FORMS ASD FRM.ATO.002 Application for Part-ORA ATO ... · 25 May 2017 Application for Part-ORA ATO...

V1.0 | 25 MAY 2017 | FRM.ATO.002 | Part-ORA ATO Approval / Changes to Approval

Qatar Civil Aviation Authority | Personnel Licensing

FORMS Department: Doc ID:

Version No: Issue Date:

ASD FRM.ATO.002 1.0 25 May 2017

Application for Part-ORA ATO Approval / Changes to Approval

Purpose: This form is used to record an application for the approval of a training organisation, or changes such an approval; in accordance with ORA.GEN.115, ORA.GEN.120 or ORA.GEN.130 of QCAR 001/2016

Instruction: Please complete this form, either electronically, type written or hand written in block capitals using black or dark blue ink. Fill in the full name as it is shown in the passport. Put a tick () in the box, or highlight in GREEN the appropriate option to choose. Failure to sign the form or to fill out the boxes and sections with correct information may result in delay or rejection of your application. Please read instructions at the end.

1 Approved Training Organisation (ATO)

1.1 Training Organisation Data

1.1.2 Name of Training Organisation

1.1.3 Address

Street/No

Post Code

City

Country

1.1.4 Contact Person

Title Mr Mrs

Name

Job Title

Phone/Fax

Email

1.2 Certificate Address To be printed on the Approval Certificate, based on the information below.

1.2.1 Trading Name

Tick, if the same as Section 1.1.2

Other (Specify here)

1.2.2 Certificate Address (registered business address)

Tick, if the same as Section 1.1.3

Other (Specify here)

1.3 Training Sites Please use Annex I to list all sites where training will be provided.

1.4 Identification of Activity Initial Approval Change Approval, and the QCAA ATO reference

number is: QAT–ATO–

1.4.1 Intended commencement of activity [dd/mm/yyyy]

2 Training Course(s) Offered

Please use Annex 2 to list all courses offered (theory and/or flight training).

3 Accountable Manager (AM)

3.1 Name Last First

3.2 License Type (License held if any) License No

3.3 Email Phone

3.4 Employment Full time Part time



4 Safety Manager (SM)

4.1 Name Last First


4.3 Email Phone


5 Compliance Manager (CM)

5.1 Name Last First


5.3 Email Phone


6 Head of Training (HT)

6.1 Name Last First

6.2 License Type License No

6.3 Email Phone


7 Chief Instructor (Chief Flight Instructor or Manager Flight Training)

7.1 Name Last First

7.2 License Type License No

7.3 Email Phone


8 Chief Theoretical Knowledge Instructor (CTKI)

8.1 Name Last First


8.3 Email Phone


9 List of Flight Instructors and Theoretical Knowledge Instructors

Please use Annex 3 to list all instructors employed to provide the training courses offered.

10 Aerodrome(s) and/or operating site(s) to be used

Please use Annex 4 to list all aerodromes/operating sites (as applicable) to provide training courses.

11 Flight Operations Accommodation

Please use Annex 5 to list all rooms used as flight operations accommodation.

12 Theoretical Instruction Facilities

Please use Annex 6 to list and describe all rooms used as theoretical instruction facilities.

13 Description of Simulating Training Devices

Please use Annex 7 to list and describe all training devices used to provide the training courses.



14 Description of Aircraft

Please use Annex 8 to list and describe aircraft used for training.

15 Documents and manuals submitted with application (Tick as applicable)

Organisation Management Manual

Training Manual

Operations Manual

Training Course Manual

Safety Management Manual

Compliance Monitoring Manual

FRM.ATO.004, please specify:

AM

CM

SM

HT

CFI

CTKI

CVs of Responsible Persons (Nominated Persons)

List of Instructors (involved in the training only)

Copies of FSTD approval certificates and qualification reports

List of Contracted Activities

Sample Training Records

Course Completion Certificates

Forms used during training

Cross Reference Form(s), please specify:

FRM.ATO.005

FRM.ATO.006

FRM.ATO.007

FRM.ATO.008

FRM.ATO.009

Official document confirming the legal status of the organisation

Others ___________________________________

16 Details of proposed compliance monitoring system Please enter in the column on the right below, the corresponding reference/s in your organisation’s documentation.

16.1 Detailed description of the compliance monitoring function of the management system.

16.2 List, table or cross-reference indicating what means and methods are dedicated to achieve initial and continued compliance with each implemented requirement applicable to the organisation.

16.3 Means and methods of establishing the internal audit process.

16.4 Means and methods of establishing the feedback system of audit findings to the Accountable Manager.

16.5 Nominated person or group of persons, ultimately responsible to the Accountable Manager for ensuring that the organization remains in compliance with the applicable requirements.

16.6 Means and methods of making personnel aware of their responsibilities.

16.7 Procedure for amending the documentation.

16.8 Means and methods to ensure initial and continued compliance of contracted activities.



16.9 Compliance with requirement for the direct safety accountability of the Accountable Manager.

16.10 Compliance with requirement for the organisations’ safety policy.

16.11 Compliance with the requirement for the identification of aviation safety hazards as a result to the activities of the organization (in terms of means and methods).

16.12 Compliance with the requirement for the evaluation and the management of risks associated with the identified aviation safety hazards (in terms of means and methods).

16.13 Compliance with the requirement for the actions to be taken to mitigate the risk and verify their effectiveness (in terms of means and methods).

16.14 Compliance with the requirement for making personnel aware of their responsibilities as regards to the safety functions (in terms of means and methods).

16.15 Procedure for managing changes that require prior approval from the Authority.

17 Notes

If the answers to any of the above questions are incomplete, please provide full details of the alternative arrangements separately.

18 Training Organisation’s declaration about the information provided is complete and correct

I, the undersigned (……………………………………..), on behalf of the (…………………………………………..) certify Name of Accountable Manager Name of approved training organization

that all the abovenamed persons are in compliance with the applicable requirements and that all the above information given is complete and correct.

Date Name Signature / Stamp

This application and the supporting documents should be sent by e-mail or regular mail to:

Qatar Civil Aviation Authority Personnel Licensing Section (PEL) Al Sharq Towers P.O. Box 3000 Doha, State of Qatar Fax: +974 44557 488 E-mail: [email protected]

PLEASE DO NOT FORGET TO SIGN THE APPLICATION FORM

mailto:[email protected]



19 QCAA use only

19.1 ATO Report Number:

19.2 Date Application Received: [dd/mm/yyyy]

19.3 QCAA ATO Ref Number:

QAT-ATO-

19.4 Inspector’s Notes:

Date Name of Inspector Signature / Stamp

20 Record Keeping Instructions All documentation and evidences are to be kept as per instructions in the PEL Manual.



Intentional in Blank


Qatar Civil Aviation Authority | Personnel Licensing Annex 1, Page 1 of ___

Annex 1 (refer to 1.3)

Training Sites: List of sites where the training will be provided.

Please enter the Name of the Training Site and Full Address for each training site.

Date

Signature

Example Name of the Training Site

Full Address Line 1

Full Address Line 2

Full Address Line 3

1

2

3

4

5

6

7

8

9

10



11

12

13

14

15

16

17

18

19

20

21

22

23



Annex 2 (refer to 2)

Training Courses: List of training courses to be provided.

Please enter the course name/identification/course FCL type and select the type(s) of training.

Date

Signature

Examples of type of FCL Courses: LAPL, BPL, SPL, PPL, CPL, MPL, ATPL, IR, Class & Initial Type Rating Training, Instructor Training Course, Examiner Training Course, Refresher Training Course, Differences Course

No Course Name Type of FCL Course Type of Training

1 Theory Flight Training






















No Course Name Type of FCL Course Type of Training
























Qatar Civil Aviation Authority | Personnel Licensing Annex 3A, Page 1 of ___

Annex 3A (refer to 9)

Flight Instructors: List of Instructors involved in providing the flight instructions.

Please enter the Instructor, the type of licence, the licence number, country of licence issued and employment type.

