Part 171 Aeronautical Telecommunication Services

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Part 171 Compliance Matrix The rule references in this compliance matrix have been extracted from the Civil Aviation Rules system as the minimum compliance requirements for an applicant for the issue or renewal of a Part 171 Aeronautical Telecommunication Services Certificate. A completed compliance matrix must be submitted by the applicant both for initial certification and for renewal. Additionally, the certificate holder should maintain an up-to-date compliance matrix to assist with on-going compliance and to support certificate amendment requests. The purpose of the matrix is to speed up the certification process, ensure every applicable rule requirement has been addressed in the exposition and reduce the cost of certification by allowing the quick location of required policies or procedures in the applicant s exposition manual suite. All Civil Aviation rules have to be complied with, but not every rule has to be addressed in the exposition. At least the following rules must be included unless they are not applicable to the operation, in which case they should be annotated as such. The intention of this matrix is to assist rather than instruct the applicant in an initial application or request for renewal. If, for your operation, compliance is required with a rule not listed in the matrix, please add it to the list and identify the exposition reference. This matrix must be completed by every applicant for a Part 171 Aeronautical Telecommunication Services Certificate, and show the exposition pages and paragraph numbers that satisfy the rules in the Manual References / Applicant s Comments column. Where the applicant does not meet the rule requirement or deems it not applicable, an explanation should be given in this column. Please note ticks ( ) are not acceptable. The completed matrix should accompany the exposition documents and preferably be included as a component of the exposition. The applicant may submit a completed matrix in a different format as long as it includes all the rule references identified below; however, there may be additional processing time required by the CAA in cross-referencing requirements. Transition Provisions Some of the rule references shown are affected by the Transitional Provisions shown in Part 171.251. These are annotated with the letters TP. Reference should be made to the rule part to determine if these are to be included. General Manual Layout and Distribution Manual binders: Can the manual be amended easily? (Three- or four-ring binders are preferred: two-ring binders are not recommended as the pages are too easily torn). If permanently bound, do you intend to re-issue at every amendment? This may inhibit frequency of needed amendments. Electronic exposition: Is the matrix included as part of the file(s)/disc? If so, is it up to date? Have you considered the methods for distributing to the CAA and how you will manage amendments? Page 1 of 14 Rev 3: Feb 2016

Applicant: Participant ID: Manuals Submitted: Rev.: Dated: Applicant s Comments CAA Comments (for CAA use only) Rule Compliance Matrix Company Statement page, signed by the Chief Executive List of Effective Pages Record of Amendments Distribution List & copies to be numbered Contents Page Definitions & Abbreviations (not mandatory) On every page, headers and/or footers to include: (a) Company name (b) Name of the manual (c) Effective revision and date of the page (d) Page number Index (not mandatory but desirable) Page 2 of 14 Rev 3: Feb 2016

Rule Reference Manual References / Applicant s Comments CAA Review & Comments (for CAA use only) 171.77 Exposition 171.77(a)(1)(i) CE statement 171.77(a)(1)(ii) CE statement 171.77(a)(2) [171.51(a)(1)&(2)] TP List of senior persons 171.77(a)(1A)(i) TP [100.3(b)] Safety management documentation 171.77(a)(1A)(ii) TP SMS implementation plan 171.77(a)(3)(i) Duties and responsibilities 171.77(a)(3)(ii) TP Responsibilities for safety management 171.77(a)(4) Organisation chart 171.77(a)(5) Staffing structure 171.77(a)(5A) TP Lines of safety responsibility 171.77(a)(6) Types of facility 171.77(a)(7) Scope of activities 171.77(a)(8) Page 3 of 14 Rev 3: Feb 2016

