##### Safety Attribute Inspection (SAI) Data Collection Tool

###### 5.1.8 Extended Operations (ETOPS) (OP)

# 

# ELEMENT SUMMARY INFORMATION

**Purpose of this Element** (certificate holder's responsibility):

+-----------------------------------------------------------------------+
| -   To ensure that the certificate holder provides safe and reliable  |
|     operations in accordance with their approved ETOPS authorization. |
+-----------------------------------------------------------------------+

**Objective** (FAA oversight):

+-----------------------------------------------------------------------+
| -   To determine if the certificate holder\'s Extended Operations     |
|     (ETOPS) process meets all applicable requirements of Title 14 of  |
|     the Code of the Federal Regulations (14 CFR) and FAA policies.    |
|                                                                       |
| -   To determine if the certificate holder\'s Extended Operations     |
|     (ETOPS) process incorporates the safety attributes.               |
|                                                                       |
| -   To identify any shortfalls in the certificate holder\'s Extended  |
|     Operations (ETOPS) process.                                       |
+-----------------------------------------------------------------------+

**Specific Instructions**:

+-----------------------------------------------------------------------+
| -   Intentionally left blank                                          |
+-----------------------------------------------------------------------+

# 

# SUPPLEMENTAL INFORMATION

**Specific Regulatory Requirements (SRRs)**:

+-----------------------------------------------------------------------+
| -   SRRs:                                                             |
+=======================================================================+
| > 119.33(a)(1)                                                        |
| >                                                                     |
| > 119.33(a)(2)                                                        |
| >                                                                     |
| > 119.33(a)(3)                                                        |
| >                                                                     |
| > 119.43(b)                                                           |
| >                                                                     |
| > 119.43(b)(1)                                                        |
| >                                                                     |
| > 119.43(b)(2)                                                        |
| >                                                                     |
| > 119.43(c)                                                           |
| >                                                                     |
| > 119.49                                                              |
| >                                                                     |
| > 119.49(a)                                                           |
| >                                                                     |
| > 119.49(b)                                                           |
| >                                                                     |
| > 119.5(f)(1)                                                         |
| >                                                                     |
| > 119.5(f)(2)                                                         |
| >                                                                     |
| > 121.106(a)                                                          |
| >                                                                     |
| > 121.106(a)(1)                                                       |
| >                                                                     |
| > 121.106(a)(2)                                                       |
| >                                                                     |
| > 121.106(b)                                                          |
| >                                                                     |
| > 121.122(a)                                                          |
| >                                                                     |
| > 121.122(b)                                                          |
| >                                                                     |
| > 121.122(c)                                                          |
| >                                                                     |
| > 121.135(a)(1)                                                       |
| >                                                                     |
| > 121.135(b)                                                          |
| >                                                                     |
| > 121.135(b)(1)                                                       |
| >                                                                     |
| > 121.135(b)(10)                                                      |
| >                                                                     |
| > 121.135(b)(19)                                                      |
| >                                                                     |
| > 121.135(b)(2)                                                       |
| >                                                                     |
| > 121.135(b)(21)                                                      |
| >                                                                     |
| > 121.135(b)(24)(i)                                                   |
| >                                                                     |
| > 121.135(b)(24)(ii)                                                  |
| >                                                                     |
| > 121.135(b)(3)                                                       |
| >                                                                     |
| > 121.135(b)(5)                                                       |
| >                                                                     |
| > 121.135(b)(6)                                                       |
| >                                                                     |
| > 121.135(b)(7)                                                       |
| >                                                                     |
| > 121.161(a)                                                          |
| >                                                                     |
| > 121.161(a)(1)                                                       |
| >                                                                     |
| > 121.161(a)(2)                                                       |
| >                                                                     |
| > 121.161(a)(3)                                                       |
| >                                                                     |
| > 121.161(d)                                                          |
| >                                                                     |
| > 121.383(a)(1)                                                       |
| >                                                                     |
| > 121.383(a)(2)                                                       |
| >                                                                     |
| > 121.383(a)(3)                                                       |
| >                                                                     |
| > 121.415(a)                                                          |
| >                                                                     |
| > 121.415(a)(4)                                                       |
| >                                                                     |
| > 121.565(a)                                                          |
| >                                                                     |
| > 121.565(b)(2)                                                       |
| >                                                                     |
| > 121.565(c)                                                          |
| >                                                                     |
| > 121.624(a)                                                          |
| >                                                                     |
| > 121.624(b)                                                          |
| >                                                                     |
| > 121.624(b)(1)                                                       |
| >                                                                     |
| > 121.624(b)(2)                                                       |
| >                                                                     |
| > 121.624(c)                                                          |
| >                                                                     |
| > 121.624(d)                                                          |
| >                                                                     |
| > 121.631(c)                                                          |
| >                                                                     |
| > 121.631(c)(1)                                                       |
| >                                                                     |
| > 121.631(c)(2)                                                       |
| >                                                                     |
| > 121.631(d)                                                          |
| >                                                                     |
| > 121.631(e)                                                          |
| >                                                                     |
| > 121.631(f)                                                          |
| >                                                                     |
| > 121.633(a)                                                          |
| >                                                                     |
| > 121.633(b)                                                          |
| >                                                                     |
| > 121.633(b)(1)                                                       |
| >                                                                     |
| > 121.633(b)(2)                                                       |
| >                                                                     |
| > 121.646(a)                                                          |
| >                                                                     |
| > 121.646(a)(1)                                                       |
| >                                                                     |
| > 121.646(a)(2)                                                       |
| >                                                                     |
| > 121.646(a)(3)                                                       |
| >                                                                     |
| > 121.646(b)                                                          |
| >                                                                     |
| > 121.646(b)(1)(i)                                                    |
| >                                                                     |
| > 121.646(b)(1)(i)(A)                                                 |
| >                                                                     |
| > 121.646(b)(1)(i)(B)                                                 |
| >                                                                     |
| > 121.646(b)(1)(i)(C)                                                 |
| >                                                                     |
| > 121.646(b)(1)(ii)                                                   |
| >                                                                     |
| > 121.646(b)(1)(iii)                                                  |
| >                                                                     |
| > 121.646(b)(1)(iii)(A)                                               |
| >                                                                     |
| > 121.646(b)(1)(iii)(B)                                               |
| >                                                                     |
| > 121.646(b)(1)(iv)                                                   |
| >                                                                     |
| > 121.646(b)(2)                                                       |
| >                                                                     |
| > 121.646(b)(3)                                                       |
| >                                                                     |
| > 121.687(a)                                                          |
| >                                                                     |
| > 121.687(a)(6)                                                       |
| >                                                                     |
| > 121.689(a)                                                          |
| >                                                                     |
| > 121.689(a)(8)                                                       |
| >                                                                     |
| > 121.97(b)(1)(ii)                                                    |
| >                                                                     |
| > 121.99(c)                                                           |
| >                                                                     |
| > 121.99(d)                                                           |
| >                                                                     |
| > 121.99(e)                                                           |
| >                                                                     |
| > 121 App.P                                                           |
| >                                                                     |
| > B.042                                                               |
| >                                                                     |
| > B.055                                                               |
| >                                                                     |
| > C.055                                                               |
| >                                                                     |
| > D.086                                                               |
+-----------------------------------------------------------------------+

**Related CFRs & FAA Policy/Guidance**:

+-----------------------------------------------------------------------+
| -   Related CFRs:                                                     |
+=======================================================================+
| > Intentionally left blank                                            |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| -   FAA Policy/Guidance:                                              |
+=======================================================================+
| > FAA Order 8900.1, Volume 3, Chapter 18, Section 4                   |
| >                                                                     |
| > FAA Order 8900.1, Volume 4, Chapter 6, Section 3                    |
| >                                                                     |
| > AC 120-42A                                                          |
+-----------------------------------------------------------------------+

+---+-------------------------------------------------------------------+
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+---+-------------------------------------------------------------------+
| # |                                                                   |
| # |                                                                   |
|   |                                                                   |
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| s |                                                                   |
| k |                                                                   |
| s |                                                                   |
+---+-------------------------------------------------------------------+
|   | To meet this objective, the inspector must accomplish the         |
|   | following tasks:                                                  |
+---+-------------------------------------------------------------------+
| 1 | Review the information listed in the Supplemental Information     |
| \ | section of this DCT.                                              |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 2 | Review the certificate holder's Extended Operations (ETOPS)       |
| \ | process to ensure it contains the policies, procedures,           |
| . | instructions and information necessary for personnel to perform   |
|   | their duties and responsibilities with a high degree of safety.   |
+---+-------------------------------------------------------------------+
| 3 | Review the certificate holder\'s manual to ensure that it         |
| \ | contains policies, procedures, instructions, and information      |
| . | necessary for the ETOPS process.                                  |
+---+-------------------------------------------------------------------+