Date

Signature

No Name of Instructor [Last / First]

Licence Type

Licence No Country of Issue

Employment

1 Full Time Part Time





















Qatar Civil Aviation Authority | Personnel Licensing Annex 3A, Page 2 of ___


Licence Type

Licence No Country of Issue

Employment

























Qatar Civil Aviation Authority | Personnel Licensing Annex 3B, Page 1 of ___

Annex 3B (refer to 9)

Ground Instructors: List of Instructors involved in providing theoretical classes.

Please enter the Instructor, the name of subjects assigned to teach, the type of course (PPL, CPL, ATPL, MPL, Type Rating etc.) and employment type.

Date

Signature


Subjects Course Employment






















Qatar Civil Aviation Authority | Personnel Licensing Annex 3B, Page 2 of ___


Subjects Course Employment



























Aerodrome(s) and/or Training Sites: List of aerodrome(s) and/or training sites used to provide training courses.

Please enter Full Name and Address of all aerodromes where trainings are taking place.

Date

Signature

No Aerodrome / Training Sites

1 IFR approaches

Night Flying

Air Traffic Control

Flight Testing Facility

Data reply facility

2 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

3 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

4 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

5 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

6 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

7 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

8 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

9 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

10 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

11 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

12 IFR approaches

Night Flying

Air Traffic Control


Data reply facility



No Aerodrome / Training Sites

13 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

14 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

15 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

16 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

17 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

18 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

19 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

20 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

21 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

22 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

23 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

24 IFR approaches

Night Flying

Air Traffic Control


Data reply facility

24 IFR approaches

Night Flying

Air Traffic Control


Data reply facility




Flight Operations Accommodation: List of rooms used as flight operations accommodation.

Please enter the room description, its location, number of rooms and its approximate size in meters. Attached the floor plan of the building.

Date

Signature

No Room Description Location Number Size, in meters (Length x Width)

Eg Ops Planning Room Doha, Qatar 1 8m x 10m

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20




Eg Ops Planning Room Doha, Qatar 1 8m x 10m

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42




Theoretical Knowledge Instruction Facilities: List of rooms used as theoretical knowledge instruction facilities.

Please enter the room description, its location, number of rooms and its approximate size in meters. Attached the floor plan of the building.

Date

Signature


Eg Classroom 1 Doha, Qatar 2 8m x 10m

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20




Eg Classroom 1 Doha, Qatar 2 8m x 10m

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42




Simulating Training Devices: List of simulating training devices used to provide training courses.

Please enter the device qualification number (as in the FSTD certificate), the type of aircraft and type of device. For FSTD, attach the EASA and local approval certificate and qualification report. (Attach more form if required)

Date

Signature

No Device Qualification Number Type of Aircraft (if applicable)

Type of Device

1 FFS FNPT I FNPT II FNPT III

FTD 1 FTD 2 FTD 3 BITD





















No Device Qualification Number Type of Aircraft (if applicable)

Type of Device




























List of all aircraft used to provide training courses.

Please identify the aircraft registration, type designation and type of equipment.

Date

Signature

No Registration Class / Type of Aircraft Equipment

1 IFR Flight Test Instrumentation
























No Registration Class / Type of Aircraft Equipment

























Qatar Civil Aviation Authority | Personnel Licensing Instructions to FRM.ATO.002, Page 1

Instructions for filling up form number: FRM.ATO.002

Section 1

1.1.2 Please enter the full name of the company as it appears on the Article/Certificate of incorporation of the company.

1.1.3 Please enter the address of the registered office as it appears on the Article/Certificate of incorporation of the company.

1.1.4 The name and contact details specified in this section are those of the person responsible for the application.

1.2.1 If applicable also enter the Trade Name, Doing-business-as and the Company registration number. The (company) name specified in this section will also be printed on the ATO certificate.

1.2.2 The address specified in this section - the registered business address, will be printed on the ATO certificate.

1.3 Training sites: all sites where training submitted to approval is provided such as the main site (head office where the principal financial functions and operational control is exercised) and any satellite site located in a different place where other facilities are available and used for training. Typically training sites located in different cities or countries are to be indicated separately. Sites not declared in the application form will not be inspected and will not be part of the terms of approval of the organisation. Once an approval has been issued, including sites not declared in the application form will require the organisation to apply for a change to the terms of the approval already issued.

