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Issuance of Certificate of Airwo

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					                                                    Kingdom of Belgium

                                            Federal Public Service Mobility and Transport

Civil Aviation Authority                                                                                  Commercial Aviation Dpt
                         Issuance of Certificate of Airworthiness
                               Check list for technical file
                         Reference documents : Circ.Airw-02 and Airw-28 and Circ. Airw-22.



 SITUATION ON DATE OF :…………………………………………………………………………


 AIRCRAFT TYPE:..............................................                   S/N:....................................................................


 MANUFACTURE DATE: ..............................                               OPERATOR : ………………………………..


                                                                                REGISTRATION CERTIFICATE
 BELGIAN REGISTRATION: OO-...................
                                                                                NUMBER : …………………………………..


 FLIGHT HOURS: ..........................................FH                     FLIGHT CYCLES: ....................................FC
 on .................../ .........................../........................   on .................../ ........................./........................


 LAST WEIGHT AND BALANCE DATE: .……...……......................................................………...


 ENGINE TYPE:................................................                   MANUFACTURER:.......................................

                                                                                ENGINE NBR 1 FLIGHT HOURS:
                                                                                ..............………FH
 ENGINE NBR 1 S/N:........................................                      ENGINE NBR 1 FLIGHT CYCLES:
                                                                                ...........………...FC
                                                                                on .................../........................./........................

                                                                                ENGINE NBR 2 FLIGHT HOURS:
                                                                                ..............………FH
 ENGINE NBR 2 S/N:........................................                      ENGINE NBR 2 FLIGHT CYCLES:
                                                                                ...........………...FC
                                                                                on .................../......................../........................




CL/CircAIRW-02 Ed. 3 Uit 3/ issue 2                           30.09.2008                                                                   Page1of 6
Issuance of CofA – Check list for technical file                                                   OO-………./ date : ….../...…/…….
                                                                               ENGINE NBR 3 FLIGHT HOURS:
                                                                               ..............………FH
 ENGINE NBR 3 S/N:......................................…                      ENGINE NBR 3 FLIGHT CYCLES:
                                                                               ..........…………FC
                                                                               on .................../......................../........................
                                                                               ENGINE NBR 4 FLIGHT HOURS:
                                                                               ……..................FH
 ENGINE NBR 4 S/N:......................................…                      ENGINE NBR 4 FLIGHT CYCLES:
                                                                               ......………........FC
                                                                               on .................../ ......................./........................

 PROPELLER TYPE:…………………………                                                     MANUFACTURER:.......................................

                                                                               PROPELLER NBR 1 TOTAL TIME:
                                                                               ………………...TT
 PROPELLER NBR 1 S/N:……………………
                                                                               PROPELLER NBR 1 CAL. TIME:
                                                                               ………………...Months
                                                                               PROPELLER NBR 2 TOTAL TIME:
                                                                               ………………...TT
 PROPELLER NBR 2 S/N:……………………
                                                                               PROPELLER NBR 2 CAL. TIME:
                                                                               ………………...Months

 APU TYPE:..............................................……...                  MANUFACTURER:.......................................

                                                                               APU FLIGHT
 APU S/N:..............................................…………                    HOURS:...................................FH on
                                                                               .................../ .........................../......................…

 NLG P/N :..............................................………..                  NLG S/N :.....................................……………

 NLG LAST OVERHAUL :……………………………………………………………………………

 NLG FLIGHT HOURS: ……..................FH
 NLG FLIGHT CYCLES: ......………........FC
 on .................../ .........................../......................…

 LH BODY LG P/N :............................................                  LH BODY LG S/N :........................................

 LH BODY LG LAST OVERHAUL :…………………………………………………………………




CL/CircAIRW-02 Ed. 3 Uit 3/ issue 2                        30.09.2008                                                                      Page2of6
Issuance of CofA – Check list for technical file                                               OO-………./ date : ….../...…/…….
 LH BODY LG FLIGHT HOURS: ……..................FH
 LH BODY LG FLIGHT CYCLES: ......………........FC
 on .................../ .........................../......................…

 RH BODY LG P/N :............................................                  RH BODY LG S/N :........................................

 RH BODY LG LAST OVERHAUL :…………………………………………………………………

 RH BODY LG FLIGHT HOURS: ……..................FH
 RH BODY LG FLIGHT CYCLES: ......………........FC
 on .................../ .........................../......................…

 LH WING LG P/N :............................................                  LH WING LG S/N :........................................

