Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

I. Pre-Inspection

  • 1. Reviewed previous inspection?

  • 1a. List issues from previous inspections that have not been addressed (explain mitigation and timeframe to correct this issue).

  • 2. Reviewed Airport Master Plan

  • 2a. List of changes to Airport Master Record (list changes by category and item numbers, give regulation or circular if applicable)

  • 3. Reviewed Airport Plan

  • 3a. Describe changes to Airport Sketch (copy of marked up sketch will be sent separately)

  • 4. Reviewed Airport Facility Directory?

  • 4a. List changes or additions that need to be made to the Airport Facility Directory.

II. Runway 17 / 35

  • 1. Length <br>1386 metres

  • 2. Width<br>30 metres

  • 3. Surface Condition

  • 4. Pavement Edge

  • 5. Runway Object Free Area / Primary Surface

  • 6. Approach paths

  • 7. Transitional Surface

  • 8. Runway Protection Zone

  • 9. Surface Gradient

  • 10. Debris

III Runway 11 / 29

  • 1. Length<br>731 metres

  • 2. Width<br>60 metres

  • 3. Surface Condition

  • 4. Edge

  • 5. Runway Object Free Area / Primary Surface

  • 6. Approach Surface

  • 7. Transitional Surface

  • 8. Runway Protection Zone

  • 9. Surface Gradient

  • 10. Debris

  • 11. Grass height

  • 12. PLA Buffer Zones

IV Taxiways

  • 1. Width

  • 2. Surface Condition

  • 3. Debris

  • 4. Edges

Apron Area

  • Surface condition

  • Debris and FOD

  • Obstruction

V Grass Area

  • 1. Dimensions Maintained

  • 2. Ruts/Surface Variations

  • 3. Drainage

  • 4. Objects in Safety Area/Frangible Mounting

  • 5. Lucerne

  • 6. Grass Height

VI Markings, Signs and Lighting

  • 1. Runway Markings

  • 2. Taxiway Centerline

  • 3. Taxiway Edge Markings

  • 4. Holding Position Markings

  • 5. Signs Identifying Taxiing Routes

  • 6. Holding Position Signs

  • 7. Signs Internally Illuminated

  • 8. Runway Lighting

  • 9. Taxiway Lighting/Reflectors

  • 10. Wind Socks

  • 11. Apron Edge Lights

  • 12. Flood Lights

Public Protection

  • Control Procedures

  • Boundary Fences

  • Boundary Access Gates

  • Fences

  • Security Gates

VII. Fuel Storage Areas

  • 1. Fencing/Locks/Signs

  • 2. Piping protected from vehicles

  • 3. No Smoking signs posted

  • 4. Deadman Controls for loading stations

  • 5. Fire Extinguishers - Inspected/Accessible

  • 6. Emergency Shutoff - Signed/Accessible

  • 7. Fuel Leaks

  • 8. Bonding wire/clips

  • 9. Grounding

  • 10. No vegetation or trash

  • 11. No evidence of smoking

VIII. Mobile Fuelers

  • 1. No Smoking sign in cab

  • 2. Flammability signs/haz mat placards all sides

  • 3. Bonding cables and clips

  • 4. Deadman control

  • 5. Fire Extinguishers - proper type/inspected

  • 6. Emergency shutoffs operable and marked

  • 7. Fuel leaks

  • 8. Vehicle exhaust system - shielded

  • 9. No evidence of smoking - no ashtray in cab

  • 10. Vehicle parking - 10' apart/50' from buildings - on pavement

iX. Traffic/Wind Indicators

  • 1. Wind sock condition

  • 2. Segmented Circle

X. Wildlife Control

  • Plover; Magpie; Hawk; Rabbit.

Terminal

  • External

  • Internal

XI. Miscellaneous Observations

  • External electricity

  • Airways power centre

  • Communications

  • Telephone land line

  • Mobile devices

  • Radios

Roading

  • Car Park

  • Ring Road

  • Road Signage

XII. NZAIP

  • Changes required

Contacts

  • Phil Parker 027 4930557

  • Colin Giles - 027 742 6729

  • Rob Sharp - 027 2312 083

  • Notam Office - 03 358 1688

  • Jeff Hamilton - Air NZ 027 246 7250

  • Kevin McDonald 027 544 5575

  • HeliPro Toby Clark 021 687 907

  • Izard Air Dan Murray 021 230 8004

  • Guy Stevenson 021 968 365

  • John Funnell 021 733 142

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.