Federal Public Service Mobility and Transport

Belgian Civil Aviation Authority

Operations Directorate

ELECTRONIC FLIGHT BAG (EFB) APPLICATION FORM

This application form must be in possession of the Belgian CAA at least 30 days before the intended date of
beginning of the test period.

I. GENERAL INFORMATION

1. Operator Name:      

2. Operator address:

3. Post holder Flight OPS:

4. Post holder Crew Training:

5. Post holder Continuing airworthiness:

6. EFB Administrator:      
7. Contact e-mail      
8. Airplane make, type:      

9. Registration(s):      

10. Additional information:      

II. SCOPE

EFB: □ Initial application; or □ Additional request

Intended date of the start of the evaluation/test period:

Hardware class: □ Stowable and Viewable units or □ Mounted units

Software type: □ A & B; □ A; or □ B; ☐ miscellaneous (non-EFB) software

Power supply: □ Aircraft power used; or □ EFB battery only

Data connectivity: □ No EFB-Aircraft interface; □ Aircraft-EFB unidirectional;

or □ Aircraft-EFB bidirectional
Purpose of the EFB:      

The EFB is to be used: □ On ground □ In-flight

phases: □ Non critical phases; or □ All flight phases - EMI docs enclosed
by: □ Flight crew □ Cabin crew
III. AIRWORTHINESS

1. Aircraft modification:
□EFB has no impact on airworthiness; □EFB capability by aircraft design; or □Aircraft
modification incorporated
Modification reference:      

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Belgian Civil Aviation Authority

Operations Directorate

2. Maintenance program: □ Instructions for continued airworthiness incorporated in

AMP;
or □ No influence on AMP
3. Remark(s):      

IV. HARDWARE APPLICATION

1. Hardware platform: □ Toughbook or □ Tablet

Make, type:      

2. Data storage device installed: □ Hard disk; □ USB Stick; □ CD/DVD;

□ Memory card (SD, CF,…); □ Other*
used for EFB: □ Hard disk; □ USB Stick; □ CD/DVD;
□ Memory card (SD, CF,…); □ Other*
3. Data transfer features installed: □ USB; □ Bluetooth; □ IR; □ Firewire; □
Serial;
□ Wifi; □ Ethernet; □ Other*
used for EFB: □ USB; □ Bluetooth; □ IR; □ Firewire; □ Serial;
□ Wifi; □ Ethernet; □ Other*
4. Cursor navigation: □ Touch screen; □ Trackball; □ Touchpad;
□ Mouse; □ Keyboard; □ Other*
5. Batteries: □
Lithium batteries used - Liquid spillage issues addressed in
documentation; or
□ NO Lithium batteries used
6. Remark(s):      

V. SOFTWARE APPLICATION(S)
1. Operating system (Windows; Apple OS; MAC OS; Linux; Android; …)

Additional information:      

2. Application(s) based on: □ Manufacturer application; □ MS Office; □ Adobe PDF;

□ html; or □ Other*
Additional information:      

3. Program settings: □ by administrator only; □ by end user; or □ by administrator

+ end user

Additional information:      

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Belgian Civil Aviation Authority

Operations Directorate

4. Intensions / tasks:
□ Data presentation (Manuals); □ Data processing (Calculations)
VI. OPERATION, TRAINING, QUALIFICATION
Manual reference (Chapter, subchapter):

1. System administration
Data base update:      
2. System description:      

3. System operation:      

4. System failure
Contingency procedure:      
5. Staff initial training:      

6. Staff recurrent training:      

NOTES – references below are to the AMC 20-25

An installed EFB is managed under the aircraft type design configuration. Additional details are contained in
AMC 5.1.2. An EFB host platform installed in the aircraft and considered as an aircraft part, covered, thus,
by the aircraft airworthiness approval.
Portable EFB’s are controlled PED’s. An expanded definition of a portable EFB is found in GM1
CAT.GEN.MPA.140.
Portable EFB’s with Installed Resources are subject to airworthiness approval. Installed Resources
constitute those elements that are part of the certified aircraft configuration with the intended function to
mount the EFB to the aircraft and/or connect other systems. Refer to AMC 6.1.1.1 for examples of such.
VII. POLICY & GUIDANCE NOTES

