FAR 139 ARFF Station Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Airport Information

• Name of Airport

• Airport Classification

• Airport ARFF Index

• ARFF Shift-On-Duty

• Date & Time of Assessment

  Date

Airport Requirements

• Check index for the critical aircraft and schedule of operations.<br>

  Yes

  No

  N/A

• Check for appropriate firefighting equipment to meet index and agents.<br>

  Yes

  No

  N/A

• Check for sufficient personnel.<br>

  Yes

  No

  N/A

ARFF Agent Requirement

• Check vehicle and equipment readiness, including North American Emergency Response Guidebook accessibility.<br>

  Yes

  No

  N/A

• Conduct a Re-fractometer or conductivity test if the ARFF has not conducted one in the past 6 months.<br>

  Yes

  No

  N/A

• Check dry chemical testing records to verify testing has been conducted as required by the manufacturer.<br>

  Yes

  No

  N/A

• Check for procedures to address reduction in capability.<br>

  Yes

  No

  N/A

3 Minute Response Drill & ATC Communication

• Check for communications capability, including method of alert.<br>

  Yes

  No

  N/A

• Conduct 3-minute response drill, as appropriate, day light drill.<br>

  Yes

  No

  N/A

• Conduct 3-minute response drill, as appropriate, night drill.<br>

  Yes

  No

  N/A

ARFF PPE's

• Check ARFF personnel proximity suits and self-contained breathing apparatus.<br>

  Yes

  No

  N/A

• Check self-contained breathing apparatus re-service system.<br>

  Yes

  No

  N/A

ARFF Training Requirements

• Check ARFF personnel training records, "A" Shift.<br>

  Yes

  No

  N/A

• Check ARFF personnel training records, "B" Shift.<br>

  Yes

  No

  N/A

• Check ARFF personnel training records, "C" Shift.<br>

  Yes

  No

  N/A

• Check ARFF personnel for knowledge of the 11 ARFF areas contained in Section 139.319 (i) (2).<br>

  Yes

  No

  N/A

• Check ARFF personnel for NIMS knowledge base and ICS 100, 200, 300, 400 and 700 certification(s).<br>

  Yes

  No

  N/A

• Check ARFF personnel for AOA Movement Training Program (Safe Operation on Movement / Safety Area).

  Yes

  No

  N/A

• Check emergency medical technician (EMT) or medical response capability.<br>

  Yes

  No

  N/A

ARFF Live-Fire Drills

• Check records of live-fire drills, "A" Shift.<br>

  Yes

  No

  N/A

• Check records of live-fire drills, "B" Shift.<br>

  Yes

  No

  N/A

• Check records of live-fire drills, "C" Shift.<br>

  Yes

  No

  N/A

Aircraft Mobile / Stationary Fueling System Quarterly Check

• Check at least one supervisor with each fueling agent must have completed an aviation fuel training course in fire safety that is authorized by the FAA.

  Yes

  No

  N/A

• Training of fueling personnel in fire safety must be completed within 12 consecutive calendar months.

  Yes

  No

  N/A

• Check that certificate holder have obtain a written confirmation once every 12 consecutive calendar months from each airport tenant fueling agent that the training required has been accomplished.

  Yes

  No

  N/A

• Check that each Aircraft Mobile Fueling Servicing Vehicle Was Checked Quarterly, and maintain a record of that inspection for at least 12 consecutive calendar months.

  Yes

  No

  N/A

• Check that each Stationary Airport Fueling System Was Checked Quarterly, and maintain a record of that inspection for at least 12 consecutive calendar months.

  Yes

  No

  N/A

• Check to ensure certificate holder have required each tenant fueling agent to take immediate corrective action whenever the certificate holder becomes aware of noncompliance, and ensure corrective actions are accomplished within a reasonable period of time.

  Yes

  No

  N/A

Inspector(s)

• Name & Rank of Inspector & Signature

  Sign

• Senior ARFF Officer On-Duty Name & Signature

  Sign

• Assessment Date & Time

  Date

Other Findings & Mics Photos

• Other Findings

• Photo(s)

  Media