DRAFT COPY

SAFETY

MANAGEMENT

SYSTEMS

MANUAL

9000 Aviation Boulevard

Concord, North Carolina 28027

(704) 920-5900

(704) 793-1215 FAX
This

SAFETY MANAGEMENT

SYSTEMS MANUAL

is the property of

Name: _______________________________

Employee #: __________________________

Address: _____________________________

_____________________________

Phone#: _____________________________

Each employee issued this SAFETY MANAGEMENT SYSTEMS MANUAL shall (1) upon request or (2)

upon separation from the Concord Regional Airport, surrender this publication to the Airport Director or

his/her authorized representative.
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INTRODUCTION

CONTENTS

I

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I. INTRODUCTION

II. PREFACE

III. RECORD OF REVISIONS

IV. REASON FOR REVISION

V. SAFETY MANAGEMENT SYSTEM

1.0 Airport Safety Policy

1.1 Process for Setting Goals

2.0 Manual Purpose

2.1 Manual Control

3.0 General Description of a Safety Management System

3.1 Airport Safety Management System

4.0 Quality Assurance and SMS

4.1 Quality Assurance Programs

5.0 SMS Organization Chart

5.1 Individual Responsibilities Related to SMS

6.0 Training

7.0 SMS Components

8.0 The SMS Committee and How the System Works

8.1 SMS Committee Purpose

8.2 SMS Committee Responsibilities

8.3 SMS Committee Members

8.4 Committee Meetings

9.0 SMS Process Flow Chart

10.0 Employee Reporting

10.1 Non-Punitive Reporting Policy

10.2 How to Report

10.3 What to Report

10.4 Reporting Process

11.0 Quality Assurance Findings

12.0 Hazard Identification

12.1 Hazard Identification Process

13.0 Risk Management

13.1 Definitions

13.2 Risk Management Policy

13.3 Hazard Identifications

13.4 Risk Assessment

13.5 Risk Management
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INTRODUCTION

CONTENTS

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13.6 Monitor Results

13.7 Documentation

14.0 Investigation Process

15.0 Documentation and Records Retention

16.0 SMS Assessment

VI. APPENDICES

Appendix A

Appendix B

VII. Forms
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RECORD OF REVISIONS III

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REVISION

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REASON FOR REVISION IV

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REVISION

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ORIGINAL ALL Creation/Organization of Safety

Management Systems Manual

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AIRPORT SAFETY POLICY

The Concord Regional Airport has made it their policy to “Schedule with Safety”. The

Aviation Director has issued a Safety Policy Statement, which outlines the airport’s

commitment to safety. This letter is available to all employees from within this manual

or upon request from the Safety Manager.

Also the safety objectives and goals for the Operations Department, Maintenance

Department, and Other Divisions will be posted annually for employees to view.

The airport safety objectives and goals will be reviewed on an annual basis or when

objectives have been achieved.

The safety policy will be reviewed on an annual basis.
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MANAGEMENT COMMITMENT – Safety Policy Statement

At Concord Regional Airport safety is a core value of the airport, where the safety and

health of each employee comes first. Personnel and equipment in the aviation industry

are often exposed to many hazards. I acknowledge this fact and am personally

committed to doing everything possible to eliminate injury and damage in our working

environment. The ongoing process of Concord Regional Airport’s Safety Management

System is ultimately the responsibility of Concord Regional Airport Management.

However, each and every employee shall cooperate with management to ensure

implementation of this program.

The Safety Committee at Concord Regional Airport will continue to be proactive to

identify risks that may pose injury to personnel, or damage to equipment. To keep

these risks to a minimum we will continuously examine our operations on the airport and

within its facilities. The management team will respond to incidents, conduct audits,

communicate and document our findings, and constantly train all of our employees on

safety policies.

