Application Form and Compliance Checklist - OPS for NAT HLA (MNPS) Approval FORM Operator:

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Application Form and Compliance Checklist - OPS for NAT HLA (MNPS) Approval FORM.965.037 Operator: Adress: E-mail: AOC No: Phone no: The relevant elements defined in the mandatory part of the Operational Suitability Data (OSD) established in accordance with Regulation (EU) No 748/2012 are taken into account. Applicant statement: The undersigned hereby certifies that the following information complies with the applicable leagal requirements and the operators Safety- and Compliance policies. NP Flight OPS: Signature: Date: NP Continued Airworthiness: Signature: Date: NP Crew Training: Signature: Date: Safety Manager: Signature: Date: Compliance Monitor Manager: Signature: Date: Specify the Approval Unrestricted NAT HLA: Restricted NAT HLA: Internal use WorkZone No: CFL Inspectors: Cross domain: Information This combined OPS Application Form and Compliance Checklist has been designed in order to facilitate the operators applying for North Atlantic High Level Airspace NAT HLA (MNPS) Approval which applies to operations from FL285 to FL420, both inclusive and refers to the ICAO NAT Doc 007, latest edition. Operations in the MNPS defined airspace is refering to ICAO Doc 7030, latest edition. For all airspaces consult the relevant AIP. Refer to EASA (EU) No 216/2008, (EU) No 965/2012, Part-SPA Subpart C (SPA.MNPS), Subpart D (SPA.RVSM), Part-CAT Subpart D (CAT.IDE.A) and relevant AMC and GM, where applicable. The NAT HLA Approval can only be granted to operators who are already RVSM approved or who are applying concurrently for the RVSM Approval in accordance to (EU) No 216/2008, (EU) No 965/2012, Annex V (Part-SPA) and AMC and GM as applicable. For Application for RVSM Approval please refer to: Trafikstyrelsen.dk web-site (FORMS>Airworthiness>Special Operations). For additionell Specific Approvals, please refer to the separate application forms and compliance checklists. For CFL Inspectors refer to Procedure 2139 and 2019. Note: be aware that there might be a need to expand the Area of Operation Approval. Note: - For the Airworthiness application part for MNPS, please refer to the application form: TS CFL-21on the web site. It applies to the colored boxes that the operator must attach the relevant documentation and state the attachment No where applicable in the checklist. The references to the operators AOC documentation must be stated in detail, it is not acceptable just to state a chapter. Side 1

SPA MNPS.100 Aircraft are only to be operated in designated minimum navigation performance specifications (MNPS) airspace in accordance with regional supplementary procedures, where minimum navigation performance specifications are established, if the operator has been granted an approval by the competent authority (CA) to conduct such operations. GM1 SPA.MNPS.100 MNPS Operations MNPS and the procedures governing their application are published in the Regional Supplementary Procedures, ICAO Doc 7030, as well as in national AIPs. Note: Doc 7030 refers to ICAO NAT Doc 007 (North Atlantic Operations and Airspace Manual) which provides the requirements for obtaining an operational approval including the aircraft equipment requirements for operations in the NAT region. Implementation of PBCS/PBN based separation minima in the NAT airspace - The chain of regulatory references: Reg. (EU) 965/2012 (SPA.MNPS) ICAO Doc 7030 NAT Doc 007. ICAO Doc 7030 Regional Supplementary Procedures The operator shall comprehend to all of the applicable items as referred to in ICAO Doc 7030 for the MNPS airspace not applicable to AT/HLA. The below chapter structure are based upon ICAO Doc 7030 fifth edition 2008. Chapter 1 Flight Rules Chapter 2 Flight Plans Chapter 3 Communications Chapter 4 Navigation Chapter 5 Surveillance Chapter 6 Air Traffic Services Chapter 7 Safety Monitoring Chapter 8 Air Traffic Flow Management Chapter 9 Special Procedures Chapter 10 Phraseology Chapter 11 Search and Rescue Chapter 12 Meteorology Chapter 13 Aeronautical Information Services Side 2

ICAO Doc 007 North Atlantic Operations and Airspace Manual The operator shall examine all the applicable parts refered to in the ICAO Doc 007 - NAT/HLA MNPS. The below chapter structure refers to NAT Doc 007 version 2018-1. Link ICAO EUR/NAT Regional Documents Chapter 1 Operational approval and aircraft system requirements for flight in the NAT HLA Chapter 2 The Organised Track System (OTS) Chapter 3 Other routes and route structures within or adjacent to the NAT HLA Chapter 4 Flight Planning Chapter 5 Oceanic ATC clearances Chapter 6 Communications and position reporting procedures Chapter 7 Application of MACH number technique Chapter 8 NAT HLA/MNPS flight operation & navigation procedures Chapter 9 RVSM flight in the NAT HLA Chapter 10 ATS surveillance services in the NAT HLA Chapter 11 Monitoring of aircraft systems and crew performance Chapter 12 Procedures in the event of navigation system degradation or failure Chapter 13 Special procedures for in-flight contingencies Chapter 14 Checklists for pilots operating in the NAT HLA Chapter 15 Guarding against complacency Chapter 16 The prevention of deviations from track as a result of waypoint insertion errors Chapter 17 Guidance for dispatchers Chapter 18 Flight operations below the NAT HLA Side 3

RNAV 10 (RNP 10) Navigation Specification Oceanic/Remote, RNAV 10 (designated and authorised as RNP 10) Acceptable means of compliance for RNAV 10 (RNP 10) are provided in EASA AMC 20-12, Recognition of FAA order 8400.12a for RNP 10 Operations. Although RNAV 10 airspace is, for historical reasons, also called RNP 10 airspace, there is no requirement for on-board monitoring and alerting systems. RNAV 10 can support 50 NM track spacing. For an aircraft to operate in RNAV 10 (RNP 10) airspace it needs to be fitted with a minimum of two independent long range navigation systems (LRNSs). Each LRNS should in principle have a flight management system (FMS) that utilises positional information from either an approved global navigation satellite system (GNSS) or an approved inertial reference system (IRS) or mixed combination. The mix of sensors (pure GNSS, pure IRS or mixed IRS/GNSS) determines pre-flight and in-flight operation and contingencies in the event of system failure. RNP 4 Navigation Specification Oceanic/Remote, RNP 4 Guidance for this RNP standard is provided in ICAO Doc 9613. RNP 4 is the oceanic/remote navigation specification to support 30 NM track spacing with ADS-C and CPDLC required. To meet this more accurate navigation requirement, two independent LRNS are required for which GNSS sensors are mandatory. If GNSS is used as a stand-alone LRNS, an integrity check is foreseen (fault detection and exclusion).additional aircraft requirements include two long range communication systems (LRCSs) in order to operate in RNP4 designated airspace. The appropriate Aeronautical Information Publication (AIP) should also be consulted to assess coverage of HF and SATCOM. The additional requirements may include use of automatic dependent surveillance (ADS) and/or controller pilot data link communication (CPDLC). SPA.MNPS.105 MNPS Operational Approval Please also refer to and fill in the Airworthiness application form - MNPS: TS CFL-21 on the web site. To obtain an MNPS operational approval from the competent authority, the operator shall provide evidence that: (a) the navigation equipment meets the required performance; (b) navigation displays, indicators and controls are visible and operable by either pilot seated at his/her duty station; (c) a training programme for the flight crew members involved in these operations has been established; (d) operating procedures have been established specifying: (1) the equipment to be carried, including its operating limitations and appropriate entries in the MEL; (2) flight crew composition and experience requirements; (3) normal procedures; (4) contingency procedures including those specified by the authority responsible for the airspace concerned; (5) monitoring and incident reporting. Side 4

AMC1 SPA.MNPS.105 LONG RANGE NAVIGATION SYSTEM (LRNS) (a) For unrestricted operation in MNPS airspace an aircraft should be equipped with two independent LRNSs. (b) An LRNS may be one of the following: (1) one inertial navigation system (INS); (2) one global navigation satellite system (GNSS); or (3) one navigation system using the inputs from one or more inertial reference system (IRS) or any other sensor system complying with the MNPS requirement. (c) In case of the GNSS is used as a stand-alone system for LRNS, an integrity check should be carried out. (d) For operation in MNPS airspace along notified special routes the aeroplane should be equipped with one LRNS. Detailed references to the OM, if applicable: Long range Navigation/Communication equipment details Mark where applicable Long Range Navigation System (LRNS) Inertial Reference System (INS) Global Navigation Satellite System (GNSS) NAV system using inputs from one or more IRS or any other system HF Radios SATCOM Number installed Minimum Equipment List (MEL) reference to MEL where applicable. MEL/Requirement Reference(s) CFL Inspector comments SPA.MNPS.105 (d)(1) Note: - TBST may issue a restricted NAT HLA Approval for aircraft not meeting the LRNS and/or communication requirements. - Operators with one LRNS and/or no HF radio shall be restricted to the applicable Blue Spruce Routes. It is not legal to enter Shanwick Oceanic OCA without HF equipment. - Operators with one LRNS or two HF radios shall be restricted to the applicable Blue Spruce Routes. - Aircraft equipped with short range navigation, only equipment that can meet NAT HLA track-keeping criteria can operate G3 and G11 routes, only. For TBST,CFL use only Application Form received: Application review completed: Approved: Rejected: CFL Inspectors signatures: CFL Inspectors comments: Side 5