APPLICATION TO REGISTER AN AIRCRAFT FOR COMMERCIAL AIR TRANSPORT OPERATIONS

Transcription

1 . Operator: Operator: O No.: ontact person: Phone:. ircraft ata: Manufacturer: Type esignation: Type of engine(s): Year of manufacture / first o: Serial No (If available) Icetra No.: Registration: PS MPS MTOM (Kg/Lbs) MLGM (Kg/Lbs): MZFW (Kg/Lbs): ate of last weighing: / Selcal ode Mode S: ELT codes: nnex 16 Noise certification. Intended operation: rea of Operation Iceland = IS Iceland/Greenland = ISGR rctic = 1 ntarctic = 2 Europe North = 3 Europe South = 4 Europe East = 5 Worldwide = WW Mid East = 6 sia = 7 Pacific = 8 North merica = 9 aribbean = 10 S merica = 11 N tlantic = 12 frica = 13 Type of Operation Passenger 1 argo 2 EMS 3 erial Work 3 (please specify):. Flight Training evice: New Flight Simulation Training evice (FST) needed for aircraft? Yes No If yes, complete and submit form FOS-002 "pplication for ST user approval" o aircraft and FST have onfiguration ifferences? Yes No If yes, complete form FR-014 "Flight Training evice / ircraft onfigurarion ifferences List. Page 1

2 E. Special uthorisations/approvals applied for (specify relevant data, values or notes in fields as applicable): PRT-SP: SUPRT - PN Operations RNP 2 RNP 4 RNP 10 RNP PH RNP 0,3 RNP R PH RNP 0,3-0,1 PRT-SP: SUPRT - MNPS NT MNPS -RNV / RNV 5 P-RNV / RNP 1 PRT-SP: SUPRT - RVSM RVSM PRT-SP: SUPRT E - LVO PRT-SP: SUPRT G - GR GR ata Link ommunication PL / ST omm PL / VHF omm FNS 1/ L/P (M 20-09) -TIS (M 20-10) S S (Form FR-037) EF lass (Specify) LVTO RVR (<400m): RVR 150m or 125m T II RVR/H minima: T III RVR/H minima: T III RVR/H minima: PRT-SP: SUPRT F - ETOPS ETOPS Page 2

3 F. Supplemental Type ertificates (ST s) Note: List of ST s as a separate document is also acceptable provided all information specified in table are included. No ST's or Modification have been incorporated. List of incorporated ST s (1) ST reference: (2) escription FM Supplem ent (3) MEL Supplem ent ES pproval Reference ES pproval ate Note Yes N/ Yes N/ Notes: (1) ST reference number (e.g. ST S5656-T) (2) Short description of modification (e.g. Installation of cabin interior) (3) See ST cover sheet or equivalent for availability of FM Supplement Page 3

4 G. ocuments to be provided to IETR (as applicable) ocument: Revision status: ate of revision: Notes: ircraft Flight Manual * Operations Manual Part Operations Manual Part * Operations Manual Part ircraft QRH * abin Manual MMEL * MEL * LOP* Emergency Equipment Layout * Passenger Safety riefing ard * opy of loadsheet for aircraft* PN Operations - Form FR-041 NVIGTION or FR-035 RNP PPROH MNPS - Form FR-041 NVIGTION PPROVLS RVSM - Form FR-041 NVIGTION PPROVLS LVO - Form FR-040 PPLITION FOR LOW VISIILITY OPERTIONS ETOPS - FR-043 GR: - Submit a letter and revised pages from relevant OM Parts and Training records. EF - Form FR-036 PPLITION FOR ELETRONI FLIGHT G/PE OPERTIONL PPROVL pplication for Noise ertificate * ircraft Radio License * List of Manuals and ocuments on board (specify rev. status / doc. number and date) * List of Service ulletins applicable to ircraft * List of Modifications applicable to ircraft * * Required Page 4