I have appointed a Safety Committee at Concord Regional Airport which consists of

eleven (11) people. They are: City Safety Manager or Designee, Aviation Supervisor

Maintenance, Aviation Supervisor Operations, Customer Service Specialist, Senior

Aviation Service Worker, Aviation Service Worker, Fire Department Representative,

ATC Tower Representative, Non-Airport City Department Safety Representative ,Airport

Fuel Vendor, and two (2) Airport Tennant Representatives.

As Aviation Director, I carry the ultimate responsibility for the Safety Management

System. I expect that every employee, contractor, and our customers to be active

participants in our Safety Program. Everyone shall use safe practices in their everyday

operations and report any discrepancies to his/her Manager. The Safety Committee will

be held accountable for recommending and monitoring safer steps for the prevention of

incidents and accidents. In addition, no employee will be disciplined for reporting a

Safety hazard or incident through our “non-punitive” reporting system. Employees that

report these hazards will be recognized and commended by the airport.

Richard K. Lewis

Aviation Director
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1.1 PROCESS FOR SETTING GOALS

The Aviation Supervisor of Maintenance and Aviation Supervisor of Operations have

established the following process’s to set and measure goals for the Maintenance

Department and the Operations Department.

The Maintenance Department performance goals are established through the review of

Reliability Meeting issues, Maintenance Reports and Quality Audits. The SMS

database is utilized to determine the frequency and severity and root causes.

The Quality Assurance Supervisor/Manager issues to the Aviation Director a Quality

Assurance Audit Summary at the end of each calendar year. This report summarizes

the annual maintenance issues, Vendor Audits, Maintenance Inspection Reports and

audits carried out on Concord Regional Airport maintenance department. This

information is used to measure established performance goals.

The Operations Department performance goals and objectives are established by

review of; Accident/Incident reports, Flight and Flight line Irregularity Reports, ATC Shift

Notes to monitor whether established procedures/policies are being followed.

Goals and objectives will be reviewed annually for the purpose of evaluation and to set

new goals.

2.0 MANUAL PURPOSE

This manual describes, or gives direction to, the systems and processes that have been

established in accordance with Title 14 of the Code of Federal Regulations (14 CFR)

Part 139, to ensure that Safety is built into every aspect of day-to-day operations of

Concord Regional Airport. This includes: Flight Operations, Aircraft Maintenance,

Maintenance Training, Flight Training, ATC, and Administration. In preparing this

manual and all interfacing manuals FAR 119.65 FAR 121.135, FAR 125, and FAR 135

were used as reference. Title 49 USC, subtitle VII, part a, chapter 447, paragraphs

44701 and 44702, FAR Order 8740.10, HBAT 99-19, HBAT 00-08, HBAW 00-07, AC

120-66B, AC 150-5200-37, AC 00-58, AC 120-59 were used as FAA Policy and

Guidance.

All personnel are required to be knowledgeable of the content of this manual as it

applies to their specific area of responsibility.

Other Manuals that are incorporated by reference include the following:

 General Maintenance SOP

 Operations SOP

 Training SOP Operations/Maintenance

 ATC Procedures Manual (Contract Tower)
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 Ground Safety Occupational Health and Safety Manual (OSHA) (City

Safety Office)

 Emergency Response Manual (Airport and Fire Department)

2.1 MANUAL CONTROL

This manual was developed under the authority of the Aviation Director, Concord

Regional Airport by the Safety Manager.

The Safety Manager shall amend this manual as required to keep it relevant and current

with the latest Federal Aviation Regulations.

Revisions to this manual will be identified by a vertical black line in the right hand

column opposite the amended text.

3.0 GENERAL DESCRIPTION OF SAFETY MANAGEMENT SYSTEM

A Safety Management System (SMS) is a systematic, explicit and comprehensive

process for the management of safety risks that integrates operations and technical

systems with financial and human resource management, for all activities related to an

air operator, airport or an approved maintenance organization’s operating certificate.

