FLIGHT SIMULATION TRAINING DEVICE (FSTD) USER APPROVAL APPLICATION FORM Civil Aviation Directorate Flight Operations Inspectorate Security Gate 1, Luqa Airport, Luqa LQA 3000, Tel: +356 2555 5606, Fax: +356 21239278; airops.tm@transport.gov.mt; ;www.transport.gov.mt The FSTD User Approval Form is to be used when applying for Approval to use a training device in accordance with ORO.FC.145(c) & (d) and latest edition of Air Navigation Order. Please complete the form electronically. Initial Approval Renewal of Approval Expansion of Approval OPERATOR’S DETAILS Operator Name: AOC No: Contact Person: Tel: Email: SECTION ONE: TRAINING DEVICE Current/Previous User Approval expiry date: (For initial application state “N/A”) For initial only state date of first planned training: Location : Aircraft type represented: Engine type(s): Approval Level: Qualification Valid until: (Attach current Qualification Certificate) SECTION TWO: TRAINING, CHECKING AND TESTING CONSIDERATIONS Training, checking and testing considerations and credits are requested for the following uses, in accordance with the approved syllabi outlined in OM Part D. Check FSTD Specification FSTD Approved Yes / No? Ops Training: Yes / No OPC: Yes / No Recent Experience (3 TO & Land 90 days): Yes / No CAT I, II, III A, B, C: (Select as applicable) Yes / No Insert lowest RVR for Take-off Yes / No Auto land / Roll out guidance: Yes / No Windshear: Yes / No GPWS/EGPWS: (Select as applicable) Yes / No TCAS/ACAS: Yes / No HUD: Yes / No CPDLC Yes / No ETOPS Yes / No PBN operations: Yes / No (Please specify max performance) ZFTT Yes / No Other (Please specify): Yes / No Form: TM/CAD/0225 Issue 1 – February 2015 Transport Malta is the Authority for Transport in Malta set up by ACT XV of 2009 Page 1 of 6 FLIGHT SIMULATION TRAINING DEVICE (FSTD) USER APPROVAL APPLICATION FORM Civil Aviation Directorate Flight Operations Inspectorate Security Gate 1, Luqa Airport, Luqa LQA 3000, Tel: +356 2555 5606, Fax: +356 21239278; airops.tm@transport.gov.mt ;www.transport.gov.mt SECTION THREE: CONFIGURATION DIFFERENCE LIST ATA Chapter Level of Compliance (SEE NOTE 1) 21 AIRCONDITIONING 22 AUTO FLIGHT 23 COMMUNICATIONS 24 ELECTRICAL POWER 25 EQUIPMENT/FURNISHINGS 26 FIRE PROTECTION 27 FLIGHT CONTROLS 28 FUEL 29 HYDRAULIC POWER 30 ICE & RAIN PROTECTION 31 INDICATING / RECORDING SYSTEMS 32 LANDING GEAR 33 LIGHTS 34 NAVIGATION 35 OXYGEN 36 PNEUMATIC 38 WATER/WASTE 45 CENTRAL MAINTENANCE COMPUTER 46 INFORMATION SYSTEMS 49 AIRBORNE AUXILIARY POWER 73 ENGINE FUEL & CONTROL 74 IGNITION 77 ENGINE INDICATING 80 STARTING A A A A A A A A A A A B B B B B B B B B B B C C C C C C C C C C C D D D D D D D D D D D N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A A A A A A A A B B B B B B B C C C C C C C D D D D D D D N/A N/A N/A N/A N/A N/A N/A A A B B C C D D N/A N/A A A A A B B B B C C C C D D D D N/A N/A N/A N/A Form: TM/CAD/0225 Issue 1 – February 2015 Differences / Means of Compliance (SEE NOTE 1) Syllabus / Training Programme (SEE NOTE 2) Transport Malta is the Authority for Transport in Malta set up by ACT XV of 2009 Page 2 of 6 FLIGHT SIMULATION TRAINING DEVICE (FSTD) USER APPROVAL APPLICATION FORM Civil Aviation Directorate Flight Operations Inspectorate Security Gate 1, Luqa Airport, Luqa LQA 3000, Tel: +356 2555 5606, Fax: +356 21239278; airops.tm@transport.gov.mt ;www.transport.gov.mt SECTION THREE: CONFIGURATION DIFFERENCE LIST (CONT’D) ATA Chapter Level of Compliance (SEE NOTE 1) OTHER: OTHER: A A Form: TM/CAD/0225 Issue 1 – February 2015 B B C C D D Differences / Means of Compliance (SEE NOTE 1) Syllabus / Training Programme (SEE