Form No. FOD.OAF.209(i)
Amdt: 02
Page: 1 of 9
Issue Date: 21/05/2017
AUTHORIZATION TO CARRY DANGEROUS
GOODS UNDER NORMAL CIRCUMSTANCES
APPLICATION FORM
QCAA USE ONLY
Attachments:
YES
NO
QCAA FILE Ref:
No: of Attachments:
APPLICATION FOR AUTHORIZATION TO CARRY DANGEROUS GOODS
UNDER NORMAL CIRCUMSTANCES
Please complete the form in BLOCK CAPITALS.
Company name, AOC number and e-mail address will suffice.
SECTION ONE: APPLICANT DETAILS
1 (a) Name of Business or Trading Name(s):
1 (b) Name of Post Holder making submission;
1 (c) AOC Number;
1 (d) Address:
1 (e) Postal Address (if different from above):
1 (f) Contact details;
Phone No.:
Mobile No.:
Fax No.:
E-mail address:
SECTION TWO: DETAILS OF ATTACHMENTS
All attachments to this submission shall be recorded in the table below. Failure to declare attachments will
result in a submission being returned. Incorrect number of declared attachments being attached will result in
submission being returned.
Add more rows or continue on another sheet if necessary;
Attachment
Number
Initials
Confirming
Attachment
Brief Description of Attachment
Total Number of Attachments:
Page 1 of 9
Form No. FOD.OAF.209(i)
Amdt: 02
Page: 2 of 9
Issue Date: 21/05/2017
AUTHORIZATION TO CARRY DANGEROUS
GOODS UNDER NORMAL CIRCUMSTANCES
APPLICATION FORM
SECTION THREE: DETAILS OF THE DANGEROUS GOODS PROGRAMME
3.1 GENERAL
Please tick (√) as appropriate
General Information
Initial
1
Type of Application
Renewal
Amendment
Dangerous Goods Operations
2
Classes of Dangerous Goods
Class 1
Class 4
Division 6.2
Class 2
Class 5
Class 7
Class 3
Class 6.1
Class 8
Class 9
3
Types of Operations
Domestic Operations
International Operations
Year-round Operation
Seasonal Operation
Aircraft
Helicopter
Land Base
Water-base
Passenger and Cargo
Cargo Aircraft Only
Combi-Operation
Medical Evacuation Operation
Scheduled Pax and Cargo
Charter Operations
4
Provision of Information on Transport of Dangerous Goods to Employees
5
Operations Manual
Dangerous Goods Manual
Ground Operations Manual
Cabin Safety Manual
Cargo Services Manual
Dangerous Goods Training Programmes
Other (Specify)
Dully completed FOD.OAF.209(ii) – Application for Approval of Dangerous Goods Training
Programme is attached
Page 2 of 9
Form No. FOD.OAF.209(i)
Amdt: 02
Page: 3 of 9
Issue Date: 21/05/2017
AUTHORIZATION TO CARRY DANGEROUS
GOODS UNDER NORMAL CIRCUMSTANCES
APPLICATION FORM
3.2 COMPLIANCE CHECKLIST FOR OPERATIONS MANUAL’S DANGEROUS GOODS
SEGMENT
No
Legal Ref.
Operator’s
Ref:
Information to employees
General Restrictions
a. States
the
types
of
dangerous
operations the operator is engaged in.
1
QCAR OPS
1.1155
ICAO TI 7;4.2/
1;1.1
goods
b. States which dangerous goods t h e o p e r a t o r
do not accept for transport for all destinations
(Operator’s variations)
c. There is a list of all locations where the various
operations manuals are kept
d. List all State’s exemptions or approvals affecting
the operator
Dangerous Goods Co-ordinator
a. Contact
information
for
the
operator
Danger ous
G oods
Coordinator(s),
or
designated person(s) and their role(s) with
respect to the administration of the company’s
2
dangerous goods program.
b. The list of all third parties acting on their behalf
of the operator for training, handling, offering for
transport or transporting dangerous goods.
