KEMENTERIAN PERHUBUNGAN

DIREKTORAT JENDERAL PERHUBUNGAN UDARA

PERATURAN DIREKTUR JENDERAL PERHUBUNGAN UDARA

NOMOR : KP 223 TAHUN 2017

TENTANG

PETUNJUK TEKNIS PERATURAN KESELAMATAN PENERBANGAN SIPIL BAGIAN

8900-4.10 (STAFFINSTRUCTION 8900-4.10) TENTANG PENERBITAN DANPENGAWASAN UNTUK OTORISASI REDUCED VERTICAL SEPARATION MINIMUM

(RVSM) (ISSUANCEAND SURVEILLANCE FOR REDUCED VERTICAL SEPARATIONMINIMUM (RVSM) AUTHORIZATIONS)

DENGAN RAHMAT TUHAN YANG MAHA ESA

DIREKTUR JENDERAL PERHUBUNGAN UDARA,

Menimbang : a. bahwa dalam rangka mengatur mengenai penerbitandan pengawasan untuk otorisasi Reduced VerticalSeparation Minimum (RVSM), telah ditetapkan Peraturan

Direktur Jenderal Perhubungan Udara Nomor KP 274Tahun 2015 tentang Petunjuk Teknis PeraturanKeselamatan Penerbangan Sipil Bagian 8900-4.10

tentang Penerbitan Dan Pengawasan Untuk OtoritasiRVSM (SI 8900-4.10 Issuance And Surveillance ForReduced Vertical Separation Minimums Authorizations);

b. bahwa untuk melakukan pembaruan sesuai denganstandar internasional penerbangan sipil, perlu dilakukan

pencabutan terhadap Peraturan Direktur JenderalPerhubungan Udara Nomor KP 274 Tahun 2015 tentang

Petunjuk Teknis Peraturan Keselamatan Penerbangan

Sipil Bagian 8900-4.10 tentang Penerbitan Dan

Pengawasan Untuk Otoritasi RVSM (SI 8900-4.10Issuance And Surveillance For Reduced Vertical

Separation Minimums Authorizations) untuk

menyesuaikan dengan perubahan Staff Instruction CASRdimaksud;

c. bahwa untuk melaksanakan ketentuan sebagaimana

dimaksud pada huruf a dan huruf b, perlu menetapkanPeraturan Direktur Jenderal Perhubungan Udara

tentang Petunjuk Teknis Peraturan KeselamatanPenerbangan Sipil Bagian 8900-4.10 (Staff Instruction8900-4.10) Tentang Penerbitan Dan Pengawasan UntukOtorisasi Reduced Vertical Separation Minimum (RVSM)(Issuance And Surveillance For Reduced VerticalSeparation Minimum (RVSM)Authorizations);

Mengingat 1. Undang-Undang Nomor 1 Tahun 2009 tentangPenerbangan (Lembaran Negara Republik IndonesiaTahun 2009 Nomor 1, Tambahan Lembaran NegaraRepublik Indonesia Nomor 4956);

2. Peraturan Presiden Nomor 7 Tahun 2015 tentangOrganisasi Kementerian Negara (Lembaran NegaraRepublik Indonesia Tahun 2015 Nomor 8);

3. Peraturan Presiden Nomor 40 Tahun 2015 tentangKementerian Perhubungan (Lembaran Negara RepublikIndonesia Tahun 2015 Nomor 75);

4. Peraturan Menteri Perhubungan Nomor PM 28 Tahun2013 tentang Peraturan Keselamatan Penerbangan SipilBagian 121 (Civil Aviation Safety Regulation Part 121)Tentang Persyaratan-Persyaratan Sertifikasi Dan OperasiBagi Perusahaan Angkutan Udara Yang MelakukanPenerbangan Dalam Negeri, Internasional Dan AngkutanUdara Niaga Tidak Berjadwal (Certification And OperatingRequirements: Domestic, Flag, and Supplemental AirCarriers) sebagaimana telah diubah terakhir denganPeraturan Menteri Perhubungan Nomor PM 41 Tahun2016;

5. Peraturan Menteri Perhubungan Nomor PM 59 Tahun2015 tentang Kriteria, Tugas dan Wewenang InspekturPenerbangan sebagaimana telah diubah terakhir denganPeraturan Menteri Perhubungan Nomor PM 142 Tahun2016;

6. Peraturan Menteri Perhubungan Nomor PM 94 Tahun2015 tentang Peraturan Keselamatan Penerbangan SipilBagian 91 (Civil Aviation Safety Regulation Part 91)Tentang Pengoperasian Pesawat Udara (GeneralOperating And Flight Rules);

7. Peraturan Menteri Perhubungan Nomor PM 189 Tahun2015 tentang Organisasi dan Tata Kerja KementerianPerhubungan sebagaimana telah diubah terakhir denganPeraturan Menteri Perhubungan Nomor PM 86 Tahun2016;

MEMUTUSKAN

Menetapkan : PERATURAN DIREKTUR JENDERAL PERHUBUNGAN UDARATENTANG PETUNJUK TEKNIS PERATURAN KESELAMATAN

PENERBANGAN SIPIL BAGIAN 8900-4.10 (STAFF

INSTRUCTION 8900-4.10) TENTANG PENERBITAN DAN

PENGAWASAN UNTUK OTORISASI REDUCED VERTICAL

SEPARATION MINIMUM (RVSM) (ISSUANCE ANDSURVEILLANCE FOR REDUCED VERTICAL SEPARATION

MINIMUM (RVSM) AUTHORIZATIONS).