+-----+-----------------------------------------------------+----------+
| #   |                                                     |          |
| # Q |                                                     |          |
| ues |                                                     |          |
| tio |                                                     |          |
| ns  |                                                     |          |
+-----+-----------------------------------------------------+----------+
|     | To meet this objective, the inspector must answer   |          |
|     | the following questions:                            |          |
+-----+-----------------------------------------------------+----------+
| 1\. | Does the certificate holder\'s Extended Operations  |          |
|     | (ETOPS) process meet the specific regulatory and    |          |
|     | FAA policy requirements:                            |          |
+-----+-----------------------------------------------------+----------+
| 1   | Does the certificate holder\'s Extended Operations  | Yes      |
| .1. | (ETOPS) process ensure that each certificate holder |          |
|     | conducting domestic or flag operations shows that   | No,      |
|     | it has an approved system for obtaining,            | Explain  |
|     | maintaining, and distributing to appropriate        |          |
|     | personnel current aeronautical data for each        | Not      |
|     | airport it uses to ensure a safe operation at that  | Ap       |
|     | airport which must include, after February 15, 2008 | plicable |
|     | for ETOPS beyond 180 minutes or operations in the   |          |
|     | North Polar area and South Polar area, facilities   |          |
|     | at each airport or in the immediate area sufficient |          |
|     | to protect the passengers from the elements and to  |          |
|     | see to their welfare? **     **                     |          |
|     |                                                     |          |
|     | SRRs: 121.97(b)(1)(ii)                              |          |
+-----+-----------------------------------------------------+----------+
| 1   | For certificate holders conducting flag operations, | Yes      |
| .2. | does their Extended Operations (ETOPS) process      |          |
|     | ensure that voice communications are provided for   | No,      |
|     | ETOPS where voice communication facilities are      | Explain  |
|     | available which consider potential routes and       |          |
|     | altitudes needed for diversion to ETOPS Alternate   | Not      |
|     | Airports except where facilities are not available  | Ap       |
|     | or are of such poor quality that voice              | plicable |
|     | communication is not possible, in which case        |          |
|     | another communication system is substituted?        |          |
|     | **     **                                           |          |
|     |                                                     |          |
|     | SRRs: 121.99(c)                                     |          |
+-----+-----------------------------------------------------+----------+
| 1   | Except as provided in 14 CFR 121.99(e), for         |          |
| .3. | certificate holders conducting flag operations,     |          |
|     | does the certificate holder\'s Extended Operations  |          |
|     | (ETOPS) process ensure that, for ETOPS beyond 180   |          |
|     | minutes, they have a second communication system in |          |
|     | addition to that required by paragraph (c) of this  |          |
|     | section which:                                      |          |
|     |                                                     |          |
|     | SRRs: 121.99(d)                                     |          |
+-----+-----------------------------------------------------+----------+
| 1.3 | Is able to provide immediate satellite-based voice  | Yes      |
| .1. | communications of landline-telephone fidelity       |          |
|     | except where immediate, satellite-based voice       | No,      |
|     | communications are not available, or are of such    | Explain  |
|     | poor quality that voice communication is not        |          |
|     | possible, in which case another communication       | Not      |
|     | system is substituted? **     **                    | Ap       |
|     |                                                     | plicable |
|     | SRRs: 121.99(d)                                     |          |
+-----+-----------------------------------------------------+----------+
| 1.3 | Is able to communicate between the flight crew and  | Yes      |
| .2. | air traffic services? **     **                     |          |
|     |                                                     | No,      |
|     | SRRs: 121.99(d)                                     | Explain  |
|     |                                                     |          |
|     |                                                     | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1.3 | Is able to communicate between the flight crew and  | Yes      |
| .3. | the certificate holder? **     **                   |          |
|     |                                                     | No,      |
|     | SRRs: 121.99(d)                                     | Explain  |
|     |                                                     |          |
|     |                                                     | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1.3 | In determining whether such communications are      | Yes      |
| .4. | available, considers potential routes and altitudes |          |
|     | needed for diversion to ETOPS Alternate Airports?   | No,      |
|     | **     **                                           | Explain  |
|     |                                                     |          |
|     | SRRs: 121.99(d)                                     | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1.3 | Substitutes another communication system for        | Yes      |
| .5. | situations where immediate, satellite-based voice   |          |
|     | communications are not available, or are of such    | No,      |
|     | poor quality that voice communication is not        | Explain  |
|     | possible? **     **                                 |          |
|     |                                                     | Not      |
|     | SRRs: 121.99(d)                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1   | For operators of two-engine turbine-powered         | Yes      |
| .4. | airplanes with 207 minute ETOPS approval in the     |          |
|     | North Pacific Area of Operation, does the           | No,      |
|     | certificate holder\'s Extended Operations (ETOPS)   | Explain  |
|     | process ensure compliance with the requirements of  |          |
|     | 14 CFR 121.99(d)? **     **                         | Not      |
|     |                                                     | Ap       |
|     | SRRs: 121.99(e)                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1   | Except as provided in 14 CFR 121.106(b), does the   |          |
| .5. | certificate holder\'s Extended Operations (ETOPS)   |          |
|     | process ensure that the following rescue and fire   |          |
|     | fighting service (RFFS) must be available at each   |          |
|     | airport listed as an ETOPS Alternate Airport in a   |          |
|     | dispatch or flight release:                         |          |
|     |                                                     |          |
|     | SRRs: 121.106(a)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1.5 | For ETOPS up to 180 minutes, each designated ETOPS  | Yes      |
| .1. | Alternate Airport must have RFFS equivalent to that |          |
|     | specified by ICAO as Category 4, or higher?         | No,      |
|     | **     **                                           | Explain  |
|     |                                                     |          |
|     | SRRs: 121.106(a)(1)                                 | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1.5 | For ETOPS beyond 180 minutes, each designated ETOPS | Yes      |
| .2. | Alternate Airport must have RFFS equivalent to that |          |
|     | specified by ICAO Category 4, or higher and the     | No,      |
|     | aircraft must remain within the ETOPS authorized    | Explain  |
|     | diversion time from an Adequate Airport that has    |          |
|     | RFFS equivalent to that specified by ICAO Category  | Not      |
|     | 7, or higher? **     **                             | Ap       |
|     |                                                     | plicable |
|     | SRRs: 121.106(a)(2)                                 |          |
+-----+-----------------------------------------------------+----------+
| 1   | If the equipment and personnel required in 14 CFR   | Yes      |
| .6. | 121.106(a) are not immediately available at an      |          |
|     | airport, does the certificate holder\'s Extended    | No,      |
|     | Operations (ETOPS) process indicate that they may   | Explain  |
|     | still list the airport on the dispatch or flight    |          |
|     | release if the airport\'s RFFS can be augmented to  | Not      |
|     | meet 14 CFR 121.106(a) by local fire fighting       | Ap       |
|     | assets that have a 30-minute response time from the | plicable |
|     | time that the local assets are notified while the   |          |
|     | diverting airplane is en route and are available on |          |
|     | arrival of the diverting airplane and must remain   |          |
|     | as long as the diverting airplane needs RFFS?       |          |
|     | **     **                                           |          |
|     |                                                     |          |
|     | SRRs: 121.106(b)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1   | For a certificate holder conducting supplemental    |          |
| .7. | operations other than all-cargo operations in an    |          |
|     | airplane with more than two engines, does their     |          |
|     | Extended Operations (ETOPS) process show that:      |          |
+-----+-----------------------------------------------------+----------+
| 1.7 | A two-way radio communication system or other means | Yes      |
| .1. | of communication approved by the FAA is available   |          |
|     | and that it ensures reliable and rapid              | No,      |
|     | communications under normal operating conditions    | Explain  |
|     | over the entire route (either direct or via         |          |
|     | approved point-to-point circuits) between each      | Not      |
|     | airplane and the certificate holder, and between    | Ap       |
|     | each airplane and the appropriate air traffic       | plicable |
|     | services, except as specified in 121.351(c)?        |          |
|     | **     **                                           |          |
|     |                                                     |          |
|     | SRRs: 121.122(a)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1.7 | Provide voice communications for ETOPS where voice  | Yes      |
| .2. | communication facilities are available while        |          |
|     | considering potential routes and altitudes needed   | No,      |
|     | for diversion to ETOPS Alternate Airports except    | Explain  |
|     | where facilities are not available or are of such   |          |
|     | poor quality that voice communication is not        | Not      |
|     | possible, another communication system must be      | Ap       |
|     | substituted? **     **                              | plicable |
|     |                                                     |          |
|     | SRRs: 121.122(b)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1   | For a certificate holder conducting ETOPS beyond    |          |
| .8. | 180 minutes in supplemental operations other than   |          |
|     | all-cargo operations in an airplane with more than  |          |
|     | two engines, does their Extended Operations (ETOPS) |          |
|     | process:                                            |          |
+-----+-----------------------------------------------------+----------+
| 1.8 | Require a second communication system in addition   | Yes      |
| .1. | to that required by 14 CFR 121.122(b)? **     **    |          |
|     |                                                     | No,      |
|     | SRRs: 121.122(c)                                    | Explain  |
|     |                                                     |          |
|     |                                                     | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1   | For a certificate holder conducting ETOPS beyond    |          |
| .9. | 180 minutes in supplemental operations other than   |          |
|     | all-cargo operations in an airplane with more than  |          |
|     | two engines, does their Extended Operations (ETOPS) |          |
|     | process require a second communication system in    |          |
|     | addition to that required by 14 CFR 121.122(b)      |          |
|     | that:                                               |          |
|     |                                                     |          |
|     | SRRs: 121.122(c)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1.9 | Is able to provide immediate satellite-based voice  | Yes      |
| .1. | communications of landline telephone-fidelity?      |          |
|     | **     **                                           | No,      |
|     |                                                     | Explain  |
|     | SRRs: 121.122(c)                                    |          |
|     |                                                     | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1.9 | Provide communication capabilities between the      | Yes      |
| .2. | flight crew and air traffic services and the flight |          |
|     | crew and the certificate holder? **     **          | No,      |
|     |                                                     | Explain  |
|     | SRRs: 121.122(c)                                    |          |
|     |                                                     | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1.9 | When, in determining whether such communications    | Yes      |
| .3. | are available, the certificate holder considered    |          |
|     | potential routes and altitudes needed for diversion | No,      |
|     | to ETOPS Alternate Airports? **     **              | Explain  |
|     |                                                     |          |
|     | SRRs: 121.122(c)                                    | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1.9 | Where immediate, satellite-based voice              | Yes      |
| .4. | communications are not available, or are of such    |          |
|     | poor quality that voice communication is not        | No,      |
|     | possible, another communication system is           | Explain  |
|     | substituted? **     **                              |          |
|     |                                                     | Not      |
|     | SRRs: 121.122(c)                                    | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s manual contain       | Yes      |
| 10. | airplane performance data to support all phases of  |          |
|     | Extended Operations (ETOPS)? **     **              | No,      |
|     |                                                     | Explain  |
|     | SRRs: 121.135(b)(10)                                |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s manual contain:      |          |
| 11. |                                                     |          |
|     | SRRs: 121.135(b)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1   | A specific passenger recovery plan for each ETOPS   | Yes      |
| .11 | Alternate Airport used in ETOPS operations greater  |          |
| .1. | than 180 minutes for passenger flag operations?     | No,      |
|     | **     **                                           | Explain  |
|     |                                                     |          |
|     | SRRs: 121.135(b)(24)(i)                             | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1   | A specific passenger recovery plan for each ETOPS   | Yes      |
| .11 | Alternate Airport used in ETOPS operations greater  |          |
| .2. | than 180 minutes for those supplemental operations  | No,      |
|     | that are not all-cargo operations outside the 48    | Explain  |
|     | contiguous States and Alaska? **     **             |          |
|     |                                                     | Not      |
|     | SRRs: 121.135(b)(24)(i)                             | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1   | A specific passenger recovery plan for each         | Yes      |
| .11 | diversion airport used in ETOPS operations greater  |          |
| .3. | than 180 minutes for passenger flag operations in   | No,      |
|     | the North Polar Area and the South Polar Area?      | Explain  |
|     | **     **                                           |          |
|     |                                                     | Not      |
|     | SRRs: 121.135(b)(24)(ii)                            | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1   | A specific passenger recovery plan for each         | Yes      |
| .11 | diversion airport used in ETOPS operations greater  |          |
| .4. | than 180 minutes for those supplemental operations  | No,      |
|     | that are not all-cargo operations outside the 48    | Explain  |
|     | contiguous States and Alaska in the North Polar     |          |
|     | Area and the South Polar Area? **     **            | Not      |
|     |                                                     | Ap       |
|     | SRRs: 121.135(b)(24)(ii)                            | plicable |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  |          |
| 12. | (ETOPS) process ensure that, except as provided in  |          |
|     | 14 CFR 121.161(e) of this section, unless approved  |          |
|     | by the Administrator in accordance with Appendix P  |          |
|     | of this part and authorized in the certificate      |          |
|     | holder\'s operations specifications, no certificate |          |
|     | holder may operate a turbine-engine-powered         |          |
|     | airplane over a route that contains a point:        |          |
|     |                                                     |          |
|     | SRRs: 121.161(a)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1   | Farther than a flying time from an Adequate Airport | Yes      |
| .12 | (at a one-engine-inoperative cruise speed under     |          |
| .1. | standard conditions in still air) of 60 minutes for | No,      |
|     | a two-engine airplane or 180 minutes for a          | Explain  |
|     | passenger-carrying airplane with more than two      |          |
|     | engines? **     **                                  | Not      |
|     |                                                     | Ap       |
|     | SRRs: 121.161(a)(1)                                 | plicable |
+-----+-----------------------------------------------------+----------+
| 1   | Within the North Polar Area? **     **              | Yes      |
| .12 |                                                     |          |
| .2. | SRRs: 121.161(a)(2)                                 | No,      |
|     |                                                     | Explain  |
|     |                                                     |          |
|     |                                                     | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1   | Within the South Polar Area? **     **              | Yes      |
| .12 |                                                     |          |
| .3. | SRRs: 121.161(a)(3)                                 | No,      |
|     |                                                     | Explain  |
|     |                                                     |          |
|     |                                                     | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  | Yes      |
| 13. | (ETOPS) process ensure that, unless authorized by   |          |
|     | the Administrator, they do not operate              | No,      |
|     | reciprocating-engine-powered airplanes over routes  | Explain  |
|     | that contain any point farther than 60 minutes      |          |
|     | flying time (at a one-engine-inoperative cruise     | Not      |
|     | speed under standard conditions in still air) from  | Ap       |
|     | an Adequate Airport? **     **                      | plicable |
|     |                                                     |          |
|     | SRRs: 121.161(d)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  |          |
| 14. | (ETOPS) process ensure that each training program   |          |
|     | provides the following ground training as           |          |
|     | appropriate to the particular assignment of the     |          |
|     | crewmember or dispatcher:                           |          |
|     |                                                     |          |
|     | SRRs: 121.415(a)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1   | After February 15, 2008, training for crewmembers   | Yes      |
| .14 | and dispatchers in their roles and responsibilities |          |
| .1. | in the certificate holder\'s passenger recovery     | No,      |
|     | plan, if applicable? **     **                      | Explain  |
|     |                                                     |          |
|     | SRRs: 121.415(a)(4)                                 | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  | Yes      |
| 15. | (ETOPS) process ensure that, except as provided in  |          |
|     | 14 CFR 121.565(b), whenever an airplane engine      | No,      |
|     | fails or whenever an engine is shutdown to prevent  | Explain  |
|     | possible damage, the pilot in command must land the |          |
|     | airplane at the nearest suitable airport, in point  | Not      |
|     | of time, at which a safe landing can be made?       | Ap       |
|     | **     **                                           | plicable |
|     |                                                     |          |
|     | SRRs: 121.565(a)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  | Yes      |
| 16. | (ETOPS) process ensure that, if not more than one   |          |
|     | engine of an airplane that has three or more        | No,      |
|     | engines fails or is shut down to prevent possible   | Explain  |
|     | damage, the pilot-in-command may proceed to an      |          |
|     | airport that the pilot selects if, after            | Not      |
|     | considering the altitude, weight, and useable fuel  | Ap       |
|     | at the time that the engine is shutdown, the pilot  | plicable |
|     | makes a reasonable decision that proceeding to that |          |
|     | airport is as safe as landing at the nearest        |          |
|     | suitable airport? **     **                         |          |
|     |                                                     |          |
|     | SRRs: 121.565(b)(2)                                 |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  | Yes      |
| 17. | (ETOPS) process ensure that the pilot-in-command    |          |
|     | reports each engine shutdown in flight to the       | No,      |
|     | appropriate communication facility as soon as       | Explain  |
|     | practicable and keeps that facility fully informed  |          |
|     | of the progress of the flight? **     **            | Not      |
|     |                                                     | Ap       |
|     | SRRs: 121.565(c)                                    | plicable |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  | Yes      |
| 18. | (ETOPS) process ensure that no person dispatches or |          |
|     | releases an airplane for an ETOPS flight unless     | No,      |
|     | enough ETOPS Alternate Airports are listed in the   | Explain  |
|     | dispatch or flight release such that the airplane   |          |
|     | remains within the authorized ETOPS maximum         | Not      |
|     | diversion time and in selecting these ETOPS         | Ap       |
|     | Alternate Airports, the certificate holder          | plicable |
|     | considers all adequate airports within the          |          |
|     | authorized ETOPS diversion time for the flight that |          |
|     | meet the standards of this part? **     **          |          |
|     |                                                     |          |
|     | SRRs: 121.624(a)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  |          |
| 19. | (ETOPS) process ensure that no person lists an      |          |
|     | airport as an ETOPS Alternate Airport in a dispatch |          |
|     | or flight release unless, when it might be used     |          |
|     | (from the earliest to the latest possible landing   |          |
|     | time):                                              |          |
|     |                                                     |          |
|     | SRRs: 121.624(b)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1   | The appropriate weather reports or forecasts, or    | Yes      |
| .19 | any combination thereof, indicate that the weather  |          |
| .1. | conditions will be at or above the ETOPS Alternate  | No,      |
|     | Airport minima specified in the certificate         | Explain  |
|     | holder\'s operations specifications? **     **      |          |
|     |                                                     | Not      |
|     | SRRs: 121.624(b)(1)                                 | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1   | The field condition reports indicate that a safe    | Yes      |
| .19 | landing can be made? **     **                      |          |
| .2. |                                                     | No,      |
|     | SRRs: 121.624(b)(2)                                 | Explain  |
|     |                                                     |          |
|     |                                                     | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  | Yes      |
| 20. | (ETOPS) process ensure that once a flight is en     |          |
|     | route, the weather conditions at each ETOPS         | No,      |
|     | Alternate Airport must meet the requirements of 14  | Explain  |
|     | CFR 121.631(c)? **     **                           |          |
|     |                                                     | Not      |
|     | SRRs: 121.624(c)                                    | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  | Yes      |
| 21. | (ETOPS) process ensure that no person may list an   |          |
|     | airport as an ETOPS Alternate Airport in the        | No,      |
|     | dispatch or flight release unless that airport      | Explain  |
|     | meets the public protection requirements of 14 CFR  |          |
|     | 121.97(b)(1)(ii)? **     **                         | Not      |
|     |                                                     | Ap       |
|     | SRRs: 121.624(d)                                    | plicable |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  |          |
| 22. | (ETOPS) process ensure that no person may allow a   |          |
|     | flight to continue beyond the ETOPS Entry Point     |          |
|     | unless:                                             |          |
|     |                                                     |          |
|     | SRRs: 121.631(c)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1   | Except as provided in 14 CFR 121.631(d), the        | Yes      |
| .22 | weather conditions at each ETOPS Alternate Airport  |          |
| .1. | required by 14 CFR 121.624 are forecast to be at or | No,      |
|     | above the operating minima for that airport in the  | Explain  |
|     | certificate holder\'s operations specifications     |          |
|     | when it might be used (from the earliest to the     | Not      |
|     | latest possible landing time)? **     **            | Ap       |
|     |                                                     | plicable |
|     | SRRs: 121.631(c)(1)                                 |          |
+-----+-----------------------------------------------------+----------+
| 1   | All ETOPS Alternate Airports within the authorized  | Yes      |
| .22 | ETOPS maximum diversion time are reviewed and the   |          |
| .2. | flight crew advised of any changes in conditions    | No,      |
|     | that have occurred since dispatch? **     **        | Explain  |
|     |                                                     |          |
|     | SRRs: 121.631(c)(2)                                 | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  | Yes      |
| 23. | (ETOPS) process ensure that if 14 CFR 121.631(c)(1) |          |
|     | cannot be met for a specific airport, the dispatch  | No,      |
|     | or flight release may be amended to add an ETOPS    | Explain  |
|     | Alternate Airport within the maximum ETOPS          |          |
|     | diversion time that could be authorized for that    | Not      |
|     | flight with weather conditions at or above          | Ap       |
|     | operating minima? **     **                         | plicable |
|     |                                                     |          |
|     | SRRs: 121.631(d)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  | Yes      |
| 24. | (ETOPS) process ensure that before the ETOPS Entry  |          |
|     | Point, the pilot in command for a supplemental      | No,      |
|     | operator or a dispatcher for a flag operator must   | Explain  |
|     | use company communications to update the flight     |          |
|     | plan if needed because of a re-evaluation of        | Not      |
|     | aircraft system capabilities? **     **             | Ap       |
|     |                                                     | plicable |
|     | SRRs: 121.631(e)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  | Yes      |
| 25. | (ETOPS) process ensure that no person may change an |          |
|     | original destination or alternate airport that is   | No,      |
|     | specified in the original dispatch or flight        | Explain  |
|     | release to another airport while the aircraft is en |          |
|     | route unless the other airport is authorized for    | Not      |
|     | that type of aircraft and the appropriate           | Ap       |
|     | requirements of 14 CFR 121.593 through 121.661 and  | plicable |
|     | 121.173 are met at the time of redispatch or        |          |
|     | amendment of the flight release? **     **          |          |
|     |                                                     |          |
|     | SRRs: 121.631(f)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  | Yes      |
| 26. | (ETOPS) process ensure that, for ETOPS up to and    |          |
|     | including 180 minutes, no person may list an        | No,      |
|     | airport as an ETOPS Alternate Airport in a dispatch | Explain  |
|     | release if the time needed to fly to that airport   |          |
|     | (at the approved one-engine inoperative cruise      | Not      |
|     | speed under standard conditions in still air) would | Ap       |
|     | exceed the approved time for the airplane\'s most   | plicable |
|     | limiting ETOPS Significant System (including the    |          |
|     | airplane\'s most limiting fire suppression system   |          |
|     | time for those cargo and baggage compartments       |          |
|     | required by regulation to have fire-suppression     |          |
|     | systems) minus 15 minutes? **     **                |          |
|     |                                                     |          |
|     | SRRs: 121.633(a)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  | Yes      |
| 27. | (ETOPS) process ensure that, for ETOPS up to and    |          |
|     | including 180 minutes, no person may list an        | No,      |
|     | airport as an ETOPS Alternate Airport in a flight   | Explain  |
|     | release if the time needed to fly to that airport   |          |
|     | (at the approved one-engine inoperative cruise      | Not      |
|     | speed under standard conditions in still air) would | Ap       |
|     | exceed the approved time for the airplane\'s most   | plicable |
|     | limiting ETOPS Significant System (including the    |          |
|     | airplane\'s most limiting fire suppression system   |          |
|     | time for those cargo and baggage compartments       |          |
|     | required by regulation to have fire-suppression     |          |
|     | systems) minus 15 minutes? **     **                |          |
|     |                                                     |          |
|     | SRRs: 121.633(a)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  |          |
| 28. | (ETOPS) process ensure that, for ETOPS beyond 180   |          |
|     | minutes, no person may list an airport as an ETOPS  |          |
|     | Alternate Airport in a dispatch or flight release   |          |
|     | if the time needed to fly to that airport:          |          |
|     |                                                     |          |
|     | SRRs: 121.633(b)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1   | At the all engine operating cruise speed, corrected | Yes      |
| .28 | for wind and temperature, exceeds the airplane\'s   |          |
| .1. | most limiting fire suppression system time minus 15 | No,      |
|     | minutes for those cargo and baggage compartments    | Explain  |
|     | required by regulation to have fire suppression     |          |
|     | systems (except as provided in 14 CFR Part          | Not      |
|     | 121.633(c))? **     **                              | Ap       |
|     |                                                     | plicable |
|     | SRRs: 121.633(b)(1)                                 |          |
+-----+-----------------------------------------------------+----------+
| 1   | At the one-engine-inoperative cruise speed,         | Yes      |
| .28 | corrected for wind and temperature, exceeds the     |          |
| .2. | airplane\'s most limiting ETOPS Significant System  | No,      |
|     | time (other than the airplane\'s most limiting fire | Explain  |
|     | suppression system time minus 15 minutes for those  |          |
|     | cargo and baggage compartments required by          | Not      |
|     | regulation to have fire-suppression systems)?       | Ap       |
|     | **     **                                           | plicable |
|     |                                                     |          |
|     | SRRs: 121.633(b)(2)                                 |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  |          |
| 29. | (ETOPS) process ensure that no person may dispatch  |          |
|     | or release for flight a turbine-engine powered      |          |
|     | airplane with more than two engines for a flight    |          |
|     | more than 90 minutes (with all engines operating at |          |
|     | cruise power) from an Adequate Airport unless:      |          |
|     |                                                     |          |
|     | SRRs: 121.646(a)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1   | The airplane has enough fuel to meet the            | Yes      |
| .29 | requirements of 121.645(b)? **     **               |          |
| .1. |                                                     | No,      |
|     | SRRs: 121.646(a)(1)                                 | Explain  |
+-----+-----------------------------------------------------+----------+
| 1   | The airplane has enough fuel to fly to the Adequate | Yes      |
| .29 | Airport (Assume a rapid decompression at the most   |          |
| .2. | critical point and assume a descent to a safe       | No,      |
|     | altitude in compliance with the oxygen supply       | Explain  |
|     | requirements of 121.333 and consider the expected   |          |
|     | wind and other weather conditions? **     **        |          |
|     |                                                     |          |
|     | SRRs: 121.646(a)(2)                                 |          |
+-----+-----------------------------------------------------+----------+
| 1   | The airplane has enough fuel to hold for 15 minutes | Yes      |
| .29 | at 1500 feet above field elevation and conduct a    |          |
| .3. | normal approach and landing? **     **              | No,      |
|     |                                                     | Explain  |
|     | SRRs: 121.646(a)(3)                                 |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  | Yes      |
| 30. | (ETOPS) process ensure that no person may dispatch  |          |
|     | or release for flight an ETOPS flight unless,       | No,      |
|     | considering wind and other weather conditions       | Explain  |
|     | expected, it has the fuel otherwise required by     |          |
|     | this part? **     **                                |          |
|     |                                                     |          |
|     | SRRs: 121.646(b)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  |          |
| 31. | (ETOPS) process ensure that no person may dispatch  |          |
|     | or release for flight an ETOPS flight unless,       |          |
|     | considering wind and other weather conditions       |          |
|     | expected, it has enough fuel to fly to an ETOPS     |          |
|     | Alternate Airport while accounting for rapid        |          |
|     | decompressions and engine failures, all the while   |          |
|     | considering that the airplane must carry the        |          |
|     | greater of the following:                           |          |
|     |                                                     |          |
|     | SRRs: 121.646(b)(1)(i)                              |          |
+-----+-----------------------------------------------------+----------+
| 1   | Sufficient fuel to fly to an ETOPS Alternate        | Yes      |
| .31 | Airport assuming a rapid decompression at the most  |          |
| .1. | critical point followed by descent to a safe        | No,      |
|     | altitude in compliance with the oxygen supply       | Explain  |
|     | requirements of 121.333 of this chapter? **     **  |          |
|     |                                                     |          |
|     | SRRs: 121.646(b)(1)(i)(A)                           |          |
+-----+-----------------------------------------------------+----------+
| 1   | Sufficient fuel to fly to an ETOPS Alternate        | Yes      |
| .31 | Airport (at the one-engine-inoperative cruise       |          |
| .2. | speed) assuming a rapid decompression and a         | No,      |
|     | simultaneous engine failure at the most critical    | Explain  |
|     | point followed by descent to a safe altitude in     |          |
|     | compliance with the oxygen requirements of 121.133  |          |
|     | of this chapter? **     **                          |          |
|     |                                                     |          |
|     | SRRs: 121.646(b)(1)(i)(B)                           |          |
+-----+-----------------------------------------------------+----------+
| 1   | Sufficient fuel to fly to an ETOPS Alternate        | Yes      |
| .31 | Airport (at the one engine inoperative cruise       |          |
| .3. | speed) assuming an engine failure at the most       | No,      |
|     | critical point followed by descent to the one       | Explain  |
|     | engine inoperative cruise altitude? **     **       |          |
|     |                                                     |          |
|     | SRRs: 121.646(b)(1)(i)(C)                           |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  |          |
| 32. | (ETOPS) process ensure that no person may dispatch  |          |
|     | or release for flight an ETOPS flight unless,       |          |
|     | considering wind and other weather conditions       |          |
|     | expected, it has enough fuel to fly to an ETOPS     |          |
|     | Alternate Airport while accounting for errors in    |          |
|     | wind forecasting and:                               |          |
|     |                                                     |          |
|     | SRRs: 121.646(b)(1)(ii)                             |          |
+-----+-----------------------------------------------------+----------+
| 1   | In calculating the amount of fuel required by       | Yes      |
| .32 | paragraph (b)(1)(i) of this section, the            |          |
| .1. | certificate holder must increase the actual         | No,      |
|     | forecast wind speed by 5% (resulting in an increase | Explain  |
|     | in headwind or a decrease in tailwind) to account   |          |
|     | for any potential errors in wind forecasting?       |          |
|     | **     **                                           |          |
|     |                                                     |          |
|     | SRRs: 121.646(b)(1)(ii)                             |          |
+-----+-----------------------------------------------------+----------+
| 1   | If a certificate holder is not using the actual     | Yes      |
| .32 | forecast wind based on a wind model accepted by the |          |
| .2. | FAA, the airplane must carry additional fuel equal  | No,      |
|     | to 5% of the fuel required for paragraph (b)(1)(i)  | Explain  |
|     | of this section, as reserve fuel to allow for       |          |
|     | errors in wind data? **     **                      |          |
|     |                                                     |          |
|     | SRRs: 121.646(b)(1)(ii)                             |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  |          |
| 33. | (ETOPS) process ensure that no person may dispatch  |          |
|     | or release for flight an ETOPS flight unless,       |          |
|     | considering wind and other weather conditions       |          |
|     | expected, it has enough fuel to fly to an ETOPS     |          |
|     | Alternate Airport while accounting for icing and in |          |
|     | calculating the amount of fuel required by          |          |
|     | paragraph (b)(1)(i) of this section (after          |          |
|     | completing the wind calculation in paragraph        |          |
|     | (b)(1)(ii) of this section), the certificate holder |          |
|     | must ensure that, in anticipation of possible icing |          |
|     | during the diversion, the airplane carries the      |          |
|     | greater of:                                         |          |
|     |                                                     |          |
|     | SRRs: 121.646(b)(1)(iii)                            |          |
+-----+-----------------------------------------------------+----------+
| 1   | The fuel that would be burned as a result of        | Yes      |
| .33 | airframe icing during 10 percent of the time icing  |          |
| .1. | is forecast (including the fuel used by engine and  | No,      |
|     | wing anti-ice during this period)? **     **        | Explain  |
|     |                                                     |          |
|     | SRRs: 121.646(b)(1)(iii)(A)                         |          |
+-----+-----------------------------------------------------+----------+
| 1   | The fuel that would be used for engine anti-ice,    | Yes      |
| .33 | and if appropriate wing anti-ice, for the entire    |          |
| .2. | time during which icing is forecast? **     **      | No,      |
|     |                                                     | Explain  |
|     | SRRs: 121.646(b)(1)(iii)(B)                         |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  |          |
| 34. | (ETOPS) process ensure that no person may dispatch  |          |
|     | or release for flight an ETOPS flight unless,       |          |
|     | considering wind and other weather conditions       |          |
|     | expected, it has enough fuel to fly to an ETOPS     |          |
|     | Alternate Airport while accounting for engine       |          |
|     | deterioration and:                                  |          |
|     |                                                     |          |
|     | SRRs: 121.646(b)(1)(iv)                             |          |
+-----+-----------------------------------------------------+----------+
| 1   | In calculating the amount of fuel required by       | Yes      |
| .34 | paragraph (b)(1)(i) of this section (after          |          |
| .1. | completing the wind calculation in paragraph        | No,      |
|     | (b)(1)(ii) of this section), the airplane also      | Explain  |
|     | carries fuel equal to 5% of the fuel specified      |          |
|     | above, to account for deterioration in cruise fuel  |          |
|     | burn performance unless the certificate holder has  |          |
|     | a program to monitor airplane in-service            |          |
|     | deterioration to cruise fuel burn performance?      |          |
|     | **     **                                           |          |
|     |                                                     |          |
|     | SRRs: 121.646(b)(1)(iv)                             |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  |          |
| 35. | (ETOPS) process ensure that no person may dispatch  |          |
|     | or release for flight an ETOPS flight unless,       |          |
|     | considering wind and other weather conditions       |          |
|     | expected, it has enough fuel to account for         |          |
|     | holding, approach, and landing and:                 |          |
|     |                                                     |          |
|     | SRRs: 121.646(b)(2)                                 |          |
+-----+-----------------------------------------------------+----------+
| 1   | In addition to the fuel required by paragraph       | Yes      |
| .35 | (b)(1) of this section, the airplane must carry     |          |
| .1. | fuel sufficient to hold at 1500 feet above field    | No,      |
|     | elevation for 15 minutes upon reaching an ETOPS     | Explain  |
|     | Alternate Airport and then conduct an instrument    |          |
|     | approach and land? **     **                        |          |
|     |                                                     |          |
|     | SRRs: 121.646(b)(2)                                 |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  |          |
| 36. | (ETOPS) process ensure that no person may dispatch  |          |
|     | or release for flight an ETOPS flight unless,       |          |
|     | considering wind and other weather conditions       |          |
|     | expected, it has enough fuel to account for APU use |          |
|     | and:                                                |          |
|     |                                                     |          |
|     | SRRs: 121.646(b)(3)                                 |          |
+-----+-----------------------------------------------------+----------+
| 1   | If an APU is a required power source, the           | Yes      |
| .36 | certificate holder must account for its fuel        |          |
| .1. | consumption during the appropriate phases of        | No,      |
|     | flight? **     **                                   | Explain  |
|     |                                                     |          |
|     | SRRs: 121.646(b)(3)                                 |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  |          |
| 37. | (ETOPS) process ensure that the dispatch release    |          |
|     | contains at least the following information         |          |
|     | concerning each flight:                             |          |
|     |                                                     |          |
|     | SRRs: 121.687(a)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1   | For each flight dispatched as an ETOPS flight, the  | Yes      |
| .37 | ETOPS diversion time for which the flight is        |          |
| .1. | dispatched? **     **                               | No,      |
|     |                                                     | Explain  |
|     | SRRs: 121.687(a)(6)                                 |          |
|     |                                                     | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  |          |
| 38. | (ETOPS) process ensure that, except as provided in  |          |
|     | paragraph 14 CFR Part 121.689(c), the flight        |          |
|     | release contain at least the following information  |          |
|     | concerning each flight:                             |          |
|     |                                                     |          |
|     | SRRs: 121.689(a)                                    |          |
+-----+-----------------------------------------------------+----------+
| 1   | For each flight released as an ETOPS flight, the    | Yes      |
| .38 | ETOPS diversion time for which the flight is        |          |
| .1. | released? **     **                                 | No,      |
|     |                                                     | Explain  |
|     | SRRs: 121.689(a)(8)                                 |          |
|     |                                                     | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder s manual contain the    | Yes      |
| 39. | required references to, or excerpts from, the       |          |
|     | operations specifications listed in the             | No,      |
|     | Supplemental Information section of this safety     | Explain  |
|     | attribute inspection (SAI)? **     **               |          |
|     |                                                     |          |
|     | SRRs: 119.43(b); C.055; B.042; D.086; 119.49; B.055 |          |
|     |                                                     |          |
|     | *Related Design JTIs:*                              |          |
|     |                                                     |          |
|     | 1\. Check that the Certificate Holder has           |          |
|     | operations specifications for conducting flag       |          |
|     | ETOPS.                                              |          |
|     |                                                     |          |
|     | *Sources:* 119.49(a)                                |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 2\. Check that the Certificate Holder has           |          |
|     | operations specifications for conducting flag       |          |
|     | operations for each kind of ETOPS authorized.       |          |
|     |                                                     |          |
|     | *Sources:* 119.49(a)(5)                             |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 3\. Check that the Certificate Holder has           |          |
|     | operations specifications for conducting flag       |          |
|     | operations containing authorization for ETOPS       |          |
|     | routes.                                             |          |
|     |                                                     |          |
|     | *Sources:* 119.49(a)(6)                             |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 4\. Check that the Certificate Holder has           |          |
|     | operations specifications for conducting flag       |          |
|     | operations that specify limitations for ETOPS       |          |
|     | areas.                                              |          |
|     |                                                     |          |
|     | *Sources:* 119.49(a)(6)                             |          |
|     |                                                     |          |
|     | 5\. Check that the Certificate Holder has           |          |
|     | operations specifications for conducting flag       |          |
|     | operations specifying limitations for ETOPS routes. |          |
|     |                                                     |          |
|     | *Sources:* 119.49(a)(6)                             |          |
|     |                                                     |          |
|     | 6\. Check that the Certificate Holder has           |          |
|     | operations specifications for conducting flag       |          |
|     | operations specifying limitations for ETOPS areas.  |          |
|     |                                                     |          |
|     | *Sources:* 119.49(a)(6)                             |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 7\. Check that the Certificate Holder has           |          |
|     | operations specifications for conducting            |          |
|     | supplemental ETOPS.                                 |          |
|     |                                                     |          |
|     | *Sources:* 119.49(b)(1)                             |          |
|     |                                                     |          |
|     | 8\. Check that the Certificate Holder has           |          |
|     | operations specifications for conducting            |          |
|     | supplemental operations for each kind of ETOPS      |          |
|     | authorized.                                         |          |
|     |                                                     |          |
|     | *Sources:* 119.49(b)(5)                             |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 9\. Check that the Certificate Holder has           |          |
|     | operations specifications for conducting            |          |
|     | supplemental operations that grants authorization   |          |
|     | for ETOPS routes.                                   |          |
|     |                                                     |          |
|     | *Sources:* 119.49(b)(6)                             |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 10\. Check that the Certificate Holder has          |          |
|     | operations specifications for conducting            |          |
|     | supplemental operations that grants authorization   |          |
|     | for ETOPS areas.                                    |          |
|     |                                                     |          |
|     | *Sources:* 119.49(b)(6)                             |          |
|     |                                                     |          |
|     | 11\. Check that the Certificate Holder has          |          |
|     | operations specifications for conducting            |          |
|     | supplemental operations that specify limitations    |          |
|     | for ETOPS routes.                                   |          |
|     |                                                     |          |
|     | *Sources:* 119.49(b)(6)                             |          |
|     |                                                     |          |
|     | 12\. Check that the Certificate Holder has          |          |
|     | operations specifications for conducting            |          |
|     | supplemental operations specifying limitations for  |          |
|     | ETOPS areas.                                        |          |
|     |                                                     |          |
|     | *Sources:* 119.49(b)(6)                             |          |
+-----+-----------------------------------------------------+----------+
| 1.  | If the certificate holder\'s manual includes        | Yes      |
| 40. | excerpts from its operations specifications, are    |          |
|     | the excerpts clearly identified as part of the      | No,      |
|     | operations specifications? **     **                | Explain  |
|     |                                                     |          |
|     | SRRs: 119.43(b)(1); C.055; B.042; D.086; B.055      | Not      |
|     |                                                     | Ap       |
|     |                                                     | plicable |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder s manual require        | Yes      |
| 41. | compliance with operations specifications listed in |          |
|     | the Supplemental Information section of this safety | No,      |
|     | attribute inspection (SAI)? **     **               | Explain  |
|     |                                                     |          |
|     | SRRs: 119.43(b)(2); C.055; B.042; D.086; B.055      |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder s Extended Operations   | Yes      |
| 42. | (ETOPS) process contain a method for keeping all    |          |
|     | persons engaged in its operations informed of the   | No,      |
|     | provisions of the operations specifications listed  | Explain  |
|     | in the Supplemental Information section of this     |          |
|     | safety attribute inspection (SAI)? **     **        |          |
|     |                                                     |          |
|     | SRRs: 119.43(c); C.055; B.042; D.086; B.055         |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  | Yes      |
| 43. | (ETOPS) process comply with the guidance contained  |          |
|     | in FAA Order 8900.1, Volume 3, Chapter 18, Section  | No,      |
|     | 4? **     **                                        | Explain  |
|     |                                                     |          |
|     | *Related Design JTIs:*                              |          |
|     |                                                     |          |
|     | 1\. Check that the Part 121 Certificate Holder has  |          |
|     | an evaluation for Extended Range Operations with    |          |
|     | Two-Engine Airplanes (ETOPS), with maximum          |          |
|     | diversion times in excess of 75 minutes.            |          |
|     |                                                     |          |
|     | *Sources:* B.042a; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.9(OP)       |          |
|     |                                                     |          |
|     | 2\. Check that the Part 121 Certificate Holder has  |          |
|     | approval for Extended Range Operations with         |          |
|     | Two-Engine Airplanes (ETOPS), with maximum          |          |
|     | diversion times in excess of 75 minutes.            |          |
|     |                                                     |          |
|     | *Sources:* B.042a; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | 3\. Check that the Part 121 Certificate Holder has  |          |
|     | approval for all ER-OPS with maximum diversion      |          |
|     | times in excess of 75 minutes, when the             |          |
|     | airplane/engine combination to be used is type      |          |
|     | design approved for the extended range operation    |          |
|     | proposed.                                           |          |
|     |                                                     |          |
|     | *Sources:* B.042a(1); FAA Order 8900.1. Vol 3, Ch   |          |
|     | 18, Sec 4, Part B                                   |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.9(OP)       |          |
|     |                                                     |          |
|     | 4\. Check that the Part 121 Certificate Holder has  |          |
|     | approval for all ER-OPS with maximum diversion      |          |
|     | times in excess of 75 minutes, when the ER-OPS      |          |
|     | flight operation programs meets or exceeds AC       |          |
|     | 120-42 criteria.                                    |          |
|     |                                                     |          |
|     | *Sources:* B.042a(2); FAA Order 8900.1. Vol 3, Ch   |          |
|     | 18, Sec 4, Part B                                   |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 5\. Check that the Part 121 Certificate Holder has  |          |
|     | approval and Regional concurrence, for all ER-OPS   |          |
|     | with maximum diversion times in excess of 75        |          |
|     | minutes.                                            |          |
|     |                                                     |          |
|     | *Sources:* B.042a(3); FAA Order 8900.1. Vol 3, Ch   |          |
|     | 18, Sec 4, Part B                                   |          |
|     |                                                     |          |
|     | 6\. Check that the Part 121 Certificate Holder has  |          |
|     | an evaluation for extended range operations with    |          |
|     | maximum diversion times of 75 minutes or less.      |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 7\. Check that the Part 121 Certificate Holder has  |          |
|     | approval for extended range operations with maximum |          |
|     | diversion times of 75 minutes or less.              |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 8\. Check that the Part 121 Certificate Holder has  |          |
|     | airplanes whose design must be reviewed to identify |          |
|     | any special equipment necessary to safely conduct   |          |
|     | ER-OPS of 75 minutes or less.                       |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP)                  |          |
|     |                                                     |          |
|     | 9\. Check that the Part 121 Certificate Holder has  |          |
|     | airplanes whose design must be reviewed to identify |          |
|     | any special requirements necessary to safely        |          |
|     | conduct ER-OPS of 75 minutes or less.               |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.9(OP)       |          |
|     |                                                     |          |
|     | 10\. Check that the Part 121 Certificate Holder has |          |
|     | approval, in accordance with AC 120-42, ETOPS for   |          |
|     | ER-OPS of 75 minutes or less.                       |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 11\. Check that the Part 121 Certificate Holder has |          |
|     | approval on a case-by-case basis for operations in  |          |
|     | the Western Pacific.                                |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 12\. Check that the Part 121 Certificate Holder has |          |
|     | approval on a case-by-case basis for operations in  |          |
|     | the Western Pacific considering the performance of  |          |
|     | the airplane to be used.                            |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 13\. Check that the Part 121 Certificate Holder has |          |
|     | approval on a case-by-case basis for operations in  |          |
|     | the Western Pacific considering the character of    |          |
|     | the terrain.                                        |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 14\. Check that the Part 121 Certificate Holder has |          |
|     | approval on a case-by-case basis for operations in  |          |
|     | the Western Pacific considering the performance of  |          |
|     | the airplane to be used.                            |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 3.1.9(OP)                             |          |
|     |                                                     |          |
|     | 15\. Check that the Part 121 Certificate Holder has |          |
|     | approval on a case-by-case basis for operations in  |          |
|     | the Western Pacific considering the capabilities of |          |
|     | the alternate airports being used.                  |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP)                             |          |
|     |                                                     |          |
|     | 16\. Check that the Part 121 Certificate Holder has |          |
|     | approval on a case-by-case basis for operations in  |          |
|     | the Western Pacific considering the special         |          |
|     | provision for this area in the operations           |          |
|     | specifications.                                     |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP)                             |          |
|     |                                                     |          |
|     | 17\. Check that the Part 121 Certificate Holder has |          |
|     | approval on a case-by-case basis for operations in  |          |
|     | the Caribbean Sea.                                  |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP)                             |          |
|     |                                                     |          |
|     | 18\. Check that the Part 121 Certificate Holder has |          |
|     | approval on a case-by-case basis for operations in  |          |
|     | the Caribbean Sea considering the reliability of    |          |
|     | the propulsion system.                              |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP)                  |          |
|     |                                                     |          |
|     | 19\. Check that the Part 121 Certificate Holder has |          |
|     | approval on a case-by-case basis for operations in  |          |
|     | the Caribbean Sea considering the character of the  |          |
|     | terrain.                                            |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 3.2.1(OP); 5.1.6(OP); 5.1.7(OP)       |          |
|     |                                                     |          |
|     | 20\. Check that the Part 121 Certificate Holder has |          |
|     | approval on a case-by-case basis for operations in  |          |
|     | the Caribbean Sea considering the performance of    |          |
|     | the airplane to be used.                            |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 3.1.9(OP)                             |          |
|     |                                                     |          |
|     | 21\. Check that the Part 121 Certificate Holder has |          |
|     | approval on a case-by-case basis for operations in  |          |
|     | the Caribbean Sea considering the capabilities of   |          |
|     | the alternate airports being used.                  |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP)                             |          |
|     |                                                     |          |
|     | 22\. Check that the Part 121 Certificate Holder has |          |
|     | approval on a case-by-case basis for operations in  |          |
|     | the Caribbean Sea considering the special provision |          |
|     | for this area in the operations specifications.     |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 23\. Check that the Part 121 Certificate Holder has |          |
|     | operations specifications approval for ER-OPS with  |          |
|     | a diversion time of 75 minutes or less.             |          |
|     |                                                     |          |
|     | *Sources:* b.042b; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 24\. Check that the Part 121 Certificate Holder has |          |
|     | a general ER-OPS authorization in the operations    |          |
|     | specifications for operations in the Western        |          |
|     | Atlantic.                                           |          |
|     |                                                     |          |
|     | *Sources:* B.042c; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 25\. Check that the Part 121 Certificate Holder has |          |
|     | a general ER-OPS authorization in the operations    |          |
|     | specifications for operations in the Caribbean Sea. |          |
|     |                                                     |          |
|     | *Sources:* B.042c; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 26\. Check that the Part 121 Certificate Holder has |          |
|     | a general ER-OPS authorization in the operations    |          |
|     | specifications.                                     |          |
|     |                                                     |          |
|     | *Sources:* B.042d; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 27\. Check that the Part 121 Certificate Holder has |          |
|     | enroute alternate airports that have been specified |          |
|     | in the operations specifications.                   |          |
|     |                                                     |          |
|     | *Sources:* B.042e; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 3.2.1(OP); 5.1.2(AW); 5.1.6(OP)       |          |
|     |                                                     |          |
|     | 28\. Check that the Part 121 Certificate Holder has |          |
|     | enroute alternate airports that meet the enroute    |          |
|     | alternate criteria in AC-120-42 for use in ER-OPS   |          |
|     | operations.                                         |          |
|     |                                                     |          |
|     | *Sources:* B.042e; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 3.2.1(OP); 5.1.2(AW); 5.1.6(OP)       |          |
|     |                                                     |          |
|     | 29\. Check that the Part 121 Certificate Holder has |          |
|     | authorization to conduct special ER-OPS in the      |          |
|     | Western Atlantic using a maximum diversion time of  |          |
|     | 75 minutes or less.                                 |          |
|     |                                                     |          |
|     | *Sources:* B.042f; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 30\. Check that the Part 121 Certificate Holder has |          |
|     | ER-OPS operations that are approved for the Western |          |
|     | Pacific and are listed in the operations            |          |
|     | specifications by make and any special equipment.   |          |
|     |                                                     |          |
|     | *Sources:* B.042f; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP)                  |          |
|     |                                                     |          |
|     | 31\. Check that the Part 121 Certificate Holder has |          |
|     | ER-OPS operations that are approved for the Western |          |
|     | Pacific and are listed in the operations            |          |
|     | specifications by model and any special equipment.  |          |
|     |                                                     |          |
|     | *Sources:* B.042f; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP)                  |          |
|     |                                                     |          |
|     | 32\. Check that the Part 121 Certificate Holder has |          |
|     | ER-OPS operations that are approved for the Western |          |
|     | Pacific and are listed in the operations            |          |
|     | specifications by make and any special limitations. |          |
|     |                                                     |          |
|     | *Sources:* B.042f; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP)                  |          |
|     |                                                     |          |
|     | 33\. Check that the Part 121 Certificate Holder has |          |
|     | ER-OPS operations that are approved for the Western |          |
|     | Pacific and are listed in the operations            |          |
|     | specifications by model and any special             |          |
|     | limitations.                                        |          |
|     |                                                     |          |
|     | *Sources:* B.042f; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP)                  |          |
|     |                                                     |          |
|     | 34\. Check that the Part 121 Certificate Holder has |          |
|     | authorization to conduct special ER-OPS in the      |          |
|     | Caribbean Sea using a maximum diversion time of 75  |          |
|     | minutes or less.                                    |          |
|     |                                                     |          |
|     | *Sources:* B.042f; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 35\. Check that the Part 121 Certificate Holder has |          |
|     | ER-OPS operations that are approved for the         |          |
|     | Caribbean Sea and are listed in the operations      |          |
|     | specifications by make and any special equipment.   |          |
|     |                                                     |          |
|     | *Sources:* B.042f; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 36\. Check that the Part 121 Certificate Holder has |          |
|     | ER-OPS operations that are approved for the         |          |
|     | Caribbean Sea and are listed in the operations      |          |
|     | specifications by model and any special equipment.  |          |
|     |                                                     |          |
|     | *Sources:* B.042f; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 37\. Check that the Part 121 Certificate Holder has |          |
|     | ER-OPS operations that are approved for the         |          |
|     | Caribbean Sea and are listed in the operations      |          |
|     | specifications by make and any special limitations. |          |
|     |                                                     |          |
|     | *Sources:* B.042f; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 38\. Check that the Part 121 Certificate Holder has |          |
|     | ER-OPS operations that are approved for the         |          |
|     | Caribbean Sea and are listed in the operations      |          |
|     | specifications by model and any special             |          |
|     | limitations.                                        |          |
|     |                                                     |          |
|     | *Sources:* B.042f; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 39\. Check that the Part 121 Certificate Holder has |          |
|     | been issued operations specifications that involve  |          |
|     | operations in the Central East Pacific (CEP)        |          |
|     | airspace.                                           |          |
|     |                                                     |          |
|     | *Sources:* B.042g; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | 40\. Check that the Part 121 Certificate Holder has |          |
|     | been issued operations specifications that involve  |          |
|     | operations in the North Pacific (NOPAC) airspace.   |          |
|     |                                                     |          |
|     | *Sources:* B.042g; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | 41\. Check that the Part 121 Certificate Holder has |          |
|     | operations specifications that involves operations  |          |
|     | in the North Atlantic Minimum Navigation            |          |
|     | Performance Specifications (NAT/MNPS) airspace.     |          |
|     |                                                     |          |
|     | *Sources:* B.042g; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 42\. Check that the Part 121 Certificate Holder has |          |
|     | operations specifications that involve operations   |          |
|     | in the areas of magnetic unreliability.             |          |
|     |                                                     |          |
|     | *Sources:* B.042g; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 43\. Check that the Part 121 Certificate Holder has |          |
|     | operations specifications if the operator is        |          |
|     | authorized to use fuel reserves in ER-OPS.          |          |
|     |                                                     |          |
|     | *Sources:* B.042g; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 3.2.2(OP)                             |          |
|     |                                                     |          |
|     | 44\. Check that the Part 121 Certificate Holder has |          |
|     | operations specifications if the operation involves |          |
|     | transatlantic flight in the North Atlantic.         |          |
|     |                                                     |          |
|     | *Sources:* B.042g; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 45\. Check that the Part 121 Certificate Holder has |          |
|     | been issued operations specifications B041 if the   |          |
|     | operation involves transatlantic flight in the      |          |
|     | North Atlantic.                                     |          |
|     |                                                     |          |
|     | *Sources:* B.042g; FAA Order 8900.1. Vol 3, Ch 18,  |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 46\. Check that the Part 121 Certificate Holder has |          |
|     | been issued operations specifications C055 that     |          |
|     | includes Extended Range Operations (ER-OPS).        |          |
|     |                                                     |          |
|     | *Sources:* C.055; FAA Order 8900.1. Vol 3, Ch 18,   |          |
|     | Sec 4, Part B                                       |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  | Yes      |
| 44. | (ETOPS) process comply with the guidance contained  |          |
|     | in FAA Order 8900.1, Volume 4, Chapter 6, Section   | No,      |
|     | 3? **     **                                        | Explain  |
+-----+-----------------------------------------------------+----------+
| 1.  | Does the certificate holder\'s Extended Operations  | Yes      |
| 45. | (ETOPS) process comply with the guidance contained  |          |
|     | in Advisory Circular 120-42A? **     **             | No,      |
|     |                                                     | Explain  |
|     | *Related Design JTIs:*                              |          |
|     |                                                     |          |
|     | 1\. Check that the Part 121 Certificate Holder has  |          |
|     | extended range operations that contain a point      |          |
|     | further than one hour flying time at the approved   |          |
|     | one-engine inoperative cruise speed (under standard |          |
|     | conditions in still air) from an adequate airport.  |          |
|     |                                                     |          |
|     | *Sources:* AC-120-42a, 4(e)                         |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 2\. Check that the Part 121 Certificate Holder has  |          |
|     | extended range operations that has an outbound      |          |
|     | entry point which is one hour flying time at the    |          |
|     | approved one-engine inoperative cruise speed (under |          |
|     | standard conditions in still air) from an adequate  |          |
|     | airport.                                            |          |
|     |                                                     |          |
|     | *Sources:* AC-120-42a, 4(f)                         |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 3\. Check that the Part 121 Certificate Holder has  |          |
|     | an evaluation considering the continuing            |          |
|     | operational concepts outlined in paragraph 10 of    |          |
|     | AC-120-42a                                          |          |
|     |                                                     |          |
|     | *Sources:* AC-120-42a, 5                            |          |
|     |                                                     |          |
|     | 4\. Check that the Part 121 Certificate Holder has  |          |
|     | ETOPS operations that are not limited to over water |          |
|     | operations.                                         |          |
|     |                                                     |          |
|     | *Sources:* AC-120-42a, 5c(1)                        |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 5\. Check that the Part 121 Certificate Holder has  |          |
|     | additional restrictions imposed on their ETOPS      |          |
|     | operations.                                         |          |
|     |                                                     |          |
|     | *Sources:* AC-120-42a, 5c(2)                        |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 6\. Check that the Part 121 Certificate Holder has  |          |
|     | deviations granted to operate their ETOPS           |          |
|     | operations in excess of the basic requirements.     |          |
|     |                                                     |          |
|     | *Sources:* AC-120-42a, 5c(2)                        |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 7\. Check that the Part 121 Certificate Holder has  |          |
|     | airports that are adequate for the airplane used.   |          |
|     |                                                     |          |
|     | *Sources:* AC-120-42a, 5c(3)                        |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP)                             |          |
|     |                                                     |          |
|     | 8\. Check that the Part 121 Certificate Holder has  |          |
|     | a deviation from the required time restriction.     |          |
|     |                                                     |          |
|     | *Sources:* AC-120-42a, 5c(4)                        |          |
|     |                                                     |          |
|     | *Interfaces:* 5.1.6(OP); 5.1.7(OP)                  |          |
|     |                                                     |          |
|     | 9\. Check that the Part 121 Certificate Holder has  |          |
|     | made an assessment to ensure that exceptional       |          |
|     | piloting skills are not required during its         |          |
|     | extended range operations.                          |          |
|     |                                                     |          |
|     | *Sources:* AC-120-42a, 5e                           |          |
|     |                                                     |          |
|     | *Interfaces:* 3.1.3(OP); 4.2.3(OP); 4.2.9(OP)       |          |
|     |                                                     |          |
|     | 10\. Check that the Part 121 Certificate Holder has |          |
|     | made an assessment to ensure that exceptional crew  |          |
|     | coordination are not required during its extended   |          |
|     | range operations.                                   |          |
|     |                                                     |          |
|     | *Sources:* AC-120-42a, 5e                           |          |
|     |                                                     |          |
|     | 11\. Check that the Part 121 Certificate Holder has |          |
|     | trained its personnel to achieve competence in      |          |
|     | extended range operations.                          |          |
|     |                                                     |          |
|     | *Sources:* AC-120-42a, f(3)                         |          |
|     |                                                     |          |
|     | *Interfaces:* 4.2.5(OP); 4.2.7(OP); 4.3.1(OP);      |          |
|     | 4.3.2(OP)                                           |          |
|     |                                                     |          |
|     | 12\. Check that the Part 121 Certificate Holder has |          |
|     | authorization in their operations specifications    |          |
|     | for extended range operations within an area where  |          |
|     | the diversion time at any point along the proposed  |          |
|     | route of flight to an adequate airport is 75        |          |
|     | minutes at the approved one-engine cruise speed     |          |
|     | (under standard conditions in still air).           |          |
|     |                                                     |          |
|     | *Sources:* AC 120-42a, 10 f(1)(i)                   |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 13\. Check that the Part 121 Certificate Holder has |          |
|     | authorization in their operations specifications    |          |
|     | for extended range operations within an area where  |          |
|     | the diversion time at any point along the proposed  |          |
|     | route of flight to an adequate airport is 120       |          |
|     | minutes at the approved one-engine cruise speed     |          |
|     | (under standard conditions in still air).           |          |
|     |                                                     |          |
|     | *Sources:* AC 120-42a, 10 f(1)(i)                   |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 14\. Check that the Part 121 Certificate Holder has |          |
|     | authorization in their operations specifications    |          |
|     | for extended range operations within an area where  |          |
|     | the diversion time at any point along the proposed  |          |
|     | route of flight to an adequate airport is 180       |          |
|     | minutes at the approved one-engine cruise speed     |          |
|     | (under standard conditions in still air).           |          |
|     |                                                     |          |
|     | *Sources:* AC 120-42a, 10 f(1)(i)                   |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 15\. Check that the Part 121 Certificate Holder has |          |
|     | approval in the operations specifications for the   |          |
|     | authorized areas used in ETOPS.                     |          |
|     |                                                     |          |
|     | *Sources:* AC 120-42a, 10 f(1)(ii)                  |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 16\. Check that the Part 121 Certificate Holder     |          |
|     | does not have a policy that would prejudice the     |          |
|     | final authority of the pilot in command.            |          |
|     |                                                     |          |
|     | *Sources:* AC 120-42a, 10 f(3)                      |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 17\. Check that the Part 121 Certificate Holder     |          |
|     | does not have a policy that would prejudice the     |          |
|     | final responsibility of the pilot in command.       |          |
|     |                                                     |          |
|     | *Sources:* AC 120-42a, 10 f(3)                      |          |
|     |                                                     |          |
|     | 18\. Check that the Part 121 Certificate Holder     |          |
|     | has, in its operations specifications, provisions   |          |
|     | covering the minimum altitudes to be flown along    |          |
|     | planned routes.                                     |          |
|     |                                                     |          |
|     | *Sources:* AC 120-42a, 10 g(2)(iii)                 |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 19\. Check that the Part 121 Certificate Holder     |          |
|     | has, in its operations specifications, provisions   |          |
|     | covering the minimum altitudes to be flown along    |          |
|     | diversionary routes.                                |          |
|     |                                                     |          |
|     | *Sources:* AC 120-42a, 10 g(2)(iii)                 |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 20\. Check that the Part 121 Certificate Holder     |          |
|     | has, in its operations specifications, provisions   |          |
|     | that preclude operations in excess of the maximum   |          |
|     | diversion time at any point in route to a suitable  |          |
|     | airport for landing.                                |          |
|     |                                                     |          |
|     | *Sources:* AC 120-42a, 10 g(2)(iv)                  |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 21\. Check that the Part 121 Certificate Holder     |          |
|     | has, in its operations specifications, provisions   |          |
|     | covering airports authorized for use, including     |          |
|     | alternates, and associated instrument approaches    |          |
|     | and operating minima.                               |          |
|     |                                                     |          |
|     | *Sources:* AC 120-42a, 10 g(2)(v)                   |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 22\. Check that the Part 121 Certificate Holder     |          |
|     | has, in its operations specifications, provisions   |          |
|     | covering the identification of those airplanes      |          |
|     | designated for extended range operation by make and |          |
|     | model as well as serial and registration numbers.   |          |
|     |                                                     |          |
|     | *Sources:* AC 120-42a, 10 g(2)(vii)                 |          |
|     |                                                     |          |
|     | *Interfaces:* 1.1.2(AW); 1.1.2(OP); 3.1.3(OP);      |          |
|     | 3.1.4(OP); 3.1.9(OP); 3.2.1(OP); 4.2.9(OP);         |          |
|     | 4.3.2(OP); 5.1.2(AW); 5.1.6(OP); 5.1.7(OP)          |          |
|     |                                                     |          |
|     | 23\. Check that the Part 121 Certificate Holder has |          |
|     | a document showing that a FAA-witnessed validation  |          |
|     | flight has been accomplished using the specified    |          |
|     | airframe-engine combination.                        |          |
|     |                                                     |          |
|     | *Sources:* AC 120-42a, 10 h                         |          |
|     |                                                     |          |
|     | 24\. Check that the Part 121 Certificate Holder     |          |
|     | utilizes AC 120-42a, Appendix 3 for the definitions |          |
|     | dealing with suitable enroute alternate airports.   |          |
|     |                                                     |          |
|     | *Sources:* AC 120-42A Appendix 3                    |          |
|     |                                                     |          |
|     | 25\. Check that the Part 121 Certificate Holder     |          |
|     | utilizes AC 120-42a, Appendix 5 for the definitions |          |
|     | dealing with ETOPS operational program criteria.    |          |
|     |                                                     |          |
|     | *Sources:* AC 120-42a Appendix 5                    |          |
+-----+-----------------------------------------------------+----------+
| 2\. | Does the certificate holder\'s manual contain       | Yes      |
|     | general policies for the Extended Operations        |          |
|     | (ETOPS) process that comply with the SRRs?          | No,      |
|     | **     **                                           | Explain  |
|     |                                                     |          |
|     | SRRs: 119.5(f)(1); 119.5(f)(2); 119.33(a)(1);       |          |
|     | 119.33(a)(2); 119.33(a)(3); 121.135(b)(1);          |          |
|     | 121.135(b)(5); 121.135(b)(6); 121.135(b)(7);        |          |
|     | 121.135(b)(19); 121.135(b)(21); 121.383(a)(1);      |          |
|     | 121.383(a)(2); 121.383(a)(3); 119.49(a); 119.49(b); |          |
|     | 121 App.P                                           |          |
+-----+-----------------------------------------------------+----------+
| 3\. | Does the certificate holder\'s manual reference the | Yes      |
|     | appropriate Federal Aviation Regulations listed in  |          |
|     | the Supplemental Information section of this safety | No,      |
|     | attribute inspection (SAI)? **     **               | Explain  |
|     |                                                     |          |
|     | SRRs: 121.135(b)(3)                                 |          |
+-----+-----------------------------------------------------+----------+
| 4\. | Does the certificate holder\'s manual contain the   | Yes      |
|     | duties and responsibilities for personnel who will  |          |
|     | accomplish the Extended Operations (ETOPS) process  | No,      |
|     | ? **     **                                         | Explain  |
|     |                                                     |          |
|     | SRRs: 121.135(b)(2)                                 |          |
+-----+-----------------------------------------------------+----------+
| 5\. | Does the certificate holder\'s manual include       | Yes      |
|     | instructions and information for personnel to meet  |          |
|     | the requirements of the Extended Operations (ETOPS) | No,      |
|     | process? **     **                                  | Explain  |
|     |                                                     |          |
|     | SRRs: 121.135(a)(1)                                 |          |
+-----+-----------------------------------------------------+----------+

