Application for PBN operations approval
Transcript of Application for PBN operations approval
Application for PBN operations approval
The purpose of this form is to ensure that the specific PBN approvals meet the minimum requirements for approval in accordance with ICAO, IR-OPS and other applicable requirements.
To determine an Operators ability to obtain operational approval of a specific PBN capability, aircraft eligibility must be determined, appropriate flight crew procedures for navigation systems to be used, must be identified by the applicant and database use and operating procedures must be evaluated.
For multiple aircraft and/or Nav Specs we refer to the individual Job-Aids, as per Doc 9997 - PBN Operational Approvals Manual, those may be used instead of this application.
1. General
General Information on Company
No.:
City:
Fax:
General Information on contact person
No.:
City:
Fax:
Name:
Address:
Postal code:
Phone:
E-mail:
Name:
Address:
Postal code:
Phone:
E-mail:
FORM.965.030
Trafik-, Bygge- og Boligstyrelsen | Carsten Niebuhrs Gade 43 | 1577 København V www.tbst.dk | Tlf: +45 7221 8800 | [email protected]
Scope of Application
Airworthiness and operational approval in accordance with
Yes No
RNAV 10 AMC 20-12( )/Order 8400.12A ☐ ☐
RNP 4 Order 8400.33 ☐ ☐
RNAV 5 AMC 20-4/AC 90-96A ☐ ☐
RNAV 2 AC 90-100A ☐ ☐
RNAV 1 (P-RNAV) AC 90-100A/ TGL-10) ☐ ☐
RNP 1 AC 90-105 ☐ ☐
RNP APCH (LNAV & LNAV/VNAV)
AMC 20-27/AC 90-105 & AC 20-129, AC 20-138C/D
☐ ☐
RNP APCH (LPV) AMC 20-28/AC 91-107 ☐ ☐
RNP AR APCH AMC 20-26/AC 90-101() ☐ ☐
Aircraft manufacturer,
model and series
Registration number
Aircraft Serial number
Navigation system
manufacturer, model
and number
PBN Nav Spec
(RNAV10, RNP APCH etc.)
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2. Airworthiness
Type design approval for referenced aeroplane type designation
The Nav Spec compliance statement is reflected in:
☐AFM or POH ☐AFM Supplements ☐Type Certificate Data Sheet-TCDS
☐Supplemental Type Certificate-STC ☐Other i.e. Service Bullitin:
Database integrity Yes No
The navigation database is obtained from a supplier holding on EASA or FAA type 2 Letter of Acceptance (LOA), if applicable.
☐ ☐
Minimum Equipment List-MEL Yes No
Has the relevant parts of the MEL been revised to reflect system requirements for intended PBN
☐ ☐
Maintenance programme-MP Yes No
The applicant should have an established Maintenance Programme that contains all related maintenance requirements prescribed by the manufacturer or design organisation.
☐ ☐
Maintenance practices and procedures for operator with a maintenance organisation Depending on the type of the equipment the Applicant should establish the following procedures either as new procedures or as part of existing procedures:
Procedures are described in Maintenance procedures (ref.)
1. Handling and storage of PBN database files includinguploads to aircraft.
2. Maintenance training (initial and recurrent) of all personsconcerned.
3. Equipment for handling for PBN database (use of,handling, periodic testing, etc.)
4. Action for non-compliant airplane such as downgradingtech. log entries, corrective actions, placarding, release toservice, monitoring and reporting of repetitive defects,reporting to DTCA, etc.
3. OPERATION
Operating Practices and Procedures
The applicant must institute PBN Operating Practices and Procedures In accordance with the applicable requirements
To be completed by applicant PBN Operating Practices and Procedures are described in (add manual reference, chapter
Inspectors comments
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found under the scope of the application These practices and procedures should cover the following subjects:
and sub-chapter):
1. Flight planning(verification ofaeroplane PBNapproval, PBN timelimits, ICAO Flight Planannotations,requirements for GPS(RAIM, FDE), operatingrestrictions related toPBN approval, etc.)
