QU-X924 for Certifying and support staff

QU-X924 COMPETENCY ASSESSMENT FORM FOR CERTIFYING STAFF AND SUPPORT STAFF

• APPLICABLE TO HOLDERS OF A3, A4, B1, B2 OR C AUTHORISATIONS AND WORKSHOP TEAM LEADERS

• THIS ASSESSMENT IS CONDUCTED TO SATISFY THE REQUIREMENT OF QSM 145.A.30. PLEASE REFER TO QUALITY PROCEDURE QU-Q-8-15 TO VERIFY THIS ASSESSMENT FORM IS THE LATEST APPROVED REVISION.

Details of staff being assessed

• Staff ID of staff being assessed (e.g. u123456)

• Primary role of staff being assessed

• Assigned work location.

• Employment status of staff being assessed

  Contracted staff

  Permanent staff

Details of assessor

• Staff ID of assessor

• Assessors Primary Role

Details of assessment

• Assessment type

  Initial assessment

  Continual assessment

  Partial Re-assessment

• Date of assessment

  Date

• Results of last competency assessment (if applicable)

Competency assessment checklist

• Assessment scoring:
  1 - Demonstrates the required competency
  2 - Partially demonstrates the required competency OR is in the development stage of his/her role
  3 - Fails to demonstrate the required competency

• (CC13) Understands his certifying responsibilities. E.g. Able to list 3 conditions ensured prior to signing for CRS.

  1 - Competent

  2 - Developing

  3 - Attention needed

• (CC17) Able to control task cards/sheets or ramp check sheets.

  1 - Competent

  2 - Developing

  3 - Attention needed

• (CC18) Able to name two human factors that could affect his/her work on a day to day basis?

  1 - Competent

  2 - Developing

  3 - Attention needed

• (CC19) Able to navigate to scope of authorisations procedure.

  1 - Competent

  2 - Developing

  3 - Attention needed

• (CC22, CC25, CC28) Ensures maintenance task are accomplished iaw approved maintenance data, and ensures work accomplished are properly recorded and certified/stamped as completed where required.

  1 - Competent

  2 - Developing

  3 - Attention needed

• (CC23) Has knowledge of critical tasks and is able to access the vital points manual and GEN.35.

  1 - Competent

  2 - Developing

  3 - Attention needed

• (CC24) Ensures prioritisation and staging of tasks.

  1 - Competent

  2 - Developing

  3 - Attention needed

• (CC27) Ensures information are recorded for a removed unit in SAP or on a CCR form and packaging of the removed unit is appropriate for transportation.

  1 - Competent

  2 - Developing

  3 - Attention needed

• (CC29) Ensures parts are visually inspected prior to removal/fitting and appropriate documentation is attached and complete.

  1 - Competent

  2 - Developing

  3 - Attention needed

• (CC31) Able to navigate to maintenance data/work card for a task applicable to scope of work.

  1 - Competent

  2 - Developing

  3 - Attention needed

• (CC32) Can access maintenance data and BA procedures on a PC without support from others.

  1 - Competent

  2 - Developing

  3 - Attention needed

• (CC33) Ensures personal tools are controlled and a tool audit log kept up to date.

  1 - Competent

  2 - Developing

  3 - Attention needed

• (CC9, CC12, CC20) Demonstrates a professional attitude towards safety and is able to identify safety risks linked to aircraft safety or the work place.

  1 - Competent

  2 - Developing

  3 - Attention needed

Recommendations

• Additional training required

• Details of additional training required

• Supervised working required

• Details of supervised working required

• Passivation of authorisation required

• PLEASE CONTACT LOCAL QE OR THE QUALITY DEPARTMENT

• Notes

• Assessor's signoff

  Sign