Appendix A-1 Normal, utility, aerobatic and commuter category aeroplanes – CAR 523 BLOCK 1
Name of the applicant for the design change approval:
Description of the design change:
Certification Basis of design change and revision date:
G523.1(c): Program showing how changes to supplemental ICA made by the applicant or by the manufacturers of products and appliances installed in the aeroplane pursuant to the design change will be distributed:
CAR Standard 513.05 (1) (g) (iv): Installation Instructions:
Title of Document & Part #
BLOCK 2 Note: Enter "N/A" when no supplemental ICA are needed.
Regulatory Standard Reference Column 1 |
Design Approval Holder (DAH) ICA Reference Column 2 |
Applicant Means of Compliance Supplemental ICA Requirements Column 3 |
---|---|---|
G523.2 (a) (Manual(s) The Instructions for Continued Airworthiness must be in the form of a manual or manuals as appropriate for the quantity of data to be provided.. |
ICA ref: | Supplemental ICA ref: |
G523.2(b) (Practical arrangement) The format of the manual or manuals must provide for a practical arrangement |
ICA ref: | Supplemental ICA ref: |
G523.3 The Instructions for Continued Airworthiness must contain the following manuals or sections, as appropriate, and information: | ||
G523.3 (a) Aeroplane Maintenance Manual or Section. | ICA ref: | Supplemental ICA ref: |
G523.3 (a) (1) (Introduction) | ICA ref: | Supplemental ICA ref: |
G523.3 (a) (2) (Description) A description of the aeroplane and its systems and installations including its engines, propellers, and appliances. |
ICA ref: | Supplemental ICA ref: |
G523.3 (a) (3) (Control & Operation) Basic control and operation information describing how the aeroplane components and systems are controlled and how they operate, including any special procedures and limitations that apply. |
ICA ref: | Supplemental ICA ref: |
G523.3 (a) (4) (Servicing) Servicing information that covers details regarding servicing points, capacities of tanks, reservoirs, types of fluids to be used, pressures applicable to the various systems, location of access panels for inspection and servicing, locations of lubrication points, lubricants to be used, equipment required for servicing, tow instructions and limitations, mooring, jacking, and levelling information. |
ICA ref: | Supplemental ICA ref: |
G523.3 The Instructions for Continued Air worthiness must contain the following manuals or sections, as appropriate, and information: | ||
G523.3(b) Maintenance Instructions. | ICA ref: | Supplemental ICA ref: |
G523.3 (b) (1) (Scheduling) | ICA ref: | Supplemental ICA ref: |
G523.3 (b) (2) (Troubleshooting) Troubleshooting information describing probable malfunctions, how to recognise those malfunctions, and the remedial action for those malfunctions. |
ICA ref: | Supplemental ICA ref: |
G523.3 (b) (3) (Removal/replacement) Information describing the order and method of removing and replacing products and parts with any necessary precautions to be taken. |
ICA ref: | Supplemental ICA ref: |
G523.3 (b) (4) (General) Other general procedural instructions including procedures for system testing during ground running, symmetry checks, weighing and determining the centre of gravity, lifting and shoring, and storage limitations. |
ICA ref: | Supplemental ICA ref: |
G523.3 (c) (Access ) Diagrams of structural access plates and information needed to gain access for inspections when access plates are not provided. |
ICA ref: | Supplemental ICA ref: |
G523.3 (d) (Special inspections) Details for the application of special inspection techniques including radiographic and ultrasonic testing where such processes are specified. |
ICA ref: | Supplemental ICA ref: |
G523.3 (e) (Protective treatment) Information needed to apply protective treatments to the structure after inspection. |
ICA ref: | Supplemental ICA ref: |
G523.3 (f) (Fasteners, torque values, etc) All data relative to structural fasteners such as identification, discard recommendations, and torque values. |
ICA ref: | Supplemental ICA ref: |
G523.3 (g) (Special tools) A list of special tools needed. |
ICA ref: | Supplemental ICA ref: |
G523.3 (h) (1) (Electrical Loads) In addition, for commuter category aeroplanes, the following information must be furnished: (1) Electrical loads applicable to the various systems; |
ICA ref: | Supplemental ICA ref: |
G523.3 (h) (2) (Methods of balancing control surfaces) Methods of balancing control surfaces; |
ICA ref: | Supplemental ICA ref: |
G523.3 (h) (3) (ID of Primary/Sec Structures) Identification of primary and secondary structures; and |
ICA ref: | Supplemental ICA ref: |
G523.3 (h) (4) (Special Repair Methods) Special repair methods applicable to the aeroplane. |
ICA ref: | Supplemental ICA ref: |
BLOCK 3 Note: The statement in block 5 does not constitute an approval of the Airworthiness Limitations Section. Airworthiness Limitations differ from other maintenance tasks, in that they are mandatory, as a direct condition of the approval of the type design. They are therefore referenced directly in the approval document itself. However, they must also be included in the Supplemental Instructions for Continued Airworthiness.