2. Pre-flight procedures(review of technical log,external inspection(navigation antennas),use of MEL), verificationof NAV databasevalidity, etc.).
3. En-route procedures(cross checkingprocedures to identifynavigation errors, useof INS/IRS navigationsystems withoutautomatic radionavigation updating,use of GPS, minimumnavigation andcommunication systemswhen entering PBNarea, alternate routings,position check beforeentering PBN area,etc.).
4. Procedures with respectto flight crew responseto abnormal situations(response to non-normal events,notification of ATC ofnavigation equipmentproblems, contingencyprocedures, selection ofother navigation aids incase of loss of PBNcapability, etc.).
5. Date base integrityassurance procedures(supplier evaluation,integrity checks(software tools),reporting ofdiscrepancies to
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suppliers, notification of discrepancies to flight crews, updating process, etc.).
Flight Crew Training and Qualification
The Applicant is required to establish the following (covering subjects under 3.1 to 3.5):
To be completed by Applicant Description in (add manual reference, chapter and sub-chapter):
6. Flight crew qualificationrequirements
7. Description of initial andrecurrent training,checking and training-syllabi.
RNAV 10 – in accordance with AMC 20-12, Chapter 4.4.3 RNP 4 – in accordance with ICAO DOC 9613, Chapter 3.4.3.3 RNAV 5 – in accordance with AMC 20-4, Chapter 5 RNAV 2 – in accordance with ICAO DOC 9613, Chapter 3.4.3.3 RNAV 1 (P-RNAV) – in accordance with TGL-10, Chapter 10.5 RNP 1 – in accordance with ICAO DOC 9613, Chapter 3.4.3.3 RNP APCH (LNAV&LNAV/VNAV) – in accordance with AMC 20-27, Chapter 10.2 RNP APCH (LPV) – in accordance with AMC 20-28, Chapter 10.2 RNP AR APCH – in accordance with AMC 20-26, Chapter 10.3
4. APPLICATION PACKAGE
Documentation to be submitted to the DTCA Submitted? Yes No
1. Compliance statement which shows how the criteria of the applicablerequirements as mentioned in the scope have been satisfied.
☐ ☐
2. Relevant section(s) of the applicable document(s) (e.g. AFM/POH, STC datapackage, etc.) and other relevant documents that support installation of
☐ ☐
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required system if installed through modification. 3. Copy of EASA or FAA type 2 Letter of Acceptance (LOA) of the supplier of the
navigation database.☐ ☐
4. Flight crew PBN training programmes and syllabi for initial and recurrenttraining.
☐ ☐
5. Operation manual and checklists that include specific PBN Nav Spec operatingpractices and procedures
☐ ☐
6. Minimum Equipment List (MEL) that include items pertinent to PBNOperations.
☐ ☐
7. Maintenance programme or revision thereof that includes items pertinent tospecific PBN Nav Spec equipment.
☐ ☐
Failure to include all relevant documentation may result in a delay in processing your application
5. APPLICANT’S STATEMENT
The undersigned certifies the above information to be correct and true and that aeroplane system installation, continuing airworthiness of systems, minimum equipment for dispatch, operating procedures and flight crew training comply with the applicable requirements referenced under section “General”.
NP Maintenance: Signature: Date:
………………………………………… NP Flight Operations: Signature: Date:
………………………………………… NP Crew Training: Signature: Date:
…………………………………………
The form is submitted to:
Trafik-, Bygge- og Boligstyrelsen | Edvard Thomsens Vej 14 | 2300 København S |
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The undersigned certifies the above information to be correct and true and that aeroplane system installation, continuing airworthiness of systems, minimum equipment for dispatch, operating procedures and flight crew training comply with the applicable requirements referenced under section “General”.