1 Applicability
Applications from operators to use an EFB system will be considered on a case by case basis.
It will be necessary for the operator to propose the required changes to the Operations Manual and
nominate an EFB Administrator. The EFB Administrator will need to receive appropriate training and
have a good working knowledge of the proposed system hardware and operating system.
Mounting devices, Installed Resources for Portable EFB’s and Installed EFB’s require the BCAA’s
Airworthiness approval. The BCAA Airworthiness Section will evaluate all maintenance/airworthiness
factors and advise the BCAA-OPS when Airworthiness approval has been granted.
Type A applications hosted in Portable EFB’s can be used by properly trained pilots when exercising
their privileges and without the need for any notification or application for operational approval to the
BCAA. In all other cases, before using an application hosted on EFB, operators shall apply to the
BCAA for operational acceptance.
The evaluation will be conducted by the BCAA when the system hosts Type B applications or
Miscellaneous (non-EFB) software applications.

2 Application Form and Matrix

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 Federal Public Service Mobility and Transport
Belgian Civil Aviation Authority

Operations Directorate

The completed matrix below must be submitted together with the application form. The
application form and matrix must be completed with the support of AMC 20-25.
All applicants should complete Column 3 of this matrix in full. A separate matrix and application
form must be completed for different aircraft types and/or EFB model computing device.
All relevant documentation must be submitted in paper format. These should include:
● Applicable extracts from the Operations Manual Parts A, B, D, Compliance Monitoring
Manual and MEL;
Note: Instead, a dedicated ‘EFB Policy and Procedures Manual’ can be created to
include all EFB relevant information, policies and procedures. This manual will then
be considered as part of the Operations Manual suite of documentation. The manual
must be first approved by the Respective PH and Compliance Monitoring Manager.
● EMI demonstration report;
● Environment testing;
● Details of Operational Risk Analysis conducted;
● Validation result for Type B software applications;
● AFM supplement and/or STC as applicable for mounting device and installed EFB
● Amendments to maintenance programme where applicable.
The forms must be signed by the responsible Post Holder and when stated by the Compliance
Monitoring Manager.
Failure to complete the matrix may result in a delay in processing your application.
3 EFB Administrator (EFBA)
The name and surname of nominated EFB Administrator is to be stated in the Operations Manual
and shown in the company’s organisation structure. He should report to the nominated post holder
for flight operations.
Please remember that the EFBA has to be suitably qualified and have received appropriate training
to discharge his EFB duties.
4 Documents to be included with the application
Copies of all documents referred to in Column “ Reference evidence documents” of the
matrixes below should be included when returning the completed application form to the BCAA.
Original documents should not be sent, photocopies are sufficient. Do not send complete manuals,
only the relevant sections/pages will be required.

Failure to include all relevant documentation may result in a delay in processing your
application.

5 Operational Evaluation Test (7.14)

The operator is required to conduct an operational evaluation test only after the evaluation of the
application and receipt of authorisation from BCAA. The operator shall inform BCAA of the intention
to commence the operational evaluation test. Sufficient time should be given to BCAA to review the
submitted information.
The notification of the test should at least include:
 Starting date of the operational evaluation test;
 Duration;
 Aircraft Involved;
At the end of the operational evaluation test, the operator shall submit a report verifying that the
elements covered in matrix have been satisfied.
Applications replacing paper products with an initial retention of paper backup
The paper backup shall initially be retained as a backup. The operational evaluation test should
consist of an in-service proving period no longer than six months. Operators wishing to reduce this
proving period shall justify this by submitting further information. The information should at least

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Belgian Civil Aviation Authority

Operations Directorate

cover elements in 7.14.1.

