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Case Base Reasoning (CBR) Submittal Form

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Questions about the use of this form? Please e-mail them to CBR Session Manager.

I. ADMINISTRATION

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Initial Symptom:* Limit to 100 characters ----------------------------------------------------------------------------------------------------------------------------------- 100 characters left
Root Cause:* Limit to 150 characters ----------------------------------------------------------------------------------------------------------------------------------- 150 characters left
Condition Occured or Discovered During:

Aircraft Group:*	Avionics Suite:
Engine:	Propeller:

PRIMARY

ATA Chapter:*

ATA Sub-Chapter:*

ATA-Zone

SECONDARY

ATA Chapter:

ATA Sub-Chapter:

ATA-Zone

Case Source:

Aircraft S/N Applicability:*
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250 characters left Limit to 250 characters

II. ROOT CAUSE REPAIR / REPLACEMENT MATRIX

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Part Cost Estimate:*

Labor Estimate:*

Frequency of Occurence:*

III. OBSERVATIONS

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Please fill out "Observation 1" Section below (required)

OBSERVATION 1

Observation* Limit to 250 characters ----------------------------------------------------------------------------------------------------------------------------------- 250 characters left
Other Notes: Limit to 250 characters ----------------------------------------------------------------------------------------------------------------------------------- 250 characters left
Response:*
Observation Time Estimate*	Observation Cost Estimate:*
# of Resources:*	Actual Time:*
Manual:*	REPS (IML) Code:*
Observation 1 Reference:* Limit to 150 characters ----------------------------------------------------------------------------------------------------------------------------------- 150 characters left

Check if wish to fill additional Observation Section below Or skip this and go to Maintenance / Repair section

OBSERVATION 2

Observation* Limit to 250 characters ----------------------------------------------------------------------------------------------------------------------------------- 250 characters left
Other Notes: Limit to 250 characters ----------------------------------------------------------------------------------------------------------------------------------- 250 characters left
Response:*
Observation Time Estimate*	Observation Cost Estimate:*
# of Resources:*	Actual Time:*
Manual:*	REPS (IML) Code:*
Observation 2 Reference:* Limit to 150 characters ----------------------------------------------------------------------------------------------------------------------------------- 150 characters left

Check if wish to fill additional Observation Section below Or skip this and go to Maintenance / Repair section

OBSERVATION 3

Observation* Limit to 250 characters ----------------------------------------------------------------------------------------------------------------------------------- 250 characters left
Other Notes: Limit to 250 characters ----------------------------------------------------------------------------------------------------------------------------------- 250 characters left
Response:*
Observation Time Estimate*	Observation Cost Estimate:*
# of Resources:*	Actual Time:*
Manual:*	REPS (IML) Code:*
Observation 3 Reference:* Limit to 150 characters ----------------------------------------------------------------------------------------------------------------------------------- 150 characters left

Check if wish to fill additional Observation Section below Or skip this and go to Maintenance / Repair section

OBSERVATION 4

Observation* Limit to 250 characters ----------------------------------------------------------------------------------------------------------------------------------- 250 characters left
Other Notes: Limit to 250 characters ----------------------------------------------------------------------------------------------------------------------------------- 250 characters left
Response:*
Observation Time Estimate*	Observation Cost Estimate:*
# of Resources:*	Actual Time:*
Manual:*	REPS (IML) Code:*
Observation 4 Reference:* Limit to 150 characters ----------------------------------------------------------------------------------------------------------------------------------- 150 characters left

Check if wish to fill additional Observation Section below Or skip this and go to Maintenance / Repair section

OBSERVATION 5

Observation* Limit to 250 characters ----------------------------------------------------------------------------------------------------------------------------------- 250 characters left
Other Notes: Limit to 250 characters ----------------------------------------------------------------------------------------------------------------------------------- 250 characters left
Response:*