 LH WING LG LAST OVERHAUL :…………………………………………………………………

 LH WING LG FLIGHT HOURS: ……..................FH
 LH WING LG FLIGHT CYCLES: ......………........FC
 on .................../ .........................../......................…

 RH WING LG P/N :............................................                  RH WING LG S/N :........................................

 RH WING LG LAST OVERHAUL :…………………………………………………………………
 RH WING LG FLIGHT HOURS: ……..................FH
 RH WING LG FLIGHT CYCLES: ......………........FC
 on .................../ .........................../......................…

 CENTER LG P/N :.....….....................................                    CENTER LG S/N :...........................................


 CENTER LG LAST OVERHAUL :………..…………………………………………………………

 CENTER LG FLIGHT HOURS: ……..................FH
 CENTER LG FLIGHT CYCLES: ......………........FC
 on .................../ .........................../......................…




CL/CircAIRW-02 Ed. 3 Uit 3/ issue 2                        30.09.2008                                                         Page3of6
Issuance of CofA – Check list for technical file                                OO-………./ date : ….../...…/…….

 Title               Subject                                                                                 Status
                     1.1 Appraisal Request and proof of payment.
                     1.2 Identification of the maintenance organisations (Line and Base maintenance).
                     1.3 Copy of the maintenance contracts (airframe, engines, and components) or the
                     copy of the amendments to the existing contracts.
                     1.4 Demand concerning special operations (AWOPS, ETOPS, RVSM, BRNAV,
    1. Officials     MNPS).
     demands.        1.5 Statement concerning passenger on board for freighter aircraft.
                     1.6 Statement concerning the missing documents.
                     1.7 Statement for the aircraft records preservation by the operator or by a specific
                     contract.
                     1.8 Adaptation of the « CAME » manual.
                     2.1 Data Sheet - Airframe / Engines / Propellers. (Last revision and in accordance
 2. Certification    with the Type Certificate).
   Documents.        2.2 Statement of conformity (EASA Form 52). Date of issuance < 60 days.
                     3.1 First Export Certificate issued by the manufacturer country (used aircraft).
                     3.2 Export Certificate issued by the manufacturer country (new aircraft) specifying
                     the conformity to the EASA approved type design. Date of issuance < 60 days.
                     3.3 Export Certificate issued by the exporting country (used aircraft) reflecting the
                     airworthiness status of the aircraft at the time of transfer. Date of issuance < 60
                     days.
                     3.4 Copy of the last Certificate of Airworthiness (national form or EASA form 25
                     with valid ARC).
                     3.5 A valid Airworthiness Review Certificate.
  3. Certificates.
                     3.6 A recommendation for the issuance of an ARC.
                     3.7 Noise Certificate issued by BCAA.
                     3.8 Registration Certificate issued by BCAA.
                     3.9 Certification Statement for the aircraft concerning Special Operations (RVSM,
                     ETOPS, BRNAV, MNPS, AWOPS).
                     3.10 Proof of the conformity of the cabin interior equipment to the fire resistance
                     criteria.
                     3.11 Mode S and SELCAL code.
                     4.1 Flight hours and flight cycles situation for airframe, engines, APU and landing
                     gears.
                     4.2 Approved Maintenance Program or necessary amendments correctly approved.
                     4.3 Approved COSL or necessary amendments correctly approved.
                     4.4 Reliability Program.
                     4.5 Statement clarifying that the aircraft is entirely covered by the approved
                     Maintenance Program. (MS, COSL,…).
                     4.6 Copy of the work package and CRS concerning the maintenance and
    4. Aircraft.     modifications applied during the delivery process.
                     4.7 Investigation concerning differences between the former maintenance program
                     and the applicant’s program. (Bridging check).
                     4.8 Storage duration and conditions – De-storage program.
                     4.9 Maintenance history (checks history,….)
                     4.10 LLP and Hard Time Status (Cardex).
                     4.11 Follow-up CPCP, SSI, Aging program, ALS.
                     4.12 Weight & Balance report.
                     4.13 Cabin and Emergency lay-outs approved by DGTA.




CL/CircAIRW-02 Ed. 3 Uit 3/ issue 2         30.09.2008                                                        Page4of6
Issuance of CofA – Check list for technical file                               OO-………./ date : ….../...…/…….

