AIRPORT HAZARD ASSESSMENT(s)

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Certificate Holder

• Airport Name

  Select Honolulu International Airport (HIA) Hilo International Airport (ITO) Kona International Airport (KOA) Kalaeloa Airport (JRF) Dillingham Airfield (HDH) Kahului Airport (OGG) Kapalua Airport (JHM) Hana Airport (HNM) Molokai Airport (MKK) Kalaupapa Airport (LUP) Lanai Airport (LNY) Lihue Airport (LIH)

  • Honolulu International Airport (HIA)
  • Hilo International Airport (ITO)
  • Kona International Airport (KOA)
  • Kalaeloa Airport (JRF)
  • Dillingham Airfield (HDH)
  • Kahului Airport (OGG)
  • Kapalua Airport (JHM)
  • Hana Airport (HNM)
  • Molokai Airport (MKK)
  • Kalaupapa Airport (LUP)
  • Lanai Airport (LNY)
  • Lihue Airport (LIH)

• Airport Classification

  Class 1

  Class 2

  Class 3

  Class 4

• Airport ARFF Index

  Select Index A Index B Index C Index D Index E

  • Index A
  • Index B
  • Index C
  • Index D
  • Index E

• Date & Time of Assessment

  Date

Hazardous Condition 1 and Recommendation

• Hazardous Condition

• Name of Tenant

• Recommendations

Hazardous Condition 2 and Recommendation

• Hazardous Condition

• Name of Tenant

• Recommendations

Hazardous Condition 3 and Recommendation

• Hazardous Condition

• Name of Tenant

• Recommendations

Hazardous Condition 4 and Recommendation

• Hazardous Condition

• Name of Tenant

• Recommendations

Hazardous Condition 5 and Recommendation

• Hazardous Condition 5

• Name of Tenant

• Recommendations

Hazard Assessment Photo(s) Summary

• Photos

  Media

Name & Signature of Inspector

• Name of Inspector

  Sign

• Date & Time of Inspection

  Date

• Date & Time of Follow-Up

  Date

• Date of AIR-OO, AIR-O, AIR-L, AIR-LF Review

  Date