+---+-------------------------------------------------------------------+
| # |                                                                   |
| # |                                                                   |
| # |                                                                   |
| # |                                                                   |
|   |                                                                   |
| S |                                                                   |
| A |                                                                   |
| I |                                                                   |
|   |                                                                   |
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| e |                                                                   |
| c |                                                                   |
| t |                                                                   |
| i |                                                                   |
| o |                                                                   |
| n |                                                                   |
|   |                                                                   |
| 1 |                                                                   |
|   |                                                                   |
| - |                                                                   |
|   |                                                                   |
| P |                                                                   |
| r |                                                                   |
| o |                                                                   |
| c |                                                                   |
| e |                                                                   |
| d |                                                                   |
| u |                                                                   |
| r |                                                                   |
| e |                                                                   |
| s |                                                                   |
|   |                                                                   |
| A |                                                                   |
| t |                                                                   |
| t |                                                                   |
| r |                                                                   |
| i |                                                                   |
| b |                                                                   |
| u |                                                                   |
| t |                                                                   |
| e |                                                                   |
|   |                                                                   |
| * |                                                                   |
| * |                                                                   |
| D |                                                                   |
| r |                                                                   |
| o |                                                                   |
| p |                                                                   |
| - |                                                                   |
| D |                                                                   |
| o |                                                                   |
| w |                                                                   |
| n |                                                                   |
| M |                                                                   |
| e |                                                                   |
| n |                                                                   |
| u |                                                                   |
| * |                                                                   |
| * |                                                                   |
+---+-------------------------------------------------------------------+
| 1 | No procedures, policy, instructions or information specified.     |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 2 | Procedures or instructions and information do not identify (who,  |
| \ | what, when, where, how).                                          |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 3 | Procedures, policy or instructions and information do not comply  |
| \ | with CFR.                                                         |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 4 | Procedures, policy or instructions and information do not comply  |
| \ | with FAA policy and guidance.                                     |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 5 | Procedures, policy or instructions and information do not comply  |
| \ | with other documentation (e.g., manufacturer\'s data, Jeppesen\'s |
| . | Charts, etc.).                                                    |
+---+-------------------------------------------------------------------+
| 6 | Procedures, policy or instructions and information unclear or     |
| \ | incomplete.                                                       |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 7 | Documentation quality (e.g., unreadable or illegible).            |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 8 | Procedures, policy or instructions and information inconsistent   |
| \ | across Certificate Holder manuals (FOM - Flight Operations Manual |
| . | to GMM - General Maintenance Manual, etc.).                       |
+---+-------------------------------------------------------------------+
| 9 | Procedures, policy or instructions and information inconsistent   |
| \ | across media (e.g., paper, microfiche, electronic).               |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 1 | Resource requirements incomplete (personnel, facilities,          |
| 0 | equipment, technical data).                                       |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 1 | Other.                                                            |
| 1 |                                                                   |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+