1.4 If the application is for the organisation recertification, please tick as Initial Approval.

1.4.1 Only for initial approval (not applicable for recertification process).

Section 2 to 16

2. Please list in Annex 2 all Part-FCL courses the approved training organisation intends to provide underthe scope of the QCAR Part-ORA approval sought.

This list of courses must match the lists in the manuals of the organisation including the differencescourses.

3. Please enter the name, license type, license number, email, phone and type of employment of theAccountable Manager (AM).

4. Please enter the name, license type, license number, email, phone and type of employment of theSafety Manager (SM).

5. Please enter the name, license type, license number, email, phone and type of employment of theCompliance Manager (CM).

6. Please enter the name, license type, license number, email, phone and type of employment of the Headof Training (HT).

7. Please enter the name, license type, license number, email, phone and type of employment of the ChiefFlight Instructor (CFI).

8. Please enter the name, license type, license number, email, phone and type of employment of the ChiefTheoretical Knowledge Instructor (CTKI).

9. Please list in Annex 3A all Flight Instructors involved in the delivery of courses listed in Annex 2. Anyinstructor providing flight instruction in an aircraft or simulator to deliver the courses listed in Annex 2shall be included in Annex 3A.

Please list in Annex 3B all Theoretical Instructors involved in the delivery of courses listed in Annex 2.Any instructor providing theoretical knowledge instruction to deliver the courses listed in Annex 2 shallbe included in Annex 3B.

10. Please list in Annex 4 all aerodromes and /or the operating sites that the organisation intends to use toprovide the courses listed in Annex 2.

The word “aerodrome” is associated with airplanes while for helicopters and other categories of aircraft,the concept of “operating site” is more appropriate (refer to ICAO Annex 6). Do not confuse “OperatingSite” in Annex 4 with “Training Sites” in paragraph 1.3, Annex 5 and 6 of this application form.


Qatar Civil Aviation Authority | Personnel Licensing Instructions to FRM.ATO.002, Page 2

This list of aerodromes and /or the operating sites shall match the lists in the manuals of the organisation.

11. Please list in Annex 5 all Flight Operations Accommodation (per training site) that the organisationintends to use to provide the courses listed in Annex 2.

This list of Flight Operations Accommodation shall match the lists in the manuals of the organisation.

12. Please list in Annex 6 all Theoretical Instruction Facilities (per training site) that the organisation intendsto use to provide the courses listed in Annex 2.

This list of Theoretical Instruction Facilities shall match the lists in the manuals of the organisation.

13. Please list in Annex 7 all Simulation Training Devices that the organisation intends to use to provide thecourses listed in Annex 2.

Each device shall be qualified according to the requirements and specifications stipulated in QCAR No.001 of 2016 (Aircrew Regulation) as amended in particular, Part-ORA of Aircrew Regulation.

The organisation’s manuals shall clearly identify the use of each Simulation Training Devices for thedelivery of each course provided as listed in Annex 2 of this form.

This list of Simulation Training Devices shall match the lists in the manuals of the organisation.

14. Please list in Annex 8 all aircraft that the organisation intends to use to provide the courses listed inAnnex 2. The aircrafts used in the base training element must be identify.

The organisation’s manuals shall provide the details required by ORA.ATO.105 (v) and particularlyidentify the owner of each aircraft listed.

This list of aircraft shall match the lists in the manuals of the organisation.

15. Tick each relevant box to indicate if the document(s) is(are) submitted with the application form.

16. For each item listed (16.1 to 16.15), provide the reference of the documented evidence available in theorganisation’s manuals or controlled documentation.

17. Please do not forget to provide the copy of your official document confirming the legal status of yourorganisation.

18. Please make sure that the Accountable Manager signs the application form.

FORMS ASD FRM.ATO.002 Application for Part-ORA ATO ... · 25 May 2017 Application for Part-ORA ATO...

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