Egyptian Civil Aviation Supervisory Authority DOC.

1110
Flight Safety Standards Sector Policy and Procedure Manual

Chapter 6

Forms

Certification Documents for New Aircraft Delivery- Form No 1110-010

Chapter1. Description Sat. Not Sat.
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Egyptian Civil Aviation Supervisory Authority DOC. 1110
Flight Safety Standards Sector Policy and Procedure Manual

A. A/C Type Certificate , Data Sheet & Any Supplemental type Specification
B. Export Certificate of Airworthiness
C. Non Registration Certificate.
D. Engines Export Certificate of Airworthiness
E. APU Airworthiness Tag or Release Form
Chapter 2.
A. Aircraft Letter of Definition
B. Aircraft List of Modification in addition to Type Design
C. Aircraft Specifications.
D. List of Deviations from the Design Standard
E. List of Recordable Concessions
F. Aircraft Production Completion Certificate Approval (FAA/JAA)
G. Aircraft Conformity to Design Standard (Eligibility Certificate)
H. Aircraft Supplemental Type Certificate for Additional Components
Chapter 3.
A. AD’s Status List
B. Compliance Statement that all Applicable AD’s are Satisfied
C. Aircraft Modification Status List
D. Aircraft SB Status List
E. Customer Options Modification Incorporated List
F. Production/Design Deviation Approvals
Chapter 4.
A. Aircraft ETOPS Configuration Certificate (If Applicable)
B. Aircraft Insurance Certificate
C Aircraft Weighing Report (approved)
D. Aircraft Compass Swing Report
E. Aircraft Electrical Load Analysis
F. Aircraft Radio Station Conformity (Certificate)
G. Aircraft Noise (Limitation) Level Configuration
H. Aircraft Delivery Interior Certification Diagram (Approved LOPA)
I. Aircraft Rotable Component List.
J. Aircraft Avionics Equipment List
K. Aircraft Safety Equipment List
L. Aircraft & Engine Life Limited Component List
M. Aircraft Equipment List (Readiness Log)
N. Aircraft TCAS II, RVSM, B-RNAV & Mod’s – Transponder Approval
Chapter 5.
A. Aircraft Approved Flight Manual
B. Aircraft Weight & Balance Manual
C. Aircraft Flight6 Operations Manual & Check List
D. Aircraft Maintenance Manual & Engine Manuals
E. Aircraft Fault Isolation Manual
F. Aircraft Wiring Diagrams Manual
G. Aircraft Maintenance Planning Document
H. Aircraft Illustrated Part Catalogue
I. Aircraft Structure Repair Manuals
J. Aircraft Master Minimum Equipment List & DDG
K. Aircraft, Engine & APU Log Books.

Chapter 6.
A. Production Ground System Test Results
B. Production Flight Test Results.
C. Engine Ground Test
D. Cabin Pressure Leakage Check, Hydraulic systems Test
E. Final & acceptance Ground Test Results
Certification Documents for New Aircraft Delivery Cont’d

Chapter 6. Description Sat. Not Sat.

F. Final & Acceptance Flight Test Results

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Flight Safety Standards Sector Policy and Procedure Manual

G. Aircraft Inspection Evaluation Report (ECASA)

H. Delivery Letter of Commitments
I. List of Deferred Defect to be corrected after issuance of C of A (if Applicable)
.
In Addition to the above the following for a Used Aircraft

Description Sat. Not Sat.

A. A Record for the Last Overhaul/ Major Checks
B. A Dated Summary of past Maintenance Inspections and the operating hours since
the last inspection
C. Maintenance Program including Previous and Future Checks
D. Hard Time Components List
E. Life Time Components List
F. List of Major Repair
G. List of Modifications Made by the operator and previous owner (if applicable)
H. Compliance with the Structural Inspection Program Including Details of any
Structural Sampling.

Aircraft Inspection -Form No 1110-002

Purpose of Evaluation
Issue C of A 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: ------------------------------------------------------------------------------------------------------------------
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Flight Safety Standards Sector Policy and Procedure Manual

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

S/N
T.T.S.N/ T.C.S.N
T.T.S.O/ T.C.S.O
:Propeller model and type

PROPELLER NO. PROP 1 PROP 2 PROP 3 PROP 4

S/N
T.T.S.N/ T.C.S.N
T.T.S.O/ T.C.S.O

Transmission unit type and serial No----------------------------------------------------------------------------------------------------

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 licence 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: ----------------------------------------------------------------------------------------------------------
Deffered 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: -------------------------------------------------------------------------------------

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Flight Safety Standards Sector Policy and Procedure Manual

Accidents/occurences record: ------------------------------------------------------------------------------------------------------------

Last flight test date: Reason: ---------------------------------------------------
-------------------------------------------------------
D-Miscelanous
Aircraft type of operation envisaged:
Category 1: Category 2: Category 3: ----------------------------------------------
-------------- ----------------------------------
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:
Inspection findings and remarks:

Inspection completed by: Signature

Inspection reviewed by Signature
Recommendation:
Flight Test Carried on:---------------------------------------------------------------------------------------------------------------------
Approved/not Approved:------------------------------------------------------------------------------------------------------------------
Is fit for (Issue/Renewal) the C of A: ---------------------------------------------------------------------------------------------------
From: To: -------------------------------------------------------------------------
--------------------------------------

General Director of Aircraft Inspection

Name:

Signature:

Application for Renewal C of A- Form No 1110-003

To: Airworthiness Central Administration Administrator

The Aircraft mentioned below has been periodically maintained, inspected by test flown
according to the requirement of the ECAA
Section1: To be completed by the applicant

1- Owners Name 2- operator

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Flight Safety Standards Sector Policy and Procedure Manual

3- Mailing Address of Company 4- Telephone #

5- Fax #
6- A/C Nationality & Registration 7- A/C Type
Marks

8- Engines Type and Manufacturer

9- Propellers Model and Type

10- Additional Information provided and attached NO

YES 1) 2) 3)

Applicant Name: Signature: Date:

Title:

Section2. For Official Use Only

Received By Date:

Department assigned responsibility: Date forwarded to Department

AID TLD MD

Approval Number:

Remarks

EXTERIOR INSPECTION GUIDELINES- Form No 1110-004

1st.Accompany a flight crewmember during the exterior inspection, if possible, and inspect the
following, as applicable:
(1) Landing gear and wheel well areas. Check for the following: Sat. Not Sat.
* Any indication of wear, chafing lines, chafing wires, cracks, dents, or
other damage
* Structural integrity of gear and doors (cracks, dents, or other damage)
* Hydraulic leaks (gear struts, actuators, steering valves, etc.)
* Tire condition
* Tire pressure (if pressure indicators are installed)
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Flight Safety Standards Sector Policy and Procedure Manual

* Wheel installation and safety locking devices

* Wear, line security, leaks, and installation of brakes
* Corrosion
(2) Fuselage and pylons. Inspect the following: Sat. Not Sat.
* Structure for cracks, corrosion, dents, or other damage
* Fasteners (loose, improper, missing)
* Condition of radome
* Condition of pitot tubes
* Static ports (cleanliness and obstructions)
* Stall warning devices and other sensors
* Antennas (security and indications of corrosion)
* Lavatory servicing areas (evidence of fresh blue water streaks)
* Cargo compartments for integrity of fire protective liners (no holes or
unapproved tape used for repairs)
* Emergency exit identification/markings
* Registration marking (legibility)
* All lights (general condition, broken lenses, etc.)

(3) Wings and pylons. Inspect the following: Sat. Not Sat.
* Structure for cracks, corrosion, dents, or other damage
* Leading edge (dents and/or damage in line with engine inlets)
* Leading edge devices (when open, actuator leaks, general condition of lines,
)wires, and plumbing
* All lights (general condition, broken lenses, etc.)
* Flaps (cracks, corrosion, dents, and delamination)
* Flap wells (general condition of lines, wires, and plumbing)
* Static eliminators (number missing)
* Ailerons and aileron tabs (cracks, corrosion, dents, delamination)
* Missing, loose, or improperly secured access door/inspection panels and
blowout panels
(4) Engines. Inspect the following: Sat. Not Sat.
* Intake for fan blade damage, and oil leaks
* Ring cowl for missing or loose fasteners
* Cowling doors for security and proper fit
* Lower cowling for evidence of fluid leaks
* Exhaust for turbine and tailpipe damage, and evidence of fluids
* Reverser doors for stowage and security, and evidence of leaks
* Access doors for security
(5) Propellers. Inspect the following: Sat. Not Sat.

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Flight Safety Standards Sector Policy and Procedure Manual

* Leading edge of propeller for cracks, dents, and other damage

* Deicer boots for signs of deterioration and security
* Spinners for security, cracks, and evidence of fluid leaks
(6) Empennage. Inspect the following: Sat. Not Sat.
* Leading edge for dents
* All lights (general condition, broken lenses, etc.)
* Missing static discharge eliminators
* Elevator, rudder, and tabs (cracks, corrosion, dents, and delamination)
* Elevator and rudder power unit for evidence of hydraulic leaks
(7) Ground safety. Inspect the following: Sat. Not Sat.
(a) Positioning of support vehicles
(b) Fueling of aircraft, to include the following:
* Refueling pressure
* Condition of refueling unit (leaks, filter change dates, exhaust system,
etc.)
*
Grounding
* Fire protection
* General fueling procedures
(c) General condition of ramp, to include the following:
* Provisions for grounding
* Foreign objects on ramp
* Fuel spills
* General housekeeping/cleanliness
* Passenger control
* Fire protection
(8) Baggage. Observe loading and unloading of baggage compartments to Sat. Not Sat.
include the following:
* Baggage restraining system
* Load distribution

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Flight Safety Standards Sector Policy and Procedure Manual

INTERIOR INSPECTION GUIDELINES

A. Examine the airworthiness and registration certificates. Ensure the following: Sat. Not Sat.
* Airworthiness and registration certificates are current and valid
* Both certificates contain the same model, serial, and registration numbers
* Temporary registration is current
* Signatures are in permanent-type ink
B. Flight Deck Inspection. Inspect the following: Sat. Not Sat.
(1) Instrument security and range markings
(2) Windows (delamination, scratches, crazing, and general visibility)
(3) Emergency equipment
(4) Seal on medical kit (if located on flight deck)
(5) Seat belts and shoulder harnesses (Technical Standard Order marking, metal
)to metal latching, and general condition
(6) Check the following if using cockpit jumpseat:
* Jump seat oxygen system - turn regulator on and select 100% oxygen
* Interphone system - select Comm 1 and Comm 2 to ensure systems are working
(7) When the most forward jump seat is in the cabin, coordinate with the crew for
connecting the headset and adapter cables.
(8) Ensure that the jump seat is serviceable and that seat belt and shoulder harnesses
are available
C. Cabin Inspection. Inspect the cabin to include the following: Sat Not Sat.
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Flight Safety Standards Sector Policy and Procedure Manual

(1) Lavatory. Ensure the following:

* Fire extinguisher system is installed in sealed trash containers
* Smoke detection system is installed
* Trash containers are sealed according to applicable Airworthiness Directive(s)
* "No Smoking" placards are posted
* Ashtrays are available outside the lavatory
(2) Flight attendant seats.
* Pull the jump seat down to ensure seat retracts (those in the path of exits)
* Inspect seat belts for Technical Standard Order marking, metal to metal
latching
and general condition
(3) Cabin emergency equipment. All equipment requiring periodic inspections Sat. Not Sat.
should
have an inspection date marked on it. Inspect the following:
* Flight attendant flashlight holder
* Slide containers, to ensure containers are properly marked for content.
* Check pressure of slide inflation bottle if visible.
* Medical kit (if not checked on flight deck)
* First aid kit
* Emergency oxygen (proper pressure and security)
* Megaphone(s) (security and general condition)
* Fire extinguishers (security, pressure, seal,)
* Liferaft storage markings (if raft is required)
* Emergency briefing cards (random sample)
* General condition of emergency floor path lighting system
* Placement of all "Emergency Exit" signs
* Presence and legibility of "Emergency Exit" operation instructions
* Placarding for location of all emergency equipment
* Life preservers (vests)
(4) Passenger seats. Ensure the following:
* Seats adjacent to emergency exits do not block exit path
* Seats are secure in seat rack (random sample)
* Seat breakover pressure is in accordance with operator's maintenance program
(random sample)
* "Fasten Seat Belt During Flight" placards are in view from all seats
* Seat belts have metal to metal latches and are in good general condition
(random sample)
(5) Galleys/service centers. Inspect the following:
* Trash bin lids for fit
* Storage compartment restraints
* Stationary cart tiedowns
* Lower lobe equipment/restraints
* Lift operation
* Galley supply stowage
(6) Overhead baggage compartments. Check for weight restriction placards and
the doors for proper latching, when applicable
D. Inspect cargo compartment Sat. Not sat.
(1) Ensure the following:
* Cargo compartment fire protection is appropriate for its classification
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Flight Safety Standards Sector Policy and Procedure Manual

* Cargo liner is free from tears and/or punctures. If these are noted, inspect
structure behind liner for damage, e.g., stringers, circumferentials, etc. Ensure
type and in good condition.
sealing tape is proper
* Cargo door is free of fluid leaks and structural damage
* Fuselage door structure and sill are free of damage
* Smoke detectors are in satisfactory condition
* Lighting is operable and protective grills are installed
* Cargo flooring is free from structural or other damage
Pallet positions/compartments are placarded for position identification and *
weight limitations
(2) Inspect pallet system, if applicable. Ensure the following:
* Ball mats are serviceable, e.g., no broken or missing balls
* Forward, aft, and side restraints are serviceable
* Roller assemblies are secure and have no missing or broken rollers
(3) Ensure the 9 g forward restraint net is serviceable, if applicable.
(4) Ensure that cargo restraints for bulk loaded cargo are adequate, if applicable.
(5) Inspect cabin mounted equipment.
(6) Inspect fire extinguishers for inspection due dates and pressure.
(7) Inspect load manifest for Hazardous Material. If present, determine crew knowledge
of the following:
* Location and labeling of hazardous materials
* Special requirements, if required
* If proper paperwork is on board
(8) Ensure captain is aware of the following responsibilities:
* Inspection of cargo to ensure proper load distribution
* Ensuring loads do not exceed compartment or position limits
* Ensuring loads are being properly restrained

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Flight Safety Standards Sector Policy and Procedure Manual

Application for Issuance of Flight Permit Approval for Egyptian Aircraft- Form No 1110-005

Section1: To be completed by the applicant

To: The Administrator of Airworthiness Central Administration (ACA)

Dear sir,
I hereby certify that the aircraft defined below is cleared for issuance of a Flight Permit Approval
1- Name of Operator

2- Mailing Address of Company 3- Telephone #

4- Fax #

5- A/C Nationality 6- A/C Registration Mark

7- Aircraft Type

8-Aircraft Category

9- Aircraft Serial Number

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Flight Safety Standards Sector Policy and Procedure Manual

Name: Signature: Date:

Title:

Section2. For Official Use Only

Received By Date:

Department assigned responsibility: Date forwarded to Department

AID TLD MD

Approval Number:

Remarks:

Egyptian Civil Aviation Supervisory Authority

Airworthiness Central Administration Form No 1110-006

Flight Permit Approval over ARE

Date:
To : Administrator of Air Transport Central Administration
Subject : Flight Permit Approval For An Aircraft
Dear Sir.
Please be informed that we have no objection from our side to issue subject flight permission for
the following aircraft
Registration Marks:

Nationality
:
Leased/Operated By:

This permission is issued for subject aircraft to be flown the missions mentioned in its certificate of
airworthiness until / / , provided that the aircraft is maintained in accordance with its
approved maintenance program.

Administrator , ACA
Name:

Signature:

Date:

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Flight Safety Standards Sector Policy and Procedure Manual

Form No 1110-027

Aircraft Refueling Procedures Monitoring

Company Name:
Company Address:
Aircraft Type and Model:
Location:

a Inspect Fueling Truck Facilities as Follows Yes No

1- All Control Valves are clearly marked with instruction for emergency use.
2- Proper display of "Flammable" and "No Smoking" signs.
3- Proper marking that identifies the Fuel Type.
4- The filters size matches maximum pump flow capacity.
5- A defferential pressure check system.
6- A positive water defence system.
7- Fuel sampling fittings downstream of all filters.
8- The hoses nozzle and outfllow connectors are specially designed for delivery
of aviation fuel.
9- The nozzles are controlled by spring loaded non by-pass automatic fuel flow
cutoff valves.
10- Fuel nozzle is equipped with a dust cap, feature that will minimize
contamination introduced into fuel system
11- Fuel Sampling program and last date
12- Electrical equipment, switches and wiring are of a type or design approved for
use in hazardous location (explosion proof e.g free of exposed conductors,
contacts, switches, connectors, motors, etc)
b Refueling Operation Yes No
1- Fuel type is recommended by the manufacturer for this type of engine.
2- Fuel samples drained from different tank drains are free of contaminations.
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Flight Safety Standards Sector Policy and Procedure Manual

3- Grounding and bonding equipment ensure that piping, filter, tanks and
electrical components are electrically bonded together and interconnected to an
.adequate electrical ground

4- Appropriately placed fire extinguishers.

5- The aircraft refueling indicators are properly operating and are reading
identical
to fueling truck indicators.
6- The aircraft fuel tanks are fueled to the required quantity for the trip.
7- The compliance and adequate fueling procedures.
8- Fuel leakage during fueling operation.

Inspection Date

Deficiencies:

Inspector Name:

Signature:

Recommendations:

AID- GM Signature

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Flight Safety Standards Sector Policy and Procedure Manual

Aircraft Spot Inspection Report-Form No 1110-040

Air Operator: AOC (Issue - Ren) Date:

A/C Registration: A/C Type :

Date of Inspection : Place of Inspection :

Type of Maintenance :

S/N Items of Inspection Yes No N/A

1. Work package is available
a- Component change sheet
b- inspection work cards
c. Non-routine work cards
d. a/c maintenance manuals
e. GMM applicable sections
2. Special tools and equipment are available and in good condition and calibration
3. Corrective actions to the previous finding during spot inspections are carried out
4. Previous SDR summaries are covered
5. Airworthiness Directives status is up dated.
6. Sufficient Maintenance and inspection staff are rated and trained on the type of a/c
7. Hanger is suitable for a/c
8. No deviation from approved maintenance program
9. Quality of inspection or discrepancy write-ups meets acceptable standards.
10. Correct approved forms are used in correct manner.
11. Deferred maintenance items are recorded with their concessions.
12. Some selected items ( RII , Maintenance task .... ) are done satisfactory.
13. The operator records contain the proper return - to - service entries
Comments and Recommendations

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Flight Safety Standards Sector Policy and Procedure Manual

Inspector’s Name : ---------------------------------------------------------------------

Inspector’s Signature: ------------------------------------------------------------------

Inspection of Maintenance Technical Records- Form No 1110-033

Section 1: To be Completed By the Applicant
Operator Name AOC (Issue - Renew) Date

Name of Person in Charge Title

Inspection Date

Items of Inspections Yes No N/A

1- Company GMM procedures applied for Maintenance Technical Records
2- A/C's Log Books Records Status (Total Flight Hours / Cycles in Service)
3- Life-Limited Parts Status Records Status
4- Records of Last Overhaul of Airplane & Engines Components & Modules
5- The Current Inspection Status of A/C According to Approved Maintenance Prog.
6- Airworthiness Maintenance Release Records.
7- Major Repair & Alteration Records.
8- Airworthiness Directives (AD's) record Status.
9- Service Bulletin & Service Letter Applied Records.
10- Repair Station Records of Work Performed on Airplanes
11- Records are being retained correctly.
12- Check random Sample of:
a- A/C's Log Books, Engine Log Book, Propeller, ......
b- Limited Life-Time Components.
c- AD's Status, S.B Records, Major Repair & Modifications.
d- Removal / Installation Record of O/H Components.
e- Review the Signer's Authorization
Section 2: To Be Completed By The Inspector In Charge
Notes:

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Flight Safety Standards Sector Policy and Procedure Manual

Recommendation:

Inspector's Name Inspector Signature

STORES INSPECTION FORM- Form No 1110-038

Air Operator :------------------------------------------------ Store Name : ---------------------------------------

Date of Inspection :-------------------------------------- Location : --------------------------------------------
Purpose of Person in Charge : ------------------------------
Inspection :---------------------------------
Title : --------------------------------------------------
1. Store General Conditions :
Clean- Temp. Humidity Ventil- Lighting Fire First Emrgncy Compute-
Item liness Control Control ation Fighting Aid Warning rization Space

Degree
2. Stored Items Conditions :
¤ Are the racks & shelves constructed openly to allow accessibility & free circulation of
air ?
----------------------------------------------------------------------------------------------------------------------------------------
¤ Is stock satisfactorily packed ? Are bearings stored in their original wrappings ?
----------------------------------------------------------------------------------------------------------------------------------------
¤ Does the store include flammable materials or those which may have intentional
effects on other materials ?
----------------------------------------------------------------------------------------------------------------------------------------
¤ Are ferrous metals protected against corrosion ?
If applicable mention the methods of protection .
----------------------------------------------------------------------------------------------------------------------------------------
¤ Are the stored battery in the fully charged condition ?
----------------------------------------------------------------------------------------------------------------------------------------
¤ Are the compressed gas cylinders or their covers exposed to the direct rays of the sun ?
----------------------------------------------------------------------------------------------------------------------------------------
¤ What are the positions of the electrical cables reels ?
----------------------------------------------------------------------------------------------------------------------------------------
¤ Are the small instruments enveloped with their original plastic envelopes ?
----------------------------------------------------------------------------------------------------------------------------------------
¤ Are the oil coolers & radiators filled with an inhibiting fluid ? How are they stored ?
----------------------------------------------------------------------------------------------------------------------------------------
¤ Are wheel & tire assemblies stored in a vertical position ? Describe the environment of store.
----------------------------------------------------------------------------------------------------------------------------------------
¤ Are paint containers inverted at regular intervals ?
----------------------------------------------------------------------------------------------------------------------------------------
¤ How are the rigid pipes, the long lengths tubes stored ?
----------------------------------------------------------------------------------------------------------------------------------------
¤ Are the flexible pipes in sealed plastic sleeves ? Describe the environment of store .
----------------------------------------------------------------------------------------------------------------------------------------
¤ Are there seals , O rings life time expired ?
----------------------------------------------------------------------------------------------------------------------------------------
¤ Are rubber parts of components exposed to direct daylight ?
----------------------------------------------------------------------------------------------------------------------------------------
¤ Are there Receiving and Inspection Procedures?
¤ Are the hydraulic components which are filled with a fluid other than that used in A/C sys.
clearly labeled ?
----------------------------------------------------------------------------------------------------------------------------------------
REMARKS :
----------------------------------------------------------------------------------------------------------------------------------------

