CHANGE REPAIR DOSSIER IDENTIFICATION DU DOSSIER XXXXXX

 THE COMMODITY PRICE AND EXCHANGE RATE DYNAMICS LIPING
CHANGE OF ELECTRONIC PROPERTIES DUE TO ULTRASHORT LASER PULSES
ICT INFRASTRUCTURE CHANGE MANAGEMENT GUIDELINE QGEA ICT INFRASTRUCTURE CHANGE

048B DATE OF BIRTHADDRESS CHANGE REQUEST FORM
BARRIERS TO EFFECTIVE CLIMATE CHANGE ADAPTATION PRODUCTIVITY COMMISSION
BRANCH APPLICATION EXCHANGE FACILITATOR LICENSE APPLICATION STATE

Change / Repair Dossier

CHANGE REPAIR DOSSIER IDENTIFICATION DU DOSSIER XXXXXX

Change / Repair dossier

Identification du dossier :

xxxxxx





Status

Authorized signatory

Issue x dated xx/xx/xxxx



Revisions

Date

Subject









1Foreword

This documents has been prepared has been produced in accordance with an alternative procedure to DOA.

2Description and classification of the change to type design

2.1Applicability

Aircraft type:

Serial number:

Registration:

2.2Description

2.2.1Reason for the change (or repair)

Describe here the reason for the change or the repair. In case of damages, illustrations are recommended.

2.2.2Brief description of the change (or repair)

Illustration, photos, sketches are recommended.

2.3Classification

2.3.1Classification proposal

Minor without further showing of compliance

Minor with further showing of compliance

Major (STC)

2.3.2Classification justification

The classification must be done according information provided in 21A.91 and GM to 21A.91. Justification cannot be a basic statement, but must be substantiated. Wording like “this change has no appreciable effect on weight and balance” should be avoided and preferably replaced by “this change is adding 2 kg over the empty weight of 1550 kg, the weight is increasing by 0.1 %, which is negligible”.

3Showing of compliance - substantiation

3.1Certification basis

If the case is eligible to the use the certification basis incorporated in the type certificate (see Part 21.A101), the information can be found in the type certificate data sheet of the aircraft.

Applicant should be aware that in such a case, he must have a copy of the airworthiness code used for the certification of the aircraft.

3.2Relation with the TC holder

Organisation should explain whether it will identify any reinvestigation necessary to show compliance of the changed product with the applicable certification basis process using its own resources or through an arrangement with the type certificate holder (21A.93 - 21A.113).

Where the organisation is not capable to use its own resources and has entered into an arrangement with the TC holder, the modification dossier must include (21A.115):

3.3Compliance check-list


MC0

Declaration

MC5

Ground test (on aircraft)

MC1

Description

MC6

Flight test

MC2

Analysis

MC7

Inspection

MC3

Safety analysis

MC8

Simulation

MC4

Test bench

MC9

Equipment qualification

Certification specification impacted

List here all CS paragraphs impacted by the design change

Showing of compliance

Give information about:

  • Mean of compliance (as above)

  • Date planned or realized

  • Description

  • Link to compliance document or statement

Exemple :


CS 23.29 Empty weight and corresponding

centre of gravity

(a) The empty weight and corresponding

centre of gravity must be determined by weighing

the aeroplane with –

(1) Fixed ballast;

(2) Unusable fuel determined under

CS 23.959; and

(3) Full operating fluids, including –

(i) Oil;

(ii) Hydraulic fluid; and

(iii) Other fluids required for

normal operation of aeroplane systems,

except potable water, lavatory precharge

water, and water intended for injection in

the engines.

(b) The condition of the aeroplane at the time

of determining empty weight must be one that is

well defined and can be easily repeated.

Mean of compliance: MC2 (Analysis)

Date planned : 31/12/2006

Description:

  • Weighting of aircraft after change implementation showing that change has no impact on weight

Compliance document or statement:

  • Weight and balance report xxxPP121

4Certification documents (definition dossier)


5Declaration of compliance

I hereby declare that this modification dossier is showing evidence that this type design change (or repair) is complying with the applicable certification basis and environmental protection requirements, as specified in Part 21A.101.




Place date



Name and signature :

© European Aviation Safety Agency, 2007. All rights reserved. Proprietary document.

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CHANGE AND DISADVANTAGE IN THE BARWON SOUTH WEST
CHANGE OF COMMAND INITIAL CONTACT DATETIME OF CEREMONY
INSIDE INFORMATION CHANGES IN COMPOSITION OF THE


Tags: dossier identification, modification dossier, dossier, change, repair, identification, xxxxxx