APPENDIX A INSTRUCTIONS FOR CONTINUED AIRWORTHINESS
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1 PROPRIETARY TO THE APPLICANT AND SHALL NOT BE. INSTRUCTIONS FOR CONTINUED AIRWORTHINESS MANUFACTURER S NAME MODEL 1234 HELICOPTERS WITH NVG/NVIS COMPATIBLE LIGHTING SYSTEM DOCUMENT # APPLICABLE TO AIRCRAFT S/N: 56789, THE FOLLOWING KITS/STCS ARE REQUIRED TO BE INSTALLED IN THE ABOVE AIRCRAFT S/Ns AS A PREREQUISITE TO THE NVG/NVIS COMPATIBLE LIGHTING SYSTEM INSTALLATION: EXAMPLES: Inst Specterlight SX5 EASA approval (validation of FAA STC ST00910NW) Medical Interior and Medical Battery EASA approval LMN Medical Interior EASA approval Installation Rotor Disc Light TC Option Key ALPHA GlX 200 MFD EASA approval (validation of FAA STC ST00312NW) OPERATOR S NAME CONFIGURATION PAGE 1 OF X
2 . SECTION 1 COCKPIT (FIGURE 1) (insert drawing/picture of cockpit + overhead/ slant console, with numbers for each light emitting equipment) ITEM NO. APPLICANT P/N DESCRIPTION KL 165A VHF COMMUNICATION TRANSCEIVER/NAVIGATION RECEIVER ORIG EQUIP MFG OEM PART MODEL QTY / SS ALPHA KX 165A GNC 250XL RECEIVER BETA GNC 250XL KR 87 ADF RECEIVER GAMMA KR KN 62A DME GAMMA KN 62A 1 1 NOTES KT 70 TRANSPONDER POLLUX KT ANNUNCIATOR, ICS/ON ARCTURUS LED-7A-14-KB-E05VM 1 (REF) OEM NVG 7 RA-335 RAPPLICANTO ALTIMETER INDICATOR THETA RA (REF) OEM NVG 8 ENCODER ALTIMETER BELLATRIX 3A F.05.1.KR 1 (REF) OEM 9 MAGNETIC COMPASS (5V) DELTA /04 1 (REF) OEM NVG 10 MASTER CAUTION LIGHT DELTA / (REF) OEM NVG 11 ANNUNCIATOR, RCVRS/ON CASTOR LED-7A-14-KB-E05VN 1 (REF) OEM NVG 12 ANNUNCIATOR, IDS FAN ARCTURUS LED SE-E05VW 1 (REF) OEM NVG ELT REMOTE SWITCH ARTEX SUPPLY MOD AT42510H 14 CHRONOGRAPH CLOCK DELTA LC-2H 1 (REF) OEM NVG SIRIO MOD # / NVIS ELP, VNE APPLICANT NVIS ELP, VNE APPLICANT 1 ALT P/N 16 ANNUNCIATOR, SPKR/ON BELLATRIX LED-7A-14-KB-E05VP 1 (REF) OEM NVG
3 ITEM NO. APPLICANT P/N DESCRIPTION ORIG EQUIP MFG OEM PART MODEL QTY / SS NOTES 17 ANNUNCIATOR, HOOK UTIL ARM ARCTURUS LED SE-E05VV 1 (REF) OEM NVG 18 LOAD METER (5V LIGHTING) SIGMA (REF) OEM NVG NVIS ELP, COLLECTIVE APPLICANT 1 20 ANNUNCIATOR, RAD MSTR/ON SIGMA LED-7A-14-KB-E05VQ 1 (REF) OEM NVG NVIS ELP, COMPASS APPLICANT NVIS ELP, SWITCH APPLICANT 1 23 MASTER WARNING LIGHT DELTA / (REF) OEM NVG NVIS ELP, FUEL APPLICANT NVIS ELP, SAS APPLICANT 1 26 IDS LAMBDA (REF) OEM NVG 27 HORIZONTAL SITUATION INDICATOR AEROALPHA (REF) OEM 28 VERTICAL SPEED INDICATOR AEROALPHA (REF) OEM 29 SX-5 CTRL PANEL SIRIO /04 1 (REF) OEM NVG MULTIFUNCTION AIRCRAFT DISPLAY TAU AVDU USB 1 (REF) OEM NVG AIRSPEED INDICATOR BELLATRIX A KR 21 MARKER BEACON RECEIVER SPHYNKS KR 21 1 HORIZONTAL 33 DUAL TACHOMETER INDICATOR DELTA 15DA05A (REF) OEM 34 WSH-100 #6 FLAT WASHER APPLICANT 6 35 SCR-100 SCREW, 6-32 X 1 ½ LONG PH APPLICANT 6 36 SCR-101 SCREW, 6-32 X 1 LONG PH APPLICANT 3 INSTR 37 ANNUNCIATOR, DH AEROALPHA LED SE-E07AC 1 (REF) OEM NVG 38 PLT/CPLT CYCLIC GRIP DELTA / (REF) OEM NVG 6
4 39 ATTITUDE INDICATOR LAMBDA (REF) OEM 40 PLT/CPLT ICS CONTROL PANEL DELTA /10 2 (REF) OEM NVG
5 . ITEM NO. APPLICANT P/N DESCRIPTION ORIG EQUIP MFG OEM PART MODEL NVIS ELP, PLT INST #1 APPLICANT NVIS ELP, PLT INST #2 APPLICANT NVIS ELP, PLT INST #3 APPLICANT 1 44 WSH-103 #10 FLAT WASHER APPLICANT SPACER, RAPPLICANTO ALTIMETER RAD ALT APPLICANT 1 INDICATOR FLASHLIGHT EPSILON P GOOSENECK IOTA SUPPLY MOD 48 NUT-100 NUT, 5/16-32, HEX, ½ D X 17/64 H APPLICANT 1 GOOSENECK 49 WSH-105 LOCKWASHER, 5/16-32, (.031 THK) APPLICANT 1 GOOSENECK 50 SCR-111 SCREW, 4MM X.70 X 60MM LONG, PH APPLICANT 6 51 ELC-222 CONNECTOR APPLICANT 1 (REF) COMPASS, SEE SCHEMATIC 52 LAPTOP EPSILON CF-19FDGAXCM CF-19 1 (REF) OEM 53 SAKSAFOAM CONTROL TAU INDUSTRIES SFF (REF) OEM SPACER, ATTITUDE INDICATOR APPLICANT 1 ATTITUDE IND 55 HDW-100 CABLE HOLDER APPLICANT 1 USE W/ GOOSENECK 56 A-100 STRUCTURAL ACRYLIC ADHESIVE APPLICANT A/R USE W/ CABLE HOLDER QTY / SS NOTES
6 SECTION 2 CABIN LAYOUT FIGURE 2 (insert drawing/picture of internal cabin layout, with numbers for each light emitting equipment) TABLE (insert Table as per section 1 detailing for each number the equipment characteristics as in Table per section 1)
7 PAGE X OF X SECTION 3 EXTERNAL LIGHTING FIGURE 3 (insert drawing/picture of external lighting configuration, with numbers for each light emitting equipment) TABLE (insert Table as per section 1 detailing for each number the equipment characteristics as in Table per section 1)
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