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IAC MISSION, VISION AND INTRODUCTION
MISSIONThe Mission of the International Aviation College is to produce superior
pilots and aviation professionals with focus of SAFETY, QUALITY andRESPONSIBITY.
VISIONWe will not be just another Flight School in Africa, but THE BEST AVIATIONCOLLEGE in the Region and recognized internationally. The InternationalAviation College will utilize the most modern state of the art aircraft,classroom equipment, flight simulators and training aids; the best qualified,most experienced flight and classroom instructors and a specializedinstructional curriculum designed by experienced airline pilots andinstructors.
INTRODUCTION
THE SAFETY MANAGEMENT SYSTEM (SMS) has been prepared by the InternationalAviation College to guide all IAC personnel and students (participating (regardingIAC SAFETY POLICIES aimed at evolving, a POSTIVE SAFETY CULTURE in the college
The Manual is divided into ten (10) sections, containing information, proceduresand techniques an IAC Staff/ Students needs to know, as participants in thecolleges POSITIVE SAFETY CULTURE
The SMS is aimed at ensuring that all participants
1. Know and understand the current legislation and the need for strict compliance
to same,
2. Know and understand the principal requirements of health and safety at work
and be aware of the participants duties regarding IAC safety policies,
3. Know and understand the principles of hazard spotting, risk assessment, safety
inspection and be aware of eye defects that could interfere with hazard
spotting, perpetual problems that could interfere with hazard spotting, factors
of importance to health and safety at work and be able to report hazard and
suggest ways of tackling particular hazards,
4. Know and understand the main safety issues of new workplace technology,
5. Know and understand the interrelationship between the MAN, MISSION,
MACHINE, and the environment, and be aware of the contributions of the man,
jobs, physical environment and social environment to occupational stress and
ways of preventing or reducing stress.
All participants (IAC personnel and students must be aware that the SMS is notcreated for all conceivable situations and therefore not intended to preclude good
situation awareness, good assessment, good judgment and good decisionsregarding safety when required.
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IAC as an Approved Training Organisation has prepared this Safety ManagementManual to identify and expose risks associated with training and other services.
In preparing this manual special attention was paid to the four components and
twelve elements of Safety Management System.
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The Manual has dealt with the following
A) Identifying safety hazardsB) Ensuring the implementation and remedial action necessary to maintain
agreed safety performanceC) Providing for continuous monitoring and regular assessment of the safetyperformance and arrive at continuous improvement of the overallperformance of the safety management system.This Manual had defined lines of safety accountability throughout the IAC
including direct accountability for safety on the part of senior managementand all the rest of the staff in general.
FRAME WORK FOR THE SAFETY MANAGEMENT SYSTEM
The Manual is produced as guidance for the implementation of safety
management system.
The implementation of the frame work is commensurate with the size of IAC andthe complexity of Training specification to be approved.
Any questions or comments about the content of this manual can be directed toRector Accountable Manager
Contributions and possible corrections are always welcome.
The Rector is accountable for the contents and amendments of this manual, whenso issued.
______________________________________
Accountable Manager / Rector.Captain Kenneth Hawkins.Ilorin International Airport,Ilorin .E-mail [email protected]
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CHAPTER 0
INTRODUCTION
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LIST OF EFFECTIVE PAGES
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DISTRIBUTION LIST
COPY NO. ISSUED TO LOCATION
0 MASTER COPY QM
1 Accountable Manager/Rector Rector
2 Quality Manager QM
3 NCAA NCAA
4 Chief Flight Instructor CFI
5 Chief Engineer CE
6 Head Of Training HT
7 BRIEFING ROOM Briefing
8
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DEFINITIONS
College Refers directly to International Aviation College.
Cost Activities, both direct and indirect, involving any negative
impact, including time, money, labour, disruption, and goodwill,
political or intangible losses.#
Hazard A source of potential harm or a situation with a potential to
cause loss.
Likelihood Used as a qualitative description of probability or frequency.
Monitor To check, supervise, observe critically, or record the progress of
an activity or system on a regular basis in order to identify state
or change.
Probability The likelihood of a specific outcome.
Risk The chance of something happening that will have an impact upon
objectives. It is measured in terms of consequences or
likelihood.
Risk Analysis A systematic use of available information to determine how
often specified events may occur and the magnitude of their
consequences.
Risk AssessmentThe overall process of risk analysis and evaluation.
Risk Level The level of risk calculated as a function of likelihood and
consequences.
Risk Management The culture, processes and structures that are directed
towards the effective management of College activities and
their adverse effects.
Safety Management The comprehensive identification, assessment and
control of the risks associated with Flight Operations, Ground
Operations, Aircraft Maintenance and other activities carried out
by the Colleges staff and sub-contractors, in order to achievethe highest levels of safety performance
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ABBREVIATIONS
AME Aviation Maintenance Engineer
ASR Aviation Safety Reporting
ATCO Air Traffic Controller
ATO Approved Training Organization
ATPL Airline Transport Pilot Licence
CFI Chief Flight Instructor
CGI Chief Ground Instructor
CPL Commercial Pilot Licence
CRM Crew Resource Management
FE Flight Engineer
H Helicopter
IAC International Aviation College
IFR Instrument Flight Rules
ICAO International Civil Aviation Organization
MMEL Master Minimum Equipment List
PIC Pilot In Command
POH Pilot Operating Handbook
PPL Private Pilot License
RT Radiotelephony
SMS Safety Management System
VFR Visual Flight Rules
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GLOSSARY OF TERMS
Throughout the SAFETY MANAGEMENT SYSTEM Manuals, the followings when used have
the meanings attaching hereto:
1. Shall Indicates a requirement mandatory upon the college
2. The words no person may or a person may not mean that no person is
required, authorised, or permitted to do an act described in these Manuals.
3. May indicates that discretion can be used when performing an act described in the
Manuals.