G523.4 (a) (AWL - Separate Section1) The Instructions for Continued Airworthiness must contain a section titled Airworthiness Limitations that is segregated and clearly distinguishable from the rest of the document. This section must set forth each mandatory replacement time, structural inspection interval, and related structural inspection procedure required for type certification. If the Instructions for Continued Airworthiness consist of multiple documents, the section required by this paragraph must be included in the principal manual. This section must contain a legible statement in a prominent location that reads: "The Airworthiness Limitations section is approved by the Minister and specifies maintenance required under any applicable airworthiness or operating rule, unless an alternative program has been approved by the Minister". |
ICA ref: | Supplemental ICA ref: |
BLOCK 4 – Applicant Statement of Compliance
The Supplemental ICA referenced above comprises the complete listing of supplemental ICA necessary to show compliance with the regulatory standard that supports this change in type design.
Applicants Signature: Date:
Applicants Name: Phone # Email:
BLOCK 5 – Minister’s Statement of Acceptability
The design change is adequately supported by existing ICA and/or supplemental ICA, as identified above and is acceptable to the Minister.
Reviewer’s Name: Phone # Email: Mail Routing Symbol: Signature: Date: NAPA Number:
Appendix A-2 Transport category aircraft – CAR 525 BLOCK 1
Name of the applicant for the design change approval:
Description of the design change:
Certification Basis of design change and revision date:
H525.1(c): Program showing how changes to supplemental ICA made by the applicant or by the manufacturers of products and appliances installed in the aeroplane pursuant to the design change will be distributed:
CAR Standard 513.05 (1) (g) (iv): Installation Instructions:
Title of Document & Part #
BLOCK 2Note: Enter "N/A" when no supplemental ICA are needed.
Regulatory Standard Reference Column 1 |
Design Approval Holder (DAH) ICA Reference Column 2 |
Applicant Means of Compliance Supplemental ICA Requirements Column 3 |
---|---|---|
H525.2 (a) Manual(s) The Instructions for Continued Airworthiness must be in the form of a manual or manuals as appropriate for the quantity of data to be provided. |
ICA ref: | Supplemental ICA ref: |
H525.2 (b) (Practical arrangement) The format of the manual or manuals must provide for a practical arrangement. |
ICA ref: | Supplemental ICA ref: |
H525.3 The Instructions for Continued Airworthiness must contain the following manuals or sections, as appropriate, and information: |
||
H525.3 (a) Aeroplane maintenance manual or section. | ICA ref: | Supplemental ICA ref: |
H525.3 (a) (1) (Introduction) ICA ref: |
Supplemental ICA ref: | |
H525.3 (a) (2) (Description) (2)A description of the aeroplane and its systems and installations including its engines, propellers, and appliances. |
ICA ref: | Supplemental ICA ref: |
H525.3 (a) (3) (Control & Operation) (3)Basic control and operation information describing how the aeroplane components and systems are controlled and how they operate, including any special procedures and limitations that apply. |
ICA ref: | Supplemental ICA ref: |
H525.3 (a) (4) (Servicing) (4)Servicing information that covers details regarding servicing points, capacities of tanks, reservoirs, types of fluids to be used, pressures applicable to the various systems, location of access panels for inspection and servicing, locations of lubrication points, lubricants to be used, equipment required for servicing, tow instructions and limitations, mooring, jacking, and levelling information. |
ICA ref: | Supplemental ICA ref: |
H525.3 The Instructions for Continued Airworthiness must contain the following manuals or sections, as appropriate, and information: |
||
H525.3 (b) Maintenance Instructions. | ICA ref: | Supplemental ICA ref: |
H525.3 (b) (1) (Scheduling) | ICA ref: | Supplemental ICA ref: |
H525.3 (b) (2) (Troubleshooting) (2)Troubleshooting information describing probable malfunctions, how to recognise those malfunctions, and the remedial action for those malfunctions. |
ICA ref: | Supplemental ICA ref: |
H525.3 (b) (3) (Removal/replacement) (3)Information describing the order and method of removing and replacing products and parts with any necessary precautions to be taken. |
ICA ref: | Supplemental ICA ref: |
H525.3 (b) (4) (General) (4)Other general procedural instructions including procedures for system testing during ground running, symmetry checks, weighing and determining the centre of gravity, lifting and shoring, and storage limitations. |
ICA ref: | Supplemental ICA ref: |
H525.3 (c) (Access ) (c)Diagrams of structural access plates and information needed to gain access for inspections when access plates are not provided. |
ICA ref: | Supplemental ICA ref: |
H525.3 (d) (Special inspections) (d)Details for the application of special inspection techniques including radiographic and ultrasonic testing where such processes are specified. |
ICA ref: | Supplemental ICA ref: |
H525.3 (e) (Protective treatment) (e)Information needed to apply protective treatments to the structure after inspection. |
ICA ref: | Supplemental ICA ref: |
H525.3 (f) (Fasteners, torque values, etc) (f)All data relative to structural fasteners such as identification, discard recommendations, and torque values. |
ICA ref: | Supplemental ICA ref: |
H525.3 (g) (Special tools) (g)A list of special tools needed. |
ICA ref: | Supplemental ICA ref: |
BLOCK 3 Note: The statement in block 5 does not constitute an approval of the Airworthiness Limitations Section. Airworthiness Limitations differ from other maintenance tasks, in that they are mandatory, as a direct condition of the approval of the type design. They are therefore referenced directly in the approval document itself. However, they must also be included in the Supplemental Instructions for Continued Airworthiness.
