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SDR Form blank Separated-1

The document outlines the Service Difficulty Reporting (SDR) requirements as per Canadian Aviation Regulations, detailing the necessary information to be submitted regarding aircraft service difficulties. It includes instructions on how to fill out the report, including codes for status, nature of the condition, and actions taken. Submitters are advised to retain affected parts for 21 days for potential investigation by Transport Canada.
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0% found this document useful (0 votes)
25 views

SDR Form blank Separated-1

The document outlines the Service Difficulty Reporting (SDR) requirements as per Canadian Aviation Regulations, detailing the necessary information to be submitted regarding aircraft service difficulties. It includes instructions on how to fill out the report, including codes for status, nature of the condition, and actions taken. Submitters are advised to retain affected parts for 21 days for potential investigation by Transport Canada.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Continuing

Airworthiness
SERVICE DIFFICULTY REPORT
INSTRUCTIONS

Service Difficulty Reporting (SDR) requirements are specified in Division IX of Subpart CODES
521 of the Canadian Aviation Regulations (CAR). Detailed completion instructions
are contained in the advisory material to those documents. Box 3 – Status
Code Status of this SDR (provide one only)
Submitters of mandatory SDRs are requested to provide the appropriate codes in
boxes 3 and 7. Note, however, that Transport Canada can generally determine the OC Original Closed: Initial report - complete, nothing further to follow
correct codes if the submitter provides a good description of the service difficulty in box OO Original Open: Interim report - further report(s) to follow
10. The codes are not required for SDRs submitted voluntarily. SC
Supplemental Closed: Additional information to an earlier report -
nothing further to follow
BLOCK ENTRY SO Supplemental Open: Additional information - further report(s) to follow

1. REGISTRATION Aircraft Registration Box 7(A) – When Discovered


2. DATE Date service difficulty occurred. Enter year-month-day. Enter 1 (only) code best describing the stage of flight or ground operation the aircraft was engaged
3. STATUS Status of this report (see box 3 for codes) in when the service difficulty was discovered
Stage of Operation When Stage of Operation When
AIRCRAFT INFORMATION Code Code
Discovered Discovered
4. AIRCRAFT Manufacturer, model and serial number of the aeronautical product to AP Approach SI Special Inspection
which the problem relates CI Corrosion Inspection Scheduled Maintenance
5. POWERPLANT SM
CL Climb Procedures
6. PROPELLER - Avoid colloquial names and market titles
CR Cruise SO Special Operations/Other
- Use military designations when appropriate
DE Descent SR Structural Inspection
- Use kit plan name for amateur-built aircraft FF Teardown ST Engine Start
- Powerplant and propeller details not required unless related to the GR Ground Handling SV Servicing
problem HO Hovering TO Take-Off
7. CODES (see box 7(a), 7(b) and 7(c) for codes) IN Inspection TX Taxi
A. WHEN DISCOVERED 2-letter code best describing when the service difficulty was LD Landing UK Unknown
discovered NR Not Reported Unscheduled Maintenance
UM
B. NATURE 1 to 3 codes best describing the nature of the service difficulty OH Overhaul Procedure