4. Will indicates an action incumbent upon the College
5. Approved means the document, method, procedure, or policy in question has been
approved or received the approval of the Authority
6. Acceptable means the method, procedure, or policy in question has received no-
objection acceptance from the Authority
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TABLE OF CONTENTS
Page Numbers
Title PageIAC Mission, Vision and Introduction------------------------------------------------------------------------------------i
Chapters
CHAPTER 0 INTRODUCTION------------------------------------------------------------------0-i
List of Effective Pages---------------------------------------------------------------------------------------------------0-ii
Record of Revisions----------------------------------------------------------------------------------------------------0-iii
Distribution List------------------------------------------------------------------------------------------------------------0-iv
Definitions-------------------------------------------------------------------------------------------------------------------0-v
Abbreviations ------------------------------------------------------------------------------------------------------------0-vii
Glossary of Terms---------------------------------------------------------------------------------------------------------viii
Table of Contents-------------------------------------------------------------------------------------------------------0-viii
CHAPTER 1 QUALITY MANAGEMENT----------------------------------------------------1-1
1.1 General ----------------------------------------------------------------------------------------------------------------1-1
1.2 Quality Manager-----------------------------------------------------------------------------------------------------1-21.3 Responsibilities for Quality Assurance-------------------------------------------------------------------------1-2
CHAPTER 2 QUALITY SYSTEM-------------------------------------------------------------2-1
2.1 General-----------------------------------------------------------------------------------------------------------------2-1
2.2 Quality System Scope----------------------------------------------------------------------------------------------2-1
2.3 Quality Manual--------------------------------------------------------------------------------------------------------2-1
2.4 Flight Safety Management System-----------------------------------------------------------------------------2-2
2.5 Maintenance----------------------------------------------------------------------------------------------------------2-2
2.6 Control of Contractors and Sub-contractors------------------------------------------------------------------2-2
2.7 Quality Manager-----------------------------------------------------------------------------------------------------2-3
2.8 Acountable Manager------------------------------------------------------------------------------------------------2-3
2.9 Quality System Training--------------------------------------------------------------------------------------------2-3
2.10 Customer Complaint----------------------------------------------------------------------------------------------2-3
2.11 Feedback System--------------------------------------------------------------------------------------------------2-4
2.12 Documentation------------------------------------------------------------------------------------------------------2-4
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CHAPTER 3 QUALITY ASSURANCE PROGRAM--------------------------------------3-1
3.1 General-----------------------------------------------------------------------------------------------------------------3-1
3.2 Quality Inspection----------------------------------------------------------------------------------------------------3-1
3.3 Quality Audit /feedback---------------------------------------------------------------------------------------------3-2
3.4 Auditors Independence--------------------------------------------------------------------------------------------3-3
3.5 IAC Auditors-----------------------------------------------------------------------------------------------------------3-3
3.6 Auditors Independence and Responsibility-------------------------------------------------------------------3-3
3.7 Third Party Auditors-------------------------------------------------------------------------------------------------3-3
3.8 Postal & Pooled Audits---------------------------------------------------------------------------------------------3-4
3.9 Audit Scope-----------------------------------------------------------------------------------------------------------3-4
3.10 Audit Scheduling.-----------------------------------------------------------------------------------------------3-5
3.11 Audit Findings---------------------------------------------------------------------------------------------------3-6
3.12 Monitoring and Corrective/Preventive Action------------------------------------------------------------3-6
3.13 Control Procedures---------------------------------------------------------------------------------------------3-8
3.14 Corrective Action------------------------------------------------------------------------------------------------3-8
3.15 Preventive Action-----------------------------------------------------------------------------------------------3-9
3.16 Management Review-----------------------------------------------------------------------------------------3-10
3.17 Quality Records -----------------------------------------------------------------------------------------------3-12
CHAPTER 4 QUALITY SYSTEM TRAINING----------------------------------------------4-1
4.1 Training Policy--------------------------------------------------------------------------------------------------------4-1
4.2 Quality Management------------------------------------------------------------------------------------------------4-1
4.3 Internal Auditors------------------------------------------------------------------------------------------------------4-2
4.4 Operational Procedure Listing------------------------------------------------------------------------------------4-2
CHAPTER 5 QUALITY ASSURANCE PROCEDURES--------------------------------5-1
5.1 General-----------------------------------------------------------------------------------------------------------------5-1
5.2 Audit Preparation----------------------------------------------------------------------------------------------------5-1
5.3 Audit Briefings--------------------------------------------------------------------------------------------------------5-1
5.4 Audit Notification-----------------------------------------------------------------------------------------------------5-1
5.5 Scheduling of Auditors---------------------------------------------------------------------------------------------5-1
5.6 Raising an Audit------------------------------------------------------------------------------------------------------5-2
5.7 Carrying out an Audit-----------------------------------------------------------------------------------------------5-2
5.8 Non-conformity tracking--------------------------------------------------------------------------------------------5-3
5.9 Overdue corrective actions ---------------------------------------------------------------------------------------5-45.10 Audit Closure -------------------------------------------------------------------------------------------------------5-4
5.11 Audit Cycle flow chart---------------------------------------------------------------------------------------------5-5
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5.12 General Organization Structure--------------------------------------------------------------------------------5-6
5.13 Organization Structure Quality Assurance------------------------------------------------------------------5-6
5.14Forms------------------------------------------------------------------------------------------------------------------5-7
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CHAPTER 1
GENERAL
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1.0 INTERNATIONAL AVIATION COLLEGE SAFETY POLICYSTATEMENT
International Aviation College (IAC) is committed to the establishment and
continued development of a positive safety culture, with the primary objective
being the maintenance of the highest possible levels of operational safety in all
areas of the Colleges activities.
Safety considerations will always take precedence over other College business,
and the College is fully committed to a process of continuous review and
improvement to our methods and management, aircraft operation and
maintenance.
The need to comply with current legislation, operate and work in accordance with
the College Training and Procedures Manuals and as a baseline is implicit. All
staff/students should aspire to this level as a minimum.
An acceptance of human factors and human performance limitations will be fully
taken into account and no staff member on student should be reticent about
reporting any event or incident on the grounds that he or she may be penalised
for their actions.
The IAC safety culture supports a just and learning approach that does not seek to
apportion blame as its primary purpose. It is recognised that human error can
occur. However, all staff are participants in this safety drive and will remain
responsible for their own actions. They are expected to make common sense
decisions when required.
Safety reporting, subsequent analyses and finally remedial action is achieved by
the means of an SMS reporting process that allows for verbal reports as well as
written reports. A Safety Team, who will determine what action should be taken,
will discuss all reports.
All members of staff and student, at every level, carry a responsibility to
participate actively in the pursuit of this high standard of safety, and ensure that
the trust the Industry place with us is justified.
