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Aircraft Noise Certificate |
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Section 1: To be
completed by the applicant |
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To: The Administrator of Airworthiness Central administration (ACA) |
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Dear sir, |
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Please review the attached
documents and kindly take the necessary actions to issue a Noise |
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Certificate for the following
Aircraft |
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1- Owners Name |
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2- Operator |
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3- Mailing Address of Company |
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4-Telephone # |
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5-Fax # |
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6- A/C Nationality & Registration mark |
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7- A/C Make & Model |
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8- A/C Constructor |
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9- A/C Serial Number |
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10- Engine(s) type and Manufacturer |
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11- Propeller(s) Model and Type |
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12- Max T/O Weight at Brake Release |
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13- Max Landing Weight |
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14- the aircraft complies with the requirements and standards of
chapter ( ) of annex 16 of the |
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International Civil Aviation Organization Convention (ICAO) |
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No |
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YES 1) |
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2) |
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3) |
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Name: |
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Signature: |
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Date: |
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Title: |
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Remarks: |
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MINISTRY
OF CIVIL AVIATION
Form 1110-020
EGYPTIAN CIVIL AVIATION SUPERVISORY AUTHORITY

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Nationality &
Registration Marks |
Construction Type & Model |
Aircraft Serial No |
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Maximum Weights,
Approved Max. Take off Brake Release Gross Weight Max. Landing Gross Weight |
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This
aircraft complies with noise requirements as related to Egyptian Civil
Aviation Act No 28 issued in 1981 and in conformity with the requirements and
standards of annex 16 of the convention of International Civil Aviation. Issue
date : / /
For Chairman Egyptian Civil Aviation
Supervisory Authority |
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ã
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Ministry of Civil Aviation
FORM 1120-105 |
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Maintenance Program Approval Job |
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Remarks |
N/S |
N/A |
SAT |
M.P. Ref. |
Description |
N. |
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Is there an updated maintenance planning document (or
equivalent) for the type of aircraft? |
1 |
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Is there an updated maintenance review board manual (if applicable)? |
2 |
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Is the maintenance schedule appropriate to the aircraft
configuration? |
3 |
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Does the maintenance schedule take
into account: ° The equipment fitted to the aircraft? ° The manufacturer’s recommendations? ° ECARs, EACs, ADs, etc.? ° ECASA related Standards? |
4 |
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Where the manufacturer offers a
choice of maintenance schedules, can all conditions be met for the selected
schedule? |
5 |
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Are airworthiness requirements for
aging aircraft above max take off weight 5700 kg applicable to the aircraft. ° If yes, has advice from Airworthiness Administrator
been sought? |
6 |
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Do other aircraft of this type or
with similar equipment have a history of poor reliability? |
7 |
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Are procedures in place to keep the
maintenance schedule current, in relation to the manufacturer’s and ECASA’s
requirements? |
8 |
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Are the requirements of the
approved CASP program implemented in the maintenance program? |
9 |
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Does the program include the time controlled items? |
10 |
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Does the maintenance program include
the maintenance requirements of role equipment? |
11 |
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Is there reference to carry out the maintenance tasks in accordance with approved data? |
12 |
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Are RRI items
identified and properly handled in the maintenance tasks’ cards? |
13 |
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Are additional
maintenance tasks required for special types of operations (such as ETOPS,
RVSM, etc.) well identified in the program and complete? |
14 |
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Are the limits for inspections well referred to in the
maintenance tasks and required to be accurately recorded for each inspection?
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15 |
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Is there a good system for ensuring cross-reference
between related or routine and non-routine maintenance tasks? |
16 |
Summary of findings:
Recommendations:
Inspector Name: Signature:
Date of inspection: ID.
