Page 1 of 17 ATA 67 - 00 - 00 ONE - TIME INSPECTION 

# S- 92 ® 

# HELICOPTER ALERT SERVICE BULLETIN

N OTICE TO A LL P ERSONS R ECEIVING T HIS D OCUMENT : W ARNING : T HIS DOCUMENT , OR AN EMBODIMENT OF IT IN ANY MEDIA , DISCLOSES INFORMATION WHICH IS PROPRIETA RY , IS THE PROPERTY OF SIKORSKY AIRCRAFT CORPORATION AND / OR ITS SUBSIDIARIES , IS AN UNPUBLISHED WORK PROTECTED UNDER APPLICABLE COPYRIGHT LA WS , AND IS DELIVERED ON THE EXPRESS CONDITION THAT IT IS NOT TO BE USED , DISCLOSED , REPRODUCED , IN WHOLE OR IN PART ( INCLUDING REPRODUCTION AS A DERIVATIVE WORK ), OR USED FOR MANUFACTURE FOR ANYONE OTHER THAN SIKORSKY AIRCRAFT CORPORATION AND / OR ITS SUBSIDIARIES WITHOUT ITS WRITTEN CONSENT , AND THAT NO RIGHT IS GRANTED TO DISCLOSE OR SO USE ANY INFORMATION CONTAINED HERE IN . A LL RIGHTS RESERVED . A NY ACT IN VIOLATION OF APPLICABLE LAW MAY RESULT IN CIVIL AND CRIMINAL PENALTIES . S- 92 ® IS A REGISTERED TRADEMARK OF SIKORSKY AIRCRAFT CORPORATION . ASB 92- 67 -006 February 16 /16 Revision A ▪ February 19/16 SUBJECT: FLIGHT CONTROLS

– Pushrods

– One-Time Inspection of Main Rotor and Tail Rotor Servo

Pushr ods Section 1. PLANNING INFORMATION A. Effectivity S- 92 A model helicopters with serial numbers 920006 through 920291. B. Purpose To provide instructions to inspect for proper pushrod assembly. C. Background Main rotor servo input pushrods and tail rotor servo pushrods were found with

incorrect safety cable routing, incorrect jam nut torque, and/or incorrect locking device serrations and keys engagement. D. Description Helicopter is prepared for inspection. Flight control rods are inspected for safety

cable routing, engagement of serrations of locking device, engagement of keys on locking device, thread engagement, and torque of jamnuts. Non-compliant inspection results are documented on Pushrod Data Sheet. If any discrepancies are found , applicable pushrod is removed, reworked, reinstalled, or replaced. Rig check is performed, as required. Helicopter is returned to service. E. Compliance Compliance is essential. The inspection outlined herein must be accomplished no

later than May 16, 2016. Sikorsky Aircraft Corporation 6900 Main StreetP.O. Box 9729 Stratford, Connecticut 06615 - 9129 (203) 386 - 4000

### S- 92 ALERT ASB 92- 67 -006



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Page 2 ATA 67 - 00 - 00 ONE - TIME

INSPECTION Section 1. PLANNING lNFORMATION (Continued) F. Approval Inspection item. G. Manpower (Estimated)

Task No. of Men No. of Hours Man - Hours * Inspect ion of Flight Control Pushr ods 1 2 .0 2 .0 Rework of Flight Control Pushr ods 1 2 .0 2 .0 Perform ance of Rig Check 2 1 .0 2 .0 ** Total Man - Hours 6 .0 *Estimate does not include time required to prepare helicopter or return it to flight status.

** Estimated time is for passing a rig check on the first attempt

.

