Contents
- THE EUROPEAN COMMISSION, Having regard to the Treaty on th…
- 1 Regulation (EU) No 748/2012 is amended as follows:
- 2 Annex I (Part 21) to Regulation (EU) No 748/2012 is correc…
- 3 This Regulation shall enter into force on the twentieth da…
- I
- II
- Appendix VIII — Aircraft statement of conformity – EASA Form 52
- Appendix X — Production organisation approval certificate – EASA Form 55
- Appendix XI — Letter of agreement for production without a production organisation approval – EASA Form 65
THE EUROPEAN COMMISSION,Having regard to the Treaty on the Functioning of the European Union,Having regard to Regulation (EU) 2018/1139 of the European Parliament and of the Council of 4 July 2018 on common rules in the field of civil aviation and establishing a European Union Aviation Safety Agency, and amending Regulations (EC) No 2111/2005, (EC) No 1008/2008, (EU) No 996/2010, (EU) No 376/2014 and Directives 2014/30/EU and 2014/53/EU of the European Parliament and of the Council, and repealing Regulations (EC) No 552/2004 and (EC) No 216/2008 of the European Parliament and of the Council and Council Regulation (EEC) No 3922/91note, and in particular Article 19(1) and Article 62(13) thereof,Whereas:
HAS ADOPTED THIS REGULATION:
Article 1#
Article 2#
Article 3#
Annex I
Annex II
Appendix VIII — Aircraft statement of conformity – EASA Form 52
| AIRCRAFT STATEMENT OF CONFORMITY | ||
| 1. State of manufacture | 2. [MEMBER STATE] (1) A Member of the European Union (2) | 3. Statement ref. no: |
| 4. Organisation | ||
| 5. Aircraft type | 6. Type-certificate ref. nos: | |
| 7. Aircraft registration or mark | 8. Production organisation identification no: | |
| 9. Engine/propeller details (3) | ||
| 10. Modifications and/or service bulletins (3) | ||
| 11. Airworthiness directives | ||
| 12. Concessions | ||
| 13. Exemptions, waivers or derogations (3) | ||
| 14. Remarks | ||
| 15. Certificate of airworthiness | ||
| 16. Additional requirements | ||
| 17. Statement of conformity It is hereby certified that the aircraft conforms fully to the type-certified design and to the items in blocks 9, 10, 11, 12 and 13. The aircraft is in a condition for safe operation. The aircraft has been satisfactorily tested in flight. | ||
| 18. Signed | 19. Name | 20. Date (d/m/y) |
| 21. Production organisation approval reference | ||
| EASA Form 52 – Issue 3 |
Instructions for the use of the Aircraft statement of conformity – EASA Form 52
1. Purpose and scope
2. General
3. Completion of the statement of conformity by the originator
Appendix X — Production organisation approval certificate – EASA Form 55
| [MEMBER STATE] (1)A Member of the European Union (2)PRODUCTION ORGANISATION APPROVAL CERTIFICATEReference: [MEMBER STATE CODE (1)].21G.XXXXPursuant to Regulation (EU) 2018/1139 of the European Parliament and of the Council and to Commission Regulation (EU) No 748/2012, for the time being in force and subject to the conditions specified below, the [COMPETENT AUTHORITY OF THE MEMBER STATE] hereby certifies:[COMPANY NAME AND ADDRESS]as a production organisation in compliance with Annex I (Part 21) Section A of Regulation (EU) No 748/2012, is approved to produce products, parts and appliances listed in the attached approval schedule and issue the related certificates using the above references.CONDITIONS:1.This approval is limited to that specified in the enclosed terms of approval.2.This approval is subject to compliance with the procedures specified in the approved production organisation exposition.3.This approval is valid while the approved production organisation remains in compliance with Annex I (Part 21) to Regulation (EU) No 748/2012.4.Subject to compliance with the foregoing conditions, this approval shall remain valid for an unlimited period of time unless it has previously been surrendered, superseded, suspended or revoked.Date of original issue:…Date of this revision:…Revision No:…Signed:…For the competent authority: [COMPETENTAUTHORITY IDENTIFICATION (1)] |
| EASA Form 55a – Issue 3 |
| [MEMBER STATE] (1)A Member of the European Union (2) | Terms of approval | TA: [MEMBER STATE CODE (1)].21G.XXXX |
| This document is part of the production organisation approval number [MEMBER STATE CODE (1)].21G.XXXX issued to:Company name: | ||
| Section 1. SCOPE OF WORK: | ||
| PRODUCTION OF | PRODUCTS/CATEGORIES | |
| For details and limitations, refer to the Production Organisation Exposition, Section xxx | ||
| Section 2. LOCATIONS: | ||
| Section 3. PRIVILEGES: | ||
| The production organisation is entitled to exercise, within its terms of approval and in accordance with the procedures of its Production Organisation Exposition, the privileges laid down in point 21.A.163, subject to the following: | ||
| [keep only applicable text] | ||
| Prior to the approval of the design of the product, the EASA Form 1 may be issued only for conformity purposes. | ||
| A statement of conformity may not be issued for a non-approved aircraft. | ||
| Maintenance may be performed, until compliance with the maintenance regulations is required, in accordance with the Production Organisation Exposition Section xxx | ||
| Permits to fly may be issued in accordance with the Production Organisation Exposition Section yyy | ||
| Date of original issue: | Signed: | |
| Date of this revision: | ||
| Revision No: | For [COMPETENT AUTHORITY IDENTIFICATION (1)] | |
| EASA Form 55b – Issue 3 |
Appendix XI — Letter of agreement for production without a production organisation approval – EASA Form 65
| [MEMBER STATE] (1)A Member of the European Union (2)LETTER OF AGREEMENT FOR PRODUCTION WITHOUT A PRODUCTION ORGANISATION APPROVAL[NAME OF THE APPLICANT][TRADE NAME (if different from the name of the applicant)][FULL POSTAL ADDRESS OF THE APPLICANT]Date (Day, Month, Year)Reference: [MEMBER STATE CODE (2)].21F.XXXXDear Mr/Ms [Name of the Applicant],Your production inspection system has been evaluated and found to be in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Commission Regulation (EU) No 748/2012.Therefore, subject to the conditions specified below, we agree that the showing of conformity of the products, parts and appliances mentioned below may be done under Section A, Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012. | ||||
| No of Units | P/N | S/N | ||
| AIRCRAFTPARTSThe following conditions are applicable to this letter of agreement:(1) It is valid while [Company Name] remains in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012.(2) It requires compliance with the procedures specified in [Company Name] manual ref./issue date…(3) It terminates on…(4) The statement of conformity issued by [Company Name] under point 21.A.130 of Regulation (EU) No 748/2012 shall be validated by the issuing authority of this letter of agreement in accordance with the procedure… of the referenced manual.(5) [Company Name] shall notify the issuing authority of this letter of agreement immediately of any changes to the production inspection system that may affect the inspection, conformity or airworthiness of the products and parts listed in this letter. For the competent authority: [COMPETENT AUTHORITY IDENTIFICATION (1)(2)] Date and signature | ||||
| EASA Form 65 – Issue 3 |
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