application for an air operator certificate (aoc) – initial … · 2019-12-16 · application for...

Application for an Air Operator Certificate (AOC) – Initial Certification

☐ Complex operator ☐ Organisation Information

☐ Non-complex operator ☐ Management Personnel Organisation (PART A)

☐ Fixed wing ☐ Aircraft Fleet Please fill one for each Aircraft (PART B)

☐ Rotor wing ☐ Operation and Special Authorisation (PART B)

☐ Continuing Airworthiness Management System (PART C)

Following the initial coordination meeting with the TBST Inspectors (technical and/or operational) as relevant, this form shall be submitted including the completed documentation and filled in compliance checklists.

Organisation Information

Operator’s Name

Principle Place of Business

Phone No

CVR No

E-mail

Home Base of A/C Fleet (Aerodrome)

Applicant

Date:

_________________________________ Signed by Accountable Manager

FORM.965.005

Trafik-, Bygge- og Boligstyrelsen | Carsten Niebuhrs Gade 43 | 1577 København Vwww.tbst.dk | Tlf: +45 7221 8800 | [email protected]

Side 1TBST-CFL rev. 3| 07/19

mailto:[email protected]

Part A

Management Personnel

Function

Name Phone No E-mail Address

Accountable Manager

Deputy

Safety Manager

Deputy

Compliance Monitoring Manager

Deputy

Nominated person Flight Operations

Deputy

Nominated Person Ground Operations

Deputy

Nominated Person Crew Training

Deputy

Nominated Person Continuing Airworthiness

Deputy

Security Manager

Deputy

Trafik-, Bygge- og Boligstyrelsen | Carsten Niebuhrs Gade 43 | 1577 København V www.tbst.dk | Tlf: +45 7221 8800 | [email protected]

Side 2 TBST-CFL rev. 3| 07/19


Part B

Please fill one for each Aircraft

Aircraft Type Information

Aircraft Type

Make – Model – Series:

MSN: Hexadecimal Code:

A/C Registration

Pax Seats

MTOM (kg)

Main base of A/C

☐ Dry lease-in (if applicable)

Lease from

Lease until

Delivery date

Commercial operation date

Deletion date Aerodrome

utilisation rights

Aircraft Owner’s Name

Address and Nationality

Insurance

☐ Operational Lease (Attach lease contract)

Type(s) of Operation

☐ A1 – Passengers only ☐ Scheduled ☐ A1 & A2 – Passengers & Cargo

☐ A2 – Cargo only ☐ Non-scheduled

Area(s) of Operation

☐ Territory of Denmark (FIR EKDK) ☐ NAT (iaw ICAO DOC 7030)

☐ EUR (iaw ICAO DOC 7030) ☐ SAM (iaw ICAO DOC 7030)

☐ MID/AISA (iaw ICAO DOC 7030) ☐ CAR (iaw ICAO DOC 7030)

☐ AFI (iaw ICAO DOC 7030) ☐ NAM (iaw ICAO DOC 7030)




☐ PAC (iaw ICAO DOC 7030) ☐ OTHER (to be specified by use of FIR/UIR location indicators or geographical coordinates)

☐ World Wide

Special Limitations

☐ VFR day only ☐ Other (to be specified)

☐ VFR day/night only

☐ None

Special Authorizations / Approvals

☐ Lower than standard category I (LTS CAT I) ☐ Standard category II (CAT II)

☐ Other than standard category II (OTS CAT II) ☐ Standard category III (CAT III)

☐ LVTO ________ meter ☐ Approach operation utilising enhanced vision systems (EVS)

☐ MNPS ☐ RVSM

☐ ETOPS ________ min ☐ RNAV 10

☐ RNP 4 ☐ RNAV 2

☐ RNAV 1 (P-RNAV) ☐ BASIC RNP 1

☐ RNP APCH (LNAV&LNAV/VNAV) ☐ RNP APCH (LPV)

☐ RNP AR APCH ☐ Transport of dangerous goods

☐ Helicopter hoist operations ☐ Helicopter operations with night vision imaging systems

☐ Helicopter emergency medical service operations

☐ Authorisation to provide cabin crew initial safety training

☐ Other incl. Specialized Operations, SPO (to be specified)




Part C

Continuing Airworthiness Management System and Maintenance Arrangements (Please indicate applicable items by ticking the box in front of the item)

Item

Approval reference

Remarks AWI Signature

☐ M.A. Subpart G Approval (CAMO)(*) (Application on EASA Form 2 – Send application to Airworthiness Department

☐ Name of Subcontracted Organisation working under the Operator’s Quality System, if applicable (delegation of Continuing Airworthiness tasks) (*): ______________________________________ Make sure that contract exists.

☐ Name and M.A. Subpart G approval reference of contracted CAMO, if applicable (*) ______________________________________

☐ Contract with PART 145 Organisation (*) (Send application for contract approval to Airworthiness Department) Name and PART 145 approval reference (*): ______________________________________

☐ Continuing Airworthiness Maintenance Exposition Approval (CAME), if applicable (Send CAME application to Airworthiness Department)

☐ Aircraft Maintenance Programme (AMP) Approval(*) (Send AMP application to Airworthiness Department)

- Make sure aircraft maintenance Programme is adequate for the intended type of operation – Annual utilization, RVSM, PBN, AWO, ETC.

