Operational Safety Evaluation

• Conducted on

  Date

• Prepared by

Select Type of Evaluation Completed

• SCCM

• Whole Crew

SCCM Name (N/A if evaluating Whole crew)

SCCM Staff No (N/A if evaluating Whole Crew)

OSE Name and Staff No

Flight No and Route

Fleet

• EF

• MF

• WW

• LGW

Aircraft Type

• A318

• A32N

• A380

• B747

• B767

• B777

• B787

Significant Factors

Executive Summary

GRADE

• Above BA Standard

• BA Standard

• Development Required

• Minimum Standard Not Met

SEP SCENARIO

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PRE-FLIGHT PREPARATION

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PRE- FLIGHT SAFETY BRIEFING

• Select from range

• Passports/ID, yellow fever certificates checked?

  Yes

  No

  N/A

• Areas of Responsibilities covered?

  Yes

  No

  N/A

• *OSE TO PROVIDE FURTHER DETAILS*

• Security covered?

  Yes

  No

  N/A

• Safety and/or Av Medical covered?

  Yes

  No

  N/A

• Acting SCCM Nominated?

  Yes

  No

  N/A

• Flight Crew informed of Acting in SCCM?

  Yes

  No

  N/A

• Which Question Banks did SCCM use?

• *OSE to document Briefing style demonstrated*

• Individual Questions

• Facilitated Discussion

• Followed Up Questions Used?

  Yes

  No

  N/A

• Was Pre-Flight safety Briefing Compliant?

  Yes

  No

  N/A

• *OSE To document Overall summary of Pre-Flight Safety Briefing*

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CRITICAL PATH

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• All crew arrived at aircraft on time?

  Yes

  No

  N/A

• Crew ready to board on time?

  Yes

  No

  N/A

• Aircraft door closed -5?

  Yes

  No

  N/A

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ON BOARD PRE-FLIGHT PREPARATION

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BOARDING

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PUSHBACK & TAXI

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TAKE OFF & INITIAL CLIMB

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CRUISE

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DESCENT

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APPROACH & LANDING

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TAXI & PARKING

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DISEMBARKING

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Cabin Service

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• 0 - Unable to Rate
  1 - Rarely
  2 - Sometimes
  3 - Normally
  4 - Always

• **NOTE TO SCCM**
  Please disregard the score %, this is a system function is not applicable to your Evaluation
  
  

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