+---+-------------------------------------------------------------------+
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+---+-------------------------------------------------------------------+
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| s |                                                                   |
| a |                                                                   |
| f |                                                                   |
| e |                                                                   |
| t |                                                                   |
| y |                                                                   |
| d |                                                                   |
| e |                                                                   |
| v |                                                                   |
| i |                                                                   |
| c |                                                                   |
| e |                                                                   |
| s |                                                                   |
| , |                                                                   |
| w |                                                                   |
| a |                                                                   |
| r |                                                                   |
| n |                                                                   |
| i |                                                                   |
| n |                                                                   |
| g |                                                                   |
| d |                                                                   |
| e |                                                                   |
| v |                                                                   |
| i |                                                                   |
| c |                                                                   |
| e |                                                                   |
| s |                                                                   |
| , |                                                                   |
| e |                                                                   |
| t |                                                                   |
| c |                                                                   |
| . |                                                                   |
| ) |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| # |                                                                   |
| # |                                                                   |
|   |                                                                   |
| T |                                                                   |
| a |                                                                   |
| s |                                                                   |
| k |                                                                   |
| s |                                                                   |
+---+-------------------------------------------------------------------+
|   | To meet this objective, the inspector must accomplish the         |
|   | following tasks:                                                  |
+---+-------------------------------------------------------------------+
| 1 | Review the control questions below.                               |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 2 | Review the certificate holder\'s policies, procedures,            |
| \ | instructions, and information to gain an understanding of the     |
| . | controls that it has documented.                                  |
+---+-------------------------------------------------------------------+

