Appendix I to AMC1 CAO.B.045(c) and AMC1 CAO.B.055 -- EASA Form 613

Part-CAO APPROVAL RECOMMENDATION REPORT EASA FORM 613

Part 1: General

Name of organisation:

Approval reference:

Requested approval rating:

EASA Form 3-CAO dated*:

Other approvals held (if applicable):

Address of facility audited:

Audit period: from

to

Date(s) of audit(s):

Audit reference(s):

Persons interviewed:

Competent authority inspector(s):

Competent authority office:

Signature(s):

Date of EASA Form 613 Part 1 completion:

*delete where applicable

Part-CAO APPROVAL RECOMMENDATION REPORT EASA FORM 613

Part 2: Part-CAO Compliance audit review

The five columns may be labelled and used as necessary to record the approval product line or facility, including the subcontractor’s, reviewed. Against each column used regarding the following Part-CAO points, please either tick (Ö) the box if satisfied with compliance or cross (X) the box if not satisfied with compliance, and specify the reference of the Part 4 finding next to the box; or enter N/A if an item is not applicable; or N/R if it is applicable but it was not reviewed.

Point

Subject

M.A.201(c)

Maintenance responsibility

ML.A.201(c)

M.A.403(b)

Aircraft defects

ML.A.403(b)

CAO.A.017

Means of compliance

CAO.A.020

Terms of approval

CAO.A.025

Combined airworthiness

exposition (see Part 3)

CAO.A.030

Facilities

CAO.A.035

Personnel requirements

CAO.A.040

Certifying staff

CAO.A.045

Airworthiness review staff

CAO.A.050

Components, equipment and

tools

CAO.A.055

Maintenance data and

work orders

CAO.A.060

Maintenance standards

CAO.A.065

Aircraft certificate of release

to service

CAO.A.070

Component certificate of

release to service

CAO.A.075

Continuing-airworthiness

management

CAO.A.080

Continuing-airworthiness

management data

CAO.A.085

Airworthiness review

CAO.A.090

Record-keeping

CAO.A.095

Privileges of the organisation

CAO.A.100

Quality system and

organisational review

CAO.A.105

Changes to the organisation

Competent authority inspector(s):

Signature(s):

Competent authority office:

Date of EASA Form 613 Part 2 completion:

Part A

GENERAL DESCRIPTION

A.1

Statement by the accountable manager

A.2

General presentation of the organisation

A.3

Description and location of the facilities

A.4

Scope of work

A.5

Exposition amendments and changes to the organisation

A.6

Procedure for alternative means of compliance

A.7

Management personnel

A.8

Organisation chart

A.9

Manpower resources

A.10

List of certifying staff

A.11

List of staff responsible for the development and approval of the AMP

A.12

List of airworthiness review staff

A.13

List of staff responsible for the issuance of permits to fly

Part B

GENERAL PROCEDURES

B.1

Quality (or organisational review) system

B.2

Audit plan (or frequency and content of organisational review)

B.3

Monitoring of maintenance contracts

B.4

Qualification, assessment and training of staff

B.5

One-off certification authorisation

B.6

Limited certification authorisation

B.7

Subcontracting

B.8

Maintenance data and continuing airworthiness management data

B.9

Records management and retention

B.10

Carrying out the airworthiness review

B.11

Conformity with approved flight conditions

B.12

Issue of the permit to fly

Part C

MAINTENANCE PROCEDURES

C.1

Maintenance — general

C.2

Work order acceptance

C.3

Components, equipment, tools and material (supply, acceptance, segregation, storage, calibration, etc.)

C.4

Maintenance facility (selection, organisation, cleanliness and environmental limitations)

C.5

Maintenance accomplishment and maintenance standards

C.6

Prevention of maintenance error

C.7

Critical maintenance tasks and error-capturing method

C.8

Fabrication

C.9

Certifying staff responsibilities and maintenance release

C.10

Defects arising during maintenance

C.11

Maintenance away from approved location

C.12

Procedure for component maintenance under aircraft or engine rating

C.13

Procedure for maintenance on installed engine (or component) under engine (or component) rating

C.14

Special procedures (specialised tasks, non-destructive testing (NDT), engine running, etc.)

C.15

Issue of ARC under maintenance privilege

Part D

CONTINUING AIRWORTHINESS MANAGEMENT PROCEDURES

D.1

Continuing airworthiness management — general

D.2

MEL (and CDL) application

D.3

AMP development, control and periodic review

D.4

Airworthiness directives and other mandatory airworthiness requirements

D.5

Modifications and repairs

D.6

Pre-flight inspection

D.7

Defects

D.8

Establishment of contracts and work orders for the maintenance

D.9

Coordination of maintenance activities

D.10

Mass and balance statement

D.11

Issue of ARC or ARC recommendation

D.12

ARC extension

D.13

Maintenance check flights

Part E

SUPPORTING DOCUMENTS

E.1

Sample documents

E.2

List of subcontracted organisations

E.3

List of organisations contracted by the CAO

E.4

Aircraft technical log system (if applicable)

E.5

List of the currently approved alternative means of compliance

E.6

Copy of contracts for subcontracted continuing airworthiness tasks

CAE reference: CAE amendment:

Competent authority audit staff: Signature(s):

Competent authority office: Date of EASA Form 613 Part 3 completion:

Part-CAO APPROVAL RECOMMENDATION REPORT EASA FORM 613

Part 4: Findings regarding Part-CAO compliance status

Each level 1 and 2 finding should be recorded whether it has been rectified or not, and should be identified by a simple cross reference to the Part 2 requirement. All non-rectified findings should be copied in writing to the organisation for them to take the necessary corrective action.

Part

2 or 3

ref.

Audit reference(s):

Findings

L

e

v

e

l

Corrective action

Date

due

Date

closed

Reference

Part-CAO APPROVAL RECOMMENDATION REPORT EASA FORM 613

Part 5: Part-CAO approval or continued approval or change recommendation*

Name of organisation:

Approval reference:

Audit reference(s):

The following Part-CAO terms of approval are recommended for this organisation:

Or, it is recommended that the Part-CAO terms of approval specified in EASA Form 3-CAO referenced ...................................................... should be continued.

Name of recommending competent authority inspector:

Signature of recommending competent authority inspector:

Competent authority office:

Date of recommendation:

EASA Form 613 review: Date:

*delete as appropriate