Legalize / European Union / Delegated Regulation

Commission Delegated Regulation (EU) 2022/201 of 10 December 2021 amending Regulation (EU) No 748/2012 as regards management systems and occurrence-reporting systems to be established by design and production organisations, as well as procedures applied by the Agency, and correcting that Regulation

Type Delegated Regulation

Publication 2022-02-15

State In force

Text As published

Department European Commission, MOVE

Source EUR-Lex

articles 3

This is the act as published. Later amendments are not folded into the text below: each one is a separate act in this repository and an entry in this law's history.

Reform history JSON API

the holder of the design organisation approval or any of its partners or subcontractors acknowledge that the competent authority may carry out investigations in accordance with point 21.A.9;

the design organisation is able to provide the Agency with evidence showing that the design management system of the organisation maintains satisfactory control and supervision of the design of products, repairs and changes thereto under the approval;

the certificate has not been revoked by the Agency under point 21.B.65, or surrendered by the design organisation.

(b) Upon surrender or revocation, the certificate shall be returned to the Agency.’;

(37) in point 21.A.263(c), the introductory phrase is replaced by the following:

‘(c) The holder of a design organisation approval shall be entitled, within the scope of its terms of approval issued under point 21.A.251 and under the relevant procedures of the design management system:’;

(38) point 21.A.265 is amended as follows:

(a) point (c) is replaced by the following:

‘(c) determine that the design of the products, or of the changes or repairs thereto, complies with the applicable type-certification basis, operational suitability data certification basis, and the environmental protection requirements, and have no unsafe features;’;

(b) point (h) is replaced by the following:

‘(h) designate data and information issued under the authority of the approved design organisation within the scope of its terms of approval as established by the Agency with the following statement: “The technical content of this document is approved under the authority of the DOA ref. EASA. 21J.[XXXX]”;’

‘(i) comply with Subpart A of this Section.’;

(39) point 21.A.451 is amended as follows:

(a) point (a)(1)(i) is replaced by the following:

‘(i) laid down in points 21.A.3A, 21.A.3B, 21.A.4, 21.A.5, 21.A.6, 21.A.7, 21.A.9, 21.A.439, 21.A.441 and 21.A.443;’;

(b) point (b)(1) is replaced by the following:

‘1. undertake the obligations laid down in points 21.A.4, 21.A.5 and 21.A.7;’;

(40) in point 21.A.604, point (a) is replaced by the following:

‘(a) by way of derogation from points 21.A.9, 21.A.603, 21.A.610 and 21.A.621, the following points shall apply: points 21.A.15, 21.A.20, 21.A.21, 21.A.31, 21.A.33, 21.A.44, 21.A.47, 21.B.75 and 21.B.80. However, an ETSO authorisation shall be issued in accordance with point 21.A.606 instead of the type-certificate;’;

(41) point 21.A.609 is amended as follows:

(a) point (b) is replaced by the following:

‘(b) prepare and maintain, for each model of each article for which an ETSO authorisation has been issued, an updated set of complete technical data and records in accordance with point 21.A.5;’;

(b) point (f) is replaced by the following:

‘(f) comply with points 21.A.3A, 21.A.3B, 21.A.4 and 21.A.9;’;

(42) point 21.A.615 is deleted;

(43) point 21.A.619 is replaced by the following:

‘21.A.619 Duration and continued validity

(a) An ETSO authorisation shall be issued for an unlimited period of time. It shall remain valid subject to compliance with all the following conditions:

the conditions set when the ETSO authorisation was granted continue to be observed by the applicant;

the obligations specified in point 21.A.609 continue to be discharged by the ETSO authorisation holder;

the holder of the ETSO authorisation or any of its partners, suppliers or subcontractors acknowledge that the competent authority may carry out investigations in accordance with point 21.A.9;

it has been proved that the ETSO article does not give rise to unacceptable hazards in service;

the ETSO authorisation has not been revoked by the Agency under point 21.B.65, or surrendered by its holder.

(b) Upon surrender or revocation, the ETSO authorisation shall be returned to the Agency.’;

(44) point 21.A.705 is deleted;

(45) in point 21.A.711, the title is replaced by the following:

‘21.A.711 Issuance of a permit to fly’;

(46) point 21.A.721 is deleted;

(47) in point 21.A.723, point (a) is replaced by the following:

‘(a) A permit to fly shall be issued for a maximum period of 12 months and shall remain valid subject to compliance with all the following conditions:

the organisation continues to comply with the conditions and restrictions associated with the permit to fly as set out in point 21.A.711(e);

the holder or any of its partners, suppliers or subcontractors acknowledge that the competent authority may carry out investigations in accordance with point 21.A.9;

the permit to fly has not been revoked by the competent authority under point 21.B.65, or surrendered by its holder;

the aircraft remains on the same register.’;

(48) point 21.A.729 is deleted;

(49) in point 21.B.103, the title is replaced by the following:

‘21.B.103 Issuance of a type-certificate or a restricted type-certificate’;

(50) in point 21.B.107, the title is replaced by the following:

‘21.B.107 Issuance of an approval of a change to a type-certificate’;

(51) in point 21.B.111, the title is replaced by the following:

‘21.B.111 Issuance of a supplemental type-certificate’;

(52) point 21.B.150 is deleted;

(53) point 21.B.260 is deleted;

(54) in point 21.B.425, the title is replaced by the following:

‘21.B.425 Issuance of noise certificates’;

(55) in point 21.B.453, the title is replaced by the following:

‘21.B.453 Issuance of a repair design approval’;

(56) points 21.B.430 and 21.B.445 are deleted;

(57) in Section B, Subpart J is replaced by the following::

‘ SUBPART J – DESIGN ORGANISATION APPROVAL

21.B.430 Initial certification procedure

(a) Upon receiving an application for the initial issue of a design organisation approval, the competent authority shall verify the applicant’s compliance with the applicable requirements,

(b) A meeting with the head of the design organisation shall be convened at least once during the investigation for initial certification to ensure that this person understands their role and accountability.

(c) The competent authority shall record all the findings issued, closure actions as well as recommendations for the issue of the design organisation approval.

(d) The competent authority shall confirm to the applicant in writing all the findings raised during the verification. For initial certification, all findings must be corrected to the satisfaction of the competent authority before the design organisation approval can be issued.

(e) When satisfied that the applicant complies with the applicable requirements, the competent authority shall issue the design organisation approval.

(f) The certificate reference number shall be included in the design organisation approval in a manner specified by the Agency.

(g) The certificate shall be issued for an unlimited period of time. The privileges and the scope of the activities that the design organisation is approved to perform, including any limitations as applicable, shall be specified in the terms of approval attached to the design organisation approval.

21.B.431 Oversight principles

The competent authority shall verify whether certified organisations continue to comply with the applicable requirements

(a) The verification shall:

be supported by documentation specifically intended to provide personnel responsible for oversight with guidance to perform their functions;

provide the organisations concerned with the results of oversight activities;

be based on assessments, audits, inspections and, if needed, unannounced inspections;

provide the competent authority with the evidence needed in case further action is required, including the measures provided for in point 21.B.433.

(b) The competent authority shall establish the scope of the oversight set out in point (a) taking into account the results of past oversight activities and the safety priorities.

(c) The competent authority shall collect and process any information deemed necessary for performing oversight activities.