H. Tooling Qty Nomenclature Part No. Source 1 Lighted Borescope Commercially available or equivalent (1) 1 Inspection Mirror Commercially available or equivalent (1) 1 Torque Wrench (30 - 150 in. lbs.) Commercially available or equivalent (1) 1 Torque Wrench (150 - 750 in.

lbs.) Commercially available or equivalent (1) (1) Available through normal supply channels. I. Weight and Balance Not a ffected. J. Electrical Load Data Not affected. K. Software Load Data Not changed. L. References (1) Maintenance Manual, SA S92A-AMM-000, Task 21- 23 - 02 - 900 -003/-004. (2) Maintenance Manual, SA S92A-AMM-000, Task 53 - 70 - 00 - 900 -001. (3) Maintenance Manual, SA S92A-AMM-000, Task 54- 72 - 03 - 900 -003/-004.ASB 92 - 67 -006 

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Revision A ▪ February 19 /16 

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Page 3 ATA 67 - 00 - 00 ONE - TIME INSPECTION Section 1. PLANNING INFORMATION (Continued)

(4) Maintenance Manual, SA S92A-AMM-000, Chapter/Section 67- 00 - 07

. (5) Maintenance Manual, SA S92A-AMM-000, Task 67- 11 - 04 - 960 -009. (6) Maintenance Manual, SA S92A-AMM-000, Task 67- 12 - 03 - 960 -005. (7) Maintenance Manual, SA S92A-AMM-000, Task 67- 14 - 04 - 960 -002. (8) Maintenance Manual, SA S92A-AMM-000, Task 67- 14 - 05 - 900 -001/-002. (9) Maintenance Manual, SA S92A-AMM-000, Task 67 - 14 - 06 - 960 -001. (10) Maintenance Manual, SA S92A-AMM-000, Task 67- 21 - 04 - 960 -007. (11) Maintenance Manual, SA S92A-AMM- 00 0, Task 67- 23 - 01 - 960 -007. M. Publications Affected (1) Temporary Revision No. 5- 173 against Maintenance Manual, SA S92-AWL-000, Task 5- 20 - 00 -200-007, is issued concurrently with this ASB. (2) Temporary Revision No. 67- 09 against Maintenance Manual, SA S92-AMM-000, Task 67- 11 - 04 -960-009 , will be issued at a later date. (3) Temporary Revision No. 67- 10 against Maintenance Manual, SA S92-AMM-000, Task 67 - 12 - 03 -960-005 and 67- 12 - 03 - 300 -002 , will be issued at a later date. (4) Temporary Revision No. 67- 11 against Maintenance Manual, SA S92-AMM-000, Task 67 - 14 - 04 -960-002 , will be issued at a later date. (5) Temporary Revision No. 67- 12 against Maintenance Manual, SA S92-AMM-000, Task 67 - 14 - 06 -960-001, will be issued at a later date. (6) Temporary Revision No. 67- 13 against Maintenance Manual, SA S92-AMM-000, Task 67- 21 - 04 -960-007, will be issued at a later date. (7) Temporary Revision No. 67- 14 against Maintenance Manual, SA S92-AMM-000, Task 67- 23 - 01 -960-007, will be issued at a later date. (8) Temporary Revision No. 67- 15 against Maintenance Manual, SA S92-AMM-000, Task Chapter/Section 67- 00 -00, is issued concurrently with this ASB. N. Attachment None.

### S- 92 ALERT ASB 92- 67 -006



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Page 4 ATA 67 - 00 - 00 ONE - TIME

INSPECTION Section 2. MATERIAL INFORMATION A. Basis for Material Data Per helicopter. B. Bill of Material None. C. Consumable Material

Qty Nomenclature Part No. Source A/R 0.02 Inch Diameter Safety Cable Commercially a vailable or equivalent (1) A/R 0.02 Inch Diameter Safety Wire Commercially available or equivalent (1)