Applicable Regulations
3
QCAR OPS
1.1145
a. The
operator
identifies
the
applicable
regulations and documents the company uses,
where they’re located and how they’re accessed
Aircraft Specific
4
QCAR OPS
1.1210
ICAO TI
7;4.2/7;2.4
a. Details of the location and the numbering
system of cargo compartments for each aircraft
type
b. Instructions on the loading restrictions by aircraft
type
c. Maximum quantity of dry ice permitted in each
compartment
d. Maximum sum of
radioactive
material
compartment
Training
QCAR OPS
1.1220
ICAO TI 1;4.2.5
QCAR OPS
1.1220
5
ICAO TI 7;4.10
QCAR OPS
1.1220
ICAO TI 1;4.1.2
transport indexes for
permitted
in
each
a. States who is responsible for the air operator’s
Training Program and Training Records
b. States which company employees require
training, type of training and frequency of
recurrent training;
c. States that the air operator training programs
must be approved by the State of authority
Page 3 of 9
For CAA
Use Only
U/S
Form No. FOD.OAF.209(i)
Amdt: 02
Page: 4 of 9
Issue Date: 21/05/2017
No
Legal Ref.
AUTHORIZATION TO CARRY DANGEROUS
GOODS UNDER NORMAL CIRCUMSTANCES
APPLICATION FORM
Operator’s
Ref:
Information to employees
Passenger Handling
6
ICAO TI 7;5.2 /
8;1
a. Describes which dangerous goods are permitted
and not permitted in passenger or crew baggage
or on the person
ICAO TI 7;5.2 /
8;1.1.4
b. Describe the procedures to prevent Spare batteries
for portable electronic devices containing lithium
metal or lithium ion cells or batteries from being
transported in checked baggage
ICAO TI 7;5.1
c. Describes the procedures for and the form of
promulgating information to passengers
ICAO TI 7;5.2
d. States what the acceptance procedures are for
passengers and baggage.
ICAO TI 7;5.1.1
e. Describe how information on the types of
dangerous goods which a passenger is forbidden
to transport aboard an aircraft is provided at the
point of ticket purchase
ICAO TI 7;5.1.1
f. Describe how information provided via the internet
may be in text or pictorial form but must be such
that ticket purchase cannot be completed until the
passenger, or a person acting on their behalf, had
indicated that they have understood the restriction
on dangerous goods in baggage
ICAO TI 7;5.1.2
g. Describe how the operator will ensure that notices
warning passengers of the types of dangerous
goods which they are forbidden to transport
aboard an aircraft are prominently displayed, in
sufficient number, at each of the places at a airport
where tickets are issued, passengers are checked
in and aircraft boarding areas are maintained, and
at any other location where passengers are
checked in. These notices must include visual
examples of dangerous goods forbidden from
transport aboard an aircraft
ICAO TI 7;5.1.3
h. Describe how an operator, of passenger aircraft,
should have information on those dangerous
goods which may be carried by passengers is
made available prior to the check-in process on
their websites or other sources of information
ICAO TI 7;5.1.4
i. Describe if provision is made for the check-in
process to be completed remotely (via the
internet) the operator must ensure that information
on the types of dangerous goods which a
passenger is forbidden to transport aboard an
aircraft is provided to passengers. Information may
be in text or pictorial form but must be such that
the check-in process cannot be completed until
the passenger, or a person acting on their behalf,
has indicated that they have understood the
restrictions on dangerous goods in baggage.
Page 4 of 9
For CAA
Use Only
U/S
Form No. FOD.OAF.209(i)
Amdt: 02
Page: 5 of 9
Issue Date: 21/05/2017
No
AUTHORIZATION TO CARRY DANGEROUS
GOODS UNDER NORMAL CIRCUMSTANCES
APPLICATION FORM
Operator’s
Ref:
Legal Ref.
