DER as authorized Record the data used for DER – – complete any non-conformity disposition and dispositions on FAA form on FAA form 8100-1 if required 8100-1 DAR as authorized and if DAR – required complete and – document any additional inspections for 8100-1 items that have been dispositioned by the DER DAR If executing the DAR – conformity as specified by FAA Form 8110-1 (TIA) ensure all of the items requested in block 18A are completed. DAR as authorized, and if All 8130-3 tags will be for DAR – requested on form 8120-10 prototype parts” – “new issue FAA form 8130-3 tags for each article(s) specified Make a copy of each 8130-3 Only if 8130-3 tags are DAR form for DAR’s 10 year required by 8120-10 records storage. Provide original 8130-3 to applicant. DAR as authorized, and if DAR – requested (or required) on form 8120-10 complete the – type inspection report (8110-5) or supplemental type inspection report forms (8110-26) Provide a copy of this DAR checklist with attached FAA forms 8130-3, 8100-1, 8130-9 and inspection results to Chicago ACO project engineer DAR to provide a record of This checklist and all DAR the following to MIDO: attachments will be Cover letter with maintained on hardcopy reference number file by the applicant as Copy of this checklist part of the conformity without attachments record for and Copy of 8100-1 assemblies. Checklist Copy of 8130-9 content may be updated Copy of 8120-10 in the process of
DER – as authorized – complete any non-conformity dispositions on FAA form 8100-1 if required Record the data used for disposition and on FAA form 8100-1 DER DAR – as authorized and if required – complete and document any additional inspections for 8100-1 items that have been dispositioned by the DER DAR DAR – If executing the conformity as specified by FAA Form 8110-1 (TIA) ensure all of the items requested in block 18A are completed. DAR DAR – as authorized, and if requested on form 8120-10 – issue FAA form 8130-3 tags for each article(s) specified All 8130-3 tags will be for “new prototype parts” DAR Make a copy of each 8130-3 form for DAR’s 10 year records storage. Provide original 8130-3 to applicant. Only if 8130-3 tags are required by 8120-10 DAR DAR – as authorized, and if requested (or required) on form 8120-10 – complete the type inspection report (8110-5) or supplemental type inspection report forms (8110-26) DAR Provide a copy of this checklist with attached FAA forms 8130-3, 8100-1, 8130-9 and inspection results to Chicago ACO project engineer DAR DAR to provide a record of the following to MIDO: Cover letter with reference number Copy of this checklist without attachments Copy of 8100-1 Copy of 8130-9 Copy of 8120-10 This checklist and all attachments will be maintained on hardcopy file by the applicant as part of the conformity record for and assemblies. Checklist content may be updated in the process of DAR
00-903-56-01-N-C-Conformity-Inspection-Checklist.docx