Information
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Audit Title
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Flight Number
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Auditor
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Vendor
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Tail Number
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Station
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Gate
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OAT
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Weather Condition
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Conducted on
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Document No.
STAFFING
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List the names of SCA representatives providing deicing services. If not applicable, indicate N/A in the appropriate space.
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Vehicle
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Driver
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Bucket
FLUIDS
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Manufacturer
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Brand Name
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Type
PROCEDURES AND DOCUMENTATION
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Did SCA approve other airline deicing program? If so, acceptance on file?
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Does vendor have access to current SCA Deicing Manual?
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Does vendor have a roster indicating personnel assigned to deice SCA aircraft are current? Initial and recurrent records are required.
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Does vendor have maintenance records for equipment?
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Does vendor have an approved Deicing Plan filed with the airport?
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FOLLOW UP NOTES
FLUID ACCEPTANCE AND STORAGE
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Are fluid release documents (Certificate of Conformance or equivalent) received from the fluid manufacturer for each fluid delivery/batch and retained by the consignee for inspection, as necessary?
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Are fluid delivery checks (incoming inspection) done and records retained?
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Are fluids sampled (visual/freezepoint) prior to acceptance?
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Are storage tanks/facilities for fluids adequate and properly labeled?<br>• Stainless steel, fiberglass or plastic containers (not clear)<br>• Labeled with Type of Fluid on tanks, ports, openings<br>• No signs of corrosion or contamination<br>• Opening designed to prevent access for water or other contaminants<br>• Pumps appropriate for Type IV fluid<br>
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Storage tanks visually checked periodically?
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FOLLOW UP NOTES
EQUIPMENT
Trucks
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Maintained and in safe condition?
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Adequate communication present between driver and bucket operator?
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Fire extinguishers charged and checked within last 12 months?
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Type 1 fluid heated to appropriate temperature (140-180°F)
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Port fill intakes and tanks labeled properly?
Protective Gear
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Harnesses/lanyards inspected regularly and recorded on approved log?
Refractometers
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Tested monthly and recorded on approved log?
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FOLLOW UP NOTES
EVENT OBSERVATION
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Was refractometer check completed for Type I fluid prior to application?
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Was pre-inspection performed and communicated to crew?
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Was aircraft configured properly prior to fluid application?
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Did driver observe safe driving practices (proper speed, distance from aircraft surfaces?
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Was fluid applied properly? (top to bottom, start at pilot side when possible)
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Was post-deicing check performed properly?
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Was deicing information communicated to crew properly?
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Was deicing service logged properly?
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If non-adhering conditions, was inspection performed, communicated and logged properly?
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FOLLOW UP NOTES
TRAINING RECORDS - Deicers
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Check training records for SCA deicers. Records should be on SCA roster. Complete the information for deicers below.
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Name
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De-ice Initial Date
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De-ice Recur Date
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Records are in good order
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Corrective action is necessary
DEICE EVENT LOGS
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Review three (3) deice logs to ensure proper completion. Check for
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Event Date
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SCA Form Used
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Spaces Filled
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Appropriate Info in Forms
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Signed by Deicers
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Observed deicing practices are acceptable
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Corrective action is necessary
RESULTS SUMMARY
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Observed deicing practices are acceptable
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Corrective action is necessary
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RECOMMENDED MEASURES
FOLLOW UP
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Corrective action was reviewed with:
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Name
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Title
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Signature of GH
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Date
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No Review was Conducted