No.:
AMD Name: Signature:
ACA Administrator decision:
ACA Administrator Name: Signature:
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MTC Schedule Extension |
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Aircraft Reweighing |
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Major Repair/Alteration |
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Section 1 : To be completed by the
applicant |
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1- Owners Name |
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2- Operator |
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3- Mailing Address of
Company |
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4- Telephone # |
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5- Fax # |
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6- A/C Nationality &
Registration Marks |
7- A/C Make & Model |
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8- Engines Type and
Manufacturer |
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9- Propellers Model and
Type |
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11 - For unit TBO
extension: |
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a- TSN -------------------------------- |
TSo
-------------------------- |
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b- TBO ------------------------------- |
Expiry Date
---------------------- |
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12- Proposed Maintenance
Schedule |
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13- Detailed
justification for extension |
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14- Reasons for A/C
reweighing /Repair |
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NO |
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Yes |
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1) |
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2) |
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3) |
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Name: Title: |
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Signature: |
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Date: |
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Section 2. For Official Use
Only |
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Received By |
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Date: |
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Department assigned responsibility: |
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Date forwarded to Department |
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AID |
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TLD |
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MD |
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Approval Number: |
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Remarks: |
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Ministry of Civil Aviation FORM 1001-26 |
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Application for Aircraft RVSM Approval |
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Section1: To be completed by the applicant |
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To: The Head of Flight Safety Standards Sector
(FSSS) |
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Dear sir, Please review this request for Aircraft RVSM Approval and
kindly take the necessary action for this approval |
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1- Owners Name |
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2- operator |
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3- Mailing Address of Company |
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4- Telephone # |
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5- Fax # |
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6- A/C Nationality &
Registration Marks |
7- A/C Make & Model |
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8- A/C Serial Number |
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9- Area of operation |
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10- Engines Type and
Manufacturer |
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11- RVSM Approval for |
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Group Aircraft |
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Individual Aircraft |
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12- List of Navigation
Equipment by Name and type/Manufacture /Model |
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12- Status of RVSM Compliance |
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Aircraft Complied with during
producing? |
YES |
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No |
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Service Bulletins and/or
modifications carried out to comply with MNPS/RVSM requirements |
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13- Additional Information
provided and attached |
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NO |
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Name: |
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Signature: |
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Date: |
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Assignment and
responsibilities of team members |
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Activity name: |
Record No. |
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Assigned team leader: |
Due date: |
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Assigned team members |
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Department |
N/A |
Team
member name |
Responsibilities |
Signatures |
Due
at |
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FOCA |
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FICA |
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AICA |
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Regulation |
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Examination |
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Finance |
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Advisors |
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FSSS Tech. |
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Others |
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Outsiders |
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FSSS Head Signature: |
Date: |
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Attachments:
Summarized recent historical review of the previous related activities: |
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This section shall be given to follow-up responsible |
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Record No. |
Database entry: |
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Follow-up date |
Status |
Comments |
Database entry |
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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1.

Ministry of
Civil Aviation FORM 1001-2
Subject:
Assignment record No.: Dated:
Interim report No:
Identification of the
findings or status:
Recommendations:
Members' Name: Signature: Date:
Attachments:
(Evidences and comments)
Team
leader opinion:
Team leader
name: Position: Signature: Date:

Ministry of
Civil Aviation FORM 1001-3
Assignment record No.: Dated:
Subject:
|
Summary of
work achieved: |
ãáÎÕ
ãÇ Êã ãä ÃÚãÇá: |
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List of persisting findings: |
ÞÇÆãÉ
ÈÇáãÎÇáÝÇÊ ÇáãÊæÇÌÏÉ: |
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Recommendations: |
ÇáÊæÕíÇÊ: |
Team leader
name: Position: Signature: Date:
Attachments:
(1)
List of team members' forms and their related
interim reports.
(2)
Drafts of certificates, letters, approvals or
similar proposed responses.
(3)
Suggested future activity.