21.B.432 Oversight programme

(a) The competent authority shall establish and maintain an oversight programme covering the oversight activities required to comply with point 21.B.431(a).

(b) The oversight programme shall take into account the specific nature of the organisation, the complexity of its activities, the results of past certification or oversight activities, or both, and it shall be based on the assessment of the associated risks. It shall include, within each oversight planning cycle:

assessments, audits and inspections, including, where appropriate:

(i) management system assessments and process audits;

(ii) product audits of a relevant sample of the design and certification of the products, parts and appliances that are within the scope of work of the organisation;

(iii) sampling of the work performed;

(iv) unannounced inspections;

meetings convened between the head of the design organisation and the competent authority to ensure that both parties remain informed of all significant issues.

(c) The oversight planning cycle shall not exceed 24 months.

(d) Notwithstanding point (c), the oversight planning cycle may be extended to 36 months if the competent authority has established that during the previous 24 months:

the organisation has demonstrated that it can effectively identify aviation safety hazards and manage the associated risks;

the organisation has continuously demonstrated compliance with point 21.A.247 and has full control over all changes to the design management system;

no level 1 findings have been issued;

all corrective actions have been implemented within the time period that was accepted or extended by the competent authority as provided for in point 21.B.433(d).

Notwithstanding point (c), the oversight planning cycle may be further extended to a maximum of 48 months if, in addition to the conditions laid down in points (d)(1) to (d)(4), the organisation has established, and the competent authority has approved, an effective continuous system for reporting to the competent authority on the safety performance and regulatory compliance of the organisation itself.

(e) The oversight planning cycle may be reduced if there is evidence that the safety performance of the organisation has decreased.

(f) The oversight programme shall include records of the dates when assessments, audits, inspections and meetings are due, and when assessments, audits, inspections and meetings have been effectively carried out.

(g) At the completion of each oversight planning cycle, the competent authority shall issue a recommendation report on the continuation of the approval, reflecting the results of the oversight.

21.B.433 Findings and corrective actions; observations

(a) The competent authority shall have a system in place to analyse findings for their safety significance.

(b) A level 1 finding shall be issued by the competent authority when a non-compliance is detected with the applicable requirements of Regulation (EU) 2018/1139 and its delegated and implementing acts, with the organisation’s procedures and manuals, or with the design organisation’s certificate including the terms of approval, which may lead to uncontrolled non-compliances and to a potential unsafe condition.

The level 1 findings shall also include:

any failure to grant the competent authority access to the organisation’s facilities referred to in point 21.A.9 during normal operating hours and after two written requests;

obtaining the design organisation approval or maintaining its validity by falsification of the submitted documentary evidence;

any evidence of malpractice or fraudulent use of the design organisation approval;

failure to appoint a head of the design organisation pursuant to point 21.A.245(a).

(c) A level 2 finding shall be issued by the competent authority when any non-compliance is detected with the applicable requirements of Regulation (EU) 2018/1139 and its delegated and implementing acts, with the organisation’s procedures and manuals, or with the certificate including the terms of approval, which is not classified as a level 1 finding.

(d) When a finding is detected during oversight or by any other means, the competent authority shall, without prejudice to any additional action required by Regulation (EU) 2018/1139 and its delegated and implementing acts, communicate in writing the finding to the organisation and request corrective action to address the non-compliance(s) identified. Where a level 1 finding directly relates to a product, the competent authority shall inform the competent authority of the Member State in which the aircraft is registered.

If there are any level 1 findings, the competent authority shall:

(i) grant the organisation a corrective action implementation period that is appropriate to the nature of the finding and that in any case shall not be more than 21 working days. That period shall commence from the date of the written communication of the finding to the organisation requesting corrective action to address the non-compliance(s) identified;

(ii) assess the corrective action plan and implementation plan proposed by the organisation, and if it concludes that they are sufficient to address the non-compliance(s), accept them;

(iii) if the organisation fails to submit an acceptable corrective action plan, or fails to perform the corrective action within the time period accepted by the competent authority, take immediate and appropriate action to prohibit or limit the activities of the organisation involved and, if appropriate, take action to revoke the design organisation approval or to limit or suspend it in whole or in part, depending upon the extent of the level 1 finding, until successful corrective action has been taken by the organisation.

If there are any level 2 findings, the competent authority shall:

(i) grant the organisation a corrective action implementation period that is appropriate to the nature of the finding, and that in any case shall initially not be more than 3 months. That period shall commence from the date of the written communication of the finding requesting corrective action. At the end of this period, and subject to the nature of the finding, the competent authority may extend the 3-month period provided that a corrective action plan has been agreed by the competent authority;

(ii) assess the corrective action and the implementation plan proposed by the organisation, and if it concludes that they are sufficient to address the non-compliance(s), accept them;

(iii) if the organisation fails to submit an acceptable corrective action plan, or fails to perform the corrective action within the time period accepted or extended by the competent authority, the finding shall be raised to level 1 and action shall be taken as laid down in point (d)(1).

(e) The competent authority may issue observations for any of the following cases not requiring level 1 or level 2 findings:

for any item whose performance has been assessed to be ineffective;

when it has been identified that an item has the potential to cause a non-compliance under points (b) or (c);

when suggestions or improvements are of interest for the overall safety performance of the organisation.

The observations issued under this point shall be communicated in writing to the organisation and recorded by the competent authority.

21.B.435 Changes in the design management system

(a) Upon receiving an application for a significant change to the design management system, the competent authority shall verify the organisation’s compliance with the applicable requirements of Regulation (EU) 2018/1139 and its delegated and implementing acts, before issuing the approval.

(b) The competent authority shall establish the conditions under which the organisation may operate during the change unless the competent authority determines that the design organisation approval needs to be suspended.

(c) When it is satisfied that the organisation complies with the applicable requirements of Regulation (EU) 2018/1139 and its delegated and implementing acts, the competent authority shall approve the change.

(d) Without prejudice to any additional enforcement measures, if the organisation implements a significant change to the design management system without having received the approval of the competent authority pursuant to point (c), the competent authority shall consider the need to suspend, limit or revoke the organisation’s certificate.

(e) For non-significant changes to the design management system, the competent authority shall include the review of such changes in its continuing oversight in accordance with the principles set forth in point 21.B.431. If any non-compliance is found, the competent authority shall notify the organisation, request further changes and act in accordance with point 21.B.433.’;

(58) in point 21.B.453, the title is replaced by the following

‘21.B.453 Issuance of a repair design approval’;

(59) in point 21.B.480, the title is replace by the following:

‘21.B.480 Issuance of an ETSO authorisation’;

(60) Appendix VIII is replaced by the following:

‘Appendix VIII

Aircraft statement of conformity – EASA Form 52

AIRCRAFT STATEMENT OF CONFORMITY AIRCRAFT STATEMENT OF CONFORMITY AIRCRAFT STATEMENT OF CONFORMITY AIRCRAFT STATEMENT OF CONFORMITY

1. State of manufacture 2. [MEMBER STATE] (¹) A Member of the European Union (²) 2. [MEMBER STATE] (¹) A Member of the European Union (²) 3. Statement ref. no:

4. Organisation 4. Organisation 4. Organisation 4. Organisation

5. Aircraft type 5. Aircraft type 6. Type-certificate ref. nos: 6. Type-certificate ref. nos:

7. Aircraft registration or mark 7. Aircraft registration or mark 8. Production organisation identification no: 8. Production organisation identification no:

9. Engine/propeller details (³) 9. Engine/propeller details (³) 9. Engine/propeller details (³) 9. Engine/propeller details (³)

10. Modifications and/or service bulletins (³) 10. Modifications and/or service bulletins (³) 10. Modifications and/or service bulletins (³) 10. Modifications and/or service bulletins (³)

11. Airworthiness directives 11. Airworthiness directives 11. Airworthiness directives 11. Airworthiness directives

12. Concessions 12. Concessions 12. Concessions 12. Concessions

13. Exemptions, waivers or derogations (³) 13. Exemptions, waivers or derogations (³) 13. Exemptions, waivers or derogations (³) 13. Exemptions, waivers or derogations (³)

14. Remarks 14. Remarks 14. Remarks 14. Remarks

15. Certificate of airworthiness 15. Certificate of airworthiness 15. Certificate of airworthiness 15. Certificate of airworthiness

16. Additional requirements 16. Additional requirements 16. Additional requirements 16. Additional requirements

17. Statement of conformity It is hereby certified that the aircraft conforms fully to the type-certified design and to the items in blocks 9, 10, 11, 12 and 13. The aircraft is in a condition for safe operation. The aircraft has been satisfactorily tested in flight. 17. Statement of conformity It is hereby certified that the aircraft conforms fully to the type-certified design and to the items in blocks 9, 10, 11, 12 and 13. The aircraft is in a condition for safe operation. The aircraft has been satisfactorily tested in flight. 17. Statement of conformity It is hereby certified that the aircraft conforms fully to the type-certified design and to the items in blocks 9, 10, 11, 12 and 13. The aircraft is in a condition for safe operation. The aircraft has been satisfactorily tested in flight. 17. Statement of conformity It is hereby certified that the aircraft conforms fully to the type-certified design and to the items in blocks 9, 10, 11, 12 and 13. The aircraft is in a condition for safe operation. The aircraft has been satisfactorily tested in flight.

18. Signed 19. Name 19. Name 20. Date (d/m/y)

21. Production organisation approval reference 21. Production organisation approval reference 21. Production organisation approval reference 21. Production organisation approval reference

EASA Form 52 – Issue 3 EASA Form 52 – Issue 3 EASA Form 52 – Issue 3 EASA Form 52 – Issue 3


AIRCRAFT STATEMENT OF CONFORMITY	AIRCRAFT STATEMENT OF CONFORMITY	AIRCRAFT STATEMENT OF CONFORMITY	AIRCRAFT STATEMENT OF CONFORMITY
1. State of manufacture	2. [MEMBER STATE] (¹) A Member of the European Union (²)	2. [MEMBER STATE] (¹) A Member of the European Union (²)	3. Statement ref. no:
4. Organisation	4. Organisation	4. Organisation	4. Organisation
5. Aircraft type	5. Aircraft type	6. Type-certificate ref. nos:	6. Type-certificate ref. nos:
7. Aircraft registration or mark	7. Aircraft registration or mark	8. Production organisation identification no:	8. Production organisation identification no:
9. Engine/propeller details (³)	9. Engine/propeller details (³)	9. Engine/propeller details (³)	9. Engine/propeller details (³)
10. Modifications and/or service bulletins (³)	10. Modifications and/or service bulletins (³)	10. Modifications and/or service bulletins (³)	10. Modifications and/or service bulletins (³)
11. Airworthiness directives	11. Airworthiness directives	11. Airworthiness directives	11. Airworthiness directives
12. Concessions	12. Concessions	12. Concessions	12. Concessions
13. Exemptions, waivers or derogations (³)	13. Exemptions, waivers or derogations (³)	13. Exemptions, waivers or derogations (³)	13. Exemptions, waivers or derogations (³)
14. Remarks	14. Remarks	14. Remarks	14. Remarks
15. Certificate of airworthiness	15. Certificate of airworthiness	15. Certificate of airworthiness	15. Certificate of airworthiness
16. Additional requirements	16. Additional requirements	16. Additional requirements	16. Additional requirements
17. Statement of conformity It is hereby certified that the aircraft conforms fully to the type-certified design and to the items in blocks 9, 10, 11, 12 and 13. The aircraft is in a condition for safe operation. The aircraft has been satisfactorily tested in flight.	17. Statement of conformity It is hereby certified that the aircraft conforms fully to the type-certified design and to the items in blocks 9, 10, 11, 12 and 13. The aircraft is in a condition for safe operation. The aircraft has been satisfactorily tested in flight.	17. Statement of conformity It is hereby certified that the aircraft conforms fully to the type-certified design and to the items in blocks 9, 10, 11, 12 and 13. The aircraft is in a condition for safe operation. The aircraft has been satisfactorily tested in flight.	17. Statement of conformity It is hereby certified that the aircraft conforms fully to the type-certified design and to the items in blocks 9, 10, 11, 12 and 13. The aircraft is in a condition for safe operation. The aircraft has been satisfactorily tested in flight.
18. Signed	19. Name	19. Name	20. Date (d/m/y)
21. Production organisation approval reference	21. Production organisation approval reference	21. Production organisation approval reference	21. Production organisation approval reference
EASA Form 52 – Issue 3	EASA Form 52 – Issue 3	EASA Form 52 – Issue 3	EASA Form 52 – Issue 3

(¹) Or “EASA”, if EASA is the competent authority.

(²) Delete for non-EU Member States or EASA.

(³) Delete as applicable.

Instructions for the use of the “Aircraft statement of conformity – EASA Form 52”

PURPOSE AND SCOPE

1.1. The use of the aircraft statement of conformity issued by a production organisation that produces under Part 21 Section A Subpart F is described in point 21.A.130 and in the related acceptable means of compliance (AMC).


	1.1.	The use of the aircraft statement of conformity issued by a production organisation that produces under Part 21 Section A Subpart F is described in point 21.A.130 and in the related acceptable means of compliance (AMC).

1.2. The purpose of the aircraft statement of conformity (EASA Form 52) issued under Part 21 Section A Subpart G is to enable the holder of an appropriate production organisation approval certificate to exercise the privilege to obtain an individual aircraft certificate of airworthiness and, if requested, a certificate of noise from the competent authority of the Member State of registry.


	1.2.	The purpose of the aircraft statement of conformity (EASA Form 52) issued under Part 21 Section A Subpart G is to enable the holder of an appropriate production organisation approval certificate to exercise the privilege to obtain an individual aircraft certificate of airworthiness and, if requested, a certificate of noise from the competent authority of the Member State of registry.

GENERAL

2.1. The statement of conformity must comply with the model, including the block numbers and the location of each block. The size of each block may, however, be varied to suit the individual application, but not to the extent that would render the statement of conformity unrecognisable. If in doubt, consult the competent authority.


	2.1.	The statement of conformity must comply with the model, including the block numbers and the location of each block. The size of each block may, however, be varied to suit the individual application, but not to the extent that would render the statement of conformity unrecognisable. If in doubt, consult the competent authority.

2.2. The statement of conformity must be either preprinted or computer generated, but in either case, the printing of lines and characters must be clear and legible. Preprinted wording is permitted in accordance with the attached model, but no other certification statements are permitted.


