Form 8070-1 Service Difficulty Report - Aeronautical Equipment

FORM APPROVED
OMB No. 2120-0039 06/30/2006

DEPARTMENT OF TRANSPORTATION

RIS- WS 8070-1

FEDERAL AVIATION ADMINISTRATION
Control No.

U.S. Department

of Transportation

Federal Aviation

Administration

Service Difficulty Report

Code

ATA

AERONAUTICAL EQUIPMENT

MAJOR EQUIPMENT IDENTITY
Enter pertinent data

MANUFACTURER

MODEL/SERIES

SERIAL NUMBER

N­

AIRCRAFT
POWERPLANT
PROPELLER

PROBLEM DESCRIPTION

DATE

STATUS

AIRCRAFT TYPE

ATA

CARRIER

CONTROL NO.

N-

TEXT

SPECIFIC PART CAUSING PROBLEM
PART NAME

PART TT

Report
whole
hours
MFG. MODEL/NUMBER

COMPONENT/APPLIANCE ABOVE PART INSTALLED ON

MANUFACTURER

COMP/APPL NAME

PART/DEFECT LOCATION

PART CONDITION

MFG. PART NUMBER

PART TSO

SERIAL NO.

SUBMITTED BY

SUBMITTER (Check one)

PREC. PROC.

NATURE

STAGE

STAT

A

B

C

D

E

F

G

H

I

CARRIER

REP
STA.

OPER

MECH

AIR
TAXI

MFG

FAA

OTHER

Spec.

ROLL

Frame

SYS.

P. S. L. ALERT

OPER/D.O.

SYS.

ADDITIONAL COMMENTS

FAA Form 8070-1 (11-84) SUPERSEDES PREVIOUS EDITION

Shaded Areas are for FAA USE ONLY

All Submitters - Instructions for Completing FAA Form 8070-1
Major Equipment Identity
TITLE

ENTRY

Aircraft
Powerplant
Propeller

Identify major equipment related to problem. Enter manufacturer, model, and serial
number per FAA/MANUFACTURER type certificate data sheet. If amateur built, use
plan or kit name. Use military model designators when appropriate. Avoid colloquial
names and market titles.

N­

Aircraft Registration Number.

Problem Description
Date

Give date problem occurred (i.e., 7-1-84).

Text

Whenever possible, describe conditions subsequent to, or leading up to, the reported problem:
(a) Identify the cause for malfunction and emergency measures execute. (b) Include com­
pliance or noncompliance with Airworthiness Directives, Service Bulletins, STC's, and PMA's.
(c) Provide any significant fact you feel may help to reduce or eliminate recurrence (i.e., cycles,
landings, and suggested changes).

Part Name

Skin, rib, shaft, Venturi, transistor, capacitor, etc. Avoid colloquial names.

Mfg. Part Number

Alphanumeric part identifiers assigned by manufacturer.

Part Condition

Cracked, bent, burned, corroded, shorted, etc.

Part/Defect Location

L.H. alternator, audio, R.H. outboard, range switch, etc.

Part TT

Total service time on part in whole hours (i.e., 00531).

Part TSO

Service time on part since overhaul in whole hours (i.e., 00200)

Comp/Appl Name

Fuselage, wing, alternator, carburetor, VOR receiver, etc.

Manufacturer

Comp/appl manufacturer: Beech, Cessna, Prestolite, Bendix, Collins, etc.

Mfg. Model/Number,
Serial Number

Alphanumeric model and serial numbers or identifiers assigned by comp/appl manufacturer
(i.e., ALU8403, NAS3A1, 51 RVII). Do not repeat ''MAJOR EQUIPMENT IDENTITY" in these
locations.

Submitted By
Submitter

As noted on form.

FAA District Offices - Refer to FAA Order 8010.2

PAPERWORK REDUCTION ACT STATEMENT: The information collected on this form is required. This form
reports occurrences or detection of each failure, malfunction, or defect in an aircraft. We estimate that it will take 1 hour to
complete the form. No assurance of confidentiality is promised. Please note that an agency may not conduct or sponsor,
and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control
number. The OMB control number associated with this collection is 2120-0039. Comments concerning the accuracy of this burden
and suggestions for reducing the burden should be directed to the FAA at: 800 Independence Ave SW, Washington, DC 20591,
Attn: Information Collection Clearance Officer, ABA-20
U.S. GOVERNMENT PRINTING OFFICE: 1984-461-823-21521