A safety system is a business-like approach to safety. In common with all management

systems, a Safety Management System provides goal setting, planning, and measuring

performance. It concerns itself with organizational safety rather than the conventional

health and safety at work concerns. A company’s SMS defines how it intends the

management of aviation safety to be conducted as an integral part of business

management activities.

A Safety Management System is woven into the fabric of an organization. It becomes a

part of the culture; the way people do their jobs.

The preceding was quoted from federal publication TP 13881 E (Safety Management

Systems for Flight Operations and Aircraft Maintenance Organizations).
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3.1 CONCORD REGIONAL AIRPORT SAFETY MANAGEMENT SYSTEM

Concord Regional Airport has developed and maintains a fully comprehensive Safety

Management System (SMS) in accordance with FAR 139.

The Aviation Director has been appointed in accordance with SS63 as the

“Accountable/Responsible Executive”. As the Accountable/Responsible Executive, he

accepts full responsibility for the airport Safety Management System and for ensuring

that personnel adhere to the requirements of that System.

Concord Regional Airport has established an Airport Safety Program. This program is

under the control of the Manager of Safety who reports directly to the Aviation Director.

The program and the person administering it are independent of either the Maintenance

Department or the Operations Department, thereby assuring autonomy.

This program is intended to ensure that the integrity of the Safety Management System

remains intact by regular surveillance, review and audit of the system in accordance

with Federal Regulations.

This program is documented in the volumes of the Concord Regional Airport Manuals.

4.0 QUALITY ASSURANCE AND SMS

Although Quality Assurance Programs (QA) and Safety Management Systems (SMS)

are separate and distinct processes, they are also inseparable. For that reason,

whenever the term SMS is used in this manual, it should be taken to mean; All safety

components that are built into our processes and procedures and the methods used to

verify compliance with these and regulations that are applicable to other airport

operations and their functions.

Quality Assurance is a Pro-Active safety assessment that ensures process control and

regulatory compliance through constant verification by audit and surveillance process.

Quality Assurance ensures a constant upgrading of systems based on the results of

audits.

Safety Management facilitates continuous improvements in safety through a similar

system of auditing processes and procedures to ensure correct application and

relevancy.
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4.1 Quality Assurance Programs

In order to be able to carry out meaningful audits of its processes and procedures, an

airport must have documented those policies, procedures and standards for every

aspect of the operation. Most of the procedures and standards that are used by

Concord Regional Airport departments are made mandatory by Federal Aviation

Regulations. Others may be airport requirements. Whether they are FAR or airport

requirements, in the interest of safety, it is essential for all employees to adhere strictly

to these policies and procedures.

Audits will be conducted to confirm compliance with policies and procedures that are

contained in the following publications:

 Airport/City Audit Procedures

 Ground Safety Manual Occupational Health & Safety Manual (City SOP)

 Technical Advisory Bulletins

 Operational Memorandums and Bulletins

 Safety Management System Manual

Guidelines have been developed for use of the Operations Department and the

Maintenance Department. The Operations guidelines are found in the Operations SOP

book located in the Aviation Supervisor Operations office. The Maintenance guidelines

are found in the Maintenance SOP book located in the Aviation Supervisor Maintenance

office.

These guidelines must be followed unless the employee has received approval from

their immediate supervisor, to deviate from them.

Employees are encouraged to question why certain airport procedures have been

established if they do not appear to make sense. All such queries will be taken into

account as part of the on-going assessment and improvement program, which is an

integral part of SMS.

To ensure regulatory compliance, and compliance with airport and customer procedures

and requirements, Concord Regional Airport has developed and uses the following

programs:

A. Maintenance Quality Assurance,

B. Airport Operations Quality Assurance,

C. Quality Assurance Program.
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4.1 QUALITY ASSURANCE PROGRAMS (cont’d)

A. The Maintenance Quality Assurance Program is in accordance with City,

Airport, and FAA regulations, policies and procedures, specifically FAR 139.