Summary of operational details 171.77(a)(9) Security programme Procedures 171.77(a)(11)(i)-(xii) For all exposition-based security requirements use 171.55 section below For all exposition-based procedures use 171.51, 171.53, 171.57, 171.59, 171.61, 171.63, 171.65, 171.67, 171.69, 171.71 and 171.75 sections below 171.77(a)(12) Control of exposition [including 171.115 items] 171.51 Competence 171.51(b)(1) Assessing competence 171.51(b)(2) Maintaining competence 171.51(b)(3) Written authorisation 171.53 Facility Requirements 171.53(a)(1)(i) Facility designed, installed and commissioned 171.53(a)(1)(ii) Conforms with ICAO Annex 10 171.53(a)(1)(iii) Conforms with Subpart D 171.201(1)(i)-(iii) NDB conformity 171.201(2)(i)-(ii) UHF DME conformity 171.201(3)(i)-(iii) Radio navigation aid Page 4 of 14 Rev 3: Feb 2016

monitoring system 171.53(a)(1)(iv) Allocation of ID code or call sign as per 171.17 171.53(a)(2)(i) Radio navigation aid info for aerodrome control service 171.53(a)(2)(ii) Radio navigation aid info for approach control service 171.53(a)(3) Power supplies and continuity of ops 171.53(a)(4) Facilities installed iaw 171.55 171.53(a)(5)(i) Critical areas clearly identified 171.53(a)(5)(ii) Critical areas physically protected 171.53(a)(5)(iii) Written agreements Temporary facilities 171.53(b) Test procedures 171.53(c)(1) No interference 171.53(c)(2) Information to AIS 171.53(c)(3) NOTAM 171.55 Security Programme Page 5 of 14 Rev 3: Feb 2016

171.55(b) Physical requirements, practices and procedures 171.55(c)(1) Positive access control 171.55(c)(2) In the event of a threat 171.55(c)(3) Monitoring unattended buildings 171.55(d) Reporting of security incidents Refer Part 12 section below 171.57 Documentation Control Procedures 171.57(a) Availability of documentation 171.57(c)(1) Reviewed and authorised 171.57(c)(2) Availability at locations 171.57(c)(3) Removal of obsolete documents 171.57(c)(4) Changes reviewed and authorised 171.57(c)(5) Identification of revision status 171.59 Periodic Inspection and Testing 171.57(b)(1) Ground inspections and tests, and flight tests Page 6 of 14 Rev 3: Feb 2016

171.57(b)(2)(i)-(iii) Establishing or changing test intervals 171.57(b)(3) Grounds documented Programmes 171.57(c)(1) Ground inspections 171.57(c)(2) Ground tests 171.57(c)(3) Flight tests 171.57(d) Maximum intervals 171.57(e) Notification of Director 171.61 Facility Performance [171.107] 171.61(1) Person comptetent and athorised 171.61(2) Checks carried out 171.61(3) Completed record 171.107(a)(1)&(2) Operating and maint. instructions 171.107(b)(1) Critical performance parameters 171.107(b)(2) Minimum performance levels 171.107(b)(3) Test equipment Page 7 of 14 Rev 3: Feb 2016

171.107(b)(4) Mandatory inspections and test proc. for operational service 171.107(b)(5) Mandatory inspections and test proc. for operation and maint. 171.63 Inspection, Measuring, and Test Equipment 171.63(a) Availability 171.63(b) Control and calibration 171.63(c)(1) Item calibrated 171.63(c)(2) Item identified 171.63(c)(3)(i)&(ii) Item controlled 171.63(d)(1)&(2) Checking of testing systems 171.65 Notification of Aeronautical Facility Information [171.19] 171.65(a) Meet 171.19 requirements 171.65(b)(1) Accurate publication in the AIP 171.65(b)(2) Status changes by NOTAM 171.19(3) Notification of incident Refer Part 12 section below 171.67 Facility Check after Accident or Incident Page 8 of 14 Rev 3: Feb 2016