	2.2.	The statement of conformity must be either preprinted or computer generated, but in either case, the printing of lines and characters must be clear and legible. Preprinted wording is permitted in accordance with the attached model, but no other certification statements are permitted.

2.3. The completion of the statement may be either machine/computer printed or handwritten, using block letters to allow for easy reading. English, and where relevant, one or more of the official language(s) of the issuing Member State, are acceptable.


	2.3.	The completion of the statement may be either machine/computer printed or handwritten, using block letters to allow for easy reading. English, and where relevant, one or more of the official language(s) of the issuing Member State, are acceptable.

2.4. A copy of the statement and all the referenced attachments are to be retained by the approved production organisation.


	2.4.	A copy of the statement and all the referenced attachments are to be retained by the approved production organisation.

COMPLETION OF THE STATEMENT OF CONFORMITY BY THE ORIGINATOR

3.1. There must be an entry in all blocks to render the document a valid statement.


	3.1.	There must be an entry in all blocks to render the document a valid statement.

3.2. A statement of conformity may not be issued to the competent authority of the Member State of registry unless the design of the aircraft and its installed products are approved.


	3.2.	A statement of conformity may not be issued to the competent authority of the Member State of registry unless the design of the aircraft and its installed products are approved.

3.3. The information required in blocks 9, 10, 11, 12, 13 and 14 may be by reference to separate identified documents held on file by the production organisation, unless the competent authority agrees otherwise.


	3.3.	The information required in blocks 9, 10, 11, 12, 13 and 14 may be by reference to separate identified documents held on file by the production organisation, unless the competent authority agrees otherwise.

3.4. This statement of conformity is not intended to include those items of equipment that may be required to be fitted in order to satisfy the applicable operational rules. However, some of those individual items may be included in block 10 or in the approved type design. Operators are therefore reminded of their responsibility to ensure compliance with the applicable operational rules for their own particular operations. Block 1 Enter the name of the State of manufacture. Block 2 The competent authority that issues the statement of conformity under its authority. Block 3 A unique serial number must be preprinted in this block for statement control and traceability purposes. An exception is in the case of a computer-generated document: the number need not be preprinted where the computer is programmed to produce and print a unique number. Block 4 The full name and the address of the location of the organisation that issues the statement. This block may be preprinted. Logos, etc., are permitted if the logo, etc., can be contained within the block. Block 5 The aircraft type in full as specified in the type-certificate and its associated data sheet. Block 6 The type-certificate reference numbers and issue for the subject aircraft. Block 7 If the aircraft is registered, then this mark will be the registration mark. If the aircraft is not registered, then this will be the mark that is accepted by the competent authority of the Member State and, if applicable, by the competent authority of a third country. Block 8 The identification number assigned by the production organisation for control and traceability and product support purposes. This is sometimes referred to as a “production organisation serial number” or “constructor’s number”. Block 9 The engine type and the propeller type(s) in full as specified in the relevant type-certificate and its associated data sheet. Their production organisation identification number and the associated location must also be stated. Block 10 Approved design changes to the aircraft definition. Block 11 A listing of all the applicable airworthiness directives (or equivalent) and a declaration of compliance, together with a description of the method of compliance of the subject individual aircraft, including products and installed parts, appliances and equipment. Any future compliance requirement time must be stated. Block 12 Approved unintentional deviations from the approved type design, sometimes referred to as “concessions”, “divergences” or “non-conformances”. Block 13 Only agreed exemptions, waivers or derogations may be included here. Block 14 Remarks. Any statement, information, particular data or limitation which may affect the airworthiness of the subject aircraft. If there is no such information or data, state “NONE”. Block 15 Enter “certificate of airworthiness”, or “restricted certificate of airworthiness”, as requested. Block 16 Additional requirements such as those notified by an importing country must be noted in this block. Block 17 The validity of the statement of conformity is subject to the full completion of all the blocks on the form. A copy of the flight test report, together with any recorded defects and rectification details, must be kept on file by the production organisation approval certificate holder. The report must be signed as satisfactory by the appropriate certifying staff and a flight crew member, e.g. the test pilot or the flight test engineer. The flight tests performed are those defined under the control of the quality management element of the production system, as established by point 21.A.139, in particular point 21.A.139(d)(1)(vi), to ensure that the aircraft conforms to the applicable design data, and is in condition for safe operation. The listing of items provided (or made available) to satisfy the aspects of this statement that relate to the safe operation of the aircraft must be kept on file by the production organisation approval certificate holder. Block 18 The statement of conformity may be signed by the person that is authorised to do so by the production approval holder in accordance with point 21.A.145(d). A rubber stamp signature must not be used. Block 19 The name of the person that signs the statement must be typed or printed in a legible form. Block 20 The date on which the statement of conformity is signed must be given. Block 21 The competent authority approval reference must be quoted.


	3.4.	This statement of conformity is not intended to include those items of equipment that may be required to be fitted in order to satisfy the applicable operational rules. However, some of those individual items may be included in block 10 or in the approved type design. Operators are therefore reminded of their responsibility to ensure compliance with the applicable operational rules for their own particular operations. Block 1 Enter the name of the State of manufacture. Block 2 The competent authority that issues the statement of conformity under its authority. Block 3 A unique serial number must be preprinted in this block for statement control and traceability purposes. An exception is in the case of a computer-generated document: the number need not be preprinted where the computer is programmed to produce and print a unique number. Block 4 The full name and the address of the location of the organisation that issues the statement. This block may be preprinted. Logos, etc., are permitted if the logo, etc., can be contained within the block. Block 5 The aircraft type in full as specified in the type-certificate and its associated data sheet. Block 6 The type-certificate reference numbers and issue for the subject aircraft. Block 7 If the aircraft is registered, then this mark will be the registration mark. If the aircraft is not registered, then this will be the mark that is accepted by the competent authority of the Member State and, if applicable, by the competent authority of a third country. Block 8 The identification number assigned by the production organisation for control and traceability and product support purposes. This is sometimes referred to as a “production organisation serial number” or “constructor’s number”. Block 9 The engine type and the propeller type(s) in full as specified in the relevant type-certificate and its associated data sheet. Their production organisation identification number and the associated location must also be stated. Block 10 Approved design changes to the aircraft definition. Block 11 A listing of all the applicable airworthiness directives (or equivalent) and a declaration of compliance, together with a description of the method of compliance of the subject individual aircraft, including products and installed parts, appliances and equipment. Any future compliance requirement time must be stated. Block 12 Approved unintentional deviations from the approved type design, sometimes referred to as “concessions”, “divergences” or “non-conformances”. Block 13 Only agreed exemptions, waivers or derogations may be included here. Block 14 Remarks. Any statement, information, particular data or limitation which may affect the airworthiness of the subject aircraft. If there is no such information or data, state “NONE”. Block 15 Enter “certificate of airworthiness”, or “restricted certificate of airworthiness”, as requested. Block 16 Additional requirements such as those notified by an importing country must be noted in this block. Block 17 The validity of the statement of conformity is subject to the full completion of all the blocks on the form. A copy of the flight test report, together with any recorded defects and rectification details, must be kept on file by the production organisation approval certificate holder. The report must be signed as satisfactory by the appropriate certifying staff and a flight crew member, e.g. the test pilot or the flight test engineer. The flight tests performed are those defined under the control of the quality management element of the production system, as established by point 21.A.139, in particular point 21.A.139(d)(1)(vi), to ensure that the aircraft conforms to the applicable design data, and is in condition for safe operation. The listing of items provided (or made available) to satisfy the aspects of this statement that relate to the safe operation of the aircraft must be kept on file by the production organisation approval certificate holder. Block 18 The statement of conformity may be signed by the person that is authorised to do so by the production approval holder in accordance with point 21.A.145(d). A rubber stamp signature must not be used. Block 19 The name of the person that signs the statement must be typed or printed in a legible form. Block 20 The date on which the statement of conformity is signed must be given. Block 21 The competent authority approval reference must be quoted.

;

(61) Appendix X is replaced by the following:

‘Appendix X

Production organisation approval certificate – EASA Form 55

Production organisation approval certificates referred to in Subpart G of Annex I (Part 21)

[MEMBER STATE] (¹) A Member of the European Union (²) PRODUCTION ORGANISATION APPROVAL CERTIFICATE Reference: [MEMBER STATE CODE (¹)].21G.XXXX Pursuant to Regulation (EU) 2018/1139 of the European Parliament and of the Council and to Commission Regulation (EU) No 748/2012, for the time being in force and subject to the conditions specified below, the [COMPETENT AUTHORITY OF THE MEMBER STATE] hereby certifies: [COMPANY NAME AND ADDRESS] as a production organisation in compliance with Annex I (Part 21) Section A of Regulation (EU) No 748/2012, is approved to produce products, parts and appliances listed in the attached approval schedule and issue the related certificates using the above references. CONDITIONS: 1. This approval is limited to that specified in the enclosed terms of approval. 2. This approval is subject to compliance with the procedures specified in the approved production organisation exposition. 3. This approval is valid while the approved production organisation remains in compliance with Annex I (Part 21) to Regulation (EU) No 748/2012. 4. Subject to compliance with the foregoing conditions, this approval shall remain valid for an unlimited period of time unless it has previously been surrendered, superseded, suspended or revoked. Date of original issue:… Date of this revision:… Revision No:… Signed:… For the competent authority: [COMPETENTAUTHORITY IDENTIFICATION (¹)]

EASA Form 55a – Issue 3


[MEMBER STATE] (¹) A Member of the European Union (²) PRODUCTION ORGANISATION APPROVAL CERTIFICATE Reference: [MEMBER STATE CODE (¹)].21G.XXXX Pursuant to Regulation (EU) 2018/1139 of the European Parliament and of the Council and to Commission Regulation (EU) No 748/2012, for the time being in force and subject to the conditions specified below, the [COMPETENT AUTHORITY OF THE MEMBER STATE] hereby certifies: [COMPANY NAME AND ADDRESS] as a production organisation in compliance with Annex I (Part 21) Section A of Regulation (EU) No 748/2012, is approved to produce products, parts and appliances listed in the attached approval schedule and issue the related certificates using the above references. CONDITIONS: 1. This approval is limited to that specified in the enclosed terms of approval. 2. This approval is subject to compliance with the procedures specified in the approved production organisation exposition. 3. This approval is valid while the approved production organisation remains in compliance with Annex I (Part 21) to Regulation (EU) No 748/2012. 4. Subject to compliance with the foregoing conditions, this approval shall remain valid for an unlimited period of time unless it has previously been surrendered, superseded, suspended or revoked. Date of original issue:… Date of this revision:… Revision No:… Signed:… For the competent authority: [COMPETENTAUTHORITY IDENTIFICATION (¹)]
EASA Form 55a – Issue 3

(¹) Or “EASA”, if EASA is the competent authority.

(²) Delete for non-EU Member States.

[MEMBER STATE] (¹) A Member of the European Union (²) Terms of approval Terms of approval TA: [MEMBER STATE CODE (¹)].21G.XXXX

This document is part of the production organisation approval number [MEMBER STATE CODE (¹)].21G.XXXX issued to: Company name: This document is part of the production organisation approval number [MEMBER STATE CODE (¹)].21G.XXXX issued to: Company name: This document is part of the production organisation approval number [MEMBER STATE CODE (¹)].21G.XXXX issued to: Company name: This document is part of the production organisation approval number [MEMBER STATE CODE (¹)].21G.XXXX issued to: Company name:

Section 1. SCOPE OF WORK: Section 1. SCOPE OF WORK: Section 1. SCOPE OF WORK: Section 1. SCOPE OF WORK:

PRODUCTION OF PRODUCTION OF PRODUCTS/CATEGORIES PRODUCTS/CATEGORIES

For details and limitations, refer to the Production Organisation Exposition, Section xxx For details and limitations, refer to the Production Organisation Exposition, Section xxx For details and limitations, refer to the Production Organisation Exposition, Section xxx For details and limitations, refer to the Production Organisation Exposition, Section xxx

Section 2. LOCATIONS: Section 2. LOCATIONS: Section 2. LOCATIONS: Section 2. LOCATIONS:

Section 3. PRIVILEGES: Section 3. PRIVILEGES: Section 3. PRIVILEGES: Section 3. PRIVILEGES:

The production organisation is entitled to exercise, within its terms of approval and in accordance with the procedures of its Production Organisation Exposition, the privileges laid down in point 21.A.163, subject to the following: The production organisation is entitled to exercise, within its terms of approval and in accordance with the procedures of its Production Organisation Exposition, the privileges laid down in point 21.A.163, subject to the following: The production organisation is entitled to exercise, within its terms of approval and in accordance with the procedures of its Production Organisation Exposition, the privileges laid down in point 21.A.163, subject to the following: The production organisation is entitled to exercise, within its terms of approval and in accordance with the procedures of its Production Organisation Exposition, the privileges laid down in point 21.A.163, subject to the following:

[keep only applicable text] [keep only applicable text] [keep only applicable text] [keep only applicable text]

Prior to the approval of the design of the product, the EASA Form 1 may be issued only for conformity purposes. Prior to the approval of the design of the product, the EASA Form 1 may be issued only for conformity purposes. Prior to the approval of the design of the product, the EASA Form 1 may be issued only for conformity purposes. Prior to the approval of the design of the product, the EASA Form 1 may be issued only for conformity purposes.

A statement of conformity may not be issued for a non-approved aircraft. A statement of conformity may not be issued for a non-approved aircraft. A statement of conformity may not be issued for a non-approved aircraft. A statement of conformity may not be issued for a non-approved aircraft.

