INSTRUCTIONS FOR COMPLETING THE CONFORMITY INSPECTION PLAN

  -------------------- ------------- ---------------- -------------- ----------------------
  **PART I FAA                                        **DATE**:      **Revision:** *If the
  CONFORMITY PLAN**                                   *Enter date of plan is revised then
                                                      conformity     the applicant would
                                                      plan*          assign a revision
                                                                     level to the plan e.g.
                                                                     "rev A" or "rev 1"*

  **a. Applicant                     **b. Project                    
  name:** *Enter name                number:** *Enter                
  of TC or STC                       the FAA assigned                
  applicant which is                 project number.                 
  the same name as on                This number is                  
  the FAA Form                       used for each TC                
  8110-12, Application               or STC project                  
  for Type                           and is assigned                 
  Certificate,                       by the ACO or                   
  Production                         DAS                             
  Certificate, or                    administrator.                  
  Supplemental Type                  Ref. 8110.4                     
  Certificate.*                      paragraph 2-4 d.                
                                     e.g. ST9999LA-T*                

  **c. Aircraft        *Enter the                                    
  model(s) to be       model                                         
  modified:**          number(s) of                                  
                       the aircraft                                  
                       being                                         
                       modified                                      
                       e.g.. Boeing                                  
                       747-400,                                      
                       Gulfstream                                    
                       GV, Bell 210,                                 
                       etc. as it                                    
                       appears on                                    
                       the Type                                      
                       Certificate                                   
                       Data Sheet in                                 
                       the top right                                 
                       hand corner                                   
                       of the first                                  
                       page.*                                        

  **d. General                                                       
  Description of                                                     
  project:** The                                                     
  description should                                                 
  be brief , e.g. "The                                               
  manufacture and                                                    
  installation of a                                                  
  2,000 gallon                                                       
  retardant tank onto                                                
  the aircraft model                                                 
  listed above for                                                   
  fire-fighting                                                      
  purposes".                                                         
  -------------------- ------------- ---------------- -------------- ----------------------

  ---------------- -----------------------------------------------------------
  **PART II Name   
  of Focal points  
  for project:**   

  **a. Facility    *This is the name(s) of the applicant's quality assurance
  Quality          person(s) who is assigned to this project. This person(s)
  Assurance:**     is whom the AR would call when quality issues with the
                   project need to be addressed.* *This person would be
                   involved in the planning and completion of the conformity
                   and airworthiness of the project.* *This person(s) also are
                   responsible for ensuring that the proto-type aircraft
                   conforms and is submitted for airworthiness certification.
                   A phone number and or Email address should be added here.*

  **b. Facility    *This is the name(s) of the applicant's quality or
  Test &           engineering person(s) who is responsible for testing or
  Evaluation:**    flight-testing. This person(s) is whom the AR would call
                   about any conformity or test setup issues associated with
                   the project.* *A phone number and or Email address should
                   be added here.*

  **c. Facility    *This is the name(s) of the applicants engineering
  Engineering:**   person(s) who is assigned to this project. This person(s)
                   is whom the AR would call about any engineering issues
                   associated with the project.*

  **d. Inspection  **Part conformity:** *This is the name(s) of AR(s) who are
  ARs**            qualified to do part conformity. Also list the Phone number
                   of the AR..*

                   **Installation conformity:** *This is the name of the AR(s)
                   who are qualified to do Installation conformity. The AR
                   must also have experience with installations on the type of
                   product being certified. The AR may have limitations in his
                   or her authorization, i.e. Part 25 or Part 23 aircraft. The
                   AR must be qualified and authorized to perform this
                   function. Also list the Phone number of the ARs. Note: ARs
                   are not authorized to split the conformity work of an
                   individual RFC. (Splitting work between ARs using a single
                   RFC has lead to confusion and disagreement between ARs. The
                   responsibilities for completion of a CIR is not clear and
                   this has lead to reports not being completed or inspections
                   not recorded accurately) If the conformity inspections are
                   to be shared between ARs then separate RFCs should be
                   issued. Some DOAs and DASs have specific procedures in
                   their manual that outline how the installation conformities
                   are initiated, tracked and documented in the DOA/DAS
                   facility.*

                   **TIA/TIR/STIR part 1:** *This is the name of the AR who is
                   qualified to perform TIA inspections and airworthiness
                   conformity on aircraft. In addition the AR must possess
                   appropriate knowledge, experience, skills and proficiency
                   to assess the airworthiness condition of the aircraft
                   before flight-testing. Possession of an FAA pilot
                   certificate and/or an Airframe and Powerplant Mechanic
                   certificate would be desirable for these assigned persons.
                   The AR may have limitations in his or her authorization,
                   i.e. Part 25 or Part 23 aircraft, and this should also be
                   verified. **[This AR is required to coordinate the
                   satisfactory completion of section 18a inspections and
                   release the aircraft to the FAA flight test
                   pilot/engineer]{.underline}*****[.]{.underline}** *Also
                   list the Phone number of the AR.*

  **e. Engineering **Test and compliance:** *This is the name(s) of
  ARs**            Engineering AR who the Inspection AR will coordinate with
                   after the completion of the test setup. Also list the AR's
                   Phone number.* **TIA/TIR/STIR part 2:** *This is the
                   name(s) of the Enginering AR(s) who will the Inspection AR
                   will coordinate with for the release of the aircraft to
                   flight test. Also list the Phone number of the ARs.*
  ---------------- -----------------------------------------------------------

