gaca_gov_sa · form · processed · 3 chunks
GACA الهييه العامه للطيران المدني General Authority of Civil Aviation [Non-Text] CHIEF PILOT - QUALITY AUDIT FORM Part 121 <table><tr><td colspan="6">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 Pilot under GACAR 121.45(a).</td></tr><tr><td colspan="2">Chief Pilot</td><td rowspan="2" colspan="4"></td></tr><tr><td colspan="2">Company Name</td></tr><tr><td colspan="2">§121.49(b)</td><td colspan="2">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>(b)</td><td colspan="3">Does the individual hold an airline transport pilot certificate with appropriate ratings for at least one of the airplanes used in the certificate holder's operation?</td><td>□</td><td>□</td><td>□</td></tr><tr><td>(1)</td><td colspan="3">In the case of a person becoming a Chief Pilot for the first time ever, does the individual have at least 3 years of experience, within the past 6 years, as pilot in command of a large airplane operated under part 121 or part 135, if the certificate holder operates large airplanes?If the certificate holder uses only small airplanes in its operation, the experience may be obtained in either large or small airplanes.</td><td>□</td><td>□</td><td>□</td></tr><tr><td>(2)</td><td colspan="3">In the case of a person with previous experience as a Chief Pilot, does the individual have at least 3 years of experience, as pilot in command of a large airplane operate under part 121 or part 135, if the certificate holder operates large airplanes?If the certificate holder uses only small airplanes in its operation, the experience may be obtained in either large or small airplanes.</td><td>□</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><td></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this person exercised control over or held the same or a similar position with a certificate holder whose certificate was revoked, or is in the process of being revoked, and he/she materially contributed to the circumstances causing revocation or causing the revocation process?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><tr><td colspan="7">Comments</td></tr><tr><td colspan="7"></td></tr><tr><td colspan="7">I have reviewed the Chief Pilot Qualification Summary Form and find that the individual named above meets the minimum qualifications for the Chief Pilot position, as required in GACAR §119.43, §121.45, and §121.49(b).</td></tr><tr><td colspan="7">TO BE COMPLETED BY ACCOUNTABLE EXCUTIVE, OR DESIGNEE</td></tr><tr><td>Name</td><td></td><td>Signature</td><td colspan="4"></td></tr><tr><td>Title</td><td></td><td>Date</td><td colspan="4"></td></tr></table> GACA-AVSES-OPS-F010 Rev: 4, Date: 27 Apr 25 Page 1 of 1