E195 Equipment Acceptance Checklist

• Conducted on

  Date

• Prepared by

AIRCRAFT REG

• Aircraft Registration

AIRSTAIR WARDROBE

• Megaphone X 1

  Yes

  No

  N/A

• Portable Oxygen Bottle and Mask X 2

  Yes

  No

  N/A

• BCF X 1

  Yes

  No

  N/A

• Smokehood X 1

  Yes

  No

  N/A

• Fire Gloves X 1

  Yes

  No

  N/A

• Fire Proof Gash Bag X 2

  Yes

  No

  N/A

• Infant Life Jacket X 12

  Yes

  No

  N/A

• Flotation Cot X 2

  Yes

  No

  N/A

• Infant / Extension Seatbelt X 12

  Yes

  No

  N/A

• First Aid Kit X 1

  Yes

  No

  N/A

• Demo Kit X 1

  Yes

  No

  N/A

• Spare Adult Life Jacket X 2

  Yes

  No

  N/A

• ELT X 1 (if applicable)

  Yes

  No

  N/A

NO.1 CREW SEAT

• Crew Life Jacket X 1

  Yes

  No

  N/A

• Emergency PA Card X 1

  Yes

  No

  N/A

• Torch X 1

  Yes

  No

  N/A

• Manual Deploy Tool X 1

  Yes

  No

  N/A

LEFT BULKHEAD

• First Aid Kit X 1

  Yes

  No

  N/A

LEFT DOGBOX

• Portable Oxygen Bottle & Mask X 1

  Yes

  No

  N/A

• BCF X 1

  Yes

  No

  N/A

• Smoke Hood X 1

  Yes

  No

  N/A

• Fire Gloves X 1

  Yes

  No

  N/A

• Demo Kit X 1

  Yes

  No

  N/A

NO.2 CREW SEAT

• Crew Lifejacket X 1

  Yes

  No

  N/A

• Emergency PA Card X 1

  Yes

  No

  N/A

• Torch X 1

  Yes

  No

  N/A

• Manual Deploy Tool X 1

  Yes

  No

  N/A

REAR GALLEY STOWAGE G3

• AED X 1

  Yes

  No

  N/A

• Firesock X 1

  Yes

  No

  N/A

NO.3 CREW SEAT

• Crew Lifejacket X 1

  Yes

  No

  N/A

• Emergency PA Card X 1

  Yes

  No

  N/A

• Torch X 1

  Yes

  No

  N/A

• Manual Deploy Tool X 1

  Yes

  No

  N/A

RIGHT DOGBOX

• Megaphone X 1

  Yes

  No

  N/A

• Portable Oxygen Bottle and Mask X 1

  Yes

  No

  N/A

• BCF X 1

  Yes

  No

  N/A

• Smokehood X 1

  Yes

  No

  N/A

• Fire Gloves X 1

  Yes

  No

  N/A

FLIGHTDECK

• BCF X 1

  Yes

  No

  N/A

• Smokehood X 1

  Yes

  No

  N/A

• Fire Gloves X 1

  Yes

  No

  N/A

• Crew Lifejacket X 3

  Yes

  No

  N/A

• Torch X 2

  Yes

  No

  N/A

• Axe X 1

  Yes

  No

  N/A

• Escape Rope X 2

  Yes

  No

  N/A

• Full Face Oxygen Mask X 3

  Yes

  No

  N/A

OTHER

• Flightdeck Door entry system

  In full working order

  Not working, needs attention

• Seat Adult Lifejacket X 118

  In full working order

  Not working, needs attention

• FWD Galley Boiler X 1

  In full working order

  Not working, needs attention

• FWD Galley Oven

  In full working order

  Not working, needs attention

• No.1 Interphone X 1

  In full working order

  Not working, needs attention

• PA pre recorded system

  In full working order

  Not working, needs attention

• FWD Galley lights

  In full working order

  Not working, needs attention

• Emergency Lights in cabin

  In full working order

  Not working, needs attention

• FWD toilet fire alarm test

  In full working order

  Not working, needs attention

• FWD Toilet Flush / Taps / fittings

  In full working order

  Not working, needs attention

• AFT toilet fire alarm teat

  In full working order

  Not working, needs attention

• No.1 Crew Seat / Belt

  In full working order

  Not working, needs attention

• Airstairs

  In full working order

  Not working, needs attention

• Overhead lockers

  In full working order

  Not working, needs attention

• Passenger Seats / Seat pockets

  In full working order

  Not working, needs attention

• Cabin lighting

  In full working order

  Not working, needs attention

• No.2 Crew Seat

  In full working order

  Not working, needs attention

• No.2 Interphone

  In full working order

  Not working, needs attention

• No.3 Crew Seat

  In full working order

  Not working, needs attention

• No.3 Interphone

  In full working order

  Not working, needs attention

• AFT Galley Boilers X 2

  In full working order

  Not working, needs attention

• AFT Toilet flush / Taps / fittings

  In full working order

  Not working, needs attention

• I confirm that all the above equipment and cabin functions have been checked to the best of my ability.

  Sign