Ministry of Civil Aviation
Form 1001-27
RVSM Approval/surveillance
job aid
Operator: A/C
(Make/Model/Series): MSN:
Registration:
Mode”S”
Transponder:
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Ministry of Civil Aviation Form 1001-32 |
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Letter of Approval Of |
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ETOPS |
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MNPS |
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CAT II |
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RVSM |
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RNP |
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CAT III |
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1- Owners Name |
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2- Operator |
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3- Mailing Address of Company |
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5- Telephone # |
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6- Fax # |
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7- A/C Nationality &
Registration Marks |
8- A/C Make & Model |
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The Egyptian Civil Aviation
Supervisory Authority has found that the above aircraft and company meet the
requirements of Egyptian Civil Aviation Regulations applicable to the above
equipment and procedures and those listed are approved by ECASA. |
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Head of Flight Safety Standards
Sector |
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Name: |
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Signature: |
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Date: |
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Ministry of Civil Aviation FORM 1001-7 |
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Application for A/C M.E.L Approval |
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Section 1: To be completed by the applicant |
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To: FSSS Head |
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|||
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Dear sir, |
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||
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Please review this request for a customized M.E.L and kindly take the
necessary action for this approval |
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1- Owners Name |
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2- operator |
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3- Mailing Address of Company |
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4- Telephone # |
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5- Fax # |
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6- A/C Nationality |
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7- A/C Make & Model |
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8- Engines Type and
Manufacturer |
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9- Propellers Model and Type |
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||
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10- Additional Information
provided and attached |
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||||||
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1) |
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2) |
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3) |
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||
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Name: |
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Signature: |
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Date: |
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||
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Remarks: |
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||
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Ministry of Civil
Aviation FORM
1001-8 |
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MEL
APPROVAL JOB AID |
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|||||
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Name of Operator |
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Certificate Number |
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Mailing Address |
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Telephone # |
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||
|
Subject |
YES |
NO |
N /
A |
|||||
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1. The MEL is current with the MMEL date and
revision number. |
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|||||
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2. Contains the ATA Table of Contents. |
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||||
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3. Contains the Preamble |
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4. Contains the Notes and Definitions Section same as the MMEL |
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5. All items addressed in the MMEL covered in the
MEL |
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If no,
include explanation: |
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6. Items have been deleted |
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If yes,
include explanation: |
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7. Items have been added |
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If so,
include description: |
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8. Revision page is appropriate |
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9. Each page of the MEL can be matched to the
MMEL to confirm revision |
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number
and date of revision |
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10. Describe the operations procedure for
placarding : |
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MEL APPROVAL JOB AID
can't |
YES |
NO |
N/A |
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11. Describe the procedure for recording
discrepancies: |
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12. Describe the procedure for clearing
discrepancies: |
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13. Describe the procedure for carrying over
items per the MEL: |
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14. Describe how the items to fix the open MEL
items is controlled (A, B, C, or D) |
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15. There is a procedure for each O and M
procedure found in the MMEL |
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a. Procedure describes who |
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b. Procedure describes what |
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c. Procedure describes when |
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d. Procedure describes why |
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e. Procedure describes how |
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OR |
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f. Procedure reference where the procedure can be
found |
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Remarks |
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Recommendations |
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Inspector Name: |
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Signature: |
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Ministry of Civil Aviation FORM
1001-9 |
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MEL Approval |
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Subject: MEL Letter of Approval
for the Aircraft mentioned Below |
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1- Owners Name |
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2- operator |
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TRAVCO AIR |
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TRAVCO AIR |
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3- Mailing Address of Company |
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5- Telephone # |
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2690022 / 2661249 |
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Massaken
sheraton, Sakr Koreisk No 3, |
6- Fax # |
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2690011 |
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7- A/C Nationality |
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8- A/C Make & Model |
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EGYPTIAN |
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Cessna Citation Bravo 550 |
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9- Engines Type and
Manufacturer |
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PW530A (Canadian) |
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10- Propellers Model and Type |
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N/A |
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Dear Sir. |
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With reference to your application dated Jun, 02 Concerning the above subject. We
have the pleasure to inform you that the requested MEL is approved under the
following approval Number |
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Approval No: |
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Approval Date : |
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MOCA/TRA/CESS.CIT/MEL/01/02 |
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ACA Administrator : |
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Name: |
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Signature: |
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Date: |
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Ministry Of Civil Aviation
Form 1101-209 |
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Application
for Issuance of Temporary Approval of Maintenance Engineer |
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Section
1: To be completed by the applicant |
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To: Airworthiness Central Administration Administrator |
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Would you please issue an aircraft
maintenance engineer(s) temporary approval |
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for the following : |
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||||
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S |
Name |
License No |
Rating |
Training |
Experience |
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To
practice the privileges of the holder of maintenance engineer license
category Type |
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Reason of the request: |
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Name: Title: |
Signature: |
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Date: |
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||||
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Section2. For Official Use Only |
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Received By |
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Date: |
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Assigned
Inspector Name: |
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Date
forwarded to Inspector |
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S |
Name |
Previous Rated Types |
License Validity |
Related Type Course |
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Course Name |
Date |
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Inspector Recommendations |
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Inspector
Name |
Signature |
Date |
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TLD Manager Decision |
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TLD
Manager Signature |
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Date |
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||||
|
Ministry
of Civil Aviation
Form 1101-210 |
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Temporary Approval of Maintenance Engineer |
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Name |
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Type |
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Approval
No |
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Valid
From |
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To |
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The
holder of this approval is approved to certify the following |
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In
accordance with the privileges, the holder of Maintenance Engineer License; |
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Category |
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Type |
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Provided
that this Approval is valid. |
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Administrator
, AICA |
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Name: |
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Signature: |
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Date: |
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Ministry of Civil Aviation
Form 1101-225 |
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||||||||||
|
Application for Issuance of Master /
Senior Parachute Rigger Certificate |
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||||||||||
|
Section 1: To be completed by the Applicant |
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||||||||||
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Applicant
Name |
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I.D
Card No |
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||||
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Mailing
Address |
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Telephone
Number |
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||||
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Date
of Birth |
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Nationality |
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||||
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Field
of Experience |
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Experience
Duration |
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English
Language Courses |
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No.
of parachutes packed by the applicant |
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|||||||
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Previous
Parachute Certificate (PPC) |
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Date
of issuance of PPC |
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||||||||
|
Section 2: To be completed by the
Inspector in charge |
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||||||||||
Written Examination Sheet No |
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Written
Examination Date |
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||||
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Written
Examination Results |
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||||
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Oral
& Practical Examination Place |
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Oral
& Practical Examination Date |
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Oral
& Practical Examination Results |
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||||||
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Inspector Recommendations |
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||||
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Issue |
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Deny |
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Reasons |
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Inspector
Name |
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Title |
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Signature |
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Section 3: TLD Manager Recommendations |
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Issue |
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Deny |
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Reasons |
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TLD
Manager Name |
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Signature |
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Section 4: Records |
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||||||||||
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Applicant
File Other |
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||||||||||

Ministry
of Civil Aviation
Form 1101-226
![]() |
APPROVED TO CERTIFY THE FOLLOWING
SENIOR PARACHUTE
RIGGER
STATIC LINE FREE FALL
INSTRUCTOR
HEAD OF AIRWORTHINESS
CENTRAL
ADMINISTRATION
|
Ministry of Civil Aviation Form 1101-227 |
|||||||||||||||||||
|
APPLICATION AND EVALUATION FOR ISSUANCE OF
HOT BALLOON INSPECTOR CERTIFICATE |
|||||||||||||||||||
|
SECTION 1 PERSONAL DATA |
|||||||||||||||||||
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Applicant Name |
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Employer
Name |
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|||||||||||||||
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Applicant Address |
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Telephone
# |
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||||||||||||||
|
SECTION 2 SCIENTIFIC QUALIFICATIONS |
|||||||||||||||||||
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||||||||||||
|
SECTION 3 PRACTICAL EXPERIENCE |
|||||||||||||||||||
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GENERAL |
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||||||||||||
|
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General
Category of Balloon Maintenance Experience |
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|||||||||||||||||
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SPECIFIC |
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||||||||||||
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Balloon |
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From |
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To |
||||||||||||
|
SECTION 4: APPLICABLE APPROVED COURSES
ATTENDED AND TEST RESULT: |
|||||||||||||||||||
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Course Name |
Results |
||||||||||||||||||
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||||||||||||||
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|||||||||||||
|
NOTE':
ATTACHED WITH THIS APPLICATION ALL RELEVANT DOCUMENTS: |
|||||||||||||||||||
|
1- CIVIL IDENTIFICATION DOCUMENT |
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2- SCIENTIFIC QUALIFICATION CERTIFICATE |
|||||||||||||||||
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3- TRAINING CENTER CERTIFICATE |
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4- PRACTICAL SCHEDULE OF INSPECTION WORK |
|||||||||||||||||
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|||||||||||||||||||
|
Ministry of Civil Aviation
Form 1101-227 ____________________________________________________________________________________________ APPLICATION AND EVALUATION FOR ISSUANCE OF
HOT BALLOON INSPECTOR CERTIFICATE |
|||||||||||||||||||
|
SECTION 5 EMPLOYER ATTESTING AND
RECOMMENDATIONS |
|||||||||||||||||||
|
Employer Name |
|
Signature |
Title |
|
Date |
||||||||||||||
|
FOR OFFICIAL USE ONLY |
|||||||||||||||||||
|
1- Appl. Details Completed: |
Satisfactory |
Not Satisfactory |
|||||||||||||||||
|
2- Documents Attached: |
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Satisfactory |
Not Satisfactory |
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||||||||||||||
|
3- Recommendation: |
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Accepted |
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Not Satisfactory |
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|||||||||||||
|
Specific
Examination Details Recommended: |
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||||||||||||||||
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||||||||||||
|
ECASA
Inspector Name |
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Signature |
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Date |
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||||||||||||
|
TLD Manager Decision |
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||||||||||||||
|
TLD
Manager Signature |
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|
Date |
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|
||||||||||||||
Ministry of Civil Aviation
Form 1101-228
![]() |
This is to certify that
THE APPROVED TO CERTIFY
HEAD OF AIRWORTHINESS
CENTRAL
ADMINISTRATION
Ministry
of Civil Aviation
Form 1101-221
|
|
||||||||||||||||
Application for Technical Curriculum Certification |
|
||||||||||||||||
