AMC1 21L.A.105(b) Declaration of design compliance for minor changes

• ED Decision 2023/013/R found in: Initial Airworthiness and Environmental Protection (748/2012) Part-21 Part-21L (Jul 2024)

AMC1 21L.A.105(b) Declaration of design compliance for minor changes ED Decision 2023/013/R FORM AND MANNER The declarant should complete and file a declaration of compliance for the minor change using the form which can also be downloaded from the EASA website for the declaration of minor changes/minor repair designs. If there are any changes to the data (e.g. propeller or engine designation) that was provided in the EASA Part 21 Light database of declared noise levels as a result of the minor change, then this data should be added by the declarant. The justification of the classification of the change should also be recorded. EASA Form 201 **Declaration of design compliance for a Minor Change / Minor Repair Design** <table border="1" cellpadding="0" cellspacing="0" width="615"> <tr> <td colspan="2" valign="top" width="615"> <p>1. Designation </p> </td> </tr> <tr> <td valign="top" width="259"> <p>Minor Change</p> </td> <td rowspan="2" valign="top" width="356"> <p>Minor Repair</p> </td> </tr> <tr> <td valign="top" width="259"> </td> </tr> </table> <table border="1" cellpadding="0" cellspacing="0" width="615"> <tr> <td colspan="4" valign="top" width="615"> <p>2. Product Identification</p> </td> </tr> <tr> <td colspan="2" width="323"> <p>  Small Aeroplane with a MTOM of 1200Kg or less and a max seating configuration of 2 persons. </p> </td> <td colspan="2" valign="top" width="291"> <p> Sailplane with a MTOM of 1200kg or less</p> <p> Powered Sailplane with a MTOM of 1200kg or less</p> <p> Balloon designed for no more than 4 persons</p> <p> Hot Airship designed for no more than 4 persons.</p> </td> </tr> <tr> <td colspan="4" valign="top" width="615"> <p>2.2 Applicability</p> </td> </tr> <tr> <td rowspan="4" valign="top" width="178"> <p>2.2.1 Design details</p> </td> <td colspan="2" width="194"> <p>Registered Declaration Number for the original product</p> </td> <td valign="top" width="243"> </td> </tr> <tr> <td colspan="2" width="194"> <p>Original Declarant </p> </td> <td valign="top" width="243"> </td> </tr> <tr> <td colspan="2" width="194"> <p>Type Name</p> </td> <td valign="top" width="243"> </td> </tr> <tr> <td colspan="2" width="194"> <p>Model(s)</p> </td> <td valign="top" width="243"> </td> </tr> <tr> <td valign="top" width="178"><br clear="all"/> <p>2.3 Applicable technical specifications  </p> </td> <td colspan="3" width="437"> <p>Please specify the applicable airworthiness code, e.g. CS-23 (if these are not the original technical specifications against which compliance was originally declared in accordance with Part 21 Light Subpart C due to the reasons stated in <a href="#_DxCrossRefBm1649097946">21L.A.105</a> (a)(1) or (2) then this should be indicated here).</p> </td> </tr> <tr height="0"> </tr> </table> <table border="1" cellpadding="0" cellspacing="0" width="613"> <tr> <td colspan="2" valign="top" width="613"> <p>3. Description</p> </td> </tr> <tr> <td valign="top" width="177"> <p>3.1 Title</p> </td> <td width="436"> <p>Please limit to 40 characters</p> </td> </tr> <tr> <td valign="top" width="177"> <p>3.2 Description</p> </td> <td valign="top" width="436"> </td> </tr> <tr> <td valign="top" width="177"> <p>3.3 Affected Areas</p> <p>(including manuals) </p> </td> <td valign="top" width="436"> </td> </tr> <tr> <td valign="top" width="177"> <p>3.4 Re-Investigations</p> </td> <td valign="top" width="436"> </td> </tr> </table> <table border="1" cellpadding="0" cellspacing="0" width="624"> <tr> <td colspan="3" valign="top" width="624"> <p><b>4. Declarants’ declaration and acceptance of the General Conditions </b></p> </td> </tr> <tr> <td colspan="3" valign="top" width="624"> <p>I declare that I have the legal capacity to make this declaration and that all information provided in this declaration is correct and complete.</p> <p>I hereby declare that the design of the minor change/repair described in Section 3 is in compliance with the applicable detailed technical specifications detailed in Section 2.3 and the applicable environmental protection requirements. </p> <p>I hereby declare that no features or characteristics have been identified that may make the aircraft after the minor change or repair has been incorporated unsafe or environmentally incompatible for the intended use.</p> <p>I hereby commit to undertake the obligations of a declarant of a declaration of design compliance as detailed in point <a href="#_DxCrossRefBm1649097957">21L.A.106</a> of Annex Ib to Regulation (EU) 748/2012. </p> <p>I declare that I have provided the required information and that it is accurate and complete and indicated where it is not applicable.