Application for Issue, Extension or Recommendation of an Airworthiness Review Certificate and Permit to Fly Privilege
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1 M.A Subpart G Approval No: UK.MG.0035 Application for Issue, Extension or Recommendation of an Airworthiness Review Certificate and Permit to Fly Privilege Form No. Issue: Date: ENG/ Nov 2017 To be completed prior to an application for the granting of an EASA Form 4 ARC Issue/Extension and recommendation. Details as required by M.A 706 (i), M.A 707, M.A 710, M.A 711, M.A 901 and M.A 902. Part 21 CAMO Issue Permit to Fly Include dates and periods as applicable. Requested Authorisation 737NG ARC Issue/extension and recommendation ARC Extension Only Permit to Fly Issue M.A 901 Demonstrate understanding of an aircraft in a controlled environment M.A 902 Demonstrate understanding of the validity of the Airworthiness Review Certificate TUI Airways Limited ENG/1603 Page 1 of 12
2 Demonstrate compliance of M.A 707 (a) M.A.707 (a).1.(a) At least 5 Years experience in Continuing Airworthiness Experience in continuing airworthiness means any appropriate combination of experience in tasks related to aircraft maintenance and/or continuing airworthiness management (engineering) and/or surveillance of such tasks M.A.707 (a).1.(b) An appropriate licence in compliance with Annex III or an aeronautical degree or equivalent (Part-66) or a nationally recognized maintenance personnel qualification appropriate to the aircraft category (when Annex III (Part-66) refers to national rules) M.A.707 (a).1.(c) Formal aeronautical maintenance training NOTE: Formal aeronautical maintenance training means training (internal or external) supported by evidence on the following subjects: Relevant parts of initial and continuing airworthiness regulations. Relevant parts of operational requirements and procedures, if applicable. The organisation s continuing Airworthiness Management Exposition. Knowledge of a relevant sample of the type(s) of aircraft gained through a formalised training course. These courses should be at least at a level equivalent to Part-66 Appendix III Level 1 General Familiarisation and could be imparted by a Part-147 organisation, by the manufacturer, or by any other organisation accepted by the competent authority. NOTE: Relevant sample means that these courses should cover typical systems embodied in those aircraft being within the scope of approval. Maintenance methods. M.A.707 (a).1.(d) Position within the approved organisation with appropriate responsibilities. (State Position) M.A.707 (a).1.(e) Notwithstanding points a to d, the requirement laid down in point M.A.707(a)1 b may be replaced by five years of experience in continuing airworthiness additional to those already required by point M.A 707 (a) NOTE: For further details of compliance refer to CAA Implementation Guidance - Acceptance of nominated personnel to issue, recommend or extend an Airworthiness Review Certificate in accordance with Part M (September 09) TUI Airways Limited ENG/1603 Page 2 of 12
3 WORK EXPERIENCE RELEVANT TO THE FULL ARC APPROVAL APPLICATION Review Number 1 Record Airworthiness Review where an active interest or observation has taken place A/C Type A/C Reg. Audit No. M.A.710 (a) Airworthiness Review Indicate which sections of the ARC process you have reviewed Date(s) work undertaken, name, & status of person overseeing 1. Airframe, engine and propeller flying hours and associated flight cycles have been properly recorded, and; 2. The flight manual is applicable to the aircraft configuration and reflects the latest revision status, and; 3. All the maintenance due on the aircraft according to the approved maintenance programme has been carried out 4. All known defects have been corrected or, when applicable, carried forward in a controlled manner, and; 5. All applicable airworthiness directives have been applied and properly registered, and; 6. All modifications and repairs applied to the aircraft have been registered and are approved according to Part-21, 7. All service life limited components installed on the aircraft are properly identified, registered and have not exceeded their approved service life limit, 8. All maintenance has been released in accordance with this Part, and; 9. the current mass and balance statement reflects the configuration of the aircraft and is valid, and; 10. the aircraft complies with the latest revision of its type design approved by the Agency. 11. Noise certificate corresponding to the current configuration of the aircraft in compliance with Subpart I of the Annex (Part-21) TUI Airways Limited ENG/1603 Page 3 of 12
