Flight Standards District Office 5707 Huntsman Road, Suite 100




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Flight Standards District Office

5707 Huntsman Road, Suite 100

Richmond Int’l Airport, VA 23250-2415




Phone (804) 222-7494

RIC FSDO Form F051, Revision Original, March 9, 2011

Facsimile (804) 222-4843



HOW TO ADD AN AIRCRAFT TO 14 CFR PART 141 PILOT SCHOOL CERTIFICATE
Dear Applicant:
To add an aircraft to your 14 CFR Part 141 Pilot School certificate, complete the following steps:


  1. Decide what you want to do with the aircraft and how you will inspect the aircraft.

  2. Confirm that the aircraft and procedures will meet the specific requirements related to what you want to do. Refer to the applicable parts of 14 CFR Parts 91 and 141.

  3. Ask us by letter to add the aircraft to your Training Specifications. Attach any revisions to your aircraft listing and procedures as applicable.

  4. Describe the aircraft using the worksheets and checklists contained in Sections 1, 2, 3, and 4. Provide copies of all documents that support compliance as confirmed in step two above.

  5. Receive validation, acceptance, and approval. Get our approval for the documents and/or revisions that require specific approval. All other documents must be acceptable to us before we can issue Training Specifications. If necessary, we may require your demonstration of aircraft compliance and pilot proficiency. Be sure to allow sufficient time for that.

  6. Receive Training Specifications. We will issue Training Specifications paragraphs A003 and D085 once the aircraft is approved to be utilized for your 14 CFR Part 141 School.


Attachments: The sample application letter and the sections that follow – Request to Add an Aircraft, Regulatory Requirements, Aircraft Compliance Records, and 14 CFR Part 141 Airworthiness Checklist may help you accomplish steps 1 through 4 above. They offer an organized method to show compliance and give us the information we need to approve the aircraft for use in your 14 CFR Part 141 School.
Accuracy is important: We need complete and accurate data for the Training Specifications. The attached forms are not mandatory, but the information and supporting documentation is. Personnel experienced with the aircraft make and model and the proposed operations should prepare these documents and sign the statement on page 4-1 signifying complete and accurate technical information. Technical errors or omissions will delay completion of the project.
We hope you will find that these attachments help you determine aircraft eligibility and apply for the operations you need. Please let us know if you have any questions or suggestions.
S
INSTRUCTIONS: You may print and manually fill in these documents or use on-screen fill-in. For on-screen fill-in, use TAB and SHIFT-TAB and the mouse to navigate around the forms. It may be helpful to print a copy for reference while working on your computer. To preserve the original in case you need to start over, save the document with a new name before you start . Print the completed copy, sign it, and send it to us.
incerely,

The Richmond FSDO


Intentionally Left Blank





 , Principal Maintenance Inspector

Federal Aviation Administration

Richmond Flight Standards District Office

5707 Huntsman Road, Suite 100

Richmond International Airport, VA 23250-2415


Dear  Last Name of Inspector:
This is to apply for amended Training Specifications to add , N, to our 14 CFR Part 141 Pilot School. Please use the following attachments for details for this application:


  • Attachment Section 1

  • Attachment Section 2: Regulatory Requirement with applicable support documentation.

  • Attachment Section 3: Aircraft Compliance Records with applicable support documentation.

  • Attachment Section 4: Airworthiness Checklist and Inspection Statement showing the aircraft is ready for operations under 14 Part 141.

Please contact the individual indicated in Attachment Section 1 for any questions concerning this application or you need additional information.


Sincerely,






Attachments

Note: These forms are designed for on-screen fill-in. To navigate through the forms use TAB (down) and Shift-Tab (up). Use page up/down and the mouse to skip large areas.



Section 1 Request to Add an Aircraft


1.1
OPERATOR AND AIRCRAFT INFORMATION


Operator’s Legal
Name

     

Operator’sCertificate
Number

     

Registered Owner
Enter exactly as shown on the registration certificate

     

Address

     

City/state/Zip

     

     

     

Aircraft Make

Complete Model & Series Number

Serial No

Registration Number

     

     

     

N     

Registration MUST be current with the Aircraft Registration Branch in Oklahoma City.

