Appendix 2 Enclosure 1 - (see Examples 1 and 2)
DECLARATION OF DESIGN AND PERFORMANCE
(1) A standard form of Declaration of Design and Performance is given in British Standard 2G.100: Part 1, entitled 'Declarations, Identifications and Construction, and this will require to be adapted according to the nature of the equipment. The declaration shall contain the following information:
(i) Particulars identifying the equipment and its design standard and including reference to the specification(s) to which it is designed.
(ii) The rated performance of the equipment, either directly or by reference to other supplementary documents where necessary.
(iii) The degree of compliance with the requirements stating the issue number of the section concerned.
(iv) Reference to relevant test reports.
(v) Any limiting conditions applying to its use. This shall include limitations implicit in the design (e.g., working and ultimate pressure or loads, rating working and maximum voltage and current accuracy of instruments), declarations required by the governing specifications and the ability of the equipment to work under various ambient conditions
(e.g., acceleration, vibration, temperature, altitude and humidity).
NOIE: For example, an item of electrical equipment may require the following information:
(a) Voltage range.
(b) Frequency range.
(c) Time rating and duty cycle.
(d) Altitude and temperature range appropriate to rating.
(e) Climatic test classification and waterproofness grade as defined in BS.2G. 100.
(f) Vibration grading, acceleration class and grade, explosionproofness category, fire resistance classification, compass safe distance, and whether radio-interference free.
(g) Minimum life or overhaul period in hours or cycles of operations.
Appendix 2
(h) Restrictions in mounting attitude.
(i) Fluid resistance.
(j) Any departures from the governing specifications.
(2) The Declaration shall bear the following statement made and signed by the chief designer or his designated representative:
&I hereby certify that the information contained in this Declaration of Design and Performance is accurate. :. • • • • ••... • Limited cannot accept responsibility for the satisfactory operation of equipment used outside the conditions given above without their agreement‚' 133
Appendix 2 EXAMPLE 1 Of ENCLOSURE 1 - AVIONIC TYPE EQUIPMENT NAME AND ADDRESS D.D.P. NUMBER.
OF MANUFACTURER REVISION NO.
CAA APPLIANCE REGISTRATION REF.
(WILL BE ISSUED BY CAA)
DECLARATION OF DESIGN AND PERFORMANCE OF
NAME OF EQUIPMENT
DESCRIPTION Weight Overall Dimensions Design Specification Number Drawing Schedule Number Production Test Specification Number Modification Standard Wiring Diagram Number Installation Drawing Number Service and Instruction Manual Reference Approval Test Reports Ref. Nos.
Any Certificate of Declaration Bearing on this Approval 134
Appendix 2 EXAMPLE 1 of ENCLOSURE 1 cont'd LIMITING CONDITIONS OF USE:
Voltage Range: Power Requirements:
Frequency Range:
Ambient Temperature Range:
Climatic Grading:
Altitude Rating:
Vibration Grade:
Acceleration Grade:
Radiated R.F. Interference:
Magnetic Effect:
Flameproofness:
Compass Safe Distance:
Endurance:/Overhaul Period:
Mounting Attitude:
Departures from Specification:
Special Limitations:
Intended Use:
I hereby certify that...........
Appendix 2 EXAMPLE 2 Of ENCLOSURE 1 - PASSENGER SAFETY TYPE EQUIPMENT NAME AND ADDRESS D.D.P. NUMBER. • OF MANUFACTURER REVISION NO. • • APPLIANCE REGISTRATION REF.
(TO BE ISSUED BY CAA)
DECLARATION OF DESIGN AND PERFORMANCE OF
NAME OF EQUIPMENT
DESCRIPTION Overall Dimensions:
Design Specification No.:
Production Test Specification No.:
Modification Standard:
Drawing Schedule No.:
Service and Instruction Manual:
Approval Test Reports:
Any Certificate of Declaration Bearing on this Approval:
Test Factor Used:
Degree of compliance with BCAR:
Limiting Conditions of Use:
Acceleration Grade:
Mounting Attitude:
Departures from Specifications:
Special Limitations: I hereby certify that: ....
Intended Use:
AC 21-25 5/18/81 Appendix 2 ENCLOSURE 2 - STATEMENT OF CONFORMANCE
FIRM'S NAME AND ADDRESS I certify that:
Nomenciature of appliance. ihis must include identiiying part number which will mean that this particular part number will always coniorm to the declared state at time of registration.
I certify that:
(1) The above-named appliance meets either the requirements of:
(a) U.S. T.S.O # (Reference FAR 21, Subpart O and . .
FAR 21.305(b)); or,
(b) Specification # , with the following exceptions (if any)
(2) The appliance has been accepted by the FAA as meeting the relevant airworthiness requirements of FAR... or
(3) The Additional Requirements of CAA letter dated . ..., have been met and that*
(4) The appliance will be manufactured under the quality control system specified in FAR 21.143, and
(5) the CAA will continue to be advised of any modifications affecting the airworthiness of the appliance.
