Title Page
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Conducted on
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Prepared by
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Location
AUDITORS NOTE: The checklist comments must contain sufficient information so that anyone reading it will clearly understand why the question received a compliant or non-compliant, observation and not applicable answers.<br>The audit is to be carried out by observing elements of the task and interviews with individuals in the work area.
Facility Requirements - Part 145.A.25
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1. Are the facilities provided appropriate for all your work, ensuring in particular, protection from the weather elements. Are any specialized workshops and bays segregated as appropriate, to ensure that environmental and work area contamination is unlikely to occur?
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When Non-Compliant is selected add text and/or photos to give a reason.
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Reason for Non-Compliance
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2. Are all the relevant ESD protections in date and checked for the work you will be carrying out (if applicable), eg: <br> Wrist strap in use and log up to date.<br> Bench checks up to date <br> Mat clean and undamaged.
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When Non-Compliant is selected add text and/or photos to give a reason.
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Reason for Non-Compliance
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3. Is there adequate light to perform your inspections?
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When Non-Compliant is selected add text and/or photos to give a reason.
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Reason for Non-Compliance
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4. Is your workshop adequately clean and tidy to prevent the ingress of dirt and moisture?
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When Non-Compliant is selected add text and/or photos to give a reason.
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Reason for Non-Compliance
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5. Is there a member of staff accountable for the work area that you are using and do you know who they are?<br>
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When Non-Compliant is selected add text and/or photos to give a reason.
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Reason for Non-Compliance
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General Notes for Facility Requirements:
Personnel Requirements - Part 145.A.30
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1. Are your training records available, up to date and support the scope of the certifier’s authorisation?
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When Non-Compliant is selected add text and/or photos to give a reason.
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Reason for Non-Compliance
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2. Are you receiving adequate supervision from certifying staff?
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When Non-Compliant is selected add text and/or photos to give a reason.
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Reason for Non-Compliance
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3. Have you been evaluated for competence by checking on-the-job performance, testing of knowledge, training records and experience records?
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When Non-Compliant is selected add text and/or photos to give a reason.
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Reason for Non-Compliance
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4. Have you received initial and continuation training on human factors?
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When Non-Compliant is selected add text and/or photos to give a reason.
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Reason for Non-Compliance
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General Notes for Personnel Requirements:
Equipment, Tools and Materials - Part 145.A.40
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1. Are all calibrated tools and test equipment you are using controlled and calibrated with the records up to date?
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2. Ensure that all the tooling, fixtures and test equipment specified in the approved publication which you are using are available, identified, controlled in the SAP system and where applicable the equipment displays a current calibration label. <br>
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3. Are all the tools and test equipment you require adequately stored and marked?
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General Notes:
Test Equipment
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Enter Test Equipment Serial Number
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Are all the Contents listed and present?
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Is the Test Equipment Calibrated and Labelled?
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Is the Test Equipment recorded on the Workshop App?
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General Notes:
Tool Kit
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Enter Tool Kit Number
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Has the Tool Kit been correctly signed for?
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Are all tools correctly marked and accounted for?
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Are the Tools Calibrated and Labelled?
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General Notes:
Acceptance of Components - Part 145.A.42
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13. Are all components that you have certified segregated as serviceable and unserviceable?
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14. Prior to you installing a component, have you been deemed it suitable, in an acceptable state, appropriately conditioned/release and be of the correct standard?
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15. Check the EASA form 1 you created for correctness.
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16. Have you checked that the part numbers of the parts you replaced or software revisions are aligned with the applicable approved data.
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17. Have the components which you have declared to have reached their certified life limit or contain a non-repairable fault shall been classified as unsalvageable/scrap?
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General Notes:
Maintenance Publication - Part 145.A.45
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18. Is all the approved data (CMM, SAP, SB, etc) available and current for the process being audited?
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19. Are there procedures to ensure that if you find any inaccurate, incomplete or ambiguous procedure, practice, information or maintenance instruction contained in the maintenance publication it is recorded and notified to the author of the maintenance data?
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20. Do you understand the maintenance task which is to be carried out during this process?
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21. Are the tasks that you carried out appropriately closed on the SAP system when the work is completed.
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22. Have you adhered to the warnings or cautions in the publications?
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23. What procedure is in place for you to ensure that Technical Information is kept up to date?
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General Notes:
Production planning - Part 145.A.47
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24. Have you had sufficient time and resources to carry out the safe completion of the required tasks?
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General Notes:
Certification of maintenance - Part 145.A.50
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25. Have the components you have been working on been issued a certificate of release to service at the completion of any maintenance on a component whilst off the aircraft? The authorised release certificate ‘EASA Form 1’ referred to in Appendix II of Annex I (Part-M) constitutes the component certificate of release to service except if otherwise specified in point M.A.502(b) or M.A.502(e).
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General Notes:
Maintenance and Airworthiness Review Records - Part 145.A.55
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26. Have you recorded all details of maintenance work carried out?
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27. Have all the Parts, Materials and Consumable Products you used during maintenance been recorded in the Work order (eg P/No, S/No, location fitted and Batch no)
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28. If you implemented Modifications have they been approved by the customer and have they been recorded on the Form 1 and in SAP.
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29. Does the processes you use in the workshop take into effect Human Factors elements and maintenance of Electrical Wiring Interconnection Systems (EWIS)?
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30. What procedures are in place to ensure that no one person is required to self-supervise a maintenance task that involves some element of disassembly/reassembly and then repeat that same maintenance task on identical or similar systems?
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General Notes:
Safety and quality policy, maintenance procedures and quality system - Part 145.A.65
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31. Have any parts you removed been disposed of in accordance with correct procedures?
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32. Have you checked the history of the unit and any previous information taken into account in this repair?
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33. Have you ensured that the Component is correctly packaged and labelled for transport/storage as per the CMM and dangerous goods requirements.
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General Notes:
Maintenance organisation exposition - Part 145.A.70
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34. Are you aware of the MOE and where it can be located?
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35. Have you used all necessary PPE?
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General Notes:
Limitations on the organisation - Part 145.A.80
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36. If it has not been possible for you to complete the work due to a temporary capability issue (spares, tooling, test equipment, maintenance data etc) have the appropriate actions been taken to place the part in repair delay or, for more serious cases, suspend capability or outtake?
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General Notes:
Previous Audit Finding
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Any previous findings?
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Previous Audit Finding
Finding
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Audit
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Finding
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Finding Addressed?
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General Notes:
Observations during this audit
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Were any Observations detected during this audit?
Observation noted during this audit:
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Location
- Avionics Workshop
- Oxygen Workshop
- PCB Workshop
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Details:
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Were any Non Conformances detected during this audit?
Non Conformance detected during this audit:
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Location
- Avionics Workshop
- Oxygen Workshop
- PCB Workshop
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Statement of Non Conformance:
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Failure of Compliance and Evidence:
Audit Completion
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General Notes:
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Audit summary
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Signature of Workshop Manager/Supervisor
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Signature of auditor(s)