4 M.A.710 (c) Physical survey of the aircraft Date(s) work undertaken, name, & status of person overseeing 1. All required markings and placards are properly installed 2. The aircraft complies with its approved flight manual 3. The aircraft configuration complies with the approved documentation 4. No evident defect can be found that has not been addressed according to M.A No inconsistencies can be found between the aircraft and the paragraph (a) documented review of records. TUI Airways Limited ENG/1603 Page 4 of 12
5 WORK EXPERIENCE RELEVANT TO THE FULL ARC APPROVAL APPLICATION Review Number 2 Record Airworthiness Review where an active interest or observation has taken place A/C Type A/C Reg. Audit No. M.A.710 (a) Airworthiness Review Indicate which sections of the ARC process you have reviewed Date(s) work undertaken, name, & status of person overseeing 1. Airframe, engine and propeller flying hours and associated flight cycles have been properly recorded, and; 2. The flight manual is applicable to the aircraft configuration and reflects the latest revision status, and; 3. All the maintenance due on the aircraft according to the approved maintenance programme has been carried out 4. All known defects have been corrected or, when applicable, carried forward in a controlled manner, and; 5. All applicable airworthiness directives have been applied and properly registered, and; 6. All modifications and repairs applied to the aircraft have been registered and are approved according to Part-21, 7. All service life limited components installed on the aircraft are properly identified, registered and have not exceeded their approved service life limit, 8. All maintenance has been released in accordance with this Part, and; 9. the current mass and balance statement reflects the configuration of the aircraft and is valid, and; 10. the aircraft complies with the latest revision of its type design approved by the Agency. 11. Noise certificate corresponding to the current configuration of the aircraft in compliance with Subpart I of the Annex (Part-21) TUI Airways Limited ENG/1603 Page 5 of 12
6 M.A.710 (c) Physical survey of the aircraft Date(s) work undertaken, name, & status of person overseeing 1. All required markings and placards are properly installed 2. The aircraft complies with its approved flight manual 3. The aircraft configuration complies with the approved documentation 4. No evident defect can be found that has not been addressed according to M.A No inconsistencies can be found between the aircraft and the paragraph (a) documented review of records. TUI Airways Limited ENG/1603 Page 6 of 12
7 WORK EXPERIENCE RELEVANT TO THE FULL ARC APPROVAL APPLICATION Review Number 3 Record Airworthiness Review where an active interest or observation has taken place A/C Type A/C Reg. Audit No. M.A.710 (a) Airworthiness Review Indicate which sections of the ARC process you have reviewed Date(s) work undertaken, name, & status of person overseeing 1. Airframe, engine and propeller flying hours and associated flight cycles have been properly recorded, and; 2. The flight manual is applicable to the aircraft configuration and reflects the latest revision status, and; 3. All the maintenance due on the aircraft according to the approved maintenance programme has been carried out 4. All known defects have been corrected or, when applicable, carried forward in a controlled manner, and; 5. All applicable airworthiness directives have been applied and properly registered, and; 6. All modifications and repairs applied to the aircraft have been registered and are approved according to Part-21, 7. All service life limited components installed on the aircraft are properly identified, registered and have not exceeded their approved service life limit, 8. All maintenance has been released in accordance with this Part, and; 9. the current mass and balance statement reflects the configuration of the aircraft and is valid, and; 10. the aircraft complies with the latest revision of its type design approved by the Agency. 11. Noise certificate corresponding to the current configuration of the aircraft in compliance with Subpart I of the Annex (Part-21) TUI Airways Limited ENG/1603 Page 7 of 12