H525.4 (a) (AWL -Separate Section 2) (a) The Instructions for Continued Airworthiness must contain a section titled Airworthiness Limitations that is segregated and clearly distinguishable from the rest of the document. This section must set forth: (NPA 2002-043) |
ICA ref: | Supplemental ICA ref: |
H525.4 (a) 1 (Structures) (1) Each mandatory replacement time, structural inspection interval, and related structural inspection procedures approved under 525.571.; and |
ICA ref: | Supplemental ICA ref: |
H525.4 (a) 2 (Fuel Tank System) (2) Each mandatory replacement time, inspection interval, related inspection procedure, and all critical design configuration control limitations approved under 525.981 for the fuel tank system. |
ICA ref: | Supplemental ICA ref: |
H525.4 (b) (Principal Manual) (b) If the Instructions for Continued Airworthiness consist of multiple documents, the section required by this paragraph must be included in the principal manual. This section must contain a legible statement in a prominent location that reads: "The Airworthiness Limitations section is approved by the Minister and specifies maintenance required by any applicable airworthiness or operating rule, unless an alternative program has been approved by the Minister." |
ICA ref: | Supplemental ICA ref: |
BLOCK 4 – Applicant Statement of Compliance
The Supplemental ICA referenced above comprises the complete listing of supplemental ICA necessary to show compliance with the regulatory standard that supports this change in type design.
Applicants Signature: Date:
Applicants Name: Phone # Email:
BLOCK 5 – Minister’s Statement of Acceptability
The design change is adequately supported by existing ICA and/or supplemental ICA, as identified above and is acceptable to the Minister. Reviewer’s Name: Phone # Email: Mail Routing Symbol: Signature: Date: NAPA Number
Appendix A-3 Normal category rotorcraft – CAR 527 BLOCK 1
Name of the applicant for the design change approval:
Description of the design change:
Certification Basis of design change and revision date:
CAR Standard A527.1(c) Program showing how changes to supplemental ICA made by the applicant or by the manufacturers of products and appliances installed in the aeroplane pursuant to the design change will be distributed:
CAR Standard 513.05 (1) (g) (iv): Installation Instructions:
Title of Document & Part #
BLOCK 2 Note: Enter "N/A" when no supplemental ICA are needed.
Regulatory Standard Reference Column 1 |
Design Approval Holder (DAH) ICA Reference Column 2 |
Applicant Means of Compliance Supplemental ICA Requirements Column 3 |
---|---|---|
A527.2 (a) Manual(s) (a) The Instructions for Continued Airworthiness must be in the form of a manual or manuals as appropriate for the quantity of data to be provided. |
ICA ref: | Supplemental ICA ref: |
A527.2 (b) Practical arrangement (b) The format of the manual or manuals must provide for a practical arrangement. |
ICA ref: | Supplemental ICA ref: |
A527.3 The Instructions for Continued Airworthiness must contain the following manuals or sections, as appropriate, and information: |
||
A527.3 (a) Rotorcraft maintenance manual or section | ICA ref: | Supplemental ICA ref: |
A527.3 (a) (1) (Introduction) | ICA ref: | Supplemental ICA ref: |
A527.3 (a) (2) (Description) (2) A description of the rotorcraft and its systems and installations including its engines, rotors, and appliances. |
ICA ref: | Supplemental ICA ref: |
A527.3 (a) (3) Control & Operation (3) Basic control and operation information describing how the rotorcraft components and systems are controlled and how they operate, including any special procedures and limitations that apply. |
ICA ref: | Supplemental ICA ref: |
A527.3 (a) (4) Servicing (4) Servicing information that covers details regarding servicing points, capacities of tanks, reservoirs, types of fluids to be used, pressures applicable to the various systems, location of access panels for inspection and servicing, locations of lubrication points, lubricants to be used, equipment required for servicing, tow instructions and limitations, mooring, jacking, and levelling information. |
ICA ref: | Supplemental ICA ref: |