6 Final Operational report (7.15)

At the end of the Operational Evaluation Test, the operator should produce and retain a final
operational report, which summaries all the activities conducted and the means of compliance used,
supporting the operational use of the EFB system. An example of typical items that the operator
should include in this report in AMC 20-25 Appendix I
7 Submissions and Enquiries
The digital version of this form 1163 and supporting documents shall be forwarded
to:ops.queries@mobilit.fgov.be

Belgian Civil Aviation Authority

Operations Directorate
Rue du Progrès 56
1210 Brussels - Belgium
Note: Please read carefully Glossary of Terms (AMC 20-25 Section 4) and System Description and
Classification of EFB systems (AMC 20-25 Section 5)

Matrixes :
Airworthiness Approval (AMC Section 6.1)
Reference evidence BCAA
Airworthiness Approval
documents Remark
Installed EFB
1 ■ Approval of Installation and Hardware
Aircraft Type Definition, Major/Minor      
Modification, Supplemental Type Certificate,
Service Bulletin). Refer to 6.1.1.2
Installed Resources
■ Installed resources such as an installed
2 remote display, a control device or docking      
station. Refer to 6.1.1.1 and subsequent
sections.

Certification documentation
3 ■ AFM Supplement for the installed EFB and/or      
Installed Resources. Refer to 6.1.2.1

■ Instructions for Continued Airworthiness

4 ■ Aircraft Maintenance Programme      
■ Installed EFB

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 Federal Public Service Mobility and Transport
Belgian Civil Aviation Authority

Operations Directorate

Operational Assessment (AMC Section 6.2)

The operator should conduct an operational evaluation test, which should allow verification
that the below elements have been satisfied before final decision on the operational use of
the EFB.
The matrix below follows the AMC 20-25 sequence for ease of reference.
Hardware Operational Assessment
Reference evidence BCAA
(Applicable to Portable EFB and certain
documents Remark
Installed Resources)
Electronic Interference (EMI) demonstrations.
Refer to 6.2.1.1.

For PED device intended to operate during all

phases of flight, the operator is responsible for
     
ensuring that the PED will not interfere with
aircraft equipment.
■ Advise which Method of compliance is
1
used. Refer to 6.2.1.1.1.

For operators intending to activate transmitting

capability of the EFB during flight other than in
those certified at aircraft level (documented in
AFM or equivalent document) the operator is
     
responsible to ensure that the T-PED will not
interfere with the operation of aircraft
equipment.
■ Advise which Test Requirement is met
and how. Refer to 6.2.1.1.2.
Batteries. Refer to 6.2.1.2
When EFB are used with rechargeable lithium
2 batteries operators should collect evidence of      
testing standards.
■ Advise to which standards the batteries
are compliant.
Power source. Refer to 6.2.1.3
3 If a power source is used, advise how      
considerations in 6.2.1.3 are certified and
evidenced.
Environmental Testing. Refer to 6.2.1.4
■ Provide test results for the hardware unit
intended for use.
4      
NOTE - New tests / results may be required
when EFB model or battery type is changed.
5 Display characteristics. Refer to 6.2.1.5      
■ Provide criteria for selection of
placement of EFB and display
characteristics.

NOTE - Additional information is found in

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Operations Directorate

6.1.1.1.2 (a) and (b).

Viewable Stowage. Refer to 6.2.1.6.

■ Document how the provisions of the
location, procedures and other factors
6 such as holding capacity are recorded.      

NOTE – this may be performed through

vibration tests available from third parties.
Software Operational Assessment Reference evidence BCAA
(Applicable to all types of EFB) documents Remark
Fill in only if you ticked Type A software
applications.
7
■ Advise how HMI and human factors guidance
     
material are followed. (Refer to Appendix D)
■ This software shall only be used by trained
pilots. (Applicable only to Portable EFB)
Fill in only if you ticked Type B software
applications.
■ This software should be assessed in
accordance with 7.2 (Risk Assessment of
8      
EFB systems)
■ If Airport Moving Map Display (AMMD) is
used, provide operational procedures. (Refer
to Appendix H)
Fill in only if you ticked Miscellaneous (non-
EFB) software applications.
■ Provide details of how these applications are
9      
managed by the EFB administrator and how
they do not adversely impact the operation of
the EFB. Refer to 6.2.2.3.
Additional Requirements
These details may be included in the Policy and Procedures Manual or in any other controlled
document which may be referenced during application phase.
Risk assessment for EFB systems (7.2) Reference evidence BCAA
(Applicable to all types of EFB) documents Remark
The operator should carry out a risk assessment
as part of its hazard identification and risk
10 management process required by
ORO.GEN.200.      
■ Provide a copy of the risk assessment,
detailing how items in 7.2.1 and 7.2.2 are
discussed.
Changes to EFB (7.3) Reference evidence BCAA
(Applicable to all types of EFB) documents Remark
Provide documentation of how changes that
11
require prior assessment and approval of BCAA
     
and those which do not require approval are
managed.

