Attachment 4 Public Aircraft Operations &

Airworthiness Checklist N0042126R0002

Airworthiness/PAO Checklist Page 1 of 8 Contract No. N00421-26-R-0002

PURPOSE: This information is required by the Department of the Navy (DoN) to determine if an operator is eligible for Public Aircraft Operations (PAO) and an interim flight clearance (IFC).

AIRCRAFT OWNER AND RESPONSIBLE OPERATOR:

To Be Determined (TBD)

HOME BASE OF AIRCRAFT (IF DIFFERENT THAN ABOVE):

TBD

CONTRACTOR KEY PERSONNEL AND CONTRACTOR APT MEMBERS:

name, organization, phone number, email

- Program Manager

- Director of Flight Operations/Chief Pilot

- Aviation Maintenance Manager

- Safety Manager

- Additional POC’s

SERVICING FSDO:

Location, phone number, name of most familiar ASI (if known)

AIRCRAFT DATA:

- Model

- Manufacturer name

- Engine(s) type

- Engine(s) model

- Ejection seat(s) model

- Radar model (fire-control A/A or A/G, weather, navigation)

- FAA registration number, serial number, certificate issue date, expiration date

- Is the aircraft leased (include lease expiration date)?

INTENDED AIRCRAFT USE:

Item Source Data Required Determine scope of contracted activity:

- events and operating locations;

- ground and flight envelopes required;

- nature of contracted relationship;

- DoN’s liability and indemnity limits.

Government agency’s COR

Include contract performance-based work statement, period of performance, operating locations and exercises supporting.

Include range/customer/scheduler POC and contact information.

Airworthiness/PAO Checklist Page 2 of 8 Contract No. N00421-26-R-0002

AIRCRAFT PEDIGREE AND ELIGIBILITY FOR PAO, IFC (Owner, Operator):

No. Item Artifact 0 Describe where civil operating rules, limitations, or restrictions conflict with the requirements of contracted missions.

Note:

An IFC may not be required if the contracted mission is conducted within the boundaries of the National Airspace System and is operated under the entirety of 14 CFR (i.e., no extension of DoN PAO).

The operating rules governing PAO aircraft operations trace to contract requirements, the applicable portions of DCMA- INST 8210.2, and OPNAV 3710.7.

Contracted air operations conducted on a joint air operation center’s air tasking order (ATO) require an IFC.

PAO

1 Legible photograph of aircraft’s identiplate.

2 FAA type certification data sheet for proposed aircraft (if issued).

3 FAA airworthiness certificates for proposed aircraft (FAA Form 8100-2, Standard; or Form 8130-7, Special).

Include FAA operating limitations for each special airworthiness certificate.

4 For aircraft having an FAA Form 8130-7, special airworthiness certificate, include most recent annual program letter, per 14 CFR § 21.193.

5 FAA registration certificate (FAA Form AC 8050-3).

6 DD Form 2400, Civil Aircraft Certificate of Insurance (COI).

7 Include contents of aircraft inspection program (AIP) or approved aircraft inspection program (AAIP).

For aircraft with a standard airworthiness certificate, provide the logbook entry identifying the inspection program applicable to the aircraft. If the aircraft has a special airworthiness certificate, include the FAA’s letter of endorsement authorizing the inspection program.

Airworthiness/PAO Checklist Page 3 of 8 Contract No. N00421-26-R-0002

8 Approved minimum equipment list (MEL).

Include the approved MEL authorized per 14 CFR § 91.213. For aircraft with standard airworthiness certificates for which a master MEL exists, include letter from FAA authorizing the MEL. If no approved MEL exists, provide evidence of compliance with the provisions of 14 CFR § 91.213 related to inoperative instruments and equipment.

Guidance on minimum equipment lists for general aviation aircraft is contained in FAA Order 8900.1 Vol. 4 chapter 4 section 2, MEL Requirements for 14 CFR Parts 91, 137, and 142 Operations.

9 Minimum equipment for aircraft readiness.

For each model and configuration of aircraft, list the aircraft equipment or subsystems required to be operable for the aircraft to meet the safety requirements in OPNAVINST 3710.7. An MEL (item

no. 8 above) issued under 14 CFR § 91.213(a) is equally sufficient.

