DECLARATION OF PRODUCTION CAPABILITY

pursuant to Commission Regulation (EU) No 748/2012

Annex Ib (Part 21 Light)

Subpart G — DECLARED PRODUCTION ORGANISATIONS

☐

Initial declaration

☐

Notification of changes — Declared production organisation (DPO) registered number:

1.

Declared production organisation (DPO)

Registered name:

2.

Place of business

Contact details (registered address, phone, email) of the DPO’s principal place of business:

3.

Operating sites

Where applicable, contact details (address, phone, email) of the operating site(s) where manufacturing activities are taking place:

(may be left blank if same as in point 2 ‘Place of business’)

4.

Accountable manager

Name and contact details (address, phone, email) of the DPO’s representative:

5.

Intended scope of work

5.1. Category of products

Products certified under Part 21 Light Subpart B

Products declared under Part 21 Light Subpart C

☐ Aeroplanes with a maximum take-off mass (MTOM) of 2 000 kg or less with a seating configuration of maximum 4 persons

☐ Aeroplanes with a maximum take-off mass (MTOM) of 1 200 kg or less that is not jet powered, and has a seating configuration of maximum 2 persons.

☐ Sailplanes or powered sailplanes with a MTOM of 2 000 kg or less

☐ Sailplanes or powered sailplanes with a MTOM of 1 200 kg or less

☐ Balloons

☐ Balloons designed for not more than 4 persons

☐ Hot-air airships

☐ Hot-air airships designed for not more than 4 persons

☐ Passenger gas airships designed for not more than
4 persons

☐ Rotorcraft with a MTOM of 1 200 kg or less and a maximum seating configuration of 4 persons

☐ Piston engines

☐ Fixed pitch propellers

☐ Gyroplanes

5.2. Conformity documents

☐ For complete aircraft, issue EASA Form 52B for new aircraft

☐ For other products or parts, issue EASA Form 1

☐ Maintain a new aircraft and issue EASA Form 53B

5.3. Detailed description of the scope of work

(aircraft type …)

(parts for aircraft type …)

6.

Date of intended commencement of production:

7.

Statements

The DPO has established and implemented a management system for production in accordance with point 21L.A.124. This management system will be maintained in compliance with Subpart G of Annex Ib (Part 21 Light) to Regulation (EU) No 748/2012.

The references of the elements of the management system for production are included in the annex to this declaration.

All the personnel of the DPO must adhere to the processes and procedures referred to in the annex to this declaration.

[Company Name] agrees to undertake the obligations of a declared production organisation in accordance with point 21L.A.127.

I confirm that all the information contained in this declaration, including its annex, is complete and correct.

8.

Date / Location

Signature of the accountable manager

ANNEX TO THE DECLARATION OF PRODUCTION CAPABILITY

This annex includes references to the DPO documentation showing compliance with the requirements of Annex Ib (Part 21 Light) to Regulation (EU) No 748/2012.

No

Part 21 Light

Subject

DPO reference

(DPOE reference, as relevant)

Quality system

1.

21L.A.124(b)(2)(i)

Document issue, approval, or change

2.

21L.A.124(b)(2)(ii)

Vendor and subcontractor assessment, audit and control

3.

21L.A.124(b)(2)(iii)

Verification that incoming products, parts, materials, and equipment, including items supplied new or used by buyers of products, are as specified in the applicable design data

4.

21L.A.124(b)(2)(iv)

Identification and traceability

5.

21L.A.124(b)(2)(v)

Manufacturing processes

6.

21L.A.124(b)(2)(vi)

Inspection and testing

7.

21L.A.124(b)(2)(vi)

Production flight tests, flight test operations manual (FTOM) (if relevant)

8.

21L.A.124(b)(2)(vii)

Calibration of tools, jigs, and test equipment

9.

21L.A.124(b)(2)(viii)

Non-conforming item control

10.

21L.A.124(b)(2)(ix)

21L.A.5

Collaboration with the applicant for, or holder of, the design approval or the declarant of a declaration of design compliance

11.

21L.A.124(b)(2)(x)

Completion and retention of records

12.

21L.A.124(b)(2)(xi)

21L.A.125(a)

Competence and qualifications of personnel

13.

21L.A.124(b)(2)(xii)

Issue of airworthiness release documents

14.

21L.A.124(b)(2)(xiii)

Handling, storage and packing

15.

21L.A.124(b)(2)(xiv)

21L.A.124(c)

Internal quality audits and the resulting corrective actions

16.

21L.A.124(b)(2)(xv)

Work performed at any location other than the operating sites included in the declaration

17.

21L.A.124(b)(2)(xvi)

21L.A.124(e)

Work carried out after the completion of production but prior to delivery, to maintain the aircraft in a condition for safe operation

18.

21L.A.124(b)(2)(xvii)

Request for the issuance of permits to fly and the approval of associated flight conditions

No

Part 21 Light

Subject

DPO reference

(DPOE reference, as relevant)

Airworthiness and environmental compatibility data

20.

21L.A.125(b)(2)

Procedure to ensure that airworthiness and environmental compatibility data is correctly incorporated into production data

21.

21L.A.125(b)(3)

Such data is kept up to date and made available to all personnel that need access to such data to perform their duties

Organisation, key personnel and certifying staff

22.

21L.A.125(c)(4)

Organisational structure documented and kept updated

23.

21L.A.125(c)(2)

Identification of key personnel nominated by the accountable manager to ensure that the organisation is in compliance with the requirements of Subpart G of Part 21 Light

24.

21L.A.125(c)(2)

Nomination process for key personnel ensuring they have the appropriate knowledge, background and experience to discharge their responsibilities

25.

21L.A.125(c)(3)

Staff at all levels have been given appropriate authority to be able to discharge their allocated responsibilities and that there is full and effective coordination within the declared production organisation in respect of airworthiness and environmental compatibility data matters

26.

21L.A.125(d)(1)

Nomination procedure for certifying staff

27.

21L.A.125(d)(2)

List of certifying staff

Changes to the DPO

28.

21A.L.128

Procedure for the notification of organisational changes to the competent authority according to point 21L.A.128

Obligations

29.

21L.A.3

Reporting system

30.

21L.A.6

Marking

31.

21L.A.7

Record-keeping