+---+------------------------------------------------------+-----------+
| # |                                                      |           |
| # |                                                      |           |
|   |                                                      |           |
| Q |                                                      |           |
| u |                                                      |           |
| e |                                                      |           |
| s |                                                      |           |
| t |                                                      |           |
| i |                                                      |           |
| o |                                                      |           |
| n |                                                      |           |
| s |                                                      |           |
+---+------------------------------------------------------+-----------+
|   | To meet this objective, the inspector must answer    |           |
|   | the following questions:                             |           |
+---+------------------------------------------------------+-----------+
| 1 | Are the following controls built into the Extended   |           |
| \ | Operations (ETOPS) process:                          |           |
| . |                                                      |           |
+---+------------------------------------------------------+-----------+
| 1 | Is there a control in place to ensure that the en    | Yes       |
| . | route alternate criteria are met for ETOPS?          |           |
| 1 | **     **                                            | No,       |
| . |                                                      | Explain   |
+---+------------------------------------------------------+-----------+
| 1 | Is there a control in place to ensure that           | Yes       |
| . | crewmembers are qualified in the certificate         |           |
| 2 | holder\'s ETOPS operations? **     **                | No,       |
| . |                                                      | Explain   |
+---+------------------------------------------------------+-----------+
| 1 | Is there a control in place to ensure that all       | Yes       |
| . | airports used in ETOPS have safe conditions and      |           |
| 3 | adequate ground equipment? **     **                 | No,       |
| . |                                                      | Explain   |
+---+------------------------------------------------------+-----------+
| 1 | Is there a control in place to ensure that only      | Yes       |
| . | airplanes listed in operations specifications D086   |           |
| 4 | be used in ETOPS operations? **     **               | No,       |
| . |                                                      | Explain   |
+---+------------------------------------------------------+-----------+
| 2 | Does the certificate holder have a documented method | Yes       |
| \ | for assessing the impact of any changes made to the  |           |
| . | controls in the ETOPS process? **     **             | No,       |
|   |                                                      | Explain   |
+---+------------------------------------------------------+-----------+

