Field Approval Checklist – Fill Out and Use This PDF

The Field Approval Checklist form is a pivotal document for those seeking field approval from the Federal Aviation Administration (FAA) for aircraft modifications or repairs. It serves as a comprehensive guide to provide all necessary data, forms, descriptive items, and other information required for the approval process. Whether using this form or an equivalent presentation method, it is crucial for applicants to compile a Standard Data Package that includes the form, its attachments, FAA Form 337, and all related data. To ensure a smooth approval process, consider filling out the form by clicking the button below.

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Field Approval Checklist PDF Details

The Field Approval Checklist form serves as an integral tool for professionals navigating the intricate process of obtaining field approval from the Federal Aviation Administration (FAA) for aircraft modifications. It is designed to ensure that the applicant provides comprehensive information necessary for the FAA to evaluate and approve the modification project. This form is not mandated by regulations nor does it dictate minimum standards; however, it acts as a guideline to streamline the submission of essential data, forms, descriptive items, and other relevant information. If an applicant chooses not to use this form, they may present the required information through an equivalent method, such as Advisory Circular AC 43-210. The checklist, along with its attachments, FAA Form 337, and the data compiled, constitute what is known as the Standard Data Package. This package is critical for the FAA’s assessment process, covering a wide array of information, including Supplemental Type Certificate (STC) details, aircraft and applicant information, type of product and certification basis, project schedule, designee involvement, and specific details about the alteration project itself. Additionally, it inquires about the need for an Aircraft Flight Manual Supplement (AFMS), Instructions for Continued Airworthiness (ICA), and includes sections for describing any potential damage tolerance evaluation and additional required data or tests. The meticulous completion of this form, or a suitable alternative, is crucial for facilitating a smooth and efficient field approval process.

Question	Answer
Form Name	Field Approval Checklist
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	field approval checklist fillable form, resource family approval checklist, ac 43 210a field approval checklist, describe the scope of checklist for field inspection

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MODEL

SERIAL NUMBER

YES: If YES Do Not Complete This Form

NO: This will be a Request for a Field Approval

DOUBLE CLICK ON YELLOW NOTE PAD FIELD APPROVAL CHECKLIST

THE MATERIAL LISTED ON THIS FIELD APPROVAL CHECKLIST IS NOT REGULATORY,

NOR DOES IT ESTABLISH MINIMUM STANDARDS.

When requesting a Field Approval, you may use this form to provide the requested data, forms, descriptive items and other information. If you do not use this form, an equivalent method for presenting the information and data may be used ( EXAMPLE: Advisory Circular AC 43-210 ). The checklist form (or equivalent), its attachments, Federal Aviation Administration (FAA) Form 337 and the data make up the Standard Data Package.

INSTRUCTIONS: PRINT OR TYPE ALL ENTRIES. THIS INFORMATION SHOULD BE COMPLETE AS POSSIBLE PRIOR TO YOUR INITIAL DISCUSSION WITH THE FAA

1.STC

INFORMATION

IS THERE AN EXISTING SUPPLEMENTAL TYPE CERTIFICATE FOR THIS MODIFICATION: COVERING THE MAKE AND MODEL OF THE PROPOSED ?

2.AIRCRAFT INFORMATION

MAKE

REGISTRATION


	POINT OF CONTACT				COMPANY NAME


	P.O.C TELEPHONE		P.O.C FAX		STREET ADDRESS
3. APPLICANT
INFORMATION	TYPE OF APPLICANT				STREET ADDRESS
INFORMATION		CERTIFIED REPAIR STATION		A&P / IA MECHANIC
		CERTIFIED REPAIR STATION		A&P / IA MECHANIC

	CRS #		A&P IA Number		CITY	STATE	ZIP

4. TYPE OF PRODUCT AND CERTIFICATION BASIS

CHECK ITEM:

TCDS #

AIRFRAME

ENGINE

APPLIANCE

List Type Certificate Data Sheet Number:

CHECK ITEM:

PART 23

PART 25

PART27

PART 29

PART 31

PART 33

CAR 3

CAR 4(b)

CAR 6

CAR 7

CAR 8

CAR 13

OTHER:

5. SCHEDULE FOR COMPLETION OF PROJECT

DATE WHEN FIELD APPROVAL IS NEEDED:

DATE FOR ASI VISIT (PROPOSED/REQUESTED)

PROJECTED COMPLETION DATE FOR ALTERATION:

5A. BRIEF DESCRIPTION OF PROJECT

FAR

COMPLIANCE

REVIEW

5B. PREVIOUS ALTERATIONS OR REPAIRS THAT MAY BE AFFECTED BY THIS ALTERATION

FIELD APPROVAL CHECKLIST

6. DESIGNEES (DAR'S AND DER'S)

NAMES AND TELEPHONE NUMBERS OF THE DESIGNATED ENGINEERING REPRESENTATIVES (DER'S) AND/OR DESIGNATED AIRWORTHINESS REPRESENTATIVES (DAR) WHO ARE HELPING WITH

THE PROJECT	NONE
NAME:		TELEPHONE	CERTIFICATE NO.	DER
				DAR

NAME:

TELEPHONE

CERTIFICATE NO.