5 H. Insturments, ata, Equipment - ompliance List (PRT-T / SUPRT ) Introduction Operators are required to comply with the instruments and communication requirements of ES IR OPS. Each shall demonstrate, from the available airplane records (manufacturers and subsequent modifications), how compliance with applicable requirements are achieved for each individual airplane that he operates. This compliance List is derived from EU Regulation No 965/2012, dated 28. October 2012 / NNEX IV / PRT-T / SUPRT ompletion of form The operator shall verify what instruments and equipment is installed by completing relevant parts of this form. Refer to the actual regulation for details of each requirement. If the requirement is not satisfied through the TS, mark "No" in column "" and provide further details of compliance in the relevant field on the form (, or ). IR-OPS Requirement: EU Regulation No 965/2012, dated 28. October 2012 / NNEX IV / PRT-T / SUPRT eroplanes Requirements satisfied through type design as specified in Type ertificate ata Sheet (TS) Yes No N/ Means of ompliance Supplemental Type ertificate (ST) process. Indicate ST Number embodiment of manufacturer service publications (Service ulletins, Service hanges, etc.) Indicate S number escripe M1 ORO.O.130 Flight ata Monitoring Programme (MQR) eroplanes T.IE..100 General T.IE..110 ircuit protection devices Page 5

6 IR-OPS Requirement: EU Regulation No 965/2012, dated 28. October 2012 / NNEX IV / PRT-T / SUPRT eroplanes Requirements satisfied through type design as specified in Type ertificate ata Sheet (TS) Yes No N/ Means of ompliance Supplemental Type ertificate (ST) process. Indicate ST Number embodiment of manufacturer service publications (Service ulletins, Service hanges, etc.) Indicate S number escripe T.IE..115 irplane operating lights T.IE..120 Windshield wipers or equivalent, each pilot station over 5700 kg T.IE..125 ay VFR operations Flight and navigational instruments and associated equipment T.IE..130 Operations under IFR or at night flight and navigational instruments and associated equipment T.IE..135 dditional equipment for single-pilot operation under IFR T.IE..140 ltitude alerting system T.IE..150 Terrain awareness warning system (TWS) T.IE..155 irborne collision avoidance system. T.IE..160 irborne weather detecting equipment Page 6

7 IR-OPS Requirement: EU Regulation No 965/2012, dated 28. October 2012 / NNEX IV / PRT-T / SUPRT eroplanes Requirements satisfied through type design as specified in Type ertificate ata Sheet (TS) Yes No N/ Means of ompliance Supplemental Type ertificate (ST) process. Indicate ST Number embodiment of manufacturer service publications (Service ulletins, Service hanges, etc.) Indicate S number escripe T.IE..165 dditional equipment for operations in icing conditions at night T.IE..170 Flight crew interphone system T.IE..175 rew member interphone system T.IE..180 Public address system T.IE..185 ockpit voice recorder T.IE..190 Flight data recorder T.IE..195 ata link recording T.IE..200 ombination recorder T.IE..205 Seats, seat safety belts, restraint systems and child restraint devices T.IE..210 Fasten seat belt and no smoking signs Page 7

8 IR-OPS Requirement: EU Regulation No 965/2012, dated 28. October 2012 / NNEX IV / PRT-T / SUPRT eroplanes Requirements satisfied through type design as specified in Type ertificate ata Sheet (TS) Yes No N/ Means of ompliance Supplemental Type ertificate (ST) process. Indicate ST Number embodiment of manufacturer service publications (Service ulletins, Service hanges, etc.) Indicate S number escripe T.IE..215 Internal doors and curtains T.IE..220 First-aid kit T.IE..225 Emergency medical kit T.IE..230 First-aid oxygen T.IE..235 Supplemental oxygen pressurised aeroplanes T.IE..240 Supplemental oxygen non-pressurised aeroplanes T.IE..245 rew protective breathing equipment T.IE..250 Hand fire extinguishers T.IE..255 rash axe and crowbar T.IE..260 Marking of break-in points Page 8