+---+-------------------------------------------------------------------+
| # |                                                                   |
| # |                                                                   |
| # |                                                                   |
| # |                                                                   |
|   |                                                                   |
| S |                                                                   |
| A |                                                                   |
| I |                                                                   |
|   |                                                                   |
| S |                                                                   |
| e |                                                                   |
| c |                                                                   |
| t |                                                                   |
| i |                                                                   |
| o |                                                                   |
| n |                                                                   |
|   |                                                                   |
| 2 |                                                                   |
|   |                                                                   |
| - |                                                                   |
|   |                                                                   |
| C |                                                                   |
| o |                                                                   |
| n |                                                                   |
| t |                                                                   |
| r |                                                                   |
| o |                                                                   |
| l |                                                                   |
| s |                                                                   |
|   |                                                                   |
| A |                                                                   |
| t |                                                                   |
| t |                                                                   |
| r |                                                                   |
| i |                                                                   |
| b |                                                                   |
| u |                                                                   |
| t |                                                                   |
| e |                                                                   |
|   |                                                                   |
| * |                                                                   |
| * |                                                                   |
| D |                                                                   |
| r |                                                                   |
| o |                                                                   |
| p |                                                                   |
| - |                                                                   |
| D |                                                                   |
| o |                                                                   |
| w |                                                                   |
| n |                                                                   |
| M |                                                                   |
| e |                                                                   |
| n |                                                                   |
| u |                                                                   |
| * |                                                                   |
| * |                                                                   |
+---+-------------------------------------------------------------------+
| 1 | No controls specified.                                            |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 2 | Documentation for the controls do not identify (who, what, when,  |
| \ | where, how).                                                      |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 3 | Controls incomplete.                                              |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 4 | Controls could be circumvented.                                   |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 5 | Controls could be unenforceable.                                  |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 6 | Resource requirements incomplete (personnel, facilities,          |
| \ | equipment, technical data).                                       |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 7 | Other.                                                            |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+

