GTF-ETP-002 ETOPS Flight Operations Approval Checklist Rev. 1

ETOPS FLIGHT OPERATIONS APPROVAL CHECK LISTForm No.: GTF-ETP-002INITIAL ISSUE /RENEWALThis form should be accompanied by GTF-ETP-001 and GTF-ETP-003Note: Observe HSE guidelines as detailed in GAP-02 Section 3.14, IMS registers EMS-F01 and GCAA-IMS-P02 F01.SECTION 1: OPERATOR’S DETAILSOrganization:AOC No.:Date:Contact Person:Location:Aircraft Type/Qty:Phone/Email: / ETOPS Diversion 90/120/180 minutesTime /RangeSECTION 2: ETOPS EVALUATIONNote: S – Satisfactory, U/S – UnsatisfactoryReferences: CAR OPS 1, CAAP 21 ETOPS, GTP-31 ETOPS, EASA AMC 20-6 ETOPS Certification andOperationNote: This form once completed is required to be submitted to DAS together with Airworthiness report.S/N REF: 2.1 ADMINISTRATIVE S U/S FINDINGS2.1.1CAAP 21- 10 (a)&AMC 20-6-10Application Letter(a) At least 3 Months prior ETOPS operationswith required supporting Data(b) Requested Maximum Diversion Time90/120/180 Minutes2.1.2 CAAP 21 Scheduled of Events2.1.3Appendix 4ofAMC 20-6-32.1.4 Airworthiness Status2.1.5AMC 20-6 –10 (a)&Appendix 7of AMC 20-6ETOPS ManualManual submission at least 30 days beforeimplementation of ETOPS FlightCompliance History*(a) Grandfather’s Clauses(b) Operator’s In-service Experience(c) Airframe/Engine Combination(d) Safety record, past performance,(e) Flight crew training/experience andmaintenance programme2.1.6 Air Operators ETOPS Policies2.1.7Air Operators Responsibility and Authorityon ETOPS(a) Personnel in charge of ETOPS for FlightOperations & Engineering(b) Qualifications Standards & Experience(c) Job Specifications/Terms of Reference(d) Delegation of Authority by Operators(e) Acknowledgement of Authority(f) Documented EvidenceDate: 12 April 2011 Revision: 1 Page 1 of 6

ETOPS FLIGHT OPERATIONS APPROVAL CHECK LISTForm No.: GTF-ETP-002S/N REF: 2.2 ETOPS PROGRAM & SYSTEM S U/S FINDINGS2.2.1 Qualified Flight Crew2.2.2 Flight Crew Duties/Flight Deck Procedures2.2.3 Qualified Dispatchers2.2.4 Dispatch or Flight Release2.2.5 Flight Watch/Flight Following Personnel2.2.6 ETOPS Certificated Aircraft2.2.7 ETOPS Fuel Policy2.2.8 Planned ETOPS Routes and Charts2.2.9CAAP 21- Pre Departure MEL10 (d)(2)2.2.10En-route Equipments before ETOPS EntryPoint (EEP)2.2.112.2.12Appendix 3ofAMC 20-6CAAP 21Suitable/Adequate En-route and DestinationAlternatesETOPS Operational Limitations/Restraints (ifany)- 10 (f)2.2.13 Documented & Written Procedures2.2.14 ETOPS Program & System Consistency2.2.15 ETOPS Program Interfaces2.2.16. Alternate Procedures* if any2.2.17 Assessment of Impacts on Procedures2.2.182.2.192.2.20Operators Voluntary Disclosure Program inthe event of non-compliancesEffectiveness of Process MeasurementMethods and Results (Accessible to GCAA)Operators Resources to Support the entireETOPS Program2.2.21 Operational Control2.2.22 Safety Program (Ground and Flight)2.2.24Flight Load Manifest/Weight and BalanceControlS/N REF: 2.3 ETOPS MANUAL S U/S FINDINGS2.3.12.3.2Appendix 4ofAMC 20-6-3CAAP 21&AMC 20-6GeneralPrint QualityClarityConciseInformation Easily LocatedDistribution & AvailabilityApproval & ControlContentsTerminologyFlight PlanningFuel Policy & Oil SupplyCommunication & Navigation FacilitiesDate: 12 April 2011 Revision: 1 Page 2 of 6

ETOPS FLIGHT OPERATIONS APPROVAL CHECK LISTForm No.: GTF-ETP-002Suitable/ Adequate/Alternate AerodromeAerodrome Performance DataFlight Crew TrainingFlight Operations Personnel/DispatcherTrainingETOPS Check ProgramOperational LimitationFlight Release LimitationETOPS Area of OperationsETOPS TASDispatch Weather MinimaTraining and Check SystemS/N REF: 2.4 TRAINING EVALUATION S U/S FINDINGS2.4.12.4.2CAAP 21-10(e)AMC 20-6- 10 e.Simulator Training ApprovalFlight Crew Training & EvaluationProgramme/Syllabus and Operating Manuala. Introduction to ETOPS Regulationsb. Routes & Aerodrome – ETOPS Area ofOperationsc. Performance(1) Flight Planning (includingContingencies)(2) Flight Performance ProgressMonitoringd. Procedures(1) Diversion Procedures & DiversionDecision Making(2) Use of Nav & Comm. Systemse. Flight Crew Initial & RecurrentTrainingf. Use of Emergency Equipmentg. Procedures in an event of change ofEn-route Alternates Conditionsh. Understanding of ETOPS CriticalComponentsi. Fuel Managementj. Refresher Training Programme2.4.3 Dispatcher Training Syllabus2.4.4 Course Notes and Materials2.4.5 ETOPS Instructor’s Competency2.4.6 Designated Check Pilot for ETOPS2.4.7 AMC 20-6 ETOPS Refresher Training ProgrammeDate: 12 April 2011 Revision: 1 Page 3 of 6

ETOPS FLIGHT OPERATIONS APPROVAL CHECK LISTForm No.: GTF-ETP-002- 10 e.(2)(H)CAAP 21 - ETOPS Check Programme2.4.810 (e)(3) (a) Standardised Flight Crew Practices &AMC 20-6 Procedures- 10 e. (3) (b) Designated Check Pilot for ETOPSS/N REF: 2. 5 OPERATION DISPATCH EVALUATION S U/S FINDINGS2.5.1 Number & Qualification of Personnel2.5.2 Communication, Equipment & Facilities2.5.3 Documentation & Record Keeping2.5.4 Flight Planning CapabilityFlight Watch SystemCAAP 21-(a) VHF/Satellite data link/SATCOM2.5.5 10 (j)(3)(b) Automated System Monitoring(c) HF2.5.6 Emergency Procedures e.g. Diversion2.5.7 Recurrent TrainingS/N REF:2.6 VALIDATION/PROVING FLIGHT(AMC 20-6 - 10 i.)S U/S FINDINGS2.6.1Flight Planning By Dispatcher & Flight Crew(a) Dispatcher Briefing(b) Flight Crew Briefing2.6.2Computerised Flight Plan (CFP)(a) ETOPS Entry Point (EEP)(b) Equi-Time Point (ETP)(c) Exit Point (EXP)2.6.3Dispatch Control – Flight ReleaseCAAP 21-Considerations10(a) MEL&(b) Forecast & En-route WeatherAMC 20-6(c) Fuel- 10 d.(d) Dispatch Weather Minima2.6.4 Flight Crew Qualification & CurrencyCAAP 21 -10Fuel and Oil Supply(a) Standard operational rules fuel2.6.5 &AMC 20-6- 10d(4)policy(b) Critical fuel reserve(c) Critical fuel scenario2.6.6CAAP 21 - Communication and Navigation Facilities102.6.7AMC 20-6 Suitable/Adequate/Alternate Aerodrome- 10d(5)2.6.8 Aerodrome Performance DataCAAP 21 - Operational Limitations2.6.910 (a) Area of Operation&AMC 20-6 (b) Flight Release Limitation- 10 f. (c) Contingency ProceduresDate: 12 April 2011 Revision: 1 Page 4 of 6

ETOPS FLIGHT OPERATIONS APPROVAL CHECK LISTForm No.: GTF-ETP-0022.6.10 Flight Crew Pre-Flight Briefing2.6.11CAR OPS 1 Flight Crew Member Flight, Rest and DutySubpart Q Time2.6.12 In-flight Normal ETOPS ProceduresIn- flight Abnormal Procedures (SimulatedScenario)(a) Before EEP – Loss of One Critical2.6.13ETOPS Component(b) Before ETP – System Failures(c) After ETP & Before EXP – Powerplant related Failure2.6.14CAAP 21 - Flight Watch/Monitoring10 (j) (3)2.6.15 En-route Facilities & Weather update2.6.16 Crew Post Flight ActionsS/N REF: 2.7 ETOPS COMPLIANCE STATEMENT S U/S FINDINGS2.7.1 Air Operators ETOPS Compliance Statement(a) GCAA U.A.E CARs(b) ICAO Annex 6 Part 1 and DOC(c) AC/AIC/CAAP/AIP*(d) Operations Specifications(e) Directives (FO & AW)(f) ManufacturersRecommendationsS/N REF: SECTION 8 ETOPS CERTIFICATION S U/S FINDINGS2.7.2 ETOPS Evaluation Report2.7.3 Temporary Approval (Prior to Proving Flight)CAAP Accelerated ETOPS (Submission of Approval21App 7 Plan at least 6 months before proposed2.7.4&AMC 20-6 ETOPS operations)*App 7 of2.7.52.7.6CAAP 21- 0&AMC 20-6- 10 g.CAAP 21 -10&AMC 20-6-10ETOPS Operational Approval (onsatisfactorily completion of Proving Flight)Ops Spec should include MaximumDiversion Time and Range for ApprovedAircraft Type & RegistrationETOPS ApprovalMaximum Diversion Time(a) 90 minutes(b) 120 minutes(c) 180 minutes (12 Consecutive months ofoperational in-service experience)*(d) >180 minutes*One-Engine-Inoperative Speed (KTAS understandards condition in still air)2.7.7 CAAP 21-11 Continued Surveillance:Date: 12 April 2011 Revision: 1 Page 5 of 6

ETOPS FLIGHT OPERATIONS APPROVAL CHECK LISTForm No.: GTF-ETP-002&AMC 20-6-11Flight Operations – ETOPS Audits and EnrouteInspections (Random and PlannedAudits)(a) Mandatory Occurrence Report forAbnormality. (Fleet Average In FlightShut Down (IFSD) Rate(b) Voyage Report that can Affect ETOPS(c) ETOPS Proving Flight Report(d) Assessment of Operator’s ETOPS Status(e) Assessment of Operation DispatchCentre and Flight Watch/FlightFollowing(f) Continuation of Training EvaluationNote 1: Airworthiness issues should be discussed with Airworthiness Inspector prior to ETOPS Proving/Auditflight.Note 2: ETOPS Approval shall be authorised and signed by Director Aviation Safety & SecurityNote 3: * If applicableSECTION 3: RESULTREMARKS:FOLLOW UP REQUIRED: YES NOETOPS APPROVAL: 90 MINS 120 MINS 180 MINS >180 MINS Specify …………Flight Operations Inspector’s Name:Chief Flight Operation’s Name:Signature:Date:Director of Aviation Safety:Signature:Date:Signature:Date:Date: 12 April 2011 Revision: 1 Page 6 of 6