AMC No 2 to 21.A.130(b) Statement of Conformity for Products (other than complete aircraft), parts, appliances and materials - The Authorised Release Certificate (CAA Form 1)

CAA ORS9 Decision No. 1

INTRODUCTION

This AMC relates specifically to the use of the CAA Form 1 for manufacturing purposes under Part 21 Subpart F. It can be used as a supplement to the completion instructions in Part 21, Appendix I which covers the use of the CAA Form 1.

1. PURPOSE AND USE

The CAA Form 1 is prepared and signed by the manufacturer. For production under Part 21 Subpart F it is presented for validation by the CAA.

Under Subpart F the certificate may only be issued by the CAA.

A mixture of items released under Subpart G and under Subpart F of Part 21 is not permitted on the same certificate.

2. GENERAL FORMAT

Refer to Part 21 Appendix I.

3. COPIES

Refer to Part 21 Appendix I.

The Part 21 Subpart F originator must retain a copy of the certificate in a form that allows verification of original data.

4. ERROR(S) ON THE CERTIFICATE

If an end user finds an error(s) on a certificate, they must identify it/them in writing to the originator. The originator may prepare and sign a new certificate for validation by the CAA if they can verify and correct the error(s).

The new certificate must have a new tracking number, signature and date.

The request for a new certificate may be honoured without re-verification of the item(s) condition. The new certificate is not a statement of current condition and should refer to the previous certificate in block 12 by the following statement: ‘This certificate corrects the error(s) in block(s) [enter block(s) corrected] of the certificate [enter original tracking number] dated [enter original issuance date] and does not cover conformity/condition/release to service.’ Both certificates should be retained according to the retention period associated with the first.

5. COMPLETION OF THE CERTIFICATE BY THE ORIGINATOR

Refer to Part 21 Appendix I for completion of the certificate. Specific Part 21 Subpart F instructions that differ from the Part 21 Appendix I are provided below.

Block 1 – Approving CAA/Country

State the name and country of the CAA under whose jurisdiction this certificate is issued. When the CAA is the CAA, ‘CAA’ must be stated.

Block 12 – Remarks

Examples of conditions which would necessitate statements in Block 12 are:

a) When the certificate is used for prototype purposes, the following statement must be entered at the beginning of Block 12:

‘NOT ELIGIBLE FOR INSTALLATION ON IN-SERVICE TYPE-CERTIFICATED AIRCRAFT’.

b) Re-certification of items from ‘prototype’ (conformity only to non-approved data) to ‘new’ (conformity to approved data and in a condition for safe operation) once the applicable design data is approved.

The following statement must be entered in Block 12:

RE-CERTIFICATION OF ITEMS FROM ‘PROTOTYPE’ TO ‘NEW’:

THIS DOCUMENT CERTIFIES THE APPROVAL OF THE DESIGN DATA [insert

TC/STC number, revision level], DATED [insert date if necessary for identification of revision status], TO WHICH THIS ITEM (THESE ITEMS) WAS (WERE) MANUFACTURED.

c) When a new certificate is issued to correct error(s), the following statement must be entered in Block 12:

‘THIS CERTIFICATE CORRECTS THE ERROR(S) IN BLOCK(S) [enter block(s)

corrected] OF THE CERTIFICATE [enter original tracking number] DATED [enter original issuance date] AND DOES NOT COVER CONFORMITY/CONDITION/RELEASE TO SERVICE’.

Additionally, for production under Subpart F, this block must include the Statement of Conformity by the manufacturer under 21.A.130. For this purpose, the appropriate Block 13a statement must be included in the block 12 and not referenced in a separate document. The statement may be pre-printed, computer generated or stamped, and must be followed by the signature of the manufacturer’s authorised person under 21.A.130(a), the name and the position/identification of such person and the date of the signature.

d) In case of an engine, when the CAA has granted an emissions production cut-off exemption the following statement must be entered in block 12:

[“NEW” OR “SPARE”] ENGINE EXEMPTED FROM NOx EMISSIONS PRODUCTION CUT-OFF REQUIREMENT’.

Block 13b – Authorised Signature

This space shall be completed with the signature of the CAA representative validating the Block 12 manufacturer Statement of Conformity, under 21.A.130(d). To aid recognition, a unique number identifying the representative may be added.

Block 13c – Approval/Authorisation Number

Enter the authorisation number reference. This number or reference is given by the CAA to the manufacturer working under Part 21 Subpart F.