Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
A-COMMAND FACTORS
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A 1.00 Does the Commander support the resourcing of adequate computer equipment to allow the safety manager to perform his assigned duties
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A 2.00 Is there a school trained ASO assigned to the TDA, TOE, MTOE authorized full-time position?
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A 3.00 Has an appropriately trained additional duty aviation safety officer been appointed in aviation organization's without authorized ASO positions and in a non-aviation organization's not Staffed with full-time safety personnel to perform required safety and accident prevention functions?
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A 4.00 Is a safety -trained in NCO or qualified individual appointed by the unit commander, in writing to assist the safety manager in aviation units?
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A 5.00 For ASO MTOE positions at brigade level and below, does the safety manager work directly for and is he or she rated by the commander? For non-MTOE positions does the additional duty safety manager have direct access to the commander?
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A 6.00 Has the commander completed the commander's safety course?
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A 7.00 Has the commander established a written commander's safety philosophy that includes goals objectives and safety positions?
B- SAFETY ADMINISTRATION
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B 1.00 Does the safety manager maintain a current library of safety regulations, accident prevention directives and instructional materials? (AC AM AS BN AT DE FS OS SB SF TO UA)
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B 2.00 Does the safety manager maintain current unit safety functional files?
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B 3.00 Are procedures for safety files and file administration established in the SOP that describe how the system is managed?
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B 4.00 Has the organization established written procedures for the safety awards program to describe the awards that are available to include impact awards, an awards budget and how the<br>program is managed? <br>
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B 5.00 Does the safety manager maintain historical documentation of awards presented to the unit and individuals
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B 6.00 Does the safety manager assist in the preparation, rehearsal, and review of the aviation and ground pre-accident plan? <br>
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B 7.00 Does the pre-accident plan specify procedures to be followed in the event of aviation and ground accidents? <br>
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B 8.00 Are procedures established to ensure the organization receives applicable safety messages for assigned aircraft, air vehicles related systems, components or repair parts?
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B 9.00 Are procedures established to ensure the organization receives applicable (non aviation) safety messages for assigned vehicles, related systems, components or repair parts?
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B 10.00 Are the responsibilities of aircrews/UAS Operators involved in accidents established in the SOP? <br>
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B 11.00 Are procedures established to integrate risk-management into aviation and ground mission planning and execution? <br>
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B 12.00 Are safety information bulletin boards established in the unit with the required items?
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B 13.00 Do the safety management portions of SOP list step-by-step procedures for accomplishing program requirements?
C- REPORTS AND INVESTIGATIONS
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C 1.00 Are administrative procedures for management and submission of accident or incident reports and investigations established in the organizations SOP?
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C 2.00 Are abbreviated aviation accident reports, abbreviated ground action reports, and unmanned aircraft system accident report submitted for all applicable mishaps and file copies maintained?
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C 3.00 Are abbreviated ground action reports submitted for all applicable mishaps and file copies maintained?
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C 4.00 (FORSCOM units ONLY) Has a memorandum been attached to each class A and B accident report documenting the actions taken or plan to implement the reports recommendations?
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C 5.00 Does the ASO review accident/incident reports/investigations and help implement corrections?
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C 6.00 Are blank operational hazard reports (OHR) (DA form 2696 –R) and DA forms 4755 (employee report of alleged and unsafe or unhealthy working conditions readily available?
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C 7.00 Is follow up action documented on operational hazard report to include the responsible commander's signature and are completed reports maintained on file for two years?
D- INFORMATION COLLECTION
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D 1.00 Are procedures for the survey and inspection programs established in the SOP?
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D 2.00 Are annual accident prevention surveys performed?
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D 3.00 Are all functional areas applicable to the organization evaluated during the annual aviation accident prevention survey?
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D 4.00 When a new program manager assumes a program management responsibility are applicable functional areas or subareas of that program surveyed documented and deficiencies entered in the units hazard tracking system?
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D 5.00 Are copies of previous safety surveys maintain on file?
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D 6.00 Are monthly FOD surveys used as a source of information to detect uncorrected hazards?
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D 7.00 Are fire risk management surveys reviewed for hazardous conditions or deficiencies to be included in the organizations tracking system?
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D 8.00 Does the ASO monitor unit aviation maintenance programs, equipment improvement reports (EIRs), product quality deficiency reports (PQDRs), safety action Messages, POL and address uncorrected hazards on the hazard tracking system? <br>
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D 9.00 does the safety manager monitor aviation life-support system to ensure all deficiencies that are not corrected by ALSS personnel are tracked on the units tracking system?
E- HAZARD ANALYSIS AND TRACKING
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E 1.00 Is the hazard identification and analysis and countermeasures implementation and control program (Hazard tracking system) established in the ?
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E 2.00 Has the organization implemented a file or log of hazards and deficiencies?
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E 3.00 Are all hazards and deficiencies detected during accident prevention surveys that are not corrected immediately or addressed by program managers, entered on the organization system DA form 4754 or equivalent?
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E 4.00 Is follow-up action taken to correct noted deficiencies?
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E 5.00 after an accident prevention survey, does the command safety Council review the results and recommend corrective actions?
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E 6.00 Does the safety manager assist the commander in tasking appropriate individuals developing courses of action and control options by tracking newly identified hazards on the hazard log?
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E 7.00 Are the organizations hazard tracking records maintained on file?<br>
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E 8.00 Does each council meeting including review of unit hazard tracking log and present an opportunity for decision-making on proposed risk control options for newly identified hazards?
F-SAFETY COUNCILS
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F 1.00 Are the procedures for the safety Council established in the SOP?
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F 2.00 Is a Command safety Council established that meets at least quarterly?
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F 3.00 Does the command safety Council include appropriate membership?
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F 4.00 Do safety Council meeting publish with action officers and suspense dates assigned to action items?
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F 5.00 Are Safety Council meeting minutes distributed to enhance corrective actions on noted deficiencies?
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F 6.00 Does the commander approve and sign the council minutes?
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F 7.00 Does the safety manager organize the Command Safety Council?
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F 8.00 Do Safety Council meeting minutes adequately reflect the activity conducted during the meeting? <br>
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F 9.00 Are safety council minutes maintained on file?
G- SAFETY EDUCATION AND TRAINING
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G 1.00 Are step-by-step procedures for the safety training meeting program established in writing?
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G 2.00 Has the commander established a safety education and training program that ensures safety training meetings are conducted monthly for full-time organizations and quarterly for all others that accomplishes training requirements?
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G 3.00 Is mandatory safety training integrated into the unit training schedule?
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G 4.00 Is a "make up" system described in the safety management SOP and implemented to ensure all personnel receive the same quality of safety training?
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G 5.00 Is documentation of safety training meetings maintain to include summaries or other methods to facilitate make up training and retained on file?
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G 6.00 Does the unit conduct safety briefings for personnel newly assigned to the unit and is it adequately addressed in the SOP to describe how the objectives are accomplished? <br>
Sign Off
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Evaluator
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Evaluator's signature