Information to employees
ICAO TI 7;5.1.5
j. Describe when provision is made for the check-in
process to be completed at an airport by a
passenger without the involvement of any other
person (e.g. automated check-in facility), the
operator or the airport operator must ensure that
information on the types of dangerous goods
which a passenger is forbidden to transport
aboard an aircraft is provided to passengers.
Information must be in pictorial form and should be
such that the check-in process cannot be
completed until the passenger has indicated that
they have understood the restrictions on
dangerous goods in baggage
COMAT Shipment
7
ICAO TI
1;2.2/7;4.2
a. If the air operator does not perform the
responsibilities of a shipper of COMAT, then the
air operator will include a statement to this
effect.
b. State who is responsible/qualified to prepare
dangerous goods COMAT for transport
c. Describes how dangerous goods COMAT are
prepared for transport
d. Explains how dangerous goods COMAT are to be
processed once prepared
Acceptance Procedures
a. Describes how dangerous goods are prevented
from entering the system without appropriate
ICAO 7;1.3
preparation
b. States the procedures for accepting general cargo
ensuring that dangerous goods do not enter the
ICAO TI 7;6
system when they are not permitted
8
ICAO TI 7;1
c. State the procedures for accepting/ rejecting
dangerous goods cargo
ICAO TI 7;4.5
d. States the procedures for handling rejected
dangerous goods in cargo
ICAO TI 7;4.8
e. Describes the procedures for and the form of
promulgating information to those offering
dangerous goods or cargo for transport.
Retention of Documents
a. Describes what documents must be retained
b. States the length of time
document must be retained
9
ICAO TI 7;4.11
each
type
of
c. Describes who is responsible for retaining the
document
d. States the location where each is to be kept,
including with third party
Page 5 of 9
For CAA
Use Only
U/S
Form No. FOD.OAF.209(i)
Amdt: 02
Page: 6 of 9
Issue Date: 21/05/2017
No
Legal Ref.
AUTHORIZATION TO CARRY DANGEROUS
GOODS UNDER NORMAL CIRCUMSTANCES
APPLICATION FORM
Operator’s
Ref:
Information to employees
Ground Handling
ICAO 7;2
10
ICAO TI 7;2.7
ICAO 7;2/7;3.1
a. Describes procedures for storing cargo in the
course of air transportation, other than on the
aircraft
b. Describes procedures for movement within the
cargo facility, and to and from the cargo facility to
the aircraft
c. Describes
procedures
for
replacing
lost,
detached or illegible safety marks on packages,
overpacks, freight or unit load devices
d. Describes the procedures for loading/unloading
dangerous goods onto or from and aircraft.
Load Planning
11
ICAO TI 7;4.1
a. Describes the procedures for load planning
(including
preparation
of
NOTOC
where
applicable).
Emergency Procedures
QCAR OPS
a.
1.1225
ICAO TI 7;4.9
b.
ICAO TI 7;4.3
ICAO TI 7;4.1.8
ICAO TI 7;3
ICAO Doc.9481
Sec.3
ICAO TI 7;5,
7;6
ICAO TI 7;4.5
12
ICAO TI
7;4.4/7;4.6/FOIL
04/04 Cha.2
para 5
ICAO TI 7;4.6 a
ICAO TI 7;4.6 a
ICAO TI 7;4.7
States emergency response information is
available and where the pilot-in-command/other
crew members can find it
States how the pilot-in-command is to report
emergencies involving dangerous goods
c. Describes how the NOTOC is accessed
during an emergency
d. Describes
the
procedures/checklists
for
managing a dangerous goods incident/accident
on the ground/on board
e. Describes
the
procedures
for
managing
misdeclared or undeclared dangerous goods.