NP Maintenance: Signature: Date:
NP Flight Operations: Signature: Date:
NP Crew Training: Signature: Date:
6. FOR OFFICIAL DTCA USE ONLY
Subject Responsible Date Signature
1. Application package checked forcompleteness
OPS
2. Airworthiness Approval granted(Appendix to Certificate ofAirworthiness).
AWI
3. Operational Approval granted(applicant’s operating practices,procedures and training programmeshave been found in compliance withapplicable requirements).
OPS
4. PBN approval process administrativelycompleted (OPS Update, Exchange ofCertificates).
OPS
Withdrawal of PBN Approval
Reason:
Name: Date: Signature:
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Carsten Niebuhrs Gade 431577 København V
Telefon 7221 8800
Fax 7262 6790
www.tbst.dk
Personal Data Protection
According to the general data protection regulation (GDPR), we will
inform you how we handle the personal data we receive and process
about you.
We are the Data Controller - how to contact us
The Danish Transport, Construction and Housing Authority is the Data
Controller for the personal data we receive on you. If you have any
questions concerning processing of your personal data by the Authori-
ty, you are welcome to contact us or our independent data protection
adviser via the contact details below:
Contact details for the Authority:
Carsten Niebuhrs Gade 431577 København VTel.: 7221 8800
E-mail: [email protected]
CBR no.: 27186386
Contact details for our data protection adviser:
E-mail: [email protected]
Tel.: 41780531
The purpose of processing your personal data
The Authority processes personal data for the following purposes:
Information is collected for the purpose of assessing whether a com-
pany meets technical, training and operational requirements for PBN-
operations (Performance Based Navigation operations).
The legal basis for processing your personal data
The legal basis for processing your personal data comes from:
Regulation 965/2012 of 5 October 2012 laying down technical requi-
rements and administrative procedures related to air operations pur-
suant to Regulation (EC) 216/2008 of the European Parliament and
the Council, Part ARO, Part ORO, Part CAT and Part SPA.
Trafik-, Bygge- og Boligstyrelsen | Carsten Niebuhrs Gade 43 | 1577 København V www.tbst.dk | Tlf: +45 7221 8800 | [email protected]
Notat
Categories of personal data
The Authority processes the following categories of personal data on
you:
Name, company adress, telephone and e-mail.
Recipients or categories of recipients
The Authority discloses or gives your personal data to the following
recipients:
The Danish Transport, Construction and Housing Authority. Also, in
connection with the oversight of the Danish Transport, Construction
and Housing Authority, EASA (European Aviation Safety Agency) may
require documents containing your personal data delivered as part of
the audit. EASA is domiciled in Germany.
Transfer to recipients in other countries, including to interna-
tional organisations
In connection with the oversight of the Danish Transport, Construction
and Housing Authority, ICAO (International Civil Aviation organisation)
may require documents containing your personal data delivered as
part of the audit. ICAO is domiciled in Canada.
Storage of your personal data
The data the Authority may keep on record are regularly forwarded to
the Danish National Archives in accordance with the rules of the Ar-
chiving Act and the provisions laid down by the Danish National Ar-
chives. Data we receive that are not subject to the Authority’s duty to
keep records will be deleted when we no longer need them.
Your rights
According to the Data Protection Regulation, you have a number of
rights regarding the processing of your personal data by us. If you
want to exercise your rights, please contact us.
The right to see your data
You have the right to see the data we process on you (the right of ac-
cess to documents), or to apply for access to documents.
The right of correction
You have the right to have incorrect data on you corrected.
The right of deletion
In special instances, you have the right to have data we hold on you
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Notat
deleted before the date on which we generally delete data. This only
applies to data which we are not obliged to record.
You can read more about your rights in the Danish Data Protection
Agency’s guide to data subject rights at www.datatilsynet.dk.
Complaints to the Danish Data Protection Agency
You have the right to complain to the Danish Data Protection Agency
if you are dissatisfied with the manner in which we process your per-
sonal data. You can find the Agency’s contact details at
www.datatilsynet.dk.
Trafik-, Bygge- og Boligstyrelsen | Carsten Niebuhrs Gade 43 | 1577 København V www.tbst.dk | Tlf: +45 7221 8800 | [email protected]