gaca_gov_sa · form · processed · 3 chunks
GACA ال necesita العامه للطيران المدني General Authority of Civil Aviation [Non-Text] DIRECTOR OF MAINTENANCE 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 Director of Maintenance under GACAR 121.45(a). <table><tr><td colspan="2">Director of Maintenance</td><td colspan="5"></td></tr><tr><td colspan="2">Company name</td><td colspan="5"></td></tr><tr><td>§121.49(c)</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</td><td>N/A</td></tr><tr><td>(1)</td><td colspan="3">Does the individual hold a Mechanic Certificate with airframe and power plant ratings?</td><td>□</td><td>□</td><td>□</td></tr><tr><td>(2)</td><td colspan="3">Does the individual have 1 year of experience in a position responsible for returning airplanes to service?</td><td>□</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 under either paragraph (c)(4)(i) or (c)(4)(ii) listed below, maintaining the same category and class of airplane as the certificate holder uses?</td><td>□</td><td>□</td><td>□</td></tr><tr><td>(4)</td><td colspan="3">Does the individual have 3 years of experience within the past 6 years in one or a combination of the following:</td><td>□</td><td>□</td><td>□</td></tr><tr><td>(4)(i)</td><td colspan="3">Maintaining large airplanes with 10 or more passenger seats, including at the time of appointment as Director of Maintenance, experience in maintaining the same category and class of airplane as the certificate holder uses; or</td><td>□</td><td>□</td><td>□</td></tr><tr><td>(4)(ii)</td><td colspan="3">Repairing airplanes in a certificated airframe repair station that is rated to maintain airplanes in the same category and class of airplane as the certificate holder uses?</td><td>□</td><td>□</td><td>□</td></tr><tr><td colspan="3">§119.43(b)</td><td>Provide an explanation in the Comments section below if either question is answered YES.</td><td></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><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><td>□</td></tr></table> <table><tr><td>Comments</td></tr><tr><td></td></tr></table> <table><tr><td>I have reviewed the Director of Maintenance Qualification Summary Form and find that the individual named above meets the minimum qualifications for the Director of Maintenance position, as required in GACAR §119.43, §121.45, and §121.49(c).</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></td><td>Signature</td></tr></table> GACA-AVSES-OPS-F012 Rev: 4, Date: 15 Jul 25 Page 1 of 1