(1) Procure locally. Section 3. ACCOMPLISHMENT INSTRUCTIONS

A. Prepare helicopter for modification:

(1) Turn off all helicopter electrical and hydraulic power. (2) Engage rotor brake. TO PREVENT ELECTRICAL SHOCK OF PERSONNEL OR POSSIBLE DAMAGE TO HELICOPTER COMPONENTS, MAKE SURE TO TURN OFF ALL ELECTRICAL POWER. WHEN ANY COMPONENT OF ANY FLIGHT CONTROL SYSTEM IS DISCONNECTED, REMOVED, AND REINSTALLED OR REPLACED, A RIGGING CHECK OF THE AFFECTED SECTION MUST BE MADE TO BE SURE THAT CONTROL RANGES ARE WITHIN SPECIFIED LIMITS. OBSERVE ALL CAUTIONS AND WARNINGS ON CONTAINERS WHEN USING CONSUMABLES. WHEN APPLICABLE, WEAR NECESSARY PROTECTIVE GEAR DURING HANDLING AND USE. IF A CONSUMABLE IS FLAMMABLE OR EXPLOSIVE, MAKE CERTAIN CONSUMABLE AND ITS VAPORS ARE KEPT AWAY FROM HEAT, SPAR K AND FLAME. MAKE CERTAIN FIREFIGHTING EQUIPMENT IS READILY AVAILABLE PRIOR TO USE. FOR ADDITIONAL INFORMATION ON TOXICITY, FLASHPOINT AND FLAMMABILITY OF CHEMICALS, CONSULT YOUR MEDICAL PEOPLE OR THE MANUFACTURER OF THE CONSUMABLE.ASB 92 - 67 -006 

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Revision A ▪ February 19 /16 

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Page 5 ATA 67 - 00 - 00 ONE - TIME INSPECTION Section 3. ACCOMPLISHMENT INSTRUCTIONS (Continued)

(3) Open main rotor pylon sliding fairing. (Refer to Maintenance Manual, SA S92A-AMM-000, Task 53 - 70 - 00 - 900 -001).(4) Remove tail rotor servo fairing assembly. (Refer to Maintenance Manual, SA S92A-AMM000, Task 54 - 72 -03-900- 00 3 ). (5) Remove mixer top plate. (Refer to Maintenance Manual, SA S92A-AMM-000, Task 67- 14 - 05 -900-001). (6) If necessary, remove air conditioning crossover duct (92309-04818-101/-104). (Refer to Maintenance Manual, SA S92A-AMM-000, Task 21- 23 - 02 - 900 -003).(7) If necessary, remove applicable interior panels. (Refer to Maintenance Manual, SA S92AAMM-000, Chapter 25). NOTE: Perform all of the following inspections before correcting any non-conformities. B. Inspect flight control pushrods listed in Table 1 as follows (Figure 1): (1) Visually inspect adjustable ends of pushrods for proper safety cable routing. Right hand threads shall have safety cable routed as shown in Figure 2. Left hand threads shall have safety cable routed as shown in Figure 3. If safety cable is installed incorrectly, record results on Pushrod Data Sheet. (Refer to Pushrod Data Sheet, step K.). NOTE: Use of a lighted borescope (commercially available or equivalent) may aid during inspection. (a) For upper deck quadrant pushrod (92400-04802-105) only, if safety cable is incorrect, access must be gained to the pushrod and steps B.(2), B.(3), and B.(4) must be performed. Steps B.(3)( a) and B.(4)(a) cannot be applied. NOTE: Use of a lighted borescope (commercially available or equivalent) may aid while inspecting upper deck quadrant pushrod (92400-04802-105). (2) Where locking devices are used, visually inspect adjustable ends of pushrods for proper engagement of serrations and keys of the locking device. If serrations and keys of locking device are not properly engaged, record results on Pushrod Data Sheet. (Refer to Pushrod Data Sheet, step K.). (Refer to Figure 4 ). (3) Inspect adjustable ends of pushrods for minimum thread engagement. Check that adjustable rod end, or clevis, is threaded beyond the inspection hole and that 0.02 inch diameter safety wire (commercially available or equivalent) cannot be inserted through the hole.If adjustable ends of pushrods do not have proper thread engagement, record results on Pushrod Data Sheet. (Refer to Pushrod Data Sheet, step K.).

### S- 92 ALERT ASB 92- 67 -006



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Page 6 ATA 67 - 00 - 00 ONE - TIME

INSPECTION Section 3. ACCOMPLISHMENT INSTRUCTIONS (Continued) NOTE: Use of a lighted borescope (commercially available or equivalent) may aid while inspecting upper deck quadrant pushrod (92400-04802-105). (a) For upper deck quadrant pushrod (92400-04802-105) only, if safety cable is installed correctly, locking devices pass visual inspection, and an acceptable maintenance phase inspection that would allow access to the pushrod does not coincide with the accomplishment of this ASB, step B.(3) can be deferred until the pushrod is accessible and step B.(3)(b) and B.(3)(c) can be performed as an alternate means of compliance. The procedure in step B.(3) above shall be accomplished the next time the pushrod is accessible, not to exceed the next 1500 hour inspection if not done at this time (b) If B.(3) is deferred for the upper deck quadrant pushrod (92400-04802-105), a visual inspection is required to confirm that threads are visible in the inspection hole. If threads are not visible, record results on Pushrod Data Sheet and proceed to step B.(4). Step B(4)(a) cannot be applied. (c) If B.(3) is deferred for the upper deck quadrant pushrod (92400-04802-105), record the inspection requirement in the helicopter logbook. NOTE: Do not turn pushrod tube to determine looseness of jamnut or fasteners. (4) For all adjustable pushrods, check jamnut for looseness using finger pressure with safety cable removed. Jamnut shall not turn in either direction. If jamnut moves with finger pressure, record results on Pushrod Data Sheet. (Refer to Pushrod Data Sheet, step K.). (a) For upper deck quadrant pushrod (92400-04802-105) only, if safety cable is installed correctly, locking devices pass visual inspection, threads are visible through the inspection hole, and an acceptable phase inspection that would allow access to the pushrod does not coincide with the accomplishment of this ASB, step B.(4) can be deferred until the pushrod is accessible and step B.(4)(b) and B.(4)(c) can be performed as an alternate means of compliance. The procedure in step B.(4) above shall be accomplished the next time the pushrod is accessible, not to exceed the next 1500 hour inspection if not done at this time. (b) If B.(4) is deferred for the upper deck quadrant pushrod (92400-04802-105), a visual inspection in the interim is required to confirm that there is no clearance between the jam nut, locking device, and pushrod insert around the entire periphery of these items. If clearance is present, gain access to the pushrod and check jamnut for looseness using finger pressure, with safety cable removed. Jamnut shall not turn in either direction. If jamnut moves with finger pressure, record results on Pushrod Data Sheet. (c) If B.(4) is deferred for the upper deck quadrant pushrod (92400-04802-105), record the inspection requirement in the helicopter logbook.ASB 92 - 67 -006 

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Revision A ▪ February 19 /16 

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Page 7 ATA 67 - 00 - 00 ONE - TIME INSPECTION Section 3. ACCOMPLISHMENT INSTRUCTIONS (Continued) PUSHROD IDENTIFICATION - TABLE 1 NOMENCLATURE PART NUMBER TO RQUE VALUE TASK NUMBER Yaw Boost Input Pushrod 92400 - 04801 - 108 60 - 100 inch pounds 67 - 21 - 04 - 960 - 007 Pitch Boost Input Pushrod 92400 - 04801 - 107 43 inch - p o unds 67 - 11 - 04 - 960 - 009 Collective Boost Input Pushrod 92400 - 04801 - 107 350 inch - pounds 67 - 12 - 03 - 960 - 005 Roll Boost Input Pushrod 92400 - 04801 - 109 43 inch pounds 67 - 11 - 04 - 960 - 009 Yaw Boost Out Pushrod 92400 - 04802 - 109 40 - 46 inch - pounds 67 - 14 - 04 - 960 - 002 Roll Boost Out Pushrod 92400 - 04803 - 103 40 - 46 inch - pounds 67 - 14 - 04 - 960 - 002 Pitch Boost Out Pushrod 92400 - 04803 - 102 40 - 46 inch - pounds 67 - 14 - 04 - 960 - 002 Collective Boost Out Pushrod 92400 - 04802 - 108 40 - 46 inch - pounds 67 - 14 - 04 - 960 - 002 Limiter Pushrod 92400 - 04803 - 106 40 - 46 inch - pounds 67 - 14 - 04 - 960 - 002 Pitch to Roll Pushrod 92400 - 04803 - 107 40 - 46 inch - pounds 67 - 14 - 04 - 960 - 002 Left Hand Main Rotor Servo Pushrod 92400 - 04801 - 110 350 inch - pounds 67 - 14 - 06 - 960 - 001 Forward Main Rotor Servo Pushrod 92400 - 04801 - 111 350 inch - pounds 67 - 14 - 06 - 960 - 001 Right Hand Main Rotor Servo Pushrod 92400 - 04801 - 112 350 inch - pounds 67 - 14 - 06 - 960 - 001 Upper Deck Quadrant Pushrod 92400 - 04802 - 105 60 - 100 inch pounds 67 - 21 - 04 - 960 - 007 Tail Rotor Servo Input Pushrod 92400 - 04802 - 107 40 - 46 inch - pounds 67 - 23 - 01 - 960 - 007