Management of this program has been delegated by the Aviation Director to the

Aviation Supervisor Maintenance. A description of this program can be found in

the Airport Certification Manual under the Maintenance Section and the

Maintenance SOP. Audit procedures and forms are located in these two

publications. The program is based on scheduled and random audit and

surveillance of functions of the Maintenance Operations. In accordance with AC

5200-37, and FAR 139, a portion of the audits will be carried out during

scheduled maintenance performed at night if applicable.

Vendor Quality/SMS audits will be carried out to ensure vendor compliance with

the applicable regulations.

B. The Operations Quality Assurance Program has been established to ensure

that Concord Regional Airport policies, procedures and standards, as they apply

to the Airport Operations Area, are maintained. This is accomplished by

scheduled and random audit and surveillance of all aspects of airport operations,

from ATC activities to training standards and includes, but not is not limited to:

 Audit of controlled publications and charts

 Regular review and improvement of the procedures contained in the

Operations SOP and ATC Letters of Agreement,

 Audit of training records,

 Audit of airport employee workers compensation records with City Human

Resources Department,

 Surveillance of employee duty times.

The Aviation Director has assigned the responsibility for the Operations Quality

Assurance Program, to the Aviation Supervisor Operations.

The Operations Quality Assurance Program is contained in the Airport

Certification Manual.

C. The Airport Quality Assurance Program has been established in accordance

with AC 5200-37, and FAR 139 and is separate and independent of the

Maintenance or Operations Quality Assurance Program.

This program has been developed to ensure the continued integrity of the

Concord Regional Airport Safety Management System. This will be

accomplished by schedules and random audit and surveillance of the SMS

processes and records.
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4.1 QUALITY ASSURANCE PROGRAMS (cont’d)

The audit will include, but not limited to:

 Accuracy and completeness of documentation of safety reports.

 Review of the corrective actions taken.

 Review of follow-up actions.

 Audit of controlled documents for currency.

Reporting to the Aviation Director, responsibility for this program is held by the

Safety/Quality Assurance Manager.

A description of this program, including responsibilities, is found in this Manual

and the Airport Operations SOP/Manual.
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5.0 SMS ORGANIZATION SAFETY CHART

NOTE: Solid lines indicate formal reporting. Dotted lines indicate informal or

administrative communications.

Aviation Supervisor

Operations

Aviation Customer

Service Workers

Aviation Service Workers

Aviation Supervisor

Maintenance

Aviation Maintenance

Workers

Responsible/Accountable

Executive

Richard K. Lewis

Safety Manager
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5.1 INDIVIDUAL RESPONSIBILITIES RELATED TO SMS

A. ACCOUNTABLE EXECUTIVE (AVIATION DIRECTOR)

Reporting to the Assistant City Manager, the Accountable Executive has been

appointed in accordance with SS 63. Within Concord Regional Airport, the

Aviation Director is the Responsible/Accountable Executive.

The Aviation Director is responsible for the operations and activities of the

airport, in accordance with FAR 139 and OSHA Regulations, as applicable.

In addition, the Aviation Director is responsible for:

 Establishing Safety performance goals and a means of measuring

the attainment of those goals in accordance with current

regulations.

 Ensure regular review of the SMS to determine its effectiveness in

accordance with current regulations. This will be accomplished by

the Manager of Quality Assurance.

B. SMS COMMITTEE CHAIRMAN

The Manager of Safety, who reports to the Aviation Director, chairs the SMS

Committee.

The Chairman will ensure that the following SMS functions are carried out in

accordance with FAR’s, City Policies, Airport Policies and Procedures,

which include:

 Coordinate the activities of the committee with other

members.

 Establish and maintain a reporting system to ensure the

timely collection of information related to hazards, incidents

and accidents that may adversely affect safety.

 Establish and maintain a safety data system to monitor and

analyze trends in hazards, incidents and accidents.

 Ensure SMS and deviation reports are entered into the

database and an investigator is assigned to each file.
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 Ensure personnel submitting reports are notified of the

receipt of the report and are informed about the disposition

of the report.

