ATO.CM.002 SMS Check list mm.yy

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Size & complexity

Non Complex organisation

• EASA Ref: AMC1 ORA.GEN 220(b)

• ATO Ref: OMM 2.3

• Is the organisation a non complex organisation?

  Yes

  No

  N/A

Personnel

• EASA Ref: ORA.GEN.200

• ATO Ref: OMM1.2.1.19

Safety Manager

• Is able to demonstrate relevant knowledge in Risk Identification Management and mitigation. He/she should be able to develop Safety training programmes and information according to AMC1 ORA.GEN.200 (non-complex organisations General)

  Yes

  No

  N/A

• Is the incumbent able demonstrated a similar past position or demonstrate an aviation culture (such as a pilot licence) and is able to understand Risk and Hazard concept, is able to assess a risk and suggest a mitigation plan

  Yes

  No

  N/A

• He/She is able to collaborate with aviation expert for specific subject and be able to run a safety board and manage safety issues follow-up and Safety plan

  Yes

  No

  N/A

Safety management

• EASA Ref: ORA.GEN.200 & AMC1 ORA.GEN.200 (a)

• ATO Ref: OMM3.2/OMM3.5/OMM3.7/OMM3.7/OMM3.11/OMM3.12/ATO.SMS.005/OM4.3/OM4.4

• Is a description of the overall philosophies and principles of the organisation with regard to safety, referred to as the safety policy defined?

  Yes

  No

  N/A

• Are philosophies and principles of the organisation promoted?

  Yes

  No

  N/A

• Are Staff and Students aware of these policies?

  Yes

  No

  N/A

• the identification of aviation safety hazards entailed by the activities of the organisation, their evaluation and the management of associated risks, including taking actions to mitigate the risk and verify their effectiveness?

  Yes

  No

  N/A

• Is there a management of change defined?

  Yes

  No

  N/A

• Is there a continuous management process?

  Yes

  No

  N/A

Safety Training

• Did all personnel receive safety training as appropriate for their safety responsibilities ?

  Yes

  No

  N/A

• Is these training recorded?

  Yes

  No

  N/A

• Is this training included in the initial training course?

  Yes

  No

  N/A

Audit outcome

• Findings

• Root Cause Analysis

• Corrective Action Plan (CAP)

• Responsible for CAP

• Due date

Safety Assessment

• Is safety impacted?

  Yes

  No

  N/A

• Safety Event raised?

  Yes

  No

  N/A

• Safety event Reference

Audit performance and completion

• Has the audit been completed on time

  Yes

  No within 15 days of due date

  No beyond 15 days of due date

• Date

  Date

• Signature

  Sign