|
Section 1:
To be completed by the Applicant |
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||||||||||||||||
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1-
Applicant Name |
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2-
Title |
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||||||
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3-
Mailing Address |
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5-
Telephone # |
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||||||||
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6-
Fax # |
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||||||
|
Curriculum Type |
Basic courses |
A/F |
PP |
Avion. |
STR. REP. |
Performance |
|
||||||||||
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Specific courses |
AF |
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PP |
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Avionics |
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||||||||
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Type |
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||||||
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Others |
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||||||
|
|
Expected start date: |
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Place |
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||||||||
|
Section 2 Curriculum Schedule |
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||||||||||||||||
|
Title: |
Course No. |
Duration Hrs. |
Level |
Reference |
|
||||||||||||
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||||||
|
Notes:
|
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||||||
|
The
application must be presented at the Airworthiness Central Administration
along with an updated |
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||||||||||||||||
|
copy
of the Training Manual, and the Curriculum.
|
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||||||||||||
|
Applicant Name Title: |
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Signature: |
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Date: |
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|
|||||||
Ministry of Civil Aviation Form 1101-222 |
|||||||||
|
Curriculum Certificate |
|||||||||
|
The Curriculum belongs to: |
|||||||||
|
Complies with the ECASA Airworthiness Requirements and
Standards |
|||||||||
|
This Curriculum is approved
under the following assigned number |
|||||||||
|
Approval No: |
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|
Administrator
, AICA |
|
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|
|
|
|
Name: |
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|
|||
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Signature: |
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Date: |
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|
|
Ministry of Civil Aviation
Form
1101-215 |
||||||||||||||||||||||
|
Application for Certification of Technical
departments |
||||||||||||||||||||||
|
To Be Completed By The Applicant |
||||||||||||||||||||||
|
To:
Airworthiness Central Administration Administrator |
|
|
|
|
||||||||||||||||||
|
|
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|
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|
|
|
|
|
|
|
||||||||||||
|
Would you please issue an approval for classrooms to
conduct ground training for Engineers / Pilots and Flight Engineer |
||||||||||||||||||||||
|
1-
Center / Company Name |
|
|
2-
Name of Director |
|
|
|||||||||||||||||
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||||||||||||
|
3-
Center / Company Address |
|
|
4-
Telephone # |
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|||||||||||||||
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||||||||||||
|
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5-
Fax # |
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6-
Classrooms Address |
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7-
Telephone # |
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8-
Fax # |
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9-
Classrooms Dimensions |
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10-
Classrooms Facilities |
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*
The classroom complies with the requirements of ECAA and Standards of Air
worthiness Central Administration Notice no. 3b/95 and ready for
investigation by your inspector. |
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Name: Title: |
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Signature: |
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Date: |
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Ministry of Civil Aviation
Form
1101-216
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Subject: Evaluation of Technical
departments |
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To be completed by the Inspector |
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1- Center / Company
Name |
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2-
Name of Director |
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3- Center / Company Address |
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5-
Classrooms Address |
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6- Training Course Name |
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7- Training Order No |
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8-
Training Course Approval No. |
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9- Effective Date |
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10-
End of the Course |
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11- Classroom lighting |
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12-
Classroom Ventilation |
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Appropriate |
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Not Enough |
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Appropriate |
Not
Enough |
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14-
Classroom Size |
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Quite |
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Noisy |
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Appropriate |
Not
Enough |
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15- Instructors Name & Evaluation |
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1- |
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Excellent |
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V.