DER

DAR

7. AIRCRAFT OPERATING UNDER ONE OF THE FOLLOWING

AIR CARRIER CERTIFICATE			FAR PART 91	DO NOT KNOW	PRESSURIZED AIRCRAFT
121	125	135			YES	NO	DO NOT KNOW

8. AIRCRAFT FLIGHT MANUAL SUPPLEMENT (AFMS)

WILL THIS ALTERATION REQUIRE AN AFMS ?		YES	NO	DO NOT KNOW IF AFMS IS REQUIRED
		IF YES, ATTACH COPY

9. INSTRUCTIONS FOR CONTINUED AIRWORTHINESS
	ICA INCLUDED IN BLOCK 8 OF FAA FORM 337		ICA INCLUDED SEPARATE DOCUMENT

IF CHECKED, ATTACH COPY

10. DATA ATTACHED

CHECK ALL THAT APPLY:

FAA FORM 337 FOR THE ALTERATION PROPOSED

COPIES OF OTHER PREVIOUSLY APPROVED FAA FORM 337 (SUPPORTING DATA)

COPY OF SUPPLEMENTAL TYPE CERTIFICATE (STC) (SUPPORTING DATA)

DRAWINGS,SCHEMATICS & DIAGRAMS

ELECTRICAL DRAWINGS

STRUCTURAL DRAWINGS

SUPPORTING TEST DATA

EMI/RFI PROCEDURES

GROUND TEST PROCEDURES

LOAD ANALYSIS

ELECTRICAL

STRUCTURAL

FAA FORM 8110-3

ELECTRICAL

STRUCTURAL

PLACARDS (COPY OF EXACT VERBIAGE)

OTHER

11. DAMAGE TOLERANCE EVALUATION

Does Damage Tolerance and Fatigue Evaluation of Structure (FAR Parts 23.573, 25.571, 27.571 OR 29,571) apply to any

portion of the purposed Alteration/Repair ?			YES	NO

IF "YES" PROVIDE A COPY OF THE FOLLOWING
	Damage Tolerance 8110-3	Damage Tolerance Report			Damage Tolerance Specific ICA
	Damage Tolerance 8110-3	Damage Tolerance Report			Damage Tolerance Specific ICA

12. ADDITIONAL INFORMATION

CHECK ALL THAT APPLY:
WILL A FLIGHT TEST BE REQUIRED UNDER FAR PART 91.407 (b) ?
YES
NO
PMA PRODUCT
YES: ON AIRCRAFT ELIGIBILITY LIST
YES: NOT ON AIRCRAFT ELIGIBILITY LIST
NO
TSO PRODUCT
YES	LIST TSO CERTIFICATION
NO

FIELD APPROVAL CHECKLIST

FAA USE ONLY

Date Received:

Assigned Inspector:

Is a Field Approval Appropriate?

YES

If a Field Approval is not performed, what is the proper method for the alteration?

Record Entry

STC

Other

Requires ACO Concurrence?

YES

Requires AEG ICA Review?

YES

Additional Information Required:

YES

How to Edit Field Approval Checklist Online for Free

This PDF editor allows you to fill out the field approval check list form. You should be able to build the file immediately by following these simple actions.

Step 1: The page has an orange button stating "Get Form Now". Please click it.

Step 2: After you've entered the field approval check list editing page you'll be able to see every one of the actions you can undertake concerning your document from the upper menu.

For each part, add the information requested by the application.

entering details in field approval checklist step 1

Complete the AIRFRAME, ENGINE, APPLIANCE, CHECK ITEM, List Type Certificate Data Sheet, PART, PART, PART, PART, PART, PART, CAR, CAR b, CAR, and CAR areas with any information that are asked by the system.

field approval checklist AIRFRAME, ENGINE, APPLIANCE, CHECK ITEM, List Type Certificate Data Sheet, PART, PART, PART, PART, PART, PART, CAR, CAR b, CAR, and CAR fields to fill

The application will require details to effortlessly prepare the section DESIGNEES DARS AND DERS NAMES AND, TELEPHONE, CERTIFICATE NO, NONE, DER, DAR, DER, DAR, NAME, TELEPHONE, CERTIFICATE NO, AIRCRAFT OPERATING UNDER ONE OF, AIR CARRIER CERTIFICATE, FAR PART, and DO NOT KNOW.

Entering details in field approval checklist part 3

Make sure you record the rights and obligations of the parties inside the EMIRFI PROCEDURES, GROUND TEST PROCEDURES, LOAD ANALYSIS, ELECTRICAL, STRUCTURAL, FAA FORM, ELECTRICAL, STRUCTURAL, PLACARDS COPY OF EXACT VERBIAGE, OTHER, DAMAGE TOLERANCE EVALUATION Does, YES, Damage Tolerance, Damage Tolerance Report, and Damage Tolerance Specific ICA paragraph.

step 4 to entering details in field approval checklist

End by taking a look at the next fields and preparing them as required: PMA PRODUCT, YES ON AIRCRAFT ELIGIBILITY LIST, YES NOT ON AIRCRAFT ELIGIBILITY, TSO PRODUCT, YES NO, and LIST TSO CERTIFICATION.

Finishing field approval checklist part 5

Step 3: Hit the Done button to save your document. At this point it is obtainable for transfer to your electronic device.

Step 4: Just be sure to generate as many duplicates of your file as you can to avoid future troubles.

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