(FSTD) Application Form for User Approval

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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
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