Figure I-11B-3. Sample authorization page —
Reliability programme authorization
Government of _________________________ Page 1 of ______
OPERATIONS SPECIFICATIONS PART D XYZ AIRLINES AUTHORIZATION PAGE Short-term escalation authorization A. The procedure for short-term escalation of maintenance intervals is contained in XYZ Airlines General maintenance programme, Chapter 7, Section 3. This procedure is applicable to the following equipment: DOUGLAS DC-XXX Fleet B. Limitations 1. Aircraft A & B checks — 15 hours — time in service. 2. Aircraft C checks — 50 hours — time in service. 3. Aircraft D checks — 400 hours — time in service. 4. Powerplants and powerplant components — 5% not to exceed 500 hours — time in service. 5. Airframe components and appliances — 10% not to exceed 500 hours — time in service. Note.— An individual item may be escalated to a higher figure predicated on justification presented to the assigned CAA principal AID Inspector (maintenance or avionics as applicable) and subject to his approval prior to exceeding the current limit. C. Prohibitions Short-term escalation procedures do not apply to the following: 1. Intervals specified by CAA airworthiness directives. 2. Life limits specified by Type Certificate data sheets, flight manuals, or manufacturer's publications. 3. Limitations specified by minimum equipment lists. 4. Structural sampling periods imposed by maintenance review boards. Effective date: ___________________
Figure I-11B-4. Sample authorization page —
Short-term escalation authorization
Government of _________________________ Page 1 of ______
OPERATIONS SPECIFICATIONS PART D XYZ AIRLINES AUTHORIZATION PAGE Maintenance contractual authorization XYZ Airlines is authorized to utilize the provisions of a contractual agreement with RST Airlines identified as ______________ dated __________________ for the maintenance of the following XYZ Airlines' DC-XXX aircraft in accordance with RST Airlines’ approved continuous maintenance programme: C-345A C-459A The agreement provides for RST Airlines to perform all scheduled maintenance above the “A” check level, including structural inspection, powerplant shop maintenance and aircraft component shop maintenance, in accordance with RST Airlines' methods, standards, and procedures. Under the terms of this agreement RST will provide XYZ with a current copy of the publications and documents relating to their maintenance programme as listed in that agreement and revisions thereto. All maintenance performed by XYZ will be in accordance with those publications and documents. XYZ Airlines is authorized to participate in RST Airlines' reliability programme identified as_____________ as revised, with XYZ aircraft included in RST fleet for the purpose of that programme. Maintenance intervals and assignment of maintenance processes are controlled by that programme. Under the terms of this agreement all maintenance records applicable to the subject aircraft shall be maintained by RST Airlines at their maintenance base in ______________. XYZ Airlines shall expeditiously forward the original of all maintenance records generated during the period of this agreement to RST Airlines for inclusion in the records for that aircraft, and XYZ Airlines will retain a copy for their files for that aircraft. XYZ Airlines will determine that all replacement components, other than those provided by RST Airlines, that are common to the above listed aircraft and the RST fleet are evaluated by RST Airlines to ensure they meet RST standards. RST Airlines will maintain all components and systems not common to RST Airlines’ fleet in accordance with the requirements of XYZ Airlines' specifications. Administration of this agreement and related policies and procedures, including those pertaining to the control of maintenance interval limits, will be included in XYZ Airlines' maintenance programme. In the event this arrangement is cancelled, altered, or if RST Airlines should cease for any reason to provide the services contracted for, the entire programme is subject to reevaluation by CAA. Effective date: _____________________
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