DOASS Publication No.14/2007
Amendment No.: Original

Civil Aviation Regulatory Commission
AIRPORT SAFETY AND STANDARDS DIRECTORATE 
AIRPORT SAFETY SELF- INSPECTION

 Foreword

1.  PURPOSE:  
This Publication provides information to airport operators on airport self-inspection programs and identifies items that should be included in such a program.

 

 2.  FOCUS:
Development of a self-inspection program, in accordance with this Publication, represents an acceptable means of compliance with the JCAR Part 139 requirements.

 

 3.  RELATED READING MATERIAL:

  1.  Jordan Civil Aviation Regulations (JCAR) Part 139, Certification and Operations of Land Airports. While the regulations in JCAR Part 139 are mandatory at certificated airports, they contain many safety practices recommended for use at all airports.
  2. JCAR Part 77, Objects Affecting Navigable Airspace.
  3. Current editions of the following Publication:
    1. CARC Publication AN 14-I, Aerodrome Design and Operation.
    2. DOASS Publication No. 13/2007, Operational Safety on Airports During Construction 
       

4. EFFECTIVE DATE.
This Publication becomes effective October 1, 2007.

Capt. Suleiman Obeidat
Chief Commissioner /CEO
Civil Aviation Regulatory Commission

 

AMENDMENT RECORD SHEET  

Amendment Number of pages Date Entered Date Effective Entered By
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Table of Contents

  CONTENTS PAGE
  FOREWORD 1
  AMENDMENT RECORD SHEET 2
  TABLE OF CONTENTS 3
     
1- BACKGROUND 4
2- RESPONSIBILITIES  4
3- KNOWLEDGE AND EQUIPMENT FOR SELF-INSPECTION 5
4- COMPONENTS OF A SAFETY SELF INSPECTION 6

5-

REGULARLY SCHEDULED INSPECTION 6
6- CONTINUOUS  SURVEILLANCE 11
7- PERIODIC  CONDITION   EVALUATION 13
8- SPECIAL INSPECTIONS 14
9- NOTICES TO AIRMEN 15
     
  APPENDICES  
  Appendix 1 17
  Appendix 2 18
  Appendix 3 19
  Appendix 4 20

 

1.   BACKGROUND:

a. While some hazardous airport conditions develop virtually instantaneously, others are gradual. It is important to have an airport safety self-inspection program that monitors specific areas so that small problems do not have the chance to grow into safety hazards.

 b. A number of airports have some form of a safety self-inspection program. The programs used vary in scope and effectiveness from verbal instructions and unscheduled and unrecorded inspections to very comprehensive inspection programs with multiple daily schedules and widely distributed responsibilities. Under JCAR Part 139, all airports which are open for public use operations of an air carrier must have an airport operating certificate. One of the requirements of JCAR Part 139 is that the operator of each certificated airport regularly conducts a daily safety self-inspection to ensure that prompt corrective action is taken to eliminate unsafe conditions on the airport. The details of the self-inspection program are spelled out in the airport certification manual.

 c. This Publication suggests components, responsibilities, and items for regularly scheduled, continuous surveillance, periodic condition and special inspections, and checklists for use during any of this airport safety self-inspection. This guidance can be modified as necessary to meet local situations. The information and suggestions in this publication serve as a basis by which airports, for certification or safety inspection purposes, may develop their own safety self-inspection programs.
 

2.  RESPONSIBILITIES:

 a. Safety Self-Inspection.
Self-inspection is a primary responsibility of the airport owner, operator, or a duly authorized representative. It is customary to assign the job of assuring overall airport ground safety to the airport manager or operations supervisor. Primary attention should be given to such operational items as pavement areas, safety areas, markings and signs, lighting, aircraft rescue and firefighting, fueling operations, navigational aids, ground vehicles, obstructions, public protection, wildlife hazard management, construction, and snow and ice control. Inspection of areas which have been assigned to individual air carriers, fixed base operators, or other tenants can be made the responsibility of the user, with airport management retaining overall inspection supervision, as management cannot delegate their responsibility for operating the airport safely.

 b. Recommended Inspection Frequency.