Pasal 1

Memberlakukan Petunjuk Teknis Peraturan KeselamatanPenerbangan Sipil Bagian 8900-4.10 (Staff Instruction 8900-4.10) Tentang Penerbitan Dan Pengawasan Untuk OtorisasiReduced Vertical Separation Minimum (RVSM) (Issuance AndSurveillance For Reduced Vertical Separation Minimum (RVSM)Authorizations) sebagaimana tercantum dalam Lampiranyang merupakan bagian tak terpisahkan dari Peraturan ini.

Pasal 2

Pada saat Peraturan ini mulai berlaku, Peraturan DirekturJenderal Perhubungan Udara Nomor KP 274 Tahun 2015tentang Petunjuk Teknis Peraturan KeselamatanPenerbangan Sipil Bagian 8900-4.10 tentang Penerbitan DanPengawasan Untuk Otoritasi RVSM (SI 8900-4.10 IssuanceAnd Surveillance For Reduced Vertical Separation MinimumsAuthorizations), dicabut dan dinyatakan tidak berlaku.

Pasal 3

Direktur Kelaikudaraan dan Pengoperasian Pesawat Udaramengawasi pelaksanaan Peraturan ini.

Pasal 4

Peraturan ini mulai berlaku sejak tanggal ditetapkan.

Ditetapkandi : JAKARTAPada tanggal : 25 AGUSTUS 2017

DIREKTUR JENDERAL PERHUBUNGAN UDARA

ttd

Dr. Ir. AGUS SANTOSO, M. Sc

Salinan sesuai dengan aslinya>ALA BAGIAN HUKUM,

:k,

* \ pfcRHVJBUN

ENDAH PURNAMA SARI

Pembina (IV/a)NIP. 19680704 199503 2 001

LAMPIRAN PERATURAN DIREKTUR JENDERAL PERHUBUNGAN

UDARA

NOMOR : KP 223 TAHUN 2017

TANGGAL : 25 AGUSTUS 2017

Staff Instruction

SI 8900-4.10

Issuance and Surveillance for Reduced Vertical

Separation Minimums (RVSM) Authorizations

Edition

Amendment

Date

REPUBLIC OF INDONESIA - MINISTRY OF TRANSPORTATION

DIRECTORATE GENERAL OF CIVIL AVIATION

JAKARTA - INDONESIA

1. PURPOSE

2. REFERENCE

FOREWORD

This Staff Instruction prescribes responsibilities, policiesand procedures to be used by the Directorate ofAirworthiness and Aircraft Operation for the issuance andsurveillance for Reduced Vertical Separation Minimums

(RVSM). This Staff Instruction may be made available tothe public so that they may better understand theauthority and responsibility of the DGCA

This Staff Instruction handbook should be used in

accordance with the applicable regulations.

3. CANCELLATION : Staff Instruction Number 8900-4.10 (KP 274 Year 2015)issued 8 April 2015 is cancelled.

3. AMENDMENT : Amendment of this Staff Instruction shall be approved bythe Director General of Civil Aviation.

DIREKTUR JENDERAL PERHUBUNGAN UDARA

Salinan sesuai dengan aslinyaKEPALA BAGIAN HUKUM,

• / D'REKTORAl^ubunganSIara'

ENDAH PURNAMA SARI

Pembina (IV/a)NIP. 19680704 199503 2 001

ttd

Dr. Ir. AGUS SANTOSO, M. Sc

TABLE OF CONTENTS

FOREWORD '

TABLE OF CONTENTS "

CHAPTER 1 GENERAL 11.1. Objective *1.2. Requirement *1.3. Authorization 1

1.4. Responsibility 1CHAPTER 2 APPLICATION PROCESS 3

2.1. Aircraft Eligibility 32.2. Maintenance Program 32.3. Operator Evaluation 52.4. Prerequisites and Coordination Requirements 62.5. References 62.6. Procedures 6

CHAPTER 3 AUTHORIZATIONS TO CONDUCT RVSM OPERATIONS 103.1. Issue Authorizations, Conditions, and Limitations (ACL) 10

3.2. Task Outcomes 103.3. RVSM Authorization n

CHAPTER 4 REQUIRED MONITORING 12CHAPTER 5 RVSM APPROVALS DATABASE 13

CHAPTER 1 GENERAL

1.1. Objective

To provide guidance for evaluating applications for an operator to conductflight in airspace where Reduced Vertical Separation Minimums (RVSM) isapplied, evaluating and approving RVSM maintenance programsassociated with an application, and issuing Authorizations, Conditions,and Limitations (ACL), and issuing Operations Specifications (OpSpecs),as appropriate.