+---------+--------------------------+--------------+---+-----+---------+
| **PART  |                          |              |   |     |         |
| III     |                          |              |   |     |         |
| General |                          |              |   |     |         |
| Inform  |                          |              |   |     |         |
| ation** |                          |              |   |     |         |
+---------+--------------------------+--------------+---+-----+---------+
| **a. Is |                          |              | * |     | **NO**  |
| an FAA  |                          |              | * |     |         |
| A       |                          |              | Y |     |         |
| pproved |                          |              | E |     |         |
| Repair  |                          |              | S |     |         |
| Station |                          |              | * |     |         |
| doing   |                          |              | * |     |         |
| the     |                          |              |   |     |         |
| modif   |                          |              |   |     |         |
| ication |                          |              |   |     |         |
| and has |                          |              |   |     |         |
| it been |                          |              |   |     |         |
| evalu   |                          |              |   |     |         |
| ated?** |                          |              |   |     |         |
| *If the |                          |              |   |     |         |
| insta   |                          |              |   |     |         |
| llation |                          |              |   |     |         |
| is not  |                          |              |   |     |         |
| done at |                          |              |   |     |         |
| an FAA  |                          |              |   |     |         |
| a       |                          |              |   |     |         |
| pproved |                          |              |   |     |         |
| repair  |                          |              |   |     |         |
| station |                          |              |   |     |         |
| then    |                          |              |   |     |         |
| add     |                          |              |   |     |         |
| itional |                          |              |   |     |         |
| m       |                          |              |   |     |         |
| easures |                          |              |   |     |         |
| must be |                          |              |   |     |         |
| con     |                          |              |   |     |         |
| sidered |                          |              |   |     |         |
| to      |                          |              |   |     |         |
| ensure  |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| insta   |                          |              |   |     |         |
| llation |                          |              |   |     |         |
| is done |                          |              |   |     |         |
| pr      |                          |              |   |     |         |
| operly. |                          |              |   |     |         |
| The     |                          |              |   |     |         |
| modif   |                          |              |   |     |         |
| ication |                          |              |   |     |         |
| and     |                          |              |   |     |         |
| ins     |                          |              |   |     |         |
| pection |                          |              |   |     |         |
| pe      |                          |              |   |     |         |
| rformed |                          |              |   |     |         |
| by the  |                          |              |   |     |         |
| ap      |                          |              |   |     |         |
| plicant |                          |              |   |     |         |
| must be |                          |              |   |     |         |
| equ     |                          |              |   |     |         |
| ivalent |                          |              |   |     |         |
| to the  |                          |              |   |     |         |
| work    |                          |              |   |     |         |
| pe      |                          |              |   |     |         |
| rformed |                          |              |   |     |         |
| by the  |                          |              |   |     |         |
| PAH or  |                          |              |   |     |         |
| FAA     |                          |              |   |     |         |
| a       |                          |              |   |     |         |
| pproved |                          |              |   |     |         |
| repair  |                          |              |   |     |         |
| s       |                          |              |   |     |         |
| tation. |                          |              |   |     |         |
| It      |                          |              |   |     |         |
| should  |                          |              |   |     |         |
| not be  |                          |              |   |     |         |
| co      |                          |              |   |     |         |
| nstrued |                          |              |   |     |         |
| that an |                          |              |   |     |         |
| FAA     |                          |              |   |     |         |
| a       |                          |              |   |     |         |
| pproved |                          |              |   |     |         |
| repair  |                          |              |   |     |         |
| station |                          |              |   |     |         |
| is any  |                          |              |   |     |         |
| better  |                          |              |   |     |         |
| at      |                          |              |   |     |         |
| doing   |                          |              |   |     |         |
| instal  |                          |              |   |     |         |
| lations |                          |              |   |     |         |
| than a  |                          |              |   |     |         |
| non-FAA |                          |              |   |     |         |
| a       |                          |              |   |     |         |
| pproved |                          |              |   |     |         |
| repair  |                          |              |   |     |         |
| s       |                          |              |   |     |         |
| tation. |                          |              |   |     |         |
| H       |                          |              |   |     |         |
| owever, |                          |              |   |     |         |
| add     |                          |              |   |     |         |
| itional |                          |              |   |     |         |
| m       |                          |              |   |     |         |
| easures |                          |              |   |     |         |
| could   |                          |              |   |     |         |
| include |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| ap      |                          |              |   |     |         |
| plicant |                          |              |   |     |         |
| sub     |                          |              |   |     |         |
| mitting |                          |              |   |     |         |
| a more  |                          |              |   |     |         |
| d       |                          |              |   |     |         |
| etailed |                          |              |   |     |         |
| br      |                          |              |   |     |         |
| eakdown |                          |              |   |     |         |
| of      |                          |              |   |     |         |
| design  |                          |              |   |     |         |
| d       |                          |              |   |     |         |
| rawings |                          |              |   |     |         |
| on the  |                          |              |   |     |         |
| RFC and |                          |              |   |     |         |
| having  |                          |              |   |     |         |
| an AR   |                          |              |   |     |         |
| at the  |                          |              |   |     |         |
| modif   |                          |              |   |     |         |
| ication |                          |              |   |     |         |
| site    |                          |              |   |     |         |
| during  |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| entire  |                          |              |   |     |         |
| d       |                          |              |   |     |         |
| uration |                          |              |   |     |         |
| of the  |                          |              |   |     |         |
| modif   |                          |              |   |     |         |
| ication |                          |              |   |     |         |
| ac      |                          |              |   |     |         |
| tivity. |                          |              |   |     |         |
| The     |                          |              |   |     |         |
| ap      |                          |              |   |     |         |
| plicant |                          |              |   |     |         |
| in most |                          |              |   |     |         |
| cases   |                          |              |   |     |         |
| would   |                          |              |   |     |         |
| not be  |                          |              |   |     |         |
| allowed |                          |              |   |     |         |
| to      |                          |              |   |     |         |
| d       |                          |              |   |     |         |
| elegate |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| signing |                          |              |   |     |         |
| of the  |                          |              |   |     |         |
| 8130-9  |                          |              |   |     |         |
| to the  |                          |              |   |     |         |
| modif   |                          |              |   |     |         |
| ication |                          |              |   |     |         |
| site    |                          |              |   |     |         |
| per     |                          |              |   |     |         |
| sonnel, |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| appl    |                          |              |   |     |         |
| icant's |                          |              |   |     |         |
| QA      |                          |              |   |     |         |
| would   |                          |              |   |     |         |
| be      |                          |              |   |     |         |
| r       |                          |              |   |     |         |
| equired |                          |              |   |     |         |
| to      |                          |              |   |     |         |
| oversee |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| modif   |                          |              |   |     |         |
| ication |                          |              |   |     |         |
| onsite  |                          |              |   |     |         |
| during  |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| entire  |                          |              |   |     |         |
| d       |                          |              |   |     |         |
| uration |                          |              |   |     |         |
| of the  |                          |              |   |     |         |
| modif   |                          |              |   |     |         |
| ication |                          |              |   |     |         |
| a       |                          |              |   |     |         |
| ctivity |                          |              |   |     |         |
| and to  |                          |              |   |     |         |
| sign    |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| 8       |                          |              |   |     |         |
| 130-9.* |                          |              |   |     |         |
+---------+--------------------------+--------------+---+-----+---------+
| **b.    |                          |              |   |     |         |
| List    |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| loca    |                          |              |   |     |         |
| tion(s) |                          |              |   |     |         |
| where   |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| modif   |                          |              |   |     |         |
| ication |                          |              |   |     |         |
| and     |                          |              |   |     |         |
| insta   |                          |              |   |     |         |
| llation |                          |              |   |     |         |
| will be |                          |              |   |     |         |
| done    |                          |              |   |     |         |
| and who |                          |              |   |     |         |
| will do |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| work**: |                          |              |   |     |         |
| *List   |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| address |                          |              |   |     |         |
| and     |                          |              |   |     |         |
| name of |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| f       |                          |              |   |     |         |
| acility |                          |              |   |     |         |
| where   |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| a       |                          |              |   |     |         |
| ircraft |                          |              |   |     |         |
| will be |                          |              |   |     |         |
| m       |                          |              |   |     |         |
| odified |                          |              |   |     |         |
| and     |                          |              |   |     |         |
| flight- |                          |              |   |     |         |
| tested. |                          |              |   |     |         |
| This    |                          |              |   |     |         |
| may     |                          |              |   |     |         |
| also be |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| l       |                          |              |   |     |         |
| ocation |                          |              |   |     |         |
| where   |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| first   |                          |              |   |     |         |
| test    |                          |              |   |     |         |
| flight  |                          |              |   |     |         |
| would   |                          |              |   |     |         |
| occur   |                          |              |   |     |         |
| after   |                          |              |   |     |         |
| insta   |                          |              |   |     |         |
| llation |                          |              |   |     |         |
| of the  |                          |              |   |     |         |
| modifi  |                          |              |   |     |         |
| cation. |                          |              |   |     |         |
| If the  |                          |              |   |     |         |
| site is |                          |              |   |     |         |
| outside |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| United  |                          |              |   |     |         |
| States  |                          |              |   |     |         |
| than an |                          |              |   |     |         |
| undue   |                          |              |   |     |         |
| burden  |                          |              |   |     |         |
| d       |                          |              |   |     |         |
| ecision |                          |              |   |     |         |
| may be  |                          |              |   |     |         |
| r       |                          |              |   |     |         |
| equired |                          |              |   |     |         |
| Ref FAA |                          |              |   |     |         |
| Order   |                          |              |   |     |         |
| 8       |                          |              |   |     |         |
| 100.11. |                          |              |   |     |         |
| If      |                          |              |   |     |         |
| m       |                          |              |   |     |         |
| ultiple |                          |              |   |     |         |
| fac     |                          |              |   |     |         |
| ilities |                          |              |   |     |         |
| are     |                          |              |   |     |         |
| i       |                          |              |   |     |         |
| nvolved |                          |              |   |     |         |
| than    |                          |              |   |     |         |
| consid  |                          |              |   |     |         |
| eration |                          |              |   |     |         |
| for     |                          |              |   |     |         |
| op      |                          |              |   |     |         |
| erating |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| a       |                          |              |   |     |         |
| ircraft |                          |              |   |     |         |
| from    |                          |              |   |     |         |
| one     |                          |              |   |     |         |
| l       |                          |              |   |     |         |
| ocation |                          |              |   |     |         |
| to      |                          |              |   |     |         |
| another |                          |              |   |     |         |
| to      |                          |              |   |     |         |
| c       |                          |              |   |     |         |
| omplete |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| modif   |                          |              |   |     |         |
| ication |                          |              |   |     |         |
| must be |                          |              |   |     |         |
| di      |                          |              |   |     |         |
| scussed |                          |              |   |     |         |
| and     |                          |              |   |     |         |
| ac      |                          |              |   |     |         |
| counted |                          |              |   |     |         |
| for in  |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| plan.   |                          |              |   |     |         |
| If the  |                          |              |   |     |         |
| insta   |                          |              |   |     |         |
| llation |                          |              |   |     |         |
| work is |                          |              |   |     |         |
| split   |                          |              |   |     |         |
| between |                          |              |   |     |         |
| two or  |                          |              |   |     |         |
| more    |                          |              |   |     |         |
| fac     |                          |              |   |     |         |
| ilities |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| plan    |                          |              |   |     |         |
| must    |                          |              |   |     |         |
| also    |                          |              |   |     |         |
| include |                          |              |   |     |         |
| pro     |                          |              |   |     |         |
| cedures |                          |              |   |     |         |
| for     |                          |              |   |     |         |
| coord   |                          |              |   |     |         |
| inating |                          |              |   |     |         |
| and     |                          |              |   |     |         |
| cont    |                          |              |   |     |         |
| rolling |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| work    |                          |              |   |     |         |
| between |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| each    |                          |              |   |     |         |
| site    |                          |              |   |     |         |
| in      |                          |              |   |     |         |
| cluding |                          |              |   |     |         |
| pro     |                          |              |   |     |         |
| visions |                          |              |   |     |         |
| for     |                          |              |   |     |         |
| issuing |                          |              |   |     |         |
| and     |                          |              |   |     |         |
| t       |                          |              |   |     |         |
| racking |                          |              |   |     |         |
| RFCs at |                          |              |   |     |         |
| each    |                          |              |   |     |         |
| lo      |                          |              |   |     |         |
| cation. |                          |              |   |     |         |
| Note:   |                          |              |   |     |         |
| ARs are |                          |              |   |     |         |
| not     |                          |              |   |     |         |
| aut     |                          |              |   |     |         |
| horized |                          |              |   |     |         |
| to      |                          |              |   |     |         |
| split   |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| con     |                          |              |   |     |         |
| formity |                          |              |   |     |         |
| work of |                          |              |   |     |         |
| an      |                          |              |   |     |         |
| ind     |                          |              |   |     |         |
| ividual |                          |              |   |     |         |
| RFC.    |                          |              |   |     |         |
| (Sp     |                          |              |   |     |         |
| litting |                          |              |   |     |         |
| work    |                          |              |   |     |         |
| between |                          |              |   |     |         |
| ARs     |                          |              |   |     |         |
| using a |                          |              |   |     |         |
| single  |                          |              |   |     |         |
| RFC has |                          |              |   |     |         |
| lead to |                          |              |   |     |         |
| co      |                          |              |   |     |         |
| nfusion |                          |              |   |     |         |
| and     |                          |              |   |     |         |
| disag   |                          |              |   |     |         |
| reement |                          |              |   |     |         |
| between |                          |              |   |     |         |
| ARs.    |                          |              |   |     |         |
| The     |                          |              |   |     |         |
| re      |                          |              |   |     |         |
| sponsib |                          |              |   |     |         |
| ilities |                          |              |   |     |         |
| for     |                          |              |   |     |         |
| com     |                          |              |   |     |         |
| pletion |                          |              |   |     |         |
| of a    |                          |              |   |     |         |
| CIR is  |                          |              |   |     |         |
| not     |                          |              |   |     |         |
| clear   |                          |              |   |     |         |
| and     |                          |              |   |     |         |
| this    |                          |              |   |     |         |
| has     |                          |              |   |     |         |
| lead to |                          |              |   |     |         |
| reports |                          |              |   |     |         |
| not     |                          |              |   |     |         |
| being   |                          |              |   |     |         |
| co      |                          |              |   |     |         |
| mpleted |                          |              |   |     |         |
| or      |                          |              |   |     |         |
| insp    |                          |              |   |     |         |
| ections |                          |              |   |     |         |
| not     |                          |              |   |     |         |
| r       |                          |              |   |     |         |
| ecorded |                          |              |   |     |         |
| accur   |                          |              |   |     |         |
| ately)* |                          |              |   |     |         |
+---------+--------------------------+--------------+---+-----+---------+
| **c.    |                          |              |   |     |         |
| D       |                          |              |   |     |         |
| escribe |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| main    |                          |              |   |     |         |
| tenance |                          |              |   |     |         |
| requi   |                          |              |   |     |         |
| rements |                          |              |   |     |         |
| needed  |                          |              |   |     |         |
| for     |                          |              |   |     |         |
| main    |                          |              |   |     |         |
| taining |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| a       |                          |              |   |     |         |
| ircraft |                          |              |   |     |         |
| during  |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| proj    |                          |              |   |     |         |
| ect***: |                          |              |   |     |         |
| List    |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| main    |                          |              |   |     |         |
| tenance |                          |              |   |     |         |
| manual  |                          |              |   |     |         |
| or      |                          |              |   |     |         |
| pro     |                          |              |   |     |         |
| cedures |                          |              |   |     |         |
| that    |                          |              |   |     |         |
| will be |                          |              |   |     |         |
| used.   |                          |              |   |     |         |
| Most    |                          |              |   |     |         |
| app     |                          |              |   |     |         |
| licants |                          |              |   |     |         |
| use an  |                          |              |   |     |         |
| a       |                          |              |   |     |         |
| ircraft |                          |              |   |     |         |
| from an |                          |              |   |     |         |
| o       |                          |              |   |     |         |
| perator |                          |              |   |     |         |
| (Part   |                          |              |   |     |         |
| 121 or  |                          |              |   |     |         |
| Part    |                          |              |   |     |         |
| 135),   |                          |              |   |     |         |
| in      |                          |              |   |     |         |
| these   |                          |              |   |     |         |
| cases   |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| op      |                          |              |   |     |         |
| erators |                          |              |   |     |         |
| main    |                          |              |   |     |         |
| tenance |                          |              |   |     |         |
| pro     |                          |              |   |     |         |
| cedures |                          |              |   |     |         |
| should  |                          |              |   |     |         |
| be      |                          |              |   |     |         |
| refer   |                          |              |   |     |         |
| enced.* |                          |              |   |     |         |
|         |                          |              |   |     |         |
| *Some   |                          |              |   |     |         |
| flight  |                          |              |   |     |         |
| tests   |                          |              |   |     |         |
| may     |                          |              |   |     |         |
| occur   |                          |              |   |     |         |
| over    |                          |              |   |     |         |
| several |                          |              |   |     |         |
| months  |                          |              |   |     |         |
| to      |                          |              |   |     |         |
| years   |                          |              |   |     |         |
| and may |                          |              |   |     |         |
| include |                          |              |   |     |         |
| flight  |                          |              |   |     |         |
| tests   |                          |              |   |     |         |
| beyond  |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| oper    |                          |              |   |     |         |
| ational |                          |              |   |     |         |
| e       |                          |              |   |     |         |
| nvelope |                          |              |   |     |         |
| of the  |                          |              |   |     |         |
| TCDS.   |                          |              |   |     |         |
| Extra   |                          |              |   |     |         |
| ins     |                          |              |   |     |         |
| pection |                          |              |   |     |         |
| m       |                          |              |   |     |         |
| easures |                          |              |   |     |         |
| must be |                          |              |   |     |         |
| con     |                          |              |   |     |         |
| sidered |                          |              |   |     |         |
| for     |                          |              |   |     |         |
| these   |                          |              |   |     |         |
| tests.  |                          |              |   |     |         |
| O       |                          |              |   |     |         |
| perator |                          |              |   |     |         |
| main    |                          |              |   |     |         |
| tenance |                          |              |   |     |         |
| pro     |                          |              |   |     |         |
| cedures |                          |              |   |     |         |
| may not |                          |              |   |     |         |
| be      |                          |              |   |     |         |
| suf     |                          |              |   |     |         |
| ficient |                          |              |   |     |         |
| to      |                          |              |   |     |         |
| inspect |                          |              |   |     |         |
| and     |                          |              |   |     |         |
| m       |                          |              |   |     |         |
| aintain |                          |              |   |     |         |
| a       |                          |              |   |     |         |
| flight  |                          |              |   |     |         |
| test    |                          |              |   |     |         |
| a       |                          |              |   |     |         |
| ircraft |                          |              |   |     |         |
| op      |                          |              |   |     |         |
| erating |                          |              |   |     |         |
| under   |                          |              |   |     |         |
| an      |                          |              |   |     |         |
| exper   |                          |              |   |     |         |
| imental |                          |              |   |     |         |
| certi   |                          |              |   |     |         |
| ficate. |                          |              |   |     |         |
| Some    |                          |              |   |     |         |
| flight  |                          |              |   |     |         |
| test    |                          |              |   |     |         |
| con     |                          |              |   |     |         |
| ditions |                          |              |   |     |         |
| will    |                          |              |   |     |         |
| require |                          |              |   |     |         |
| the     |                          |              |   |     |         |
| ap      |                          |              |   |     |         |
| plicant |                          |              |   |     |         |
| to      |                          |              |   |     |         |
| provide |                          |              |   |     |         |
| an      |                          |              |   |     |         |
| ins     |                          |              |   |     |         |
| pection |                          |              |   |     |         |
| plan    |                          |              |   |     |         |
| and     |                          |              |   |     |         |
| pro     |                          |              |   |     |         |
| cedures |                          |              |   |     |         |
| to the  |                          |              |   |     |         |
| MI      |                          |              |   |     |         |
| DO/FSDO |                          |              |   |     |         |
| for     |                          |              |   |     |         |
| review  |                          |              |   |     |         |
| and     |                          |              |   |     |         |
| concu   |                          |              |   |     |         |
| rrence. |                          |              |   |     |         |
| The     |                          |              |   |     |         |
| plan    |                          |              |   |     |         |
| and     |                          |              |   |     |         |
| pro     |                          |              |   |     |         |
| cedures |                          |              |   |     |         |
| include |                          |              |   |     |         |
| in      |                          |              |   |     |         |
| creased |                          |              |   |     |         |
| insp    |                          |              |   |     |         |
| ections |                          |              |   |     |         |
| that    |                          |              |   |     |         |
| n       |                          |              |   |     |         |
| ormally |                          |              |   |     |         |
| would   |                          |              |   |     |         |
| not be  |                          |              |   |     |         |
| pe      |                          |              |   |     |         |
| rformed |                          |              |   |     |         |
| under a |                          |              |   |     |         |
| S       |                          |              |   |     |         |
| tandard |                          |              |   |     |         |
| Airwor  |                          |              |   |     |         |
| thiness |                          |              |   |     |         |
| Certif  |                          |              |   |     |         |
| icate.* |                          |              |   |     |         |
+---------+--------------------------+--------------+---+-----+---------+
| **d.    | **Is Aircraft U.S.       |              | * |     | **NO**  |
| A       | Registered**             |              | * |     |         |
| ircraft |                          |              | Y |     |         |
| Inform  | *Checked yes if a US     |              | E |     |         |
| ation** | registered aircraft is   |              | S |     |         |
|         | to be used for           |              | * |     |         |
|         | installation conformity  |              | * |     |         |
|         | and or TIA               |              |   |     |         |
|         | flight-testing. If no is |              |   |     |         |
|         | checked, FAA must        |              |   |     |         |
|         | request permission from  |              |   |     |         |
|         | the country of registry  |              |   |     |         |
|         | before modification can  |              |   |     |         |
|         | begin. (ref ICAO annex 8 |              |   |     |         |
|         | and FAA Order 8110.4.*   |              |   |     |         |
+---------+--------------------------+--------------+---+-----+---------+
|         | **List Aircraft          |              |   |     |         |
|         | Registration Number**    |              |   |     |         |
|         | *List the registration   |              |   |     |         |
|         | number if known, if not, |              |   |     |         |
|         | enter TBD and update the |              |   |     |         |
|         | plan with the            |              |   |     |         |
|         | registration number      |              |   |     |         |
|         | prior to requesting      |              |   |     |         |
|         | installation             |              |   |     |         |
|         | conformity.*             |              |   |     |         |
+---------+--------------------------+--------------+---+-----+---------+
|         | **STC Notification       | **Date       |   | *   |         |
|         | letter for Foreign       | Letter       |   | *Re |         |
|         | Registered Aircraft and  | Sent**       |   | ply |         |
|         | Validation/Acceptance of |              |   | R   |         |
|         | In-process STC** *If a   | *Enter date  |   | ece |         |
|         | foreign registered       | FAA sent     |   | ive |         |
|         | aircraft is used for     | notification |   | d** |         |
|         | installation conformity  | to the       |   |     |         |
|         | and/or flight testing,   | country of   |   | *En |         |
|         | the FAA must notify the  | registry.*   |   | ter |         |
|         | country of registry in   |              |   | w   |         |
|         | accordance with 8110.4   | *If letter   |   | hat |         |
|         | and AIR-4 policy.        | was not      |   | ap  |         |
|         | Positive written         | sent, the    |   | pro |         |
|         | response must be         | applicant    |   | val |         |
|         | received prior to any    | must plan 30 |   | was |         |
|         | modification work.*      | days in      |   | re  |         |
|         |                          | their        |   | cei |         |
|         | **Ref. AIR-4 policy memo | schedule for |   | ved |         |
|         | 99-03**                  | the          |   | f   |         |
|         |                          | notification |   | rom |         |
|         |                          | letter and   |   | the |         |
|         |                          | acceptance   |   | CAA |         |
|         |                          | letter to be |   | in  |         |
|         |                          | complete.    |   | the |         |
|         |                          | E.g. FAA     |   | c   |         |
|         |                          | letter to be |   | oun |         |
|         |                          | sent by      |   | try |         |
|         |                          | 2-3-03,      |   | of  |         |
|         |                          | installation |   | reg |         |
|         |                          | date is      |   | ist |         |
|         |                          | 3-3-03.*     |   | ry. |         |
|         |                          |              |   | If  |         |
|         |                          |              |   | not |         |
|         |                          |              |   | kn  |         |
|         |                          |              |   | own |         |
|         |                          |              |   | t   |         |
|         |                          |              |   | hen |         |
|         |                          |              |   | en  |         |
|         |                          |              |   | ter |         |
|         |                          |              |   | TB  |         |
|         |                          |              |   | D.* |         |
+---------+--------------------------+--------------+---+-----+---------+