(1)  Regularly scheduled inspection. The airport should be inspected at least daily when activities are at a relatively low operational level in order to create the least impact on airport operations.

(2) Continuous surveillance. Those activities and facilities that have been identified to require continuous surveillance should be inspected any time personnel are in the air operations area.

(3) Periodic condition evaluation. Periodic condition evaluation of activities and facilities can be conducted on a regularly scheduled basis but less frequently than daily.
The time interval could be weekly, monthly, or quarterly depending on the activity or facility.

(4)  Special inspection. Special inspections of activities and facilities should be conducted after receipt of a complaint or when an unusual condition or unusual event occurs on the airport, such as an accident or incident.

c. Inspection Recording.
An effective safety inspection establishes procedures for reporting deficiencies so that they can be corrected. The operator should issue a Notice to Airmen (NOTAM) through the Air Traffic Management Department reporting deficient conditions which could have an immediate and critical impact on the safety of aircraft operations. When corrective actions have been taken, the NOTAM should be cancelled. For even the smallest airport, it is desirable to use a safety self-inspection checklist which constitutes a written record of conditions noted, and acts as a check on follow up actions taken. The scheduled use of a dated checklist will assure the regularity and thoroughness of safety inspections and follow up. The checklist can be an important administrative tool for airport management. It is most desirable to use a  format (see examples, Appendices 1-4)in which each inspected area of the airport complex is positively noted. Retain the checklist until indicated actions are completed. Airports certificated under JCAR Part 139 must retain the regularly scheduled inspection checklist for 6 months. Airports may use additional, specialized materials and forms, such as maintenance work orders, Notice to Airmen. (NOTAMs), fire station and first aid reports, etc.. However, the regularly scheduled inspection checklist should be the basic log indicating that safety inspection responsibilities are being met.

 d. Follow-up.
Follow-up on complaints or requests for corrective action and on all deficient items or problem areas noted during the daily inspection. Determine which problems require immediate attention and treat those with highest priority, including developing appropriate NOTAM notification.

3.  KNOWLEDGE AND EQUIPMENT FOR SELF-INSPECTION:

 Airport personnel who conduct safety self-inspections should:

  1. Know the location and types of airport facilities and airport rules and regulations.
  2. Know the standards applicable to the airport.
  3. Have a vehicle with a two-way ground control radio capable of communicating with the Air Traffic Control Tower on controlled airports: a beacon for nighttime inspections and either a beacon or checkered flag for daytime inspections.
  4. Know and use correct radio communication procedures and techniques.
  5. Be supplied with checklists covering the various inspection areas (suggested airport safety self-inspection checklists are contained in Appendices 1-4. While format of checklists vary, it is important to develop a checklist that is useful for the airport and its operation. If certain inspectors will be responsible for only certain items, separate checklists pertinent to those areas may be developed. A sketch of the airport should accompany the checklist so that the location of problems can be marked for easy identification.
  6. Review the most recently completed checklist from the previous inspection cycle prior to beginning the inspection.
  7. If construction is in progress, be familiar with the safety plan for the project.
  8. If the airport is certificated under JCAR Part 139, be familiar with the airport certification manual requirements concerning self-inspection.

4.  COMPONENTS OF A SAFETY SELF INSPECTION:

 A successful safety self-inspection program has four components:

  1. A regularly scheduled inspection of physical facilities (which must be conducted daily at JCAR Part 139 airports with an operating certificate);
  2. Continuous surveillance of certain airport activities, such as fueling operations, construction, airfield maintenance;
  3. A periodic condition evaluation program for such things as surveying approach slopes, obstructions, etc.; and
  4. Special inspections during unusual conditions or situations such as changing weather or days of unusually high flight activity.

