Safety Culture 1-1 Assessment 2015 - Certifiers (A, B, C Authorisation Holders 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):

• 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

Competency Assessment Checklist:

• Ability to use information systems<br>(CC32)<br>▪️Tech News, QABs etc. - in what time period do they need to be read? <br>▪️How long are they valid? <br>▪️What is their status?<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Understanding conditions for ensuring continued airworthiness of aircraft and components<br>(CC13)<br>▪️Name the 5 conditions that must be ensured prior to signing a CRS iaw BA’s Part 145 approval.<br><br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Understanding of personnel authorisations and limitations<br>(CC15)<br>▪️Navigate to QU-Q-8-1-WI.1 and explain the scope, privileges and limitations of all lower approvals and authorisations relevant to your area.<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Ability to determine required qualifications for task performance<br>(CC19)<br>▪️What can be delegated to an LMA?<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Ability to understand work orders, work cards and use applicable maintenance data<br>(CC31)<br>▪️How are work instructions received, what maintenance data do they refer to and how do you find that maintenance data?<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Ability to confirm proper accomplishment of maintenance tasks.<br>(CC22)<br>▪️How do you check that the maintenance data is current?<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Ability to properly record and sign for work accomplished<br>(CC28)<br>▪️How do you stamp up the completed tasks? <br>▪️What paperwork do you use?<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Ability to compile and control completed workcards<br>(CC17)<br>▪️How do you control completed workcards/tech log sheets?<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Ability to process the requested work<br>(CC25)<br>▪️How do you ensure the work is distributed, certified and closed down electronically?<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Able to prioritise tasks and report discrepancies<br>(CC24)<br>▪️How do you prioritise your workload?<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Understanding critical task<br>(CC16)<br>▪️Able to access and discuss VPM and GEN35 and explain critical tasks<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Ability to split complex maintenance tasks into clear stages<br>(CC30)<br>▪️How are critical tasks prioritised and how are discrepancies reported?<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Ability to properly plan performance of critical task<br>(CC23)<br>▪️How are critical tasks planned to avoid unnecessary handovers?<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Abilty to recognise the acceptability of parts to be installed prior to fitment<br>(CC29)<br>▪️What paperwork accompanies expendables and rotables? <br>▪️What do you need to check with the part and the paperwork? <br>▪️Is the EASA form one an authority to fit? Why not?

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Ability to properly process removed and rejected parts<br>(CC27)<br>▪️How do you transact removed parts? <br>▪️What do you do with rejected parts?<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Ability to use, control and be familiar with required tooling and/or equipment<br>(CC33)<br>▪️Upkeep tool audit log. <br>▪️Knowledge of lost tool procedure.<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Ability to recognise professional attitudes and behaviours towards safety <br>(CC12)<br>▪️What are good safety attitudes and behaviours?<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Knowledge of safety risks linked to the working environment<br>(CC9)<br>▪️What things in your area might affect the safety of the aircraft?<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

• Ability to identify and rectify existing and potential unsafe conditions<br>(CC20)<br>▪️What potential unsafe conditions might you come across on the aircraft during maintenance? <br>▪️How would you report these discrepancies?<br>

  1. Competent

  2. Developing

  3. Attention Needed

  N/A

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