1.2. Requirement

The current regulation CASR 91, section 91.180, 91.706 and appendix G,states the requirements an operator and the operator's aircraft mustcomply with for a person to operate an Indonesian registered aircraft inRVSM airspace.

1.3. Authorization

Aircraft and operators must be authorized by the DAAO to conductoperations in RVSM airspace. The criteria evaluated to issue thisauthorization consist of three basic elements:

1) An aircraft must be determined to comply with the requirements ofCASR 91 appendix G, section 2.

2) The operator's maintenance program must be found to comply with therequirements of CASR 91 appendix G, section 3.

3) The operator must be found to have adopted RVSM operating policiesand procedures for pilots and, if applicable, flight operations officers,that are approved to the DAAO.

1.4. Responsibility

1) The Deputy Director for Engineering assigns team leaders andmembers for certification process. The team members shall be includethe:

- Airworthiness Engineer.- Principal operations inspector (POI) (Operations).- Principal maintenance inspector (PMI) (Airworthiness).

2) The evaluation of the aircraft, maintenance program, and operator'sprogram should be coordinated between airworthiness engineers,maintenance inspectors, and flight operations inspectors. TheAirworthiness Engineer will make the determination of an aircraft'scompliance. The PMI will evaluate the operator's maintenance programfor approval by the Director. The principal operations inspector (POI)will evaluate and accept the required program operational elements.

DAAO will issue an ACL and OpSpecs, as appropriate.

3) The applicant will obtain and submit all documents that establish theeligibility of its aircraft. The applicant will submit to the DGCAevidence that it is capable of operating and maintaining each aircraftor aircraft group for which it applies, and an RVSM maintenanceprogram for approval. The applicant will establish that each pilot hasan adequate knowledge of RVSM requirements and procedures. Theapplicant may also be required to submit for acceptance RVSM policyand procedures, and its initial and recurring pilot trainingrequirements.

CHAPTER 2 APPLICATION PROCESS

2.1. Aircraft Eligibility

A. An Aircraft may be authorized to conduct RVSM operations if theDGCA finds that it complies with the requirements of CASR 91

appendix G, section 2. Aircraft may be produced RVSM-compliant or

brought into compliance through the application of approved ServiceBulletins (SB), Service Letters (SL), or Supplemental Type Certificates(STC), which apply to the specific aircraft type or group and, ifapplicable, the specific aircraft serial number.

B. The Airworthiness Engineer makes the determination of aircraft

RVSM eligibility after reviewing substantiating documents developed

to meet the following applicable requirements.

1) Aircraft not produced under type certificate in accordance withCASR 21 Section 21.123 to meet requirements as stated in

CASR 91 appendix G. The Airworthiness Engineer ensures that

the inspections and/or modifications required to meet thespecified performance have been performed and documented.

2) Aircraft produced under type certificate in accordance withCASR 21 Section 21.123 to meet requirements as stated inCASR 91 appendix G. The Airworthiness Engineer ensures thatRVSM eligibility is denoted in the Airplane Flight Manual (AFM)or aircraft type certificate data sheet (TCDS) and that the initialfinding of conformity with type design has been performed.

NOTE: The determination that an aircraft is RVSM-compliant may

be accomplished entirely through the examination of documentsand/or data. Physical inspection of an airframe may not be requiredif the submitted documentation is sufficient.

C. Upon determination that an aircraft is RVSM compliant, the DAAOwill notify the applicant in writing.

2.2. Maintenance Program

A. Application for Authorization.

The application for authorization to operate within RVSM airspacemust include an approved RVSM maintenance program. Thisprogram must outline procedures to maintain aircraft in accordancewith the requirements of CASR 91 appendix G.

B. Develop and Obtain Approval.

Operators without an approved aircraft maintenance program arerequired to develop and obtain approval of an RVSM maintenanceprogram. The approved RVSM maintenance program is not requiredto include elements not related to RVSM maintenance. Inspectionprograms such as an Approved Aircraft Inspection Program (AAIP) ormanufacturer's recommended inspection program do not satisfy theRVSM requirements because they do not contain procedures tomaintain RVSM aircraft. Operators who maintain their aircraft undera continuous airworthiness maintenance program (CAMP) maychoose to incorporate the RVSM maintenance requirements into theprogram.

C. Approval.

The PMI will indicate approval of the RVSM maintenance program.The approved RVSM maintenance program elements are specific tothe operator and aircraft for which they are approved and are nottransferable.

D. RVSM Maintenance Components.

Each RVSM maintenance program must include the following:

1) Identification of components considered to be RVSM critical, andidentification of structural areas noted as RVSM critical areas.

2) The name or title of the responsible person who will ensure thatthe aircraft is maintained in accordance with CASR 43 under the

approved program.

3) The method the operator will use to ensure that all personnelperforming maintenance on the RVSM system are properlytrained, qualified, and knowledgeable of that specific system.

4) The method the operator will use to notify the crew if the aircrafthas been restricted from RVSM but is airworthy for an intended

flight.