5.  REGULARLY SCHEDULED INSPECTION:

The regularly scheduled inspection consists of specific observations of airport physical facilities on at least a daily basis. This inspection should concentrate on the areas described in this section which are also included in Appendix 1. If deficiencies exist, indicate the item and  

 Identify its location on a sketch. If necessary provide dimensions and depths. Take photographs, if appropriate, to document the condition.

 a. Pavement Areas. The condition of pavement surfaces is an important part of airport safety. Pavement inspection should be conducted before beginning flight operations to ensure pavement surfaces are clear. As a minimum, a daily inspection should be performed of all paved areas which are the responsibility of the operator or included in its Airport Operating Certificate.

 (1) Check the pavement lips-the area between full-strength pavement and shoulders or paved shoulders and safety areas-to assure that they are no greater than necessary to allow water to drain off the pavement. A lip height no greater than 4 cm. is usually sufficient to allow proper drainage. (At airports subject to JCAR Part 139, any lip exceeding 7.5 cm. is a violation.)

 (2)  Determine if there are any cracks wide enough to cause directional control problems for an aircraft. Report and monitor these cracks.

 (3)  Determine if there are any holes that could cause directional control problems for an aircraft. (At airports subject to JCAR Part 139, any hole that cannot be covered by a 15 cm. circle and the side slope at any point in the hole that exceeds 7.5 cm. in depth is 45 degrees or greater, is a violation. If the hole cannot be covered by a 15 cm. circle but the side slope at any point in the hole that exceeds 7.5 cm. in depth is less than 45 degrees, it may be a violation if it is determined to be a surface variation that could impair directional control of an air carrier aircraft.)

 (4)  Check the condition of pavement areas for scaling, spalling, bumps, low spots, and for debris that could cause foreign object damage to aircraft.

 (5)  Check for vegetation growth along runway and taxiway edges that may impede drainage from the pavement surface.

 (6)  Check for vegetation growth in cracks.

  b. Safety Areas. The inspector should know the dimensions of the runway and taxiway safety areas at the airport.

 (1)  Determine if there are any hazardous ruts, depressions, humps or variations from the normal smooth surface.

(2)  Check to ensure no object is located in a safety area, except objects that must be in the safety areas because of their functions (such as runway lights, signs, or navigational aids).

(3)  Determine if the base for any equipment in safety areas is at grade level (especially during the winter thaw) and mounted on frangible couplings.

(4)  Check to ensure that manhole and manhole covers are at grade level and mounts for light fixtures are at grade level. (At airports subject to JCAR Part 139, the frangible point must be no higher than 7.5 cm. above grade.)

(5)  Check for damage caused by rodents or other animals.

(6)    Check to ensure areas are free from vegetation using mowing machines.

  c. Markings and Signs. Airport markings and signs provide important information to pilots during takeoff, landing, and taxiing. Airport markings and signs should be standardized to avoid confusion and disorientation. The inspector should know the appropriate markings and signs at the airport.

 (1)  Check markings for correct color coding, peeling, blistering, chipping, fading, and obscurity due to rubber buildup.

 (2)  Check signs to ensure they are the correct color coding, easy to read, and that all lights are working and not obscured by vegetation, dirt, snow, etc.

 (3)  Check to see if all taxiway hold position markings and runway designation signs are in good condition from a visibility standpoint and the sign lights are working.

 (4)  Check signs to ensure they are frangibly mounted.

 (5)  Check to see that signs are not missing, that they have the correct legend and orientation, and that they have no broken panels.

  d. Lighting. At night and during periods of low visibility, lighting is important for safe airport operations. Lights come in different shapes, sizes, colors, and configurations and can be located either in the pavement or along its edges.

 (1)  Check to ensure that the following are operable, if installed, and that the optical systems are not obscured by vegetation or deposits of foreign material.

(i)  Runway and taxiway edge lights. 
(ii)  Apron edge lights. 
(iii)  Runway centerline and touchdown zone lights. 
(iv) Taxiway centerline lights.

  1. Taxiway edge or centerline reflectors.

(vi)  Guidance signs.

