What it approves
Installation of EMS Equipment Part Number 169-0040200-501
What the certificate says
From the PDF’s text layer, without the form’s printed wording. Layout and order may differ; the PDF is the record.
FAA Form 8110-2 (5/14) Page 1 of
Part of the
Signature
Title SR04262NY Aerolite AG Aumuehlestrasse 10 6373 Ennetbuergen, Switzerland Federal Aviation Regulations.
1. Installation of EMS Equipment Part Number 169-0040200-501 in accordance with Aerolite Master Document List MDL-14-006, revision E, dated March 30, 2017, or later EASA approved revisions.
The EMS Equipment incorporates the following features:
-New cabin configurations with designation system.
-Cabin compatibility with NVIS operation.
-lntroduction of Head Pad to prevent body-to-body contact between patient's head and occupant of adjacent seat.
(See Description of Type Design Change Continued on Page 3 of 3)
1. The aircraft must be operated in accordance with the "Limitations" section of Aerolite AG "Flight Manual Supplement" FMS-169-0040200-501, Revision B, dated December 9, 2016 or later EASA approved revisions.
2. The installer must determine whether this design change is compatible with previously approved modifications.
3. If the holder agrees to permit another person to use the certificate to alter the product, the holder shall give the other person written evidence of that permission.
(See Limitations and Conditions Continued on Page 3 of 3) Anthony E. Gallo Manager New York ACO Branch Leonardo S.p.a.
AW169 April 30, 2018 November 2, 2018 IMPORT R00007RD 3
FAA Form 8110-2 (5/14) Page 2 of
To (Name and address of transferee)
From (Name and address of grantor)
3 SR04262NY
FAA Form 8110-2 (5/14) Page 3 of
3 Date of Issuance: November 2, 2018
Description of Type Design Change (Continued):
-New/alternative Stretcher, Baseplate, Oxygen Box, Patient Retaining System, Cabinet, Equipment Rack Installation.
-New conditions applicable to the helicopter configuration.
2. Aerolite AG "Instructions for Continued Airworthiness", Operations Manual, OPM-169-0040200-501, Revision E, dated March 29, 2017 or later EASA accepted revisions is required with this modification.
3. Aerolite AG "Flight Manual Supplement" FMS-169-0040200-501, Revision B, dated December 9, 2016 or later EASA approved revisions is required with this installation.
4. Prior to installation of EMS Equipment P/N 169-0040200-501, the following Leonardo installed kits are required:
For every EMS configuration:
- 6F5332F00311- Kit EMS Machined Floor,
- 6F2564F00211- Kit EMS Structural Provision For Oxygen Distribution,
- 6F2500FXXXXX- Kit Liner, Plus, as applicable:
- 6F2460F00411- Kit EMS Power Socket,
- 6F2520F00511- Kit 3rd Row Seats (if Seat 3B and/or Seat 3C are installed),
- 6F2510F00811- Kit Co-Pilot Seat Linear Sliding (for Configurations EMS 1-( )-( )-() and EMS 3-( )-( )-( )),
- 6F2520F01111- Kit 8 Seats Foldable Face To Face (for Configurations EMS 1-( )-( )-() and EMS 2-( )-( )-( )), or, alternatively,
- 6F2520F01611- Kit 7 Seats Foldable Face To Face (for Configurations EMS 3-( )-( )-( ) and EMS 4-( )-( )-( )).
----------END---------- SR04262NY
ADs that name this STC · 0
An AD can apply because an STC is installed, or mention one in its text.
Approved models · 1
| Make | Model | Data sheet |
|---|---|---|
| Leonardo S.p.a. | AW169 | R00007RD |