 Communicate to all airport personnel the results of the SMS

investigations and all pertinent safety information.

 Keep and distribute minutes of committee meeting.

During periods where the SMS Committee Chairman (Manager of Safety) is

absent, the Aviation Supervisor Operations shall ensure SMS reports are

entered into the database and assigned an investigator as applicable. The

Chairman will keep open lines of communications with the Aviation Director

but will not bypass the Functional Managers (Aviation Supervisor,

Maintenance, Aviation Supervisor, Operations) on any issue related to safety.

C. Aviation Supervisor Maintenance

The position of Aviation Supervisor, Maintenance has been appointed in

accordance with City and Airport Policy and Procedures.

The Aviation Supervisor, Maintenance meets the experience requirements of

Airport/City Policy, Procedures and FAR regulations.

Reporting to the Assistant Aviation Director, the Aviation Supervisor,

Maintenance, shall, in accordance applicable regulations manage the

activities of Maintenance Operations in accordance with policies set forth in

the Airport Maintenance SOP. Accordance with this manual, and Operations

SOP, shall control the Safety Management System for Maintenance

Operations. And in accordance with airport procedures, shall, when findings

resulting from a Quality Assurance Audit or Safety Management System

Report, is reported to him:

 Determine what, if any, corrective actions are required and carry out

those actions;

 Keep a record of any determination made and the reason for it;

 Communicate any determination regarding a corrective action to the

person managing the SMS for the Maintenance Department and

Quality Assurance Manager;

 Notify the Accountable Executive (Aviation Director) of any systemic

deficiencies and of the corrective action, and
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 Maintain open lines of communication with the Aviation Supervisor

Operations on all matters concerning Aviation and Ground Safety;

 Evaluate all safety related correspondence and forward pertinent

information to the SMS Committee Chairman for distribution.

D. QUALITY ASSURANCE MANAGER

In accordance with City/Airport Policy and FARs, the Aviation Director has

assigned management of the Airport Quality Assurance Program to the

Safety Manager/Quality Assurance Manager. The Safety Manager/Quality

Assurance Manager meets the requirements of the above policies and

regulations.

In accordance with these regulations, delegation includes the responsibility

for management of the SMS segment that is applicable to the Airport

Maintenance functions and Operations functions.

Reporting to the Aviation Director, the Quality Assurance Manager, in addition

to his responsibilities, shall participate as an active member of the SMS

Committee and ensure that the requirements of Quality Assurance are met.

These include but are not limited to:

 Identify hazards and carry out risk management analysis of those

hazards;

 Investigate, analyze and identify the cause or probable cause of all

hazards, incidents, and accidents identified under the SMS;

 Monitor and evaluate the results of corrective actions with respect to

hazards, incidents, accidents and audit findings;

 Monitor the concerns of the civil aviation industry in respect of safety

and their perceived effect on the airport and it’s departments;

 Will, in accordance with this manual, report to the Aviation Director, the

hazards, incidents and accidents identified under the SMS, and

 Will maintain open lines of communication with the Operations

Supervisor and Maintenance Supervisor regarding SMS issues related

to both departments.
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These requirements are identified under the SMS Committee Responsibilities that are

described below.

E. AVIATION SUPERVISOR OPERATIONS

Reporting to the Assistant Aviation Director, the Aviation Supervisor

Operations is the appointed Operations Manager of the Concord Regional

Airport, in accordance with applicable regulations and local policies and

procedures. The Aviation Supervisor Operations shall manage the activities of

the Airport in accordance with the Airport Certification Manual and all

appropriate SOPs. In addition to these responsibilities, the Aviation

Supervisor Operations is responsible for the control of the Safety

Management System as it applies to the Airport operating Certificate, in

accordance with applicable regulations 14 CFR Part 139. And, in accordance

with this manual, shall when a finding resulting from the SMS or Operations

Quality Assurance Program is reported to him/her;

 Determine what, if any, corrective actions are required and carry out

those actions;

