Title Page

  • Site conducted

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

System, process and product

Receipt and PO

  • Has the receipt inspection been carried out IAW the exposition in relation to this product?

  • undefined

  • Is the component in appropriate condition to commence the required maintenance?

  • photographic evidence of condition of parts.

  • Has the reciept inspection process been carried out IAW the exposition?

  • explanation

  • photographic evidence.

  • Does the RO specify the approved data including revision?

  • Does the RO provide a clear scope for the required maintenance?

  • Photograph of RO

  • does the customer RO match the component?

Customer supplied parts

  • Were any customer supplied parts incorporated into the component?

  • If applicable have any customer supplied parts for inclusion into the product been received IAW the exposition?

  • has the receipt inspection been carried out?

  • photographic evidence of appropriate receipt of customer supplied parts.

  • Has correct documentation been supplied by the customer?

  • photographic evidence of customer supplied documentation.

  • Have the parts been stored and labeled correctly?

  • photographic evidence of labeling and storage of parts

  • Has the customer GRN been recorded in the BLI?

  • Photograph of 'parts replaced section'.

  • Photos of Supplied parts receipt paperwork

Shelf life limited Items used or incorporated into the product

  • Have any Shelf life limited Items been used in the maintenace of; or incorporated into the product

  • Were the Shelf life limited Items used in the maintenance of; or incorporated into the product within their listed shelf life at the time of their use or incorporation?

  • Photographic evidence of expired product used

Use of calibrated tooling by employees.

  • Was any calibrated tooling used in the course of the required maintenance within it's recorded calibration interval at the time of its use?

  • Photographic evidence of calibration status of calibrated tooling.

  • Were GSE items such as benches, assembly platforms and cages in serviceable condition and if applicable, inspected within the scheduled time period?

  • Photographic evidence of condition of work surfaces and or GSE including inspection tags if applicable.

Cleanliness of maintenance facility

  • Is the work area tidy?

  • Photographic evidence of cleanliness of work space

  • Is the product free from contaminants?

  • Is there sufficient room to carry out the required maintenance?

  • Photographic evidence of space available for maintenance.

  • Is the segregation of activities adequate?

  • Photographic evidence of segregation of activities.

  • Are hazardous waste materials disposed of IAW DEP guidelines?

  • Photographic evidence of disposal of hazardous waste.

current maintenance data

  • does the technician have access to controlled maintenance data?

  • photographic evidence of technicians controlled data including version.

  • currency of technicians controlled data against CDB

  • currency of CDB controlled data against sponsor version.

  • Does the BLI reflect the current maintenance data?

  • photographic evidence of controlled data reference in BLI

  • Are any engineering orders necessary to carry out the required maintenance?

  • Does the technician have access to the engineering order?

  • photographic evidence of engineering order.

  • undefined

  • verify currency of engineering order against holders copy

  • Is the technician aware of the procedure for reporting perceived errors in the maintenance data

  • Name of technician interviewed.

Airworthiness Directives.

  • Has the customer identified any AD requirements in their RO?

Maintenance documentation/CRS.

  • Note the current revision of the BLI and check it against the CDB,

  • Is the technicians copy of the BLI the latest version as recorded in the CDB?

  • Is the technician aware of the precedence of the approved data over the BLI?

  • Has block 1(release for maintenance) been signed by an approved person?

  • photographic evidence of the completion of block 1.

  • Is block 2 (stage of maintenance completions) signed and up to date?

  • photographic evidence of the completion of block 2.

  • Has block 3 (records of component replacements and unserviceabilitys) been correctly filled out?

  • photographic evidence of the completion of block 3.

  • Has a record of calibrated tooling used in the course of the required maintenance been made in block 3 of the BLI?

  • photographic evidence of the recording of calibrated tooling used.

  • Has block 4 (Final inspection certification) been completed by an authorised person?

  • photographic evidence of the completion of block 4 by an authorised person.

  • Is a CASA form 1 and/or ANDI report required for this type of maintenance?

  • Is the signatory to the CASA form 1 and/or report authorised for Release to Service?

  • photographic evidence of the completion of CASA form 1 and/or ANDI report by an authorised employee.

  • Is the maintenance complete?

  • Photographic evidence of the completion of maintenance.

  • Has the maintenance been carried out IAW CASA Part 42 and Part 145?

  • Explain the nature of the failure to carry out maintenance IAW the above regulations.

  • In the opinion of the subject matter expert below, is the product serviceable?

  • Name of subject matter expert.

Records for the operator.

  • Has the documentation been made available to the operator?

  • Photographic evidence of the use of the Dispatch Checklist.

  • Are other records ie. EO's, SB's, AD's, and lifed items supplied if required?

  • In the course of maintenance, were any major defects, or suspected unapproved parts identified?

  • Were the major defects and/or suspected unapproved parts handled IAW the exposition?

  • Has any part of the required maintenance been subcontracted to another person or organisation?

  • Was this captured by the use of a form 23 Request for subcontracted maintenance?

  • Photographic evidence of the use of form 23.

  • Explanation of the failure to use form 23.

  • Were any maintenance errors detected during stage of maintenance inspections or during final inspections?

  • Photographic evidence of errors found during stage of maintenance or final inspections.

  • Is the technician aware of the procedure for reporting suspected maintenance errors?

  • Name of technician interviewed.

  • Did the technician have sufficient time to complete the required maintenance?

  • Explanation of time restriction.

  • Is the technicians RTE available?

  • Photographic evidence of availability of RTE.

  • Is the technician authorised to carry out the required maintenance?

  • Photographic evidence of authorisation to carry out the required maintenance.

  • Are the technician's periodic authorisations up to date?

  • Photographic evidence of currency of periodic authorisations.

  • Is the technicians DAMP and Human Factors training current?

  • Photographic evidence of currency of DAMP and Human Factors training.

  • Is it deemed necessary to review the technicians authorisation to carry out the required maintenance at this time?

  • Name of supervisor or Responsible Manager.

  • Name of employee.

  • Photographic evidence of competence assess ment.

Compliance

  • Is the product under audit listed in the capabilities register?

  • is the exposition available on a PC to the staff member?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.