10 Minimum equipment for mission readiness.

For each model and configuration of aircraft, list the aircraft equipment or subsystems required to be operable for the aircraft to accomplish its contracted missions. For each subsystem, include the impact of system degradation on mission effectiveness, interoperability or both. Exclude additional subsystems that are not required for a contracted mission.

The capability to perform a contracted mission is possible when all of a required subsystem’s capabilities, functions, and modes are operable.

An aircraft subsystem can be an overall system capability (e.g., aerial refueling system for all aerial refueling missions) or a specific part (e.g., landing lights, minimum one lamp operable for night flight).

https://fsims.faa.gov/PICDetail.aspx?docId=8900.1,Vol.4,Ch4,Sec2 https://fsims.faa.gov/PICDetail.aspx?docId=8900.1,Vol.4,Ch4,Sec2

Airworthiness/PAO Checklist Page 4 of 8 Contract No. N00421-26-R-0002

11 Provide electronic copies of the approved flight manuals for all models and the following (as applicable):

- operating manuals (flight manual, performance manual, and cargo loading manual);

- weapons manual;

- flight manual supplements (required by installed STCs or approved modifications);

- aircrew operating handbook/guide;

- aircrew or pilot checklist (PCL) with normal procedures, emergency procedures and limitations;

- loading and ordnance checklist;

- special mission checklist.

12 Weight and balance information for each aircraft.

Include weight and balance record, latest aircraft weighing record, OEM equipment list if supplied, CG range chart or diagram with weight and moment envelopes and loading graphs with and without approved stores.

13 Aircraft safety alerts.

- Provide status of airworthiness directives (ADs) adopted and effective for this model. Include evidence of compliance.

- Address actions taken to address the special airworthiness information bulletins (SAIBs) and aviation maintenance alerts that apply to this model.

- List OEM service bulletins for each model and actions taken to address.

14 Provide maintenance record for most recent annual inspection for the aircraft per 14 CFR § 91.409 or an annual-equivalent inspection per the AIP or AAIP.

15 Provide time-in-service data for the airframe, engines, propellers, and rotors.

Include TSN, TSO, TBO, and TSR (as applicable) for airframe, airframe major components (if tracked separately), engines, gas generators, gas turbines, life-limited engine accessories, propellers, propeller blades (if different), rotors, rotor blades (if tracked separately).

Airworthiness/PAO Checklist Page 5 of 8 Contract No. N00421-26-R-0002

16 List life limited components and life remaining for each airframe, engine, propeller, rotor, and appliance (if not included in no. 15 above).

Provide OEM recommended life limits or an approved maintenance publication if publication reference is used.

17 For ejection seat aircraft, list individual life-limited components or assemblies (model numbers, part numbers, or both) and life-remaining for each item.

Provide approved maintenance publication if publication reference is used.

18 List overhaul and replacement schedules for all items that require overhaul or replacement (include calendar frequency or cycle limit).

Provide OEM recommended schedules or an approved maintenance publication if publication reference is used.

19 List manufacturer, model, type, unit weight, and quantity of onboard lithium-ion batteries (with or without agency approval or TSOA).

Lead-acid and Ni-Cd batteries with TSOA not required.

20 Provide maintenance record for altimeter system and altitude reporting equipment tests and inspections, required by 14 CFR § 91.411.

21 Provide maintenance record for transponder tests and inspections, required by 14 CFR § 91.413.

Airworthiness/PAO Checklist Page 6 of 8 Contract No. N00421-26-R-0002

22 Provide aircraft modification history and major repair chronology.

Include date of completion and description of amended TCs, STCs, major alterations, major repairs, and field alterations.

Include FAA Form 337s and 8110-3s for FAA-approved technical data by ASI, ACO, DAR, DER or ODA as applicable.

To account for minor modifications, a rollup summary of the minor alterations annotated in the aircraft logbook is acceptable.

The following FAA references are excellent guides to industry modification practices: FAA Order 8300.16, AFS- 300 Major Repair/Alteration Job Aid, and AC 43-210.

For aircraft with experimental airworthiness certificates, careful documentation research and up-front discussions with the platform class desk and NAVAIR ACO are essential to receive an IFC.

23 Describe company’s safety program and safety record.

- provide company aviation safety program;

- provide company aviation mishap response plan, see 49 CFR

§ 830-831 for reference;

- Provide a chronological list of company aircraft flight mishaps and aviation ground mishaps that resulted in death, serious injury or substantial aircraft damage, see definitions in 49 CFR § 830.2;

- provide summary of FAA violations received within the last 5 years (letters of correction, civil penalties issued or both).