Maintenance may be performed, until compliance with the maintenance regulations is required, in accordance with the Production Organisation Exposition Section xxx Maintenance may be performed, until compliance with the maintenance regulations is required, in accordance with the Production Organisation Exposition Section xxx Maintenance may be performed, until compliance with the maintenance regulations is required, in accordance with the Production Organisation Exposition Section xxx Maintenance may be performed, until compliance with the maintenance regulations is required, in accordance with the Production Organisation Exposition Section xxx

Permits to fly may be issued in accordance with the Production Organisation Exposition Section yyy Permits to fly may be issued in accordance with the Production Organisation Exposition Section yyy Permits to fly may be issued in accordance with the Production Organisation Exposition Section yyy Permits to fly may be issued in accordance with the Production Organisation Exposition Section yyy

Date of original issue: Date of original issue: Signed: Signed:

Date of this revision: Date of this revision:

Revision No: Revision No: For [COMPETENT AUTHORITY IDENTIFICATION (¹)] For [COMPETENT AUTHORITY IDENTIFICATION (¹)]

EASA Form 55b – Issue 3 EASA Form 55b – Issue 3 EASA Form 55b – Issue 3 EASA Form 55b – Issue 3


[MEMBER STATE] (¹) A Member of the European Union (²)	Terms of approval	Terms of approval	TA: [MEMBER STATE CODE (¹)].21G.XXXX
This document is part of the production organisation approval number [MEMBER STATE CODE (¹)].21G.XXXX issued to: Company name:	This document is part of the production organisation approval number [MEMBER STATE CODE (¹)].21G.XXXX issued to: Company name:	This document is part of the production organisation approval number [MEMBER STATE CODE (¹)].21G.XXXX issued to: Company name:	This document is part of the production organisation approval number [MEMBER STATE CODE (¹)].21G.XXXX issued to: Company name:
Section 1. SCOPE OF WORK:	Section 1. SCOPE OF WORK:	Section 1. SCOPE OF WORK:	Section 1. SCOPE OF WORK:
PRODUCTION OF	PRODUCTION OF	PRODUCTS/CATEGORIES	PRODUCTS/CATEGORIES





For details and limitations, refer to the Production Organisation Exposition, Section xxx	For details and limitations, refer to the Production Organisation Exposition, Section xxx	For details and limitations, refer to the Production Organisation Exposition, Section xxx	For details and limitations, refer to the Production Organisation Exposition, Section xxx
Section 2. LOCATIONS:	Section 2. LOCATIONS:	Section 2. LOCATIONS:	Section 2. LOCATIONS:
Section 3. PRIVILEGES:	Section 3. PRIVILEGES:	Section 3. PRIVILEGES:	Section 3. PRIVILEGES:

The production organisation is entitled to exercise, within its terms of approval and in accordance with the procedures of its Production Organisation Exposition, the privileges laid down in point 21.A.163, subject to the following:	The production organisation is entitled to exercise, within its terms of approval and in accordance with the procedures of its Production Organisation Exposition, the privileges laid down in point 21.A.163, subject to the following:	The production organisation is entitled to exercise, within its terms of approval and in accordance with the procedures of its Production Organisation Exposition, the privileges laid down in point 21.A.163, subject to the following:	The production organisation is entitled to exercise, within its terms of approval and in accordance with the procedures of its Production Organisation Exposition, the privileges laid down in point 21.A.163, subject to the following:
[keep only applicable text]	[keep only applicable text]	[keep only applicable text]	[keep only applicable text]
Prior to the approval of the design of the product, the EASA Form 1 may be issued only for conformity purposes.	Prior to the approval of the design of the product, the EASA Form 1 may be issued only for conformity purposes.	Prior to the approval of the design of the product, the EASA Form 1 may be issued only for conformity purposes.	Prior to the approval of the design of the product, the EASA Form 1 may be issued only for conformity purposes.
A statement of conformity may not be issued for a non-approved aircraft.	A statement of conformity may not be issued for a non-approved aircraft.	A statement of conformity may not be issued for a non-approved aircraft.	A statement of conformity may not be issued for a non-approved aircraft.
Maintenance may be performed, until compliance with the maintenance regulations is required, in accordance with the Production Organisation Exposition Section xxx	Maintenance may be performed, until compliance with the maintenance regulations is required, in accordance with the Production Organisation Exposition Section xxx	Maintenance may be performed, until compliance with the maintenance regulations is required, in accordance with the Production Organisation Exposition Section xxx	Maintenance may be performed, until compliance with the maintenance regulations is required, in accordance with the Production Organisation Exposition Section xxx
Permits to fly may be issued in accordance with the Production Organisation Exposition Section yyy	Permits to fly may be issued in accordance with the Production Organisation Exposition Section yyy	Permits to fly may be issued in accordance with the Production Organisation Exposition Section yyy	Permits to fly may be issued in accordance with the Production Organisation Exposition Section yyy
Date of original issue:	Date of original issue:	Signed:	Signed:
Date of this revision:	Date of this revision:
Revision No:	Revision No:	For [COMPETENT AUTHORITY IDENTIFICATION (¹)]	For [COMPETENT AUTHORITY IDENTIFICATION (¹)]
EASA Form 55b – Issue 3	EASA Form 55b – Issue 3	EASA Form 55b – Issue 3	EASA Form 55b – Issue 3

(¹) Or “EASA”, if EASA is the competent authority.

(²) Delete for non-EU Member States.

(62) Appendix XI is replaced by the following:

‘Appendix XI

Letter of agreement for production without a production organisation approval – EASA Form 65

Letter of agreement referred to in Subpart F of Annex I (Part 21)

[MEMBER STATE] (¹) A Member of the European Union (²) LETTER OF AGREEMENT FOR PRODUCTION WITHOUT A PRODUCTION ORGANISATION APPROVAL [NAME OF THE APPLICANT] [TRADE NAME (if different from the name of the applicant)] [FULL POSTAL ADDRESS OF THE APPLICANT] Date (Day, Month, Year) Reference: [MEMBER STATE CODE (²)].21F.XXXX Dear Mr/Ms [Name of the Applicant], Your production inspection system has been evaluated and found to be in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Commission Regulation (EU) No 748/2012. Therefore, subject to the conditions specified below, we agree that the showing of conformity of the products, parts and appliances mentioned below may be done under Section A, Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012. [MEMBER STATE] (¹) A Member of the European Union (²) LETTER OF AGREEMENT FOR PRODUCTION WITHOUT A PRODUCTION ORGANISATION APPROVAL [NAME OF THE APPLICANT] [TRADE NAME (if different from the name of the applicant)] [FULL POSTAL ADDRESS OF THE APPLICANT] Date (Day, Month, Year) Reference: [MEMBER STATE CODE (²)].21F.XXXX Dear Mr/Ms [Name of the Applicant], Your production inspection system has been evaluated and found to be in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Commission Regulation (EU) No 748/2012. Therefore, subject to the conditions specified below, we agree that the showing of conformity of the products, parts and appliances mentioned below may be done under Section A, Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012. [MEMBER STATE] (¹) A Member of the European Union (²) LETTER OF AGREEMENT FOR PRODUCTION WITHOUT A PRODUCTION ORGANISATION APPROVAL [NAME OF THE APPLICANT] [TRADE NAME (if different from the name of the applicant)] [FULL POSTAL ADDRESS OF THE APPLICANT] Date (Day, Month, Year) Reference: [MEMBER STATE CODE (²)].21F.XXXX Dear Mr/Ms [Name of the Applicant], Your production inspection system has been evaluated and found to be in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Commission Regulation (EU) No 748/2012. Therefore, subject to the conditions specified below, we agree that the showing of conformity of the products, parts and appliances mentioned below may be done under Section A, Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012. [MEMBER STATE] (¹) A Member of the European Union (²) LETTER OF AGREEMENT FOR PRODUCTION WITHOUT A PRODUCTION ORGANISATION APPROVAL [NAME OF THE APPLICANT] [TRADE NAME (if different from the name of the applicant)] [FULL POSTAL ADDRESS OF THE APPLICANT] Date (Day, Month, Year) Reference: [MEMBER STATE CODE (²)].21F.XXXX Dear Mr/Ms [Name of the Applicant], Your production inspection system has been evaluated and found to be in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Commission Regulation (EU) No 748/2012. Therefore, subject to the conditions specified below, we agree that the showing of conformity of the products, parts and appliances mentioned below may be done under Section A, Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012. [MEMBER STATE] (¹) A Member of the European Union (²) LETTER OF AGREEMENT FOR PRODUCTION WITHOUT A PRODUCTION ORGANISATION APPROVAL [NAME OF THE APPLICANT] [TRADE NAME (if different from the name of the applicant)] [FULL POSTAL ADDRESS OF THE APPLICANT] Date (Day, Month, Year) Reference: [MEMBER STATE CODE (²)].21F.XXXX Dear Mr/Ms [Name of the Applicant], Your production inspection system has been evaluated and found to be in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Commission Regulation (EU) No 748/2012. Therefore, subject to the conditions specified below, we agree that the showing of conformity of the products, parts and appliances mentioned below may be done under Section A, Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012.