A527.3 The Instructions for Continued Airworthiness must contain the following manuals or sections, as appropriate, and information: |
||
A527.3 (b) Maintenance Instructions. | ICA ref: | Supplemental ICA ref: |
A527.3 (b) (1) Scheduling | ICA ref: | Supplemental ICA ref: |
A527.3 (b) (2) Troubleshooting (2) Troubleshooting information describing probable malfunctions, how to recognize those malfunctions, and the remedial action for those malfunctions. |
ICA ref: | Supplemental ICA ref: |
A527.3 (b) (3) Removal/replacement (3) Information describing the order and method of removing and replacing products and parts with any necessary precautions to be taken. |
ICA ref: | Supplemental ICA ref: |
A527.3 (b) (4) General (4) Other general procedural instructions including procedures for system testing during ground running, symmetry checks, weighing and determining the center of gravity, lifting and shoring, and storage limitations. |
ICA ref: | Supplemental ICA ref: |
A527.3 (c) Access (c) Diagrams of structural access plates and information needed to gain access for inspections when access plates are not provided. |
ICA ref: | Supplemental ICA ref: |
A527.3 (d) Special inspections (d) Details for the application of special inspection techniques including radiographic and ultrasonic testing where such processes are specified. |
ICA ref: | Supplemental ICA ref: |
A527.3 (e) Protective treatment (e) Information needed to apply protective treatments to the structure after inspection. |
ICA ref: | Supplemental ICA ref: |
A527.3 (f) Fasteners, torque values, etc (f) All data relative to structural fasteners such as identification, discard recommendations, and torque values. |
ICA ref: | Supplemental ICA ref: |
A527.3 (g) Special tools (g) A list of special tools needed. |
ICA ref: | Supplemental ICA ref: |
BLOCK 3 Note: The statement in block 5 does not constitute an approval of the Airworthiness Limitations Section. Airworthiness Limitations differ from other maintenance tasks, in that they are mandatory, as a direct condition of the approval of the type design. They are therefore referenced directly in the approval document itself. However, they must also be included in the Supplemental Instructions for Continued Airworthiness.
A527.4 AWL - Separate Section 1 The Instructions for Continued Airworthiness must contain a section titled Airworthiness Limitations that is segregated and clearly distinguishable from the rest of the document. This section must set forth each mandatory replacement time, structural inspection interval, and related structural inspection procedure approved under 527.571. If the Instructions for Continued Airworthiness consist of multiple documents, the section required by this paragraph must be included in the principal manual. This section must contain a legible statement in a prominent location that reads: “The Airworthiness Limitations section is approved by the Minister and specifies maintenance required by any applicable airworthiness or operating rule unless an alternative program has been approved by the Minister.” |
ICA ref: | Supplemental ICA ref: |
BLOCK 4 – Applicant Statement of Compliance
The Supplemental ICA referenced above comprises the complete listing of supplemental ICA necessary to show compliance with the regulatory standard that supports this change in type design. Applicants Signature: Date:
Applicants Name: Phone # Email:
BLOCK 5 – Minister’s Statement of Acceptability
The design change is adequately supported by existing ICA and/or supplemental ICA, as identified above and is acceptable to the Minister. Reviewer’s Name: Phone # Email: Mail Routing Symbol: Signature: Date: NAPA Number
Appendix A-4 Transport category rotorcraft – CAR 529 BLOCK 1
Name of the applicant for the design change approval:
Description of the design change:
Certification Basis of design change and revision date:
CAR Standard A529.1(c) - Program showing how changes to supplemental ICA made by the applicant or by the manufacturers of products and appliances installed in the aeroplane pursuant to the design change will be distributed:
CAR Standard 513.05 (1) (g) (iv): - Installation Instructions:
Title of Document & Part #
BLOCK 2 Note: Enter "N/A" when no supplemental ICA are needed.
