AMC No 2 to 21.A.163(c) Completion of CAA Form 1

CAA ORS9 Decision No. 1

CAA Form 1 Block 8 ‘Part Number’

The part number as it appears on the item, is usually defined in the design data; however in the case of a kit of parts, media containing software or any other specific condition of supply may be defined in production data developed from design data. Information about the contents of the kit or media may be given in block 12 or in a separate document cross-referenced from block 12.

CAA Form 1 Block 12 ‘Remarks’

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

— 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’.

— 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.

— 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’.

Examples of data to be entered in this block as appropriate:

— For complete engines, a statement of compliance with the applicable emissions requirements current on the date of manufacture of the engine.

— For UKTSO articles, state the applicable UKTSO number.

— Modification standard.

— Compliance or non-compliance with airworthiness directives or service bulletins.

— Details of repair work carried out, or reference to a document where this is stated.

— Shelf-life data, manufacture date, cure date, etc.

— Information needed to support shipment with shortages or reassembly after delivery.

— References to aid traceability, such as batch numbers.

— In the case of an engine, if the CAA has granted an engine exhaust emissions production cut-off exemption, the record: ‘[New or Spare] engine exempted from NOx emissions production cut-off requirements’.