- Make sure aircraft maintenance programme contains reliability programme, if applicable.

☐ Aircraft Technical Log System Approval, if applicable

☐ Certificate of Airworthiness

☐ ICAO 24 bit address allocation (send application to Airworthiness Department)

☐ Airworthiness Review Certificate (EASA Form 15a/b)

☐ Continuing Airworthiness nominated person (EASA Form 4)




(*) for each Aircraft Type

Appendices (Please indicate applicable items by ticking the box in front of the item)

Item to be filled in by the applicant Documentation reference / compliance checklist attachment number / remarks

Form 4 persons

☐ Accountable Manager

☐ Flight Operations (nominated person)

☐ Crew Training (nominated person)

☐ Ground Operations (nominated person)

Manuals and approvals

☐ Certificate of Aircraft Registration

☐ FSTD approval (one for each FSTD)

☐ ELT registration

☐ Foreign pilot license validation

☐ Operating License (EU-Licens lille/stor)

☐ Lease agreement (If applicable/Signed and sealed lease contract accepted by the DTCA)

☐ Management system manual and compliance checklist

☐ Safety management manual and compliance checklist

☐ FDM manual and compliance checklist

☐ Management of change process documentation (MoC), incl. Risk Assessment

☐ Compliance Monitoring Manual and compliance checklist




☐ OM-A (OM-A and compliance checklist)

☐ OM-A chapter 7 - FTL and Compliance checklist

☐ OM-B (OM-B and compliance checklist)

☐ FCOM

☐ OM-C (EAG/Jeppsen/LIDO)

☐ OM-D (OM-D and compliance checklist)

☐ Ground Operation Manual and compliance checklist

☐ Arbejdsmiljø (HSE)

☐ Minimum Equipment List (MEL/CDL)

☐ Statement of compliance with Part CAT Subpart D (IDE) and Part SPA

☐ Statement of compliance with Part ORO

☐ Request for ICAO three letter Code

☐ Security Program (iaw. NASP)

☐ Security Training Program




Application for Special Authorizations / Approvals (If Applicable):

Documentation reference / compliance checklist attachment number / remarks

☐ EFB integrated

☐ EFB portable

☐ Lower than standard category I (LTSC CAT I)

☐ Standard category II (CAT II)

☐ Other than standard category II (OTS CAT II)

☐ Standard category III (CAT III)

☐ Standard category III (CAT III) (6 month trial)

☐ LVTO

☐ Approach operation utilizing enhanced vision systems (EVS) for which an operational credit is applied to reduce the runway visual range (RVR) minima by no more than one third of the published RVR.

☐ MNPS

☐ RVSM

☐ ETOPS

☐ RNAV 10

☐ RNP 4

☐ RNAV 2

☐ RNAV 1 (P-RNAV)




☐ BASIC-RNP 1

☐ RNP APCH (LNAV&LNAV/VNAV)

☐ RNP APCH (LPV)

☐ RNP AR APCH

☐ Transport of dangerous goods

☐ Helicopter operations with nigh vision imaging systems

☐ Helicopter hoist operations

☐ Helicopter emergency medical service operations

☐ Authorization to provide cabin crew initial safety training

☐ Other. Specify:




TO BE COMPLETED BY TBST OPS INSPECTOR

Checklist Completed OPS Inspector’s sign.

Management system / SMS and Compliance Monitoring System assessment

☐

☐

☐

Infrastructure ☐

Manual, Logs and Records - Flight crew records

☐

☐

Approval of procedure for changes not requiring prior approval

☐

Flight time limitation / FRMS ☐

Training and checking ☐

Flight crew training programme (initial / recurrent)

☐

Operators Conversion Course (OCC) Flight crew/Cabin crew

☐

Cabin crew training programme (initial / recurrent)

☐

Operational control and supervision ☐

☐

1. Appendix TBST Assessment of SMS new AOC

IMPORTANT

Approval of any applicable items for the requested operation is prerequisite for the AOC issuance.

Checklist Completed

OPS Inspector’s sign.

Facilities ☐

Operational control (OPS facilities) ☐

Flight inspection ☐

Demonstration flight as applicable ☐

Actual OPC/LPC inspection ☐

The issuance of an AOC to the applicant Place and date:

Inspector’s name in capital letters: Signature:

_________________________________________ ________________________




Carsten Niebuhrs Gade 43

1577 København V Telefon 7221 8800

Fax 7262 6790

[email protected]

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:

The information is obtained for evaluating whether the organization is

adequate and suitable to hold an Air Operators Certificate (AOC).

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.





Notat

Categories of personal data

The Authority processes the following categories of personal data on

you:

Name, 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.



Notat

The right of deletion

In special instances, you have the right to have data we hold on you

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.



http://www.datatilsynet.dk/

http://www.datatilsynet.dk/

application for an air operator certificate (aoc) – initial … · 2019-12-16 · application for...

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