Regulatory Standard Reference Column 1 |
Design Approval Holder (DAH) ICA Reference Column 2 |
Applicant Means of Compliance Supplemental ICA Requirements Column 3 |
---|---|---|
A529.2 (a) Manual(s) (a) The Instructions for Continued Airworthiness shall be in the form of a manual or manuals as appropriate for the quantity of data to be provided. |
ICA ref: | Supplemental ICA ref: |
A529.2(b) Practical arrangement (b) The format of the manual or manuals shall provide for a practical arrangement. |
ICA ref: | Supplemental ICA ref: |
A529.3 The Instructions for Continued Airworthiness shall contain the following manuals or sections, as appropriate, and the following information: | ||
A529.3 (a)Rotorcraft maintenance manual or section. The rotorcraft maintenance manual or section shall contain the following information: | ICA ref: | Supplemental ICA ref: |
A529.3 (a) (1) Introduction | ICA ref: | Supplemental ICA ref: |
A529.3 (a) (2) Description (2) a description of the rotorcraft and its systems and installations including its engines, rotors, and appliances; |
ICA ref: | Supplemental ICA ref: |
A529.3 (a) (3) Control & Operation (3) basic control and operation information describing how the rotorcraft components and systems are controlled and how they operate, including any special procedures and limitations that apply; |
ICA ref: | Supplemental ICA ref: |
A529.3 (a) (4) Servicing (4) servicing information that covers details regarding servicing points, capacities of tanks, reservoirs, types of fluids to be used, pressures applicable to the various systems, location of access panels for inspection and servicing, locations of lubrication points, the lubricants to be used, equipment required for servicing, tow instructions and limitations, mooring, jacking and levelling information. |
ICA ref: | Supplemental ICA ref: |
A529.3 The Instructions for Continued Airworthiness shall contain the following manuals or sections, as appropriate, and the following information: | ||
A529.3(b) Maintenance Instructions. The Maintenance Instructions shall contain the following information: | ICA ref: | Supplemental ICA ref: |
A529.3 (b) (1) Scheduling | ICA ref: | Supplemental ICA ref: |
A529.3 (b) (2) Troubleshooting (2) troubleshooting information describing probable malfunctions, how to recognize those malfunctions, and the remedial action for those malfunctions; |
ICA ref: | Supplemental ICA ref: |
A529.3 (b) (3) Removal/replacement (3) information describing the order and method of removing and replacing products and parts with any necessary precautions to be taken; |
ICA ref: | Supplemental ICA ref: |
A529.3 (b) (4) General (4) other general procedural instructions including procedures for system testing during ground running, symmetry checks, weighing and determining the centre of gravity, lifting and shoring, and storage limitations. |
ICA ref: | Supplemental ICA ref: |
A529.3 (c) Access (c) diagrams of structural access plates and information needed to gain access for inspections when access plates are not provided; |
ICA ref: | Supplemental ICA ref: |
A529.3 (d) Special inspections (d) details for the application of special inspection techniques including radiographic and ultrasonic testing where such processes are specified; |
ICA ref: | Supplemental ICA ref: |
A529.3 (e) Protective treatment (e) information needed to apply protective treatments to the structure after inspection; |
ICA ref: | Supplemental ICA ref: |
A529.3 (f) Fasteners, torque values, etc (f) all data relative to structural fasteners such as identification, discard recommendations, and torque values |
ICA ref: | Supplemental ICA ref: |
A529.3 (g) Special tools (g) a list of special tools needed. |
ICA ref: | Supplemental ICA ref: |
BLOCK 3 Note: The statement in block 5 does not constitute an approval of the Airworthiness Limitations Section. Airworthiness Limitations differ from other maintenance tasks, in that they are mandatory, as a direct condition of the approval of the type design. They are therefore referenced directly in the approval document itself. However, they must also be included in the Supplemental Instructions for Continued Airworthiness.
A529.4 (a) AWL - Separate Section1 The Instructions for Continued Airworthiness shall contain a section titled "Airworthiness Limitations" that is segregated and clearly distinguishable from the rest of the document. This section shall set forth each mandatory replacement time, structural inspection interval, and related structural inspection procedure approved under section 529.571. If the "Instructions for Continued Airworthiness" consist of multiple documents, the section required by this paragraph shall be included in the principal manual. This section shall contain a legible statement in a prominent location that reads: "The Airworthiness Limitations section is approved by the Minister and specifies maintenance required by any applicable airworthiness or operating rule unless an alternative program has been approved by the Minister." |
ICA ref: | Supplemental ICA ref: |
BLOCK 4 – Applicant Statement of Compliance
The Supplemental ICA referenced above comprises the complete listing of supplemental ICA necessary to show compliance with the regulatory standard that supports this change in type design.
Applicants Signature: Date:
Applicants Name: Phone # Email:
BLOCK 5 – Minister’s Statement of Acceptability
The design change is adequately supported by existing ICA and/or supplemental ICA, as identified above and is acceptable to the Minister. Reviewer’s Name: Phone # Email: Mail Routing Symbol: Signature: Date: NAPA Number
APPENDIX A-5 MANNED FREE BALLOONS – CAR 531BLOCK 1
Name of the applicant for the design change approval:
Description of the design change:
Certification Basis of design change and revision date:
CAR Standard A531.1(c): Program showing how changes to supplemental ICA made by the applicant or by the manufacturers of products and appliances installed in the aeroplane pursuant to the design change will be distributed:
CAR Standard 513.05 (1) (g) (iv): Installation Instructions:
Title of Document & Part #
BLOCK 2 Note: Enter "N/A" when no supplemental ICA are needed.