NOTE: If safety cable is routed properly, keys and serrations are properly engaged, thread is properly engaged, and jamnut does not move, proceed to step D. C. Disposition of Non-Conforming Material: (1) If jamnut inspected in step B.(4) failed the finger pressure check, perform the following: (a) Remove and replace pushrod per applicable AMM task. If a replacement part is not readily available, contact Sikorsky Aircraft Corporation for inspection instructions to determine if pushrod may be suitable for limited use. (2) If threads inspected in step B.(3) are not properly engaged, perform the following: (a) Gain access to applicable control rod, as required. (b) Remove applicable pushrod. (Refer to task listed in Table 1). (c) Measure and record length from mounting centers.

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Page 8 ATA 67 - 00 - 00 ONE - TIME

INSPECTION Section 3. ACCOMPLISHMENT INSTRUCTIONS (Continued)

(d) Measure and record rod end, or clevis, orientation. (e) If required, remove safety cable. NOTE: Make sure serrations and key are properly engaged. (f) Reassemble rod end, jamnuts, and locking device. (g) Adjust to recorded length and rod end, or clevis, orientation. (h) Install applicable pushrod. (Refer to task listed in Table 1). (i) Check that adjustable rod end, clevis, and adjuster are threaded beyond the inspection hole such that a 0.02 inch diameter safety wire cannot be inserted through hole. (j) Using torque wrench (commercially available or equivalent), torque jamnut. (Refer to task and torque value listed in Table 1). NOTE: Make sure safety cable is routed in the proper direction for left hand or right hand thread. (Refer to Figures 2 and 3). (k) Install safety cable.(l) If required, perform quick rigging check. (Refer to Maintenance Manual, SA S92AAMM-000, Chapter/Section 67- 00 -07). (m) Proceed to step E. (3) If serrations and keys of the locking device inspected in step B.(2) are not properly engaged, perform the following: (a) Gain access to applicable control rod, as required. (b) If required, remove safety cable. (c) Back off jamnut and inspect locking device for damage. Replace locking device as required. (Refer to task listed in Table 1). (d) Using torque wrench (commercially available or equivalent), torque jamnut. (Refer to task and torque value listed in Table 1) NOTE: Make sure safety cable is routed in the proper direction for left hand or right hand thread. (Refer to Figures 2 and 3). (e) Install safety cable.(f) If required, perform quick rigging check. (Refer to Maintenance Manual, SA S92AAMM-000, Chapter/Section 67- 00 - 07 ).ASB 92 - 67 -006 

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Page 9 ATA 67 - 00 - 00 ONE - TIME INSPECTION Section 3. ACCOMPLISHMENT INSTRUCTIONS (Continued)

