gaca_gov_sa · form · processed · 2 chunks
GACA ال necesita العامه للطيران المدني General Authority of Civil Aviation [Non-Text] CHIEF INSPECTOR QUALITY AUDIT FORM GACAR PART - 121 The Accountable Executive, or designee, completes this Quality Audit Form and submits it along with all of the other items listed in the Pre- Application Checklist (PAC). This form is used to determine if the individual identified below meets the minimum qualifications to serve as Chief Inspector under GACAR 121.45(a). <table><tr><td>Chief Inspector</td><td colspan="5"></td></tr><tr><td>Company name</td><td colspan="5"></td></tr><tr><td>§121.49(d)</td><td colspan="3">Provide an explanation in the Comments section below for all NO or N/A responses. Include information on pending deviation requests, if applicable.</td><td>YES</td><td>NO N/A</td></tr><tr><td>(1)</td><td colspan="3">Does the individual hold a Mechanic Certificate with both airframe and power plant ratings, and have they held these ratings for at least 3 years?</td><td>□</td><td>□ □</td></tr><tr><td>(2)</td><td colspan="3">Does the individual have at least 3 years of maintenance experience on different types of large airplanes with 10 or more passenger seats with an air carrier or certificated repair station - and 1 year of which must have been as maintenance inspector?</td><td>□</td><td>□ □</td></tr><tr><td>(3)</td><td colspan="3">Does the individual have at least 1 year of experience in a supervisory capacity maintaining the same category and class of aircraft as the certificate holder uses?</td><td>□ □</td><td>□ □</td></tr><tr><td>§119.43(b)</td><td colspan="3">Provide an explanation in the Comments section below if either question is answered YES.</td><td>YES</td><td>NO</td></tr><tr><td>(3)</td><td colspan="3">Has this person exercised control over or held the same or a similar position with a certificate holder whose certificate was revoked, or is in the process of being revoked, and he/she materially contributed to the circumstances causing revocation or causing the revocation process?</td><td>□ □</td><td>□</td></tr><tr><td>(4)</td><td colspan="3">Will this person have control over or have a substantial ownership interest in the applicant - and did this person have the same or similar control or interest in a certificate holder whose certificate was revoked or is in the process of being revoked - and he/she materially contributed to the circumstances causing revocation or causing the revocation process?</td><td>□ □</td><td>□</td></tr></table> Comments <table><tr><td colspan="2">I have reviewed the Chief Inspector Qualification Summary Form and find that the individual named above meets the minimum qualifications for the Chief Inspector position, as required in GACAR §119.43, §121.45, and §121.49(d).</td></tr></table> <table><tr><td colspan="3">To Be Completed by Accountable Executive, or designee</td></tr><tr><td>Print Name and Title</td><td>Signature</td><td></td></tr></table> GACA-AVSES-OPS-F009 Rev: 4, Date: 15 Jul 25 Page 1 of 1