Signed. • ..
(name of firm) * Not required at initial submission. Only required when the applicant has been notified of any Additional Requirements in accordance with Section 3, par. B(2).
AC 21-2E I8/8T/5 Appendix 2 ENCLOSURE 3
DEPARTMENT OF TRANSFORTATION
FEDERAL AVIATION ADMINISTRATION
IN REPLY REFER TO
AIRWORTHINESS DIVISION
CIVIL AVIATION AUTHORITY
BRABAZON HOUSE REDHILL SURREY RHI 1SQ
ENGLAND Dear Sir:
The Bennett Corporation has requested our assistance in obtaining United Kingdom import acceptance of their Altimeter Model #7, Series 725 under the terms of the bilateral airworthiness agreement between the United States of America and the United Kingdom of Great Britain and Northern Ireland relating to the reciprocal acceptance of airworthiness certifications.
We would advise you that we have accepted The Bennett Corporation certification that their Altimeter Model #7, Series 725 complies with the performance standards of U.S. ISO 737b (Ref. FAR 21.305(b)) and FAR 21, Subpart O).
Appliances of this approved design will be manufactured under Federal Aviation Administration (FAA) quality control surveillance in accordance with FAA Technical Standard Order (ISO) Authorizations granted on June 26, 1979, and, July 8, 1979. A copy of each ISO Authorization is enclosed for your information. Appliances manufactured under these ISO Authorizations will be marked in accordance with FAR Z1, Subpart 0 and paragraph (b) of TSO 737b (Ref. FAR 21.305(b)).
In addition, these appliances will be accompanied by an FAA airworthiness approval when exported to the U.K. These approvals will be issued by a representative of the FAA in the form of an Airworthiness Approval Tag, FAA Form 8130-3 (formerly FAA Form 186) in accordance with FAR
21.325(a) (2).
Please advise if any additional requirements must be met and if any additional data are needed for your acceptance. Otherwise, if you find this information sufficient, we would appreciate your confirmation that these appliances will be accepted by the U.K. when accompanied by an FAA Airworthiness Approval Tag.
Appendix 2 ENCLOSURE 4
CIVIL AVIATION AUTHORITY
AIRWORTHINESS DIVISION BRABAZON HOUSE REDHILL SURREY RHI ISQ Telephoo: Redhin 65966 Teles 27100 Telegrams & Cables Mordair Redbill
APPLICATION FOR APPROVAL OF, OR MODIFICATION TO, AN ACCESSORY Name and Address of Applicant Name and Address of Manufactures If different from Applicant State abether Initial Full Tille of Accessory Approval or Modification Jocatity or Reference No. - Drawing or Specification No. Declaration of Desigo and Performance No.
Brief Description of Accessory, or of Modification.
INITLAL APPROVAL - State the condition of the Mainteansce, Overhaul and Repair Manuals.
MODIFICATION - Describe briefy any complementary amendment necessury to the Maintenance, Overbaul and Repair Manual: ouberwise state "Not Affected".
FOR CAA USE ONLY Cheque P.O. value f I/we bereby apply for approval of the above Accessory/Modification Cash in accordance with British Civil Airworthiness. Requirements, Cbspier A3-3 or A3-4 (as applicable).
Detacbed by .
Folio _ Date _ Internal Reference No. Sigped Date 139
AC 21-2E Appendix 2 5/18/81
FEDERAL PEOPLE'S REPUBLIC
YUGOSLAVIA - SPECIAL REQUIREMENTS In order to be eligible for certification in SFR Yugoslavia, transport type aircraft must be covered by following documents:
1. DOCUMENTS CONCERNING THE TYPE CERTIFICATE
a. A copy of the type certificate for the aircraft type.
b. A copy of the type certificate data sheet.
c. Summary of flight test reports for aircraft type certification, with expanded flight test list.
d. Three-view drawings of the major assemblies, installations, and primary structure.
e. Summary of stress analysis, for principal structural elements, their design loads, dimensions, materials, stresses, and safety margins, or summary of static test reports, performed for aircrait type certification.
f. Summary of vibration test reports.
g. List of reports and notes prepared for aircraft type certification.
h. A copy of information or instruction necessary for the assembly and rigging of the aircraft, if the aircraft will be exported unassembled.
i. A list of the time limits for first overhaul /TO/ for: engines, propellers, their relevant rotables including the aircraft ones.
j. The aircraft emergency equipment installation bulletin.
k. The passengers' attention and emergency placards bulletin.
1. Manufacturer's maintenance requirements.
m. A list of the necessary special tools and equipment essential to the inspection and maintenance of the aircraft, its engines, propellers, and principal accessories and other equipment items. This should include a list of permissible tolerance limits, maintenance inspection notes due to aircratt structural parts, and complete information on lubricating, fuel and hydraulic systems.
