gaca_gov_sa · form · processed · 4 chunks
GACA ال necesita للطيران المدني General Authority of Civil Aviation [Non-Text] DIRECTOR OF OPERATIONS - 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 Director of Operations under GACAR 121.45(a) [Part 121 Scheduled and Un-Scheduled Operations].</td></tr><tr><td colspan="2">Director of Operations</td><td colspan="4"></td></tr><tr><td colspan="2">Company Name</td><td colspan="4"></td></tr><tr><td>§121.49(b)</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 an airline transport pilot certificate?</td><td>□</td><td>□ □</td></tr><tr><td>(2)</td><td colspan="3">Does the individual have at least 3 years supervisory or managerial experience within the last 6 years in a position that exercised operational control over any operations conducted with large airplanes under part 121 or part 135, or if the certificate holder uses only small airplanes in its operations, the experience may be obtained in large or small airplanes?</td><td>□</td><td>□ □</td></tr><tr><td>(3)</td><td colspan="3">In the case of a person becoming a Director of Operations—</td><td>□</td><td>□ □</td></tr><tr><td>(3)(i)</td><td colspan="3">For the first time ever, the individual has at least 3 years' experience, within the past 6 years, as pilot in command of a large airplane operated under part 121 or part 135, if the certificate holders operate 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></tr><tr><td>(3)(ii)</td><td colspan="3">In the case of a person with previous experience as a Director of Operations, does the individual have at least 3 years' experience as pilot in command of a large airplane operating 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></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 I have reviewed the Director of Operations Qualification Summary Form and find that the individual named above meets the minimum qualifications for the Director of Operations position, as required in GACAR §119.43, §121.45, and §121.49(a). TO BE COMPLETED BY ACCOUNTABLE EXECUTIVE, OR DESIGNEE <table><tr><td>Name</td><td></td><td>Signature</td><td></td></tr><tr><td>Title</td><td></td><td>Date</td><td></td></tr></table> GACA-AVSES-OPS-F011 Rev: 4, Date: 27 Apr 25 Page 1 of 1