Form P-4 · Page 1 of 2 | 1. Approving civil aviation authority / countryCASA – AUSTRALIA | AUTHORISED RELEASE CERTIFICATECASA FORM 1 | 3. Form tracking numberGG52997 | |||
| 4. Organisation name and addressInFlight Graphics Pty Ltd Factory 6, 1–3 Frederick Street, Sunbury VIC 3429, Australia | 5. Work order / contract / invoice619147 Royal Flying Doctor Service – Western 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 | 109 | 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 52997. 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)12/10/2026 | ||
CASA Form 1 · Authorised Release Certificate · InFlight Graphics Pty Ltd, CASA Process Approval PA-592089
ATTACHMENT TO CASA FORM 1
Form tracking number GG52997 · PO 619147 · Royal Flying Doctor Service – Western Operations
| Item | Part image | P/N ordered | Description | Qty | Shelf life | Authorised document |
|---|---|---|---|---|---|---|
| 1 | WO-PLC-0135 INFG PN 3473 | ID PLATE – VH-FWA FIREPROOF ID PLATE | 1 | N/A | RFDS-EO-PC124-11-0009 | |
| 2 | WO-PLC-0107 INFG PN 3445C | PLACARD – GROUND HANDLE ONLY | 20 | 9/04/2028 | RFDS-EO-PC124-11-0008 | |
| 3 | WO-PLC-0102 INFG PN 3440B | PLACARD – FIRE EXTINGUISHER DISCHARGE INDICATOR | 2 | 19/05/2028 | RFDS-EO-PC124-11-0003 | |
| 4 | WO-PLC-0138 INFG PN 3476B | PAINT MASK – VH-FWB REGISTRATION – FUSELAGE | 1 | 28/06/2027 | RFDS-EO-PC124-11-0003 | |
| 5 | WO-PLC-0078 INFG PN 3416C | STENCIL – ACCESS PANEL 174AR | 10 | 28/06/2027 | RFDS-EO-PC24-11-0006 | |
| 6 | WO-PLC-0101 INFG PN 3439 | PLACARD – VENT | 60 | 25/04/2027 | RFDS-EO-PC124-11-0002 | |
| 7 | WO-PLC-0121 INFG PN 3459 | PLACARD – WASTE ONLY | 5 | 8/08/2028 | RFDS-EO-PC124-11-0004 | |
| 8 | WO-PLC-0087 INFG PN 3425 | PLACARD – WASTE SERVICE | 10 | 31/05/2028 | RFDS-EO-PC124-11-0006 |
Shelf life = the earliest expiry (SLX) across the jobs that made each line.Released by Daniel Burton · 12/10/2026