+-----------------------------------------------------+-------+--------+
| **Part IV Inspections systems**                     |       |        |
+-----------------------------------------------------+-------+--------+
| **a. Describe the type of planning, travelers, work |       |        |
| orders, etc. used for inspection. If procedures are |       |        |
| used list the procedure title and latest            |       |        |
| revision/date:** *Provide a description of the      |       |        |
| planning paperwork that will be used for the        |       |        |
| installation and inspection of the parts. Some      |       |        |
| companies use planning paper different than used in |       |        |
| production. Some companies have used the actual     |       |        |
| drawings for documenting their inspections or       |       |        |
| develop their planning documents during the         |       |        |
| prototype construction. In these situations the     |       |        |
| Inspection ARs and MIDO need to understand the type |       |        |
| of planning documents to be used. This information  |       |        |
| is helpful to determine the extent of conformity    |       |        |
| inspections to be conducted or witnessed by the     |       |        |
| ARs. The conformity program should be adjusted to   |       |        |
| fit unique or unusual conditions.*                  |       |        |
+-----------------------------------------------------+-------+--------+
| b.  **Are suppliers going to be used for the        | **    | **NO** |
|     project?** *Check this YES if suppliers are     | YES** |        |
|     used to produce the prototype parts. (Standard  |       |        |
|     parts i.e. bolts, nuts, washers, etc should not |       |        |
|     be considered)*                                 |       |        |
+-----------------------------------------------------+-------+--------+
| c.  **If so, name the supplier(s), location and     |       |        |
|     their involvement in the project:**             |       |        |
|                                                     |       |        |
| List all the suppliers names, locations, and        |       |        |
| products being produced for the project. This       |       |        |
| information is needed to determine the level of     |       |        |
| MIDO involvement with the project. If suppliers in  |       |        |
| other countries are used, an undue burden decision  |       |        |
| paper will be processed by the MIDO. This           |       |        |
| information will help the DAS/DOA determine if they |       |        |
| need to send an AR or if they have a approved AR at |       |        |
| the supplier that can do the inspections.           |       |        |
+-----------------------------------------------------+-------+--------+
| **d. Is the supplier(s) quality system approved by  | **    | **NO** |
| applicant?** *Check YES if the applicant has a      | YES** |        |
| procedure and process for reviewing and approving   |       |        |
| the supplier quality system and this has been       |       |        |
| accomplished satisfactorily. Suppliers with         |       |        |
| unacceptable levels of production quality problems  |       |        |
| have been known to produce prototype parts in these |       |        |
| situations a higher level of Conformity inspections |       |        |
| are required. If NO is checked then the AR may have |       |        |
| to spend more time inspecting the product since the |       |        |
| supplier quality system is unknown or undergoing    |       |        |
| approval by the applicant.*                         |       |        |
+-----------------------------------------------------+-------+--------+