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----------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------

3. Storing Procedure :
Are quarantine stores acceptable ?
----------------------------------------------------------------------------------------------------------------------------------------
Are all components removed from the A/C delivered to the quarantine store ?
----------------------------------------------------------------------------------------------------------------------------------------
Are all parts / materials passed through quarantine stores ?
----------------------------------------------------------------------------------------------------------------------------------------
Are quarantine stores separated from bonded stores ?
----------------------------------------------------------------------------------------------------------------------------------------
Are bonded stores split into rotable items store & consumable items store ?
----------------------------------------------------------------------------------------------------------------------------------------
Are bonded store handling facilities acceptable ?
----------------------------------------------------------------------------------------------------------------------------------------
Is the Operator Manual available to the staff ?
----------------------------------------------------------------------------------------------------------------------------------------
Are stores procedures i.a.w. the Operator manual ?
----------------------------------------------------------------------------------------------------------------------------------------
Is the receiving-releasing acceptable ?
----------------------------------------------------------------------------------------------------------------------------------------
Is the procedure to locate release notes acceptable ?
----------------------------------------------------------------------------------------------------------------------------------------
Are all parts tagged satisfactory ?
----------------------------------------------------------------------------------------------------------------------------------------
Is the control of shelf lifed items acceptable ?
----------------------------------------------------------------------------------------------------------------------------------------
Is the material , batch numbering system acceptable ?
----------------------------------------------------------------------------------------------------------------------------------------
Is the record system for components is i.a.w the procedure stated in the Operator Manual ?
----------------------------------------------------------------------------------------------------------------------------------------
Can the components supply sources be traced
----------------------------------------------------------------------------------------------------------------------------------------
what is the form of the batch numbering for consumable parts , rotable items
and overhauled units ?
----------------------------------------------------------------------------------------------------------------------------------------
4. Recommendations :
----------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------
Inspection carried out by : ---------------------------
Revised by : -------------------------------------------
Signature : --------------------------------------
-------------------------------------------- : Signature

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Flight Safety Standards Sector Policy and Procedure Manual

Routine Inspection Report- Form No 1110-066

Operator Name

Location

Date Time

This inspection procedure is initiated upon

Operator Request Routine Work Special Inspection
Subject of Inspection

Description of Findings

Notes Recommendations
1-
2-
3-
4-
Conclusions
CAR is required
Pass
Approval/Permit Is garanted Is not garanted
Inspector Name Signature Date

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Flight Safety Standards Sector Policy and Procedure Manual

Application For Approval Of (Form No 1110-009)

Short Term Escalation Aircraft Reweighing

Section1: To be completed by the applicant
1- Owners Name 2- operator

3- Mailing Address of 4- Telephone #

Company

5- Fax #

6- A/C Nationality & Registration 7- A/C Make & Model

Marks

8- Engines Type and Manufacturer 9- Propellers Model and Type

10- A/C Place:

11 - For unit TBO extension:

a- TSN -------------------------------- TSo --------------------------
b- TBO ------------------------------- Expiry Date ----------------------
12- Proposed Maintenancce Schedule

13- Detailed justification for extension

14- Reasons for A/C reweighing /Repair

15- Additional Information provided and attached NO

Yes 1) 2) 3)
Name: Signature: Date:

Title:

Section2. For Official Use Only

Received By Date:

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Flight Safety Standards Sector Policy and Procedure Manual

Department assigned responsibility: Date forwarded to Department

AID TLD
MD

Approval Number:

Remarks:

EGYPTIAN CIVIL AVIATION SUPERVISORY AUTHORITY

POLICY AND PROCEDURES MANUAL
From no 11110-070

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Flight Safety Standards Sector Policy and Procedure Manual

Denial Letter
TO

Date

Subject

Dear Sir
We Regret to tell you that subject request is denied for the following
reason(s)

1-

2-

3-

4-

5-

Sincerely yours

ACA Administrator

Name:

Signature

Aircraft Special Flight Evaluation Report- Form No 1110-043

Type Of Special Flight

Ferry Positioning Flight Sign Others

Flight Flight Test Towing
A- Company name and address:
-----------------------------------------------------------------------------------
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Flight Safety Standards Sector Policy and Procedure Manual

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

S/N
T.T.S.N/ T.C.S.N
T.T.S.O/ T.C.S.O
STATUS

Propeller model and type:

PROPELLER NO. PROP 1 PROP 2 PROP 3 PROP 4

S/N
T.T.S.N/ T.C.S.N

T.T.S.O/ T.C.S.O

Transmission unit type and serial No:------------------------------------------------------------------------------

APU type and serial No.: -------------------------------------------------------------------------------------------
Aircraft current C of A validity:
------------------------------------------------------------------------------------
Aircraft C of M validity :
----------------------------------------------------------------------------------------------
Aircraft current certificate of inssurance validity:
-----------------------------------------------------------------
Aircraft total flight hours/cycles: Since New ------------------------------- Since O/H---------------------
Radio licence validity: -----------------------------------------------------------------------------------------------
Compass swing report:
------------------------------------------------------------------------------------------------

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C- Documents, recording status vetting:

Approved maintenance schedule status :
---------------------------------------------------------------------------
Components life limitations exceedances if any:
-------------------------------------------------------------------
Certificate of Registration: ------------------------------------------------------------------------------------------
Mandatory modification status:
-------------------------------------------------------------------------------------
Deffered snags status:
------------------------------------------------------------------------------------------------
Aircraft flight manual latest revision date:
-------------------------------------------------------------------------
Airworthiness directives compliance status:
-----------------------------------------------------------------------
Technical log book conditions: ------------------------------------------------------------------------------------
Log books or equivalent: --------------------------------------------------------------------------------------------
Procedure for Compliance No Yes Number
Procedure for Additional Crew members No Yes Number
Procedure for Special Inspection No Yes Number
GMM, Limitations Weight Take Off
Accidents/occurences record:
----------------------------------------------------------------------------------------
Last flight test date: -----------------------------------------Reason:
------------------------------------------------
D-Miscelanous
Aircraft type of operation envisaged:
Category

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:
Inspection findings and remarks:

Inspection completed by: Name/Signature

Inspection reviewed by Name/Signature

Issue 2,Rev.0 Dated September, 2001 Chapter 6 Page 25
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Recommendation:

Approved/not
Approved:-----------------------------------------------------------------------------------------------

General Director of Aircraft Inspection (AID - GM) Airworthiness Central Administration Administrator

Name: Name:

Signature: Signature:

Form No 1110-058

Authorization for Special Airworthiness Certificate

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Positioning Flight Ferry Flight

Restricted Experimental

Subject: Special Airworthiness Certificate Letter of Approval for the Aircraft

mentioned Below
1- Owners Name 2- operator

3- Mailing Address of Company 4- Telephone #

5- Fax #

6- A/C Nationality&Registration marks 7- A/C Make & Model

8- Engines Type and Manufacturer 9- Propellers Model and Type

Dear Sir.
The Aircraft defined above is approved for the required Special Flight Permit under the
following conditions:-

Administrator , ACA
Name:
Signature
Date:

Application for Issue Export C of A - Form No 1110-014

Section1: To be completed by the applicant
To: Head of Airworthiness Central Administration
Would you please issue an Export Certificate of Airworthiness for the following aircraft.

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Flight Safety Standards Sector Policy and Procedure Manual

1- Aircraft Manufacturer 2- Aircraft Model

3- Aircraft S/N 4- Aircraft Nationality & Registration Marks

5- Aircraft is still registered in Egypt

Yes No
- Aircraft was reregistered in Egypt
Yes No
6- Engine Model

7- Engine No 1 S/N Engine No 2 S/N

Engine No 3 S/N Engine No 4 S/N

8- Propeller Type

9- Propeller No 1 S/N Propeller No 2 S/N

Propeller No 3 S/N Propeller No 4 S/N

10- Aircraft Status

New Used Newly Overhauled
11- Aircraft C of A No 12- Aircraft C of R No

13- Country to which the A/C will be exported

14- Special requirements required by the importing state:

15- Additional Information provided and attached NO

YES 1) 2) 3)
Name: Signature: Date:

Title:
Section2. For Official Use Only
Received By Date:

Department assigned responsibility: Date forwarded to Department

AID TLD MD

Approval Number:

Application for Aircraft Repair Station Certification-Form No 1110- 054

Maintenance Manufacture
Inspection Defect Repair Replacement Modification Test
Overhaul
Rectification YES
Yes Yes Yes Yes Yes Yes Yes
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1. Official name of organization:

2. Official name of owner:

3. Location where business will be conducted:

4. Official mailing address of organization stations and telephones:

5. Original application for approval: Yes .......if no mention:

Yes No Reason for submission of application Previous approval No. Expiry Date
Change of amendment in ratings
Change in location of housing & facilities
Change of ownership
Renewal
Other

6. Type of aircraft or aircraft equipment or parts which are the object of approval applied for:

7. List of related functions contracted to outside agencies Name Approval No.

8. Rating applied for Class Limited

Airframe
Powerplants
Propellers
Radio or Avionics
Instruments
Accessories
Specialized Services

9. Applicant's representative:

Name :

Position:

I hereby certify that I have been authorized by the Organization identified in item '1'
Certification :
to make this application and that statements attached hereto are true and correct
to the best of my knowledge

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Flight Safety Standards Sector Policy and Procedure Manual

Signature :

Authorization No. :

Date :

NOTE : This extra space can be used to continue any item where more information required :
_____________________________________________________________________

EVALUATION FORM FOR REPAIR STATION- Form No 1110-055

A. Facilities and Equipment Yes No
1. Housing and job areas
* Does the repair station provide proper:
a. Work Space
b. Storage and protection of :
- Materials
- Parts
c. Identification and protection of parts and subassemblies during:
- Disassembly
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- leaning
- Inspection
- Repair
- Alteration
- Assembly
d. Segregation for:
- Metal Shop
- Battery charging
- Painting areas
- Unpartitioned parts cleaning areas
e. Ventilation, lighting, and temperature and humidity