 (2)  Check that the following are operable, if installed:

 (i)  Floodlights. 
 (ii)  Obstruction lights. 
 (iii)  Lighting in fuel storage area.

(3)  Report all fixtures missing and lights that are not working.

(4)  Report any missing or broken light fixture lenses.

(5)  Ensure that runway and taxiway lights and runway threshold lights are the proper color and are oriented correctly.

(6) Check that lights function properly through the manual or radio control features, and that photocell controls function properly.

  e. Navigational Aids. The inspection should concentrate on the visual navigational aids owned by the airport. However, the inspector should observe any navigational aids owned or operated by others and report any observed problems immediately to the appropriate responsible owner.

 (1)  Determine if the segmented circle is clear of vegetation and that it can be seen easily from the air.

 (2)  Determine if the airport rotating beacon is visible and working properly.

 (3)  Check the wind cone to ensure that it swings freely and, if lighted, that all lights are operating.

 (4)  Determine if the Runway End Identifier Lights (REIL´s) are flashing, and mounted on frangible couplings.

 (5)  Check Visual Glide Slope Indicators (VASI´s, PLASI´s, or PAPI´s) to ensure that their lights are working and mounted on frangible couplings.

  f. Obstructions. The inspection should concentrate on a visual check of construction under-way on or near the airport that could affect aircraft operations,

 (1)  Check to ensure that construction equipment, especially tall cranes being used at construction sites, are not an obstruction. If construction is found and thought to create an obstruction, the airport should determine if proper notification to JCARC, such as is required through JCAR Part 77 or Airport Layout Plan review, has been provided.

 (2)  Determine if obstructions are properly marked and lighted.

 (3)  Any person proposing construction near a public-use airport meeting the notice requirements contained in JCAR Part 77, Objects Affecting Navigable Airspace, should be directed to the CARC/CEO.

  g. Fueling Operations. The inspection should concentrate on the fuel farm and include security, fire protection and general housekeeping, and fuel dispensing facilities and procedures.

 (1)  Check grounding clips and cables to ensure they are available and in good condition.

 (2)  Determine if the operator is permitting any unsafe fueling practices.

 (3)  Check to ensure that the appropriate signs for the fuel farm are installed and that all gates are capable of being closed and locked.

 (4)  Determine if the fuel farm is clean, not littered with debris, vegetation is not growing in or around the area, and any flammable material is removed.

 (5)  Report any leaks and fuel spills in the fuel farm.

 h. Construction. The inspection should focus on construction activities on the airport to ensure that a high level of safety is maintained.

 (1)  Determine if stockpiled materiel and construction materials are properly stored to keep them from being moved by wind, jet blast, or propwash.

 (2)  Check all construction adjacent to movement areas to ensure areas are identified with conspicuous marking and lighting.

 (3)  Determine if heavy construction equipment (such as bulldozers, cranes, etc.) are marked and lighted and parked clear of the safety areas.

 (4)  Check to determine that stockpiles and stored equipment are not left in safety areas.

 (5)  Check to ensure that debris and foreign objects are continuously being picked up around construction areas.

 i. Aircraft Rescue and Firefighting.

  (1) At applicable airports, check aircraft rescue and fire fighting equipment availability.

 (2) Determine that all required firefighting trucks are in operable condition and adequate crews are available.

(3) Insure communications systems are operable.

(4) Determine the adequacy of the fire-fighting agents on hand.

(j) Public Protection. Check gates, fencing, locks, etc., for security.

(k)  Wildlife Hazard Management. Check for dead birds or animals on the runways, taxiways, aprons, and ramps or other signs that wildlife problems may have developed - such as large flocks of birds on or adjacent to the airport.

6. CONTINUOUS  SURVEILLANCE:

Continuous surveillance consists of general observation of activities for compliance with regulations, procedures, etc., as well as abnormalities with physical facilities that are readily apparent. This is performed any time personnel are on the air operations area. Continuous surveillance of airport physical facilities and activities should cover at least the areas described in this section which are also included in Appendix 2.

 a. Ground Vehicles.