_________________________Accountable Manager / Rector
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Captain Kenneth Hawkins.International Aviation College,Ilorin Lagos Road,Ilorin International Airport,
Ilorin .E-mail [email protected]
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1.1 SENIOR MANAGEMENT COMMITMENT
Senior Management is involved in, and committed to, the Safety
Management System.
Senior Management has approved the Colleges Safety Policy and operating
safety standards.
The Safety Policy and standards will always be communicated to all staff
and students, with visible endorsements from Senior Management.
Appropriate resources will always be allocated to support the SMS.
An appropriate reporting chain for safety issues has been established by the
Senior Management.
Senior Management will always actively encourage participation in the SMS.
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CHAPTER 2
FRAMEWORK FOR THE SMS
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2.0 FRAME WORK FOR THE SAFETY MANAGEMENT SYSTEM
The Manual is produced as guidance for the implementation of safety
management system.
The implementation of the frame work is commensurate with the size of IAC
and the complexity of Training specification to be approved.
2.1 SAFETY MANAGEMENT POLICY AND OBJECTIVE
2.1.1 Management Commitment and Responsibility
Management regards an effective safety program as vital in achieving the
mission of the IAC. In recognition of this fact, the College is committed toproviding a safe and healthful working environment free of recognized
hazards for its employees. In pursuit of this goal, an aggressive safety
strategy shall be incorporated into all department activities. Safety is also
an individual responsibility and must exist in our thinking, planning, and
actions. All Department Personnel will be held accountable for fulfilling their
responsibilities under this safety program. Compliance with this policy will
be part of the annual performance appraisal process. The safety
Management policy will be signed by the Accountable Manager. The safety
policy shall reflect the organizational commitments. The safety policy shall
not be punitive in nature but to encourage free flow of information from top
to bottom. Safety policy shall be periodically reviewed to ensure it remains
relevant and appropriate to IAC.
The cornerstone of an effective safety program is an active accident
prevention system. The College is committed to eliminating hazards and
minimizing potential risks through the diligent practice of risk analysis.Hazards and incidents resulting from training and operations shall be
identified at all levels. Conditions and acts posing unacceptable risk shall be
eliminated or changed to prevent personnel injury or illness and property
damage or loss. The safety policy shall be communicated with visible
endorsement throughout the IAC. The safety includes the safety reporting
procedures indicating which type of operational behaviours are
unacceptable.
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2.1.2 Safety Responsibilities and Accountabilities.
The College shall ensure compliance with all regulatory safety requirements
through a comprehensive education and training program.
Safety Accountabilities
The IAC has identified the Director of Quality and safety as the Accountable
executive responsible who irrespective of other functions shall have ultimate
responsibility and accountability with respect to safety performance. Safety
responsibilities, accountabilities and authorities shall be documented and
communicated throughout IAC and shall include a definition of levels of
management with authority to make decisions regarding safety risk
tolerability.
2.1.3 Accident and Incident Investigation
IAC will establish an internal accident and incident investigation and
prevention committee.
The committee will comprise the Director of training, Chief flight Instructor,
Safety Manager, flight safety officer, Chief Engineer and the Registrar as
secretary.
The sole objective is the prevention of accidents and incidents and not the
apportioning of blame or liability, such investigation are in support of
management of safety in the IAC.
The accident and incidence investigation committee will not have any
conflict with the Accident Investigation Board of the State.
2.1.4 Enforcement Policy
IAC has a policy in place for the enforcement of the rules and regulations
concerning the safety Management implementation and enforcement of
safety culture in the organization. The enforcement policy also establishes
the conditions and circumstances to deal with safety deviations of the IAC
safety procedure.
2.1.5 Appointment of Key Safety Personnel.
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IAC Has identified and appointed a safety Manager to be the responsible
individual and focal point for the implementation and maintenance of
effective Safety Management system. He will schedule all safety
meetings ,and chair the safety meeting if the Accountable Manager is not
available .
2.1.6 Coordination of Emergency Response Planning.
IAC has ensured that emergency response plan that provide for the orderly
and efficient transition from normal to emergency operation and the return
to normal operation is properly coordinated with emergency response plan
with those organizations like NAMA, NEMA, FAAN NCAA for proper interface
and coordination.
2.1.7 Safety Management System Documentation.
International Aviation College implementation plan which has been endorsed
by the senior Management has defined the approach to safety in a manner
that defines the safety objective
Documentation responsibilities and authorities are clearly defined in the SMS
manual.
2.1.8 Hazard and Risk Management
Risk Assessment During the planning stages as well as throughout the actual
operation and ongoing review due regard is taken to develop and maintain
formal process that ensures that hazard in operation and training are
identified. Hazard identification shall be based on combination of reactive,
proactive and predictive of safety data collection. Due regard is taken of the
relevant regulation which has usually been drawn up with the protection of
people and property in mind. However this alone is not sufficient to ensure
the likelihood of an activity resulting in significant incidence is minimized
Risk is defined as the product of the degree of harm that a hazard connected
with an activity would cause (severity) and the likelihood that such an
outcome would occur, (probability). The matrix below shows how these
elements combine into categories that enable the level of risk to be
assessed and a priority level allocated.
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CHAPTER 3
SAFETY ASSURANCE
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3.0 SAFETY ASSURANCE
Safety Culture or climate may be thought of as the IACs collective norms,
standards, perceptions and behaviors with respect to safety. Managements
fostering of a positive safety culture is critical to any effective safety
program. The following concepts and actions are elements of a positive
safety culture:
Unqualified commitment to safety as a behavioral pattern and pervasive
way of life by top management.
Unambiguous expectations by each level of management as well as each
peer group that, for all employees, safe life patterns and work habits are
as normal as breathing and must be practiced off the job as well as on
the job.
Availability of quality, standardized equipment with which to accomplish
the assigned tasks.
Clear, easily understood operating procedures, followed without
deviation.
Inclusive system of communications for collecting, analyzing, and
exchanging incident data related to safety.
Non-retribution for submission of incident data.
Retraining without penalty or stigma when safety is involved.
System for tracking incident and accident data, analysis of trends, and
feedback of results.
Peer acceptance that accidents are preventable, regardless of
operations.
Peer acceptance that safety is a matter of lifestyle a matter of culture.
These are the safety performance indicators that must be verified in
reference to the IAC as safety performance targets.
3.1 Safety Data Collection, Analysis and Exchange.
IAC will collate all safety related data and mechanism to store vital safety
related data on hazards and safety risks at all levels of Management and
other categories of staff. For the implementation of the safety managementsystem
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3.2 Management of Change.