                     5.1 History of preceding operators.
                     5.2 Complete STCs list applied with the necessary supplements and manuals
                     (supplement AFM / AOM, SRM, MS,…).
                     5.3 Complete modifications list (except STCs) applied with the necessary
                     supplements and manuals.
                     5.4 Complete repairs list.
    5. Historic.     5.5 Dent & Buckle chart
                     5.6 Accident – incident statement since aircraft manufacture date.
                     5.7 List of the existing concessions.
                     5.8 List of the existing defects / open items.
                     5.9 Copy of the preceding flights test if necessary.
                     6.1 Overhauls history.
   6. Landing     6.2 Last EASA Form One or equivalent.
 Gears Situation. 6.3 LLP Status
                     7.1 Engine Maintenance Program (on-wing and off-wing).
                     7.2 Maintenance history (overhaul, repairs,…).
                     7.3 Modules situation.
    7. Engines.      7.4 LLP status.
                     7.5 EASA Form One or equivalent, logbook.
                     7.6 Last Boroscopic inspection with results.
                     8.1 Heavy Maintenance Program.
  8. Propellers.     8.2 Maintenance history (overhaul, EASA Form One or equivalent,…).
                     8.3 LLP status.
                     9.1 LLP status.
      9. APU         9.2 Maintenance history (overhaul, repairs,…).
                     9.3 EASA Form One or equivalent, logbook.
                     10.1 ADs Situation at the latest biweekly for the airframe.
                     10.2 ADs Situation at the latest biweekly for the engines.
     10. ADs         10.3 ADs Situation at the latest biweekly for the APU.
                     10.4 ADs Situation at the latest biweekly for the appliances.
                     11.1 SBs Status for the airframe with, in annex, the details concerning the
                     particular follow-up (repetitive inspection,…).
                     11.2 SBs Status for the engines with, in annex, the details concerning the particular
      11. SBs        follow-up (repetitive inspection,…).
                     11.3 SBs Status for the APU with, in annex, the details concerning the particular
                     follow-up (repetitive inspection,…).
                     12.1 Equipment List.
 12. NAV-COM         12.2 Situation with the regulation. (Number of channels, separation 8.33Khz,
                     RVSM, RNAV, TCAS).
                     13.1 Instruments List with the status in accordance with EU-OPS 1 Subpart K & L
 13. Equipments      or with circular Airw-22 in agreement with JAR-OPS 3 Subpart K&L.
                     13.2 Latest DFDR Read out with the conformity of the recorded parameters.




CL/CircAIRW-02 Ed. 3 Uit 3/ issue 2           30.09.2008                                                     Page5of6
Issuance of CofA – Check list for technical file                             OO-………./ date : ….../...…/…….

                     14.1 Procedures OPS-M.
                     14.2 Necessary required modifications to the Maintenance Program.
  14. CAT II/III
                     14.3 Statement confirming the maintenance of the aircraft in accordance with the
                     CAT standard.
                     15.1 Approved ETOPS Manual.
                     15.2 CMP at the latest revision.
    15. ETOPS        15.3 Manufacturer ETOPS guide.
                     15.4 Statement confirming the maintenance of the aircraft in accordance with the
                     ETOPS standard.
                     16.1 Manufacturer Flight Manual (AFM) approved by the appropriate Authority
                     and in conformity with the technical situation of the aircraft (supplements STC,
                     ADs / AMOCS,…).
                     16.2 Manufacturer Operation Manual.
                     16.3 Operator Operation Manual (AOM/FOM) in conformity with AFM and
                     approved by BCAA.
                     16.4 Statement declaring the conformity of the operator operation manual with
                     AFM and its supplements.
  16. Technical      16.5 Copy of the « Master Minimum Equipment list ».
 Documentation.      16.6 MEL approved by BCAA.
                     16.7 Technical documentation for airframe : MPD, MRB, AMM, FIM, SRM, SB,
                     SL,…
                     16.8 Technical documentation for engines : Workscope planning guide, SB, SL,…
                     16.9 Technical documentation for propellers : overhaul manual, SB, SL,…
                     16.10 Letter from the applicant confirming the follow-up for the up- dates of the
                     technical documentation.
                     16.11 Specific Documentation (STC, ETOPS,…).
 17 . Acceptance     17.1 Manufacturer Program.
      Flight.        17.2 Program proposed by the applicant.



NAME OF THE RESPONSIBLE PERSON THAT SUBMIT THE FILE :




SIGNATURE :




CL/CircAIRW-02 Ed. 3 Uit 3/ issue 2        30.09.2008                                                    Page6of6

				
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