 (1)  Determine if procedures and arrangements for the orderly operations of ground vehicles (including mowing machines in the safety areas) are being followed.

 (2)  Report any deficiencies, if appropriate.

 b. Fueling Operations.

 (1)  Continuous surveillance of fueling operations should emphasize fire and explosion hazard.

 (2)  Ensure proper grounding is being used, deadman controls are not blocked, and no smoking is being observed.

c. Construction.

 (1)  Check for unauthorized use of runways, taxiways, and aprons by construction personnel and equipment.

 (2)  Keep a sharp eye out for possible opportunities of runway incursions and other irregularities.

 (3)  Check all construction projects to ensure that the Operational Plan during Construction (OPC) is being followed by the contractor.

 (4)  Ensure that construction equipment is not operated in navigational aid critical areas unless coordination with CARC has been accomplished.

 d. Public Protection.

 (1)  Be alert for unauthorized personnel, vehicles, and animals.

 (2)  Ensure gates are kept operable and clear for access by aircraft rescue and fire fighting equipment.

e. Wildlife Hazard Management.

 (1)  Note any birds or animals, such as dogs, deer, etc., on or adjacent to the runways, taxiways, aprons, and ramps to determine if there is a potential wildlife hazard problem.

 (2)  Report any potential hazard created by birds on or adjacent to the airport.

 f. Check the following for any potential problems:

 (1)  Control of pedestrian access to the movement areas.

 (2)  Loading and off-loading of passenger areas.

 (3)  Other movement areas frequented by the general public.

 (4)  Debris in movement areas.

7. PERIODIC  CONDITION   EVALUATION:

Periodic condition evaluations consist of specific checks of physical facilities on a regularly scheduled basis (but less frequently than daily). Checks may require use of equipment (e.g., Walker Bar to measure VASI glide slope angles or transit to survey approach slopes) or checking specific features of physical facilities. Periodic evaluation of airport physical facilities and activities should cover at least the areas described in this section which are also included in Appendix 3.

 a. Pavement Areas. Check pavement surfaces for rubber buildup, polishing, or other items affecting friction.

 b. Markings and signs.

 (1)  Check pavement markings to ensure they are correct and clearly visible.

 (2)  Determine if markings are visible at night, especially examine for rubber buildup in the touchdown zone areas.

 c. Lighting.

 (1)  Determine that power generator and circuit resistance tests are being conducted.

 (2)  Lights with adjustable optical systems should be checked for proper aiming.

 d. Navigational aids. Periodically check the aiming of REIL´s and Visual Glide Slope Indicators owned by the airport.

 e. Obstructions.

 (1)  Check to ensure there are no overhead power lines in the aircraft parking areas.

 (2)  Annually survey trees and other structures near the airport which could affect glide path angles, approach light lanes, or be an obstruction to JCAR Part 77 surfaces.

 f. Fueling Operations.

(1)  Quarterly inspect all fuel trucks to ensure they meet fire safety standards.

(2)  Check fire extinguishers to ensure they are B-C rated, their seals are not broken, and the gauges read the proper pressure, if installed.

(3)  Check the labeling on pipes in the fuel farm, especially at the loading platform, to ensure they are legible and properly marked.

(4)  Check grounding facilities to ensure they are adequate.

(5)  Check fuel storage tank overfill warning devices.

(6)  Quarterly inspect all physical facilities for safety against fire and explosion. Airports certificated under JCAR Part 139 are required to maintain a record of this inspection.

g. Aircraft Rescue and Fire fighting.

(1)  Periodically determine if the aircraft rescue and fire fighting equipment is capable of meeting response times, if it is required under JCAR Part 139.

(2)  Hold hot-fire drills as required by JCAR Part 139.

