L-7 Airworthiness Checklist.pdf

Public Aircraft Operations Airworthiness Checklist

N00421-19-R-0011 Attachment L-7

PURPOSE: Information required to assess initial airworthiness of [company & aircraft TMS] in support of the NAVAIR.

AIRCRAFT OF INTENDED USE:

Owner/Operator:

[Name] [Address]

Manager: [Name, Organization, Phone Number, eMail Address]

Director of Operations: [Name, Organization, Phone Number, eMail Address]

T/M/S:

Builder:

Engine:

Ejection Seat:

Radar:

FAA Registration (N) Numbers:

N-Numbers:

Additional POC’s:

DETERMINE INTENDED USE:

Item Source Artifact Intended Use Mission Profiles

- Aircraft

- Specific Events and Locations

- Period of Use

- Ground and Flight Envelopes Required

Requesting Agency

Copy of the Contract or anticipated Contract

- Understand contracted relationship

- Understand liability and indemnity

- Performance Work Statement

- Period of Performance

- Deliverables

Requesting Agency

ESTABLISH EXISTING PEDIGREE:

Item Source Artifact Current FAA Type Certification Data Sheet for the Type/Model/Series of the aircraft of interest (if applicable)

FAA Regulatory and Guidance Library http://rgl.faa.gov/

Current FAA Airworthiness Certificate(s) for the specific aircraft of interest (FAA Form 8100-2, Standard or Form 8130-7, Special).

• Include the Operating Limitations for Special airworthiness certificates.

PAO

Owner/Operator

Program Letter, per 14 CFR § 21.193, associated with each FAA Form 8130-7, Special

Current FAA Registration Certificate for the specific aircraft of interest (FAA Form AC 8050-3)

DD Form 2400, Civil Aircraft Certificate of Insurance

Is the aircraft on a Part 125/212/135/137 or 141 certificates? If so indicate which one and the FAA Certificate Holding District Office (CHDO)

What type of inspection program is the aircraft under: 14 CFR part 91.409?

Copy of FAA Letter authorizing the current aircraft inspection program (if applicable). If the aircraft is a multi-engine turbine powered airplane, or a turbine powered rotorcraft with a standard airworthiness certificate, provide a copy of the log book page identifying the inspection program applicable to the aircraft.

For all turbine powered aircraft with Special Airworthiness Certificates, and for all aircraft with Standard certificates that identified a 14 CFR 91.409(f)(4) program, provide a copy of the letter from FAA that approves the current inspection program.

Copy of the FAA letter authorizing the aircraft to operate under the provisions of the approved Minimum Equipment List (MEL) per 14 CFR

91.213. For all aircraft with Standard certificates

for which a Master MEL exists, provide a copy of the letter from FAA authorizing that aircraft to operate under the provisions of the approved MEL. If no approved MEL exists for the aircraft, then provide evidence of compliance with the provisions of 14 CFR 91.213 as it relates to inoperative instruments and equipment.

http://rgl.faa.gov/

Approved Minimum Equipment List (MEL) if applicable

Aircraft Manuals (applicable and current to the specific tail number(s) of interest)

- Flight and Operations Manuals

- Weapons Manuals

- Flight Manual Supplements (required by installed STCs)

- Pilot Operating Handbooks/Guides

- Pilot Checklists

- Loading Checklists

- Ordnance Checklists

- SOPs

- Special Mission Checklist

Weight and Balance Information (applicable and current to the specific tail number(s) of interest) (Form A and Form F)

Copy of the current Maintenance Program. For Experimental aircraft (with no TC basis), maintenance and inspection requirements are listed in the Operating Limitations of the Special airworthiness certificate.

Status of applicable Airworthiness Directives and safety directives along with documented compliance if aircraft were Type Certified.

Copy of current inspection status of the aircraft, including the time since last inspection required by the14 CFR Part 91.409 inspection program.

Provide total time in service of the:

- Airframe

- Each Engine

- Each Propeller and

- Each Rotor

Status of Life Limited Parts for each:

- Airframe

- Each Engine

- Each Propeller

- Each Rotor

- Appliance

Status of Critical Safety Items and description of under 14 CFR Part 91.409 tracking program, if applicable

Provide copy of time since last overhaul of all items which are required to be overhauled on a specific time basis.

Provide copy of the maintenance log entry for Altimeter system and altitude reporting equipment tests and inspections required by 14 CFR Part 91.411

Provide copy of the maintenance log entry for ATC Transponder Tests and inspections required by 14 CFR Part 91.413

Provide copy of the maintenance record that shows the Emergency Locator Transmitter (ELT) has been inspected within 12 calendar months. References 14 CFR Part 91.207(d)

Aircraft modification history since receipt of aircraft to include modification certification information. Include STCs, FAA Forms 337 and/or 8110-3 (signed by FAA DER), if applicable.

Relevant Safety Information and listing of any mishaps/incidents

- Include any FAA Certificate Action or Civil Penalties within the last 5 years

- Include description of any mishap prevention and aviation system program implemented

For PAO with expected Ordnance Operations, the following additional information is required:

Item Likely Source Artifact Approved release envelopes for all weapons for the exact configuration load outs being requested

- Weapon load outs need to be certified from a recognized airworthiness authority with supporting certification data

Description of operational hardware, software and pilot interface for carriage and employment of weapons

- Include qualification of ballistics tables and corresponding accuracy measurements

Description of hung ordnance procedures and management

Description of arm, de-arm and load procedures with certification documentation from approval authority

Description of release and control checks instituted into the maintenance program

Documented HERO and EMI/EMC testing with ordnance

Documented Ammunition and Explosives Qualification and Certification Program

- Will need to be compliant with

OPNAVINST 8023.24, NAVY

PERSONNEL AMMUNITION AND

EXPLOSIVES HANDLING

QUALIFICATION AND

CERTIFICATION PROGRAM (dated 16 Mar 2010)

VALIDATE EXISTING PEDIGREE:

As received, the above information will need to be validated as follows:

a. Validate through the FAA all FAA certification information

b. Validate through the appropriate FAA Flight Standards District Office (FSDO) all relevant maintenance program information

c. Validate through the FAA and NTSB all aviation safety related information

d. Validate on-site with the PAO Owner/Operator their ground/flight/ordnance procedures. May warrant the services of a NAVAIR-endorsed GFR and GGR (ordnance).

SUMMARY: The above information and validation should be accomplished prior to beginning the flight clearance process. This information is critical to establishing a certification basis and should be the foundation for the anticipated Engineering Data Requirements Agreement Plan (EDRAP).