Facility Check List

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Facility Reference Data (FRD)

• Are the "Commissioned Values" or "as established by flight inspection"documented?

  Yes

  No

  N/A

• Using FAA Form 6030-17 or Form 600-10?

  Yes

  No

  N/A

• Single line entry TPR?

  Yes

  No

  N/A

Modification Records:

• Are all modification current?

  Yes

  No

  N/A

• Are modifications documented correctly?

  Yes

  No

  N/A

• Does the modification serial number match the equipment serial number?

  Yes

  No

  N/A

Flight inspection Reports and associated work sheets:

• Are the flight check work sheet accurate?

  Yes

  No

  N/A

• Is the flight check report attached to the associated worksheet?

  Yes

  No

  N/A

• Ensure the derived alignment and alarm values are documented on the reference flight check worksheet.

  Yes

  No

  N/A

• Verify Validation of the established references on the subsequent flight inspection worksheet.

  Yes

  No

  N/A

Closed TPRs:

• Do closed TPRs meet the destruction standards?

  Yes

  No

  N/A

• Are the TPRs closed or terminated properly?

  Yes

  No

  N/A

• Do closed TPRs have to / from dates entered?

  Yes

  No

  N/A

• Ensure all closed TPRs meet the active TPR requirements as listed below.

  Yes

  No

  N/A

Frequency Transmitting Authority (FTA)

• Is the FTA accurate, Facility Name, Facility Type, Maximum correct?

  Yes

  No

  N/A

Changes to Orders and Technical Instruction (TI) Books

• Are the changes to the Order and TI up to date?

  Yes

  No

  N/A

• Are the changes documented on the Record of Change FAA Form 1320-5, located on the inside cover of the Order to TI?

  Yes

  No

  N/A

Active Equipment TPRs

• Are TPR tolerances initialed?

  Yes

  No

  N/A

• Are TPR tolerance limits, Nominal, Maxiimum and Minimum correct?

  Yes

  No

  N/A

• Are out of tolerance entries circled?

  Yes

  No

  N/A

• Do the circled out of tolerances entries on the TPR have correction annotated in the comments block and or a corrected entry on the next line?

  Yes

  No

  N/A

• Do the TPR serial number and equipment serial number match where applicable?

  Yes

  No

  N/A

• Are the TPR heading entries correct?

  Yes

  No

  N/A

• Are the dates and time entries entered on each line?

  Yes

  No

  N/A

• Do the TPRs have a supervisor's signature?

  Yes

  No

  N/A

• Document TPR readings and note NASTEP Evaluation in remarks box.

  Yes

  No

  N/A

General Site Condition

• Is the facility clean or cluttered?

  Yes

  No

  N/A

• Building Condition?

  Yes

  No

  N/A

• Tower and guy wire condition?

  Yes

  No

  N/A

• Antenna condition?

  Yes

  No

  N/A

• Vegetation control?

  Yes

  No

  N/A

• Fence and gate condition?

  Yes

  No

  N/A

• Equipment condition?

  Yes

  No

  N/A

• Fire extinguisher on site and inspected current?

  Yes

  No

  N/A

• Roads and ground condition?

  Yes

  No

  N/A