171.67(b)(1) Check of operating condition carried out 171.67(b)(2) Secure records 171.67(b)(3) Retention period 171.69 Facility Malfunction Incidents [Part 12 Occurrence Reporting] 171.69(1) Notification Refer Part 12 section below 171.67(2) Implementation of corrective actions 171.71 Records 171.71(a)(1) Control procedures for records of safe provision of services 171.71(a)(2) Control procedures for records of safe operation of facilities 171.71(b)(1)(i) Operating performance 171.71(b)(1)(ii) History of maint., inspections and tests 171.71(b)(2) Periodic tests 171.71(b)(3) Test equipment 171.71(b)(4)(i)-(iv) [Part 12] Incident reports Page 9 of 14 Rev 3: Feb 2016

171.71(b)(6) Personnel records 171.71(c)(1) Legible and permanent 171.71(c)(2)(i)&(ii) Retention period 171.73 100 Safety Management 171.73 TP System for safety management 100.3(a)(1) TP Safety policy 100.3(a)(2) TP Risk management process 100.3(a)(3)(i) TP Hazard etc. reporting, analysis and action 100.3(a)(3)(ii) TP Goals 100.3(a)(3)(iii) TP Quality assurance 100.3(a)(4) TP Training 100.3(b) TP Documentation 100.3(c) TP Adequacy of SMS 171.253 Internal Quality Assurance 171.253(b)(1) TP Safety policy and procedures Page 10 of 14 Rev 3: Feb 2016

171.253(b)(2) TP Quality indicators 171.253(b)(3) TP Corrective action 171.253(b)(4) TP Preventive action 171.253(b)(5) TP Audit programme 171.253(b)(6) TP Management review Corrective action 171.253(c)(1) TP Existing problem correction 171.253(c)(2) TP Follow up 171.253(c)(3) TP Procedure amendment 171.253(c)(4) TP Review of effectiveness Preventive action 171.253(d)(1) TP Potential problem correction 171.253(d)(2) TP Follow up 171.253(d)(3) TP Procedure amendment 171.253(d)(4) TP Review of effectiveness Audit Programme 171.253(e)(1) TP Frequency and location 171.253(e)(2) TP Measure effectiveness Page 11 of 14 Rev 3: Feb 2016

171.253(e)(3) TP Preventative and corrective actions Management Review 171.253(f)(1) TP Frequency 171.253(f)(2) TP Responsibility Senior person 171.253(g)(1) TP Understood and implemented 171.253(g)(2) TP Independent trained auditors 171.253(g)(3) TP Audit reports 171.253(g)(4) TP Preventive and corrective action follow up 171.253(g)(5) TP Evaluation and recording of results of mgt. review 171.253(g)(6) TP Access to CEO 171.75 Communication Procedures 171.75 IAW ICAO Annex 10, Volume II Part 12 Occurrence Reporting 12.55(a)(3) Notification of facility malfunction incident 12.55(a)(5) Page 12 of 14 Rev 3: Feb 2016

Notification of security incident 12.55(a)(7) Notification of information incident 12.55(d)(3) [App A(c)] Required information 12.55(d)(5) [App A(e)] Required information 12.55(d)(6) [App A(f)] Required information 12.57(a)(1) Provide details 12.57(b)(1)-(3) Means of providing details 12.59(1) Conduct investigation 12.59(2)(i)-(iii) Submit report to CAA 12.59(3) Corrective action List any other rules complied with: CAA Use Assessed By: Work Request: Date received: DD / MM / YYYY Date accepted: DD / MM / YYYY Page 13 of 14 Rev 3: Feb 2016

This matrix was established using the following Rule Part amendment statuses 12 Accidents, Incidents, and Statistics 100 Safety Management 171 Aeronautical Telecommunication Services Operation and Certification Amendment 9 24 September 2015 Amendment 1 1 February 2016 Amendment 4 1 February 2016 Other rules or advisory circulars referred to during the assessment by Inspector Page 14 of 14 Rev 3: Feb 2016