Appendix 2
n. One copy each of maintenance and service, overhaul, and repair manuals applying to the aircraft, engines, propellers, or to the equipment installed on the aircraft.
A separate parts catalog tor the aircrait, the engines, the propellers, and the principal accessories and other equipment items.
p. One copy of the following manuals:
(1) Flight manual which should contain: limitations, normal operations, emergency operations, and performance.
(2) Flight crew operating manual.
(3) Manual wiring diagram.
(4) Weight and balance manual.
g. Complete manufacturer's service bulletins.
I. A statement by an authorized representative of the manufacturer that the Yugoslav D.G.C.A., Brankova 25, Beograd, Yugoslavia, will systematically be furnished with all pertinent information, notification of modifications, service bulletins, etc., and notification of any change in such documents, to quarantee the maintenance of an acceptable airworthiness level for the aircraft.
(1) One copy of above documents must be forwarded to Yugoslav D.G.C.A., in advance or with imported aircraft, if no Yugoslav standard time of aircraft importing, or if Yugoslav standard airworthiness certificate has been issued but abovementioned documents have not been forwarded to Yugoslav D.G.C.A.
2. DOCUMENTS REQUIRED FOR EACH INDIVIDUAL NEW AIRCRAFT
a. An Export Certificate of Airworthiness.
b. Manufacturer's production control and test report for individual aircraft.
c. Manufacturer's production flight test report for the aircraft, including a flight test checklist utilized when testing the aircraft (two copies).
d. A weight and balance report with record containing a complete inventory of all equipment and instruments (two copies).
e. Manufacturer's production test report for the engines and propellers (two copies).
Appendix 2
f. A list of modifications that have been incorporated during production for the aircraft, the engines, and the propellers (two copies).
g. A list of historical records for the aircraft, the engines, and the propellers (summary operating hours).
h. Last engines run-up report, not older than 10 days.
Delivery declaration with aircraft specification containing: data on engines, propellers, their rotables - including the aircraft ones and the equipment installed; flight data recorder, emergency equipment, radio and electrical equipment with following characteristics; model, capacity, frequency, operating instructions, etc. Manufacturer's serial number and summary operating hours must be given for each listed item (two copies).
j. One copy of the documents listed under 1(h) through (g). These documents, which are intended for the purchaser, are required only for first aircraft imported for certain purchaser. For each additional aircraft same type, imported for the same purchaser, all these documents are not required, except flight manual and flight' crew operating manual. For these aircraft, the number of each required manual should be determined through the contract between aircraft exporter and purchaser:
k. Blanket of authorization for ferrying aircraft to make export delivery, issued from airworthiness authority exporter's country, if aircraft will be exported to Yugoslavia via flyaway. The use of aircraft communication transceivers should be also permitted by this document, or by separate ones.
1. Yugoslav certificate of registration and Yugoslav certificate of airworthiness, if aircraft is intended for export to Yugoslavia via flyaway with Yugoslav registration and nationality markings. Mentioned Yugoslav certificates will be issued after basic airworthiness inspection, as defined in Yugoslav law. Yugoslav registration and nationality markings shall be properly displayed on the aircraft before inspection.
3. DOCUMENT REQUIRED IN ADDITION TO THOSE SPECIFIED UNDER ITEM 2, FOR
EACH INDIVIDUAL - USED AIRCRAFT
a. Airworthiness directives status performed on aircraft, list and documents (two copies).
b. A summary of aircraft, engines and propellers modifications, performed during past use.
c. A report of past maintenance and overhaul inspection with a summary of technical data, date and the operating hours since last inspection of each type (two copies).
Appendix 2
d. A report of non-routine work performed on aircraft after failures and damages, list and documents.
e. Aircraft logbook with notified: summary operating hours, number of landings, aircraft historical data concerning technical incidents and accidents, major repairs, periodical inspections and overhuals.
f. Engine and propeller logbooks with notations: summary operating hours, number of cycles and historical data listed above under item 1.e.
g. Acceptance flight test report (two copies).
h. Limitations for next overhaul, or part of overhaul (in-flight hours and in calendar periods) for aircraft, engines and propellers (two copies).
i. Documentation on aircraft system reliability and statistical data on failures, and aircraft technical daily report book, for the past three months of regular use.
j. Previous owner's maintenance manual with current maintenance schedule (two copies).
k. Maintenance and overhaul work cards.
1. Aircraft and powerplants functional test procedures, if not conducted in work cards or in maintenance manual.
m. Maintenance agreement, if aircraft is leased.
n. A copy of radio license.
o. A certificate of deregistration.
NOTE:
Documents listed above, under Items 3.j., k. and 1., required only for first aircraft type imported for each purchaser;
Documents specified under Items 2 and 3 must be furnished with imported aircraft. They are intended for the purpose of both, D.G.C.A. and purchaser; and All documents specified under these requirements must be issued or approved by airworthiness authority of the manufacturer's country.