8 M.A.710 (c) Physical survey of the aircraft Date(s) work undertaken, name, & status of person overseeing 1. All required markings and placards are properly installed 2. The aircraft complies with its approved flight manual 3. The aircraft configuration complies with the approved documentation 4. No evident defect can be found that has not been addressed according to M.A No inconsistencies can be found between the aircraft and the paragraph (a) documented review of records. TUI Airways Limited ENG/1603 Page 8 of 12
9 Further evidence of Continuing Airworthiness activity can be recorded below. Note: Provide enough detail so that the level of involvement of the applicant can be ascertained. Aircraft Registration Aircraft Type Experience gained Aircraft Registration Aircraft Type Experience gained Aircraft Registration Aircraft Type Experience gained TUI Airways Limited ENG/1603 Page 9 of 12
10 Aircraft Registration Aircraft Type Experience gained Aircraft Registration Aircraft Type Experience gained Aircraft Registration Aircraft Type Experience gained TUI Airways Limited ENG/1603 Page 10 of 12
11 Assessment of Staff for Granting of Permit to Fly Privilege Indicate which sections of the process you have reviewed Date(s) of Assessment 1. Reviewed Part M.A 707 of Annex 1 to (EC) 1321/2014 and Acceptable Means of Compliance 2. Reviewed Part M.A 711 of Annex 1 to (EC) 1321/2014 and Acceptable Means of Compliance 3. Reviewed Annex I (Part 21) Subpart P to Regulation (EC) 748/ Reviewed Part M.A 714 (c) of Annex 1 to (EC) 1321/2014 and Acceptable Means of Compliance 5. Reviewed Basic Regulation (EC) 216/2008 Article 14 (4) 6. Reviewed TUI CAME Part 4B 7. Demonstrate an understanding of the completion of forms relevant to issue of a Permit to Fly EASA Form 37 including Form 18b TOM Permit to Fly Release Form Design Related (ENG 1606) EASA Form 20b TOM Permit to Fly Release Form Non Design Related (ENG 1607) EASA Form 20b 8. Demonstrate understanding of Permit to Fly Process as detailed in GEN 017 Applicant s Declaration I request authorisation to carry out ARC issue/extension & recommendation and/or Permit to Fly issue Ref: EASA Part-M M.A.706 (i) M.A. 707 & M.A. 710, M.A.711 & Annex I (Part-21) Position Date TUI Airways Limited ENG/1603 Page 11 of 12
12 Assessors Recommendation The applicant fulfils the requirements of EASA Part M.A.706 (i) M.A.707 & M.A. 710, M.A.711 & Annex I (Part-21) and has completed an internal application Form ENG/1603 for ARC issue/extension and recommendation and/or Permit to Fly issue, satisfactorily, and is therefore considered prepared for recommendation to the CAA for the issue of a Form 4 approval. Review M.A 710 (a) Aircraft Date Physical survey IAW M.A.710 (c) Aircraft Date Position Date Manager s Approval The recommendations of the assessor have been. Accepted Rejected Position Date REFERENCES: EASA M.A.706 (i) Personnel requirements EASA M.A.707 Airworthiness Review Staff and applicable Acceptable Means of Compliance EASA M.A.710 Airworthiness Review and applicable Acceptable Means of Compliance EASA M.A.711 (4) Privileges of the organisation EASA M.A.901 Airworthiness Review EASA M.A.902 Validity of the Airworthiness Review Certificate Part 21 & M.A.711 (c ) CAMO issue Permit to Fly CAA Implementation Guidance - Acceptance of nominated personnel to issue, recommend or extend an Airworthiness Review Certificate In accordance with Part M (September 09) TUI Airways CAME Part 4 TUI Airways CATP Approval application for ARC signatories TUI Airways CATP ARC recommendation-issue-extension and /or Permit to Fly issue TUI Airways GEN 017 TOM CAMO issue Permit to Fly EASA Approved Flight Conditions TUI Airways Limited ENG/1603 Page 12 of 12
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