2. Technical documents:
* are appropriate for the maintenance to be performed
* are current, accurate, and complete
* are easily accessible to personnel
* Include a method to ensure that revisions are made

3. Equipment, tools and test equipment:

* Required types and quantities are available
* All required items are serviceable and within calibration criteria

4. Personnel
requirements:
* Dose the repair station have adequate personnel who can:
- Perform, inspect, and certify the work performed
B. Inspection procedures manual: Yes No
Dose the manual include:
1. Company organization
2. List of authorized inspectors
3. Personnel and authorized signature for maintenance release and release to
services
4. Duties and responsibilities

5. Quality control
6. Inspection of incoming material
7. Preliminary inspections
8. Hidden damage inspection
9. Forms, stamps
10. Training procedures
11. Performing work outside repair station
12. Accepting work performed by others

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13. Record keeping system

14. System for reporting serious defects or unairworthy conditions
Inspector Name:

Signature:

Date:

Application for Renewal C of A for Aircraft Lighter than Air- Form No 1110-061
To: Airworthiness Central Administration Administrator
The Aircraft mentioned below has been periodically maintained, inspected by test
flown according to the requirement of the ECAA
Section1: To be completed by the applicant

1- Owners Name 2- Name of Applicant (if not owner)

3- Mailing Address of Company 4- Telephone #

5- Fax #
6- A/C Nationality & Registration Marks 7- A/C Type

8- Additional Information provided and attached NO

YES 1) 2) 3)

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Flight Safety Standards Sector Policy and Procedure Manual

Applicant Name: Signature: Date:

Title:

Section2. For Official Use Only

Received By Date:

Department assigned responsibility: Date forwarded to Department

AID TLD MD

Approval Number:

Remarks

Maintenance Contract Evaluation Report- Form No 1110-081

Operator Contractor
1- Operator Name: 7- Contractor Name:

2- Mailing address: 8- Mailing address:

3- Telephone #: 9- Telephone #:

4- Fax #: 10- Fax #:

5-Certificate No.: 11-Certificate No.:

6- Expire Date: 12- Expire Date:

Questions S U N/A NOTES

General
Are contractual arrangements in place for
engineering support and maintenance?
Are full details of the division of responsibilities
included in the agreement between the two parties?
Are the following matters addressed in the
agreement:
General arrangements for the support of
the operation by the maintenance
organization?
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Arrangements for liaison between the

operator and the maintenance organization?
How maintenance is to be performed at the
approved location of the maintenance
organization?
Provision of sufficient appropriately
licensed maintenance personnel?
Training of maintenance personnel
including, where necessary, the operator's
personnel?
Control and development of the System of
Maintenance or maintenance schedule as
appropriate?
The preparation of documentation needed
to implement the maintenance schedule?
Arrangements for approval of changes to
the maintenance schedule?
Defect reporting to the manufacturer and
ECAA?
Maintenance of logbooks and other
records?
Procedures for the receipt, assessment and
incorporation of manufacturer’s service
bulletins/information, modifications and
manufacturer’s technical data into the
aircraft’s System of Maintenance?

Compliance with mandatory requirements?

Questions S U N/A NOTES
Provision for acceptance and storage of
spares, materials and consumable
products?
Availability of tools and equipment?
Provision for suitable maintenance
facilities where maintenance is to take
place?
Quality auditing of the maintenance
arrangements?
Are the following matters addressed:
Person in the maintenance organization to
be contacted for maintenance control
purposes?
The responsibilities of each organization if
more than one maintenance organization is
contracted?
Contracting Out-Station Support
Is there an agreement between the operator and the
contract maintenance organization for out-station
support?
Do the operator and the maintenance organizations
document the arrangements, so that
responsibilities, procedures and communication
paths are made clear to all personnel concerned?
Are these included in the operator’s Exposition
Manual and the maintenance organization’s
procedures manual as applicable?
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Does the AMO or Contractor hold a certificate of

approval for maintenance in an ICAO Contracting State
and been ECASA approved for the aircraft types and
work scope?
Do the qualifications of the maintenance personnel
employed by the line maintenance contractor
conform to the requirements of ECAR 65?
Are procedures in place to ensure continuing
satisfactory performance by contracted
organization(s)?
Are arrangements included for the training of
maintenance staff?
Contracting Ground Handling
Has the operator entered into a ground handling
agreement?
If yes, does an agreement exist detailing the tasks
to be performed on behalf of the operator?
Are provisions included to ensure the maintenance
and flight crews are aware of terms of the
agreement that affect their responsibilities?
Are there arrangements to ensure continuing
satisfactory performance by contracted
organization(s)?
Are there arrangements for the training of ground
handling staff?

Comments:

Signed: . Date: .
Airworthiness Inspector

Signed: . Date: .
Director, Aircraft Inspection

Accepted / Approved by: .

Date: .

Head of Airworthiness CA

Issue 2,Rev.0 Dated September, 2001 Chapter 6 Page 35

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Flight Safety Standards Sector Policy and Procedure Manual

Application for Maintenance contract Approval/Acceptance- Form No 1110-080

Section1: To be completed by the applicant
To: The Administrator of Airworthiness Central Administration (ACA)
Dear sir,
Please review this request for Maintenance Contract Approval/Acceptanceand kindly take
the necessary action for this approval
1- Operator Name 2- Contractor Name

3- Mailing Address of the Operator 4- Mailing Address of the Contractor

5-Telephone # 6-Telephone #

7- Fax # 8- Fax #

9- Type of Maintenance

Aircraft O/H Structural Repairs

Engine O/H Others

10- Engines Type and Manufacturer 11- Engine Serial Number

12- Propeller Model and Type 13- Propeller Serial Number

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14- Aircraft Make and Model 15- A/C Registration Marks & Serial
Number

16- Additional Information provided and attached NO

YES 1) 2) 3)

I hereby certify that the above (Aircraft, Engine, Propeller or aircraft component) will be maintained iaw the
manufacturer instructions and the appropriate maintenance manual

Name: Signature:

Title: Date:

Section2. For Official Use Only

Received By Date:

Department assigned responsibility: Date forwarded to Department

AID TLD MD

Approval Number:

Remarks:

Please attach with application:

1-Copy of operator A.O.C
2-Copy of ECASA approval to contractor repair station.
Issue 2,Rev.0 Dated September, 2001 Chapter 6 Page 37
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Maintenance contract Approval/Acceptance- Form No 1110-082

Subject: Letter of Approval for the Maintenance Contract as mentioned in details hereafter.
1- Operator Name 2- Contractor Name

3- Mailing Address of the Operator 4- Mailing Address of the Contractor

5-Telephone # 6-Telephone #

7- Fax # 8- Fax #

9- Contract Subject:

10- Contract Number and Date:

Dear Sir,
With reference to your application dated / / concerning the above subject. We have
the pleasure to inform you that the requested contract is (Approved/Accepted) under the
following Approval/Acceptance
Number
Approval/Acceptance Number: Approval/Acceptance Date:

Administrator , ACA
Name:

Signature:

Issue 2,Rev.0 Dated September, 2001 Chapter 6 Page 38

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Date:

Application for Parachute and Maintenance Shop Certificate - Form No 1110-051

Subject: Issuing parachuting Certificate to approve various parachute activities and

associated ratings
Section2. For Official Use Only

1- Applicant Name

2- Mailing Address 3- 'Telephone #:

4- Fax #:

5- Site

6- Date of Inspection

7- Additional Information provided and attached NO

YES 1) 2) 3)
Name: Signature: Date:

Title:

Section2. For Official Use Only

Received By Date:

Department assigned responsibility: Date forwarded to Department

AID TLD MD

Approval Number:

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Remarks:

Inspection Form For Parachuting Certificate and Associated Rating- Form No 1110-052

1- Applicant Name

2- Mailing Address 3- 'Telephone #:

4- Fax
#:
5- Site

6- Date of Inspection

General Inspection Points

1- Technical Data
2- Material Specifications
3- Maintenance and Alteration Standards
4- Records Procedure
5- Technical Specifications for Facilities, and
Equipment
6- Parachute Riggers: Qualification / Certification
a- Senior Parachute Rigger
b- Master Parachute Rigger
7- Storage
8- Packing Procedure (instruction)
9- Inspection System
a- Inspection Form
b- Inspection Procedure
10- Persons authorized to maintain or alter parachutes
11- Parachute Type Certificate
12- Manuals
13- Spare Parts
Remarks
Issue 2,Rev.0 Dated September, 2001 Chapter 6 Page 40
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Recommendation

Inspector Name Signature Date

Issue 2,Rev.0 Dated September, 2001 Chapter 6 Page 41

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Flight Safety Standards Sector Policy and Procedure Manual

Letter of Approval Of - (Form No 1110-011)

Short Term Escalation Aircraft Reweighting

1- Owners Name 2- operator

3- Mailing Address of Company 4- Telephone #

5- Fax #

6- A/C Nationality & Registration 7- A/C Make & Model

Marks

8- Engines Type and Manufacturer 9- Propellers Model and Type

10- A/C Place:

Dear Sir.
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

Administrator , ACA
Name:

Signature:

Date:

Issue 2,Rev.0 Dated September, 2001 Chapter 6 Page 42

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EGYPTIAN CIVIL AVIATION SUPERVISORY AUTHORITY

POLICY AND PROCEDURES MANUAL From no 1110-031

Company First Quarter Second Quarter Third Quarter Forth Quarter

Name
JAN FEB MARCH APRIL MAY JUNE JULY AUG SEP OCT NOV DEC

Prepared By:

Approved By:

Name:

Signature:

Issue 2,Rev.0 Dated September, 2001 Chapter 6 Page 43

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EGYPTIAN CIVIL AVIATION SUPERVISORY AUTHORITY

POLICY AND PROCEDURES MANUAL From no 11110-068

EGYPTIAN CIVIL AVIATION AUTHORITY AD/CN RECORD

AIRWORTHINESS CENTRAL ADMINISTRSTION COMPANY:

:A/C TYPE
CERTIFICATION & APPROVALS GENERAL DIRECTORATE.

S/N AD/CN SUBJECT COMPLIANCE STATUS REAMARKS

* : CARRIED OUT

N: NOT APPLICABLE

Issue 2,Rev.0 Dated September, 2001 Chapter 6 Page 44

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Personnel, GMM and Quality Control Section Inspection- Form No 1110-035

Air Operator: AOC (Issue - Ren) Date: ---- / ---- / ----
-------------------------------------------
Date of Inspection: ----- /------ /------ Location : -------------------------------------
Person in Charge: Name :
------------------------------ ---------------------------------------------
Title : --------------------------------------------------
A. GMM Yes No

1- The manual is available to all personnel in the latest revision (Sample check)
2- The manual modification approved or accepted by ECAA

B- Personnel
1- Staffing meets maintenance needs based on the complexity of operation
(Sample check )
2- Responsibilities are separated between inspection and maintenance sections
(Sample check )
3- Maintenance and inspection management personnel are qualified (sample checks)
4- There is a record for all certifying staff
5- The certifying staff meets the ECAA requirements (sample checks)
6- The certifying staff are provided with evidence of the scope of their authorization
(Sample checks)
C- Quality Control Section
1- System that inspection personnel are trained , qualified and properly authorized.
2- Quality audits us are carried periodically .
3- Corrective actions according to auditing is determined and there is follow up to it
(Sample check)
4- Auditing is carried by qualified persons.
5- There is a good system for concession control.
6- Their is a good system for evaluation of contracted operator.