5) The method the operator will use to ensure conformance to theRVSM maintenance standards, including the use of calibratedand appropriate test equipment and a quality assuranceprogram for ensuring continuing accuracy and reliability of testequipment, especially when outsourced.

6) The method the operator will use to verify that components andparts are eligible for installation in the RVSM system, as well asto prevent ineligible components or parts from being installed.

7) The method the operator will use to return an aircraft to serviceafter maintenance has been performed on an RVSMcomponent/system or after the aircraft was determined to benon-compliant.

8) Periodic inspections, functional flight tests, and maintenanceand inspection procedures with acceptable maintenancepractices for ensuring continued compliance with the RVSMaircraft requirements.

- These elements may be listed in detail or described byreference to an acceptable program that is identified andcontrolled by revision or issue number.

- The need for functional flight tests may be limited to onlyafter repairs or modifications that are deemed to warrantsuch testing and may be accomplished through monitoringheight-keeping performance.

9) The maintenance requirements listed in Instructions forContinued Airworthiness (ICA) associated with any RVSMassociated component or modification.

10) Any other maintenance requirement that needs to beincorporated to ensure continued compliance with RVSMrequirements.

E. RVSM Requirements.

Operators using the services of CASR 145 certificated repair stationsmust include provisions to ensure that the requirements of theirRVSM programs are being met.

2.3. Operator Evaluation

A. Obtain Authorization.

To obtain authorization from the DAAO to conduct operations inRVSM airspace, the operator must be found to have adopted RVSMoperating policies and procedures for pilots and, if applicable,dispatchers, and ensure each pilot has adequate knowledge of RVSMrequirements, policies, and procedures. The Minimum Equipment

List (MEL), if used, must incorporate the required changes stated inMaster Minimum Equipment List (MMEL).

B. Recommendation.

Director of DAAO, recommended by certification team will issue theACL and OpSpec, as appropriate, after determination of aircraftcompliance, approval of the RVSM maintenance program, andapprove of operator policies and procedures.

C. Approval.

An applicant who operates under CASR 121 or 135 must submit forapproval the initial and recurrent pilot training requirements andRVSM policies and procedures that will enable it to conduct RVSMoperations safely.

2.4. Prerequisites and Coordination Requirements

A. Prerequisites.

- Knowledge of the regulatory requirements of CASR part 91,appendix G, as applicable

- Successful completion of appropriate Airworthiness Indoctrinationcourse(s)

B. Coordination.

This task requires coordination between Airworthiness Engineer,PMI, and POL

2.5. References

CASRs 43, 91, 145, 121 and 135

2.6. Procedures

A. Determination of Aircraft Compliance.

1) Determine if the aircraft meets the requirements of CASR 91appendix G, section 2 and is RVSM compliant.

2) Review the substantiating documentation for the aircraft and itsassociated systems to identify references to RVSM capability. Foraircraft not produced under type certificate in accordance withCASR 21.123 to meet requirements as stated in CASR 91appendix G, ensure that all required elements of the approveddata through which RVSM airworthiness approval is sought

have been applied. For aircraft produced under type certificate inaccordance with CASR 21.123 to meet requirements as stated in

CASR 91 appendix G, either the aircraft TCDS or flight manual

will state RVSM compliance.

3) If sufficient documentation is available, a determination ofcompliance may be made entirely through the examination ofdocuments and/or data. Physical inspection of an airframe may

not be required.

B. Evaluation and Approval of Operator's RVSM Maintenance Program.

Review the RVSM maintenance program to ensure that it contains

the following:

1) Identification of components considered to be RVSM critical, andidentification of structural areas noted as RVSM critical areas.

2) The name or title of the responsible person who will ensure thatthe aircraft is maintained in accordance with CASR 43 under the

approved program.

3) The method the operator will use to ensure that all personnelperforming maintenance on the RVSM system are properlytrained, qualified, and knowledgeable of that specific system.

4) The method the operator will use to notify the crew if the aircrafthas been restricted from RVSM but is airworthy for an intended

flight.

5) The method the operator will use to ensure conformance to theRVSM maintenance standards, including the use of calibrated

and appropriate test equipment and a quality assuranceprogram for ensuring continuing accuracy and reliability of testequipment, especially when outsourced.

6) The method the operator will use to verify that components andparts are eligible for installation in the RVSM system, as well asto prevent ineligible components or parts from being installed.

7) The method the operator will use to return an aircraft to serviceafter maintenance has been performed on an RVSMcomponent/system or after the aircraft was determined to benon-compliant.

8) Periodic inspections, functional flight tests, and maintenanceand inspection procedures with acceptable maintenancepractices for ensuring continued compliance with the RVSMaircraft requirements.

NOTE: The need for functional flight tests may be limited to onlyafter repairs or modifications that are deemed to warrant suchtesting.

9) The maintenance requirements listed in ICAs associated withany RVSM associated component or modification.

10) Any other maintenance requirement that needs to beincorporated to ensure continued compliance with RVSMrequirements.

C. Operator Authorization.

Provide assistance to the Operations POI as required.

D. RVSM Certification Process

1) Determination of Aircraft Compliance. Determine if the aircraftmeets the requirements of CASR part 91 appendix G, section 2.Airworthiness Engineer will determine of aircraft compliance.