No of Units P/N S/N

AIRCRAFT PARTS The following conditions are applicable to this letter of agreement: (1) It is valid while [Company Name] remains in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012. (2) It requires compliance with the procedures specified in [Company Name] manual ref./issue date… (3) It terminates on… (4) The statement of conformity issued by [Company Name] under point 21.A.130 of Regulation (EU) No 748/2012 shall be validated by the issuing authority of this letter of agreement in accordance with the procedure… of the referenced manual. (5) [Company Name] shall notify the issuing authority of this letter of agreement immediately of any changes to the production inspection system that may affect the inspection, conformity or airworthiness of the products and parts listed in this letter. For the competent authority: [COMPETENT AUTHORITY IDENTIFICATION (¹)(²)] Date and signature AIRCRAFT PARTS The following conditions are applicable to this letter of agreement: (1) It is valid while [Company Name] remains in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012. (2) It requires compliance with the procedures specified in [Company Name] manual ref./issue date… (3) It terminates on… (4) The statement of conformity issued by [Company Name] under point 21.A.130 of Regulation (EU) No 748/2012 shall be validated by the issuing authority of this letter of agreement in accordance with the procedure… of the referenced manual. (5) [Company Name] shall notify the issuing authority of this letter of agreement immediately of any changes to the production inspection system that may affect the inspection, conformity or airworthiness of the products and parts listed in this letter. For the competent authority: [COMPETENT AUTHORITY IDENTIFICATION (¹)(²)] Date and signature AIRCRAFT PARTS The following conditions are applicable to this letter of agreement: (1) It is valid while [Company Name] remains in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012. (2) It requires compliance with the procedures specified in [Company Name] manual ref./issue date… (3) It terminates on… (4) The statement of conformity issued by [Company Name] under point 21.A.130 of Regulation (EU) No 748/2012 shall be validated by the issuing authority of this letter of agreement in accordance with the procedure… of the referenced manual. (5) [Company Name] shall notify the issuing authority of this letter of agreement immediately of any changes to the production inspection system that may affect the inspection, conformity or airworthiness of the products and parts listed in this letter. For the competent authority: [COMPETENT AUTHORITY IDENTIFICATION (¹)(²)] Date and signature AIRCRAFT PARTS The following conditions are applicable to this letter of agreement: (1) It is valid while [Company Name] remains in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012. (2) It requires compliance with the procedures specified in [Company Name] manual ref./issue date… (3) It terminates on… (4) The statement of conformity issued by [Company Name] under point 21.A.130 of Regulation (EU) No 748/2012 shall be validated by the issuing authority of this letter of agreement in accordance with the procedure… of the referenced manual. (5) [Company Name] shall notify the issuing authority of this letter of agreement immediately of any changes to the production inspection system that may affect the inspection, conformity or airworthiness of the products and parts listed in this letter. For the competent authority: [COMPETENT AUTHORITY IDENTIFICATION (¹)(²)] Date and signature AIRCRAFT PARTS The following conditions are applicable to this letter of agreement: (1) It is valid while [Company Name] remains in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012. (2) It requires compliance with the procedures specified in [Company Name] manual ref./issue date… (3) It terminates on… (4) The statement of conformity issued by [Company Name] under point 21.A.130 of Regulation (EU) No 748/2012 shall be validated by the issuing authority of this letter of agreement in accordance with the procedure… of the referenced manual. (5) [Company Name] shall notify the issuing authority of this letter of agreement immediately of any changes to the production inspection system that may affect the inspection, conformity or airworthiness of the products and parts listed in this letter. For the competent authority: [COMPETENT AUTHORITY IDENTIFICATION (¹)(²)] Date and signature

EASA Form 65 – Issue 3 EASA Form 65 – Issue 3 EASA Form 65 – Issue 3 EASA Form 65 – Issue 3 EASA Form 65 – Issue 3