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Belgian Civil Aviation Authority

Operations Directorate

Dispatch Considerations (7.4) Reference evidence BCAA

(Applicable to all types of EFB) documents Remark
12 Dispatch considerations for EFB systems may
either be included in the Operations Manual or      
MEL. Refer to 7.4.1 for details.
Human Factors Assessment (7.5) Reference evidence BCAA
(Applicable to all types of EFB) documents Remark
Provide an assessment of the human machine
13
interface, installation and aspects governing
     
CRM when using EFB. Further elements to be
assessed are found in Appendix D.
Specific considerations for mass and
Reference evidence BCAA
balance and performance applications (7.6)
documents Remark
(Applicable to all types of EFB)
14 If aircraft mass and balance and performance
application will be managed through EFB usage,
     
these must form part of the evaluation. Further
considerations are found in Appendix F.
Flight crew operating procedures (7.7) Reference evidence BCAA
(Applicable to all types of EFB) documents Remark
Detail the below aspects:
■ Procedures for using EFB systems with
other flight crew compartment systems.
15 ■ Flight crew awareness of EFB
software/database revisions.      
■ Procedures to mitigate and/or control
workload.
■ Define flight crew responsibilities for
performance calculations.
Compliance Monitoring (7.8) Reference evidence BCAA
(Applicable to all types of EFB) documents Remark
The EFB should be included in the compliance
monitoring system as required by
16 ORO.GEN.200.
     
■ Provide evidence of compliance
manuals/sections and audit plans
specific to EFB use.
EFB system security (7.9) Reference evidence BCAA
(Applicable to all types of EFB) documents Remark
The EFB system should be secure from
17 unauthorised intervention.
■ Provide details of procedures and      
measures taken by the EFB
administrator ensure system security.
18 Electronic signatures (7.10) Reference evidence BCAA
(Applicable to all types of EFB) documents Remark

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Operations Directorate

If operator intends to use electronic signatures

to signify acceptance or authority in EFB
applications, these need to fulfil the same
     
degree of security requirement as a handwritten
one or any other form of signature it intends to
replace.
Role of EFB administrator (7.11) and EFB
Reference evidence BCAA
policy and procedures manual (7.11.1)
documents Remark
(Applicable to all types of EFB)
The role of the EFB administrator (EFBA) is a
key factor in the management of EFB systems.
Provide details of the roles/duties and
responsibilities of the administrator. These
should also include minimum training
19 requirements.
Procedures for continuity of the management in      
case of absence are also required.
The policy and procedures manual should be
controlled and be under the responsibility of the
EFBA. Document how the procedures and
layout of the manual contain those elements in
Appendix G (this is a non exhaustive list).
EFB system maintenance (7.12) Reference evidence BCAA
(Applicable to all types of EFB) documents Remark
20 Procedures should be established for the
routine maintenance of the EFB system. These
     
shall also include actions in case of failures or
unserviceability.
Flight crew training (7.13) Reference evidence BCAA
(Applicable to all types of EFB) documents Remark
Flight crew should be given specific training on
the use of EFB before it is operationally used.
Training procedures should be included in OMD.
21 ■ Provide extracts of ground training
programme and syllabus to be followed.
     
■ Provide elements that shall be assessed
during LOFT and line training sessions.

NOTE – Further guidance is found in Appendix

E.
Operational evaluation test (7.14) Reference evidence BCAA
(Applicable to all types of EFB) documents Remark
22 The operator should conduct an Operational
evaluation test (trial period) and submit a plan to      
the authority

End of document

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