SERVICE INFORMATION REPORT

1. Submitter Information

2. Support Locations

3. Event/Comment information

4. Aircraft Information

5. Engine Information

6. Propeller Information

7. Upload & Submit

Submitter information

Full Name:

Required

Email:

Required

Phone:

Required

Full Address:

Required

If Are you not the registered owner of the aircraft please fill in the fields below:

Owner's Name:

Owner's Phone:

Owner's Email:

Owner's Address:

Support Locations

Which Service Centre usually services or supplies parts for this engine?

Which Repair Centre usually services or supplies parts for this engine?

Event/Comment Information

Date:

Required

Location:

Required

State:

Required

Country:

Required

Flight Phase:

(*IF APPLICABLE)

Pilot Name:

(*IF APPLICABLE)

Last Departure Point:

(*IF APPLICABLE)

Planned Destination:

(*IF APPLICABLE)

The reason you are submitting the CSIR and any solution you found: Required

Aircraft information

Aircraft Registration:

Aircraft Category:

Aircraft Manufacturer:

Aircraft Total Time:

Aircraft Model/Series:

Aircraft Serial Number:

Aircraft Use Type:

Engine Information

Type:

Engine Type

Serial Number:

Required Engine Serial Number
(type 0000000 if not Engine related)

Delivery Date:

Engine Delivery Date

TSN:

Engine Time Since New

TSO:

Engine Time Since Overhaul

Overhaul:

Engine Overhaul Date

Inspection:

Engine Date of last inspection/maintenance

Fuel Type:

Fuel Brand:

Fuel Octane:

Coolant type:

Coolant Ratio:

Oil Type:

Oil Brand:

Oil Viscosity:

Oil Change Interval:

Propeller information

Manufacturer:

Propeller Manufacturer

Serial Number:

Propeller Serial Number

Model/Series:

Propeller Model/Series

Size:

Propeller Size in (mm)

Blades:

Amout of Blades

Position:

Propeller Position

Submitter information

Select file to upload (Press CTRL for multiple Selection):