Regulatory Standard Reference Column 1 |
Design Approval Holder (DAH) ICA Reference Column 2 |
Applicant Means of Compliance Supplemental ICA Requirements Column 3 |
---|---|---|
A531.2 (a) Manual(s) (a) The Instructions for Continued Airworthiness must be in the form of a manual or manuals as appropriate for the quantity of data to be provided. |
ICA ref: | Supplemental ICA ref: |
A531.2(b) Practical arrangement (b) The format of the manual or manuals must provide for a practical arrangement. |
ICA ref: | Supplemental ICA ref: |
A531.3 Content The Instructions for Continued Airworthiness must contain the following information: |
ICA ref: | Supplemental ICA ref: |
A531.3 (a) Introduction | ICA ref: | Supplemental ICA ref: |
A531.3 (b) Description (b) A description of the balloon and its systems and installations. |
ICA ref: | Supplemental ICA ref: |
A531.3 (c) Control & Operation (c) Basic control and operation information for the balloon and its components and systems. |
ICA ref: | Supplemental ICA ref: |
A531.3 (d) Servicing (d) Servicing information that covers details regarding servicing of balloon components, including burner nozzles, fuel tanks, and valves during operations. |
ICA ref: | Supplemental ICA ref: |
A531.3 (e) maintenance | ICA ref: | Supplemental ICA ref: |
A531.3 (f) Troubleshooting (f) Troubleshooting information describing probable malfunctions, how to recognise those malfunctions, and the remedial action for those malfunctions. |
ICA ref: | Supplemental ICA ref: |
A531.3 (g) Inspection after Hard Landing (g) Details of what, and how, to inspect after a Hard Landing. |
ICA ref: | Supplemental ICA ref: |
A531.3 (h) Storage Instructions (h) Instructions for storage preparation, including any storage limits. |
ICA ref: | Supplemental ICA ref: |
A531.3 (i) Repair Instructions (i) Instructions for repair of the balloon envelope and its basket or trapeze. |
ICA ref: | Supplemental ICA ref: |
BLOCK 3 Note: The statement in block 5 does not constitute an approval of the Airworthiness Limitations Section. Airworthiness Limitations differ from other maintenance tasks, in that they are mandatory, as a direct condition of the approval of the type design. They are therefore referenced directly in the approval document itself. However, they must also be included in the Supplemental Instructions for Continued Airworthiness.
A531.4 (AWL - Separate Section1 [The Instructions for Continued Airworthiness must contain a section titled Airworthiness Limitations that is segregated and clearly distinguishable from the rest of the document. This section must set forth each mandatory replacement time, structural inspection interval, and related structural inspection procedure, including envelope structural integrity, required for type certification. If the Instructions for Continued Airworthiness consist of multiple documents, the section required by this paragraph must be included in the principal manual. This section must contain a legible statement in a prominent location that reads: "The Airworthiness Limitations section is approved by the Minister and specifies maintenance requirements that are mandatory for the continued airworthiness of this aircraft as specified in CAR 605.84".] |
ICA ref: | Supplemental ICA ref: |
BLOCK 4 – Applicant Statement of Compliance
The Supplemental ICA referenced above comprises the complete listing of supplemental ICA necessary to show compliance with the regulatory standard that supports this change in type design.
Applicants Signature: Date:
Applicants Name: Phone # Email:
BLOCK 5 – Minister’s Statement of Acceptability
The design change is adequately supported by existing ICA and/or supplemental ICA, as identified above and is acceptable to the Minister. Reviewer’s Name: Phone # Email: Mail Routing Symbol: Signature: Date: NAPA Number
Appendix A-6 Aircraft engines – CAR 533 BLOCK 1
Name of the applicant for the design change approval:
Description of the design change:
Certification Basis of design change and revision date:
CAR Standard A533.1(c) Program showing how changes to supplemental ICA made by the applicant or by the manufacturers of products and appliances installed in the aeroplane pursuant to the design change will be distributed:
CAR Standard 513.05 (1) (g) (iv): Installation Instructions:
Title of Document & Part #
BLOCK 2 Note: Enter "N/A" when no supplemental ICA are needed.
