GM2 NCO.SPEC.105 Checklists
CAA ORS9 Decision No. 1
TEMPLATE FORMS
The following templates are examples, which could be used for developing checklist.
(a) Template Form A — Risk assessment (RA)
Date: RA of Responsible: |
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Purpose: |
Type of operation and brief description: |
Participants, working group: |
Preconditions, assumptions and simplifications: |
Data used: |
Description of the analysis method: |
External context: |
— Regulatory requirements
— Approvals
— Environmental conditions (visibility, wind, turbulence, contrast, light, elevation, etc.; unless evident from the checklists)
— Stakeholders and their potential interest |
Internal context: |
— Type(s) of aircraft
— Personnel and qualifications
— Combination/similarity with other operations/SOPs
— Other RA used/considered/plugged in |
Existing barriers and emergency preparedness: |
Monitoring and follow up: |
Description of the risk: |
Risk evaluation: |
Conclusions: |
(b) Template Form B — Hazard identification (HI) Date: HI of Responsible:
Phase of operation |
Haz ref |
Hazard / accidental event |
Cause / threat |
Current Treatment Measures (TM) |
Further treatment required |
TM ref |
Comment |
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Haz ref: A unique number for hazards, e.g., for use in a database TM ref: A unique number for the treatment method
(c) Template Form C — Mitigating measures Date:……………….. RA of Responsible:………………………
Phase of operation |
Haz ref |
Hazard/ accidental event |
Current Treatment Measures (TM)/ controls |
TM ref |
L |
C |
Further treatment required |
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Haz ref: A unique number for hazards, e.g., for use in a database TM ref: A unique number for the treatment method
L: Likelihood (probability)
C: Consequence
(d) Template register A — Risk register
Ref |
Operation/ Procedure |
Ref |
Generic hazard |
Ref |
Accidental event |
Treatment/ control |
L |
C |
Monitoring |
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L: Likelihood (probability)
C: Consequence