2) Evaluation of Operator's RVSM Maintenance Program. Reviewthe RVSM maintenance program to ensure that it contains theelements described in chapter 2, subchapter 2.2, point D. ThePMI evaluates and approves the Operator's RVSM Maintenance

Program.

3) Evaluation of Operator's RVSM Operational Procedure. The POIevaluates and approves the RVSM Operational Procedure.

4) Evaluate RVSM-Knowledgeable Pilots. The applicant mustprovide sufficient evidence of initial and recurring pilot trainingas well as policies and procedures The POI must find theoperator to have adopted RVSM operating policies and/orprocedures for pilots (and, if applicable, dispatchers) and ensureeach pilot has adequate knowledge of RVSM requirements,policies, and procedures. 5) DAAO airworthiness engineer willconduct RVSM equipment inspection that installed on theaircraft.

8

5) DAAO certification team will recommend to Deputy Director forEngineering to issue the RVSM authorization after all RVSMcertification documents and aircraft inspection satisfactory.

RVSM certification process is described on RVSM certificationflowchart.

E. Job Aid For RVSM

DAAO certification team use DAAO from 410-01, the Job Aid for

RVSM during RVSM certification program

9

CHAPTER 3 AUTHORIZATIONS TO CONDUCT RVSM OPERATIONS

3.1. Issue Authorizations, Conditions, and Limitations (ACL)

The DAAO may grant a certificate holder the authority to conduct RVSMin accordance with Part 91. Authority to conduct RVSM is granted

through the issuance of OpSpecs. Authorizations, Conditions, andLimitations B46 is issued to certificate holders who have been granted

approval to conduct RVSM.

3.2. Task Outcomes

A. Determine Aircraft RVSM Compliance.

1) If it is determined that an aircraft is RVSM compliant, the SubDirectorate of Engineering will complete the record with date ofmodification or RVSM compliance date and notify the applicant

in writing.

2) If it is determined that an aircraft is not RVSM compliant, advisethe operator/applicant by letter of the determination with anexplanation.

B. Approve or Reject Aircraft Maintenance Program/Revision.

1) Upon approval or rejection of the applicant's RVSM program, theSub Directorate of Maintenance will notify the applicant.

2) If it is determined that the RVSM maintenance program orrevision meets all of the regulatory requirements, the approvalprocess is as follows:

a. Approved maintenance programs shall include a list ofeffective pages and a revision log as future revisions areincorporated.

b. Indicate approval of RVSM maintenance program elementsthat will be incorporated into an existing accepted orapproved program for each element or group of elements bythe inspector's signature, date of approval, office name,number, and location.

c. Other approval controls may be used.

3) If it is determined that the aircraft maintenance program/revision is not acceptable, advise the operator/applicant by letterthat the program is rejected. Return it to the operator/ applicant

10

with the reasons for the rejection.

3.3. RVSM Authorization

Deputy Director for Engineeringwill issue RVSM Airworthiness andOperational Authorization by DAAO form 410-02.

11

CHAPTER 4 REQUIRED MONITORING

After finish initial RVSM certification, DAAO may issue temporary RVSM

authorization to operator. Operators have six months from the date thetemporary RVSM authorization is issued to conduct the height keeping

performance monitoring.

In accordance with Annex 6 Part I Section 7.2.7, Operators that have been

issued an RVSM authorization by DAAO are required to have their aircraft

RVSM height monitored every two years or within intervals of 1,000 flighthours, whichever period is longer.

The number of aircraft must be monitored are based on the RVSM Minimum

Monitoring Requirement (MMR) that published by Regional Monitoring Agency

(RMA).

Evidence of previous successful monitoring of an aircraft transfers to a newowner and or operator and may be used to meet the monitoring requirements.

If an operator does not complete the requirements within the allotted time:

a) It is the operator's responsibility to contact DGCA to discuss the situationand provide an updated plan for completing the monitoring requirements.DGCA will notify RMA about the situation.

b) The operator's updated monitoring plan must provide for the operatorcompleting minimum monitoring requirements for its aircraft group(s)within 3 months after the original due date. During this time, DAAO mayextend RVSM Operational Approval within 3 months and the operator maycontinue to operate in RVSM airspace.

c) Failure to complete monitoring requirements within the additional 3months will result in operators being excluded from RVSM airspace and theLOA or OpSpecs amended accordingly.

12

CHAPTER 5 RVSM APPROVALS DATABASE

DAAO inspector will update the RVSM approvals database periodically. After theissuance of RVSM authorization, DGCA inspector will insert the aircraft data(Aircraft Type/Model, Serial Number) and date of the approval issuance onIMSIS data base.

DAAO will inform RVSM database to Directorate of Air Navigation - DGCAIndonesia, Air Navigation Service Provider (Perusahaan Umum LembagaPenyelenggara Pelayanan Navigasi Penerbangan Indonesia (Perum LPPNPI)) andRegional Monitoring Agency (RMA).

13

To

Ref.