IAC has put in place a formal policy in the SMS manual to take into
consideration for formal change in its organization which may affect
established processes and services to ensure safety continuity and to
eliminate or modify safety risk controls that are no longer needed or
effective due to changes in the operational environment.
3.3 Continuous Improvement of the SMS
IAC has developed a formal process to identify the causes of
substandard performances of the SMS in operation and eliminate or
mitigate such causes
Following a report of non-conformity by an quality or safety auditor in
order to aid determination of the cause, such as accidents, all safety
reports should be assigned using the matrix as shown above,.
Where the risk involved in the activity determined should not take place
or action should be taken to adjust procedures in order to reduce to an
acceptable level.
Evaluate the risk weather it is acceptable to accept the contract provided
certain defenses are put in place e.g. limit the period of training reduce
duty time
Apply the defenses e.g. training flights not authorized before 0600 UTC.
3.4 Safety Promotion and Training Program
The Safety Program consists of four major components:
1. A formal accident prevention program,2. Employee safety and accident prevention education and training,
3. An internal reporting system to allow employees and other personnel
to report incidents and recognized hazards, and
4. An internal assessment program to monitor the effectiveness of the
Safety Program.
Nig.CARs requires the establishment of an employee training program. Due
to the complexities of these regulations, the Safety Manager/Officer shall aid
and advise managers and supervisors in identifying appropriate training
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methods. The requirement demands that IAC should maintain a training
program to ensure that personnel are trained and competent to perform the
SMS duties.
Safety communication
A proper channel of communication is necessary for effective safety
management system
The channel of communication must be established and each officer
responsible for tasks are well aware of their duties and functions. All
communications and correspondences must be acknowledged and
documented. When new safety measures are introduced it should be acted
upon within the time frame and all safety communications should flow un
restricted from top to bottom.
3.5 Responsibility for Safety
Refer to Section 2 of the Policy and Operations Manual for a general
description of the safety responsibilities of management and of all
employees relating to the Departments mission. The Department Safety
Program further defines these responsibilities
3.6 Safety Manager/Officer
The Safety Manager/Officer is tasked with the overall responsibility for
development and implementation of the IAC Safety Program. The Safety
Officer/Manager reports directly to the Director of Training and Quality
Manager on all safety issues and shall also serve all levels of the IAC as an
advisor on safety matters. Specific responsibilities include:
Develop and implement safety programs for IAC personnel to ensure a
safe and healthful work environment.
Advise management of recognized hazards and unsafe/unhealthful
working conditions.
Periodically assess Safety Program effectiveness and compliance.
Update Safety Program as necessary to maintain regulatory compliance.
Perform annual facility safety audits.
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Perform hazard assessments for the purpose of recommending
engineering controls, administrative controls, and personal protective
equipment and Flight Training controls. Evaluate available training resources. Advise management concerning
training requirements, methods, and sources.
Assist management as necessary in the event of a governmental safety
and/or health inspection.
Disseminate safety-related information.
Process Hazard and Incident Reports for the purpose of identifying and
eliminating or mitigating workplace hazards.
Maintain Hazardous Substance Exposure Reports.
Other duties as determined by the Flight Department Manager.
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3.7 Safety Representatives
Safety Representatives may be designated among Department personnel toperform supplemental duties in support of the Safety Program. Specific
responsibilities include:
Act as the Safety Manager/Officers representative at the respective
department.
Fulfill departmental safety training and record-keeping requirements.
Advise departmental management on safety-related issues.
Disseminate urgent and routine safety information to all personnel.
Respond to the safety concerns to all personnel and forward concerns to
the Safety Manager/Officer.
Assist the Safety Manager/Officer in conducting periodic Safety
Assessments.
Analyze identified hazards for the purpose of eliminating or mitigating
risk to personnel.
Maintain a departmental safety bulletin board highlighting pertinent
safety topics.
Safety Management Representatives shall coordinate professional training
relating to their duties with their supervisor. The Safety Manager/Officer
shall identify appropriate schools and seminars for the professional
development of Safety Representatives.
An IAC Safety Committee can add materially to an effective loss control
program. The basic function of a Safety Committee is to create and maintain
an active interest in loss control and reduce accidents. The organization and
operation of a safety committee gives employees a greater opportunity to
participate actively in loss control.
All departments of IAC are to comply with established Safety Committee
directive.
Safety committee membership varies depending on needs. Safetycommittees consist of a management representative, supervisors and
workers. There is to be a representative from each major department.
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Membership on the safety committee is for a definite period and
membership rotated periodically. This gives more employees an opportunity
to participate and helps maintain interest in the committee. Meetings are tobe held monthly. The full participation of all departments is mandatory so if
a committee is unavailable there must be replacement to that individual so
that each decision is taken with full representation.
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Some of the safety committee activities and responsibilities are:
Conduct regular inspections to detect hazardous conditions and unsafe
work practices and recommend corrective action.
Act as a clearinghouse for all loss control ideas and activities.
Study accidents to determine corrective action that can be taken to
prevent recurrence.
Assist in the development of loss control standards and rules.
Conduct promotional campaigns to maintain employee interest in loss
control.
Individually promote loss control in the area where they work.
Records should be kept of committee meetings so that activity can be
followed up and management kept informed of progress.
Assist new employees in becoming familiar with company practices and
rules relative to their safety and the safety of other employees
3.8 Compliance Assessment Program
The College shall periodically measure the effectiveness of the Safety
Management System in compliance with governmental regulations and the
ideals of loss prevention and control. The Compliance Assessment Program
is a tool in this endeavor designed to measure progress, provide feedback,
identify required actions, eliminate deficiencies, and recognize positive
performance. These objectives are realized through a program of
comprehensive assessments using Appendix I, II and III
3.9 Responsibility
The Safety Manager/Officer is responsible for the administration of the
Compliance Assessment Program. Responsibility for the correction of
identified deficiencies lies with the IAC Manager exercising authority over
the affected area.
3.10 Comprehensive Assessments
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Comprehensive compliance assessments will be performed at each facility
at least once every three calendar years. Each comprehensive assessment
shall address the entire facilitys compliance with all aspects of the IACSafety Management System.
The Safety Manager/Officer will notify management of the assessment date,
objectives of the assessment, and identities of assessment team members
at least one month prior to the assessment. A list of pertinent documents
expected to be examined will be included. The assessment shall be
scheduled so that at least one manager and one Safety Representative are
present for the entire procedure. The activities of the assessment team
shall be scheduled so as not to interfere with the conduct of Flight Training.
An opening conference will be held at the beginning of the assessment to
review objectives, scope, and to clarify expectations. At least one safety
officer from each department and the entire assessment team shall attend.
The physical inspection will take place with the assistance of the Safety
Management Representative. The assessment will include facility conditions,
work practices, documentation, and personnel interviews. Any hazardoussituations or equipment shall be either placarded or removed from service
until the hazardous situation is corrected.
A closing conference will be held with all personnel present at the opening
conference and a summary of findings will be presented. If any
discrepancies are noted, recommendations for corrective action should be
presented. For each deficiency noted, corrective action, person responsible,
and a reasonable target completion date shall be agreed upon. These items
shall be included in the final written report. Prior to completion of the
assessment, the team leader will collect all written notes of the assessment
team members relating to the inspection. All notes shall either be
destroyed or included in the written report.
The written report will be completed as soon as practicable following the
assessment. Once approved by the Safety Manager/Officer, a copy of the
assessment report will be forwarded to management. The Safety
Manager/Officer will provide follow-up monitoring of deficiency corrections.
After all corrective actions are completed, the Safety Representative will so
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notify the Safety Manager/Officer. The Safety Manager/Officer shall maintain
the original assessment report for three years or until all deficiencies are
corrected, whichever is longer.
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CHAPTER 4
MANAGING THE SMS
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4.0 MANAGING THE SMS
4.1 Key Elements
The College has a Safety Policy that is a statement signed by the College
Rector and Accountable Manager which defines safety as the prime core
value of the business.
All staff member and student participate in safety management, and will
be empowered to start important safety management processes.
A comprehensive yet simple and accessible quality and safety reporting
system is the driver of the SMS programme. (An example of the reporting
forms can be found at Appendix IV)
Identification of hazards and subsequent risk management is included in
the quality and safety reporting process.
Audits and inspections are carried out by the Quality and Safety
Department to ensure full functionality of the SMS and the Colleges
operation.
4.2 Structure
The SMS is not structured like a department of the College, as the people
who manage it are working in different parts of the organisation.
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LEVEL 1
FlightFlight
Instructor/Students &Instructor/Students &Flight OpsFlight Ops
Engineers Admin & All other Staff
LEVEL 2LEVEL 2
Chief Flight/GroundChief Flight/GroundInstructorInstructor
Chief Engineer Registrar
\\ //LEVEL3LEVEL3
LEVEL 4LEVEL 4International Aviation College (IAC)International Aviation College (IAC)
Accountable Manager / RectorAccountable Manager / Rector
Figure 5Figure 5
4.3 SMS Structure Levels 1 to 4 Figure 5
NOTE: All levels are equal as far as reporting is concerned, and a Safety
Report from any level will receive the same consideration and
treatment.
Level 1: This comprises all College staff, including Managers and
Directors, who work for the College. Each one is part of the SMS
and it is their responsibility to contribute to safe operations in the
performance of their role and to report any safety incident or
safety concern which adversely affects this. These Safety
Reports may be made to either Levels 2, 3 or direct to the
Accountable Manager / Rector at Level 4, but in the case of
MORs and Incident Reports, these should be presented to the
Chief Flight/Ground Instructor. (Further detailed information
relating to the MOR/ASR procedure can be found in IAC
Procedures Manual, .
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Level 2:The IAC Chief Flight/Ground Instructor, the IAC Chief Engineer and
the Registrar will generally be recipients of Safety Reports. Any
verbal reports that are received will be turned into written
reports, comments added, and passed to the Registrar for logging
in and presentation at the next Safety Team Meeting.
Level 3:The Safety Management Team comprises the Accountable
Manager / Rector, the Chief Flight/Ground Instructor, the Chief
Engineer, the Registrar and the Quality Manager, who will also act
as Secretary for the Team. The Team may receive Safety Reports
direct from the reporters, and if they are verbal, these will need
to be translated into a written format. Reports from time to time
may also be made by individual members of the Team. After
providing as much information as possible, including risk
assessment if relevant, these Reports should be forwarded to the
Quality & Safety Department at the earliest opportunity.
Level 4:The Accountable Manager for IAC is ultimately responsible for the
smooth operation of the SMS, and he will make any changes he
feels are appropriate in order to ensure that the Safety Policy if
followed effectively. He will chair all Team Meetings or, if unable
to attend, nominate a deputy.
Whenever a Report is submitted, it must be processed, even if deemed
spurious or irrelevant. That decision will be made during a SMS Team
Meeting, and cannot be made at any other point in the process.
4.4 Staff Responsibilities
As stated in above, all staff and students are considered equal as far as
safety is concerned. Each has a responsibility to:
Familiarise themselves with, and apply, the College Safety Policy and
its procedures.
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Ensure safety defects in equipment and procedures are reported using
the example as shown in Appendix IV of this document.
Take reasonable care of their own safety, and the safety of others who
may be affected by their actions or omissions whilst undertaking their
duties and tasks.
Co-operate with the College to enable it to comply with the relevant
regulatory provisions and standards.
Use, in the correct manner, all protective equipment and procedures
provided by the College.
Report any apparent failings by any sub-contracted companies that
may affect the safe operation of IAC aircraft and health and safety of
all employees.
Take all reasonable and practicable measures, which include the
submission of Safety Reports to prevent injury or fatality to themselves
or any other person, and/or damage to or loss of an aircraft or any
piece of equipment used by them or any other person.
Avoid intentionally interfering with anything provided by the College in
the interests of safety.
Report any conflicts between safety and operational goals of the
College.
In addition, Directors, Managers, Flight Instructors, Engineers and
Supervisors must:
Ensure the provision of adequate safety training for their staff and
students.
Ensure the adequate protective clothing, equipment and devices are
available and used where applicable, for the purpose of which they are
intended.
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Ensure their staff/students follow laid down procedure, including
compliance with Regulatory Material, the College Training Procedures,
Maintenance Manuals and Health and Safety Manuals.
Ensure adequate supervision of their staff and students, particularly
those who are inexperienced, and ensure appropriate training has, and
will continue to be given.
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CHAPTER 5 Safety Reports
CHAPTER 5
SAFETY REPORTS
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CHAPTER 5 Safety Reports
5.0 SAFETY REPORTS
An example of the reporting forms are shown within Appendix IV of thisdocument, and further detail regarding the reporting of safety issues and
incidents can be found in the Procedures Manual.
5.1 Submission of Reports
All members of staff and student form part of the SMS. Everyone has a
duty to report any incidents, accidents, actions or safety observations
through the reporting system.
These reports should be made in written form, but in order to make the
reporting system more accessible, they may be made verbally to any
member of the SMS Team and compiled into a written report as soon as is
practically possible.
In order to avoid duplication, the reporting form will be the College ASRform as shown in Appendix IV of this document and the Procedures
Manual. These forms are readily available at various locations around the
College.
The recipient of the report should append any further information,
explanation, detail or comment he or she might be able to make to enable
a risk assessment if this is appropriate and possible, and then send the
form to the Quality and Safety Department.
5.2 Requirement for reporting
The rationale for the SMS, backed up by the Quality System, is to ensure
that the Colleges flight and ground operations are carried out to the
highest standards of safety and quality. Therefore if any member of staff
and student identifies an activity or situation where this does not seem to
be in evidence then they are obliged to report the matter.
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CHAPTER 5 Safety Reports
5.3 Reportable Occurrences
A reporter may submit a Report about any matter that he or she deemsappropriate for a report, but the following should definitely be reported:
Flight Incidents MORs,, Incident Reports (ASRs), Bird Strikes,
Lightning Strikes, ATC errors, crew problems etc.
Maintenance Incidents These should also be reported by the
Maintenance organisation, when known.
Technical Defects and exceeding of Technical Limitations
Air Traffic incidents causing safety concerns.
Third party interference e.g. Runway environment intruder problems
causing concern, etc.
Ramp Incidents
Quality Audit non-conformities with safety implications.
Office equipment problems causing safety concerns (e.g. Fire)
Any potential incident foreseen
Identifying a hazard that one does not believe has been evaluated, or
which has changed.
The report should be submitted to the Quality and Safety Department,
who will ensure that the report is copied to the Personnel responsible for
the area/s referenced in the report and ensure that the report is presentedfor discussion at the next Safety Meeting.
In some instances it may not be easy to make a report using the College
ASR Form. For example, if a pilot is away from base, and he felt the
matter to be urgent, he / she may submit a report via email or telephone
to IAC Operations, Air Planner. This should be logged and relayed
immediately to the IAC base at ILORIN for the attention of the Quality and
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CHAPTER 5 Safety Reports
Safety Department. Following receipt, a written report will be raised as
soon as possible.
5.4 Reports requiring Immediate Action
The issue raised may be one that requires immediate action. The
recipient of the report should deal with the issue straight away, either by
taking appropriate action if he / she is responsible for the area affected, or
by referring the matter straight away to the relevant Personnel.
The SMS is not designed to slow down safety remedies, and if it deters
someone taking sensible action to improve a situation, it will have failed in
its purpose.
Should a Report lead to some action being taken prior to the Team
meeting, details of the action should be included on the report, or a
supplement to the report.
5.5 Actions by the Secretary to SMS
All reports received, from whatever source, will be logged and given a
reference number by the Secretary (Quality and Safety Department)
recording the date of submission. He / she will collate all additional
information presented by the reporter, including any risk assessments that
have been carried out.
Copies of the reports will distributed to each member of the Team, so that
they have time to consider the report and associated issues before the
next meeting.
The Secretary will convene a Safety Management Meeting once a month
provided there are reports or other issues to consider. If an urgent or
important report comes in, a meeting will be held as soon as is reasonablypossible so as not to delay discussion and actions to be taken.
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CHAPTER 5 Safety Reports
Contents of Meetings should be recorded along with any decisions taken,
and correct content verified.
If any actions or decisions regarding individual reports are made, this will
be recorded on the Report. If the Team do not reach a decision during the
Meeting, this will also be recorded on the Safety Report.
The Reports requiring further action or decisions will be forwarded to the
reporter so they are aware of the status of their report and what actions
have and will be taken.
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CHAPTER 6 Safety Meetings
CHAPTER 6
SAFETY MEETINGS
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CHAPTER 6 Safety Meetings
6.0 SAFETY MEETINGS
6.1 General
Meetings will normally take place monthly, but may be convened at short
notice if an important issue requires discussion.
Prior to the Meeting, the Team should have received copies of all new or
updated reports and the Chairman(Accountable Manager/Rector) will
present on each individually for discussion. If a number of reports have
been received relevant to the same subject, then they will all be
considered together.
Occurrences, hazards, and other items reported may be subject to a risk
assessment, which will have been carried out prior to the Meeting, but if
not, will be carried out at the meeting, or afterwards if the process
becomes protracted.
After Risk Analysis, an evaluation will take place, where the level of risk is
compared with predetermined standards if they exist, such as target
levels, or other criteria.
If there is a disagreement about what action should be taken, a majority
vote will be accepted. If there is no majority, the options will be presented
to the Accountable Manager/Rector who will determine the course of
action.
6.2 The Records
All reports and any actions taken will be recorded by the Quality and
Safety Department. The decisions of the Team will be distributed to the
appropriate section head and copies of the outcome distributed to the
Team and the Reporter.
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CHAPTER 6 Safety Meetings
There may be a requirement for a new procedure, amendment to an
existing procedure, an amendment to Training and Procedures Manual or
Maintenance Manual or to some other Manual or instruction. The College
procedure for proposing amendments should be followed if required.
The Secretary will record all decisions and actions to be taken and
completion dates in the records. He / she should note the dates when the
person responsible for making the change was notified. The whole
process will be completed when the change has been carried out and the
date has been recorded when the change was incorporated.
The records will be available at every meeting, so that any outstanding
issues can be advised, closed, or revisited if required.
6.3 Reviewing Changes
The SMS is a flexible process that can be changed in accordance with
changing circumstances and procedures.
The SMS has to be able to change an action taken as a result of a Safety
Report, if it is deemed that the action is no longer valid, was wrongly
determined at the Meeting, or if new facts have come to light.
Team members must remain aware that things do change, and they need
to be aware of all procedures, written or not, that have been amended due
to Safety Management action, or otherwise. If there is a need to modify
an incorporated or established action, the person who perceives the
potential risk should submit a Safety Report so that the matter is
addressed at the next meeting.
Any amendments to procedures will be incorporated into the Quality
System Audit Checklists, in addition to any previous Non-conformities
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CHAPTER 6 Safety Meetings
raised during an internal Quality Audit or external third-party Audit, e.g.
The Nigerian Civil Aviation Authority.
By incorporating these new procedures the monitoring of the effectiveness
of the changes relating to safety and quality is encouraged.
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Chapter 7 Hazard and Risk
7.0 HAZARD AND RISK MANAGEMENT
7.1 Risk Assessment
During the planning stages as well as throughout the actual operation and
ongoing review due regard is taken of the relevant regulations which have
usually been drawn up with the protection of people and property in mind.
However, this alone is not sufficient to ensure the likelihood of an activity
resulting in a significant incident is minimised.
A Risk Assessment may also be necessary in order to inform decision
making whilst formulating the policy and procedures adopted by the
College. This will be a task for the relevant management and is designed
to reduce and control risk to an acceptable low level.
It should be utilised, including both the Colleges own operating
procedures and experience and that of the industry at large. It may also
be necessary to anticipate certain situations that may not be normal but,
maybe foreseeable.
The process for assessing risk follows a logical sequence. These are some
basic rules and examples to consider.
Example 1:
Establish the Context details of the operation, with a particular
aircraft type, etc.
Identify the hazards Intended destination may have limited approach
aids, poor weather, shorter than average runway, etc.
Analyse the Risk assess when the weather is at its poorest and most
limiting, etc.
Evaluate the Risk Whether it is acceptable to accept the contract,
provided certain defences are put in place e.g. Limit the time of theoperation, reduce payload, etc.
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Chapter 7 Hazard and Risk
Apply the Defences Flight not allowed before 0600 UTC, nominate
suitable alternates, etc.
Monitor and review the defences After a number of operations it may
be possible to further increase (or decrease) the payload, adjust the
times of operation etc.
The above technique should be used in the following circumstances:
Before a major change in the type of operations, as part of a Safety
case submitted when seeking Authority approval. E.g. New equipment,
routes or airfields
Following an incident in order to prevent recurrence. All Safety Reports
should be assigned a risk using the matrix as shown at 8.2 above.
Following a reported non-conformity by a Quality Auditor, in order to
aid determination of the course and time scale of corrective action.
As part of a continual review and ongoing monitoring of risk.
Where the risk involved in the activity is determined as too high then
either that activity should not take place or action should be taken to
adjust procedures in order to reduce the risk to an acceptable level.
Risk assessed as medium or higher is unacceptable and must receive
appropriate action.
The time scale allowed for action will be commensurate with the level of
risk.
7.2 Risk Assessment Matrix Figure 6
Risk Category
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Chapter 7 Hazard and Risk
SeveritySeverity
ProbabilityProbabilityFigure 6Figure 6
7.3 Safety Risk Categories /assessment and mitigation
A Severe Requiring immediate solution or curtailment of activity.
B High A significant concern requiring priority action.
C Medium A concern of a lower order
7.4 Assessment Process
All appropriate sources of information available
7.5 Records
Significant findings arising from a risk assessment should be documented
and maintained as a record. Historical records are important in
determining likelihood, however it is not considered wise to rely on
statistics as this may lead to poor decision making. If a hazard has never
occurred in the past, it does not mean that it will never occur.
Risk assessments should be kept with the relevant Safety Reports, or in
case of Quality Audit non-conformities, with the Audit documentation
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HighHighCC BB AA
MediumMedium DD CC BB
LowLow EE DD CC
LowLow MediumMedium HighHigh
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Chapter 7 Hazard and Risk
7.6 New Activities: Risk Analysis
If a new activity is under consideration, or a change is being made to
current activities a risk analysis will be carried out. The Team Member
closest to the activity will be responsible for the production of a list of
possible hazards, but he or she should get others to help. The Team
member will have assessed the risk and produced a risk analysis for each
of the perceived hazards by the time of the next meeting, when the list
will be discussed.
The Secretary will, provided there is time, send each member of the Team
a copy of the list and the Risk Analysis.
At the meeting the analysis may not be fully accepted, and further
information may be required. However, ultimately, at that meeting or a
later one, a decision will be taken as to what preparation and/or training is
required, and whether changes to procedures are appropriate before the
activity commences.
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Chapter 8 Quality Audit
9.0 QUALITY AUDIT
The Quality Manager will audit, or arrange to have audited, the SMSprocess, by checking the Record Book every three months to see what SM
actions have been determined in respect of incoming Safety Reports, and
then following up whether the actions have been properly implemented.
A Non-Compliance would result when:
An action was decided upon at the meeting, but never carried out,
yet the Record Book shows that it had.
A Safety Report has been made and submitted, but it has never
been entered into the Record Book, and therefore probably not
discussed at a Safety Meeting.
Indications that the SMS had either broken down or was not
functioning properly.
An Observation would be made when:
The reporter did not receive a copy of the Report after the matter had
been discussed and it had been annotated with the decided course of
action and, therefore, did not know the outcome of the report.
Over a period of time, the SMS was perceived as not achieving what it was
supposed to achieve, and was falling into disrepair.
The Quality Manager will submit his quarterly report to the Accountable
Manager/Rector.
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Chapter 9 Appendices
Appendix I - Compliance Assessment Checklists
Hazard Communication Program Assessment
Yes No NA
1. Is there a Hazardous Chemical List maintained separately fromMaterial Safety Data Sheets?
2. Is the Hazardous Chemical List maintained at the Right-to-KnowInformation Center and available for employees to reference duringtheir workshift?
3. Is the Hazardous Chemical List up-to-date, listing all hazardouschemicals known to be in the workplace?
4. Are hazardous chemicals deleted from the Hazardous Chemical Listwhen they are removed from the workplace?
5. Does the Hazardous Chemical List identify each chemical by name asdepicted on its corresponding Material Safety Data Sheet?
6. Is there a binder of Material Safety Data Sheets (MSDS) maintained atthe Right-to-Know Information Center for employees to referenceduring their workshift?
7. Is there a Material Safety Data Sheet corresponding to each chemicalon the Hazardous Chemical List?
8. Is there a Material Safety Data Sheet Request Form maintained in theMSDS binder for each hazardous chemical for which an MSDS has notbeen supplied with an initial shipment?
9. Are any known hazardous chemicals used by employees for which aMaterial Safety Data Sheet is not available in the MSDS binder?
