20221003_FAA Form 1240-6_CO2DB Datasheet Template.xlsx

ICAO CO2DB

20221003_FAA Form 1240-6_CO2DB Datasheet Template.xlsx

OMB: 2120-0813

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OMB Control Number: 2120-XXXX, Expiration Date: mm/dd/yyyy



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ICAO CO2 CERTIFICATION DATABASE (CO2DB)









CO2DB Datasheet Template












Record Status: Not Applicable to the Applicant Note: This field will contain the Record Status of the CO2DB datasheet once integrated into the CO2DB. The U.S. FAA will assign and manage the Record Status. The value of the field will be either; (1) "Current" (2) "Superseded" This field will be populated in the published version of the CO2DB.


IDENTIFICATION OF AEROPLANE TYPE DESIGN:




















Aeroplane CO2DB UID:



If revised, these data supersede Aeroplane CO2DB UID:







Not Applicable to the Applicant. Note: This field will contain a Unique Identification number that will be used as primary key in the CO2DB. The U.S. FAA will assign a Unique Identification when integrating the datasheet into the CO2DB. This field will be populated in the published version of the CO2DB.




Guidance: If this CO2DB datasheet is superseding an existing CO2DB that is currently in the published version of the CO2DB, enter the aeroplane UID that this datasheet is superseding. Example (for illustration only): If infomration contained in the existing and published CO2DB datasheet with the UID "1234" needs to be revised, please enter "1234" in this field. Note: The U.S. FAA will assign an Aeroplane CO2DB Unique Identification (UID) for this (new) superseding CO2DB datasheet when integrating the datasheet into the CO2DB.


Applicant:











Guidance: - Enter wether the applicant is: (1) a Type Certifcate (TC) Holder, or (2) a Supplemental Type Certifcate (STC) Holder.


















Aeroplane:



CO2 Certification Basis:




Aeroplane Type Certificate Identification:



Primary Certificating Authority (CA):




Guidance: - Enter the Aeroplane Type Certificate Identification. Example (for illustration only): "A16WE" for a Boeing 737-800

Guidance: - Enter the name of the Primary Certificating Authority (CA) of the aeroplane. Example (for illustration only): "U.S. FAA" for a Boeing 737-800


Aeroplane Supplemental Type Certificate Identification (if applicable):



Date of CO2 Certification (yyyy-mm-dd):




Guidance: - Enter the Aeroplane Supplemental Type Certificate Identification. Example (for illustration only): "ST00830SE" for a Boeing 737-800




Guidance: Enter the date of the CO2 certification using the format yyyy-mm-dd. Example (for illustration only): "2020-01-01".


Aeroplane TC Holder:



State's Regulation:




Guidance: - Enter the name of the TC Holder (e.g., the name of the manufacturer, OEM). Example (for illustration only): "The Boeing Company" for a Boeing 737-800 Note: If the CO2DB datasheet is submitted by more than one TC Holder, please add a note in the "Remarks" section below.

Guidance: - Enter the ICAO Member State regulation related to ICAO Annex 16, Volume III. Example (for illustration only): "14 CFR Part XX"


Aeroplane STC Holder (if applicable):



Edition/Amendment:




Guidance: - If applicable enter the name of the Supplemental Type Certificate Holder (i.e., entity that holds the Supplemental Type Certificate). Example (for illustration only): "Aviation Partners Boeing" for a Boeing 737-800 Note: If the CO2DB datasheet is submitted by more than one STC Holder, please add a note in the "Remarks" section below.

Guidance: - Enter the reference of the Edition and/or Amendement of the regulation/certification requirements under which the CO2 cerfication was obtained. Example (for illustration only): "Amendement 01"


Aeroplane Type Designation:



Certification Basis:




Guidance: - Enter the Type Designation of the areoplane. Example (for illustration only): "737-800" for a Boeing 737-800



Guidance: - Enter the certification basis for which the aeroplane certification was obtained, whether it is against the ICAO CAEP/10 InProduction or the ICAO CAEP/10 New Type certification requirements.


Mod. No. / Freeform Description:









Guidance: - Enter the Model Number or Freeform Description of the aeroplane. Example (for illustration only): "737-800W Split Scimitar" for a Boeing 737-800







Number of Propulsion Engines:












Guidance: Enter the number of propulsion engines installed on the aeroplane. Note: An Auxilary Power Unit (APU) is not considered a propulsion engine and therefore should not be included.


















