GENERAL DIRECTION OF CIVIL AVIATIONAERONAUTIC AUTHORITIES MANUAL
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DATE:14-Abril-2016
REVISIÓN:01/20165ª. Edición
5. QUESTIONNAIRE FOR FOREIGN OPERATORS Num . MIO-FT022-08
PART I – GENERAL INFORMATION
OPERATOR DATA
NameICAO Code (Three letter designator)AddressName of contact and position at the organizationPhone numberFaxEmail address
Manager or other persons responsible in Mexico
Name Position at the organization
Address in Mexico
Phone Fax Email address
Aeronautic authority from country of origin of the operator.
NameCountryAddressPhoneFaxEmail addressGeneral Manager (responsible, name and phone)Responsible for the operations areaResponsible for the Maintenance area
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Type of Operation
Schedule Passenger
Schedule Cargo
Schedule Passenger and cargo
Non- Schedule Passenger
Non- Schedule Cargo
Non- Schedule Passenger and cargo
Operator’s directive personnel (Responsibles)
Name Phone Fax Email AddressAccounting ManagerFlight Operations responsibleGround operations responsiblePersonnel training responsibleMaintenance responsibleResponsible for quality assuranceAir safety responsible
Companies hired by station for ground assistance in Mexican territory.
Station Handling agent Hired services Type of agreement
Companies hired by station for maintenance in Mexican territory. (Only for Schedule operations)
Station Maintenance provider Hired Services Type of agreement
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Average age from the fleet
Type of Aircraft Age
List of companies that provide regular Maintenance to the fleet.
Name Approval Number Ratings Type of agreement
Information about the Aircraft to be on permit
Manufacturer Model Tail number
Type of lease Operator Registration
status B-RNAV EGPWS ACAS II
RVSM CAT II/III ETOPS Dangerous goods
Noise certificate Notes
Manufacturer Model Tail number
Type of lease Operator Registration
status B-RNAV EGPWS ACAS II
RVSM CAT II/III ETOPS Dangerous goods
Noise certificate Notes
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Important accidents or incidents occurred in the past five years.
Place Route Date Aircraft involved
Description
Cause
Corrective measures implemented
Place Route Date Aircraft involved
Description
Cause
Corrective measures implemented
Place Route Date Aircraft involved
Description
Cause
Corrective measures implemented
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International Alliances which the operator is part of (Star alliance, Skyteam..)
Name of GroupOther companies involvedStandard reference of aerial operationsStandard reference of MaintenanceStandard reference of personnel trainingActivities performed for the operator by other members of the AllianceReference of the Official agreement
Actual approvals/authorizations to operate in countries of America.
State Authority Type of Operation
Date of authorization
Valid thru Special condition
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Inspections carried out by the Operator's Aeronautical Authority in the last two years that have generated significant findings.
Date Station Type of Aircraft Tail number Flight number
Findings and corrective measures taken about it
Date Station Type of Aircraft Tail number Flight number
Findings and corrective measures taken about it
Date Station Type of Aircraft Tail number Flight number
Findings and corrective measures taken about it
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PART II – STANDARDS FROM THE ICAO(Based in the annex 1 from the ICAO, Rev. 166 - Annex 6 part 1 Amendment 29 – Annex 8, tenth edition and Annex 18,
revision 08.)
1. The operator complies with ICAO standards.2. In case of deviations, these must be notified to DGAC, by the operator in compliance
with the Chicago agreement.3. In the understanding of the above, no difference or deviation can be accepted
according to the following standards:
ICAORef. Chapter ICAO Standard Operator’s Answer
Complies Do not complies
ANNEX 1
1.2.4.3 Medical Health1.2.6 Decrease in health1.2.7 Use of psycho-tropic
substances1.2.9.1 Linguistic competence2.1.1.1 Technical licenses2.5.1.2 Training certificates
(pilots)2.5.1.5.1.1 Type ratings (pilots)2.5.1.6 Medical certificates (pilots)2.6.1.1 IFR certifications (pilots)2.6.1.4.1.1 IFR rating on license
(pilots)
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ICAORef. Chapter ICAO Standard Operator’s Answer
Complies Do not complies
ANNEX 6Part 1
3.1 Compliance with the aeronautical regulations
3.2 Airsafety and accident prevention programs
4.1 Operational facilities4.2.1 Supervision of operations4.2.2 General manual of
operations4.2.3.1 Operational Instructions4.2.4 Inflight Emergency
simulations4.2.5 Check list4.2.10 Regulations applicable for
crew4.2.11 Regulations applicable for
passengers4.3.1 Flight preparation4.3.2 Documents that must be
stored in each operation4.3.3.1 Plantation of flights4.3.4 Alternate airport4.3.5 Operation in adverse
climates4.3.6.1 Oil and fuel uplifting
procedures4.3.8 Use of supplemental oxygen4.4.1 Airport utilization minima4.4.4 Members of the flight crew
and of the staff in each station
4.5 Pilot in command responsibilities
4.7 Procedures for extended range operations
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ICAORef. Chapter ICAO Standard Operator’s Answer
Complies Do not complies
ANNEX 6Part 1
5.2.3 Compliance with the airworthiness certificate and authorization of the flight manual.
5.2.5 Operational performance and limitations of aircraft
6.1 List of equipment installed on the aircraft, as well as the documents that must be on board.
6.2 List of aircraft and authorized routes.
6.3.10 Installation and characteristics of data recorders (FDR)
6.3.11 Operation of the FDR6.3.12 Continuation of flight
services6.5 Flight policies on the sea.6.13 Compliance with noise
emission standards.6.15 Compliance with the
EGPWS installation6.17 ELT equipment6.18 TCAS equipment (ACAS)6.19 Equipment of the XPDR
mode S8.1 Maintenance responsibilities
of the operator's aircraft8.3 Maintenance program8.4 Maintenance records8.5 Continuous airworthiness
information.
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ICAORef. Chapter ICAO Standard Operator’s answer
Complies Do not complies
ANNEX 6Part 1
8.6 Repair and modification of aircraft.
8.7.3 Maintenance procedures and quality assurance
8.8 Maintenance release.9.1.1 Composition of the flight
crew.9.2 Responsibilities of each
member of the crew in emergency situations.
9.3 Training program for flight crew members.
9.4.1 Experience required for the assignment of pilot-in-command and co-pilot.
9.4.4 Pilot skill check11.1 Flight Manual11.5 List of emergency
equipment on board (LOPA)11.6 Data collected by the FDR12.1 Assignment of
responsibilities in emergency situations.
12.2 Responsibilities of the cabin crew in emergency situations.
12.4 Training program for cabin crew.Security of the cargo compartment assigned to the flight crew.
13.3 Checklist of aircraft search procedures.
13.4 Training programs
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ICAORef. Chapter ICAO Standard Operator’s answer
Complies Do not complies
ANNEX 18
8.1 Acceptance of transport of dangerous goods.
8.2 Acceptance checklist8.3 Storage and loading8.5 Restrictions in passenger
cabin and flight cabin.8.6 Removal of contamination
caused by dangerous goods.
8.7 Separation and segregation of dangerous goods.
8.8 Stowage of dangerous goods in aircraft configured only as cargo.
9.1 Information for pilot-in-command. (NOTOC).
9.2 Information and instructions for flight crew members.
9.5 Information from the pilot in command to the airport authorities.
9.6 Information on incidents with dangerous goods involved.
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PART III – OPERATIONAL AND TECHNICAL DOCUMENTS.Based in the Annex 6 part 1 amendment 29.
Document Number of last Amendment
Approved / authorized by:
Notes
Operation’s ManualGeneral BasicAircraft Information Manual.
Minimum Equipment List
.............Authorized airports and routes
Aerodrome operation minima.
Training
Flight capitation program.
Training program for ground personnel
Training program for cabin crew.
Training program in aviation security.
Operational flight planWeight and balance sheetMaintenance control, control manual.Maintenance programFlight log / flight attendantsMaintenance log
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