(g) Proceed to step E. (4) If safety cable inspected in step B.(1) is installed incorrectly, perform the following: (a) Gain access to applicable control rod, as required. (b) If required, remove safety cable. (c) Using torque wrench (commercially available or equivalent), torque jamnut. Record if jamnut moves at minimum torque. (Refer to task and torque value listed in Table 1). NOTE: Make sure safety cable is routed in the proper direction for left hand or right hand thread. (Refer to Figures 2 and 3). (d) Install safety cable. (e) Proceed to step E. D. Disposition of Conforming Material:

NOTE: For upper deck quadrant pushrod (92400-04802-105) only, proceed to step E if inspections B.(3) and B.(4) were deferred. Add the torque wrench verification below to the logbook to be performed the next time the pushrod is accessible, not to exceed the next 1500 hour inspection if not done at this time, as an alternate means of compliance to step D.(1). (1) If safety cable is routed properly, keys and serrations are properly engaged, thread is properly engaged, and jamnut does not move with finger pressure, perform the following: (a) Using torque wrench (commercially available or equivalent), torque jamnut. (Refer t o task and torque value listed in Table 1). NOTE: Make sure safety cable is routed in the proper direction for left hand or right hand thread. (Refer to Figures 2 and 3). (b) Install safety cable. E. Install tail rotor servo fairing assembly. (Refer to Maintenance Manual, SA S92A-AMM-000, Task 54 - 72 -03- 900 - 00 4 ). F. Install mixer top plate. (Refer to Maintenance Manual, SA S92A-AMM-000, Task 67- 14 - 05 - 900 - 002). G. If removed, install air conditioning crossover duct (92309-04818-101/-104). (Refer to Maintenance Manual, SA S92A-AMM-000, Task 21- 23 - 02 - 900 -004). H. If removed, install applicable interior panels. (Refer to Maintenance Manual, SA S92A-AMM-000, Chapter 25).

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INSPECTION Section 3. ACCOMPLISHMENT INSTRUCTIONS (Continued) I. Close main rotor pylon sliding fairing. (Refer to Maintenance Manual, SA S92A-AMM-000, Task 53 - 70 - 00 - 900 -001). J. Return helicopter to service.ASB 92 - 67 -006 

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Page 11 ATA 67 - 00 - 00 ONE - TIME INSPECTION Section 3. ACCOMPLISHMENT INSTRUCTIONS (Continued) K. Pushrod Data Sheet: (1) Report the non-conforming data, fax to facsimile number (860- 99 8-7565) or scan and email to: GPSIKSASProductSafet@utc.com. (2) Record the following information for each pushrod, and attach labeled photographs showing the same: Customer/Operator Name: Helicopter Serial Number: Pushrod Part Number: Pushrod Serial Number: Was safety cable installed correctly? _______Yes

__ _____No Were locking device serrations properly engaged? _______Yes _______No Was locking device key properly engaged? _______Yes _______No Did adjustable ends of pushrod have proper thread engagement?_______Yes_______No Was jamnut properly torqued?_______Yes _______No

### S- 92 ALERT ASB 92- 67 -006



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INSPECTION Section 3. ACCOMPLISHMENT INSTRUCTIONS (Continued)

COMPONENT LOCATION FIGURE 1 (SHEET 1 OF 2)ASB 92 - 67 -006 

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Revision A ▪ February 19/16 

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Page 13 ATA 67 - 00 - 00 ONE - TIME INSPECTION Section 3. ACCOMPLISHMENT INSTRUCTIONS (Continued)

COMPONENT LOCATION FIGURE 1 (SHEET 2)

### S- 92 ALERT ASB 92- 67 -006A



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INSPECTION Section 3. ACCOMPLISHMENT INSTRUCTIONS (Continued)

RIGHT HAND THREAD SAFETY CABLE ROUTING

FIGURE 2ASB 92 - 67 -006 

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Revision A ▪ February 19 /16 

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Page 15 ATA 67 - 00 - 00 ONE - TIME INSPECTION Section 3. ACCOMPLISHMENT INSTRUCTIONS (Continued)