Good |
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Good |
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2- |
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Excellent |
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V.
Good |
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Good |
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3- |
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Excellent |
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V.
Good |
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Good |
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4- |
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Excellent |
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V.
Good |
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Good |
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16- Classroom Training Aids & Facilities |
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17-
Publication |
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18- Trainee number (please attach the attendance
sheet) |
19-
Trainee's chair and tables |
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Remarks |
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Recommendation |
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Inspector Name |
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Signature |
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Date |
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TLD Manager Decision |
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TLD Manager Signature |
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Date |
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.............................................................................................................................
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Ministry of Civil
Aviation
Form 14 CAI
|
Purpose of Evaluation |
|||||||||
|
Issue C of A |
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Test Flight |
|
After Overhaul, Major Repair or
Modification |
|||||
|
Renew C of A |
|
A/C Lease |
|
Issue Export C of A |
Others |
||||
|
A- Company name and
address:-------------------------------------------------------------------------------------------------------
|
|||||||||
|
B- General
Information: ---------------------------------------------------------------------------------------------------------------- |
|||||||||
|
Aircraft type and model:
------------------------------------------------------------------------------------------------------------------ |
|||||||||
|
Aircraft serial No:
------------------------------------------------------------------------------------------------------------------------- |
|||||||||
|
Aircraft manufacturer/ Date
-------------------------------------------------------------------------------------------------------------- |
|||||||||
|
Aircraft registration marks:
--------------------------------------------------------------------------------------------------------------- |
|||||||||
|
Aircraft category:
--------------------------------------------------------------------------------------------------------------------------- |
|||||||||
|
Aircraft maximum take-off weight : ----------------------------------------------------------------------------------------------------- |
|||||||||
|
Last weight and balance report date:
--------------------------------------------------------------------------------------------------- |
|||||||||
|
Engine type and manufacturer:
---------------------------------------------------------------------------------------------------------- |
|||||||||
|
ENGINE NO. |
Engine1 |
Engine 2 |
Engine 3 |
Engine 4 |
|||||
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S/N |
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T.T.S.N/ T.C.S.N |
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T.T.S.O/ T.C.S.O |
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Propeller model and type: |
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PROPELLER NO. |
PROP 1 |
PROP 2 |
PROP 3 |
PROP 4 |
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S/N |
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T.T.S.N/ T.C.S.N |
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T.T.S.O/ T.C.S.O |
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|
Transmission unit type and serial
No---------------------------------------------------------------------------------------------------- |
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|
APU type and serial No.: ------------------------------------------------------------------------------------------------------------------ |
|||||||||
|
Aircraft current C of A validity:
--------------------------------------------------------------------------------------------------------- |
|||||||||
|
Aircraft C of M validity :
---------------------------------------------------------------------------------------------------------------- |
|||||||||
|
Aircraft current certificate of insurance
validity:
------------------------------------------------------------------------------------------------- |
|||||||||
|
Aircraft total flight hours/cycles: Since New
------------------------------- Since
O/H----------------------------------------- |
|||||||||
|
Radio license validity:
------------------------------------------------------------------------------------------------------------------- |
|||||||||
|
Noise certificate no. Noise level
classification:
------------------------------------------------------------------------------------- |
|||||||||
|
Compass swing report:
------------------------------------------------------------------------------------------------------------------- |
|||||||||
|
C- Documents, recording status:------------------------------------------------------------------------------------------------------- |
|||||||||
|
Approved maintenance schedule status :
----------------------------------------------------------------------------------------------- |
|||||||||
|
Components life limitations exceedances if
any:
-------------------------------------------------------------------------------------- |
|||||||||
|
Certificate of Registration: ---------------------------------------------------------------------------------------------------------------- |
|||||||||
|
Mandatory modification status:
---------------------------------------------------------------------------------------------------------- |
|||||||||
|
Differed snags status:
--------------------------------------------------------------------------------------------------------------------- |
|||||||||
|
Aircraft flight manual latest revision
date:
--------------------------------------------------------------------------------------------- |
|||||||||
|
Airworthiness directives compliance
status:
------------------------------------------------------------------------------------------- |
|||||||||
|
Technical log book conditions:
---------------------------------------------------------------------------------------------------------- |
|||||||||
|
Log books or equivalent:
------------------------------------------------------------------------------------------------------------------ |
