Section A: Relevant underpinning skills check conducted by CASA: CASA use only: verified IMPORTANT INFORMATION

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1 Form 61-FEA Application for CASR Approval Refer to: CASR 61 Division 61.U.1 and CASR IMPORTANT INFORMATION 1: This form is used to make application for a CASR approval which authorises the privileges of a CASR Part 61 Flight Examiner Rating. 2: Refer to Section I of this form for essential information pertaining to this application. 3: Applicants must meet the qualifications and experience requirements for the specific flight test endorsement being sought as detailed in CASR , , , and also the experience requirements detailed in Section two of the CASA Flight Examiner Handbook. Individuals must meet fitness and propriety requirements as deemed by CASA (CASR ). 4. Applicants must provide documentary evidence of relevant experience and qualifications appropriate to the flight test endorsement sought. See Section E of this form and also Section 2 of the CASA Flight Examiner Handbook. 5: Applicants must provide an aviation experience resume to support this application. (CASR ). CASR APPROVAL PROCESS PRIVILEGES OF A FLIGHT EXAMINER RATING The process for obtaining a CASR approval which permits the privileges of a Flight Examiner Rating and the specified Flight Examiner Endorsement is described below: Step 1 Step 2 Step 3 Successfully conduct a relevant proficiency check, flight review or skills check with CASA (for the underpinning qualification of the examiner endorsement privilege e.g. Instrument Rating proficiency check). Make application for the CASR Approval (this form). CASA assessment of qualifications and experience requirements. Step 4 Successfully complete the training to exercise the privileges of an examiner (by CASA or a CAR 217). Step 5 Successfully complete an interview conducted by CASA Ref: CASR Step 6 Demonstrate to CASA you have the competency (in accordance with the MOS standards) to conduct the relevant flights tests and/or proficiency checks which are in accordance with CASR Part 61 (observation of you conducting tests/checks) Ref: CASR (2)(b). Applicant Details as per Birth Certificate / Passport: Title: Family Name: Given Names: Address: Contact Number: Applicant Privacy Statement: Any personal information you provide to CASA is protected by the Privacy Act 1988 (Cth). CASA can only collect, use and disclose that information in accordance with that Act. CASA will use the information collected in this form for purposes associated with performing its functions under the Civil Aviation Act 1988, the Airspace Space Act 2007, the Aviation Transport Security Act 2004 or the regulations made under those Acts. For full details on how CASA collects, protects and uses personal information, please refer to CASA s Privacy Policy. Section A: Relevant underpinning skills check conducted by CASA: In the preceding twelve months prior to submitting this application, CASA must have conducted or observed a relevant proficiency check, flight review or skills check of the applicant. This check must be for a relevant underpinning qualification. This check ensures the applicant has demonstrated a high standard of personal proficiency in the underpinning qualification. Assessment Completed or Scheduled Completed Scheduled Date: Type of Check IPC FPC Flight Review Other (state) Other: CASA FOI who conducted (or will conduct) the relevant skills check Name: Note: For example the relevant check for an applicant requesting Instrument Rating Flight Test privileges, requires their Instrument Proficiency Check (IPC) to be conducted or observed by CASA. Form 61-FEA 11/2014 Application for CASR Approval Privileges of Flight Examiner Rating Page 1 of 8