[MEMBER STATE] (¹) A Member of the European Union (²) LETTER OF AGREEMENT FOR PRODUCTION WITHOUT A PRODUCTION ORGANISATION APPROVAL [NAME OF THE APPLICANT] [TRADE NAME (if different from the name of the applicant)] [FULL POSTAL ADDRESS OF THE APPLICANT] Date (Day, Month, Year) Reference: [MEMBER STATE CODE (²)].21F.XXXX Dear Mr/Ms [Name of the Applicant], Your production inspection system has been evaluated and found to be in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Commission Regulation (EU) No 748/2012. Therefore, subject to the conditions specified below, we agree that the showing of conformity of the products, parts and appliances mentioned below may be done under Section A, Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012.	[MEMBER STATE] (¹) A Member of the European Union (²) LETTER OF AGREEMENT FOR PRODUCTION WITHOUT A PRODUCTION ORGANISATION APPROVAL [NAME OF THE APPLICANT] [TRADE NAME (if different from the name of the applicant)] [FULL POSTAL ADDRESS OF THE APPLICANT] Date (Day, Month, Year) Reference: [MEMBER STATE CODE (²)].21F.XXXX Dear Mr/Ms [Name of the Applicant], Your production inspection system has been evaluated and found to be in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Commission Regulation (EU) No 748/2012. Therefore, subject to the conditions specified below, we agree that the showing of conformity of the products, parts and appliances mentioned below may be done under Section A, Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012.	[MEMBER STATE] (¹) A Member of the European Union (²) LETTER OF AGREEMENT FOR PRODUCTION WITHOUT A PRODUCTION ORGANISATION APPROVAL [NAME OF THE APPLICANT] [TRADE NAME (if different from the name of the applicant)] [FULL POSTAL ADDRESS OF THE APPLICANT] Date (Day, Month, Year) Reference: [MEMBER STATE CODE (²)].21F.XXXX Dear Mr/Ms [Name of the Applicant], Your production inspection system has been evaluated and found to be in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Commission Regulation (EU) No 748/2012. Therefore, subject to the conditions specified below, we agree that the showing of conformity of the products, parts and appliances mentioned below may be done under Section A, Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012.	[MEMBER STATE] (¹) A Member of the European Union (²) LETTER OF AGREEMENT FOR PRODUCTION WITHOUT A PRODUCTION ORGANISATION APPROVAL [NAME OF THE APPLICANT] [TRADE NAME (if different from the name of the applicant)] [FULL POSTAL ADDRESS OF THE APPLICANT] Date (Day, Month, Year) Reference: [MEMBER STATE CODE (²)].21F.XXXX Dear Mr/Ms [Name of the Applicant], Your production inspection system has been evaluated and found to be in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Commission Regulation (EU) No 748/2012. Therefore, subject to the conditions specified below, we agree that the showing of conformity of the products, parts and appliances mentioned below may be done under Section A, Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012.	[MEMBER STATE] (¹) A Member of the European Union (²) LETTER OF AGREEMENT FOR PRODUCTION WITHOUT A PRODUCTION ORGANISATION APPROVAL [NAME OF THE APPLICANT] [TRADE NAME (if different from the name of the applicant)] [FULL POSTAL ADDRESS OF THE APPLICANT] Date (Day, Month, Year) Reference: [MEMBER STATE CODE (²)].21F.XXXX Dear Mr/Ms [Name of the Applicant], Your production inspection system has been evaluated and found to be in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Commission Regulation (EU) No 748/2012. Therefore, subject to the conditions specified below, we agree that the showing of conformity of the products, parts and appliances mentioned below may be done under Section A, Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012.
No of Units	P/N	S/N
AIRCRAFT PARTS The following conditions are applicable to this letter of agreement: (1) It is valid while [Company Name] remains in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012. (2) It requires compliance with the procedures specified in [Company Name] manual ref./issue date… (3) It terminates on… (4) The statement of conformity issued by [Company Name] under point 21.A.130 of Regulation (EU) No 748/2012 shall be validated by the issuing authority of this letter of agreement in accordance with the procedure… of the referenced manual. (5) [Company Name] shall notify the issuing authority of this letter of agreement immediately of any changes to the production inspection system that may affect the inspection, conformity or airworthiness of the products and parts listed in this letter. For the competent authority: [COMPETENT AUTHORITY IDENTIFICATION (¹)(²)] Date and signature	AIRCRAFT PARTS The following conditions are applicable to this letter of agreement: (1) It is valid while [Company Name] remains in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012. (2) It requires compliance with the procedures specified in [Company Name] manual ref./issue date… (3) It terminates on… (4) The statement of conformity issued by [Company Name] under point 21.A.130 of Regulation (EU) No 748/2012 shall be validated by the issuing authority of this letter of agreement in accordance with the procedure… of the referenced manual. (5) [Company Name] shall notify the issuing authority of this letter of agreement immediately of any changes to the production inspection system that may affect the inspection, conformity or airworthiness of the products and parts listed in this letter. For the competent authority: [COMPETENT AUTHORITY IDENTIFICATION (¹)(²)] Date and signature	AIRCRAFT PARTS The following conditions are applicable to this letter of agreement: (1) It is valid while [Company Name] remains in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012. (2) It requires compliance with the procedures specified in [Company Name] manual ref./issue date… (3) It terminates on… (4) The statement of conformity issued by [Company Name] under point 21.A.130 of Regulation (EU) No 748/2012 shall be validated by the issuing authority of this letter of agreement in accordance with the procedure… of the referenced manual. (5) [Company Name] shall notify the issuing authority of this letter of agreement immediately of any changes to the production inspection system that may affect the inspection, conformity or airworthiness of the products and parts listed in this letter. For the competent authority: [COMPETENT AUTHORITY IDENTIFICATION (¹)(²)] Date and signature	AIRCRAFT PARTS The following conditions are applicable to this letter of agreement: (1) It is valid while [Company Name] remains in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012. (2) It requires compliance with the procedures specified in [Company Name] manual ref./issue date… (3) It terminates on… (4) The statement of conformity issued by [Company Name] under point 21.A.130 of Regulation (EU) No 748/2012 shall be validated by the issuing authority of this letter of agreement in accordance with the procedure… of the referenced manual. (5) [Company Name] shall notify the issuing authority of this letter of agreement immediately of any changes to the production inspection system that may affect the inspection, conformity or airworthiness of the products and parts listed in this letter. For the competent authority: [COMPETENT AUTHORITY IDENTIFICATION (¹)(²)] Date and signature	AIRCRAFT PARTS The following conditions are applicable to this letter of agreement: (1) It is valid while [Company Name] remains in compliance with Section A, Subpart A and Subpart F of Annex I (Part 21) to Regulation (EU) No 748/2012. (2) It requires compliance with the procedures specified in [Company Name] manual ref./issue date… (3) It terminates on… (4) The statement of conformity issued by [Company Name] under point 21.A.130 of Regulation (EU) No 748/2012 shall be validated by the issuing authority of this letter of agreement in accordance with the procedure… of the referenced manual. (5) [Company Name] shall notify the issuing authority of this letter of agreement immediately of any changes to the production inspection system that may affect the inspection, conformity or airworthiness of the products and parts listed in this letter. For the competent authority: [COMPETENT AUTHORITY IDENTIFICATION (¹)(²)] Date and signature
EASA Form 65 – Issue 3	EASA Form 65 – Issue 3	EASA Form 65 – Issue 3	EASA Form 65 – Issue 3	EASA Form 65 – Issue 3

(¹) Or “EASA”, if EASA is the competent authority.

(²) Delete for non-EU Member States.

.

[^ntc*1-L_2022033EN.01001001-E0001] Regulation (EU) No 376/2014 of the European Parliament and of the Council of 3 April 2014 on the reporting, analysis and follow-up of occurrences in civil aviation, amending Regulation (EU) No 996/2010 of the European Parliament and of the Council and repealing Directive 2003/42/EC of the European Parliament and of the Council and Commission Regulations (EC) No 1321/2007 and (EC) No 1330/2007 (OJ L 122, 24.4.2014, p. 18).’;’

ANNEX II

In Annex I (Part 21), point 21.A.101, point (h) is replaced by the following:

‘(h) For large aeroplanes subject to point 26.300 of Annex I to Commission Regulation (EU) 2015/640[^ntr*1-L_2022033EN.01004001-E0001], the applicant shall comply with certification specifications that provide at least an equivalent level of safety to points 26.300 and 26.330 of Annex I to Regulation (EU) 2015/640, except for applicants for supplemental type-certificates who are not required to take into account point 26.303.

[^ntr*1-L_2022033EN.01004001-E0001]: Commission Regulation (EU) 2015/640 of 23 April 2015 on additional airworthiness specifications for a given type of operations and amending Regulation (EU) No 965/2012 (OJ L 106, 24.4.2015, p. 18).’.’

Reading this document does not replace reading the official text published in the Official Journal of the European Union. We assume no responsibility for any inaccuracies arising from the conversion of the original to this format.

This text is published under EUR-Lex's own terms of reuse, not a Legalize or public-domain licence. EUR-Lex
Creative Commons Attribution 4.0 International (CC BY 4.0)
© European Union, https://eur-lex.europa.eu — Source: EUR-Lex (Publications Office of the European Union). Reused under the Creative Commons Attribution 4.0 International (CC BY 4.0) licence. Only EU legislation published in the printed Official Journal of the European Union is deemed authentic; consolidated texts are reproduced here for documentation purposes and have been reformatted to Markdown.