PRE-INPUT SURVEY

• Registration

• Conducted on

  Date

• Prepared by

FLIGHT DECK

• General condition satisfactory

  YES

  NO

FORWARD DOOR AREA

• Lav A in good condition

  YES

  NO

• Door trims and surrounds in good condition

  YES

  NO

• Galleys 1 & 2 in good condition

  YES

  NO

• Wardrobe/lav B forward bulkhead in good condition

  YES

  NO

MAIN CABIN

• Front cabin aisle & cabin facing tedlar in good condition

  YES

  NO

• Fwd wardrobes/Lav B in good condition

  YES

  NO

• Carpets in good condition

  YES

  NO

• Baggage bins/ doors in good condition

  YES

  NO

• Dado panels in good condition

  YES

  NO

• Cabin windows & sidewall panels in good condition

  YES

  NO

• Aft cabin aisle & cabin facing tedlar in good condition

  YES

  NO

AFT DOOR AREA

• Aft lavs in good condition

  YES

  NO

• Door trims and surrounds in good condition

  YES

  NO

• Galleys in good condition

  YES

  NO

EXTERIOR AREAS

• L/H fuselage condition satis

  YES

  NO

• R/H fuselage condition satis

  YES

  NO

• Tail/empennage condition satis

  YES

  NO

• L/H wing/engine condition satis

  YES

  NO

• R/H wing/engine condition satis

  YES

  NO