Regulatory Standard Reference Column 1 |
Design Approval Holder (DAH) ICA Reference Column 2 |
Applicant Means of Compliance Supplemental ICA Requirements Column 3 |
---|---|---|
A533.2 (a) Manual(s) (a) The Instructions for Continued Airworthiness must be in the form of a manual or manuals as appropriate for the quantity of data to be provided. |
ICA ref: | Supplemental ICA ref: |
A533.2 (b) Practical arrangement (b) The format of the manual or manuals must provide for a practical arrangement. |
ICA ref: | Supplemental ICA ref: |
A533.3 (a) Content The Instructions for Continued Airworthiness must contain the following manuals or sections, as appropriate, and information: |
ICA ref: | Supplemental ICA ref: |
A533.3 (a) (1) Introduction a) Engine Maintenance Section. |
ICA ref: | Supplemental ICA ref: |
A533.3 (a) (2) Description (2) A detailed description of the engine and its components, systems and installations. |
ICA ref: | Supplemental ICA ref: |
A533.3 (a) (3) Installation Instructions (3) Installation instructions, including proper procedures for uncrating, deinhibiting, acceptance checking, lifting and attaching accessories, with any necessary checks. |
ICA ref: | Supplemental ICA ref: |
A533.3 (a) (4) Control and Operation (4) Basic control and operating information describing how the engine components, systems, and installations operate, and information describing the methods of starting, running, testing and stopping the engine and its parts including any special procedures and limitations that apply. |
ICA ref: | Supplemental ICA ref: |
A533.3 (a) (5) Servicing (5) Servicing information that covers details regarding servicing points, capacities of tanks, reservoirs, types of fluids to be used, pressures applicable to the various systems, locations of lubrication points, lubricants to be used and equipment required for servicing. |
ICA ref: | Supplemental ICA ref: |
A533.3 (a) (6) Scheduling | ICA ref: | Supplemental ICA ref: |
A533.3 (a) (7) Troubleshooting (7) Troubleshooting information describing probable malfunctions, how to recognise those malfunctions, and the remedial action for those malfunctions. |
ICA ref: | Supplemental ICA ref: |
A533.3 (a) (8) Removal & Replacement (8) Information describing the order and method of removing the engine and its parts and replacing parts, with any necessary precautions to be taken. Instructions for proper ground handling, crating and shipping must also be included. |
ICA ref: | Supplemental ICA ref: |
A533.3 (a) (9) Tools & Equipment (9) A list of the tools and equipment necessary for maintenance and directions as to their method of use. |
ICA ref: | Supplemental ICA ref: |
(b) Engine Overhaul Section. | ICA ref: | Supplemental ICA ref: |
A533.3 (b) (1) Disassembly (1) Disassembly information including the order and method of disassembly for overhaul. |
ICA ref: | Supplemental ICA ref: |
A533.3 (b) (2) Cleaning & Inspection (2) Cleaning and inspection instructions that cover the materials and apparatus to be used and methods and precautions to be taken during overhaul. Methods of overhaul inspection must also be included. |
ICA ref: | Supplemental ICA ref: |
A533.3 (b) (3) Fits & Clearances (3) Details of all fits and clearances relevant to overhaul. |
ICA ref: | Supplemental ICA ref: |
A533.3 (b) (4) Repair Methods (4) Details of repair methods for worn or otherwise substandard parts and components along with the information necessary to determine when replacement is necessary. |
ICA ref: | Supplemental ICA ref: |
A533.3 (b) (5) Assembly (5) The order and method of assembly at overhaul. |
ICA ref: | Supplemental ICA ref: |
A533.3 (b) (6) Instructions for Testing (6) Instructions for testing after overhaul. |
ICA ref: | Supplemental ICA ref: |
A533.3 (b) (7) Storage Instructions (7) Instructions for storage preparation including any storage limits. |
ICA ref: | Supplemental ICA ref: |
A533.3 (b) (8) Special Tool List (8) A list of tools needed for over-haul. |
ICA ref: | Supplemental ICA ref: |
BLOCK 3 Note: The statement in block 5 does not constitute an approval of the Airworthiness Limitations Section. Airworthiness Limitations differ from other maintenance tasks, in that they are mandatory, as a direct condition of the approval of the type design. They are therefore referenced directly in the approval document itself. However, they must also be included in the Supplemental Instructions for Continued Airworthiness.
A533.4 AWL - Separate Section1 The Instructions for Continued Airworthiness must contain a section titled Airworthiness Limitations that is segregated and clearly distinguishable from the rest of the document. This section must set forth each mandatory replacement time, inspection interval, and related procedure required for type certification. If the Instructions for Continued Airworthiness consist of multiple documents, the section required by this paragraph must be included in the principal manual. This section must contain a legible statement in a prominent location that reads: "The Airworthiness Limitations Section is approved by the Minister and specifies maintenance required by any applicable airworthiness or operational rule, unless an alternative program has been approved by the Minister. |
ICA ref: | Supplemental ICA ref: |
BLOCK 4 – Applicant Statement of Compliance
The Supplemental ICA referenced above comprises the complete listing of supplemental ICA necessary to show compliance with the regulatory standard that supports this change in type design.
Applicants Signature: Date: Applicants Name: Phone # Email:
BLOCK 5 – Minister’s Statement of Acceptability
The design change is adequately supported by existing ICA and/or supplemental ICA, as identified above and is acceptable to the Minister. Reviewer’s Name: Phone # Email: Mail Routing Symbol: Signature: Date: NAPA Number
Appendix A-7 Propellers – CAR 535 BLOCK 1
Name of the applicant for the design change approval:
Description of the design change:
Certification Basis of design change and revision date:
CAR Standard A535.1(c) - Program showing how changes to supplemental ICA made by the applicant or by the manufacturers of products and appliances installed in the aeroplane pursuant to the design change will be distributed:
CAR Standard 513.05 (1) (g) (iv): Installation Instructions:
Title of Document & Part #
BLOCK 2 Note: Enter "N/A" when no supplemental ICA are needed.
