Egyptian Civil Aviation Supervisory Authority DOC.
1100
Flight Safety Standards Sector Policy and Procedures Manual
Chapter 6
Forms
Issue 2 Rev. 0 Dated December 2001 Chapter 6 Page 1
Egyptian Civil Aviation Supervisory Authority DOC. 1100
Flight Safety Standards Sector Policy and Procedures Manual
Chapter 6
Forms
Form No. 1100 -1
A/C GROUNDING REPORT
Completed By AWI
To : ACA
Via
AID Manager :
A/C Model A/C Serial No. A/C Nationality & Registration Marks
If defect related to Engine :
Engine Model
Engine No. (1) S/N Engine No. (2) S/N Engine No. (3) S/N Engine No. (4) S/N
If defect related to Propeller :
Propeller Model
Propeller No. (1) S/N Propeller No. (2) S/N Propeller No. (3) S/N Propeller No. (4) S/N
The inspection carried out during A/C in :
Apron Insp. Transit P.D.C. Line Mtc. Routine insp. Special Insp. Occurrence or others
Insp.
This to inform you that the above mentioned A/C is found to be unsafe for operation due to the
following conditions :
And this is according to the following reference:
Reference Name Reference Page No.
Title : Airworthiness Inspector (AWI).
Name : ……………………………………………..Signature : ……………………… Date:
The reference list is on the back of this page.
Issue 2 Rev. 0 Dated December 2001 Chapter 6 Page 2
Egyptian Civil Aviation Supervisory Authority DOC. 1100
Flight Safety Standards Sector Policy and Procedures Manual
References List
References Name & Pages Numbers:
Code No. Reference Name Page No. Code No. Reference Name Page No.
(1) Ops. Specs. (11) Routable Items List
(2) T.P.M (12) M.M.
(3) A.F.M./C.D.L. (13) Wiring Diagram M.
(4) A.D. / Alert / Mand. (14) Structure Repair M.
[Link].
(5) Tech. Log Book (15) Component O/H. M.
(6) Ramp Insp. Form (16) MTC. Planning Doc.
(7) Disp. Guide Man. (17) Aging/ C.P.C.P. Program
(8) T/S Req. / Esp. Ops (18) Other Manufacture Doc.
Test
(9) M.E.L. (19) Eng. / Airframe Tech.
Record
(10) Deferred Items Log (20) Eng. Disk Sheet
Other References
Code No. Reference Name Page No. Code No. Reference Name Page No.
(1) Special Insp. / Test
(2) Routine Check Job
Card
(3) Extra Work Job Card
(4) Finding Card
(5)
Issue 2 Rev. 0 Dated December 2001 Chapter 6 Page 3
Egyptian Civil Aviation Supervisory Authority DOC. 1100
Flight Safety Standards Sector Policy and Procedures Manual
Form No. 1100 – 2
A/C GROUNDING LETTER
Air Operator:
A/C Type:
A/C Registration:
Flight Number:
Date:
This to inform you that the above mentioned aircraft is found to be unsafe for operation due to the
following conditions :
And this is according to the following reference:
Reference Name Reference Page No.
As the result of this unsafe condition and due to the fact that the operator intends to operate the above-
mentioned aircraft in revenue service after verbal notification of the non-airworthy condition, the
ECASA exercises the temporary grounding authority. Under the provisions of the Egyptian Civil
Aviation Law [28] as amended. The above aircraft is grounded and cannot be used in air
transportation unless found by the ECASA to be in a condition for safe operation. The temporary
grounding started at the time of the verbal notification being given.
The Verbal Notification was given to:
Title : …………………………………………………….Name: …………………………………………
Date: ………………………… Time: ……………………… By ECASA Inspector…………………….
Title : Supervisor of ACA (ECASA)
Name……………………………………………..Signature:……………………………Date:…………..
Written Notification provided to the Air Operator by Fax at Time:……………………..
Or Physically Delivered and Received by Air Operator:
Title: …………………………………………………….Name: …………………………………………
Signature: ………………………………...Date: ………………………… Time: ………………………
Operator Name: …………………………………………………………………………………………..
Issue 2 Rev. 0 Dated December 2001 Chapter 6 Page 4
Egyptian Civil Aviation Supervisory Authority DOC. 1100
Flight Safety Standards Sector Policy and Procedures Manual
Form No. 1100-03
Discrepancy and corrective action
To operator : AOC or AMO No.
Inspected area :
Date: Type of Auditing:
Discrepancy code Critical Major Minor Observation
Non conforming against Low ECAR GMM Others
Reference :
Details-of Discrepancy
I have been briefed and fully understanding the findings above
Title : signature : date:
Inspector name: signature: date:
The corrective action will be reviewed within days
Signature: date:
ACA –Administrator
Corrective action follows up
Closing comments
Follow up on: enforcement action:
No further action required:
Inspector name: signature: date:
ACA –Administrator: signature: date:
Form No. 1100 – 4
AIRCRAFT RELEASE LETTER
Issue 2 Rev. 0 Dated December 2001 Chapter 6 Page 5
Egyptian Civil Aviation Supervisory Authority DOC. 1100
Flight Safety Standards Sector Policy and Procedures Manual
Air Operator:
A/C Type:
A/C Registration:
Flight Number:
Date of Grounding:
Date of Release:
This to inform you that the above mentioned aircraft was grounded in accordance with Egyptian
Civil Aviation Law 28.
The Operator was provided formal grounding notice, Form 1100-2 on:
Date:
Time:
The following corrective action was accomplished by the operator:
The ECASA has reviewed the corrective action and finds it acceptable for the release of the
aircraft by the Air Operator for:
Revenue Service Yes………. No……….
Ferry Flight Only Yes……….
Title : Supervisor of ACA (ECASA)
Name……………………………………………..Signature:……………………………Date:…………..
Issue 2 Rev. 0 Dated December 2001 Chapter 6 Page 6