DILLINGHAM AIRFIELD TIE-DOWN COMPLIANCE

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Airport Information

• Airport Name

  Select Honolulu International Airport (HIA) Hilo International Airport (ITO) Kona International Airport (KOA) Kalaeloa Airport (JRF) Dillingham Airfield (HDH) Kahului Airport (OGG) Kapalua Airport (JHM) Hana Airport (HNM) Molokai Airport (MKK) Kalaupapa Airport (LUP) Lanai Airport (LNY) Lihue Airport (LIH)

  • Honolulu International Airport (HIA)
  • Hilo International Airport (ITO)
  • Kona International Airport (KOA)
  • Kalaeloa Airport (JRF)
  • Dillingham Airfield (HDH)
  • Kahului Airport (OGG)
  • Kapalua Airport (JHM)
  • Hana Airport (HNM)
  • Molokai Airport (MKK)
  • Kalaupapa Airport (LUP)
  • Lanai Airport (LNY)
  • Lihue Airport (LIH)

• Airport Classification

  Class 1

  Class 2

  Class 3

  Class 4

  General Aviation

• Date & Time of Compliance Assessment

  Date

HDH Tower, Tie-down 101

HALE O'LELE CORPORATION

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Tenant Aircraft Information

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 102

HALE O'LELE CORPORATION

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 103

SAITO, ANTHONY

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 104

SKY-MED INC

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 105

SKY-MED INC

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 106

DOT-AIRPORTS DIVISION

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 107

HONOLULU SOARING CLUB INC

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 108

DOT-AIRPORTS DIVISION

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 109

DOT-AIRPORTS DIVISION

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 110

DOT-AIRPORTS DIVISION

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 111

DOT-AIRPORTS DIVISION

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 112

POFOLK AVIATION HAWAII INC

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 113

HONOLULU SOARING CLUB INC

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 114

HONOLULU SOARING CLUB INC

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 115

QUINLAN, WILLIAM

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 116

DIGNAN, PATRICK G. & EMILY C.

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 117

DOT-AIRPORTS DIVISION

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 118

DOT-AIRPORTS DIVISION

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

HDH Tower, Tie-down 119

DOT-AIRPORTS DIVISION

• Tenant Aircraft Information

• Tenant Revocable Permit Status

  Active

  in-Active

  Terminated

  No Permit On File

• Compliance Condition

• Compliance Standard, ie FAR 139, HAR, HRS, NFPA, CFR, etc

• Recommendations

Compliance Photo(s)

• Add media

  Media

Name & Signature of Inspector

• Name of Inspector

  Sign

• Date & Time of Follow-Up

  Date

• Date of AIR-PM, AIR-L, AIR-LF Review

  Date