2 Section B: Individual Information 1. Current Qualifications (if applicable) I hold an ATO Instrument of Delegation (not yet transitioned to CASR Part 61) Instrument(s) Issued: (List delegation and/or approval numbers below, 1 per box - ATTACH COPY) Instrument Number Expiry Date Privilege(s) of the delegation *Important: As described on the CASA website (see notices to ATOs 8 th Aug 2014) a variation and/or addition to an existing ATO delegation will require you to transition to a CASR Part 61 Licence. You will also need to supply a completed copy of the CASA 61-9TX form prior to the being issued with the variation/and or addition under CASR Part I hold an existing Flight Examiner Rating Endorsements Issued: (List endorsements below using same abbreviations as entered on licence, 1 per box) Section C: Flight Examiner Endorsement Privilege Requested 1. Category of Aircraft / Class or Type Aeroplane Aeroplane FSTD Helicopter Helicopter FSTD Single Engine Aeroplane Class Rating Multi Engine Aeroplane Class Rating Single Engine Helicopter Class Type Rating*: Type Rating*: * State the type rating and use the type designator from the latest Prescribed aircraft, ratings and variants for CASR Part 61 Instrument. Note: In accordance with CASR the holder of a flight test endorsement is authorised to conduct a flight test in an aircraft only if the flight test for the examiner s endorsement was conducted in an aircraft. 2. Flight Examiner Endorsement Privilege Requested Select the flight test endorsement you are requesting training for (see table CASR ): Private Pilot Licence (#1) Type Rating (#5) Low Level Rating (#9) Commercial Pilot Licence (#2) Instrument Rating (#6) Aerial Application Rating (#10) Air Transport Pilot Licence (#3) Night VFR Rating (#7) Flight Instructor Rating* (#11) Multi-engine Aeroplane Class Rating (#4) or Single Engine Helicopter Class Rating (#4) Night Vision Imaging System Rating (#8) English Language Assessment (#12) * A person holding a Flight Instructor Rating Flight Test Endorsement (Item #11 of table CASR ) may only conduct flight tests for the grant of training endorsements which the examiner holds the relevant testing endorsement. For example to conduct a flight test for the Instrument Rating Training Endorsement (#8 of table ), the Examiner must hold the Flight Instructor Rating Flight Test Endorsement (#11 of table ) and also the Instrument Rating Flight Test Endorsement (#6 of table ). Form 61-FEA 11/2014 Application for CASR Approval Privileges of Flight Examiner Rating Page 2 of 8

3 3. Request for the removal of a condition on an existing CAR 5 delegation. The removal of a condition on an existing CAR 5 delegation will require you to transition to CASR Part 61. List below the instrument and condition you request CASA to review. A Certificate management Team will require an assessment (using a flight test and/or proficiency check observation prior to the removal). A completed copy of the CASA 61-9TX form will need to be included in this application. Instrument Number Condition requested to be removed Section D: Organisation Details Is this request associated with: Select as relevant to your application. A CASR Part 141 Operator A CASR Part 142 Operator A Training and Checking Organisation (CAR 217 Organisation) An individual applicant not operating with any organisation Where this request for Flight Examiner Rating training is in association with a Part 141/142 flight training organisation and/or training and checking organisation, enter the organisation s details below. Organisation name: ARN Trading name (if applicable): Oversighting CASA Region: CASA FOI / FTE / CMTL discussed this application with (if applicable): Applicant s position held in the organisation: Nominated by (name): Nominator position held in organisation: Signature of nominator: Date: / / Section E: Aeroplane & Helicopter Qualifications and Experience Requirements In addition to the qualification and experience requirements set out in CASR and column 3 of table of CASR 1998, due to the safety critical nature of the flight examiner role, CASA requires an applicant to be highly experienced in the relevant qualification. In accordance with CASR and as described in Section two of the CASA Flight Examiner Handbook, CASA has listed the minimum experience levels for each examiner endorsement in the following tables. Where an applicant is unable to meet the minimum experience requirements the following procedures apply: Airline / CAR 217 Applicants - The HOO/HOTC should discuss any proposed alternate, but equivalent experience with the oversighting Certificate Management Team (CMT). The CMT will liaise with the Manager Flying Standards Branch (FSB) to ensure a consistent approach by CASA to Flight Examiner entry requirements. The equivalent experience safety case must be submitted in Section F for a formal assessment. General Aviation Applicants - The applicant will liaise with the Manager Flying Standards Branch and if requested provide additional information for consideration by CASA. Indicate by placing a check in the applicable boxes for the qualifications and recency requirements that must be held/ met for the flight test endorsement(s) training requested. Form 61-FEA 11/2014 Application for CASR Approval Privileges of Flight Examiner Rating Page 3 of 8

