Information
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Document No.
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Prepared by
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Conducted on
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CONDUCTED AT LHR AT
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OPERATION TYPE
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AIR TEMPERATURE
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WEATHER CONDITIONS
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DRIVER NAME AND STAFF NUMBER
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OPERATOR NAME AND STAFF NUMBER
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VEHICLES USED
- DU001 under wing unit
- DU489 ebeta 12
- DU
- DU
- DU
- DU
- DU
- DU
- DU
SAMPLE CHECK (RECORD ANY CORRECTIVE ACTION TAKEN)
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Was aircraft configured correctly for fluid application
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Fluid mix
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Enter fluid ratio
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Is fluid mix correct for OAT and hold over time
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Check and record the refractive index of the fluid used
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Is the refractive index within limits
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Record temperature of the fluid applied
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Was the fluid applied as close to the aircraft as safety would allow to prevent heat loss
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Was the time taken to complete the operation acceptable
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Was the aircraft treated symmetrically
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We're any prohibited areas respected during the operation
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We're the correct procedures adhered to during the operation
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Was the final inspection performed correctly
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Was the appropriate anti-icing code communicated to the flight crew
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Was the equipment suitable for the operation
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We're the personnel competent in performing the task
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Are operatives and release staff approved
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Are station records maintained for all de-icing operations
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General observations
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Copies of this form to the station de-icing folder