Date

Expired Date

Subject

CC. :

ATTACHMENT 1 FORMS

XXX

/DKUPPU/REK/XX/XXX

date month year

date month year and 1000 Flight HoursRVSM Operational Approval

1. Referring to XXX request No.: XXX concerning RVSMimplementation. Please be informed that based upon ourevaluation, we have decided to issue a RVSM OperationalApproval in accordance with ICAO Doc. 9574, CASR 91 andIG-91 RVSM.

2. This approval covers XXX operating aspect including thefollowing aircraft model:

No. Aircraft Type/Series Registration

Mark

Serial Number

1. XXX PK-XXX XXX

3. Furthermore XXX shall maintain to comply with RVSMrequirements, otherwise will be suspended

On behalf Director of Airworthiness

and Aircraft Operation

XXX

Deputy Director for Engineering

Director of Airworthiness and Aircraft Operation

DAAO Form 410-02

14

To

Ref.

Date

Subject

CC:

XXX

/DKUPPU/REK//XX/XXX

date month year

RVSM Airworthiness Approval

TO WHOM IT MAY CONCERN

This is certifying that the following aircraft:

No. Aircraft

Type/Series

Registration Mark Serial Number

1. XXX PK-XXX XXX

Has been assessed and examined for RVSM readiness in

accordance with applicable Service Bulletin, RVSM ICAODocument No. 9574, CASR 91 and Interim Guide (IG 91- RVSM)on implementation of a 300 m (1,000 ft) vertical separationminimum.

On behalf Director of Airworthiness

and Aircraft Operation

XXX

Deputy Director for Engineering

Director of Airworthiness and Aircraft Operation

DAAO Form 410-02

15

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for

flig

htin

toR

VSM

airs

pac

esh

ou

ldb

eo

per

atio

nal

an

dm

alf

un

cti

on

sre

solv

ed

.

Pro

ced

ure

Pri

or

toA

irsp

ace

En

try

Lis

tR

VSM

equ

ipm

ent

that

mu

stb

eo

per

atio

nal

pri

or

toR

VSM

airs

pac

een

try

.O

per

atin

gT

ran

spo

nd

er.

Th

eo

per

ato

rsh

ou

ldas

cert

ain

the

req

uir

emen

tfo

ran

oper

atin

gtr

ansp

on

der

inth

eai

rspa

cew

here

oper

atin

g.

In-F

lig

ht

Pro

ced

ure

s

Fli

ght

crew

sho

uld

com

ply

wit

hai

rcra

fto

per

atin

gre

stri

ctio

ns

rela

ted

toR

VSM

airw

orth

ines

sap

prov

al_

_E

mph

asis

shou

ldbe

plac

edon

prom

ptly

sett

ing

the

sub-

scal

eo

nal

lpr

imar

yan

dst

and

by

alti

met

ers

to2

9.9

2in

.H

g/1

01

3.2

hP

aw

hen

pas

sin

gth

rou

gh

the

Tra

nsi

tio

nA

ltit

ud

ean

dre

chec

kin

gth

ep

rop

eralt

imete

r

sett

ing

wh

enre

ach

ing

the

init

ial

clea

red

flig

ht

lev

el(C

FL

).

Hi.

Inle

vel

cru

ise

itis

essen

tial

that

the

air

cra

ft

isfl

ow

nat

the

CF

L.

Cle

ara

nces

mu

st

be

full

yu

nd

erst

oo

dan

dfo

llow

ed.

iv.

Du

rin

gcl

eare

dtr

ansi

tio

nb

etw

een

leve

ls,

the

air

cra

ftsh

ou

ldn

ot

be

all

ow

ed

to

ov

ers

ho

ot

or

un

ders

ho

ot

the

CF

Lb

ym

ore

than

15

0ft

.(4

5m

).

v.

Un

less

cir

cu

msta

nces

dic

tate

oth

erw

ise,

an

auto

mat

icalt

itu

de

con

tro

lsy

stem

sho

uld

be

oper

ativ

ean

den

gag

edd

uri

ng

cru

ise,

etc.

vi.

An

alti

tud

eal

erti

ng

syst

emsh

ou

ldb

e

op

erat

ion

al.

vii

.

At

inte

rval

so

fap

pro

xim

atel

yo

ne

ho

ur,

cro

ss-c

heck

sb

etw

een

the

pri

mary

alti

met

ers

an

dth

est

an

db

yal

tim

eter

sho

uld

be

mad

e.A

min

imu

mo

ftw

op

rim

ary

alti

met

ers

mu

stag

ree

wit

hin

20

0ft

.o

ra

less

erv

alu

eif

spec

ifie

din

the

airc

raft

op

erat

ing

man

ual

.

vii

i.

Wh

eno

per

atin

gu

nd

er

posi

tive

rad

arco

ntr

ol,

the

init

ial

alti

met

ercr

oss

-ch

eck

sho

uld

be

per

form

edaf

ter

leve

lof

f.O

nC

lass

IIn

avig

atio

nle

gs,

acr

oss

-ch

eck

sho

uld

be

per

form

edan

dre

cord

edin

the

vici

nity

of

the

po

int

wh

ere

Cla

ssII

nav

igat

ion

isb

egu

n(e

.g.,

on

coas

tou

t).

