bcaa.bm
1
Form
No.:
9006
Last
13 Feb 2019
Application for Approval of
Minimum Equipment List (MEL)
On
completion, this form, the MEL, the MMEL with associated DDGs/MOPPs, a sample Technical Log
page, and current Airspace Approvals / Ops Specs should accompany the required letter to the
Director (for the attention of Flight Operations).
Name of Aircraft Operator:
Aircraft Registration Marks:
Aircraft Make and Model:
Serial Number of Aircraft:
Reference Number of MEL submitted:
Reference Number of MMEL from which the MEL has
been produced:
Revision number of the MMEL which was used for
the development of MEL:
Flight Crew procedures for the use of the MEL are
included in the Flight Operations Manual or a
standalone document:
YES NO
The MEL has been produced in accordance with
Article 37 of the AN(OT)O. YES NO
A copy of the Technical Log used for the aircraft is
attached review: YES NO
A copy of the customized MEL for review:
YES NO
A copy of the MMEL and associated DDGs/MOPPs
used for the development of MEL: YES NO
A list of current Airspace Approvals /Ops Specs:
YES NO
COMPLIANCE STATEMENT
On behalf of the Operator listed above, I confirm that the above is true in every respect and, in accordance with the current
version of BCAA’s MEL Policies and Procedures Manual and constitutes the basis upon which an Approval for the above
referenced MEL should be issued.
Name
: Date:
Pos
ition: Company:
Tel: Email:
