Government of _________________________ Page 1 of ______ 
OPERATIONS SPECIFICATIONS PART D  XYZ AIRLINES  AUTHORIZATION PAGE Ferry flight authorization This special flight permit with continuous authorization is (AOC) authorization to fly any aircraft listed in the Operations Specifications, that may not meet applicable airworthiness requirements but is capable of safe flight, to a base where the necessary maintenance or alterations can be performed. 1. A copy of this operations specification, or  appropriate sections of the AOC holder’s manual containing a restatement of this permit, shall be carried on board the aircraft when operating under a special flight permit. 2. Before operating an aircraft that does not meet applicable airworthiness requirements, the AOC holder shall make a determination that the aircraft can safely be flown to a station where maintenance or alterations can be performed. In addition, the AOC holder will have the aircraft inspected in accordance with procedures contained in the operator's manual and have a certificated engineer certify in the aircraft logbook that the aircraft is in safe condition for the flight as specified in the operator's manual. 3. Only flight crew members and persons essential to operations of the aircraft shall be carried aboard during ferry flights where the aircraft flight characteristics may have been altered appreciably or the flight operations affected substantially. 4. Operating mass of the aircraft must be the minimum necessary for the flight with necessary reserve fuel load. 5. Flight shall be conducted in accordance with appropriate special conditions or limitations contained in (appropriate sections or pages) of the AOC holder's manual. 6. This authorization does not permit operation of a product to which an airworthiness directive applies except in accordance with the requirements of that directive. 7. Aircraft involved in an accident or incident may not be ferried prior to notifying the CAA accident co-ordinator. 8. The AOC holder shall impose any further conditions or limitations necessary for safe flight. Effective date: _____________________ 

Figure I-11B-10. Sample authorization page —
Ferry flight authorization

Government of _________________________ Page 1 of ______ OPERATIONS SPECIFICATIONS PART D  XYZ AIRLINES  MAINTENANCE PAGE Douglas DC-XXX 
System/component  Model or P/N  Manufactur er  Overha ul period  Inspection and check period  Other 
Air conditioning  OC  A, C, D  FC @ 1D 
Turbine, air cycle  3 000  1C 
Valve, pneumatic  3 000  4C 
Filter, air  OC  1C  Clean @ 1C 
Altimeter, cabin  9 000  1C 
Control, cabin pressure  OC  1C  Replace Filter Element @ 1D 
Control, differential pressure  12 000  1C 
Regular, servo pressure  7 000  6C 
Valve, outflow  11 000  2C  1D-Replace Filter Element 
Communications  OC  A, B, C 
Fixed radio installation  OC  C 
Amplifier, isolation  AI-27  Telephonic s  2 000  C 
Transceiver HF  618T-2  Collins  OC  C 
Control, VHF  G-4817  Cables  OC  C 
communications 
Cockpit voice recorder  A-100  Fairchild  OC  C 
Equipment and furnishings  OC  B, C, D 

Evacuation slides  1 yr.  A, C 
Life vests  1 yr.  A, C 
Evacuation slide inflation  3 yr.  A, C  See Note 25.1 
bottles 
Escape ropes or straps 
(cockpit/cabin)  OC  A, C 
Megaphone  OC  A 
Flotation equipment  OC  A, C 
　
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