Notes

Recommendation:

Issue 2,Rev.0 Dated September, 2001 Chapter 6 Page 45

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Flight Safety Standards Sector Policy and Procedure Manual

Inspector’s Name : -----------------------Inspector Signature-----------------------------

EGYPTIAN CIVIL AVIATION SUPERVISORY AUTHORITY

Form No 1110-053

Certificate Of Airworthiness

Issue 2,Rev.0 Dated September, 2001 Chapter 6 Page 46

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For Parachute Packing and Maintenance Shop

Number

This certifies that the shop identified below has been examined and as of the date of this Certificate is
.considered airworthy in accordance with the requirements of the Egyptian Civil Aviation Regulations

Organization/Repair Station:
Shop Title:
Shop Location:
Shop Address:
Shop Telephone: Fax:
Parachutes:
No Model Manufacturer Licence No Issued by Activity
the Manufacturer
1-
2-
3-
4-
5-
6-

Issue Date :
Validation Period:

ACA Administrator

Form No 1110-059
Lighter Than Air Aircraft Evaluation report
Purpose of evaluation
Issue C of A 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- Gerneral Information :--------------------------------------------------------------------------------------------------------
Issue 2,Rev.0 Dated September, 2001 Chapter 6 Page 47
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Balloon Type and Model:----------------------------------------------------------------------------------------------------------

Balloon Serial No.:------------------------------------------------------------------------------------------------------------------
Balloon Manufacturer/Date:------------------------------------------------------------------------------------------------------
Balloon Registration Marks:------------------------------------------------------------------------------------------------------
Balloon Category:-------------------------------------------------------------------------------------------------------------------
Burner Type and manufacture:--------------------------------------------------------------------------------------------------
Balloon current C of A Validity:---------------------------------------------------------------------------------------------------
Balloon total flight hours: Since New:-----------------------
Radio licence validity:--------------------------------------------------------------------------------------------------------------
C- Documents, recording status:
Approved maintenance schedule status:----------------------------------------------------------------------------------------
Components life Limitation exceedances if any:----------------------------------------------------------------------------
Certificate of Registration:---------------------------------------------------------------------------------------------------------
Mandatory modification status:--------------------------------------------------------------------------------------------------
Balloon flight manual latest revision date:-------------------------------------------------------------------------------------
Airworthiness directives compliance status:----------------------------------------------------------------------------------
Technical log book conditions:---------------------------------------------------------------------------------------------------
Log books or equivalent:----------------------------------------------------------------------------------------------------------
Components/parts supply and stores procedures:-------------------------------------------------------------------------
Last flight test date:------------------------------------------------- Reason:----------------------------------------------------
Inspection date:
Inspection finding and remarks:

Inspection completed by: Signature

Inspection reviewed by: Signature

Recommendation:
Flight Test Carried on:-------------------------------------------------------------------------------------------------------------
Approved/Not Approved:----------------------------------------------------------------------------------------------------------
Is fit for (Issue/Renewal) the C of A:------------------------------------------------------------------------------------------
From:-------------------------------- To:---------------------------------------------------------------------

General director of A/C Inspection

Name:

Signature

Form No 1110-089
Aircraft FDR Monitoring Job-Aid
Air Operator : AIRCRAFT TYPE /Module:
Location :
Date of Inspection : FDR TYPE :
S/N ECAR A- Aspects SAT N/A NOT/ Comments
SAT
Ref
1 91.423 * The FDR system Test program is accomplished in
accordance with the manufacture’s recommendations or on
approved equivalent method.
2 91.423 * The FDR has the continuos self-monitoring and fault
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condition Alert capabilities.

3 91.423 * The performance levels for range & accuracies and
recording intervals are maintained by periodic bench checks
and detailed analysis of recording medium.
4 91.423 * Review the operator's flight data recorder, computer
readouts, ramp test set readouts, and compare for the
following:
- Missing parameters
- Data loss
-Deterioration of signals
5 121.243 * The Maintenance procedures recommended by the,
Manufacturer’s for acoustic underwater-located beacon and
battery checks are followed.
6 91.423 * The FDR Ramp equipment (if used) can detect the loss or
deterioration of input signal from sensors or transducers.

7 121.243 * The operator’s (GMM) has been included procedures that

91.609 prevent the operator from destroying recording data from
removed unit / until the Aircraft has accumulated the
appropriate amount of operating time for that type of
Aircraft.
8 91.423
* The most recent instrument calibration and recorder
9 91.423 correlation is being retained by the operator.
91.APP * The actual data in the FDR Readouts is within the ranges’
(E),(F) accuracies and recording intervals as specified in appendices
10 91.423 of ECAR91 .
* The operator’s FDR Readouts and calibration Records is
acceptable W.R.T :
- No Missing Parameters
- No Data Loss
- No Deterioration of signals.
REMARKS:

RECOMMENDATION :

INSPECTOR NAME :
SIGNAURE: AID-GM Signature:

Facilities Inspection - Form No 1110-036

Air Operator : AOC (Issue - Ren) Date: --- / --- / ---
-------------------------------------------------------
Date of Inspection : ---- / ---- / ---- Location : ----------------------------------
Subject Yes No N/A
1- The aircraft hangers available and enough to accommodate aircraft for planned
maintenance.
2- The facilities well protected from all weather conditions.
3- The sufficient equipment is available ( stands , cranes ........... etc. ) according
to operator maintenance manual.
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4- Office accommodation is appropriate to permit personnel to carry out task in

an
effective manner.
5- All documents required to perform maintenance are available for maintenance
and quality staff .
6- The calibration of equipment is acceptable ( tools , meters , gauges .....etc. ).
7- Special tools are available , in good condition and its proper storage and
protections is utilized .
8- The working environment is suitable for the task carried out.
9- Operator’s maintenance manual is available

Notes:

Recommendations:

Inspector’s Name: Inspector’s Signature: ---------------------------

---------------------------------------------------

Support Shops Inspection- Form No 1110-037

Air Operator : --------------------------------- AOC (Issue - Ren) Date: ------ / ------ / ------
Date : ----- / ----- / ----- Shop's Name : --------------------------
Person in charge Group No. : ---------------------------
Name :----------------------
Titles : -------------------------------------------
Subject Yes No N\A
1-Operator’s maintenance manual is available
2- Shop quality manual is available
- Approved
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- Worksheets Approved
- Quality Manual includes shop capability list
- C.L Approved
3- The vender manuals and information used for the work are available and updated
4- The records maintained of the work are done
5- AD's and modifications records are accepted
6- The handling and filling procedures of record are acceptable (Sample check)
7- The release of the work is acceptable according to operator’s maintenance manual
8- The calibration of equipment is acceptable (Sample check)
9- The facilities are acceptable (Sample check)
10- The work is done in are acceptable standard
- Staffing reflects complexity of shop
- Personnel are properly
* Trained
* Qualified
* Authorized
- Procedures for shift turnover are in place and properly utilized
- Safety equipment is available and serviceable
- Individual shop storage areas are maintained to same standards as main
storage area
- Work areas do not conflict with each other
- Lighting ventilation and general house keeping adequate.
10- For Calibration Shop
- Inventory of calibrated equipment
- Calibration Plan of Shop Equipment
- Due Date Location
- Records
- Standards:
1- Specifications
2- Standard Equipment
3- Accuracy Level
4- Specimens
- Facility
- Enviroments
- Controls/Indicator

Notes:

Recommendation

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Inspector Name: -----------------------------

-------------------------- :Inspector’s Signature

Application for Permission of a Special Flight- Form No 1110-042

Sign Tow Flight
Test
Section1: To be completed by the applicant
1- Owners Name 2- operator

3- Mailing Address of Company 4- Telephone #

5- Fax #

6- A/C Nationality & Registration Marks 7- A/C Make & Model

8- Engines Type and Manufacturer

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9- Propellers Model and Type

10- Reason for Flight
ETD ETA Date
11- Additional Information provided and attached NO
YES 1) 2) 3)

I hereby certify that the above A/C has been maintained according manufacturer maintenance manuals and

according to manufactures maintenance schedule and the aircraft is found airworthy and eligible for

Name of Engineer In Charge Position:

Licence Number Signature:
Date:

Section2. For Official Use Only

Received By Date:

Department assigned responsibility: Date forwarded to Department

AID TLD MD

Approval Number:

Remarks

Form No 1110-044
Authorization For Special Flight Permit

Sign Tow Flight Test

Subject: Special Flight Permit Letter of Approval for the Aircraft mentioned Below

1- Owners Name 2- operator

3- Mailing Address of Company 5- Telephone #

6- Fax #

7- A/C Nationality 8- A/C Make & Model

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9- Engines Type and Manufacturer

10- Propellers Model and Type

Dear Sir.
The Aircraft defined above is approved for the required Special Flight Permit

Form No: CAI Approval No:

Administrator , ACA
Name:

Signature:
Date:

Form No 1110-012
Application for Issuance of Flight Permit Approval for Leased Foreign Aircraft
Section1: To be completed by the applicant

To: The Administrator of Airworthiness Central Administration (ACA)

Dear sir,
I hereby certify that the aircraft defined below is cleared for issuance of a Flight Permit Approval
1- Name of Operator

2- Mailing Address of Company 3- Telephone #

4- Fax #
5- Name of Leasee

6- A/C Nationality 7- A/C Registration Mark

8- Aircraft Type
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9-Aircraft Category

10- Aircraft Serial Number

Name: Signature: Date:

Title:

Section2. For Official Use Only

Received By Date:

Department assigned responsibility: Date forwarded to Department

TLD MD
AID
Approval Number:

Remarks:

CASP inspection job-aid Form No 1110-098

Description N/A S N/S Comments
A. Continuing Analysis and Surveillance Program Functions:
(1) A continuing analysis and surveillance system has two functions:
(a) The "audit function" which includes a follow up for those components removed, and the tear down report must be a part
of the Continuing Analysis and Surveillance Program. It must also include examining the administrative and supervisory
aspects of the operator's program (including work done outside of the operator's basic organization). The audit must
ensure that the Main Base, Sub Base, Line Station, and shops operate in accordance with company procedure. The audit
function includes such things as:
* Ensuring that all publications and work forms are current and readily
available to the user
* Ensuring that major repairs/alterations are classified properly and
accomplished with approved data
* Ensuring that carryover items and deferred maintenance are properly
handled
* Ensuring that vendors are properly authorized, qualified, staffed, and
equipped to do the contractor function according to the operator's
manual
(b) The performance analysis function" includes daily and long term monitoring and emergency response related to the
performance of affected aircraft systems, including aircraft engines and components. This function includes monitoring
such things as.
* Daily mechanical problems for affected aircraft (daily monitoring)
* Deferred maintenance items including excessive number and times
(daily monitoring)
* Pilot reports compiled by Air Transport Association (ATA) code
(long term monitoring)
* Mechanical Interruption Summary Reports (MIS) (long term
monitoring)
* Contained engine failures (emergency response)
* High number of unscheduled component removals (long- term
monitoring)
(2) The continuing analysis and surveillance program should include a
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system of data collection and analysis, which may or may not be

part of a reliability program.
B. The continuing analysis and surveillance system also addresses
operational matters, such as maintenance scheduling, control and
accountability of work forms, conformity to technical instruction,
and compliance with procedural requirements. Additionally, it
examines the adequacy of equipment and facilities, parts protection
and inventory, mechanic competency, and shop orderliness.
C. REVIEWING THE OPERATOR'S PROGRAM
1. For maximum effectiveness, the continuing analysis and surveillance
program should be separated from other maintenance functions.
Some operators establish a separate quality assurance organization
for this purpose. Others assign this function to their
inspection/quality control organization. When the analysis and
surveillance responsibility is assigned to an organizational unit that
has other duties, these functions should be performed independently
of the other duties.
2. Mechanical performance analysis may be performed as part of a
reliability program or as an independent data collection and
analysis system. The system should include charting or other
appropriate methods for recording and accounting of pertinent data
at specified intervals. This will ensure continuous program
operation. Data collection and analysis are essential elements for
supporting the condition monitoring process.

3. The use of contract agencies tends to complicate an operator's

continuous analysis and surveillance system. When a contractor
fails to provide the operator with essential information (such as
failure characteristics, service times, etc.), gaps are created in the
operator's data collection. This obstructs the continuous analysis
and surveillance system. Therefore, the continuing analysis and
surveillance program must include procedures for transmitting
essential information back to the operator.
4. When aircraft fleets are grouped for purposes involving data
collection, the data from the total of the fleets may provide a valid
comparison for behaviour of one of the fleets. However, data
generated by a single airplane or a small fleet can be obscured by a
larger fleet of the group.
NOTE: Unacceptable performance of a small fleet may not contribute a significant statistical impact unless the data from the
smaller fleet is reviewed individually.
5. When an operator uses a contractor for total maintenance support,
the operator is responsible for the continuing analysis and
surveillance requirement. The operator must have enough personnel
and resources to accomplish both the audit and performance
analysis functions.
6. The complexity and sophistication of the continuous analysis and
surveillance system should relate to the certificate holder's
operation. A small operator should not be expected to have a
complex system similar to a large airline. However, small operators
must have a system with continuous data collection which includes
specified analysis points and repetitive examinations.
7. A data collection and analysis program can use a manufacturer as a
collection and analysis center if the Administrator agrees. The
operator is still responsible for the development and
implementation of corrective actions and the overall effectiveness
of the program.

Recommendation:
----------------------------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------------------------------
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----------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------

Airworthiness inspector name: ---------------------------------------------------- Date:----------------------------------------------------------

Signature:--------------------------------------

ACA Administrator------------------------------------

MINISTRY OF TRANSPORT
EGYPTIAN CIVIL AVIATION SUPERVISORY AUTHORITY
Form No 1110-057

Certificate Of Approval

Numbe
r

This Certificate is issued

to

Whose Business Address

is

Upon finding that its organization complies in all aspects with the requirements of Egyptian
Civil Aviation Regulations rating to the establishment of an Approved Organization and is
empowered to operate an approved

with the following ratings:

AIRFRAME:
POWER PLANT:

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AVIONICS:
INSTRUMENTS:
ACCESSORIES:
SPECIAL SERVICES:

This certificate, unless canceled, suspended, or revoked shall continue in effect until

Issue date:

Chairman ECASA

This certificate is not transferable, and any major change in the basic facilities, or in the location
thereof shall be immediately reported to the central department of airworthiness.

MINISTRY OF TRANSPORT
EGYPTIAN CIVIL AVIATION SUPERVISORY AUTHORITY

REPAIR STATION OPERATIONS SPECIFICATIONS

Limitations:
The rating set forth on the certificate of approval
number

are limited for the following ratings:

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Issue date:

Chairman ECASA

Application for Special Airworthiness Certificate - Form No 1110-029

Positioning Flight Ferry Flight

Restricted Experimental

Section1: To be completed by the applicant

1- Owners Name 2- operator
3- Mailing Address of Company 4- Telephone #

5 Fax #
6- A/C Nationality & Registration Marks 7- A/C Make & Model

8- Engines Type and Manufacturer 9- Propellers Model and Type

10- A/C F.H. F.C

11- Reason for Flight

12- Additional Information

a- The proposed itinerary for the flight
b- the name of pilot in command
c- crew members name
position
d- Airworthiness deficiency of the a/c

13-'I hereby certify that the above A/C has been inspected and tested and capable of safe flight for
the purpose of

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Name of Engineer In Charge Position:

Licence Number Signature:

Date:

14- Applicant name : Position:

signature Date:

Form No 1110-008

Issue/renewal of Air Operator Certificate or Approved

Maintenance Organization
Company Name :
Address :
Type of Operation :
Main Base :
Type and No of A/C :

File No :

Summary of Finding :

Recommendations :

Inspection Conducted By :

Report Prepared By :
Report Reviewed By :
Report Approved By :
Position Title : Date :

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Guide of Survey/Inspection Section 1.1 to 1

1. Aircraft operated
1.1 Aircraft Registration Type
1.2 Aircraft Category S/N
1.3 Is C of A Valid? Yes No N/A
Mention the date
1.4 Is weight of balance acceptable? Yes No N/A
1.5 Is the flight manual up to date? Yes No N/A
Mention the date of last revision
1.6 Is the radio license valid? Yes No N/A
1.7 Are the necessary documents are Yes No N/A
kept on board?
1.8 In Case of Aircraft lease, is the Yes No N/A
lease contract is reviewed by the
Airworthiness Administration?
1.9 Does the Aircraft meet the noise Yes No N/A
requirements?
If yes, Is the noise certificate
available?
1.10 Are the instruments of equipment Yes No N/A
installed on the Aircraft meet the
requirements of ECASA
Remarks

Completed by :

Note: Use one sheet per Aircraft

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Section 2.1

2. Personal
2.1.1 Accountable Manager
Name
Title
2.1.2 Quality Manager
Name
License No
Valid for
2.1.3 Are the persons whose
responsibilities includes ensuring
that the approved maintenance
organization is in compliance with
ECASA requirements nominated and
acceptable to the ECASA?
2.1.4 Are the employed personnel Yes No
sufficient to plan, perform,
supervise and inspect the work in
accordance with the approval?
2.1.5 Is the procedure established to Yes No
ensure the competence of personnel
involved in maintenance accepted?
2.1.6 Are the certifying staff meet the Yes No
ECASA requirements?
2.1.7 Is there a record for all Yes No
certifying staff that include
details of the scope of their
authorization?
2.1.8 Are the certifying stuff provided Yes No
with evidence of the scope of their
authorization?
Remarks

Completed by :

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Section 3.1

3. Exposition Manual
3.1.1 Is the Exposition Manual previously Yes No
approved?
Note: If the exposition Manual is
not previously approved the
attached appendix to section 3
should be fulfilled
3.1.2 Is the manual available to all Yes No
personnel?
3.1.3 Are there any changes to the Yes No
exposition manual?
3.1.4 Has the ECASA been notified? (If Yes No
the answer is No refer to the
appendix.)

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Appendix to section 3 Exposition Manual

Approval
 Each box must be completed with one of three include:

1- A tick ( ) which means in compliance;

2- NR which means the requirements is not relevant to the activity at the
address surveyed; (The reason for NR should be stated)
3- A number, which relates to a comment, which must be, recorded in part 4
of the report.
 The Exposition may be put together in any subject order so long as all applicable subjects
are covered.

SECTION 1 MANAGEMENT

1.1 Corporate commitment by the accountable manager

1.2 Management personnel
1.3 Duties and responsibilities of the management
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personnel
1.4 Management organization chart
1.5 List of Certifying stuff (Note: a separate
document may be referenced)
1.6 Manpower resources

1.7 General description of the facilities at each

address intended to be approved
1.8 Organizations intended scope of work
1.9 Notification procedure to the ECAA regarding
changes to the organization’s activities
approval/location/personnel.
1.10 Exposition amendment procedures

SECTION 2 MAINTENANCE PROCEDURES

2.1 Supplier evaluation procedure

2.2 Acceptance/Inspection of A/C component and
material from outside contractors.
2.3 Storage , tagging and release of A/C
components and material to A/C maintenance
2.4 Acceptance of tools and equipment
2.5 Calibration of tools and equipment
2.6 Use of tooling equipment by stuff (including
alternate tools)
2.7 Cleanliness standards of maintenance
facilities.
2.8 Maintenance instructions and relationship to
aircraft/aircraft components manufacturers
instructions including updating and
availability to stuff.
2.9 Repair procedure.
2.10 Aircraft maintenance program compliance.
2.11 Airworthiness directive procedure.
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2.12 Option modification procedure.

2.13 Maintenance documentation in use and
completion of same.
2.14 Technical record control.
2.15 Rectification of defects arising during base
maintenance.
2.16 Release to service procedure.
2.17 Reporting of defects to the
ECAA/OPERATOR/MANUFACTURER
2.18 Return of defective aircraft components to
store.
2.19 Defective components to outside contractors.
2.20 Control of computer maintenance record system.
2.21 Reference to specific maintenance procedure,
such as:
-Engine running procedures;
-Aircraft pressure run procedures;
-Aircraft towing procedure;
-Aircraft taxing procedures;

SECTION L2 ADDITIONAL LINE MAINTENANCE PROCEDURES

1.2.1 Line maintenance control of aircraft components,

tools, equipment, etc
1.2.2 Line maintenance procedures related to servicing
/fueling/de-icing. etc.
1.2.3 Line maintenance control of defects and
repetitive defects.
1.2.4 Line procedure for completion of technical log.
1.2.5 Line procedure for pooled parts and loan parts
1.2.6 Line procedure for return of defective parts
removed from aircraft.

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SECTION 3 QUALITY SYSTEM PROCEDURES

3.1 Quality audit of organization procedures.

3.2 Quality audit of aircraft.
3.3 Quality audit remedial action procedure.
3.4 Certifying staff qualifications and training
procedures.
3.5 Certifying staff records.
3.6 Quality audit personnel.
3.7 Qualifying inspectors.
3.8 Qualifying mechanics.
3.9 Exemption process control.
3.10 Concession control for deviation from
organization’s procedures.
3.11 Qualification procedure for specialized
activities such as NDT welding, etc.
3.12 Control of manufacture’s working teams.

