Form P-4 · Page 1 of 2 | 1. Approving civil aviation authority / countryCASA – AUSTRALIA | AUTHORISED RELEASE CERTIFICATECASA FORM 1 | 3. Form tracking numberGG52746 | |||
| 4. Organisation name and addressInFlight Graphics Pty Ltd Factory 6, 1–3 Frederick Street, Sunbury VIC 3429, Australia | 5. Work order / contract / invoicePO627326 Ambulance Victoria – Air Operations | ||||
| 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 | 76 | 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 52746. 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)24/12/2025 | ||
CASA Form 1 · Authorised Release Certificate · InFlight Graphics Pty Ltd, CASA Process Approval PA-592089
ATTACHMENT TO CASA FORM 1
Form tracking number GG52746 · PO PO627326 · Ambulance Victoria – Air Operations
| Item | Part image | P/N ordered | Description | Qty | Shelf life | Authorised document |
|---|---|---|---|---|---|---|
| 1 | AV-0103 INFG PN 6181 | PLACARD – VENT | 60 | 24/08/2027 | AAV-EO-KINGA-11-0008 | |
| 2 | AV-0110 INFG PN 6188D | PLACARD – ELT 406 MHz | 4 | 1/07/2027 | AAV-EO-KINGA-11-0006 | |
| 3 | AV-0094 INFG PN 6172C | PLACARD – EMERGENCY EXIT PULL HANDLE | 6 | 1/07/2027 | AAV-EO-KINGA-11-0008 | |
| 4 | AV-0149 INFG PN 6227D | PAINT MASK – VH-AMR REGISTRATION – FUSELAGE | 1 | 26/12/2026 | AAV-EO-KINGA-11-0009 | |
| 5 | AV-0093 INFG PN 6171D | PLACARD – DANGER KEEP CLEAR OF INTAKE | 5 | 24/08/2027 | AAV-EO-KINGA-11-0007 |
Shelf life = the earliest expiry (SLX) across the jobs that made each line.Released by Daniel Burton · 24/12/2025