1. Design Organisation Details

1.1 Head of Design Organisation

Title

Mr Ms

Name

First name

Phone

Email

1.2 Operating Sites

where design and testing activities are taking place - may be left blank if same as
in 2.1 Declarant Data

Address(es), Phone, Email

2. Intended Scope of Work

2.1 Product Category

Aeroplane with a MTOM of 2 000 kg or less and a max. seating configuration of 4 persons

Sailplane with a MTOM of 2 000 kg or less

Powered Sailplane with a MTOM of 2 000 kg or less

Rotorcraft with a MTOM of 1 200 kg or less and a max. seating configuration of 4 persons

Gyroplanes

Balloons

Hot Air Airships

Passenger gas airships designed for no more than 4 persons

Piston engines

Fixed pitch propellers

2.2 Certification Activities

Type Certification under Part 21 Light Subpart B

Supplemental Type Certification (STC) under Part 21 Light Subpart E

Major Repair approval under Part 21 Light Subpart M

2.3 Detailed Scope of Work Description

For Type Certification activities:

Aircraft type(s): - [product 1]

- [product 2]

Note: In the case of type-certification activities, all relevant technical areas are included.

For STC activities:

[N/A or see below]

A. Technical areas:

B. Limitations

2.3 Detailed Scope of Work Description

continued

For Major Repair activities:

[N/A or see below]

A. Technical areas:

B. Limitations

3. Declarant’s Statements

3.1. Declaration of Compliance

The Declared Design Organisation (DDO) has established and implemented a management system for design in accordance with point 21L.A.174. This management system will be maintained in compliance with Subpart J of Annex Ib (Part 21 Light) to Regulation (EU) No 748/2012.

The references of the elements of the management system for design are included in the Annex to this Declaration.

All the personnel of the DDO must adhere to the processes and procedures referred to in the Annex to this Declaration.

I hereby commit to undertake the obligations of a Declared Design Organisation in accordance with point 21L.A.177.

I confirm that all information contained in this Declaration, including its Annex, is complete and correct.

Date/Location

Name
(Head of Design Organisation)

Signature

Important Note: EASA cannot accept Declarations without signature. Please make sure that you sign the Declaration.

This Declaration should be sent by email to:

[email protected]

ANNEX TO THE DECLARATION OF DESIGN CAPABILITY

This Annex includes references to the Declared Design Organisation’s (DDO) documentation showing compliance with the requirements of Annex Ib (Part 21 Light) to Regulation (EU) No 748/2012.

No

Part 21 Light

Subject

DDO reference
DDOE* reference, as relevant

1. General

1.1

21L.A.174(d)

Process and procedure documentation issuance, approval or change

2. Organisation, key personnel and compliance verification staff

2.1

21L.A.175(e)

Organisational structure documented and kept updated

2.2

21L.A.175(b)

Identification of key personnel nominated by the head of design organisation to ensure that the organisation is in compliance with the requirements of Part 21 Light Subpart J:

— head of airworthiness function,

— head of independent monitoring function,

— others

2.3

21L.A.175(c)

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

2.4

21L.A.174(b)(2)

List of authorised staff to perform compliance verification and the criteria and process for their initial nomination and maintenance of their authorisation

2.5

21L.A.175(d)

The numbers of staff in all technical departments and their level of experience are sufficient, and staff have been given the appropriate authority to be able to discharge their allocated responsibilities and that there is full and effective coordination within the declared design organisation in respect of airworthiness and environmental compatibility matters

3. System monitoring

3.1

21L.A.174(c)

System monitoring procedure

4. Subcontracting

4.1

21.A.174(b)(3)

21L.A.174(e)

Subcontracting procedure and a list of subcontractors

5. Changes to the DDO

5.1

21L.A.178

Procedure for the notification of organisational changes to EASA according to point 21L.A.178

No

Part 21 Light

Subject

DDO reference
DDOE* reference, as relevant

6. Design and certification processes

6.1

21L.A.26

Identification and issuance of type design documentation and configuration control

6.2

21L.A.24

Type-certificate application (including: type‑certification basis, environmental-protection requirements and certification plan)

6.3

21L.A.25

Compliance demonstration (preparation, verification and issuance of compliance documentation)

6.4

21L.A.25(c)

Testing procedure and conformity of test specimen/prototype

6.5

21L.A.25(d)

Flight-testing procedure and flight test operations manual (FTOM)

6.6

21L.A.241

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

6.7

21L.A.25(e)

21L.A.241(c)

21L.B.46

21L.B.242

Preparing and supporting EASA in conducting its investigations

(critical design review, pre-flight inspection, first-article inspection)

6.8

21L.A.241(b)

21L.B.241

Preparing and supporting the competent authority in conducting its inspections

6.9

21L.A.25(f)

Issuance of compliance declaration

6.10

21L.A.63

Classification of changes to a type certificate

6.11

21L.A.67

Approval of minor changes to a type certificate (TC)

6.12

21L.A.68

Approval of major changes to a type certificate (TC)

6.13

21L.A.86

Approval of a supplemental type certificate (STC)

6.14

21L.A.203

Classification of repair designs

6.15

21L.A.207

Approval of minor repair designs

6.16

21L.A.208

Approval of major repair designs

7. Obligations

7.1

21L.A.3

Reporting system

7.2

21L.A.4

Airworthiness directives

7.3

21L.A.5

Collaboration between design and production

7.4

21L.A.6

Marking

7.5

21L.A.7

Record-keeping

7.6

21L.A.8

Manuals

7.7

21L.A.9

Instructions for continued airworthiness

*Instructions: If the DDO, for the purpose of compliance with point 21L.A.174(d), has produced a Declared Design Organisation Exposition (DDOE), then the DDOE sections should be referenced in the right-hand column of the form.