HDOT-AIRPORT TENANT COMPLIANCE ASSESSMENT

• 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

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

HDOT-Airport Compliance Assessment

• Name of Tenant

• Location of Tenant Space

• 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

• Photo(s)

  Media

Name & Signature of Inspector

• Name of Inspector

  Sign

• Name of Inspector

  Sign

• Name of Inspector

  Sign

• Date & Time of Follow-Up

  Date

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

  Date