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Field Approval Checklist PDF Details

When you are out in the field, it is important to have the right supplies with you. A field approval checklist can help make sure that you have everything you need. This checklist can vary depending on what type of work you do, but there are some general items that should be included. By having a field approval checklist, you can make sure that your work goes smoothly and safely.

You will see info about the type of form you want to prepare in the table. It can show you how much time it will need to complete field approval checklist, what fields you need to fill in, etc.

Question	Answer
Form Name	Field Approval Checklist
Form Length	3 pages
Fillable?	Yes
Fillable fields	103
Avg. time to fill out	21 min 25 sec
Other names	connectwise time entry approval checklist, field approval checklist, describe the scope of checklist for field inspection, tssa org field approvals check list

12

Form Preview Example

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

NO

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

Record Entry

STC

Other

Requires ACO Concurrence?

YES

NO

Requires AEG ICA Review?

YES

NO

Additional Information Required:

NO

YES

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portion of empty fields in connectwise time entry approval checklist

In the area CHECK ITEM:, AIRFRAME, ENGINE, APPLIANCE, CHECK ITEM:, TCD, S #, List Type Certificate Data Sheet, PART 23, PART 25, PART, 27 PART 29, PART 31, PART 33, CAR 3, and CAR 4, b type in the details that the software requires you to do.

CHECK ITEM:, AIRFRAME, ENGINE, APPLIANCE, CHECK ITEM:, TCDS #, List Type Certificate Data Sheet, PART 23, PART 25, PART27, PART 29, PART 31, PART 33, CAR 3, and CAR 4(b) in connectwise time entry approval checklist

Note down the appropriate details as you are on the FAR, COMPLIANCE, and REVIEW part.

part 3 to filling out connectwise time entry approval checklist

The TELEPHONE, CERTIFICATE NO, NONE, DER, NAME:, TELEPHONE, CERTIFICATE NO, DAR, DER, DAR, AIR CARRIER CERTIFICATE, FAR PART 91, DO NOT KNOW, PRESSURIZED AIRCRAFT, and YES area has to be used to note the rights or responsibilities of both sides.

stage 4 to entering details in connectwise time entry approval checklist

Check the fields STRUCTURAL FAA FORM 8110, 3 PLACARDS (COPY OF EXACT VERBIAGE), OTHER, Does Damage Tolerance and Fatigue, YES, Damage Tolerance 8110, 3 Damage Tolerance Report, Damage Tolerance Specific ICA, WILL A FLIGHT TEST BE REQUIRED, YES, PM, A PRODUCT, YES: ON AIRCRAFT ELIGIBILITY LIST, YES: NOT ON AIRCRAFT ELIGIBILITY, TSO PRODUCT, and YES NO and next fill them in.

connectwise time entry approval checklist STRUCTURAL FAA FORM 8110-3, PLACARDS (COPY OF EXACT VERBIAGE), OTHER, Does Damage Tolerance and Fatigue, YES, Damage Tolerance 8110-3, Damage Tolerance Report, Damage Tolerance Specific ICA, WILL A FLIGHT TEST BE REQUIRED, YES, PMA PRODUCT, YES: ON AIRCRAFT ELIGIBILITY LIST, YES: NOT ON AIRCRAFT ELIGIBILITY, TSO PRODUCT, and YES NO fields to fill out

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