+-----------------------------------------------------+-------+--------+
| e.  **List the special processes used in this       | **    | **NO** |
|     design that have or have not had been           | YES** |        |
|     previously approved by the FAA.**               |       |        |
|                                                     |       |        |
| *If special process have had an FAA conformity      |       |        |
| inspection and was approved on prior projects by    |       |        |
| the applicant, an in depth conformity inspection    |       |        |
| usually is not required. Information provided here  |       |        |
| will assist the FAA in determining the level and    |       |        |
| depth of conformity inspection required for the     |       |        |
| project.*                                           |       |        |
|                                                     |       |        |
| *Specifications that offers multiple options for    |       |        |
| processing will require an in-depth conformity      |       |        |
| inspection. These types of specifications leave the |       |        |
| manufacturing person to choose from a number of     |       |        |
| options for processing the product. Inappropriate   |       |        |
| choices of methods could be made, depending upon    |       |        |
| previous experience and training by person using    |       |        |
| the specification. The practice of referencing      |       |        |
| general specifications and guidance could result in |       |        |
| a product not meeting the intended definition of    |       |        |
| the design configuration. A conformity inspection   |       |        |
| is requested to ensure that process controls        |       |        |
| produce consistent and conforming product.*         |       |        |
+-----------------------------------------------------+-------+--------+
| **f. If the suppliers are not approved for the      |       |        |
| special processes explain the process of how will   |       |        |
| they be approved to perform the process:**          |       |        |
| Applicants must explain how they will evaluate and  |       |        |
| inspect the special processes performed by their    |       |        |
| suppliers. Information provided here will assist    |       |        |
| the ARs and MIDO in deciding the level of           |       |        |
| involvement. If the applicant has an adequate       |       |        |
| written procedure used to evaluate and inspect      |       |        |
| processes and changes, the level of conformity      |       |        |
| inspection could be reduced. In the case of an      |       |        |
| applicant not having an adequate written procedure  |       |        |
| it would be necessary to conduct a higher level of  |       |        |
| conformity inspections on the processes until such  |       |        |
| time as the DOA/DAS /FAA has confidence that they   |       |        |
| can safely rely to a greater degree upon the        |       |        |
| company system.                                     |       |        |
+-----------------------------------------------------+-------+--------+