Airport Designator

Configuration Check One

Passenger Seats

Class of Operation

Condition

Ops Base     

 All Cargo

Certificated    

 SEL  MEL

 IFR

Maint. Base
(Records)     

 Combi

 SES MES

 IFR/VFR

 Passenger

Installed    

 SEL/SES  MEL/MES

 Day/Night

 PAX & Cargo

 Amphibian

 Day Only

1.3
MAINTENANCE & INSPECTION HISTORY


Parts
43 & 91


Before this application, the aircraft was maintained and inspected under the following maintenance and inspection programs: (Please check)

 Annual inspections, 91.409(a)

 Progressive Inspections, 91.409(d)



 100 Hour Inspections, 91.409 (b)

1.4
CONTACT
INFORMATION


NAME

Phone

Email

FAX

Director of Maintenance

     

     

     

     

Chief Instructor

     

     

     

     

Page 1-1


Note: The term “FAR” in this document means “14 CFR Part” RIC FSDO Form F051, Revision Original, March 9, 2011

Section 2 Regulatory Requirements

Registration No.: N     



Regulatory Requirement

Complies (Yes or No or N/A)

Supporting Documentation to Provide the FSDO

141.39







(a) …an applicant for a [domestic] pilot school certificate or provisional pilot school certificate must show that each aircraft used by the school for flight training and solo flights:







(1) Is a civil aircraft of the United States

     




(2) Is certificated with a standard airworthiness certificate

     




Is certificated with a special airworthiness certificate primary category

     




Is certificated with a special airworthiness certificate in the light-sport
category unless the FAA determines otherwise because of the nature of
the approved course

     

Copy of the Airworthiness Certificate and Operating Limitations for Light Sport Aircraft

91.327(e) Each person operating an aircraft issued a special

airworthiness certificate in the light-sport category must advise each

person carried of the special nature of the aircraft and that the aircraft

does not meet the airworthiness requirements for an aircraft issued a

standard airworthiness certificate.


     

Copy of the School’s procedures that ensure continuous compliance with this section

(3) Is maintained and inspected in accordance with the requirements for aircraft operated for hire under part 91, subpart E, of this chapter

     

Date of Annual:      

Last 100 hr TT:      

(4) Has two pilot stations with engine-power controls that can be easily reached and operated in a normal manner from both pilot stations (for flight training); and

     




(5) Is equipped and maintained for IFR operations if used in a course involving IFR en route operations and instrument approaches. For training in the control and precision maneuvering of an aircraft by reference to instruments, the aircraft may be equipped as provided in the approved course of training.

     

Current Aircraft Equipment List (applicable portion(s))

61.129(b)(3)(ii) Multiengine Airplane: … has a retractable landing gear, flaps, and controllable pitch propellers, or is turbine-powered, or for an applicant seeking a multiengine seaplane rating, … a multiengine seaplane that has flaps and a controllable pitch propeller

     




141.75 Aircraft requirements: The following items must be carried on each aircraft used for flight training and solo flights:

     




(a) A pretakeoff and prelanding checklist; and

     

Copies of the pretakeoff and prelanding checklist

(b) The operator's handbook for the aircraft, if one is furnished by the manufacturer, or copies of the handbook if furnished to each student using the aircraft.

     



Page 2-1


Note: The term “FAR” in this document means “14 CFR Part” RIC FSDO Form F051, Revision Original, March 9, 2011

Section 3 Aircraft Compliance Records

Registration No.: N     







Date of Compliance

Support Document(s)

91.411 Altimeter system and altitude reporting equipment tests and inspections.

     




91.413 ATC transponder tests and inspections.

     




91.207 ELT Inspection

     




91.207 ELT Battery Expiration

     




91.417(a) Maintenance records.

     




(2) Records containing the following information:

     




(i) The total time in service of the airframe

     




(i) The total time in service of the each engine (for single engine, complete ‘Left’ block only)

Left:      




Right:      

(i) The total time in service of the each propeller (for single engine, complete ‘Left’ block only)

Left:      




Right:      

(i) The total time in service of the each rotor, if applicable

Main:      




Tail:      

(ii) The current status of life-limited parts of each airframe, engine, propeller, rotor, and appliance; if applicable.




 Attach List

(iii) The time since last overhaul of all items installed on the aircraft, which are required to be overhauled on a specified time basis; if applicable.




 Attach List

(iv) The current inspection status of the aircraft, including the time since the last inspection required by the inspection program under which the aircraft and its appliances are maintained.




 Attach List

(v) The current status of applicable airworthiness directives (AD) and safety directives including, for each, the method of compliance, the AD or safety directive number and revision date. If the AD or safety directive involves recurring action, the time and date when the next action is required.