SECTION 4

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4.1 Contracted operator.

4.2 Operator procedure and paperwork.
4.3 Operator record completion.

SECTION 5

Sample of documents.

Inspection Sheet Section 4.1

4. Stores
4.1.1 Person in charge Yes No N/A
Name
Position
4.1.2 Are stores procedures I.A.W the Yes No N/A
Exposition manual?
4.1.3 Is the Receiving-releasing Yes No N/A
acceptable?
4.1.4 Is the procedure to locate release Yes No N/A
notes acceptable?
4.1.5 Are all items tagged satisfactory? Yes No N/A
4.1.6 Are quarantine stores acceptable? Yes No N/A
4.1.7 Is the control of shelf life items Yes No N/A
acceptable?
4.1.8 Is the material batch numbering Yes No N/A
system acceptable?
4.1.9 Is there a letter of approval for Yes No N/A
re-distribution of parts?

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4.1.10 Are the storage facilities Yes No N/A

acceptable?
Remarks :
---------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------
-------------
Completed by :

Section 5.1

5. Facilities
5.1.1 Are the Aircraft hangers available Yes No
and large enough to accommodate
Aircraft for planned maintenance
5.1.2 Are the facilities well protected Yes No
from all weather elements?
5.1.3 Is there sufficient equipment Yes No
available (Stands, Cranes, etc.…)?
5.1.4 Are the facilities acceptable RE: Yes No
light, heat, power, etc.…?
5.1.5 Is office accommodation appropriate Yes No
to permit personnel to carry out
tasks in an effective manner?
5.1.6 Is office accommodation appropriate Yes No
for the management of the planned
work including in particular the
management of quality, planning and
technical records?
5.1.7 Are the facilities for holding Yes No
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special tools acceptable?

5.1.8 Is the calibration of equipment Yes No
acceptable (tools, meters, gauges)?
5.1.9 Is the calibration in accordance Yes No
with the Exposition Manual?
5.1.10 Is the working environment Yes No
appropriate for the task carried
out and in particular any special
requirements if required for any
special requirements if required
for a particular maintenance task?

Inspection Sheets Section 6.1 to 6

6. Shops
6.1.1 Name of shop Yes No N/A
6.1.2 Person in charge
Name
Position
6.1.3 Are the Manuals and/or information
used for the work available?
6.1.4 Are records maintained of work
done?
6.1.5 Are the handling and filling
procedures of records acceptable?
6.1.6 Is the release of in-house work
acceptable?
6.1.7 Is the calibration & recording of
equipment acceptable (tools,
gauges, meters)?
6.1.8 Are the facilities acceptable?
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6.1.9 Is all work done to an acceptable

standard?
6.1.10 Is the release of the completed
unit acceptable?
Remarks :

Completed by :

Note: Use one sheet per shop

Inspection Sheets Section 7.1

7. Line Maintenance
7.1.1 Location Yes No N/A
7.1.2 Person in charge
Name
Position
7.1.3 Is there a qualified person in
charge of each shift?
7.1.4 Is the Exposition Manual available?
7.1.5 Is the Exposition Manual up-to-
date?
7.1.6 Are the required manufacturers
maintenance manual available?
7.1.7 Is there a M.E.L and CDL available?
7.1.8 On each flight, Is the technical
log checked for discrepancies?
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7.1.9 Are the check sheets current?

7.1.10 Are all items in stores properly
tagged?
7.1.11 Quarantine area adequate?
7.1.12 Is there necessary equipment
available for the maintenance
conducted?
Remarks :

Completed by :

Inspection Sheets Section 2.1

8. Training
8.1.1 Person in charge of training Yes No N/A
Name
Position
8.1.2 Are the training aids acceptable?
8.1.3 Are the courses given approved by
the Airworthiness Central
Administration?
8.1.4 Are the facilities used adequate?
8.1.5 Is training given at other
locations?
8.1.6 Are these approved?
8.1.7 Is there a requirement to monitor
the next course given?
8.1.8 List courses given?

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Remarks :

Completed by :

Inspection Sheets Section 9.1

9. Technical Library
9.1.1 Person in charge Yes No N/A
Name
Position
9.1.2 Are manual available to
maintenance personnel?
9.1.3 Are the following manuals & Available Up to date
documents available? Y N N/A Y N N/A
One- Air regulation(BCAR)
Two- A.N.O:S
Three- Airworthiness notes
Four- FAR, JAR, ECAR, …
Five- ARP Inspection
procedure
Six- A/C type
certificate/type approval
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Seven- Engine type

certificate/type approval
Eight- Propeller type
certificates/type
approvals
Nine- Supplemental type
Specs/type approvals
Ten- Manufacturer’s
maintenance manuals for
those A/C maintained
Eleven- ADS for those
Aircraft operated
Remarks :

Completed by :

Inspection Sheets Section 10.1

10. Maintenance Reliability Program

10.1.1 What is the source of data used?
Technical support
Other
10.1.2 What parameters are used?
Unscheduled removals
Pilot reports
Confirmed failures
Others
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10.1.3 Are the appropriate parameters Yes No

being used when adjusting overhaul
times?
(check using several sample “run
throughs” of system)
10.1.4 Is the program status display up to Yes No
date?
10.1.5 When reliability rates are exceeded Yes No
is the approved “follow up”
procedure complied with?
10.1.6 Statistical analysis data basis by:
component air transportation assoc.
chapter?
Remarks :

Completed by :

Station Maintenance Facility Inspection- Form No 1110-039

Air Operator: AOC (Issue - Ren) Date:

Date of Inspection: Airport:

Contractor Name: Country:

A. General: Yes No
1- Operator’s maintenance manual is available
2- Staff of maintenance are familiar with the operator’s maintenance manual
requirements
3- No. of approved persons is sufficient for number and types of operated aircrafts
(Attached license copies).
4- Maintenance manuals are available and up dated
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A/C Type Manual Revision Last Revision

A- General (Continued) Yes No

5- Manuals are customized.
6- For microfiche or microfilm , readers are available and serviceable.
7- All consumable items ( oil, hydraulic, fuel ...............) required for maintenance are
available and suitable for operator’s maintenance manual.
8- Pressurized gases ( N2 , O2 , Air , others ) are available.
9- Loading of aircraft is done according to operator’s maintenance manual.
B- Ground equipment (Special & general tools status).
S/N Equipment /Tools Handling Company Availability
1. Air Starter
2. Air Conditioning Unit
3. Wheel Chocks
4. Push Back
5. Maintenance Steps
7. Water & Waste Servicing
8. General Tools
9. Special Tools
10. Ground Power (A.C & D.C)
11 Passenger Loading and Unloading Stairs
12. Other Equipment
C- Contractor Maintenance Facilities Yes No

1- The contractor has ECAA approval

if yes, put the approval reference:

2- Representative of the contractor is familiar with operator's maintenance manual

requirements

3- The type of aircraft and its engine operating within the limitation of CAA approval
of the contractor.

4- Agreement of maintenance covers the required items?

* Attach agreement limitation.

5- Part A of report is completed regarding the contractor, if a contractor is used.

NOTES:
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Recommendations:

Inspectors Name: ------------------------------------ Inspector’s Signature:---------------------------

* Note: Fill one for each contractor.

Form No 1110-078
Air Carrier Maintenance Reliability Control Program Evaluation
Inspector Name & Date of Assign

Operator Name & Address:

Operator Type of Aircraft:

Inspection Subject S U N/A NOTES

1- Is the Reliability Program indicate the primary
maintenance process such as:
- Hard Time or Part life Limit
- On-Condition
- Condition Monitoring
2- Is the program describes the process of
following up new aircraft type?
3- Do the source of Data Collection include:
- Aircraft History Records (Hrs, Cycles….etc)
- Pilot Reports.
- Unscheduled Removals
- Confirmed Failures
- Shop Finding Reports.
- Sampling Inspection.
- Mechanical Interruption Summaries
- Service Difficulty Reports (MRR)
- Functional/Bench Checks
- Engine In-Flight Shutdown.
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4- Are There Categories of an Operator’s

Maintenance Program such as:
- Systems/Components
- Aircraft/Engine Propeller
- Structural Inspection/ Overhaul
5- Does Data Analysis System include:
- Statistical Performance Standards “Alert”
- Other Analysis Standards “Non Alert”
6- Do Reliability Program establish according to:
- Past & Present Operator Experience (one year).
- Performance Analysis of similar equipment
- A/C or Equipment Manufacturer’s Reliability
Analysis.
- History of experience where Reliability
Standards were acceptable.

Air Carrier Maintenance Reliability Control Program Evaluation

Inspector Name & Date of Assign

Operator Name & Address:

Operator Type of Aircraft:

Inspection Subject S U N/A NOTES

7- Does Reliability Program displays and status of
corrective action and reporting including:
- Corrective action System.
- Notifying the organization responsible.
- Obtaining Periodic Feedback until acceptable
level.
- Critical Failure which may affect the
Airworthiness.
8- Does Monthly Report Form includes:
- Introduction to the Fleet Performance Report
- Fleet Statistical Summary
- Significant Events
- Mechanical Delay And cancellations
- Engine Unscheduled Removal
- Engine-In flight Shut down
- Pilot Reports(PIREPs)
- Component Unscheduled Removals
- Component Confirmed Failures
- Fleet Corrective Action Status
9- Does Quarterly and yearly Reliability Analysis
report included?
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10- Does Maintenance Interval Adjustment

procedure described?
11- Does Reliability Control Board organization
structure and meeting indicated?
Recommendation

Signed: . Date: .
Airworthiness Inspector

Approved by: .

Date: .

Head of Airworthiness CA

EGYPTIAN CIVIL AVIATION SUPERVISORY AUTHORITY

POLICY AND PROCEDURES MANUAL From no 11110-018

Application for Issuance for

Aircraft Noise Certificate

Secation 1: To be completed by the applicant

To: The Administrator of Airworthiness Central administration (ACA)

Dear sir,
Please review the attached documents and kindly take the necessary actions to issue a Noise
Certificate for the following Aircraft

1- Owners Name 2- Operator

3- Mailing Addressof Company 4-Telephone #

5-Fax #

6- A/C Nationality & Registration mark 7- A/C Make & Model

8- A/C Constructor 9- A/C Serial Number

10- Engine(s) type and Manufacturer

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11- Propeller(s) Model and Type

12- Max T/O Weight at Brake Release

13- Max Landing Weight

14- the aircraft complies with the requirements and standards of chapter ( ) of annex 16 of the
International Civil Aviation Organization Convention (ICAO)

15- Additional information provided and attached No

YES 1) 2) 3)

Name: Signature: Date:

Title:

Remarks:

Form No 1110-020
MINISTRY OF TRANSPORT
EGYPTIAN CIVIL AVIATION SUPERVISORY AUTHORITY

NOISE CERTIFICATE NO

Nationality & Registration Marks Construction Type & Model Aircraft Serial No

Maximum Weights, Approved

Max. Take off Brake Release Gross Weight

Max. Landing Gross Weight

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.