+-----------------------------------------------------+-------+--------+
| **Part V Applicant Conformity Inspections**         |       |        |
+-----------------------------------------------------+-------+--------+
| **a. List company inspection procedures to be used  |       |        |
| to perform Conformity Inspection / First Article    |       |        |
| inspection:** *This section applies if an applicant |       |        |
| has an adequate written First Article Inspection    |       |        |
| (FAI) system that equals or exceeds the conformity  |       |        |
| requirements in FAA policy (e.g. FAA Order 8110.4). |       |        |
| The level of conformity determinations may vary     |       |        |
| depending upon the applicant\'s FAI process,        |       |        |
| procedures, experience, inspection personnel,       |       |        |
| equipment, facilities, and FAI documentation. Due   |       |        |
| to those differences between applicants FAI process |       |        |
| and involvement in overseeing the process, the      |       |        |
| conformity program may be adjusted to fit existing  |       |        |
| conditions. In the case of an applicant who relies  |       |        |
| on the ability of the supplier to perform the       |       |        |
| conformity inspection and the supplier to issue the |       |        |
| 8130-9 it would be necessary to conduct a higher    |       |        |
| percentage of conformity inspections. If an         |       |        |
| applicant has previously demonstrated to the FAA    |       |        |
| the acceptability their FAI process and procedures  |       |        |
| and subject the prototype product to these          |       |        |
| controls, the level of conformity inspection may be |       |        |
| adjusted. Prior to any benefits of this approach    |       |        |
| the applicant must present a written FAI system for |       |        |
| evaluation to the FAA. The applicant must allow     |       |        |
| sufficient time for the FAA to evaluate the         |       |        |
| system.*                                            |       |        |
+-----------------------------------------------------+-------+--------+
| **b. Are these procedures equivalent to the         | **    | **NO** |
| conformity inspection criteria in FAA Order 8110.4  | YES** |        |
| Chapter 5?** *Applicants should only mark this YES  |       |        |
| if they have made a determination that their FAI    |       |        |
| procedures equals or exceeds the conformity         |       |        |
| inspections in FAA 8110.4, if the applicant has not |       |        |
| made this determination then they should describe   |       |        |
| below how they will meet 14 CFR Part 21.33. Only    |       |        |
| mark this YES if a complete evaluation and          |       |        |
| comparison has been made. It is not a requirement   |       |        |
| for a applicant to have such a procedure however    |       |        |
| they can benefit from it.*                          |       |        |
+-----------------------------------------------------+-------+--------+
| **c. If not, what alternative procedures will be    |       |        |
| used to ensure the same level of inspections are    |       |        |
| made?** *Many applicants do not have healthy        |       |        |
| written FAI system that can be use for FAA          |       |        |
| projects. Most applicants do not have a written     |       |        |
| procedure and process to evaluate their supplier's  |       |        |
| FAI system. In this case applicants should use      |       |        |
| either the procedures in FAA Order 8110.4 chapter   |       |        |
| 5, or they should describe their inspection process |       |        |
| they will use to ensure compliance with 14 CFR Part |       |        |
| 21.33. ARs are not responsible to perform           |       |        |
| inspections in lieu of an applicant's inspection.   |       |        |
| Applicants are responsible to perform 100%          |       |        |
| conformity inspections, and they can not rely on    |       |        |
| ARs to perform conformity inspections on their      |       |        |
| behalf. Many applicant's delegate their FAI         |       |        |
| inspections to suppliers without actually knowing   |       |        |
| the supplier's capability to meet 14 CFR Part       |       |        |
| 21.33. If applicants have not adequately described  |       |        |
| and documented their FAI process, and have not      |       |        |
| flowed down the FAI requirements to their supplier, |       |        |
| ARs will have greater involvement in the level of   |       |        |
| conformity inspections. Applicants may benefit from |       |        |
| having a proven FAI system that the FAA can rely    |       |        |
| on.*                                                |       |        |
+-----------------------------------------------------+-------+--------+
| **d. Name of the responsible QA person(s) from the  |       |        |
| applicant responsible to sign the 8130-9 Statement  |       |        |
| of conformity in accordance with 14 CFR §21.50 and  |       |        |
| §21.33:**                                           |       |        |
|                                                     |       |        |
| List the name of the person from the quality        |       |        |
| organization. If the applicant delegates to a       |       |        |
| supplier, add the name of the representative at the |       |        |
| supplier who will act as the applicant's agent. A   |       |        |
| copy of the authorization letter must be attached   |       |        |
| to FAA Form 8130-9 when it is submitted to the FAA. |       |        |
| The agent letter from the applicant must have a     |       |        |
| name of a person(s) who is qualified to perform the |       |        |
| inspection on their behalf. Listing only the        |       |        |
| supplier organization title is not acceptable.      |       |        |
| Applicant must know who they are delegating to and  |       |        |
| their qualifications and experience. Applicants     |       |        |
| must ensure that the person signing the 8130-9 has  |       |        |
| knowledge of 14 CFR 21.33 and 21.53and that the     |       |        |
| person is responsible to signing the form and       |       |        |
| submit the form to the AR.                          |       |        |
|                                                     |       |        |
| *14 CFR part 21.33 requires each* applicant to make |       |        |
| all inspections and tests necessary to determine\-- |       |        |
| (1) Compliance with the applicable requirements;    |       |        |
| (2) That materials and products conform to the      |       |        |
| specifications in the type design; (3) That parts   |       |        |
| of the products conform to the drawings in the type |       |        |
| design; and (4) That the manufacturing processes,   |       |        |
| construction and assembly conform to those          |       |        |
| specified in the type design.                       |       |        |
|                                                     |       |        |
| ***If delegated to applicant\'s supplier applicant  |       |        |
| must submit a letter of delegation in accordance    |       |        |
| with 8110.4 chapter 5. Applicant must assure the    |       |        |
| same level of conformity inspection is performed as |       |        |
| outlined in 8110.4.***                              |       |        |
+-----------------------------------------------------+-------+--------+

