Form P-4 · Page 1 of 2 | 1. Approving civil aviation authority / countryCASA – AUSTRALIA | AUTHORISED RELEASE CERTIFICATECASA FORM 1 | 3. Form tracking numberGG52568 | |||
| 4. Organisation name and addressInFlight Graphics Pty Ltd Factory 6, 1–3 Frederick Street, Sunbury VIC 3429, Australia | 5. Work order / contract / invoice683522 Northrop Grumman Australia Pty Ltd | ||||
| 6. Item | 7. Description | 8. Part number | 9. Quantity | 10. Serial number | 11. Status / work |
|---|---|---|---|---|---|
| 1 | See Attached Pages 2 to 2 | See Attached Pages 2 to 2 | 107 | N/A | NEW |
| 12. RemarksThe parts identified above were manufactured in accordance with approved design data and are in a condition for safe operation. Task card 52568. Manufactured under the InFlight Graphics Procedures and Quality Manual IG001 Rev 10 and Process Specification Manual IFGPS01 Rev 10. | |||||
| 13a. Certifies that the items identified above were manufactured in conformity to: ✓ Approved design data and are in a condition for safe operation Non-approved design data specified in block 12 | 14a. Maintenance release (CASR Part 145) Other regulation specified in block 12 Not applicable — new parts | ||||
| 13b. Authorised signatureDaniel Burton | 13c. Approval / authorisation numberPA-592089 | 13d. NameDaniel Burton | 13e. Date (d/m/y)2/06/2025 | ||
CASA Form 1 · Authorised Release Certificate · InFlight Graphics Pty Ltd, CASA Process Approval PA-592089
ATTACHMENT TO CASA FORM 1
Form tracking number GG52568 · PO 683522 · Northrop Grumman Australia Pty Ltd
| Item | Part image | P/N ordered | Description | Qty | Shelf life | Authorised document |
|---|---|---|---|---|---|---|
| 1 | NGA-KC30-0009 INFG PN 4039 | PLACARD – DANGER PROPELLER | 12 | 25/04/2027 | NGA-EO-KC30A-11-0008 | |
| 2 | NGA-KC30-0020 INFG PN 4050B | PLACARD – DRAIN | 60 | 25/04/2027 | NGA-EO-KC30A-11-0001 | |
| 3 | NGA-KC30-0161 INFG PN 8671B | PLACARD – MAX LOAD 25 KG – SMALL | 12 | 1/07/2027 | NGA-EO-KC30A-11-0005 | |
| 4 | NGA-KC30-0146 INFG PN 8508 | PLACARD – RETURN TO SEAT – REV LAYOUT | 20 | 1/07/2027 | NGA-EO-KC30A-11-0004 | |
| 5 | NGA-KC30-0190 INFG PN 8977C | PLACARD – LIFE VEST UNDER SEAT IN FRONT – LH | 2 | 17/07/2026 | NGA-EO-KC30A-11-0005 | |
| 6 | NGA-KC30-0069 INFG PN 4099B | ID PLATE – A39-007 FIREPROOF ID PLATE | 1 | N/A | NGA-EO-KC30A-11-0005 |
Shelf life = the earliest expiry (SLX) across the jobs that made each line.Released by Daniel Burton · 2/06/2025