Forged Form 1: O2-Generator, 12min Type B4, co

Suspected Unapproved Parts Details

Part name
O2-Generator, 12min Type B4, co
Part Number
Serial Number

A German Production Organization (POA) has informed LBA and EASA about Suspected unapproved parts with forged EASA Form 1. The German POA confirmed that it is not possible that these oxygen generators with Part Number 117003-14 were maintained by them, and these EASA Form 1’s are forged. The Part Number 117003-14 is not in the capability list of the German POA.

Specificities of the forged Form 1s:

  • 3. Form Tracking Number:
    • C142320.31.03
    • C142320.30.95
  • 14b. Authorised Signature/14d. Name: person is unknown (not employed by the German POA)
  • 14c. Certificate/Approval Ref#: Release to Part 145 was done with the German POA Number

Recommendation: Maintenance organisations, aircraft owners, operators, independent certifying staff, manufacturers, and parts suppliers are invited to make a determination of eligibility of this part for installation, before accepting such a part into their organisations or before fitting it to an aircraft.

If this part is found in stock, it is recommended that the part is quarantined to prevent installation until a determination can be made regarding its eligibility for installation.

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