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Issue date : / /

For Chairman
Egyptian Civil Aviation Supervisory Authority

Form No 1110-045
SURVEY OF NONDESTRUCTIVE TESTING OPERATOR FACILITIES
( PART A )

I. OPERATOR / MAINTENANCE ORGANIZATION TITLE AND

ADDRESS:
______________________________________________________________________
______________________________________________________________________
____________________________________________PCN_______________________
TELEPHONE ( )__________________________FAX_________________________

II PERSONNAL IN CHARGE:
NAME: _____________________ TITLE ______________________
_____________________ ______________________
_____________________ ______________________
_____________________ ______________________
III. TYPE OF INSPECTION PERFORMED:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
IV. DESCRIPTION OF FACILITIES:
IN-HOUSE: Square Meters of NDT Work Area: ___________________
Total No. of Employees: ___________________
No. of Each Level of Certified NDT Personnel At:
Level I_________Level II __________ Level III ________
Description of NDT Equipment (attach list of extensive):_____________
___________________________________________________________
___________________________________________________________
FIELD WORK: Description of NDT Equipment (attach its extensuve):______________

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___________________________________________________________
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SURVEY OF NONDESTRUCTIVE TESTING AGENCY

PART (B)
QUALITY ASSURANCE / QUALITY CONTROL Yes No N/A
1) Does the organization have a QA/ QC Manual?
If yes, latest revision date:
2) Is there a separate QA/QC Department?
If yes list name and title of the Department Head
Name
Title
3) Is the NDT organization chart available?
List the name and titles of individuals responsible?
Name
Title
4) Are contract requirements reviewed to assure NDT Specification
compliance?
Services to others
Services to organizations
If yes list name and title of the responsible
individual
Name
Title
5) Are records maintained of NDT activities affecting quality?
If yes, how long? Where?
6) Is the identy of the product being examined maintained throughout
all operations? If no, how is identity controlled?
7) Is there a procedure for controlling & segregating nonconforming
NDT equipment and materials?
Procedure No. How?
8) Does the organization have internal audits for compliance with its
QA/QC Manual?
a) Who performs and/or review the audits?
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b) What are the frequency of the audits?

c) Is there a corrective action or prevention program in place?
If yes, give reference
9) Are the NDT facilities, instructions , and specifications adequate
to perform the type of work to be performed?
a) Facility: Lighting
Ventilation
Space
Housekeeping
Instructions
b) Equipment: Manuals
Specifications
Service
Cordoning
c) Safety
equipment:
Flashes
Warning Signs
Dose Meters

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SURVEY OF NONDESTRUCTIVE TESTING AGENCY

EQUIPMENT CALIBRATION
PART (C)
Yes No N/A
1) Are adequate procedure in effect to control the maintenance/calibration
use of NDT equipment including applicable tools, gauges,instrumentations
If yes, list applicable procedures

2) Are applicable calibrations traceable to Standards verify records?

3) Is NDT equipment (tools, gages, and instruments) identified to reflect:

Date last calibrated?

Date of next calibration?

Identity or serial number?

4) Do the calibration procedure specify frequency-intervals?

5) Are calibration performed in-house?

6) Are calibration performed by an outside service

If yes, list name and address:
Name
Address

7) Do calibration record include:

Inventory of equipment requiring calibration?
Manufacturer, model, and serial number?

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SURVEY OF NONDESTRUCTIVE TESTING AGENCY PERSONNEL

PART (D)
Yes No N/A
1) Is (Are) there a written practice(s) for Personnel Certification
If yes, list document title and/or ID number and latest revision date:
Title/ID #
Revision Date
2) Does the operator's written practice(s) describe the responsibililties of
NDT Level I
NDT Level II
NDT Level III (Examiner)
Which levels may accept or reject materials?
3)Is there a training program described in the Operator's written practice?
Does this follow the minimum recommendations of ACA - TLD, ECAR 65?
4) Are all personnel certified by examination for all levels of certification?
If No, Explain:

5) Have the written and practical examinations been prepared in accordance

With the written procedures of the ACA-TLD Manual?
If No, explain

6) Are NDT personnel recertified by satisfactory performance or by re-

Examination?
7) Are all personnel certifications available for review?
If No, explain

8) Are personnel regularly checked up for medical if yes, show:

Periodicity:
Last Check Date:
Records to indicate:
Historical Records:
Types of Checks

9) Is the facility periodically checked for radiation and pollution?

10) Is every person equipped with the adequate personnel safety equipment
Masks
Gloves

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Coat
Boots
Glasses

Application for Maintenance Reliability Program Approval- Form No 1110-075

Section1: To be completed by the applicant
To: The Administrator of Airworthiness Central Administration (ACA)
Dear sir,
Please review this request for the Maintenance Reliability Program Approval and
kindly take the necessary action for this approval
1- Owners Name 2- operator

3- Mailing Address of Company 4- Telephone #

5- Fax #

6- A/C Nationality & Registration Marks 7- A/C Make & Model

A/C Serial Number

9- Engines Type and Manufacturer

11- List of Navigation Equipments

13- Additional Information provided and NO

attached
YES 1) 2) 3)

Name: Signature: Date:

Title:

Section2. For Official Use Only

Received By Date:

Department assigned responsibility: Date forwarded to Department

AID TLD MD

Approval Number:

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Remarks:

Engineering / Planning Department Inspection – Form 1110-032

Air operator : ................................................. AOC (Issue-ren.) date : ..... / ..... / .....
Date of inspection : ...... / ..... / .......

Person in Charge : ..........................................

Title :.............................................................

Subject Yes No N/A

1- The following manuals are available and approved:
a- GMM
b- Technical policy and procedure manual
2- Staff are familiar with the above manuals.
3- Department has adequate personnel for:
a- Number
b- Qualifications
c- Specific training
4- The department has adequate facilities as:
a- Equipment
b- Furnishing
c- Communications
d- Others
5- The department has a suitable work environment .
6- The department issues the required instructions and / or notifications at the
.adequate time (Sample Check)

7- The department established a feedback system that indicates its instructions

.and / or notifications have been carried out (Sample Check)

8- The department has an acceptable recording system.

9- There are a regular auditing of the department by the organization.
Remarks:

Recommendations:

Inspector's Name: Inspector's Signature: --------------------

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-----------------------------------
Form 14 CAI

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Form 19 CAI

Form No 1110-030

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YEARLY PLAN

PLANNED ACTUAL
S/N From To Registration Engineers In Charge Date of Renewal
Marks
1 Jan 1 Jan7
2 Jan 8 Jan 14
3 Jan 15 Jan21
4 Jan 22 Jan28
5 Jan 29 Feb 4
6 Feb 5 Feb 11
7 Feb 12 Feb 18
8 Feb 19 Feb 25
9 Feb 26 Mar 3
10 Mar 4 Mar 10
11 Mar 11 Mar 17
12 Mar 18 Mar 24
13 Mar 25 Mar 31
14 Apr 1 Apr 7
15 Apr 8 Apr 14
15 Apr 15 Apr 21
17 Apr 22 Apr 28
18 Apr 29 May 5
19 May 6 May 12
20 May 13 May 19
21 May 20 May 26
22 May 27 Jun 2
23 Jun 3 Jun 9
24 Jun 10 Jun 16
25 Jun 17 Jun 23
26 Jun 24 Jun 30
27 Jul 1 Jul 7
28 Jul 8 Jul 14

29 Jul 15 Jul 21
30 Jul 22 Jul 28
31 Jul 29 Aug 4
32 Aug 5 Aug 11
33 Aug 12 Aug 18
34 Aug 19 Aug 25
35 Aug 26 Sep 1
36 Sep 2 Sep 8
37 Sep 9 Sep 15

38 Sep 16 Sep 22
39 Sep 23 Sep 29
41 Sep 30 Oct 6
41 Oct 7 Oct 13
42 Oct 14 Oct 20
43 Oct 21 Oct 27
44 Oct 28 Nov 3
45 Nov 4 Nov 10
46 Nov 11 Nov 17
47 Nov 18 Nov 24
48 Nov 25 Dec 1
49 Dec 2 Dec 8
50 Dec 9 Dec 15
51 Dec 16 Dec 22
52 Dec 23 Dec 31

Form No 1110- 015

AIRWORTHINESS DIRECTIVE COMPLIANCE CHECKLIST

Thefollowing items should be checked and conditions found should be Noted:

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YES NO
A A list of all Airworthiness Directives that are applicable to the fleet (aircraft’s,
Engines, Propellers, and appliances) are maintained by the operator

YES NO
B Records of dates on which Airworthiness Directives are completed (or continuing
inspections are accomplished) and are maintained by the operator.

YES NO
C Records of all due date extensions granted the operator are maintained.

YES NO
D All alternate means of complying with the requirements of an AD or equivalent
are maintained.

YES NO
E Aircraft altered to meet the requirements of an AD are maintained to ensure
compliance with the altered condition.

YES NO
F Continuing inspections required by an AD are included in the routine inspection
sheets and identified as AD requirements.

YES NO
G Continuing inspections required by an AD are included in the routine inspection
sheets and identified as AD requirements.

Inspector name: Date :

Signature:

AD Spot check - Form No 1110-022

Operator: AOC NO.

AD NO. Effective date:

Subject:
AD is related to
A/C:
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Eng./APU:
Variable pitch prop.
appliance:

Method of compliance according to AD

One time inspection
Repeated inspection
Modification

Company Method of Compliance

 Engineering order or equivalent
 Review of compliance document
1. Data is sealed
2. Work done by authorized persons
3. NO time the exceedance
4. Any amendments related to AD is done
5. (Airworthiness data – Maintenance program….)
6. Data entry is done
7. Status is up dated
Findings:

Recommendations:

Inspector Name: signature: date:

Technical Library Inspection Report - Form No 1110-034

Air operator : --------------------------------------------------- AOC (Issue - Ren) Date: ------ / ------ / ------
Date of Inspection : ----- / ----- / ----- Location: -----------------------------------
Name of Person in Charge : -----------------------------
Title : ---------------------------------------------------------------------------
Subject Yes No N/A

1- The area of library is suitable

2- Manuals are accessible and kept in suitable racks.
3- There is a suitable numbers of employees.
4- For microfiche data, readers are available and in good condition.
5- Environmental conditions are suitable.
6- Updated set of the following are available

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(a) Operations specifications.

(b) GMM
(c) Approved flight manuals.
(d) ECARs
(e) Applicable ADs
(f) Type data sheets.
(g) Supplemental type certificates.
7- The following manuals are available:
(a) Aircraft manufacturer manuals.
(b) Vendors manuals for
- Propeller
- Appliance
- Engine
- Emergency equipment
- Others
(c) Applicable technical standards
8- Sample inspection for the item (7) manuals
- Inspected for updating
Notes:
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Inspector’s Name : -------------------------------------------- Inspectors Signature :--------------------------------

Issue 2,Rev.0 Dated September, 2001 Chapter 6 Page 94