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:

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

L:    Likelihood (probability)

C:    Consequence