+-----------------------------------------------------------------------+
| **Part VI FAA Conformity Inspections Identification and Tracking**    |
+-----------------------------------------------------------------------+
| **a. Name of AR(s) responsible to generate the 8120-10 request for    |
| conformity for this project.** *If other than the applicant for the   |
| project, list the name and phone number of the person from the        |
| applicant who will write the conformity request. This is usually an   |
| engineering AR.*                                                      |
+-----------------------------------------------------------------------+
| **b. Explain how the 8120-10s will be coordinated with the ARs.** *In |
| most cases the 8120-10 will be given to the ARs within the DAS or     |
| DOA; however, sometimes the RFCs are to be coordinated to ARs at      |
| suppliers and the MIDO needs to know how this will occur.*            |
+-----------------------------------------------------------------------+
| **c. Explain how the applicant will track the initiation and          |
| completion of Conformity Inspections:**                               |
|                                                                       |
| It's expected the applicant will track the initiation and completion  |
| of all conformity inspections for their project. Applicant must       |
| describe a method to ensure all FAA inspections are coordinated,      |
| tracked and all unsatisfactory conditions listed on the AR's 8100-1   |
| are closed before TC/STC approval. Applicant must also ensure all     |
| deviations they or their suppliers list on the 8130-9 are disposition |
| by the AR engineer. [NOTE: TC/STC approvals have been delayed because |
| an applicant failed to track conformity inspections at their          |
| facility, their suppliers, or at the test site. This is especially    |
| common when an applicant delegates their inspection and signing of    |
| the 8130-9.]{.underline}                                              |
+-----------------------------------------------------------------------+
| **d. Name of person (s) responsible to track the conformity           |
| inspections for the applicant:**                                      |
|                                                                       |
| *Enter the name and phone number of the person(s) from the applicant. |
| This person(s) should also track the conformity inspections at the    |
| suppliers and final installation location.*                           |
+-----------------------------------------------------------------------+