</p> </td> </tr> <tr> <td valign="bottom" width="197"> </td> <td valign="bottom" width="222"> </td> <td valign="bottom" width="205"> </td> </tr> <tr> <td valign="top" width="197"> <p>Date/Location</p> </td> <td valign="top" width="222"> <p>Name</p> </td> <td valign="top" width="205"> <p>Signature</p> </td> </tr> <tr> <td colspan="3" width="624"> <p>This Declaration should be retained by the declarant and made available upon request by EASA </p> </td> </tr> </table> ##### AMC1 21L.A.105(b) Declaration of design compliance for minor changes *ED Decision 2023/013/R* **FORM AND MANNER** The declarant should complete and file a declaration of compliance for the minor change using the form which can also be downloaded from the EASA website for the declaration of minor changes/minor repair designs. If there are any changes to the data (e.g. propeller or engine designation) that was provided in the EASA Part 21 Light database of declared noise levels as a result of the minor change, then this data should be added by the declarant. The justification of the classification of the change should also be recorded. **EASA Form 201** **Declaration of design compliance for a Minor Change / Minor Repair Design** <table cellpadding="7" cellspacing="0"> <col/> <col/> <tbody> <tr> <td colspan="2" valign="top"><p> 1. Designation </p> </td> </tr> </tbody> <tbody> <tr valign="top"> <td><p> Minor Change</p> <p><input type="checkbox"/> </p> </td> <td rowspan="2"><p> Minor Repair</p> <p> <input type="checkbox"/></p> <p><br/> </p> </td> </tr> <tr valign="top"> <td><p> <br/> </p> </td> </tr> </tbody> </table> <table cellpadding="7" cellspacing="0"> <col/> <col/> <col/> <col/> <tr> <td colspan="4" valign="top"><p> 2. Product Identification</p> </td> </tr> <tr> <td colspan="2"><p> <input type="checkbox"/> Small Aeroplane with a MTOM of 1200Kg or less and a max seating configuration of 2 persons. </p> </td> <td colspan="2" valign="top"><p> <input type="checkbox"/> Sailplane with a MTOM of 1200kg or less</p> <p> <input type="checkbox"/> Powered Sailplane with a MTOM of 1200kg or less</p> <p> <input type="checkbox"/> Balloon designed for no more than 4 persons</p> <p><input type="checkbox"/> Hot Airship designed for no more than 4 persons.</p> </td> </tr> <tr> <td colspan="4" valign="top"><p> 2.2 Applicability</p> </td> </tr> <tr> <td rowspan="4" valign="top"><p> 2.2.1 Design details</p> </td> <td colspan="2"><p> Registered Declaration Number for the original product</p> </td> <td valign="top"><p> <br/> </p> </td> </tr> <tr> <td colspan="2"><p> Original Declarant </p> </td> <td valign="top"><p> <br/> </p> </td> </tr> <tr> <td colspan="2"><p> Type Name</p> </td> <td valign="top"><p> <br/> </p> </td> </tr> <tr> <td colspan="2"><p> Model(s)</p> </td> <td valign="top"><p> <br/> </p> </td> </tr> <tr> <td valign="top"><p> 2.3 Applicable technical specifications </p> </td> <td colspan="3"><p> Please specify the applicable airworthiness code, e.g. CS-23 (if these are not the original technical specifications against which compliance was originally declared in accordance with Part 21 Light Subpart C due to the reasons stated in <u><a href="#_DxCrossRefBm485231442">21L.A.105</a></u> (a)(1) or (2) then this should be indicated here).</p> </td> </tr> </table> <table cellpadding="7" cellspacing="0"> <col/> <col/> <tr> <td colspan="2" valign="top"><p> 3. Description</p> </td> </tr> <tr> <td valign="top"><p> 3.1 Title</p> </td> <td><p> Please limit to 40 characters</p> </td> </tr> <tr valign="top"> <td><p> 3.2 Description</p> </td> <td><p> <br/> </p> </td> </tr> <tr valign="top"> <td bgcolor="#f2f2f2"><p> 3.3 Affected Areas</p> <p>(including manuals) </p> </td> <td bgcolor="#f2f2f2"><p> <br/> </p> </td> </tr> <tr valign="top"> <td><p> 3.4 Re-Investigations</p> <p><br/> </p> </td> <td><p> <br/> </p> </td> </tr> </table> <table cellpadding="7" cellspacing="0"> <col/> <col/> <col/> <tr> <td colspan="3" valign="top"><p> <b>4. Declarants’ declaration and acceptance of the General Conditions </b> </p> </td> </tr> <tr> <td colspan="3" valign="top"><p> I declare that I have the legal capacity to make this declaration and that all information provided in this declaration is correct and complete.</p> <p> I hereby declare that the design of the minor change/repair described in Section 3 is in compliance with the applicable detailed technical specifications detailed in Section 2.3 and the applicable environmental protection requirements. </p> <p> I hereby declare that no features or characteristics have been identified that may make the aircraft after the minor change or repair has been incorporated unsafe or environmentally incompatible for the intended use.</p> <p> I hereby commit to undertake the obligations of a declarant of a declaration of design compliance as detailed in point <u><a href="#_DxCrossRefBm485231453">21L.A.106</a></u> of Annex Ib to Regulation (EU) 748/2012. </p> <p>I declare that I have provided the required information and that it is accurate and complete and indicated where it is not applicable.</p> </td> </tr> <tr valign="bottom"> <td><p> <br/> </p> </td> <td><p> <br/> </p> </td> <td><p> <br/> </p> </td> </tr> <tr valign="top"> <td><p> Date/Location</p> </td> <td><p> Name</p> </td> <td><p> Signature</p> </td> </tr> <tr> <td colspan="3"><p> This Declaration should be retained by the declarant and made available upon request by EASA </p> <p><a name="_Hlk120870161"></a><a name="_Hlk136938255"></a> <br/> </p> </td> </tr> </table>