Monthly Inspection

• Conducted on

  Date

• Prepared by

Airfield Lighting

• Fixture Condition

  Good

  Fair

  Poor

• Fixture Alignment

  Good

  Fair

  Poor

• ARCAL System Operational On All Settings (3, 5 ,7)

  Yes

  No

• PAPI Condition - check boxes for damage, clean lenses, cable condition, mounts

  Good

  Fair

  Poor

• FEC Building - generator, lock outs, damage to electrical panels

  Good

  Fair

  Poor

Pavement (Apron, Runway and Taxiways - does not include private aprons or Forestry aprons)

• Edge Lip <3'' - pavement to grass drop should not exceed 3''

  Compliant

  Non-Compliant

• Cracks / Holes / Heaves

  Safe

  At Risk

• Spalling - is pavement broken along joints or cracks?

  Yes

  No

• Ponding (Bird baths)

  Yes

  No

• Paint Markings - faded, worn out or peeling?

  Yes

  No

Safety Areas (Grass areas around runway and taxiway)

• Runway Safety Area - 40m from centerline

• Is the runway safety area free of ruts, humps and erosion

  Yes

  No

• Is drainage acceptable?

  Yes

  No

• Taxiway Safety Area - 12.5m from centerline (Taxiway A, B, C & D)

• Are the taxiway safety areas free of ruts, humps and erosion

  Yes

  No

• Is drainage acceptable?

  Yes

  No

• Are there any unauthorized objects in the safety area - parked aircraft, vehicles, trees, trailers etc?

  Yes

  No

Signs

• Lights are working?

  Yes

  No

• Any damage?

  Yes

  No

• Are signs obscured?

  Yes

  No

Navigational Aids

• Airport Beacon Operational

  Yes

  No

• Windsock Condition

  Good

  Fair

  Poor

OLS Obstructions

• Buildings - current buildings are complaint - any new structures?

  Safe

  At Risk

• Trees

  Safe

  At Risk

• Obstruction Lights - building lights not required, only AWOS towers

  Safe

  At Risk

Fencing & Gates

• Condition

  Good

  Fair

  Poor

• Gates Closed

  Yes

  No

• Signs in place - restricted access

  Yes

  No

Fueling Operations - All fueling operations

• Fire Extinguishers

  Yes

  No

• Leaks

  Yes

  No

• Tank & Cabinet Marking & Labeling

  Yes

  No

FEC Building, Terminal Building, Maintenance Shop)

• Any Safety Hazards

  Safe

  At Risk

• General Housekeeping? (Flammables stored safely? Any Tripping Hazards?)

  Safe

  At Risk

• Lighting Is Adequate?

  Safe

  At Risk

• Fire Extinguishers - check that pin is in place, needle is in the green, good condition, annual inspection complete, punch corresponding monthly tag

  Safe

  At Risk

• Check heater operation (turn off in summer)

  Safe

  At Risk

• Check oil in FEC backup generator

  Safe

  At Risk

• Check that there are no warning lights or messages on backup generator

  Safe

  At Risk

• Is doorway free from obstruction (snow etc)?

  Safe

  At Risk

Terminal Building

• Any Safety Hazards?

  Safe

  At Risk

• General Housekeeping (Any Tripping Hazards?)

  Safe

  At Risk

• Lighting Is Adequate?

  Safe

  At Risk

• Fire Extinguishers - check that pin is in place, needle is in the green, good condition, annual inspection complete, punch corresponding monthly tag

  Safe

  At Risk

• Sidewalks, stairs and ramp are free from obstructions (snow, ice etc)

  Safe

  At Risk

Maintenance Shop & Sheds

• Any Safety Hazards?

  Safe

  At Risk

• General Housekeeping? (Flammables stored safely? Any Tripping Hazards?)

  Safe

  At Risk

• Lighting Is Adequate?

  Safe

  At Risk

• Fire Extinguishers - check that pin is in place, needle is in the green, good condition, annual inspection complete, punch corresponding monthly tag

  Safe

  At Risk

• Drain water from air compressor

  Safe

  At Risk

General

• Test handheld radios - ensure they are charged and working properly.

  Safe

  At Risk

• Comments

• Employee Name

  Sign