Airbase Checklist

• Airbase Name

• Conducted on

  Date

• Prepared by

• Add media

  Media

Airbase Location Details

• Address and Lat/Long
  Address

• Map

  Media

Airbase Information

• Elevation:

• CTAF Channels:

• Addition Information:

• Addition Information :

  Media

Air Base Contact Details

• Owner/Operator Name:

• Owner/Operator Main Point of Contact:

• Owner/Operator Address:

• Owner/Operator Telephone Number:

• Owner/Operator After Hours Number:

• Owner/Operator Fax Number:

• Owner/Operator Mobile Number:

• Owner/Operator Email Address:

• Owner/Operator Security Company:

• Fuel Operator Contact Details:

Medivac Details:

• Hospital Contact Details:

• Hospital Address:
  Address

• Hospital Location Map:

  Media

• Medical Centre/Doctor Contact Details:

• Medical Centre/Doctor Address:
  Address

• Medical Centre/Doctor Location Map:

  Media

• Additional Information:

Agency Contact Details:

• Local Fire Brigade Contact Details:

• Local Police Contact Details:

• Local Ambulance Contact Details:

• Additional Information:

Airbase Dangers:

• Power Lines:

  Safe

  At Risk

  N/A

• Structures:

  Safe

  At Risk

  N/A

• Public Interaction:

  Safe

  At Risk

  N/A

• Vehicles:

  Safe

  At Risk

  N/A

• Soft/Water Damaged Ground:

  Safe

  At Risk

  N/A

• Additional Information:

Airbase Layout:

• Airbase Layout:

  Media

• Evacuation Point Location:

  Media

• Water Source: