Safety Culture 1-1 Assessment 2015 - Mechanics

• 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

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

• 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

• 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 recognise the acceptability of parts to be installed prior to fitment<br>(CC29)<br>▪️What paperwork should accompany expendables and rotables?<br>▪️What do you need to check with the part and the paperwork?<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

• 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 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

• 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