maintenance records where the activity mentioned in this logbook was recorded, e.g
- TLP#
- JC#
- NRC#
- FORM1/8130-3#
- NDT Report#
Block (13) Any additional comment/not which was not possible to enter in the other fields.

FSSD Form 586 [0]2019-1 Created Dated 12th Aug, 2019