NOTE 2) N/A N/A Transport Malta is the Authority for Transport in Malta set up by ACT XV of 2009 Page 3 of 6 FLIGHT SIMULATION TRAINING DEVICE (FSTD) USER APPROVAL APPLICATION FORM Civil Aviation Directorate Flight Operations Inspectorate Security Gate 1, Luqa Airport, Luqa LQA 3000, Tel: +356 2555 5606, Fax: +356 21239278; info.tm@transport.gov.mt; ;www.transport.gov.mt SECTION FOUR: NOTES NOTE 1 - Compliance Levels based on AMC1 ORO.FC.145(d) Level Means of compliance (examples) N/A – No differences - Level A differences No influence on flight characteristics; No influence on procedures (normal and/or abnormal); Differences in presentation; and Differences in operation. Level B differences No influence on flight characteristics; Influence on procedures (normal and/or abnormal); and Possible differences in presentation and operation. Level C differences Influence on flight characteristics; Influence on procedures (normal and/or abnormal); and Eventually differences in presentation and operation. Level D differences Influence on flight characteristics; and/or Influence on procedures (normal and/or abnormal); and/or Differences in presentation and/or operation; and FSTD is level D qualified and is used for zero flight-time training (ZFTT). Self Brief Self Instructions via OM Part B, FCOM, or Bulletin Bulletin CBT System device training or instruction by qualified instructor. special Specific training or special instruction by qualified instructor Partial training on other FSTD or aircraft Specific training program Waiver Partial training on other FSTD or aircraft Specific training program Waiver NOTE 2 – Means of Compliance / Syllabus / Training Programme Provide evidence of syllabus and training programme with appropriate reference to the Operations Manual where applicable. Form: TM/CAD/0225 Issue 1 – February 2015 Transport Malta is the Authority for Transport in Malta set up by ACT XV of 2009 Page 4 of 6 FLIGHT SIMULATION TRAINING DEVICE (FSTD) USER APPROVAL APPLICATION FORM Civil Aviation Directorate Flight Operations Inspectorate Security Gate 1, Luqa Airport, Luqa LQA 3000, Tel: +356 2555 5606, Fax: +356 21239278; info.tm@transport.gov.mt; ;www.transport.gov.mt SECTION FIVE: DECLARATION AND SUBMISSION DETAILS 1. Declaration I hereby declare that the information contained within this application form, and other required attachments are verified correct, and that the provisions of Annex III Part ORO.FC.145 (e) have been provided for. Signature: Date (dd/mm/yyyy): Name (Nominated Person Crew Training): 2. Submissions and Enquiries This form together with supporting evidence should be completed and submitted within a reasonable time either electronically via email airops.tm@transport.gov.mt or by post to Transport Malta – Civil Aviation Directorate, Security Gate 1, Luqa Airport, Luqa LQA 3000. The approval will be issued upon receipt of 1397.62 € which shall be settled upon application. SECTION SIX: CAD USE ONLY APPLICATION RECEIVED ATTACHMENTS REVIEWED USER APPROVAL ISSUED COPY OF APPROVAL TO PEL INSPECTOR SIGNATURE Form: TM/CAD/0225 Issue 1 – February 2015 Transport Malta is the Authority for Transport in Malta set up by ACT XV of 2009 Page 5 of 6 FLIGHT SIMULATION TRAINING DEVICE (FSTD) USER APPROVAL APPLICATION FORM Civil Aviation Directorate Flight Operations Inspectorate Security Gate 1, Luqa Airport, Luqa LQA 3000, Tel: +356 2555 5606, Fax: +356 21239278; info.tm@transport.gov.mt; ;www.transport.gov.mt INTENTIONALLY LEFT BLANK Form: TM/CAD/0225 Issue 1 – February 2015 Transport Malta is the Authority for Transport in Malta set up by ACT XV of 2009 Page 6 of 6