Form FAA-6030-1 Facility Maintenance Log 1

Paperwork Reduction Act Burden Statement. A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a
person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act
unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is
2120-0014. Public reporting for this collection of information is estimated to be approximately 30 minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of
information. All responses to this collection of information are mandatory, in accordance with FAA Order 6000.15, "General Maintenance
Handbook for National Airspace System (NAS)." Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101
Hillwood Parkway, Fort Worth, TX 76177-1524
OMB
2120-0014
6/30/2019

STATION

FACILITY MAINTENANCE LOG
DATE

TIME

SUBJECT OF LOG

CODE

REMARKS

(MM/DD) (24 HOURS)

DATE

N/A

MONTH AND YEAR

SIGNATURE OF SECTOR MANAGER/DESIGNEE

DATE

INITIALS

SIGNATURE OF MAINTENANCE TECHNICIAN

N/A

FAA Form 6030-1 (10/70) Formerly FAA form 406C Electronic Version (Adobe)

For Non-Federal UseOnly

NSN: 0052-00-028-5001