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AVIATION SAFETY FORMS MANUAL

SECTION: AIRWORTHINESS FORMS


CORPORATE COMMITMENT BY ACCOUNTABLE MANAGER AWF-AMO-004
TITLE: FOR FOREIGN APPROVED MAINTENANCE ORGANISATIONS

Section A:

These procedures in the organization exposition are approved by the undersigned and should be complied with,
as applicable, when work orders are being progressed under the terms of the CAR 145 approval.
It is accepted that these procedures do not override the necessity of complying with any new or amended
regulation published by the GCAA from time to time where these new or amended regulations are in conflict
with these procedures.
It is understood that the GCAA will approve this organisation whilst the GCAA is satisfied that the procedures are
being followed and work standards maintained. It is further understood that the GCAA reserves the right to
suspend, limit or revoke the approval of the organisation if the GCAA has evidence that procedures are not
followed or standards not upheld.

Signed: Dated:

Accountable Manager Name:

For and on Behalf of (Quote Organization’s Name):

Contact Number: Email:

Section B:
Scope of Works:

(3)
Scope of Work
Class
(2)
(1)
Airport Name (Code)/ facility (4)
LIMITATION (5)
Remarks
Rating Line
(i)
Base
(ii)

Maint. Maint.
A1
A2
A3
A4
B1
B2
B3

Remarks:
(*) Scope of Work outside EASA.
(**) Scope of Work outside FAA (with EASA Bilateral Agreement).

Keys
Line maintenance - Level of Scope of Work:

Date: 14 June 2017 Revision: 0 Page 1 of 3


AVIATION SAFETY FORMS MANUAL

SECTION: AIRWORTHINESS FORMS


CORPORATE COMMITMENT BY ACCOUNTABLE MANAGER AWF-AMO-004
TITLE: FOR FOREIGN APPROVED MAINTENANCE ORGANISATIONS

L1: Preflight & Transit check including Minor Defects Rectification


L2: L1 checks up to and including Daily check
L3: L2 checks up to and including Weekly/Service check
L4: All line maintenance Checks up to and including A Check
L5: describe the L5

For Scope of Work- Base Maintenance mark (X).

INSTRUCTIONS:

a. Purpose: This requirement is mandatory for:

i. A maintenance organization applying for GCAA AMO Approval with the ratings approved under
EASA/ FAA (with EASA Bilateral Agreement) scope of works. The Accountable Manager shall make a
declaration to the GCAA (required to complete Section A: only), OR

ii. A maintenance organization applying for GCAA AMO Approval with the ratings outside the EASA/
FAA (with EASA Bilateral Agreement) scope of works. The Accountable Manager is required to
make a declaration to the GCAA, (required to complete Section A and Section B)
b. Instructions: The following instruction must be followed to complete the Table in Section B of this form (when
applicable).
1) Airport Name (IATA Code)/ facility location:
Enter clearly the location of the maintenance facility where the intended maintenance works is being
performed.
e.g. - i: If located at Airport - Abu Dhabi International Airport (AUH), Norway House Airport
(YNE)
e.g. - ii: if located away from the Airport - Nantgarw, Cardiff, South wales, UK.
2) Class Rating 1:
Enter clearly define the class rating from one or more of the following; A, B, C and D.

Rating other than A Rating,


Enter clearly any restrictions/ limitations applied under B, C and D ratings.
e.g. Engine (B1, B2 & B3 rating) limited to module change only, and etc.

3) Scope of Work1:
Enter clearly the level of the maintenance work performed as per the application submitted to the
GCAA (Refer Keys):
i. For Line maintenance - Level of Scope of Works: L1, L2. L3, L4 or L5
e.g. : L3- means L2 checks up to and including Weekly/Service check
: L5- as defined in the application submitted to the GCAA, and
: Any restriction/limitation applied, for e.g., Riding Engineer agreement (if any).

ii. For Base Maintenance – Scope of Works


e.g.: Mark X and state clearly any restrictions/ limitations applied on base maintenance (if
any)
4) Limitations1:
Enter clearly the aircraft type (with the engine type fitted).
NOTE: Freighter version must be entered as individual model/ variant.

1 Refer Appendix II to CAR 145 – Organisation Approval Class and Rating Systems
Date: 14 June 2017 Revision: 0 Page 2 of 3
AVIATION SAFETY FORMS MANUAL

SECTION: AIRWORTHINESS FORMS


CORPORATE COMMITMENT BY ACCOUNTABLE MANAGER AWF-AMO-004
TITLE: FOR FOREIGN APPROVED MAINTENANCE ORGANISATIONS

e.g.: Boeing 777 -200/300(GE 90), Airbus A319/A320 (CFM56)


e.g.: Boeing 777F (GE 90)

5) Remarks:
i. (*) Scope of Work outside EASA: Maintenance Organization applying for approval of station/ rating
not covered under EASA scope of work.
ii. (**) Scope of Work outside FAA (with EASA Bilateral Agreement): Maintenance Organization
applying for approval of station/ rating not covered under FAA (with EASA Bilateral Agreement)
scope of work.

Date: 14 June 2017 Revision: 0 Page 3 of 3

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