  1. Check to ensure the availability of adequate entry tools.

 

8.  SPECIAL INSPECTIONS.
Special inspections occur after receipt of a complaint or as triggered by an unusual condition or event. A special inspection should be conducted after an accident or incident. Depending upon circumstances, special inspections may include the inspection of any of the specific facilities or activities under the other three components. A special inspection of airport physical facilities and activities should cover at least the areas described in this section which are also included in Appendix 4.

a. Pavement areas. After a rain, check the pavement areas for ponding and edge damming.

b. Safety Areas.

(1)  Check storm sewer system to verify that inlets are not clogged and drainage channels are free of debris. Note any standing water.

(2)  Ensure all inlet covers are in place and sewer covers are at grade level.

(3)  Conduct a special inspection before re-opening a runway or taxiway following any construction or maintenance that has been performed in or around that safety area.

(4)  Any time an aircraft has left the pavement and entered a safety area check to ensure that no ruts or holes have been made by the aircraft tires or by personnel and equipment during the recovery operation.

(5)  Check for construction and maintenance activities to ensure that no hazardous conditions have been created (equipment left in safety areas, unacceptable pavement lips created by ground alteration work, ruts from mowing equipment, etc.).

 c. Markings and Signs.

(1)  Determine if markings are visible at night especially when the pavement is wet following a rain.

(2)  After construction or maintenance operations, ensure that pavement markings are correct.

 d. Snow and Ice.

  1. Several special inspections may be needed during a winter storm until the airport is back to a normal operation.
  2. Check to ensure that all foreign objects have been picked up after snow and ice removal operations.
  3. Issue braking action reports.

 e. Construction.

 (1)  Conduct night inspections to ensure that obstruction and similar warning lighting is adequate to keep aircraft away from the construction area.

 (2)  Check construction equipment to ensure that they are parked within the pre-arranged areas.

9.   NOTICES TO AIRMEN.

Ensure that if unsafe conditions are uncovered as a result of safety self inspections and corrective action can not completed immediately, appropriate NOTAMS are issued through the Air Traffic Management Department and that local airport users are aware of the situation. After reporting NOTAMS to the Air Traffic Management Department, follow-up to ensure that the NOTAMS were issued.

APPENDICES 1-4

SUGGESTED AIRPORT SAFETY SELF-INSPECTION CHECKLISTS

An airport safety self-inspection checklist should cover the condition of the facilities and equipment on the airport for it to be a part of a good safety inspection program. The checklist should be developed so that it is useful for the airport and its operation. A sketch of the airport is highly recommended to readily identify the location of problems found during the daily inspection.

The suggested checklists consist of a listing of facilities and equipment and a series of conditions that are inspected along the side of the page.

The blank squares indicate the conditions to be evaluated for each facility. A check in one of these squares would indicate that the condition of the facility and equipment was found to be satisfactory. On the other hand, an "x" in one of these squares would indicate that the condition of the facility and equipment was found to be unsatisfactory.

When an unsatisfactory condition is found:

 (1)  An "x" for each applicable square should be entered;

 (2)  A note provided in the remark section;

 (3)  The location of the condition should be identified in the airport sketch; and

  1. Appropriate follow-up action including NOTAMS should be initiated.

 

Appendix 1

REGULARLY SCHEDULED INSPECTION CHECKLIST

DATE:______________             DAY:__________________                                       √   Satisfactory

TIME: ______________            INSPECTOR:________________                            X  Unsatisfactory

FACILITES

CONDITIONS

REMARKS

 

Pavement Lip over 7.5 cm.

   

Pavement

Hole 12 cm. Diam 7.5 cm Deep

   

Areas

Cracks/Spal/Bumps

   

 

FOD: Gravel/Debris/Etc.

