FAR 139 Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

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, Blue Shift.<br>

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Check ARFF personnel training records, 42 hr 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 emergency medical technician (EMT) or medical response capability.<br>

  Yes

  No

  N/A

ARFF Live-Fire Drills

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Aircraft Mobile / Stationary Fueling System Quarterly Check

• Aircraft Mobile Fueling Servicing Vehicle Check, Quarterly

  Yes

  No

  N/A

• Stationary Airport Fueling System Check, Quarterly

  Yes

  No

  N/A

Other Findings & Mics Photos

• Other Findings

• Photo 1

  Media

• Photo 2

  Media

Inspector(s)

• Name & Rank of Inspector

  Sign

• Inspection Date & Time

  Date