Application for an operational authorisation for the ‘specific’ category

Data protection: Personal data included in this application is processed by the competent authority pursuant to Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation). Personal data will be processed for the purpose of the performance, management and follow-up of the application by the competent authority in accordance with Article 12 of Regulation (EU) 2019/947 of 24 May 2019 on the rules and procedures for the operation of unmanned aircraft.

If the applicant requires further information concerning the processing of their personal data or exercising their rights (e.g. to access or rectify any inaccurate or incomplete data), they should refer to the point of contact of their competent authority.

The applicant has the right to file a complaint regarding the processing of their personal data at any time to the national data protection supervisory authority.

New application

Amendment to operational authorisation NNN-OAT-xxxxx/yyy

1. UAS operator data

1.1 UAS operator registration number

1.2 UAS operator name

1.3 Name of the accountable manager

1.3 Operational point of contact

Name

Telephone

Email

2. Details of the UAS operation

2.1 Expected date of start of the operation

DD/MM/YYYY

2.2 Expected end date

DD/MM/YYYY

2.3 Risk assessment reference and revision

SORA edition date __ PDRA # __-__ edition date

other _________

2.4. Type of operation

VLOS BVLOS

2.5 Transport of dangerous goods

Yes No

2.6 Dropping material

Yes No

2.7 What is the minimum RP:UA ratio allowed between the remote pilot (RP) and the UA that may be operated simultaneously?

RP:UA ___:____

2.8 Operations manual reference

2.9 Compliance matrix file reference

3. UAS data

3.1 Design organsation name

3.2 Model name

3.3 Type of UAS

Fixed wing

Rotorcraft-helicopter

Rotorcraft-gyroplane

VTOL-capable aircraft (VCA) (including multirotors)

Lighter than air / other

3.4 Maximum UA characteristic dimensions

_____ m

3.5 Take-off mass

_____ kg

3.6 Maximum speed

_____ m/s (_____ kt)

3.7 Type of C2 link

3.8 Size of the adjacent ground area

____ km

3.9 Is the UAS tethered during the operation?

Yes No

3.10 Type of propulsion system

Electric Combustion

Hybrid, specify type: ______________________

Other, please specify: _____________________

3.11 Serial number or, if applicable, UA registration mark

3.12 Type certificate (TC) or design verification report, if applicable

3.13 Number of the certificate of airworthiness (CofA), if applicable

3.14 Number of the noise certificate, if applicable

3.15 E-conspicuity system

Direct remote ID Network remote ID

SRD-860 In SRD-860 Out

ADS-B In ADS-B Out Other________

3.16 Green flashing light

Yes No

I, the UAS operator, declare that:

— the UAS operation complies with any applicable Union and national regulations related to privacy, data protection, liability, insurance, security, and environmental protection;

— I have developed procedures to ensure that the intended UAS operation complies with the security requirements applicable to the area(s) of operation;

— I have developed measures to protect against unlawful interference and unauthorised access;

— I have developed procedures to ensure that all flights comply with Regulation (EU) 2016/679 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data;

— I have developed procedures for the remote pilot(s) to plan UAS operations in a manner that minimises nuisance, including noise- and other emissions-related nuisance, to people and animals;

— I have records of:

— all relevant qualifications and training courses completed by the remote pilot(s) and other personnel in charge of duties essential to the UAS operation and by maintenance staff, for at least 3 years after those persons have ceased employment with the organisation or have changed their position within the organisation;

— the maintenance activities carried out on the UAS for a minimum of 3 years;

— the information on UAS operations, including any unusual technical or operational occurrences and other data as required by the declaration or by the operational authorisation for a minimum of 3 years;

— an up-to-date list of designated remote pilots-in-command for each flight, and if applicable, for each phase of flight;

— an up-to-date list of maintenance staff employed to carry out maintenance activities;

— the insurance coverage, if applicable, will be in place at the expected date of start of the UAS operation

Section 4 – Specific operations risk assessment (SORA)

