4.3 - Assignment: Airport Safety Self-Inspection Analysis
revenant33
safety_self_inspection_revised.docU.S. Department of Transportation
Federal Aviation Administration
AIRPORT SAFETY SELF-INSPECTION CHECKLIST
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DATE: |
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DAY: |
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( (p) |
Satisfactory |
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((o) |
Unsatisfactory |
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Day Inspector/Time: |
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Night Inspector/Time: |
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FACILITIES |
CONDITIONS |
D |
N |
REMARKS |
RESOLVED BY (Date/Initials |
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Pavement Areas |
Pavement lips over 3” |
FORMDROPDOWN |
FORMDROPDOWN |
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Hole – 5” diam. 3 deep |
FORMDROPDOWN |
FORMDROPDOWN |
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Cracks/spalling/heaves |
FORMDROPDOWN |
FORMDROPDOWN |
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FOD: gravel/debris/sand |
FORMDROPDOWN |
FORMDROPDOWN |
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Rubber deposits |
FORMDROPDOWN |
FORMDROPDOWN |
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Ponding/edge dams |
FORMDROPDOWN |
FORMDROPDOWN |
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FORMDROPDOWN |
FORMDROPDOWN |
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Safety Areas |
Ruts/humps/erosion |
FORMDROPDOWN |
FORMDROPDOWN |
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Drainage/construction |
FORMDROPDOWN |
FORMDROPDOWN |
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Support equipment/aircraft |
FORMDROPDOWN |
FORMDROPDOWN |
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Frangible bases |
FORMDROPDOWN |
FORMDROPDOWN |
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Unauthorized objects |
FORMDROPDOWN |
FORMDROPDOWN |
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FORMDROPDOWN |
FORMDROPDOWN |
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Markings |
Clearly visible/standard |
FORMDROPDOWN |
FORMDROPDOWN |
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Runway markings |
FORMDROPDOWN |
FORMDROPDOWN |
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Taxiway markings |
FORMDROPDOWN |
FORMDROPDOWN |
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Holding position markings |
FORMDROPDOWN |
FORMDROPDOWN |
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Glass beads |
FORMDROPDOWN |
FORMDROPDOWN |
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FORMDROPDOWN |
FORMDROPDOWN |
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Signs |
Standard/meet Sign Plan |
FORMDROPDOWN |
FORMDROPDOWN |
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Obscured/operable |
FORMDROPDOWN |
FORMDROPDOWN |
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Damaged/retroreflective |
FORMDROPDOWN |
FORMDROPDOWN |
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FORMDROPDOWN |
FORMDROPDOWN |
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Certified current 5/15/2007
FACILITIES |
CONDITIONS |
D |
N |
REMARKS |
RESOLVED BY (Date/Initials |
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Lighting |
Obscured/dirty/operable |
FORMDROPDOWN |
FORMDROPDOWN |
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Damaged/missing |
FORMDROPDOWN |
FORMDROPDOWN |
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Faulty aim/adjustment |
FORMDROPDOWN |
FORMDROPDOWN |
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Runway lighting |
FORMDROPDOWN |
FORMDROPDOWN |
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Taxiway lighting |
FORMDROPDOWN |
FORMDROPDOWN |
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Pilot control lighting |
FORMDROPDOWN |
FORMDROPDOWN |
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FORMDROPDOWN |
FORMDROPDOWN |
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Navigational Aids |
Rotating beacon operable |
FORMDROPDOWN |
FORMDROPDOWN |
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Wind Indicators |
FORMDROPDOWN |
FORMDROPDOWN |
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RENLs/VGSI systems |
FORMDROPDOWN |
FORMDROPDOWN |
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FORMDROPDOWN |
FORMDROPDOWN |
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Obstructions |
Obstruction lights operable |
FORMDROPDOWN |
FORMDROPDOWN |
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Cranes/trees |
FORMDROPDOWN |
FORMDROPDOWN |
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FORMDROPDOWN |
FORMDROPDOWN |
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Fueling Operations |
Fencing/gates/signs |
FORMDROPDOWN |
FORMDROPDOWN |
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Fuel marking/labeling |
FORMDROPDOWN |
FORMDROPDOWN |
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Fire extinguishers |
FORMDROPDOWN |
FORMDROPDOWN |
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Frayed wires |
FORMDROPDOWN |
FORMDROPDOWN |
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Fuel leaks/vegetation |
FORMDROPDOWN |
FORMDROPDOWN |
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FORMDROPDOWN |
FORMDROPDOWN |
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Snow & Ice |
Surface conditions |
FORMDROPDOWN |
FORMDROPDOWN |
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Snowbank clearances |
FORMDROPDOWN |
FORMDROPDOWN |
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Lights & signs obscured |
FORMDROPDOWN |
FORMDROPDOWN |
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NAVAIDs |
FORMDROPDOWN |
FORMDROPDOWN |
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Fire access |
FORMDROPDOWN |
FORMDROPDOWN |
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FORMDROPDOWN |
FORMDROPDOWN |
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Certified current 5/15/2007
FACILITIES |
CONDITIONS |
D |
N |
REMARKS |
RESOLVED BY (Date/Initials |
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Construction |
Barricades/lights |
FORMDROPDOWN |
FORMDROPDOWN |
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Equipment parking |
FORMDROPDOWN |
FORMDROPDOWN |
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Material stockpiles |
FORMDROPDOWN |
FORMDROPDOWN |
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Confusing signs/markings |
FORMDROPDOWN |
FORMDROPDOWN |
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FORMDROPDOWN |
FORMDROPDOWN |
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Aircraft Rescue and Fire Fighting |
Equipment/crew availability |
FORMDROPDOWN |
FORMDROPDOWN |
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Communications/Alarms |
FORMDROPDOWN |
FORMDROPDOWN |
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Response routes affected |
FORMDROPDOWN |
FORMDROPDOWN |
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FORMDROPDOWN |
FORMDROPDOWN |
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Public Protection
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Fencing/gates/signs |
FORMDROPDOWN |
FORMDROPDOWN |
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Jet blast problems |
FORMDROPDOWN |
FORMDROPDOWN |
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FORMDROPDOWN |
FORMDROPDOWN |
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Wildlife Hazards |
Wildlife present/location |
FORMDROPDOWN |
FORMDROPDOWN |
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Complying with WHMP |
FORMDROPDOWN |
FORMDROPDOWN |
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Dead birds |
FORMDROPDOWN |
FORMDROPDOWN |
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Comments/Remarks: |
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Certified current 5/15/2007 Airfield Map on Reverse Side
AIRFIELD MAP
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Certified current 5/15/2007
