Form Caa 91/01 - Application For Approval Or Revision Of A Minimum Equipment List Page 2
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1
2Section C:
Application Type
New Issue
Complete Re-Issue
Revision
Section D:
Application Checklist
Does the MEL contain:
Defect recording and tracking procedures or reference to their location in another document:
Standard MEL format:
Reference to the base document Master MEL:
LEP to define the approved document:
(O) Operating and (M) Maintenance Procedures:
Section E:
Declaration
I hereby apply on behalf of the operator detailed in Section A for the approval of the minimum equipment list
specified in Section B above.
Full Name: ____________________________________________
Signature: _____________________________________________
Date: ______________
CASA Use Only
Date received: …………………….……
MEL Approved Yes
No
Job No:
…………………
Assessed by: ……………………………
(Airworthiness Inspector)
Date: …………………
Page 2 of 2
Rev. 2: 15/07/13
(Ref: CAR 91.539(a))
CAA 91/01
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