Appendix
IV — Airworthiness review certificate (EASA Form 15c)
Regulation
(EU) 2021/700
NOTE: persons
and organisations performing the airworthiness review in combination with the
100-h/annual inspection may use the reverse side of this form in order to
issue the CRS referred to in point ML.A.801 corresponding to the
100-h/annual inspection.
|
AIRWORTHINESS REVIEW CERTIFICATE (ARC) (for aircraft complying with Part-ML) ARC reference: ……….. Pursuant to Regulation (EU) 2018/1139 of the European
Parliament and of the Council: [NAME OF THE COMPETENT AUTHORITY] hereby certifies
that: ☐ … it has performed an airworthiness review in
accordance with Regulation (EU) No 1321/2014 on the following aircraft: [or] ☐ …
the following new aircraft: Aircraft manufacturer:
………………………………………………Manufacturer’s designation: …………………………………. Aircraft registration:
…………………………………………………Aircraft serial number: …………………………………………… (and) is considered airworthy at the time of the review. Date of issue: ..................................................................
Date of expiry: …………………………………………………… Airframe flight hours
(FH) at date of review (*): ……………………………………………………………………………………….. Signed:
...........................................................................
Authorisation No (if applicable): ……....................... [OR] [NAME OF APPROVED ORGANISATION, ADDRESS and APPROVAL REFERENCE] (**) [or] [FULL NAME OF THE CERTIFYING STAFF AND PART-66 LICENCE NUMBER (OR NATIONAL EQUIVALENT)] (**) hereby certifies that it has performed an airworthiness review in
accordance with Regulation (EU) No 1321/2014 on the following aircraft: Aircraft manufacturer:
………………………………………………Manufacturer’s designation: …………………………………. Aircraft registration:
…………………………………………………Aircraft serial number: …………………………………………… (and) is considered airworthy at the time of the
review. Date of issue:
.................................................................. Date of
expiry: …………………………………………………… Airframe flight hours (FH) at date of review (*):
……………………………………………………………………………………….. Signed:
...........................................................................
Authorisation No (if applicable): ……....................... ====================================================================================== 1st Extension: The aircraft complies with the conditions of
point ML.A.901(c) of Annex Vb (Part-ML) Date of issue:
.................................................................. Date of
expiry: …………………………………………………… Airframe flight
Hours (FH) at date of issue (*): ……………………………………………………………………………………….…. Signed:
.............................................………………………….. Authorisation No:
……………………………...................... Company name:
........................................................... Approval
reference: ……………………………………………… ====================================================================================== 2nd Extension: The aircraft complies with the conditions of
point ML.A.901(c) of Annex Vb (Part-ML) Date of issue:
.................................................................. Date of
expiry: ……………………………………………………. Airframe flight hours
(FH) at date of issue (*): ……………………………………………………………………………………………. Signed: ............................................................................
Authorisation No: ……………………………..................... Company name:
............................................................. Approval
reference: …………………………………………….. |
(*) except for balloons and airships
(**) The issuer of the Form can tailor it to his need by deleting the name, the certifying statement, the reference to the subject aircraft and the issuance details that are not relevant for his use.
EASA Form 15c, Issue 4
EASA Form 15c is an Airworthiness Review Certificate (ARC) for aircraft under specific EU regulations. It confirms an aircraft's airworthiness after review, including manufacturer details, registration, and flight hours. The form allows for extensions and can be tailored by the issuer.
* Summary by Aviation.Bot - Always consult the original document for the most accurate information.
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