f. Describes the procedures to follow when
reporting undeclared or misdeclared dangerous
goods as cargo or mail
g. Describes the procedures to follow when
reporting dangerous goods in passenger/crew
baggage
h. Describes procedures to follow when reporting
dangerous goods occurrences incidents/accidents
i. Describe the procedures to follow when reporting
dangerous goods discovered to have been carried
when not loaded, segregated, separated or
secured in accordance
j. Describes the procedures to follow when reporting
dangerous goods are discovered to have been
carried without information having been provided
to the pilot-in-command
k. In the event of an aircraft accident or serious
incident, the operator must have a procedure to
provide information without delay to emergency
service responders about dangerous goods on
Page 6 of 9
For CAA
Use Only
U/S
Form No. FOD.OAF.209(i)
Amdt: 02
Page: 7 of 9
Issue Date: 21/05/2017
AUTHORIZATION TO CARRY DANGEROUS
GOODS UNDER NORMAL CIRCUMSTANCES
APPLICATION FORM
board
SECTION FOUR : NOTES
1. The application form once completed should be returned to the QCAA.
2. Applicant should submit the hard/soft copies of the relevant Chapters/extracts of the manuals identified in
item 4, sub section 3.1 in Section Three as attachments.
3. Failure to complete this form in full may result a delay in processing the application.
4. Submitting of this form does not itself constitute an approval for the transport of Dangerous Goods by air.
5. Applicant must complete the compliance checklist in Section Three sub section 3.2.
6. Any amendment to the approved Manual must be submitted from FOD.OAF.007 together with the
compliance checklist in Section Three sub section 3.2 in this Application.
7. This form should be signed by the person requesting the authorization (Post holder).
8. This form is available as a Microsoft Word document to enable it to be filled in electronically and
submitted by e-mail providing attachments can be transmitted likewise.
9. Leave blank the sections which do not apply to your particular application.
10. This form may be submitted by email to the address below.
11. The assigned Lead Inspector should also be included when emailing in correspondence.
Submissions and Enquiries
Address for submissions:
Qatar Civil Aviation Authority
Flight Operations Section
C Ring road
P.O. Box 3000
Doha, Qatar
Contact details for enquiries:
Ph: 00 974 44455 7209
Fax:00 974 4465 4761
Email: [email protected]
SECTION FIVE: SIGNATURE BLOCK
Appointed Post Holder;
(Note 1)
AOC Declaration:
I hereby submit this Application Form for the Authorization to carry Dangerous Goods under
normal circumstances. I confirm that I am satisfied this submission has been satisfactorily
prepared and that I have checked the contents for accuracy.
Name: .........................................………………
Date: ........................................................
Signature: ………………………………………..
Position: …………………………………...
Page 7 of 9
Form No. FOD.OAF.209(i)
Amdt: 02
Page: 8 of 9
Issue Date: 21/05/2017
AUTHORIZATION TO CARRY DANGEROUS
GOODS UNDER NORMAL CIRCUMSTANCES
APPLICATION FORM
Please note that a minimum of 30 working days will normally be required to check and confirm the information
given above - if data is missing or omitted the process may take considerably longer or result in the
submission being return to the operator for correction.
SECTION SIX: APPENDICES
Attach any relevant tables or extra forms you need to support the application process. List the attachments in the
table at SECTION TWO;
Page 8 of 9
Form No. FOD.OAF.209(i)
Amdt: 02
Page: 9 of 9
Issue Date: 21/05/2017
AUTHORIZATION TO CARRY DANGEROUS
GOODS UNDER NORMAL CIRCUMSTANCES
APPLICATION FORM
For QCAA use only.
AOC No:
QCAA Comment, Acceptance and/or Approval (delete as appropriate).
Head of Flight Operations
I hereby ACCEPT / REJECT / APPROVE this (insert requirement reference here)…………………... (if rejecting
attach an explanation why)
Name: .........................................………………
Date: ........................................................
Signature: ………………………………………..
Position: …………………………………...
Official
Stamp
Assessing Inspector’s Signature
Name: .........................................………………
Date: ........................................................
Signature:………………………………………...
Position:……………………………………
Page 9 of 9
Inspector’s
Stamp & Initials