|||||||||
|
Current concessions dispensation:
------------------------------------------------------------------------------------------------------ |
|||||||||
|
Current A/C cabin configuration:
-------------------------------------------------------------------------------------------------------- |
|||||||||
|
Components/parts supply and stores
procedures: ------------------------------------------------------------------------------------- |
|||||||||
|
Accidents/occurrences record:
------------------------------------------------------------------------------------------------------------ |
|||||||||
|
Last flight test date: ------------------------------------------------------- |
Reason:
--------------------------------------------------- |
||||||||
|
D-Miscellaneous |
|||||||||
|
Aircraft type of operation envisaged: |
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|||
|
Category 1: -------------- |
Category 2:
---------------------------------- |
Category 3: ---------------------------------------------- |
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|
For leased aircraft, lease contract:
-------------------------------------- |
Type of lease:
------------------------------------------- |
||||||||
|
For export C of A, bill of sale details:
--------------------------------------------------------------------------------------- |
|||||||||
|
For issue C of A of a new type, Type
certificate:
------------------------------------------------------------------------------ |
|||||||||
|
For renew C of A of aircraft< 5700 kg
weight, annual check:----------------------------------------------------------------- |
|||||||||
|
Inspection date: |
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|
Inspection findings and remarks: |
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Inspection completed by: |
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Signature |
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Inspection reviewed by |
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Signature |
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|
Recommendation: |
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|
Flight Test Carried on:--------------------------------------------------------------------------------------------------------------------- |
|||||||||
|
Approved/not
Approved:------------------------------------------------------------------------------------------------------------------ |
|||||||||
|
Is fit for (Issue/Renewal) the C of A:
--------------------------------------------------------------------------------------------------- |
|||||||||
|
From:
-------------------------------------- |
|
To:
------------------------------------------------------------------------- General Director of
Aircraft Inspection |
|||||||
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Name: Signature: |
|
||||

Ministry of Civil
Aviation
Form 19 CAI

|
Aircraft Spot Inspection Report |
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|
Air
Operator: |
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||||
|
A/C
Registration: |
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A/C
Type : |
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|||
|
Date
of Inspection : |
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Place
of Inspection : |
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|||
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Type
of Maintenance : |
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||
|
S/N |
Items of Inspection |
Yes |
No |
N/A |
||||||
|
1. |
Work
package is available |
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||
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a-
Component change sheet |
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b-
inspection work cards |
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c.
Non-routine work cards |
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d.
a/c maintenance manuals |
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e.
GMM applicable sections |
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|
2. |
Special
tools and equipment are available and in good condition and calibration |
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||||||
|
3. |
Corrective
actions to the previous finding during spot inspections are carried out |
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|
4. |
Previous
SDR summaries are covered |
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5. |
Airworthiness
Directives status is up dated. |
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||||
|
6. |
Sufficient
Maintenance and inspection staff are rated and trained on the type of a/c |
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||||||
|
7. |
Hanger
is suitable for a/c |
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|
8. |
No
deviation from approved maintenance program |
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||||
|
9. |
Quality
of inspection or discrepancy write-ups meets acceptable standards. |
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||||||
|
10. |
Correct
approved forms are used in correct manner. |
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||||
|
11. |
Deferred
maintenance items are recorded with their concessions. |
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||||||
|
12. |
Some
selected items ( RII , Maintenance task .... ) are done satisfactory. |
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||||||
|
13. |
The
operator records contain the proper return - to - service entries |
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||||||
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Comments and Recommendations |
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Inspector’s
Name :
--------------------------------------------------------------------- Inspector’s
Signature: ------------------------------------------------------------------ |
||||||||||
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|
Aircraft Reweighing |
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|||
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1-
Owners Name |
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2-
operator |
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3-
Mailing Address of Company |
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4-
Telephone # |
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||||
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5-
Fax # |
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6-
A/C Nationality & Registration Marks |
|
7-
A/C Make & Model |
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|||||
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8-
Engines Type and Manufacturer |
|
9-
Propellers Model and Type |
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||||||
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Dear Sir. |
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|
With reference to your application
dated
Concerning the above subject. We have the pleasure to inform you that
the requested
is approved under the following approval Number |
||||||||||
|
Approval
No: |
|
|
|
Date |
| |||||