 Attach List

(vi) Copies of the forms prescribed by Sec. 43.9(a) of this chapter for each major alteration to the airframe and currently installed engines, rotors, propellers, and appliances.




 Attach List or Use the form provided below

§ 91.417(a)(2)(vi): LIST ALL MAJOR ALTERATIONS THAT CURRENTLY APPLY TO THE AIRCRAFT:

DATE
337 block 7


Instructions For Continued Airworthiness (ICA)

Scheduled Inspection or maint. *

On Contition

Field Approval




Flight Manual Supplement

in Block 3
(Yes or No)


Required (Yes or No)

Brief Description of the Major Alteration

     





   

   

     

     





   

   

     

     





   

   

     

     





   

   

     

     





   

   

     

     





   

   

     

     





   

   

     

     





   

   

     

     





   

   

     

     





   

   

     

Use additional copies of this page as needed.

Page 3-1


Note: The term “FAR” in this document means “14 CFR Part” RIC FSDO Form F051, Revision Original, March 9, 2011

Section 4 14 CFR Part 141 Airworthiness Checklist

Registration No.: N     

Note: We suggest you use this checklist frequently and especially before presenting the aircraft to the FAA for inspection or before FAA check ride.

INSPECTION ITEMS

  • Check if the item meets all applicable regulatory requirements

CERTIFICATES AND REGISTRATION

 The Registration Certificate is on board and current.

 The Airworthiness Certificate is on board and current.

 The Radio Station License is on board and current (optional).



OPERATING LIMITATIONS

 FAA Approved Aircraft Flight Manual (AFM) or Pilots Operating Handbook is current, complete, and in serviceable condition.

 AFM contains current Flight Manual Supplements (AFMS) that apply to the installed Autopilot/Flight Director, Navigation equipment, and other installed equipment to which an AFMS applies. AFMS that do not apply to the aircraft are stowed or removed to prevent their use

 All internal placards required by the Type Certificate or the AFM are secure and readable.

 All operating manuals and/or placards required by the AFM and Flight Manual Supplements, TC, STC, or FAA Form 337s are readily available to the pilot in flight.

 All switches, circuit breakers, controls, etc., are properly labeled

 AFM contains current weight and balance data, and all obsolete weight and balance data is superseded; or, for aircraft not requiring an AFM, the current weight and balance and equipment list is in the aircraft.

 AFM contains a current and complete equipment list.

 The aircraft has a record showing the aircraft current weight. The record includes an equipment list, which describes the approved aircraft configuration at the time of weighing. The weighing record has the signature and certificate number of the person or agency doing the work and the date of completion.

FLIGHT SCHOOL OPERATIONS

 Aircraft Record for reporting discrepancies and approval for return-to-service determinations [141.93(a)(3)(v)] onboard and contains no open discrepancies

 If applicable: Minimum Equipment List is on board and current.

 If applicable: Deferred Maintenance Log on board and contains no items deferred beyond the time allowed in the MEL.



PASSENGER SAFETY

 All internal cabin placards required by the Type Certificate or the AFM are secure and readable.

 If applicable: Approved cargo restraints are in place

GENERAL AIRWORTHINESS

 The aircraft has the proper equipment and approval documentation required by 14 CFR 91 Subpart C.

 All external placards, required by the Type Certificate or the AFM, are secure and readable.

 All cowl fasteners, screws, etc., are secure.

 Antennas are free from erosion.

 If applicable: ADF/HF Long-Wire antenna is under spring tension.

 All static wicks are installed; none are broken except as deferred under an MEL. No broken bonding straps

 The aircraft Make, Model and Serial Number data are on the outside of the fuselage. Sec. 45.11(e)

 All instruments, systems, and equipment are operating properly or deferred under an MEL on 91.213(d); the aircraft is airworthy and legal to fly.

MAINTENANCE RECORDS

 The maintenance records show that all airworthiness inspections are current including, Annual/100 hr or scheduled inspection, Altimeter, Encoder, Static System, ATC Transponder, etc.

 All required maintenance, including maintenance of life-limited items, is current.

 The maintenance records include an Airworthiness Directive (AD) Listing showing that all ADs are complied with including Recurring ADs. The listing must comply with Sec. 91.417(a)(2)(v)






I certify that, to the best of my knowledge, the information contained in this report is complete and accurate.

     

     

     



Certificate Number

Date

Page 4-1

Note: The term “FAR” in this document means “14 CFR Part” RIC FSDO Form F051, Revision Original, March 9, 2011




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