Appendix B - Sample Forms and Letters

• Sample Letter of Suspension
• Sample Issue Paper Format
• Sample Changed Product Rule (CPR) Decision Record

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Sample Letter of Suspension

Transport Canada Safety and Security

Transports Canada Sécurité et sûreté

Aircraft Certification Branch/Certification des aéronefs
Airworthiness Engineering Division/Génie - Navigabilité aérienne
330 Sparks St., 3rd. floor
Ottawa, ON K1A 0N8

Your file Votre référence

Our file Notre référence  

5010-2-129 (AARDL)

January 3, 2000

 

Mr. Ralph DeSota
192 Rimstone Bay
Goose Bay, Labrador
B5N 2R3

Dear Mr. DeSota:

SUBJECT:	DAR No. 109 - Notification of DAR Suspension
REFERENCE:	Discussion between Mr. Ralph DeSota and Mr. R. Blithely, RMAC, Atlantic Region regarding inactivity of DAR No. 13 and decision to suspend.

This is to advise you that pursuant to subsections 103.07 (d) of the Canadian Aviation Regulations, the Minister has decided to suspend your delegation of authority as a private DAR by placing DAR number 13 on the inactive list.

The suspension is issued on the grounds that the Minister may suspend a Canadian aviation document where the service or undertaking in respect of which the Canadian aviation document was issued has been discontinued. Discussion between yourself and the Regional Manager of Aircraft Certification, Atlantic Region, has confirmed that you have ceased to act as a private DAR, since you have not submitted an application for design change approval for at least six years.

This suspension comes into effect as of this date and remains in force until the delegation is reinstated by the Minister. Would you please return your Letter of Authorization that you were issued as DAR No. 13 to Mr. R. Blithely, Regional Manager of Aircraft Certification, Atlantic Region. It is required by CAR section 103.03 that a Canadian aviation document that has been suspended be returned to the Minister by the person to whom it was issued immediately after the effective date of the suspension.

The delegation may be reinstated when the following conditions have been met:

1. You reapply in writing for an engineering delegation in accordance with the requirements of Airworthiness Manual Chapter 505C and demonstrate, to the satisfaction of the Minister, that you have a current knowledge of applicable regulations, standards and advisory material; and
    
2. Undertake a joint design change approval project with Transport demonstrating, to the satisfaction of the Minister, that you have a knowledge of applicable regulations, standards and advisory

Thank you for your cooperation and for making findings of compliance Airworthiness requirements on behalf of the Minister during the time you were using the authority and privileges under the DAR system.

Should you require further clarification or assistance, please contact Mr. R. Regional Manager, Aircraft Certification, Atlantic Region at (506) 352-     .

Yours truly,

 

K.J. Mansfield
Director, Aircraft Certification
for the Minister of Transport

cc:  AARDL
      MAI

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Sample Issue Paper Format:

TRANSPORT CANADA ISSUE PAPER
Applicant	____________	Issue Paper No.	____________
Aircraft	____________	Issue	____________
File	____________	Status	____________
Subject	____________	Date	____________
Reference	____________	Required	____________
Specialists	____________

Statement of Issue: [Concise, factual summary of issue is presented here] Background: [Detailed background showing contextual history of the issue is made here] Transport Canada Position: [Transport Canada position on the issue is documented here. It should clearly state how the issue is viewed and what an acceptable means of resolution would be] Applicant Position: [Applicants response to Transport Canada position] Transport Canada Response: [The Transport Canada/applicant position may go through a number of iterations, which are docuemented on the issue paper. The final response should present the agreed resolution]

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Sample Changed Product Rule (CPR) Decision Record

CHANGED PRODUCT RULE (CPR) DECISION RECORD (This form will be submitted with Design Change Approval Application Form 26-0469)
CPR Steps (Figure 1 of AMA 500/16)	Rationale
Step 1: Has the proposed change to the aeronautical product been identified?	(  ) Yes (Per section 5.4 of AMA 500/16) (  ) No The area(s) affected by the change have been detailed in document number(s): ________________________________
Step 2: Is the change substantial?	(  ) Yes (Per section 5.5 of AMA 500/16) (  ) No ________________________________
Step 3: Will the latest standards be used?	(Per section 5.6 of AMA 500/16) (  ) Yes Applicant accepts the use of the latest amendments to the standards for all areas affected by the change. (  ) No
Step 4: Is the proposed change significant?	(  ) Yes (Per section 5.7 of AMA 500/16) (  ) No ________________________________
Decision: Will the latest standards be used?	(  ) Yes Applicant accepts the use of the latest amendments to the standards for all areas affected by the change. (  ) No
Step 5: For every area, is the area affected by the proposed change?	(  ) Yes (Per section 7.4 of AMA 500/16) (  ) No The area(s) affected by the significant change have been detailed in Certification Plan or Compliance Program (or equivalent) document number(s): ________________________________
Step 6(a): Do the latest standards contribute materially to the level of safety?	A delegate may develop a proposal for the Yes/No decision of Step 6(a) and (b), however, TCCA will make the final determination of the acceptability of these exceptions. (  ) Yes (Per section 7.5 of AMA 500/16) (  ) No ________________________________
Step 6(b): If the latest standards contribute materially to the level of safety are they practical?	(  ) Yes (Per section 7.5 of AMA 500/16) (  ) No ________________________________
Has an Issue Paper been generated to document the certification basis and to record the decisions made?	(  ) Yes   (  ) No ________________________________
Under the authority vested in me by the Minister, I have examined the change in type design listed above according to established procedures and hereby determine that it is significant/not-significant pursuant to subsection 511.13(3) or 513.07(3) of the CARs, to the best of my knowledge and belief.

____________________________________
Name and Signature/DAR No./
Delegate No. (for DAO or AEO)

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Date