10. Are all containers in the workplace which hold hazardous chemicals,and not exempted under portable container exemption, properlylabeled?
11. Are unlabeled portable containers holding hazardous chemicals utilizedby anyone other than the employee who performed the transfer from alabeled container?
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Chapter 9 Appendices
12. Are unlabeled portable containers holding hazardous chemicals utilizedacross work shifts (i.e., not emptied prior to the end of each workshift)?
Comments: (Explain all red boxes checked)_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
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Chapter 9 Appendices
APPENDIX II
Facility Emergency Plan Assessment
Yes
No NA
1. Is the facility manager responsible for maintenance of the facilitysevacuation plan?
2. Is an evacuation route map posted in the main reception/passengerarea, the hangar area, the maintenance shop area, the flightoperations/dispatch area, and any other work area where employeesare routinely assigned to perform duties?
3. Are all employees familiar with the Facility Emergency Plan includingknowledge of emergency procedures, location of emergency exits, andescape routes to safe areas in case of an evacuation?
4. Has a Facility Evacuation Plan drill been conducted at least once duringthe previous calendar year by the facility manager and/or the Facilitymanager?
5. Is each exit and egress route marked by a readily visible sign?
6. Is each door, passage, or stairway which is not an exit, and which islikely to be mistaken for an exit, identified by a sign reading Not anExit, or an actual location, such as To Basement, Storeroom, Closet,or the like?
7. Is every aisle or egress a minimum of 28 wide and maintained free ofobstructions?
8. Is each designated exit door unlocked during working hours to allowegress in the event of an emergency?
9. Is an emergency telephone number list or speed dial list posted on orimmediately adjacent to each phone in the main reception/passengerarea, the hangar area, the maintenance shop area, and the flightoperations/dispatch area?
10. Does each emergency telephone number list include phone numbersfor police, fire department, and emergency medical aid?
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Comments: (Explain all red boxes checked)_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
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APPENDIX II
Facility Emergency Plan Assessment (cont.)
Yes
No NA
11. Have all employees received initial training on the Facility EmergencyPlan?
12. Have any employees responsibilities or designated actions under theplan changed without subsequent documented training?
13. Has the plan changed without subsequent documented training?
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14. Are all flammable and combustible materials handled and stored inaccordance with manufacturers recommendations?
15. Are ignition sources (i.e., electricity, open flame, sparks) isolated frompotential fuel sources to the maximum extent practicable?
16. Are No Smoking signs posted and obeyed in appropriate areas (i.e.,near potential fuel sources)?
17. Are procedures that may produce sparks (e.g., grinding, metal work,electrical work) performed away from potential fuel sources when
practicable?
18. Is all servicing, maintenance, and testing of fire alarm andextinguishing systems conducted by trained personnel?
19. Have all portable fire extinguishers been hydrostatically tested inaccordance with the Safety Manual?
20. Have all employees assigned routine duties in work areas whereportable fire extinguishers are provided received initial training onincipient firefighting?
21. Have all employees assigned routine duties in work areas whereportable fire extinguishers are provided, received recurrent trainingduring the past 3 calendar years on incipient fire fighting?
22. Have all maintenance personnel additionally received recurrenttraining during the past 3 calendar years on fuel source and ignitionsource controls related to particular fire hazards associated withmaintenance areas and on proper housekeeping practices?
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Comments: (Explain all red boxes checked)_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
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APPENDIX II
Facility Emergency Plan Assessment (cont.)
Yes
No NA
23. Is any firefighting equipment damaged, expended, or unserviceable?
24. Has any firefighting equipment been taken out of service formaintenance without appropriate substitute?
25. Are all installed employee alarm systems in operating condition unlessundergoing repairs or maintenance?
26. Have all alarm systems been tested in accordance with the SafetyManual (i.e., unmonitored alarms - every two months, monitoredalarms - annually) during the past year?
27. Have all fixed fire extinguishing systems been tested and inspectedduring the past year?
28. Are all portable fire extinguishers visually inspected monthly, withdocumentation, to ensure they are in place, charged, and ready for
use?
29. Have all portable fire extinguishers been maintenance checked, withdocumentation, during the past year?
30. Have responsible employees been provided a copy of the TelephoneBomb Threat Checklist and do they know who is responsible fordetermining the response action?
31. Has the facility addressed the possible severe weather issues and is aplan in place to provide for the safety of employees?
32. Have the emergency lights been tested monthly for 30 seconds andannually for 1 hours in accordance with NFPA 101?
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Comments: (Explain all red boxes checked)_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
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APPENDIX II
Facility Emergency Plan Assessment (cont.)
Deficiency noted
3 listItem#
Targetcorrection date
Personresponsible
1
2
3
4
5
6
7
8
9
10
Overall Comments:
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Facility reviewed: _______________________________
Checklist completed by: __________________________ Date: _________________
Safety Manager/Officer: __________________________ Date: _________________
Please submit original audit form to the Safety Manager/Officer. Safety
Representative maintains a copy of this audit for 2 years, until all discrepancies
are corrected, or until a comprehensive assessment is performed, whichever is
later.
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APPENDIX III
Access to Employee Exposure and Medical Records Assessment
Yes
No NA
1. Do employees notify their supervisor in the event of exposure tohazardous chemicals or harmful physical agents?
2. Has a Hazardous Substance Exposure Report been completed andsubmitted to the Safety Manager/Officer relating to each reportedexposure incident?
3. Are medical records pertaining to each exposure incident maintainedby the Company Medical Officer?
4. Have all employees been provided initial training on their rights underthe Access to Employee Exposure and Medical Records Standard
5. Have all employees been provided annual notification on their rightsunder the Access to Employee Exposure and Medical Records Standard
Comments: (Explain all red boxes checked)_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
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APPENDIX III
Access to Employee Exposure and Medical Records Assessment (cont.)
Deficiency noted
3 listItem#
Targetcorrection date
Personresponsible
1
2
3
4
5
6
7
8
9
10
Overall Comments:
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Facility reviewed: _______________________________
Checklist completed by: __________________________ Date: _________________
Safety Manager/Officer: __________________________ Date: _________________
Please submit original audit form to the Safety Manager/Officer. Safety
Representative maintains a copy of this audit for 2 years, until all discrepancies
are corrected, or until a comprehensive assessment is performed, whichever is
later.
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APPENDIX IV
Appendix IV (a)
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Appendix IV (b)
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Appendix IV (c)