9 IR-OPS Requirement: EU Regulation No 965/2012, dated 28. October 2012 / NNEX IV / PRT-T / SUPRT eroplanes Requirements satisfied through type design as specified in Type ertificate ata Sheet (TS) Yes No N/ Means of ompliance Supplemental Type ertificate (ST) process. Indicate ST Number embodiment of manufacturer service publications (Service ulletins, Service hanges, etc.) Indicate S number escripe T.IE..265 Means for emergency evacuation T.IE..270 Megaphones T.IE..275 Emergency lighting and marking T.IE..285 Flight over water T.IE..305 Survival equipment T.IE..325 Headset T.IE..330 Radio communication equipment T.IE..335 udio selector panel T.IE..340 Radio equipment for operations under VFR over routes navigated by reference to visual landmarks T.IE..345 ommunication and navigation... Page 9

10 IR-OPS Requirement: EU Regulation No 965/2012, dated 28. October 2012 / NNEX IV / PRT-T / SUPRT eroplanes Requirements satisfied through type design as specified in Type ertificate ata Sheet (TS) Yes No N/ Means of ompliance Supplemental Type ertificate (ST) process. Indicate ST Number embodiment of manufacturer service publications (Service ulletins, Service hanges, etc.) Indicate S number escripe T.IE..350 Transponder T.IE..355 Electronic navigation data management Page 10

11 H. JR-26 dditional irworthiness Requirements - ompliance List Introduction eroplanes may be imported into Iceland, provided it can be shown that the aeroplane conforms to JR-26 Subpart. Reference The intent of this compliance list is to ensure that an aeroplane to be operated under ES-OPS has been examined by the operator and is considered in conformity with the requirements of JR-26 Subpart. pplicability Import and dry lease-in of large aeroplanes used for commercial air transportation. Reference This compliance list is derived from amendment 3 to JR-26, effective 1 ecember 2005 Note 1: Each relevant box to be completed with a (X); Note 2: dd ST number (i.e. ST L); Note 3: dd reference of service publication and revision number or revision date (i.e. S Rev. 2); Note 4: If Note 1, Note 2 and Note 3 not applicable, add references of other compliance documents (i.e. Mod. 6789). If JR-26 paragraph not applicable to airplane registration, mark the N/ box with a (X). Refer to the actual regulation for details of each requirement. If the requirement is not satisfied through the TS, mark "No" in column "" and provide further details of compliance in the relevant field on the form (, or ). Page 11

12 JR-26 Requirement Means of ompliance Requirement satisfied through type design as specified in Type ertificate ata Sheet (TS) (Note 1) Supplemental Type ertificate (ST) process (Note 2) embodiment of manufacturer service publications (Service ulletins, Service hanges, etc.) (Note 3) (Note 4) Yes No N/ Seats, berths, safety belts and harnesses Location of emergency exits Emergency exit access Emergency exit access Emergency exits markings Interior emerg. lighting and emerg. light ops Interior emerg. lighting and emerg. light ops Exterior emergency lighting Emerg. egress assist means and escape routes Emerg. egress assist means and escape routes ompartment interiors Flammability of cargo compartment liners Page 12

13 JR-26 Requirement Means of ompliance Requirement satisfied through type design as specified in Type ertificate ata Sheet (TS) (Note 1) Supplemental Type ertificate (ST) process (Note 2) embodiment of manufacturer service publications (Service ulletins, Service hanges, etc.) (Note 3) (Note 4) Yes No N/ Flammability of cargo compartment liners Lavatory fire protection Landing gear aural warning Flight crew compartment door Systems Security onsiderations pplicant s Statement I herewith confirm completeness and accuracy of this application and of the ir OPS / PRT-T and JR-26 ompliance Lists. (For official use only) IETR cceptance: Name of Nominated Person Operations : Signature ate: ate: I herewith confirm correctness of the ir OPS T.IE ompliance List. Signature: Name of Nominated Person Part-M : Signature ate: Page 13