TANZANIA CIVIL AVIATION AUTHORI by pengtt

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									RADIO STATION SURVEY




                                             FORM: AC-AWS0019
                                              November 2008
Aircraft Radio station Approval Request form

Approval issue/renewal of the following Aircraft Radio Station is required

AIRCRAFT REGISTRATION MARK                    5H-                         AIRCRAFT TYPE:

OWNER’S NAME AND ADDRESS


AIRCRAFT MAY BE INSPECTED AT:

Radio Equipment fitted in an aircraft (indicate Type and model)
1     H.F. No: 1                                                          Power Output
2     H.F. No: 2                                                          Power Output
3     V.H.F No: 1                                                         Power Output
4     V.H.F No: 2                                                         Power Output
5     ADF No: 1                                                           ADF No: 2
6     ADF Loop No: 1                                                      ADF Loop No: 2
7      VOR No: 1                                                          VOR No: 2
8      DME No: 1                                                          DME No: 2
9      Transponder No: 1                                                  Transponder No: 2
10     ILS Loc No: 1                                                      ILS Loc No: 2
11     ILS G/S No: 1                                                      ILS G/S No: 2
12     ILS Mkr No: 1                                                      ILS Mkr No: 2
13     Intercom system:                                                   GPS:
14     P.A. System:                                                       EGPWS/GPWS
15     Weather Radar No: 1                                                Weather Radar No: 2
16     Radar Altimeter:                                                   TCAS/ACAS
17     PAX Entertainment System:                                          ELT
The following additions/alterations/modifications to the equipment have been made since last approved:




The Aircraft Radio station has been serviced/maintained by me and is satisfactory in every respect:

Signature of A/c Radio Maintenance
Engineer:
Engineer’s License No                                                                             Date:
I Certify that the Aircraft station was flight tested by me and is satisfactory in every respects:
Signature of Pilot
Pilot’s License No:                                                                                Date:
For T.C.A.A. use only:
The above Aircraft Radio station has been inspected by me and is approved/not approved* for the following reason(s):

Signed …………………………….                        Date………………………………

Actioned. ------------------------------   Date ……………………………….


FORM: AC-AWS019                                                 November 2008                                          i
RADIO STATION SURVEY




Note:     Please record serial numbers of the installed radio equipment
         at the time of inspection on the back of this paper.




Indicate Serial Numbers of installed equipment (main):

1       H.F. No: 1                                                  Power Output
2       H.F. No: 2                                                  Power Output
3       V.H.F No: 1                                                 Power Output
4       V.H.F No: 2                                                 Power Output
5       ADF No: 1                                                   ADF No: 2
6       ADF Loop No: 1                                              ADF Loop No: 2
7       VOR No: 1                                                   VOR No: 2
8       DME No: 1                                                   DME No: 2

9       Transponder No: 1                                           Transponder No: 2
10      ILS Loc No: 1                                               ILS Loc No: 2
11      ILS G/S No: 1                                               ILS G/S No: 2
12      ILS Mkr No: 1                                               ILS Mkr No: 2
13      Intercom system:                                            GPS:
14      P.A. System:                                                GPWS
15      Weather Radar No: 1                                         Weather Radar No: 2
16      Radar Altimeter:                                            TCAS/ACAS
17      PAX Entertainment System:




FORM: AC-AWS019                                     November 2008                         ii

								
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