- NORD WIND Airlines - Internal SACA Inspection Report

• Document No.:

• Conducted on:

  Date

• Reg. N / Flight number:

• Aircraft Type:

• Destination:

• Prepared by:

• Location:
  Address

• Assisted by:

A - FLIGHT DECK

• (A1) General conditions

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (A2) Emergency exit

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (A3) Equipment

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

DOCUMENTATION

• (A4) Manuals

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (A5) Checklists

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (A6) Radio Navigation Charts

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (A7) Minimum Equipment List

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (A8) Certificate of Registration

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (A9) Noise certificate

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (A10) AOC or equivalent

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (A11) Radio Licence

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (A12) Certificate of Airworthiness

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

FLIGHT DATA

• (A13) Flight preparation

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (A14) Weight and balance sheet

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

SAFETY EQUIPMENT

• (А15) Hand Fire extinguishers

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (А16) Life jackets / Flotation devices

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (А17) Harness

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (А18) Oxygen equipment

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (А19) Flash light

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

FLIGHT CREW

• (А20) Flight crew Licence

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

JOURNEY LB/TLB OR EQUIVALENT

• (А21) Journey Log Book / TLB or equivalent

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (А22) Maintenance release

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (A23) Defect notification & rectification

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (A24) Pre-Flight Inspection

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

B - SAFETY / CABIN

• (B1) General internal condition

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (B2) C.A's station and Rest area

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (B3) FAK /MDK ( medical/first aid kit)

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (B4) Hand Fire Extinguishers

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (B5) Life jackets / Flotation Device

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (B6) Seat belts and Seat condition

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (B7) Emergency exit / Light / Mark / Torch

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (B8) Slides / Life rafts / ELT

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (B9) O2 Supply ( C.crew & pax)

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (B10) Safety instructions

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (B11) Cabin crew members

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (B12) Access to emergency exits

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (B13) Safety of pax baggage

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (B14) Seat capacity

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

C - AIRCRAFT CONDITION

• (C1) General external condition

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (C2) Doors and hatches

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (C3) Flight controls

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (C4) Wheels, tyres and Brakes

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (C5) Undercarriage

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (C6) Wheel well

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (C7) Power plant and pylon

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (C8) Fan blades

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (C9) Propellers

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (C10) Obvious repairs

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (C11) Obvious unrepaired damage

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (C12) Leakage

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

D - CARGO

• (D1) General condition

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (D2) Dangerous goods

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• (D3) Safety of cargo on board

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

E - GENERAL

• (E1) General

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• Safety ratio per inspection (0,25xCat1+Cat2+2xCat3) /I

• Overall crew performance: 1-unacceptable ; 2-poor; 3- needs improvement; 4-good, 5-excellent

• Overall Maintenance perfomance: 1-unacceptable ; 2-poor; 3-needs improvement; 4-good, 5-excellent

• Remarks if any, please list all items, use additional sheet if necessary

  Compliant

  Rmk "G"

  Cat "1"

  Cat "2"

  Cat "3"

• Inspector :

  Sign

• Safety staff:

  Sign

• Captain / Airline representative

  Sign

• Report finished

  Date