Th

ere

adin

gs

ofth

ep

rim

ary

and

stan

db

yal

tim

eter

ssh

ou

ldb

ere

co

rded

an

dav

ail

ab

lefo

ru

se

in

con

tin

gen

cysi

tuat

ion

s.

ix.

Nor

mal

lyth

eal

tim

eter

syst

emb

ein

gu

sed

toco

ntr

ol

the

air

cra

ftsh

ou

ldb

ese

lecte

dto

prov

ide

the

inp

ut

toth

eal

titu

de

rep

ort

ing

tran

spo

nd

erth

at

istr

ansm

itti

ng

the

info

rmati

on

toA

TC

.

X.

Ifth

epi

lot

isno

tifi

edby

AT

Cof

an

assi

gn

edalt

itu

de

dev

iati

on

(AA

D)

err

or,

wh

ich

exce

eds

30

0ft

.,th

en

the

pil

ot

sho

uld

tak

e

acti

on

tore

turn

toth

eC

FL

as

qu

ick

lyas

po

ssib

le.

xi.

Co

nti

ng

ency

Pro

ced

ure

saf

ter

ente

rin

gR

VSM

airs

pac

e.T

he

pil

ot

sho

uld

no

tify

AT

Cof

con

tin

gen

cies

,w

hic

haf

fect

the

abil

ity

tom

ain

tain

the

CF

Lan

dco

ord

inat

ea

pla

no

f

acti

on

.

d.

In-f

ligh

tP

roce

du

res,

Spe

cial

Em

ph

asis

Item

s

i.

Are

ao

fO

per

atio

ns

Sp

ecif

icO

per

atio

nal

Pol

icy

&P

roce

du

res,

Incl

ud

ing

Sta

nd

ard

AT

CP

hra

seo

log

y.

ii.

Imp

ort

ance

ofcr

ewm

emb

ers

cro

ssch

eck

ing

each

oth

er

toen

su

reth

at

AT

Ccle

ara

nces

are

pro

mp

tly

an

dco

rrec

tly

com

pli

edw

ith

.

iii.

Use

an

dli

mit

ati

on

so

fst

an

db

yalt

imete

rsin

co

nti

ng

en

cie

s.

iv.

Pro

ble

ms

of

vis

ual

per

cep

tio

no

fo

ther

air

cra

ftat

1,0

00

ft.

ver

tica

lse

para

tio

n.

v.

Ch

ara

cte

rist

ics

of

air

cra

ftalt

itu

de

cap

ture

syst

ems

that

may

lead

toth

eo

ccu

rren

ceo

f

ov

ers

ho

ots

vi.

TC

AS

op

erat

ing

ch

ara

cte

rist

ics

inR

VS

M

airs

pac

e,if

equ

ipp

ed.

vii

.

Rel

atio

nsh

ipb

etw

een

the

alti

met

ry,

au

tom

ati

calt

itu

de

con

tro

l,an

dtr

an

spo

nd

er

syst

ems

inn

orm

al

an

dab

no

rmal

situ

atio

ns.

vii

i.A

ircr

aft

op

erat

ing

rest

rict

ion

s(o

nly

if

ap

pli

cab

leto

the

airc

raft

).

ix.

Fo

rth

ose

op

era

tors

auth

ori

zed

toco

nd

uct

oce

anic

op

erat

ion

s—u

seo

fS

trat

egic

Lat

eral

Off

set

Pro

ced

ure

s(S

LO

P)in

oce

anic

airs

pac

eto

mit

igat

eth

eef

fect

of

wak

e

turb

ule

nce

an

dth

eef

fect

of

op

erat

ion

al

erro

rs.

e.

Po

stF

lig

ht

Pro

ced

ure

(if

any

).

Inm

ak

ing

main

ten

an

ce

log

bo

ok

en

trie

s

agai

nst

mal

fun

ctio

ns

inh

eig

ht

kee

pin

gsy

stem

s,th

ep

ilo

tsh

ou

ldp

rov

ide

suff

icie

nt

deta

ilto

en

ab

lem

ain

ten

an

ce

toef

fect

ivel

y

tro

ub

lesh

oo

tan

dre

pair

the

syst

em

.

4.

Main

ten

an

ce

a.

Mai

nte

nan

ceP

rog

ram

(CA

MP

/AA

IP-

co

mp

on

en

tsco

nsi

der

edto

be

RV

SM

crit

ical

)

i.

Iden

tifi

cati

on

of

RV

SM

co

mp

on

en

tsan

d

iden

tifi

cati

on

of

str

uctu

ral

areas

no

ted

as

RV

SM

cri

tical

areas.

ii.

Th

em

eth

od

the

op

era

tor

wil

lu

seto

en

sure

that

all

per

son

nel

per

form

ing

main

ten

an

ce

on

the

RV

SM

syst

emare

pro

per

lytr

ain

ed,

qu

alif

ied

,an

dk

no

wle

dg

eab

leo

fth

at

spec

ific

sy

ste

m.

iii.

