Paperwork Reduction Act Burden Statement: This form reports occurrences or detection of each failure, malfunction, or defect in an aircraft.
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a
penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is
2120-0663. Public reporting for this collection of information is estimated to be approximately 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the
collection of information. All responses to this collection of information are required per 14 CFR Part 135. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the FAA at:
800 Independence Ave SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, AES-200.
FORM APPROVED
OMB No. 2120-0663 Exp. 10/31/2020
DEPARTMENT OF TRANSPORTATION RIS- WS 8070-1
FEDERAL AVIATION ADMINISTRATION
Control No.
U.S. Department
of Transportation
Federal Aviation
Administration
Service Difficulty Report ATA Code
AERONAUTICAL EQUIPMENT
MAJOR EQUIPMENT IDENTITY
Enter pertinent data MANUFACTURER MODEL/SERIES SERIAL NUMBER
NA16WE
boeing 737-200
AIRCRAFT 30663
POWERPLANT
PROPELLER
PROBLEM DESCRIPTION
DATE STATUS CARRIER ATA AIRCRAFT TYPE N- CONTROL NO.
03/09/2020
TEXT
The accident aircraft was HK 0099, Boeing 737-700, serial number 30663; which was impacted on the right plane from the bottom, due to the impact it is necessary to repair the outer flap on the
right side, completely removing the lower skin and repairing three ribs of the same flap.
Likewise, it was necessary to correct a small dent in the tip of the wing on the right side and remove it to paint it again.
The impact to the aircraft caused the destruction of the wingtip, taking into account the magnitude of the work, the operating airline of the aircraft decided to make a modification to the aircraft
and install the winglets using STC.
SPECIFIC PART CAUSING PROBLEM
PART NAME MFG. PART NUMBER PART CONDITION PART/DEFECT LOCATION
Report PART TT PART TSO
COMPONENT/APPLIANCE ABOVE PART INSTALLED ON whole
hours
COMP/APPL NAME MANUFACTURER MFG. MODEL/NUMBER SERIAL NO.
SUBMITTED BY
SUBMITTER (Check one) A B C D E F G H I P. S. L. ALERT OPER/D.O.
CARRIER REP OPER MECH AIR MFG FAA OTHER Spec.
STA. TAXI
PREC. PROC. NATURE STAGE STAT ROLL Frame SYS. SYS.
ADDITIONAL COMMENTS
FAA Form 8070-1 (11-84) SUPERSEDES PREVIOUS EDITION Shaded Areas are for FAA USE ONLY
All Submitters - Instructions for Completing FAA Form 8070-1
Major Equipment Identity
TITLE ENTRY
Aircraft Identify major equipment related to problem. Enter manufacturer, model, and serial
number per FAA/MANUFACTURER type certificate data sheet. If amateur built, use
Powerplant
plan or kit name. Use military model designators when appropriate. Avoid colloquial
Propeller
names and market titles.
N Aircraft Registration Number.
Problem Description
Date Give date problem occurred (i.e., 7-1-84).
Text Whenever possible, describe conditions subsequent to, or leading up to, the reported problem:
(a) Identify the cause for malfunction and emergency measures execute. (b) Include com-
pliance or noncompliance with Airworthiness Directives, Service Bulletins, STC's, and PMA's.
(c) Provide any significant fact you feel may help to reduce or eliminate recurrence (i.e., cycles,
landings, and suggested changes).
Part Name Skin, rib, shaft, Venturi, transistor, capacitor, etc. Avoid colloquial names.
Mfg. Part Number Alphanumeric part identifiers assigned by manufacturer.
Part Condition Cracked, bent, burned, corroded, shorted, etc.
Part/Defect Location L.H. alternator, audio, R.H. outboard, range switch, etc.
Part TT Total service time on part in whole hours (i.e., 00531).
Part TSO Service time on part since overhaul in whole hours (i.e., 00200)
Comp/Appl Name Fuselage, wing, alternator, carburetor, VOR receiver, etc.
Manufacturer Comp/appl manufacturer: Beech, Cessna, Prestolite, Bendix, Collins, etc.
Alphanumeric model and serial numbers or identifiers assigned by comp/appl manufacturer
Mfg. Model/Number,
(i.e., ALU8403, NAS3A1, 51 RVII). Do not repeat ''MAJOR EQUIPMENT IDENTITY" in these
Serial Number locations.
Submitted By
Submitter As noted on form.
FAA District Offices - Refer to FAA Order 8010.2
U.S. GOVERNMENT PRINTING OFFICE: 1984-461-823-21521