   

 

Ponding/Edge Dams

   

Safety

Ruts/Humps/Erosion

   

Areas

Drainage/Construction

   

 

Objects/Frangible Bases

   

Markings

Visible/Standard

   

And Signs

Hold Lines/Signs

   

 

Frangible signs

   

 

Obscured/Dirty/Faded

   

Lighting

Damaged/Missing

   

 

Inoperative

   

 

Faulty Aim/Adjustment

   

Navigational

Rotating Beacon

   

Aids

Wind Indicators

   

 

VASI/PAPI/REIL Systems

   

Obstructions

Obstruction Lights

   

 

Cranes/Trees

   

 

Fencing/Gates/Signs

   

Fueling

Fuel Marking/Labeling

   

Operations

Fire Extinguishers

   

 

Grounding Clips

   

 

Fuel Leaks/Vegetation

   

 

Surface Conditions

   

Snow & Ice

Snow bank clearance

   

 

Lights & signs obscured

   

 

NAVAIDS /Fire Access

   

 

Barricades / Lights

   

Construction

Equipment Parking

   

Aircraft Rescue &

Equipment Craw Avail

   

Firefighting (ARFF)

Communications /Alarm

   

Public

Fencing/Gates

   

Protection

Signs

   

Wildlife

Dead Birds

   

Hazards

Flocks of Birds/Aimals

   

 Airfield Map on Reverse Sid

APPENDIX 2

CONTINOUS SURVELILLANE CHECKLIST

DATE:______________             DAY:__________________                                         √  Satisfactory

TIME: ______________            INSPECTOR:________________                               X  Unsatisfactory

FACILITES

CONDITIONS

REMARKS

Ground

Rules/Procedures Followed

   

Vehicles

 

   

Fueling

Fire/Explosion Hazards

   

Operations

Ground/No Smoking

   

 

 

   

Snow & Ice

Surface Conditions

   

 

 

   

 

Safety Plan

   

Construction

Runway Incursions

   

 

Runway & Taxiway Use

   

 

 

   

 

Unauthorized Persons

   

Public

Unauthorized Vehicles

   

Protection

Gates Clear

   

 

 

   

Wildlife

Birds / Animals

   

Hazards

 

   

 

Pedestrians in Movement Area

   

Miscellaneous

Passenger Load / Unload

   

 

Debris in Movement Area

   

 

     

ADDITIONAL REMARKS:

     
       

Airfield Map on Reverse Sid

 

APPENDIX 3

PERIODIC CONDITION EVALUATION CHECKLIST

DATE:______________             DAY:__________________                                             √ Satisfactory

TIME: ______________            INSPECTOR:________________                                    X Unsatisfactory

FACILITES

CONDITIONS

REMARKS

Pavement

Rubber Deposits

   

Areas

Polishing

   

Markings

Visible/Standard

   

And Signs

 

   
 

 

   
 

Power Generator Check

   

Lighting

Circuit Resistance test

   
 

Aim/Adjustment

   
 

 

   

Navigation &

REILs /VGSI Aiming

   

Aids

 

   
 

Surveyed Trees / Structures

   

Obstructions

Check Overhead Power Lines

   
 

 

   
 

Physical Facilities

   

Fueling

Mobile Fuelers

   

Operations

Fire Extinguishers

   
 

Fuel Marking/Labeling

   
 

Grounding Clips

   

Aircraft Rescue

Response times

   

and Firefighting

Live Fire Drills

   
       

ADDITIONAL  REMARKS:

     
       

Airfield Map on Reverse Sid

 

APPENDIX 4

SPECIAL INSPECTION CHECKLIST

DATE:______________             DAY:__________________                                             √ Satisfactory

TIME: ______________            INSPECTOR:________________                                  X  Unsatisfactory

FACILITES

CONDITIONS

REMARKS

Pavement

Ponding/Edge Dams

   

Areas

Polishing

   

 

Drainage

   

Safety

Reopening Runways

   

Areas

Reopening Taxiways

   

 

 

   

Markings

Visible After Rain

   

And Signs

Standard After Construction

   

 

 

   

 

Surface Conditions

   

Snow

Snow bank Clearance

   

And Ice

Lights & Signs Obscured

   

 

FOD

   

 

Braking Action Reports

   

 

 

   

 

Barricades

   

Construction

Construction Lights

   

 

Equipment Parking

   

 

 

   

 

 

   

 

ADDITIONAL REMARKS:

 

   

 

 

   

Airfield Map on Reverse Sid