Title Page

  • Conducted on

  • Prepared by

  • Location

Aerodrome:

  • Date:

  • Runway and Strip Surface

  • Are all paved areas clear and clean?

  • Are there any areas of softness or excessive grass height?

  • Are there any rutting, scouring or drainage problems?

  • Are all pavement markings visible and in good condition?

  • Are all cones and gable markers in good condition and located correctly?

  • Wind Indicators and Signal Area

  • Are windsocks visible and in good condition?

  • Do swivels require greasing?

  • Is the signal circle dark and clear?

  • Are signal and windsock areas correctly marked?

Taxiways and Apron Areas

  • Are paved areas clear and clean?

  • Are there any areas of softness or excessive grass height?

  • Are there any rutting, scouring or drainage problems?

  • Are all pavement markings visible and in good condition?

  • Are all cones and gable markers in good condition and located correctly?

Approach and Transitional Areas

  • Are there any animal or bird hazards noted in the area?

  • Are there any obstructions or infringements to approach or transitional areas?

  • Are there any unusual activities in the area which might impact on safe aerodrome operations? (Eg. Smoke, construction, drone<br>operations)<br>

  • Signed:

  • Time:

  • Remarks:

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