Regulatory Standard Reference Column 1 |
Design Approval Holder (DAH) ICA Reference Column 2 |
Applicant Means of Compliance Supplemental ICA Requirements Column 3 |
---|---|---|
A535.2 (a) Manual(s) (a) The Instructions for Continued Airworthiness must be in the form of a manual or manuals as appropriate for the quantity of data to be provided. |
ICA ref: | Supplemental ICA ref: |
A535.2 (b) Practical arrangement (b) The format of the manual or manuals must provide for a practical arrangement. |
ICA ref: | Supplemental ICA ref: |
A535.3 Content The Instructions for Continued Airworthiness must contain the following sections and information: |
ICA ref: | Supplemental ICA ref: |
A535.3 (a) (1) Introduction (a) Propeller Maintenance Section. |
ICA ref: | Supplemental ICA ref: |
A535.3 (a) (2) Description (2) A detailed description of the propeller and its systems and installations. |
ICA ref: | Supplemental ICA ref: |
A535.3 (a) (3) Control & Operation (3) Basic control and operating information describing how the propeller components and systems are controlled and how they operate, including any special procedures that apply. |
ICA ref: | Supplemental ICA ref: |
A535.3 (a) (4) Installation Instructions (4) Instructions for uncrating, acceptance checking, lifting, and installing the propeller. |
ICA ref: | Supplemental ICA ref: |
A535.3 (a) (5) Operational Checks (5) Instructions for propeller operational checks. |
ICA ref: | Supplemental ICA ref: |
A535.3 (a) (6) Scheduling | ICA ref: | Supplemental ICA ref: |
A535.3 (a) (7) Troubleshooting (7) Troubleshooting information describing probable malfunctions, how to recognize those malfunctions, and the remedial action for those malfunctions. |
ICA ref: | Supplemental ICA ref: |
A535.3 (a) (8) Removal & Replacement (8) Information describing the order and method of removing and replacing propeller parts with any necessary precautions to be taken. |
ICA ref: | Supplemental ICA ref: |
A535.3 (a) (9) Special Tools List (9) A list of the special tools needed for maintenance other than for overhauls. |
ICA ref: | Supplemental ICA ref: |
)(b) Propeller Overhaul Section A535.3 (b) (1) Disassembly (1) Disassembly information including the order and method of disassembly for overhaul. |
ICA ref: | Supplemental ICA ref: |
A535.3 (b) (2) Cleaning & Inspection (2) Cleaning and inspection instructions that cover the materials and apparatus to be used and methods and precautions to be taken during overhaul. Methods of overhaul inspection must also be included. |
ICA ref: | Supplemental ICA ref: |
A535.3 (b) (3) Fits & Clearances (3) Details all fits and clearances relevant to overhaul. |
ICA ref: | Supplemental ICA ref: |
A535.3 (b) (4) Repair Methods (4) Details of repair methods for worn or otherwise substandard parts and components along with information necessary to determine when replacement is necessary. |
ICA ref: | Supplemental ICA ref: |
A535.3 (b) (5) Assembly (5) The order and method of assembly at overhaul. |
ICA ref: | Supplemental ICA ref: |
A535.3 (b) (6) Instructions for Testing (6) Instructions for testing after overhaul. |
ICA ref: | Supplemental ICA ref: |
A535.3 (b) (7) Storage Instructions (7) Instructions for storage preparation including any storage limits. |
ICA ref: | Supplemental ICA ref: |
A535.3 (b) (8) Special Tool List (8) A list of tools needed for overhaul. |
ICA ref: | Supplemental ICA ref: |
BLOCK 3 Note: The statement in block 5 does not constitute an approval of the Airworthiness Limitations Section. Airworthiness Limitations differ from other maintenance tasks, in that they are mandatory, as a direct condition of the approval of the type design. They are therefore referenced directly in the approval document itself. However, they must also be included in the Supplemental Instructions for Continued Airworthiness.
A535.4 (AWL - Separate Section1) The Instructions for Continued Airworthiness must contain a section titled Airworthiness Limitations that is segregated and clearly distinguishable from the rest of the document. This section must set forth each mandatory replacement time, inspection interval, and related procedure required for type certification. This section must contain a legible statement in a prominent location that reads: "The Airworthiness Limitations section is approved by the Minister and specifies maintenance required by any applicable airworthiness or operational rule, unless an alternative program has been approved by the Minister". |
ICA ref: | Supplemental ICA ref: |
BLOCK 4 – Applicant Statement of Compliance
The Supplemental ICA referenced above comprises the complete listing of supplemental ICA necessary to show compliance with the regulatory standard that supports this change in type design.
BLOCK5 – Minister’s Statement of Acceptability
The design change is adequately supported by existing ICA and/or supplemental ICA, as identified above and is acceptable to the Minister. Reviewer’s Name: Phone # Email: Mail Routing Symbol: Signature: Date: NAPA Number