LEFT HAND THREAD SAFETY CABLE ROUTING

FIGURE 3

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### SERVICE BULLETIN Revision A ▪ February 19 /16

Page 16 ATA 67 - 00 - 00 ONE - TIME

INSPECTION Section 3. ACCOMPLISHMENT INSTRUCTIONS (Continued)

LOCKING DEVICE INSTALLATION

FIGURE 4ASB 92 - 67 -006 

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Revision A ▪ February 19 /16 

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Page 17 ATA 67 - 00 - 00 ONE - TIME INSPECTION Section 3. ACCOMPLISHMENT INSTRUCTIONS (Continued) L. Record of compliance: (1) Make helicopter logbook entries to show compliance with this ASB as follows: (a) Make helicopter level logbook entry on form SA7343- 15 (Aircraft ASB and CSN Release Signoff). (b) When ASB modifies a component that can be removed from this helicopter: 1. Make component log card entries on forms SA7343-22 (Aircraft Component Log Cards) and SA7343- 21 (Component Log Cards), as applicable. 2. If a component modified by this ASB does not have a log card and the ASB does not create one, then annotate compliance on the next higher assembly that the component belongs to which does have a log card. NOTE: If access to www.Sikorsky360.com is unavailable, complete attached ALERT SERVICE BULLETIN COMPLIANCE RECORD CARD and return it to Sikorsky Aircraft Corporation. (2) Make an appropriate electronic compliance entry in the E-Notification section at www.Sikorsky360.com . Refer to User Guide located on the www.Sikorsky360.com/ENotification Search page.

### (Fold over and tape closed)

SIKORSKY AIRCRAFT CORPORATION 

# FACSIMILE NUMBER (860) 998 -7565 EMAIL ADDRESS: GPSIKSASProductSafet@utc.com

ATTENTION: PRODUCT SAFETY MANAGER SIKORSKY AIRCRAFT CORPORATION

(Fold Up to Arrows) 

# IM PORTANT NOTICE Upon COMPLIANCE with the attached ASB , Sikorsky requests your cooperation in completing and returning this ENTIRE PAGE by MAIL, FAX, or scan & EMAIL. Please fill in the requested information at the bottom of the page, so we may maintain proper records documenting the configuration of your aircraft. This information is useful when determining configuration and effectivity of issues affecting fielded aircraft. This request is in keeping with our policy to assure that our customers receive the latest information applicable for the maintenance of your aircraft. Thank you. ALERT SERVICE BULLETIN :

________________ Compliance Record Card TITLE:

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________ OWNER/OPERATOR:

_____________________________________________________ SUBMITTED BY:

___________________________ DATE:

____________________ FOLLOWING SERIAL NUMBERS ARE NOT AFFECTED BY THIS ASB ASB HAS BEEN COMPLIED WITH ON HELICOPTER SERIAL NUMBERS :

___________ ___________ ___________ ___________ ___________ ___________

___________ ___________ ___________ ___________ ___________ ___________ No . 92

- 67

- 006 A FLIGHT CONTROLS – Pushrods

– One

- Time Inspection of Main Rotor and Tail Rotor Servo PushrodsNo Postage Necessary 

### BUSINESS REPLY MAIL FIRST - CLASS MAIL PERMIT NO. 432 BRIDGEPORT CT POSTAGE WILL BE PAID BY ADDRESSEE 

### SIKORSKY AIRCRAFT CORPORATION Commercial Systems and Services Mailstop K100 124 QUARRY ROAD TRUMBULL, CT 06611 U.S.A. ATTENTION: PRODUCT SAFETY MANAGER SIKORSKY AIRCRAFT CORPORATION



## Please complete the form on the reverse side and FAX to 

# FACSIMILE NUMBER (860) 998 -7565 Or scan and email to: EMAIL ADDRESS: GPSIKSASProductSafet@utc.com or fold and return ENTIRE form to Sikorsky Aircraft Corporation