4 Private Pilot Licence Flight Test Endorsement Hold qualifications equivalent to those required to be Head of Operations of a Part 141 or Part 142 flight training organisation providing training for RPL and PPL (excluding an Examiner Rating). Have held a Grade 1 training endorsement on their flight instructor rating, in the category of aircraft for which the endorsement is being sought, for at least 1 year immediately preceding the request for training. Have accrued at least 1500 hours total flight time. Have conducted at least 100 hours of flight instruction for the issue of a PPL, in the category of aircraft for which the endorsement is being sought, in the previous 12 months. Commercial Pilot Licence Flight Test Endorsement Hold a current flight instructor rating with a Grade 1 training endorsement. Have held a Grade 1 training endorsement on their flight instructor rating, in the category of aircraft for which the endorsement is being sought, for at least 3 years immediately preceding the request for training. Have experience in conducting flight tests for the RPL and PPL. Have at least 2000 hours total flight time. Have conducted a minimum of 100 hours of flight instruction for CPL, in the category of aircraft for which the endorsement is being sought, in the previous 12 months. Have accrued at least 500 hours of flight instruction conducting training for the commercial pilot licence in post PPL sequences in the category of aircraft for which the endorsement is being sought in the last five years. Have accrued at least 250 hours flight time in commercial operations other than flying training. Air Transport Pilot Licence Flight Test Endorsement Have at least 1000 hours as pilot in command in the relevant aircraft category in multi-crew operations, in turbine powered aircraft. Have experience in conducting instrument rating flight tests (where applicable). Have experience conducting type rating training in the relevant aircraft category. Have experience conducting training in a multi-crew environment. For example MCC training. Multi-Engine Aeroplane Class Rating Flight Test Endorsement Have held a flight instructor rating with a class rating training endorsement (multi-engine aeroplane class) for at least three years immediately preceding the request for training. Have at least 500 hours as pilot in command of multi-engine aeroplanes. Have at least 250 hours flight time training applicants for the multi-engine aeroplane class rating in the three years immediately preceding the request for training for the endorsement. Type Rating Flight Test Endorsement Have held a current pilot instructor rating (of the relevant category) for one year immediately preceding the application. For Aeroplanes - Have at least 250 hours as pilot in command of the specified type. For Helicopters - Have at least 150 hours as pilot in command of the specified type. Holds the relevant type rating training endorsement. Have at least 50 hours flight time training applicants for the specified aircraft type rating in the three years immediately preceding the request for training for the Flight Test endorsement for a particular aircraft type, (or) trained at least 5 applicants (in a complete type rating training syllabus) in the three years immediately preceding the request for training for the Flight Test endorsement for a particular aircraft type. Form 61-FEA 11/2014 Application for CASR Approval Privileges of Flight Examiner Rating Page 4 of 8

5 Night VFR Rating Flight Test Endorsement Have held a flight instructor rating with NVFR rating training endorsement in the category of aircraft for which the endorsement is being sought, for at least three years immediately preceding the request for training. Have a minimum of 100 hours of flight time at night under the VFR. Have 50 hours of instructional flight time at night under the VFR (which may be part of the 100 hours of flight time at night under the VFR). Instrument Rating Flight Test Endorsement Have held a pilot instructor rating with an instrument rating training endorsement (or equivalent) in the category of aircraft for which the endorsement is being sought, for at least three years immediately preceding the request for training. Hold a current instrument rating, in the category of aircraft for which the endorsement is being sought, with at least four proficiency checks. The four proficiency checks must have been undertaken in the four years immediately preceding the request for training. Have 100 hours of instrument time as pilot in command which may include up to 20 hours instrument time in a flight simulation training device. Have conducted at least 500 hours of instruction under the IFR for an instrument rating which may include 200 hours instructing a flight simulation training device. Where flight testing will occur in a multi-engine aircraft, at least 200 hours flight time (of the 500 hours mentioned above) conducting training for an instrument rating in multi-engine aircraft. Night Vision Imaging System Flight Test Endorsement Have held a flight instructor rating with night vision imaging system rating training endorsement for at least three years immediately preceding the request for training. Have a minimum of 200 hours of flight time utilising night vision goggles or equivalent. Have at least 50 hours of instructional flight time utilising night vision goggles or equivalent. Flight Instructor Rating Flight Test Endorsement Non Training and Checking Organisation Applicants Have held a current Grade 1 Training endorsement (or CAR 5 equivalent) for at least five years immediately preceding the application. Have extensive experience as an ATO / Flight Examiner. Have at least 3000 hours total flight time. Have 500 hours flight time conducting instructor rating training of which 100 hours must be accrued in the 12 months immediately preceding the application Simulator instructor requester must: Have relevant training and check pilot experience. Have extensive experience in training simulator instructors. Have held a simulator instructor rating (or equivalent) for three years immediately preceding the request for training for the endorsement. Training and Checking Organisation Applicants Have held a Flight Instructor Rating for at least five years immediately preceding the application. Have at least 3000 hours total flight time. Have 500 hours flight time conducting instructor rating training of which 100 hours must be accrued in the 12 months immediately preceding the application Form 61-FEA 11/2014 Application for CASR Approval Privileges of Flight Examiner Rating Page 5 of 8

6 Low Level Rating Flight Test Endorsement Have held a flight instructor rating with low-level rating training endorsement (or equivalent) for at least three years immediately preceding the request for training. Have a minimum of 100 hours of flight time in low-level operations. Have at least 50 hours of instructional flight time in low-level operations. Aerial Application Rating Flight Test Endorsement Have held a flight instructor rating with aerial application rating training endorsement (or equivalent) for at least three years immediately preceding the request for training. Have a minimum of 100 hours of flight time in aerial application operations. Have at least 50 hours of instructional flight time in aerial application operations. Section F: Equivalent Experience Safety Case - If an item is unchecked in section E Only complete this section after contacting the CMT and/or Flying Standards Branch, and the applicant does not hold the minimum entry requirements. The information below must detail how the applicant has an alternate, but equivalent level of experience to each specific attribute (each row) in the relevant table above. Note: A CASR Part 61 Flight Examiner Rating is unable to be issued without meeting the requirements in Column 3 of table You must attach evidence of your experience. Form 61-FEA 11/2014 Application for CASR Approval Privileges of Flight Examiner Rating Page 6 of 8

7 Section G: Declaration I hold a pilot licence appropriate for the issue of a Flight Examiner Rating - for the privileges requested. I hold the prerequisite Pilot Instructor Rating training endorsement required for the flight test endorsement being applied for: (see column 3, Table ). I hold a current class 1 medical or the Flight Test is to be conducted in an approved simulator. I hereby certify that all statements in this request for training are true and correct in every particular and that I have read and understood all regulatory references included in this request for training form. I consent to CASA using and disclosing my personal information in accordance with CASA s privacy policy including exchanging the information with Commonwealth, State and Territory government agencies (see CASA s Privacy Policy). I have attached all required documentation specified in the applicant checklist and acknowledge that to knowingly make a false or misleading statement is an offence against the Criminal Code Act 1995 (Cth). Signature Date Printed Name ARN / / Section H: Submission Checklist AVOID DELAYS - YOU MUST SUBMIT EACH OF THE BELOW CHECKLIST ITEMS OR YOUR APPLICATION WILL BE RETURNED ON THE BASIS IT IS NOT FULL AND COMPELTE. Submission checklist: Evidence of the relevant check having been completed by CASA if that check has occurred E.g. logbook or licence entry Evidence of each experience requirement listed under the relevant flight test endorsement E.g. logbook Last five pages (double-sided) of your pilot s logbook. E.g. full left to right image of the last 5 pages Resume detailing your aviation experience. E.g. a brief one page history of your aviation background Any other information to support this application. E.g. Supply as much information as possible This form, and additional documentation, can be submitted to CASA via the below methods: For training & checking applicants, mail to: Or to: Team Leader, Certificate Management Team [oversighting office] eg. Sydney Region Civil Aviation Safety Authority GPO Box 2005 CANBERRA ACT 2601 [oversighting office ] eg. For non-training & checking applicants, mail to: Flying Standards Branch Civil Aviation Safety Authority GPO Box 2005 Canberra ACT 2601 Or to: Section I: Information The section below provides information that assists in completing this form and also provides important information pertaining to the early transitional period of CASR Part 61 with respect to the Flight Examiner Rating. Form 61-FEA 11/2014 Application for CASR Approval Privileges of Flight Examiner Rating Page 7 of 8

8 IMPORTANT INFORMATION PERTAINING TO THE CASR PART 61 FLIGHT EXAMINER RATING BACKGROUND DURING THE EARLY TRANSITION PERIOD With the commencement of CASR Part 61 on the 1 st of September 2014, a new rating termed the Flight Examiner Rating has been introduced. The effective privileges of this rating are not dissimilar to the privileges afforded to the holder of a delegation under regulation 5.19(3) or 5.41(4) of the CAR The requirements for grant of a Flight Examiner Rating and the associated examiner endorsements are defined in CASR and CASR These requirements for grant include, amongst other things, that: a) the applicant must have completed a course of training that is conducted by CASA, which includes the content mentioned in the Part 61 Manual of Standards, and b) has successfully completed an interview conducted by CASA (for the Examiner Rating). During the early stages of the three year transition period, CASA Flying Standards Branch (FSB) will continue to develop a comprehensive course which meets the requirements for the grant of the CASR Part 61 Flight Examiner Rating. Successfully completing the CASA Flight Examiner Rating course will be required for all Flight Examiner Rating applicants, including those associated within a CAR 217. To ensure a training outcome which has relevance and adds value to all industry sectors, the continued development of the CASA Flight Examiner course(s) will: a) Involve highly experienced CAR 217 Flight Training Examiners (e.g. Boeing and Airbus Type Rating Examiners) and highly experienced General Aviation Examiners (FTEs), in the course development and delivery. This will ensure value and applicability to all industry sectors, b) Involve key industry stakeholders through the establishment of a working group, ensuring a consultative approach as the course is further developed, c) Involve the research, identification and integration of other National Aviation Authority best practice, d) Involve experienced educators, with postgraduate tertiary qualifications in the instructional design, and e) Apply competency based training and assessment principles. HOW CAN I EXERCISE THE PRIVILEGES OF A CASR PART 61 FLIGHT EXAMINER RATING? During the continued development of the CASA Flight Examiner Rating course, CASR Part 61 Flight Examiner Ratings or endorsements will not be issued by CASA (other than those transitioning). Alternatively, an approval as described within CASR (3) and CASR shall be issued to applicants where CASA is satisfied they hold the necessary knowledge, skills and attitudes (competency) to conduct the relevant flight tests and/or proficiency checks in accordance with the regulations. The CASR approval pathway provides no disruption to industry capability whilst the CASA Flight Examiner Rating course is further developed during early transition. That is, the privileges of the CASR approval are equivalent to those of the Examiner Rating. HOW DO I CONVERT MY CASR PART APPROVAL TO A PART 61 FLIGHT EXAMINER RATING? Once the CASA Flight Examiner Rating Course is fully developed and the holder of a CASR Part approval (for this purpose) wishes to transition to the CASR Part 61 Flight Examiner Rating, the holder must meet all requirements for grant of that rating as described in CASR and The applicant will be afforded recognition of the specific (relative to the individual) CASR approval process undergone, meaning on most occasions, the gap will be a requirement to successfully complete specified modules within the CASA Flight Examiner Rating course and a CASR Part 61 Flight Test as described in the CASA Flight Examiner Handbook. Equivalent experience means the applicant (normally associated with training and checking organisation) is able to clearly demonstrate, that they hold a level of experience that affords CASA an equal level of confidence that they have an ability to affect a safe outcome and accurate flight test decisions. Equivalent experience must be demonstrated for each individual attribute (row item) in the experience requirements. Where experience requirements are for a specified type, a similar type (manufacturer s model) may be considered. Where experience in an activity is specified, a likewise activity may be considered. Current means has exercised the privileges of the qualification regularly in the preceding period. Form 61-FEA 11/2014 Application for CASR Approval Privileges of Flight Examiner Rating Page 8 of 8

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