Step #1 — Documentation of the proposed operation

Step #1.1 Description of proposed locations

— If location-specific:

Give reference to the file:

___________________________________

— If location-independent: (generic authorisation)

Give reference to the file as example of a location:

___________________________________

Step #1.2 Short description of the proposed operation

Step #1.3 Dimensions of the operational volume and the adjacent volume

(Rounded up to first decimal place)

Maximum height of the flight geography

Maximum height of the contingency volume

Width of the contingency volume

Width of the ground risk buffer

Width of the adjacent volume

HFGmax

HCVmax

SCVmax

SGRBmax

SAV

________ m

________ m

________ m

________ m

________ m

Step #2 — UAS intrinsic ground risk class (iGRC)

Step #2.1 Type of operational areas or maximum population density on the ground (including flight geography, contingency volume and ground risk buffer)

controlled ground area people/km2

sparsely populated area up to 5

up to 50

up to 500

populated area up to 5 000

up to 50 000

more than 50 000

assemblies of people no limit

Step #2.2 Specify the intrinsic ground risk class (iGRC)

Step #2.3 Remarks/Reasoning for Step #2 (optional)

Step #3 — Final ground risk class (GRC) determination (optional)

Step #3.1 Specify the ground risk mitigations applied and the level of robustness

(if applicable)

M1(A) Strategic mitigation — sheltering

☐None

☐Low

☐Medium

M1(B) Strategic mitigation — operational restrictions

☐None

☐Medium

☐High

M1(C) Tactical mitigation — ground observation

☐None

☐Low

M2 Effects of UA impact dynamics are reduced

☐None

☐Medium

☐High

Step #3.2 Specify the final ground risk class (GRC)

Step #3.2 Remarks/Reasoning for Step #3 (optional)

Step #4 — Initial air risk class (ARC)

Step #4.1 Classification of the airspace where the operation is intended to be conducted (multiple answers possible)

☐A

☐B

☐C

☐D

☐E

☐F

☐G

☐Restricted area

☐Danger area

☐TMZ ☐RMZ ☐ATZ ☐CTR ☐CTA ☐FIZ

Step 4.2 Specify the initial air risk class (ARC) of the operational volume

☐ARC-a ☐ARC-b ☐ARC-c ☐ARC-d

Step #4.3 Remarks/Reasoning for choosing the ARC in Step #4

Step #5 — Strategic air risk mitigations and final air risk class (ARC)

Step #5.1 Specify the strategic mitigations of the air risk class, if applied

☐No

☐ VLOS

☐BVLOS with AOs

☐ Operational restrictions

☐ Common rules and structures

Step #5.2 Residual air risk class

(after strategic mitigation)

☐ARC-a ☐ARC-b ☐ARC-c ☐ARC-d

Step #5.3 Remarks/Reasoning for Step #5 (not needed if no mitigation applied)

Step #6 — Tactical mitigation performance requirements (TMPRs) and robustness level

Step #6 Tactical mitigation performance requirements (TMPRs)

☐ No requirement (VLOS / BVLOS with AOs)

☐BVLOS

☐No requirement (ARC-a)

☐Low (ARC-b)

☐Medium (ARC-c)

☐High (ARC-d)

Step #6.1 Remarks/Reasoning for Step #6 (optional)

Step #7 — SAIL determination

Step #7.1 Specific assurance and integrity level (SAIL)

☐SAIL I ☐SAIL II ☐SAIL III ☐SAIL IV ☐SAIL V ☐SAIL VI

Step #8 — Determination of containment requirements

Step #8.1 Containment

☐Low ☐Medium ☐High ☐Tethered

Step #8.2 Assembly of people within 1 km of the operational volume?

☐No ☐Yes

Step #8.2 Remarks/Reasoning for Step #8 (optional)

Step #9 — Identification of operational safety objectives (OSOs)

Step #9.1 Operational safety objectives

5. Remarks

Date

DD/MM/YYYY

Signature and stamp