Th

em

eth

od

the

op

era

tor

wil

lu

se

toen

sure

co

nfo

rman

ce

toth

eR

VS

Mm

ain

ten

an

ce

stan

dard

sin

clu

din

gth

eu

seo

fcali

bra

ted

an

dap

pro

pri

ate

test

eq

uip

men

t,an

da

qu

alit

yass

ura

nce

(QA

)p

rog

ram

for

en

suri

ng

the

co

nti

nu

ed

accu

racy

an

d

reli

abil

ity

of

test

equ

ipm

ent,

esp

ecia

lly

wh

en

ou

tso

urced

.

iv.

Th

em

eth

od

the

op

era

tor

wil

lu

seto

ver

ify

that

co

mp

on

en

tsan

dp

art

sare

elig

ible

for

inst

alla

tio

nin

the

RV

SM

syst

em,

as

wel

las

top

rev

en

tin

stal

lati

on

of

inel

igib

le

co

mp

on

en

tso

rp

art

s.

V.

Th

em

eth

od

the

op

era

tor

wil

lu

se

tore

turn

an

air

cra

ftto

serv

ice

aft

er

an

ap

pro

pri

ate

ly

rate

dp

ers

on

has

perf

orm

ed

main

ten

an

ce

on

an

RV

SM

co

mp

on

en

t/sy

stem

or

aft

er

the

air

cra

ftw

as

dete

rmin

ed

tob

en

on

co

mp

lian

t.

vi.

Per

iod

icin

specti

on

s,fu

ncti

on

al

flig

ht

test

s,

an

dm

ain

ten

an

ce

an

din

specti

on

pro

ced

ure

sw

ith

accep

tab

lem

ain

ten

an

ce

pra

cti

ces

for

en

suri

ng

co

nti

nu

ed

co

mp

lian

ce

wit

hth

eR

VS

Mair

cra

ftre

qu

irem

en

ts.

vii

.

Th

em

ain

ten

an

ce

req

uir

em

en

tsli

sted

inth

e

ICA

ass

ocia

ted

wit

han

yR

VS

Mass

ocia

ted

co

mp

on

en

to

rm

od

ific

atio

n.

vii

i.

An

yo

ther

main

ten

an

ce

req

uir

em

en

tth

at

the

op

era

tor

need

sto

inco

rpo

rate

toen

sure

co

nti

nu

ed

co

mp

lian

ce

wit

hR

VS

M

req

uir

em

en

ts.

b.

Min

imu

mE

qu

ipm

en

tL

ist

(ME

L)

c.

Train

ed

Perso

nn

el

5.

Tra

inin

gP

erso

nn

el

a.

Fli

gh

tC

rew

Init

ial

an

dR

ecu

rren

tT

rain

ing

Sy

llab

us

b.

Dis

pat

cher

Tra

inin

gS

yll

abu

s

c.

Tra

inin

g/C

ou

rse

Cer

tifi

cate

s

6.

SS

RM

ode

S(D

irec

tora

teo

fA

irN

avig

atio

n)

7.

Las

tR

VS

MO

per

atio

nal

Ap

pro

val

/p

ast

per

form

ance

(if

any

)8

.P

lan

for

RV

SMH

eig

ht

Kee

pin

gP

erfo

rman

ceM

on

ito

rin

g(G

MU

/AD

SB

)

Pre

pare

db

y:

Pre

vie

wb

y

DA

AO

Fo

rm4

10

-01

ATTACHMENT 2 RVSM CERTIFICATION FLOW CHART

APPLICANT

Application Letter/ Letter of Intent

Applicant prepare Application DataPackages consist:1. AFM,TCDS;

2. Servive Bulletine (if applicable);3. Description of Aircraft Equipment;4. Operation Manual/Checklist;5. Maintenance Program;6. Training Personnel (syllabus,record) : Flight Crew, Dispacther,Maintenance personnel;7. SSR Mode S;8. Past Performance (if any);9. Plan for Height KeepingPerformance Monitoring.

Submit ApplicationData Package on

Meeting

-No-

DGCA-DAAO

Sub Directorate of Engineering-DAAO will establish RVSM

certification team that consist:1. Team Leader

2. Team Members: POI,PMI,Avionic Specialist, and Performanceand Flight Test Specialist

Invitation Letter for

Initial Meeting

DAAO team will

evaluate ApplicationData Package

Yes

RVSM equipmentsInspection

No

APPLICANT

Applicant ConductHeight Keeping

Performance

Monitoring (ADSB/GIVILJ) witnessed by

DAAO team

Yes-

DGCA-DAAO

®

DAAO issue

Temporary RVSMAuthorization

DAAO issue RVSIVI

Authorization

within two years andlOOO flight hours

END

DIREKTUR JENDERAL PERHUBUNGAN UDARA

ttd

Dr. Ir. AGUS SANTOSO, M. Sc

Salinan sesuai dengan aslinyaKEPALA BAGIAN HUKUM,

DIREKT0RA1 JZNOWPERHUBUNGAN UP'

ENDAH PURNAMA SARI

Pembina (IV/a)>680704 199503 2 001