+---+-------------------------------------------------------------------+
| * |                                                                   |
| * |                                                                   |
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| * |                                                                   |
| * |                                                                   |
+---+-------------------------------------------------------------------+
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| a |                                                                   |
| t |                                                                   |
| u |                                                                   |
| r |                                                                   |
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| s |                                                                   |
| c |                                                                   |
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| n |                                                                   |
| t |                                                                   |
| a |                                                                   |
| i |                                                                   |
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| d |                                                                   |
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| h |                                                                   |
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| c |                                                                   |
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| c |                                                                   |
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| s |                                                                   |
| t |                                                                   |
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| i |                                                                   |
| n |                                                                   |
| c |                                                                   |
| l |                                                                   |
| u |                                                                   |
| d |                                                                   |
| e |                                                                   |
| t |                                                                   |
| h |                                                                   |
| e |                                                                   |
| s |                                                                   |
| p |                                                                   |
| e |                                                                   |
| c |                                                                   |
| i |                                                                   |
| f |                                                                   |
| i |                                                                   |
| c |                                                                   |
| p |                                                                   |
| r |                                                                   |
| o |                                                                   |
| c |                                                                   |
| e |                                                                   |
| s |                                                                   |
| s |                                                                   |
| m |                                                                   |
| e |                                                                   |
| a |                                                                   |
| s |                                                                   |
| u |                                                                   |
| r |                                                                   |
| e |                                                                   |
| m |                                                                   |
| e |                                                                   |
| n |                                                                   |
| t |                                                                   |
| s |                                                                   |
| f |                                                                   |
| o |                                                                   |
| r |                                                                   |
| e |                                                                   |
| a |                                                                   |
| c |                                                                   |
| h |                                                                   |
| e |                                                                   |
| l |                                                                   |
| e |                                                                   |
| m |                                                                   |
| e |                                                                   |
| n |                                                                   |
| t |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| # |                                                                   |
| # |                                                                   |
|   |                                                                   |
| T |                                                                   |
| a |                                                                   |
| s |                                                                   |
| k |                                                                   |
| s |                                                                   |
+---+-------------------------------------------------------------------+
|   | To meet this objective, the inspector must accomplish the         |
|   | following tasks:                                                  |
+---+-------------------------------------------------------------------+
| 1 | Review the process measurement questions below.                   |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 2 | Review the certificate holder\'s policies, procedures,            |
| \ | instructions, and information to gain an understanding of the     |
| . | process measurements that it has documented.                      |
+---+-------------------------------------------------------------------+

+---+------------------------------------------------------+-----------+
| # |                                                      |           |
| # |                                                      |           |
|   |                                                      |           |
| Q |                                                      |           |
| u |                                                      |           |
| e |                                                      |           |
| s |                                                      |           |
| t |                                                      |           |
| i |                                                      |           |
| o |                                                      |           |
| n |                                                      |           |
| s |                                                      |           |
+---+------------------------------------------------------+-----------+
|   | To meet this objective, the inspector must answer    |           |
|   | the following questions:                             |           |
+---+------------------------------------------------------+-----------+
| 1 | Does the certificate holder\'s Extended Operations   |           |
| \ | (ETOPS) process include the following process        |           |
| . | measurements:                                        |           |
+---+------------------------------------------------------+-----------+
| 1 | Process measurements that would reveal if en route   | Yes       |
| . | alternate criteria were not met for ETOPS? **     ** |           |
| 1 |                                                      | No,       |
| . |                                                      | Explain   |
+---+------------------------------------------------------+-----------+
| 1 | Process measurements that would reveal if personnel  | Yes       |
| . | were not properly qualified in ETOPS operations?     |           |
| 2 | **     **                                            | No,       |
| . |                                                      | Explain   |
+---+------------------------------------------------------+-----------+
| 1 | Process measurements that would reveal if all        | Yes       |
| . | airports used in ETOPS did not have safe conditions  |           |
| 3 | and adequate ground equipment? **     **             | No,       |
| . |                                                      | Explain   |
+---+------------------------------------------------------+-----------+
| 1 | Process measurements that would reveal if an         | Yes       |
| . | airplane not listed in operations specifications     |           |
| 4 | D086 was used in ETOPS operations? **     **         | No,       |
| . |                                                      | Explain   |
+---+------------------------------------------------------+-----------+
| 2 | Is there a process measurement or process            | Yes       |
| \ | measurements that would reveal if the certificate    |           |
| . | holder\'s policy, procedures, instructions, and      | No,       |
|   | information were not followed? **     **             | Explain   |
+---+------------------------------------------------------+-----------+
| 3 | Does the certificate holder document its process     | Yes       |
| \ | measurement results? **     **                       |           |
| . |                                                      | No,       |
|   |                                                      | Explain   |
+---+------------------------------------------------------+-----------+
| 4 | Does the certificate holder use its process          | Yes       |
| \ | measurement results to improve its programs?         |           |
| . | **     **                                            | No,       |
|   |                                                      | Explain   |
+---+------------------------------------------------------+-----------+
| 5 | Does the organization that conducts the process      | Yes       |
| \ | measurements have direct access to the person with   |           |
| . | responsibility for the ETOPS process? **     **      | No,       |
|   |                                                      | Explain   |
+---+------------------------------------------------------+-----------+

+---+-------------------------------------------------------------------+
| # |                                                                   |
| # |                                                                   |
| # |                                                                   |
| # |                                                                   |
|   |                                                                   |
| S |                                                                   |
| A |                                                                   |
| I |                                                                   |
|   |                                                                   |
| S |                                                                   |
| e |                                                                   |
| c |                                                                   |
| t |                                                                   |
| i |                                                                   |
| o |                                                                   |
| n |                                                                   |
|   |                                                                   |
| 3 |                                                                   |
|   |                                                                   |
| - |                                                                   |
|   |                                                                   |
| P |                                                                   |
| r |                                                                   |
| o |                                                                   |
| c |                                                                   |
| e |                                                                   |
| s |                                                                   |
| s |                                                                   |
|   |                                                                   |
| M |                                                                   |
| e |                                                                   |
| a |                                                                   |
| s |                                                                   |
| u |                                                                   |
| r |                                                                   |
| e |                                                                   |
| m |                                                                   |
| e |                                                                   |
| n |                                                                   |
| t |                                                                   |
|   |                                                                   |
| A |                                                                   |
| t |                                                                   |
| t |                                                                   |
| r |                                                                   |
| i |                                                                   |
| b |                                                                   |
| u |                                                                   |
| t |                                                                   |
| e |                                                                   |
|   |                                                                   |
| * |                                                                   |
| * |                                                                   |
| D |                                                                   |
| r |                                                                   |
| o |                                                                   |
| p |                                                                   |
| - |                                                                   |
| D |                                                                   |
| o |                                                                   |
| w |                                                                   |
| n |                                                                   |
| M |                                                                   |
| e |                                                                   |
| n |                                                                   |
| u |                                                                   |
| * |                                                                   |
| * |                                                                   |
+---+-------------------------------------------------------------------+
| 1 | No process measurements specified.                                |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 2 | Documentation for the process measurements does not identify      |
| \ | (who, what, when, where, how).                                    |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 3 | Inability to identify negative findings.                          |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 4 | No provisions for implementing corrective actions.                |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 5 | Ineffective follow-up to determine effectiveness of corrective    |
| \ | actions.                                                          |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 6 | Resources requirements (personnel, facilities, equipment,         |
| \ | technical data).                                                  |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 7 | Other.                                                            |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+

+---+-------------------------------------------------------------------+
| * |                                                                   |
| * |                                                                   |
| S |                                                                   |
| A |                                                                   |
| I |                                                                   |
| S |                                                                   |
| e |                                                                   |
| c |                                                                   |
| t |                                                                   |
| i |                                                                   |
| o |                                                                   |
| n |                                                                   |
| 4 |                                                                   |
|   |                                                                   |
| - |                                                                   |
| I |                                                                   |
| n |                                                                   |
| t |                                                                   |
| e |                                                                   |
| r |                                                                   |
| f |                                                                   |
| a |                                                                   |
| c |                                                                   |
| e |                                                                   |
| s |                                                                   |
| A |                                                                   |
| t |                                                                   |
| t |                                                                   |
| r |                                                                   |
| i |                                                                   |
| b |                                                                   |
| u |                                                                   |
| t |                                                                   |
| e |                                                                   |
| * |                                                                   |
| * |                                                                   |
+---+-------------------------------------------------------------------+
| * |                                                                   |
| * |                                                                   |
| O |                                                                   |
| b |                                                                   |
| j |                                                                   |
| e |                                                                   |
| c |                                                                   |
| t |                                                                   |
| i |                                                                   |
| v |                                                                   |
| e |                                                                   |
| : |                                                                   |
| * |                                                                   |
| * |                                                                   |
| I |                                                                   |
| n |                                                                   |
| t |                                                                   |
| e |                                                                   |
| r |                                                                   |
| f |                                                                   |
| a |                                                                   |
| c |                                                                   |
| e |                                                                   |
| s |                                                                   |
| a |                                                                   |
| r |                                                                   |
| e |                                                                   |
| u |                                                                   |
| s |                                                                   |
| e |                                                                   |
| d |                                                                   |
| b |                                                                   |
| y |                                                                   |
| t |                                                                   |
| h |                                                                   |
| e |                                                                   |
| c |                                                                   |
| e |                                                                   |
| r |                                                                   |
| t |                                                                   |
| i |                                                                   |
| f |                                                                   |
| i |                                                                   |
| c |                                                                   |
| a |                                                                   |
| t |                                                                   |
| e |                                                                   |
| h |                                                                   |
| o |                                                                   |
| l |                                                                   |
| d |                                                                   |
| e |                                                                   |
| r |                                                                   |
| t |                                                                   |
| o |                                                                   |
| i |                                                                   |
| d |                                                                   |
| e |                                                                   |
| n |                                                                   |
| t |                                                                   |
| i |                                                                   |
| f |                                                                   |
| y |                                                                   |
| a |                                                                   |
| n |                                                                   |
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| l |                                                                   |
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| i |                                                                   |
| d |                                                                   |
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| n |                                                                   |
| t |                                                                   |
| i |                                                                   |
| f |                                                                   |
| y |                                                                   |
| a |                                                                   |
| n |                                                                   |
| d |                                                                   |
| d |                                                                   |
| o |                                                                   |
| c |                                                                   |
| u |                                                                   |
| m |                                                                   |
| e |                                                                   |
| n |                                                                   |
| t |                                                                   |
| t |                                                                   |
| h |                                                                   |
| e |                                                                   |
|   |                                                                   |
| i |                                                                   |
| n |                                                                   |
| t |                                                                   |
| e |                                                                   |
| r |                                                                   |
| f |                                                                   |
| a |                                                                   |
| c |                                                                   |
| e |                                                                   |
| s |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| # |                                                                   |
| # |                                                                   |
|   |                                                                   |
| T |                                                                   |
| a |                                                                   |
| s |                                                                   |
| k |                                                                   |
| s |                                                                   |
+---+-------------------------------------------------------------------+
|   | To meet this objective, the inspector must accomplish the         |
|   | following tasks:                                                  |
+---+-------------------------------------------------------------------+
| 1 | Review the interfaces associated with the Extended Operations     |
| \ | (ETOPS) process that have been identified along with the          |
| . | individual questions in section 1, Procedures, of this DCT.       |
+---+-------------------------------------------------------------------+
| 2 | Review the certificate holder\'s policies, procedures,            |
| \ | instructions, and information to gain an understanding of the     |
| . | interfaces that it has documented.                                |
+---+-------------------------------------------------------------------+

