AppendixAppendix
Appendix XEASA Form 55 — Production organisation approval certificate
Appendix X
Production organisation approval certificate — EASA Form 55
Production organisation approval certificates referred to in Subpart G of Annex I (Part 21)
| [MEMBER STATE] (*) A Member of the European Union (**) PRODUCTION ORGANISATION APPROVAL CERTIFICATE Reference: [MEMBER STATE CODE (*)].21G.XXXX Pursuant to Regulation (EU) 2018/1139 of the European Parliament and of the Council and to Commission Regulation (EU) No 748/2012, for the time being in force and subject to the conditions specified below, the [COMPETENT AUTHORITY OF THE MEMBER STATE] hereby certifies: [COMPANY NAME AND ADDRESS] as a production organisation in compliance with Section A of Annex I (Part 21) to Commission Regulation (EU) No 748/2012, is approved to produce products, parts, appliances, control and monitoring units and control and monitoring unit components listed in the attached approval schedule and issue the related certificates using the above references. CONDITIONS: 1. This approval is limited to what is specified in the enclosed terms of approval. 2. This approval is subject to compliance with the procedures specified in the approved production organisation exposition. 3. This approval is valid for as long as the approved production organisation remains in compliance with Annex I (Part 21) to Commission Regulation (EU) No 748/2012. 4. Subject to compliance with the foregoing conditions, this approval shall remain valid for an unlimited period of time unless it has previously been surrendered, superseded, suspended or revoked. Date of original issue: ……………………………………………………………………………………………………………………………… Date of this revision: ……………………………………………………………………………………………………………………………….. Revision No: ……………………………………………………………………………………………………………………………………………. Signed: ……………………………………………………………………………………………………………………………………………………. For the competent authority: [COMPETENTAUTHORITY IDENTIFICATION(**)] |
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| EASA Form 55a — Issue 4 (*) Or ‘EASA’, if EASA is the competent authority. (**) Or ‘EASA’, if EASA is the competent authority. |
| [MEMBER STATE] A Member of the European Union | Terms of Approval | TA: [MEMBER STATE CODE].21G.XXXX | |
|---|---|---|---|
| This document is part of production organisation approval number [MEMBER STATE CODE].21G.XXXX issued to: Company name: | |||
| Section 1. SCOPE OF WORK: | |||
| PRODUCTION OF | PRODUCTS/CATEGORIES | ||
| For details and limitations, refer to the Production Organisation Exposition, Section xxx | |||
| Section 2. LOCATIONS: | |||
| Section 3. PRIVILEGES: | |||
| The production organisation is entitled to exercise, within its terms of approval and in accordance with the procedures of its Production Organisation Exposition, the privileges laid down in point 21.A.163, subject to the following: | |||
| [keep only applicable text] | |||
| Prior to the approval of the design of the product, the EASA Form 1 may be issued only for conformity purposes. | |||
| A statement of conformity may not be issued for a non-approved aircraft. | |||
| Maintenance may be performed, until compliance with the maintenance regulations is required, in accordance with the Production Organisation Exposition Section xxx | |||
| Permits to fly may be issued in accordance with the Production Organisation Exposition Section yyy | |||
| Date of original issue: | Signed: | ||
| Date of this revision: | |||
| Revision No.: | For [COMPETENT AUTHORITY IDENTIFICATION] | ||
EASA Form 55b - Issue 3
APPENDIX · Appendix X — Regulation (EU) No 748/2012 · Regulation (EU) 2024/1108 · Initial Airworthiness Easy Access Rules · EAR revision 27 Nov 2025