+-------------+--------------------------------------------------------+
| **Part VII  |                                                        |
| Conformity  |                                                        |
| De          |                                                        |
| scription** |                                                        |
+-------------+--------------------------------------------------------+
| **a. Part   | **Description of parts and assemblies to be            |
| c           | conformed:** *Describe at least the type,              |
| onformity** | nomenclature, and quantity of the parts needing        |
|             | conformity. Applicant may also list parts numbers.     |
|             | Also list all the parts that the applicant will        |
|             | propose to the FAA not requiring conformity along with |
|             | an explanation of why they think the parts do not      |
|             | require FAA conformity. This is only a proposal to the |
|             | FAA. The FAA will make final determination of          |
|             | conformity level. Applicant may risk their TC/STC      |
|             | approval if parts were not conformed and it was later  |
|             | determined that the parts required FAA conformity.*    |
+-------------+--------------------------------------------------------+
| **b.        | **Description of parts / assemblies / equipment /      |
| I           | engines requiring installation conformity:** *Describe |
| nstallation | the parts, equipment and type of installations         |
| c           | requiring conformity inspection. Also any electrical   |
| onformity** | installations must be listed here. Applicant may also  |
|             | list installation drawings. All parts being installed  |
|             | on a aircraft in service requires installation         |
|             | conformity unless otherwise authorized by the MIDO.    |
|             | All Part 25 electrical installations require a         |
|             | conformity inspection. (Reference policy statement     |
|             | number ANM--01--04; system wiring policy for           |
|             | certification of part 25 airplanes.)*                  |
+-------------+--------------------------------------------------------+
| **c. Test   | **Description of test equipment/ instrumentation being |
| c           | used that will require installation conformity:**      |
| onformity** | *Describe the test equipment to be installed on the    |
|             | test aircraft. And provide a general description of    |
|             | the installation. With this information the ARs or FAA |
|             | can provide special instructions to the ARs for        |
|             | inspecting the equipment on board the aircraft.        |
|             | (example: temporary testing equipment installed in the |
|             | cabin area where personnel are present during flight   |
|             | would require verifying sharp objects are not          |
|             | protruding into the isle; verifying equipment is       |
|             | secure to prevent movement in flight; Verifying        |
|             | equipment floor studs are not protruding past nuts and |
|             | are safely capped to prevent injury to personnel       |
|             | walking on aircraft.)*                                 |
+-------------+--------------------------------------------------------+
|             | **Description of test set up conformity:** *Describe   |
|             | the type of test set up that will require conformity   |
|             | inspection. (e.g. bird impact test, GVT, galley load,  |
|             | coupon pull testing, static load, etc)*                |
+-------------+--------------------------------------------------------+
| **d.        | **Description of coupons and test instrumentation      |
| F           | requiring conformity:**                                |
| lammability |                                                        |
| and         | Provide the type, and nomenclature of coupons and      |
| Fi          | instruments.                                           |
| re-blocking |                                                        |
| Test coupon |                                                        |
| c           |                                                        |
| onformity** |                                                        |
+-------------+--------------------------------------------------------+
|             | **Description of Tests requiring test set up           |
|             | conformity:**                                          |
|             |                                                        |
|             | Describe the type of test set up that will require     |
|             | conformity inspection.                                 |
+-------------+--------------------------------------------------------+

+-------------+--------------------------------------------------------+
| **f. Post   | **Description of how modifications or replacement of   |
| Conformity  | FAA conformed parts will be re-conformed:** *If        |
| Mo          | modifications to FAA conformed parts are anticipated   |
| difications | then the applicant should have a method to identify    |
| and/or      | the design modification and have a new 8120-10 issued  |
| Rep         | for conforming the delta change made to the part or    |
| lacements** | assembly*. *[14 CFR part 21.33 requires each applicant |
|             | to allow the FAA to make any inspection and any flight |
|             | and ground test necessary to determine compliance with |
|             | the applicable requirements of the Federal Aviation    |
|             | Regulations. However, unless otherwise authorized by   |
|             | the Administrator\-- (1) No aircraft, aircraft engine, |
|             | propeller, or part thereof may be presented to the     |
|             | Administrator for test unless compliance with          |
|             | paragraphs (b)(2) through (b)(4) of this section has   |
|             | been shown for that aircraft, aircraft engine,         |
|             | propeller, or part thereof; and (2) No change may be   |
|             | made to an aircraft, aircraft engine, propeller, or    |
|             | part thereof between the time that compliance with     |
|             | paragraphs (b)(2) through (b)(4) of this section is    |
|             | shown for that aircraft, aircraft engine, propeller,   |
|             | or part thereof and the time that it is presented to   |
|             | the Administrator for test.]{.underline}*              |
+-------------+--------------------------------------------------------+
|             | **Person responsible for tracking modifications or     |
|             | replacements:**                                        |
|             |                                                        |
|             | List the name and phone number of the person at the    |
|             | flight test location that will oversee this activity.  |
|             | For example there have been STC projects where flight  |
|             | test personnel removed an LRU and returned it to their |
|             | supplier for modification but failed to request a      |
|             | re-conformity of the design change. It is important    |
|             | that the applicant understands 14 CRF part             |
|             | 21.33(a)(2).                                           |
+-------------+--------------------------------------------------------+
| **g. Flight | **Location(s) of TIA flight tests:**                   |
| Testing**   |                                                        |
|             | *Provide the address, state, country where the flight  |
|             | test are to be conducted. Testing done outside the     |
|             | geographical area of the MIDO will require             |
|             | coordination with other FAA offices or foreign         |
|             | authorities before a TIA can be issued. Sometimes      |
|             | applicants do not know this information until later in |
|             | the project. In this case note To Be Determine (TBD).  |
|             | The MIDO should be notified about the proposed flight  |
|             | test area at least 1 month prior to flight testing.    |
|             | The MIDO will make the determination if the flight     |
|             | test area is acceptable in coordination with FSDO and  |
|             | the foreign authorities.*                              |
+-------------+--------------------------------------------------------+
|             | **Estimated date of flight testing:** *The applicant   |
|             | must allow enough time for the AR to complete the TIA  |
|             | inspections. If this date is not known in the          |
|             | beginning of the program then that applicant can enter |
|             | TBD, but must plan to have a flight test date selected |
|             | to allow the FAA time to coordinate the TIA.*          |
+-------------+--------------------------------------------------------+
| **e.        | **Name of engineering ARs responsible to approve       |
| Conformity  | deviations and unsatisfactory conditions listed on FAA |
| Inspection  | Form 8130-9 and FAA Form 8100-1:**                     |
| D           |                                                        |
| eviations** | *List the Engineering AR name(s), phone number(s) and  |
|             | discipline(s). ARs can only approve engineering        |
| **ref.      | technical data within the limits of his/her authority  |
| 8110.4      | by means of FAA Form 8100-9 or by signing an unsat     |
| Chapter 5** | condition on an 8100-1 written by a inspection AR. ARs |
|             | must follow the procedures of FAA Order 8110.4, Type   |
|             | Certification Process.*                                |
+-------------+--------------------------------------------------------+