+---+------------------------------------------------------+-----------+
| # |                                                      |           |
| # |                                                      |           |
|   |                                                      |           |
| Q |                                                      |           |
| u |                                                      |           |
| e |                                                      |           |
| s |                                                      |           |
| t |                                                      |           |
| i |                                                      |           |
| o |                                                      |           |
| n |                                                      |           |
| s |                                                      |           |
+---+------------------------------------------------------+-----------+
|   | To meet this objective, the inspector must answer    |           |
|   | the following questions:                             |           |
|   |                                                      |           |
|   | Note: The design job task items (JTIs) displayed     |           |
|   | with the questions in section 1, Procedures, of this |           |
|   | DCT identify potential interfaces (by element        |           |
|   | number) for this element.                            |           |
+---+------------------------------------------------------+-----------+
| 1 | Does the certificate holder\'s system properly       | Yes       |
| \ | address the interfaces that are identified along     |           |
| . | with the questions in section 1, Procedures of this  | No,       |
|   | DCT? **     **                                       | Explain   |
+---+------------------------------------------------------+-----------+
| 2 | Does the certificate holder document a method for    | Yes       |
| \ | assessing the impact of any changes to the           |           |
| . | associated interfaces within the ETOPS process?      | No,       |
|   | **     **                                            | Explain   |
+---+------------------------------------------------------+-----------+

+---+-------------------------------------------------------------------+
| # |                                                                   |
| # |                                                                   |
| # |                                                                   |
| # |                                                                   |
|   |                                                                   |
| S |                                                                   |
| A |                                                                   |
| I |                                                                   |
|   |                                                                   |
| S |                                                                   |
| e |                                                                   |
| c |                                                                   |
| t |                                                                   |
| i |                                                                   |
| o |                                                                   |
| n |                                                                   |
|   |                                                                   |
| 4 |                                                                   |
|   |                                                                   |
| - |                                                                   |
|   |                                                                   |
| I |                                                                   |
| n |                                                                   |
| t |                                                                   |
| e |                                                                   |
| r |                                                                   |
| f |                                                                   |
| a |                                                                   |
| c |                                                                   |
| e |                                                                   |
| s |                                                                   |
|   |                                                                   |
| A |                                                                   |
| t |                                                                   |
| t |                                                                   |
| r |                                                                   |
| i |                                                                   |
| b |                                                                   |
| u |                                                                   |
| t |                                                                   |
| e |                                                                   |
|   |                                                                   |
| * |                                                                   |
| * |                                                                   |
| D |                                                                   |
| r |                                                                   |
| o |                                                                   |
| p |                                                                   |
| - |                                                                   |
| D |                                                                   |
| o |                                                                   |
| w |                                                                   |
| n |                                                                   |
| M |                                                                   |
| e |                                                                   |
| n |                                                                   |
| u |                                                                   |
| * |                                                                   |
| * |                                                                   |
+---+-------------------------------------------------------------------+
| 1 | No interfaces specified.                                          |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 2 | The following interfaces not identified within the Certificate    |
| \ | Holder\'s manual system:                                          |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 3 | Interfaces listed are inaccurate.                                 |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 4 | Specific location of interfaces not identified within the manual  |
| \ | system.                                                           |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 5 | Other                                                             |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+

+---+-------------------------------------------------------------------+
| * |                                                                   |
| * |                                                                   |
| S |                                                                   |
| A |                                                                   |
| I |                                                                   |
| S |                                                                   |
| e |                                                                   |
| c |                                                                   |
| t |                                                                   |
| i |                                                                   |
| o |                                                                   |
| n |                                                                   |
| 5 |                                                                   |
|   |                                                                   |
| - |                                                                   |
| M |                                                                   |
| a |                                                                   |
| n |                                                                   |
| a |                                                                   |
| g |                                                                   |
| e |                                                                   |
| m |                                                                   |
| e |                                                                   |
| n |                                                                   |
| t |                                                                   |
| R |                                                                   |
| e |                                                                   |
| s |                                                                   |
| p |                                                                   |
| o |                                                                   |
| n |                                                                   |
| s |                                                                   |
| i |                                                                   |
| b |                                                                   |
| i |                                                                   |
| l |                                                                   |
| i |                                                                   |
| t |                                                                   |
| y |                                                                   |
| & |                                                                   |
| A |                                                                   |
| u |                                                                   |
| t |                                                                   |
| h |                                                                   |
| o |                                                                   |
| r |                                                                   |
| i |                                                                   |
| t |                                                                   |
| y |                                                                   |
| A |                                                                   |
| t |                                                                   |
| t |                                                                   |
| r |                                                                   |
| i |                                                                   |
| b |                                                                   |
| u |                                                                   |
| t |                                                                   |
| e |                                                                   |
| s |                                                                   |
| * |                                                                   |
| * |                                                                   |
+---+-------------------------------------------------------------------+
| * |                                                                   |
| * |                                                                   |
| O |                                                                   |
| b |                                                                   |
| j |                                                                   |
| e |                                                                   |
| c |                                                                   |
| t |                                                                   |
| i |                                                                   |
| v |                                                                   |
| e |                                                                   |
| : |                                                                   |
| * |                                                                   |
| * |                                                                   |
| T |                                                                   |
| h |                                                                   |
| e |                                                                   |
| q |                                                                   |
| u |                                                                   |
| e |                                                                   |
| s |                                                                   |
| t |                                                                   |
| i |                                                                   |
| o |                                                                   |
| n |                                                                   |
| s |                                                                   |
| i |                                                                   |
| n |                                                                   |
| t |                                                                   |
| h |                                                                   |
| i |                                                                   |
| s |                                                                   |
| s |                                                                   |
| e |                                                                   |
| c |                                                                   |
| t |                                                                   |
| i |                                                                   |
| o |                                                                   |
| n |                                                                   |
| a |                                                                   |
| d |                                                                   |
| d |                                                                   |
| r |                                                                   |
| e |                                                                   |
| s |                                                                   |
| s |                                                                   |
| t |                                                                   |
| h |                                                                   |
| e |                                                                   |
| r |                                                                   |
| e |                                                                   |
| s |                                                                   |
| p |                                                                   |
| o |                                                                   |
| n |                                                                   |
| s |                                                                   |
| i |                                                                   |
| b |                                                                   |
| i |                                                                   |
| l |                                                                   |
| i |                                                                   |
| t |                                                                   |
| y |                                                                   |
| a |                                                                   |
| n |                                                                   |
| d |                                                                   |
| a |                                                                   |
| u |                                                                   |
| t |                                                                   |
| h |                                                                   |
| o |                                                                   |
| r |                                                                   |
| i |                                                                   |
| t |                                                                   |
| y |                                                                   |
| o |                                                                   |
| f |                                                                   |
| t |                                                                   |
| h |                                                                   |
| e |                                                                   |
| p |                                                                   |
| r |                                                                   |
| o |                                                                   |
| c |                                                                   |
| e |                                                                   |
| s |                                                                   |
| s |                                                                   |
| . |                                                                   |
| T |                                                                   |
| h |                                                                   |
| e |                                                                   |
| y |                                                                   |
| a |                                                                   |
| r |                                                                   |
| e |                                                                   |
| d |                                                                   |
| e |                                                                   |
| s |                                                                   |
| i |                                                                   |
| g |                                                                   |
| n |                                                                   |
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| d |                                                                   |
| t |                                                                   |
| o |                                                                   |
| a |                                                                   |
| s |                                                                   |
| s |                                                                   |
| i |                                                                   |
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| s |                                                                   |
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| ) |                                                                   |
+---+-------------------------------------------------------------------+
| # |                                                                   |
| # |                                                                   |
|   |                                                                   |
| T |                                                                   |
| a |                                                                   |
| s |                                                                   |
| k |                                                                   |
| s |                                                                   |
+---+-------------------------------------------------------------------+
|   | To meet this objective, the inspector must accomplish the         |
|   | following tasks:                                                  |
+---+-------------------------------------------------------------------+
| 1 | Identify the person who has overall responsibility for the        |
| \ | Extended Operations (ETOPS) process.                              |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 2 | Identify the person who has overall authority for the Extended    |
| \ | Operations (ETOPS) process.                                       |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 3 | Review the duties and responsibilities of the person(s),          |
| \ | documented in the certificate holder\'s manual.                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 4 | Review the appropriate organizational chart.                      |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+

+---+------------------------------------------------------+-----------+
| # |                                                      |           |
| # |                                                      |           |
|   |                                                      |           |
| Q |                                                      |           |
| u |                                                      |           |
| e |                                                      |           |
| s |                                                      |           |
| t |                                                      |           |
| i |                                                      |           |
| o |                                                      |           |
| n |                                                      |           |
| s |                                                      |           |
+---+------------------------------------------------------+-----------+
|   | To meet this objective, the inspector must answer    |           |
|   | the following questions:                             |           |
+---+------------------------------------------------------+-----------+
| 1 | Does the certificate holder clearly identify who is  | Yes       |
| \ | responsible for the quality of the Extended          |           |
| . | Operations (ETOPS) process? **     **                | No,       |
|   |                                                      | Explain   |
|   |                                                      |           |
|   |                                                      | Na        |
|   |                                                      | me/Title: |
|   |                                                      |           |
|   |                                                      |           |
+---+------------------------------------------------------+-----------+
| 2 | Does the certificate holder clearly identify who has | Yes       |
| \ | authority to establish and modify the policies,      |           |
| . | procedures, instructions and information for the     | No,       |
|   | Extended Operations (ETOPS) process? **     **       | Explain   |
|   |                                                      |           |
|   |                                                      | Na        |
|   |                                                      | me/Title: |
|   |                                                      |           |
|   |                                                      |           |
+---+------------------------------------------------------+-----------+
| 3 | Does the certificate holder\'s manual include the    | Yes       |
| \ | duties and responsibilities of those who manage the  |           |
| . | work required by the Extended Operations (ETOPS)     | No,       |
|   | process? **     **                                   | Explain   |
|   |                                                      |           |
|   | SRRs: 121.135(b)(2)                                  |           |
+---+------------------------------------------------------+-----------+
| 4 | Does the certificate holder\'s manual include        | Yes       |
| \ | instructions and information for those who manage    |           |
| . | the work required by the Extended Operations (ETOPS) | No,       |
|   | process? **     **                                   | Explain   |
|   |                                                      |           |
|   | SRRs: 121.135(a)(1)                                  |           |
+---+------------------------------------------------------+-----------+
| 5 | Does the certificate holder clearly and completely   | Yes       |
| \ | document the responsibility for this position?       |           |
| . | **     **                                            | No,       |
|   |                                                      | Explain   |
+---+------------------------------------------------------+-----------+
| 6 | Does the certificate holder clearly and completely   | Yes       |
| \ | document the authority for this position? **     **  |           |
| . |                                                      | No,       |
|   |                                                      | Explain   |
+---+------------------------------------------------------+-----------+
| 7 | Does the certificate holder clearly and completely   | Yes       |
| \ | document its qualification standards for the person  |           |
| . | having responsibility for the Extended Operations    | No,       |
|   | (ETOPS) process? **     **                           | Explain   |
+---+------------------------------------------------------+-----------+
| 8 | Does the certificate holder clearly and completely   | Yes       |
| \ | document its qualification standards for the person  |           |
| . | having authority to establish and modify the         | No,       |
|   | certificate holder\'s policies, procedures,          | Explain   |
|   | instructions, and information for the Extended       |           |
|   | Operations (ETOPS) process? **     **                |           |
+---+------------------------------------------------------+-----------+
| 9 | Does the certificate holder clearly and completely   | Yes       |
| \ | document the procedures for delegation of authority  |           |
| . | for the Extended Operations (ETOPS) process?         | No,       |
|   | **     **                                            | Explain   |
+---+------------------------------------------------------+-----------+

+---+-------------------------------------------------------------------+
| # |                                                                   |
| # |                                                                   |
| # |                                                                   |
| # |                                                                   |
|   |                                                                   |
| S |                                                                   |
| A |                                                                   |
| I |                                                                   |
|   |                                                                   |
| S |                                                                   |
| e |                                                                   |
| c |                                                                   |
| t |                                                                   |
| i |                                                                   |
| o |                                                                   |
| n |                                                                   |
|   |                                                                   |
| 5 |                                                                   |
|   |                                                                   |
| - |                                                                   |
|   |                                                                   |
| M |                                                                   |
| a |                                                                   |
| n |                                                                   |
| a |                                                                   |
| g |                                                                   |
| e |                                                                   |
| m |                                                                   |
| e |                                                                   |
| n |                                                                   |
| t |                                                                   |
|   |                                                                   |
| R |                                                                   |
| e |                                                                   |
| s |                                                                   |
| p |                                                                   |
| o |                                                                   |
| n |                                                                   |
| s |                                                                   |
| i |                                                                   |
| b |                                                                   |
| i |                                                                   |
| l |                                                                   |
| i |                                                                   |
| t |                                                                   |
| y |                                                                   |
|   |                                                                   |
| & |                                                                   |
|   |                                                                   |
| A |                                                                   |
| u |                                                                   |
| t |                                                                   |
| h |                                                                   |
| o |                                                                   |
| r |                                                                   |
| i |                                                                   |
| t |                                                                   |
| y |                                                                   |
|   |                                                                   |
| A |                                                                   |
| t |                                                                   |
| t |                                                                   |
| r |                                                                   |
| i |                                                                   |
| b |                                                                   |
| u |                                                                   |
| t |                                                                   |
| e |                                                                   |
| s |                                                                   |
|   |                                                                   |
| * |                                                                   |
| * |                                                                   |
| D |                                                                   |
| r |                                                                   |
| o |                                                                   |
| p |                                                                   |
| - |                                                                   |
| D |                                                                   |
| o |                                                                   |
| w |                                                                   |
| n |                                                                   |
| M |                                                                   |
| e |                                                                   |
| n |                                                                   |
| u |                                                                   |
| * |                                                                   |
| * |                                                                   |
+---+-------------------------------------------------------------------+
| 1 | Not documented.                                                   |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 2 | Documentation unclear.                                            |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 3 | Documentation incomplete.                                         |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
| 4 | Other.                                                            |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+