C. ACTION TAKEN 1 to 4 codes best describing any action taken by the flight crew in Box 7(B) – NATURE
response to the service difficulty
Enter 1 to 3 codes best describing the nature of the condition resulting from the service difficulty.
8. ASSEMBLY THAT INCLUDES THE SPECIFIC PART The order is not important.
A. ASSEMBLY NAME Name, manufacturer, model or part number, and serial number of the
next higher assembly containing the defective part, e.g. identify the Code Nature of Condition Code Nature of Condition
B. MANUFACTURER
cylinder for a defective exhaust valve, or identify the alternator for a
A Flame (visible fire)
C. MODEL/PART NO. defective bearing. If the manufacturer's model number is the same as G Multiple failure of like systems
entered in blocks 4, 5 or 6, enter "SAME" in MANUFACTURER block B1 Smoke / Sparks
D. SERIAL NUMBER
only. B2 Fumes / Odours Electrical power loss
H1
Foreign object impact / (greater than 50%)
9. SPECIFIC PART CAUSING DIFFICULTY C
Lightning Electrical/Avionics components
A. PART NAME Parts manual description, e.g. skin, rib, shaft, pump, actuator, etc.
In-Flight separation / Loss of H2 malfunction
B. PART NUMBER Manufacturer's part identifier D1 (not JASC 24)
Aircraft Part
C. PART CONDITION Specific term best describing condition, e.g. cracked, burned, bent, D2 Door open in flight J1 True warning indication
shorted, etc. Avoid terms like U/S, repairable, etc.
D3 Noise or sound (bang, etc) J2 False warning indication
D. LOCATION OF Specific term locating problem, e.g. LH alternator, audio, RH D4 Airframe vibration/buffet J3 No warning indication
DEFECT ON PART outboard, range switch, flange radius, outlet port, etc
E1 Engine vibration K Fluid loss (fuel, oil, gas, etc)
E. PART CYCLES For turbine engines and other parts with a cyclic life E2 Engine overspeed/surge Malfunction of system being tested
L
F. PART TSN Part total time since new in whole hours E3 Engine partial power loss or the test circuit itself
G. PART TSO Part time since overhaul in whole hours E4 Engine case punctured M Over-temp condition (not fire)
E5 Turbine engine flameout O Other
10. PROBLEM Describe clearly the details of the service difficulty, including
DESCRIPTION relevant details of the conditions leading up to the problem, weather, E6 Engine stoppage Q Quality control problem
significant operating conditions and emergency measures executed E7 Engine controls affected
in flight. Identify the cause of the malfunction and indicate R Landing gear collapse / malfunction
E8 Prop controls affected
compliance (or not) with airworthiness directives or service bulletins.
F1 Fight controls affected S Other JASC systems affected
Provide any significant facts that may help to reduce or eliminate
recurrence of the problem or assist in its investigation. Flight controls - U1 Substandard parts
F2
uncommanded movement U2 Unapproved parts
11. SUBMITTER Select the appropriate submitter box. Print name, address, telephone
and fax numbers and email of individual or company submitting this V Human factors
SDR. W Uncommanded depressurization

Box 7(C) – Action Taken

PARTS Enter 1 to 4 codes best describing the action taken by the flight crew in response to the service
difficulty. Example: codes EJA would signify that an engine was shut down, fuel was dumped and
To assist possible further investigation of the service difficulty, affected parts should be retained by an unscheduled landing was made
the submitter for 21 days after submission of the SDR. If Transport Canada does not request the
parts within 21 days, submitters may dispose of the parts as they choose. Code Action Taken Code Action Taken

A Unscheduled landing
K None
B Emergency descent
C Aborted take-off L Aborted approach
MAIL OR FAX COMPLETED REPORT TO: D Returned to blocks M Evasive action
(It is suggested that a copy is kept for your records)
Shut down engine or feathered N Abnormal landing configuration
E
Transport Canada prop O Other
Continuing Airworthiness - AARDG F Activated fire extinguisher P Emergency landing gear extension
330 Sparks St. Ottawa, ON K1A 0N8 G Oxygen mask deployed Declared emergency (Mayday, PAN,
(613) 996-9178 Q
H Deactivated system/circuits ERS standby)
For further information on the SDR program, or any SDR, contact a I Intentional depressurization R Autorotation
[email protected] J Dumped fuel

24-0038E (2105-07)
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Continuing Control Number
Airworthiness
1. Registration 2. Date (yyyy-mm-dd)
C-
SERVICE DIFFICULTY REPORT 3. Status

AIRCRAFT INFORMATION Manufacturer Model Serial number

4. Aircraft

5. Powerplant

6. Propeller

7. Codes
(A) When discovered (1) (B) Nature (3 max.) (C) Action Taken (4 max.)

8. ASSEMBLY THAT INCLUDES SPECIFIC PART


(A) Assembly name (B) Manufacturer (C) Model / Part number (D) Serial number

9. SPECIFIC PART CAUSING DIFFICULTY


(A) Part name (B) Part number

(C) Part condition (D) Location of defect on part

(E) Part cycles (F) Part TSN (G) Part TSO


HRS HRS
10. Problem description

11. SUBMITTER
Select one: Manufacturer Air Operator AMO Transport Canada AME Other
Name

Address

Telephone (e.g. 999-999-9999) Fax (e.g. 999-999-9999) Email

24-0038E (2105-07)
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