+----------------------+-----------------------------------------------+
| **Part VIII          |                                               |
| Airworthiness        |                                               |
| Certification and    |                                               |
| Return to Service at |                                               |
| Completion of        |                                               |
| Program**            |                                               |
+----------------------+-----------------------------------------------+
| **a. Who will make   | **Experimental certificate:** *List the name, |
| application (Form    | phone number and title of the person who will |
| 8130-6) to FAA and   | make application to the Inspection AR..       |
| where will the       | Application for a U.S. airworthiness          |
| certification take   | certificate must be made by the registered    |
| place?**             | owner or an agent who has a notarized letter  |
|                      | of authorization from the registered owner.   |
| **Ref AC 21-12**     | This person must complete and sign the        |
|                      | appropriate sections of Form 8130-6 prior to  |
|                      | submitting it to the Inspection AR.*          |
+----------------------+-----------------------------------------------+
|                      | **Standard airworthiness certificate:** *List |
|                      | the name, phone number and title of the       |
|                      | person who will make application to the       |
|                      | Inspection AR.. Application for a U.S.        |
|                      | airworthiness certificate must be made by the |
|                      | registered owner or an agent who has a        |
|                      | notarized letter of authorization from the    |
|                      | registered owner. This person must complete   |
|                      | and sign the appropriate sections of Form     |
|                      | 8130-6 prior to submitting it to the          |
|                      | Inspection AR..*                              |
+----------------------+-----------------------------------------------+
| **b. If required     |                                               |
| describe the plan to |                                               |
| incorporate all      |                                               |
| approved design      |                                               |
| changes to the test  |                                               |
| aircraft in order to |                                               |
| make the aircraft    |                                               |
| eligible for a       |                                               |
| Standard             |                                               |
| Airworthiness        |                                               |
| Certificate:**       |                                               |
|                      |                                               |
| If a design change   |                                               |
| is made to           |                                               |
| previously inspected |                                               |
| TIR items then it    |                                               |
| should be reported   |                                               |
| together with a      |                                               |
| suitable explanation |                                               |
| of the condition to  |                                               |
| the MIDO and AR      |                                               |
| responsible for      |                                               |
| issuing the Standard |                                               |
| Airworthiness        |                                               |
| Certificate. In      |                                               |
| addition, the        |                                               |
| applicant and AR     |                                               |
| should determine     |                                               |
| that all approved    |                                               |
| design changes made  |                                               |
| to the MDL are       |                                               |
| incorporated into    |                                               |
| production drawings  |                                               |
| and the aircraft     |                                               |
| configuration        |                                               |
| conforms to the      |                                               |
| APPROVED TYPE DESIGN |                                               |
| BEFORE ISSUING THE   |                                               |
| AIRWORHTINESS        |                                               |
| CERTIFICATE. Many    |                                               |
| times last minute    |                                               |
| design changes occur |                                               |
| after TIA testing    |                                               |
| and the aircraft     |                                               |
| have not been        |                                               |
| reworked to the      |                                               |
| final approved       |                                               |
| configuration person |                                               |
| before making        |                                               |
| application for a    |                                               |
| Standard             |                                               |
| Airworthiness        |                                               |
| Certificate. The     |                                               |
| applicant's plan     |                                               |
| described here       |                                               |
| should try to avoid  |                                               |
| aircraft being       |                                               |
| certified with a     |                                               |
| different            |                                               |
| configuration than   |                                               |
| approved by the FAA. |                                               |
|                      |                                               |
| *When designs        |                                               |
| changes are made to  |                                               |
| previously inspected |                                               |
| items they should be |                                               |
| reported on an FAA   |                                               |
| Form 8100-1,         |                                               |
| Conformity           |                                               |
| Inspection Record.*  |                                               |
+----------------------+-----------------------------------------------+
| **c. Name and        |                                               |
| location of          |                                               |
| company(s) applying  |                                               |
| for PMA after        |                                               |
| issuance of STC:**   |                                               |
| *The applicant would |                                               |
| list their name if   |                                               |
| applying for PMA. If |                                               |
| the applicant        |                                               |
| intends to issue a   |                                               |
| licensing agreement  |                                               |
| to a supplier then   |                                               |
| list those companies |                                               |
| and locations. This  |                                               |
| information is       |                                               |
| helpful to determine |                                               |
| if the company has   |                                               |
| previous experience  |                                               |
| as a PMA holder or   |                                               |
| if they are located  |                                               |
| in another country,  |                                               |
| etc.. Some           |                                               |
| applicants have      |                                               |
| entered into         |                                               |
| contract agreements  |                                               |
| with suppliers in    |                                               |
| other countries,     |                                               |
| telling the supplier |                                               |
| that they can get    |                                               |
| FAA PMA approval.    |                                               |
| With this the FAA    |                                               |
| can provide guidance |                                               |
| about production     |                                               |
| approval.*           |                                               |
|                      |                                               |
| ***NOTE:** Parts,    |                                               |
| appliances, or       |                                               |
| manufacturing        |                                               |
| services furnished   |                                               |
| by any suppliers     |                                               |
| located in a foreign |                                               |
| country may not be   |                                               |
| used in the          |                                               |
| production of any    |                                               |
| part or appliance    |                                               |
| unless: a. That part |                                               |
| or service can and   |                                               |
| will be completely   |                                               |
| inspected for        |                                               |
| conformity at the    |                                               |
| manufacturer\'s U.S. |                                               |
| facility; or b. The  |                                               |
| FAA has determined   |                                               |
| that the location of |                                               |
| the foreign supplier |                                               |
| facility places no   |                                               |
| undue burden on the  |                                               |
| FAA in administering |                                               |
| applicable           |                                               |
| airworthiness        |                                               |
| requirements. When   |                                               |
| the use of such      |                                               |
| foreign suppliers    |                                               |
| are contemplated,    |                                               |
| the manufacturer     |                                               |
| must advise the FAA  |                                               |
| at least 10 days in  |                                               |
| advance to allow the |                                               |
| FAA to make this     |                                               |
| determination; or    |                                               |
| the parts/services   |                                               |
| furnished by the     |                                               |
| foreign supplier are |                                               |
| produced under the   |                                               |
| \"components\"       |                                               |
| provisions of U.S.   |                                               |
| bilateral            |                                               |
| airworthiness        |                                               |
| agreements, and      |                                               |
| approved for import  |                                               |
| to the U.S. in       |                                               |
| accordance with      |                                               |
| part 21 § 21.502.*   |                                               |
+----------------------+-----------------------------------------------+

+-----------------------------------------------------------------------+
| This Conformity Inspection Plan describes the actions regarding the   |
| repair, modification and type design activities necessary to ensure   |
| all required Conformity Inspections and related activities are        |
| accomplished in support of the project. The plan establishes          |
| guidelines and policies for identification and tracking of FAA        |
| required Conformity Inspections performed by at the applicant\'s      |
| facility and it\'s approved suppliers.                                |
|                                                                       |
| The Conformity Inspection Plan will be reviewed and accepted by the   |
| Federal Aviation Administration prior to its implementation. FAA      |
| Conformity Inspections will be identified, coordinated and tracked    |
| for completion in accordance with procedures described above.         |
|                                                                       |
| **Changes to plan:** Revision number shall control changes to this    |
| plan. Implementation of this plan will be to established procedures.  |
| Unforeseen circumstances may require those procedures to be revised   |
| or new procedures written.                                            |
+-----------------------------------------------------------------------+

Applicant Quality Manager: Approval
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Date:\_\_\_\_\_\_\_

Applicant Certification Engineer: Approval
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Date:\_\_\_\_\_\_\_

Inspection AR Approval:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Date:\_\_\_\_\_\_\_

Engineering AR Approval:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Date:\_\_\_\_\_\_\_