Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Guidelines for use:

  • Sample set shall be a minimum of 10% of the total population to a maximum of 10 units. <br>For publications that are internet based, ensure access points are available and personnel are able to retrieve them. Examples are Company HSE manual, Canada Labor Code, etc.

Company Personnel Training Review:

Base Dispatchers:

  • Company orientation questionnaire completed in last 3 years.

  • Ensure WHMIS Training is current.

  • Valid First Aid training. (Individual is able to provide proof of current training) <br>

  • Radio Telephone communications certificat.

Apprentice Maintenance Engineers:

  • Company orientation questionnaire completed in last 3 years.<br>

  • Ensure WHMIS Training is current.

  • Valid First Aid training. (Individual is able to provide proof of current training) <br>

  • Valid H2S. (required where possibility of working on sites with H2S; every 3 years)<br>

  • Transportation of Dangerous Goods (Both By Air and Ground)

  • Apprentice Maintenance Engineer MP-3 Signing authority Cards available and current.

  • Other Training.<br>

Maintenance Engineers:

  • Company orientation questionnaire completed in last 3 years.<br>

  • Ensure WHMIS Training is current.

  • Valid First Aid training. (Individual is able to provide proof of current training) <br>

  • Valid H2S. (required where possibility of working on sites with H2S; every 3 years)<br>

  • Transportation of Dangerous Goods (Both By Air and Ground)

  • Maintenance Engineers ME-2 Signing Authority Cards available and current.<br>

  • Other Training.<br>

Pilots

  • Company orientation questionnaire completed in last 3 years.<br>

  • Ensure WHMIS Training is current.

  • Valid First Aid training. (Individual is able to provide proof of current training) <br>

  • Valid H2S. (required where possibility of working on sites with H2S; every 3 years)<br>

  • Transportation of Dangerous Goods (Both By Air and Ground)

  • Pilot's MP-3 Signing Authority Cards available and current. Ensure the card has the individuals signature on it.

  • Check for valid Transport Canada Pilot's license.

  • Check for Valid Medical. (Annually under 40 years of Age and Bi-annually over 40 years of age.)

  • Check for Valid radio operators license.

  • Other Training as applicable. (Customer required training, local site training, etc.)

  • Pilot's Company Ops Manual Available and current.

Base Operations and Documentation.

  • Local VFR maps available and current

  • Base Copy of the Canada Flight Supplement is available and Current.

  • Local Airport Emergency procedures. (Typically issued by the local Airport Authority)

  • Flight Operations Manual available and Current.

  • Passenger Manifest / Briefing Sheet available and current.( Forms should be available for the past 12 months)

  • Dangerous Good Limited access forms available and current.

  • Dangerous Goods Shipping Documents for goods carried on board our aircraft. (Minimum 2 year history kept on file)

  • Company HSE manual available. (Ensure personnel are familiar with the location and how to use it)

  • Base Ops Manual Current.

  • Demonstrate aircraft flight following used. (May be more than one method utilized)

  • Local Base Orientation current and utilized. (Ensure written documentation is available.)

  • Pilot briefing booklets. (Local area information is available and utilized.)

  • Safety meeting records. (Must be a minimum of 9 per annum.) goal is to have them posted to the crew support data base.

  • Fire Drill and emergency response plan carried out and reviewed annually. (Ensure to check base location and remote refuelling sites as weep.)

  • Ensure Workman Compensation forms and first aid forms are available on site. Show listing of on site personnel trained / designated as first aid responders.

  • Check base Safety Board. (Check posted memos / publications for currency and relevance. Ensure suitable location .

  • Designated Muster point is well marked. Ensure personnel are familiar with the location.

  • Ensure there is a designated safety representative.

  • Ensure there is a means of weighing passengers and customer cargo/gear prior to loading the aircraft.

  • Ensure monthly safety inspections have been carried out and documented. (Verify records against the crew support site postings.)

  • Run table top exercise to verify personnel familiarity with local Emergency Response Plan (time and personnel permitting)

Maintenance Facility

  • General condition of building.(Hanger Doors, Windows, Washrooms, Exterior etc)<br>

  • Electrical System, Lighting.<br>(Verify the electrical systems aren’t being over used to create a fire hazard)<br>

  • Hangar floor, workbenches.<br>

  • Maintenance office. (Ensure clean and organized)<br>

  • Flammable material storage acceptable. (Fire Resistant cabinet/s, double wall construction)

  • Compressed gas storage acceptable.<br>(Capped, not loose, pressure gauges calibrated and on tool control log)

  • Review the Current MMA Compliance Report; for overdue of compliance.<br>

  • Aviation Occupational Safety and Health Regulations onsite.

  • Fuel Spill Action Plan Phone list is completed and current.<br>(check that the phone #’s are current)<br>

  • Building Safety Equipment (Ensure the base annual and monthly inspections are carried out and documented for each item as applicable)<br>-Eye Wash Stations <br>-Portable Fire Extinguishers (Area is clear of obstructions and placarded<br>-Emergency Showers (Clear of obstruction, functioning and Placarded.)<br>-First Aid Stations. (monthly inspection, upkeep, records, location)<br>-Personal Protective Equipment is available for use and is in good condition at the appropriate locations. <br>

  • Labor code books onsite. (library controlled, issued to each base)<br>

  • Other documentation.<br>(Site maps, exit signs, safety posters/warnings, and no smoking signs)<br>

Stores Area: (Sample at least 10%)

  • Certification and traceability for all aircraft parts.<br>(Ensure the tags have the proper certification for the type P/O or W/O number)<br>

  • Shipping/receiving records present and organized.<br>(Ensure there are the packing lists used and completed correctly)<br>

  • Dangerous good shipping instructions/supplies available.<br>(Ensure the proper Dangerous goods forms are completed and stored for at least 2 years)<br>

  • Hazardous material data sheets available (CSW).<br>(Ensure the sheets are current) <br>

  • Stores shelf life control; AS400 Reports used and required action taken.<br>(Reports must be kept for 12 months)<br>

  • General tools/hardware cabinets organized and clean.<br>(Certification Traceability, PO# available)<br>

  • Ops gear stored neatly and current inspection.<br>(Current inspection tag, check tags for the for the current year)<br>

  • Quarantine stores present, organized and Secured.<br>(Ensure items in quarantine are tagged properly)<br>

Major Equipment

  • Equipment markings and condition acceptable.<br>

  • Hoist rated and certified.<br>

  • Equipment inspection and maintenance records present and current.<br>(i.e. Towing equipment, hangar door)<br>

  • Precision tools Listed. (including pool engineers)<br>

  • All required precision tools present.<br>

  • All precision tool calibration current.<br>

  • All tools listed in tool calibration log form CH-36 or on website.<br>

  • Technical library, All required aircraft, engine and regulatory publications present.<br>

  • Aircraft, engine and regulatory publication revision status current.<br>(Attach AS400 Library contents report)<br>

  • Tech library self audit completed and current.<br>

Base Fuel Management

  • Base refueling equipment in good condition.<br>

  • Base fuel system inspection record CH-48; Present and current.

  • Fuel Issue/receipt record and quantity monitoring present and current.<br>(Forms CH-47a and 47b)<br>

  • Fuel supplier audit (form CH-60, 12 months requirement).

  • Fuel spill kits complete and present.<br>

To the best of my knowledge, the information supplied above is accurate and true.

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.