Engine:



Propeller (if applicable):




Engine TC Holder:



Propeller TC Holder:




Guidance: - Enter the name of the Engine Type Certificate Holder. Example (for illustration only): "CFM International, S.A." for a select Boeing 737-800

Guidance: - Enter the name of the Propeller Type Certifcate Holder. Example (for illustration only): "Dowty Propellers" for a select DHC-8 Series 400.


Engine STC Holder (if applicable):



Propeller STC Holder (if applicable):




Guidance: - If applicable enter the name of the Engine Supplemental Type Certificate (STC) Holder (i.e., entity that holds the Supplemental Type Certificate for the engine(s) mounted on the aeroplane). Example (for illustration only): "PRATT & WHITNEY" for a CFM56-3B1 engine (FAA STC SE00033EN). Note: If the CO2DB datasheet is submitted by more than one STC Holder, please add a note in the "Remarks" section below.

Guidance: - If applicable enter the name of the Propeller Supplemental Type Certificate (STC) Holder (i.e., entity that holds the Supplemental Type Certificate for the propeller(s) mounted on the engine(s)). Example (for illustration only): "AIR PLAINS SERVICES, CORPORATION" for the installation of McCauley D3A34C401/90DFA propellers. Note: If the CO2DB datasheet is submitted by more than one STC Holder, please add a note in the "Remarks" section below.


Type Designation:



Type Designation:




Guidance: - If applicable enter the Type Designation of the Engine. Example (for illustration only): "CFM56-7B27E/B1F" for a Boeing 737-800.

Guidance: - If applicable enter the Type Designation of the Propeller. Example (for illustration only): "R408/6-123-F/17" for a PW150A engine installed on a DHC-8 Series 400.


Engine Type Certificate Identification:



Propeller Type Certificate Identification:




Guidance: - If applicable enter the Type Certificate Indentification of the Engine. Example (for illustration only): "E00055EN" for a CFM56-7B27E/B1F engine installed on a Boeing 737-800.

Guidance: - If applicable enter the Type Designation of the Propeller(s). Example (for illustration only): "P-31" for a R408/6-123-F/17 propeller on a PW150A engine installed on a DHC-8 Series 400.


Engine Supplemental Type Certificate Identification (if applicable):



Propeller Supplemental Type Certificate Identification (if applicable):




Guidance: - If applicable enter the Supplemental Type Certificate Indentification of the Engine. Example (for illustration only): "FAA STC SE00033EN" for a CFM56-3B1 engine with an STC held by "PRATT & WHITNEY".

Guidance: - If applicable enter the Supplemental Type Designation of the Propeller(s). Example (for illustration only): "FAA SA00393WI" for a propeller STC (installation of McCauley D3A34C401/90DFA propellers) held by "AIR PLAINS SERVICES, CORPORATION".


Mod. No. / Freeform Description:



Mod. No. / Freeform Description:




Guidance: - If applicable enter the Model Number or Freeform Description of the Engine. Example (for illustration only): "Trent 1000-J TEN" for a Trent 1000-J3 installed on a Boeing 737-800 .

Guidance: - If applicable enter the Model Number or Freeform Description of the Propeller.













REGULATORY DATA:




















Certified CO2 MTOM (kg):


Guidance: Enter the Certified CO2 Maximum Take Off Mass (MTOM) in kilogram. Please round to the nearest kilogram. Example (for illustration only): "30000" kg.
Value rounded to nearest kilogram




CO2 Emissions Evaluation Metric Value* (kg/km):


Guidance: Enter the CO2 Emissions Evaluation Metric Value (kg/km). The value should be rounded to 3 decimal places (X.XXX) Example (for illustration only): "0.567" kg/km.
Value rounded to 3 decimal places (X.XXX)















Summary of data as per ICAO Annex 16 Volume III : Limit for this MTOM and comparison of Metric Value to this limit























Limit for this MTOM MV Percentage of this limit

Part II, Chapter 2, 2.4.2 d)-f) CAEP/10 In-Production



Part II, Chapter 2, 2.4.2 a)-c) CAEP/10 New Type





































REMARKS









1. Guidance: Enter in this section any additional relevant information that can help substantiate and clarify information contained in this CO2DB datasheet. If the length of the information entered is longer than the remark field length (i.e., more than one row is required), the row height can be adjusted manually by selecting the double vertical arrow between rows on the left hand side of the screen (i.e., section where the rows are numbered). This is also valid for any input field in the CO2DB datasheet template.


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FAA Form 1240-6 (10/2022)






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