For aircraft that carry cartridge or propellant actuated devices (CADs/PADs), the following additional items are required:

No. Item Artifact 24 If CADs or PADs are used, provide HERO summary and EMI/EMC test reports.

Airworthiness/PAO Checklist Page 7 of 8 Contract No. N00421-26-R-0002

25 Provide ammunition and explosives qualification and certification program.

An approved program aligning with OPNAV Instruction 8023.24, Navy Personnel Conventional Ammunition and Explosives Handling Qualification and Certification Program is required if explosive charges or live ordnance is carried.

For aircraft that carry ordnance or external stores the following additional items are required:

26 If live ordnance is carried, provide HERO summary and EMI/EMC test reports.

27 For each weapon and external store, provide the approved carriage limit and (if applicable) jettison and release envelopes.

External store configurations require certification by a recognized airworthiness authority. Include supporting data for new store configurations.

28 Provide a description of operational hardware, software, and pilot interface for carriage and employment of weapons.

Include name of organization that qualified the ballistics tables and corresponding accuracy statistics.

29 Approved hung ordnance procedures.

30 Approved arm, de-arm, loading, and unloading procedures.

31 Approved pre-flight ordnance release and control checks.

Airworthiness/PAO Checklist Page 8 of 8 Contract No. N00421-26-R-0002

NEXT STEPS:

DoN personnel will review:

1. FAA certification information;

2. maintenance program information (AIP or AAIP) and program letters through the operator’s FSDO;

3. aviation safety related information through the FAA, NTSB, Naval Safety Center, NASA Safety

Center, and Air Force Safety Center;

4. flight procedures (FOPs), ground procedures (GOPs), and (if applicable) ordnance operating procedures.

Note:

A NAVAIR GFR will approve DCMA INST 8210.1 contractor procedures and programs before PAO flights can commence under a NAVAIR IFC.

One or more site visits may be necessary. An aviation safety officer, GGR or ordnance-GGR may also be included.

A site visit by NAVAIR engineering representatives may be required to validate airworthiness basis and aircraft configuration.

SUMMARY:

Valid documentation is essential for the DoN to process a flight clearance and produce a PAO statement.

Timely and accurate submissions are:

1. crucial to establish the aircraft’s certification basis;

2. the starting point for the airworthiness qualification plan (AQP);

3. helps the DoN determine the minimum yet sufficient data-deliverables required for the engineering data requirements agreement plan (EDRAP);

4. used by the DoN to make a PAO determination.

ADDITIONAL REFERENCES:

Service References (NOTAL)

1. OPNAV Instruction 3710.7V Naval Air Training and Operating Procedures Standardization Program, 11/22/2016.

2. CNAF M-3710.7 NATOPS General Flight and Operating Instructions Manual, 15 August 2018.

3. NAVAIRINST 3710.1 (series) Contractor’s Flight and Ground Operations (DCMA INST

8210.1).

4. NAVAIRINST 13034.1F Airworthiness and Cybersecurity Safety Policies for Air Vehicles and

Aircraft Systems, 30 June 2016.

5. OPNAV Instruction 8023.24C Navy Personnel Conventional Ammunition and Explosives

Handling Qualification and Certification Program, 10/17/2014.

FAA References

1. AC 00-1.1B Public Aircraft Operations – Manned and Unmanned, 9/21/2018.

2. AC 43-210A Standardized Procedures for Obtaining Approval of Data Used in the Performance of

Major Repairs and Major Alterations, 5/31/2018.

3. Order 8300.16 Major Repair and Alteration Data Approval, 12/11/2018.

4. AFS-300 Major Repair/Alteration Job Data Approval Online Job Aid, 9/30/2019.

https://www.faa.gov/documentlibrary/media/advisory_circular/ac_00.1-1b.pdf https://rgl.faa.gov/Regulatory_and_Guidance_Library/rgAdvisoryCircular.nsf/0/8870E334029AC5478625801400589429?OpenDocument https://rgl.faa.gov/Regulatory_and_Guidance_Library/rgAdvisoryCircular.nsf/0/8870E334029AC5478625801400589429?OpenDocument http://www.faa.gov/documentLibrary/media/Order/Order_8300.16A.pdf https://fsims.faa.gov/wdocs/other/major_repair_alteration_job-aid.pdf