 Keep a record of any determination made and the reason for it;

 Communicate the corrective action taken to the Safety Manager;

 Notify the Aviation Director of any systemic deficiency and the

corrective action taken;

 Will maintain open lines of communications with the Aviation

Supervisor Maintenance regarding SMS issues related to the

Maintenance Department;

 Evaluate all safety related correspondence and forward pertinent

safety information to the SMS Committee Chairman for distribution;

F. SENIOR AVIATION SERVICE WORKER

In accordance with these SMS procedures, the Aviation Supervisor

Operations shall assign responsibility for the management of the Flight Line

Operations Quality Assurance Program, to the Senior Aviation Service

Worker. Included in this assignment are the following responsibilities relating

to management of the SMS for the Operations Department, in accordance

with this manual, Airport certification Manual, the Senior Aviation Service

Worker shall:
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 Conduct a hazard identification and risk management analysis of the

operation of the Airport Flight Line;

 Investigate, analyze and identify the probable root cause and

contributory causes of all incidents, accidents, and safety deficiencies

identifies by the program;

 Monitor and evaluate the results of corrective actions with respect to

hazards, incidents, accidents and audit findings;

 Monitor aviation industry safety concerns that could affect the Flight

Line Operations;

 Participate in the activities of the SMS Committee and ensure that the

requirements of Federal Aviation Regulations are met; and

 Will maintain open lines of communication with the Safety

Manager/Quality Assurance Manager on SMS issues related to the

Maintenance and Operations Department.

.

These requirements are identified under the responsibilities of the Safety

Committee, listed below. And, in accordance this Manual and Operations

SOP, report to the Aviation Supervisor Operations, the hazards, incidents,

and accident identifies under the SMS.

G. SAFETY MANAGER

Reporting to the Aviation Director, the Safety Manager, in addition to being

the Chairman of the Safety Committee, is responsible for:

 Federal Aviation Regulatory and Occupational Health and Safety

issues in the airport areas of operation;

 Investigating, analyzing and identifying the cause or probable cause of

all hazards, incidents or accidents, relates to Aviation and

Occupational Health and Safety, identified by the SMS process.

 Administration and continuing improvement of the company Safety

Program;

 Administration and coordinating continuing improvement of the Airport

Emergency Response Plan with the Fire Department;
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 Details on these programs can be found in the following, controlled

document:

 Occupational Health and Safety Manual, City

 Safety Management System Manual; and

 Airport Emergency Response Plan Manual.

As a member of the SMS Committee, the Safety Manager will maintain open

lines of communications with all department heads on issues related to OSHA

and Flight Safety.

H. SAFETY REPRESENTATIVES

Concord Regional Airport has assigned OSHA and Flight Safety

responsibilities to personnel in all departments.

Reporting to the SMS Committee, the Safety Representative is responsible

for conducting quality audits of Safety Equipment and conditions at their

location that could be hazardous to employees. Unsafe conditions and/or

equipment are brought to the immediate attention of the department manager

who will ensure that appropriate corrective action is taken.

All such action is documented and forwarded by the Representative to the

SMS Committee. The SMS Committee will review the information to ensure

that appropriate action was taken, and may make further recommendations to

the Director for improved policies, procedures or equipment etc.

6.0 TRAINING

In accordance, FAR 139.303, the Aviation Supervisor Operations and the Aviation

Supervisor Maintenance and all persons directly connected to the airport SMS will

receive and shall successfully complete a safety related, initial training course that

includes the following subjects:

a. Maintenance and Flight Safety philosophy;

b. Human Factors;

c. Accident Prevention;

d. The responsibilities of safety personnel;

e. Risk Management;

f. Accident/Incident reporting; and

g. Incident investigation.

.
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“Initial” and “Recurrent” training on policies and procedures of the airport SMS that are

contained in this manual and manuals incorporates by reference, shall also be provided

to all personnel assigned safety related duties.

The Safety Manager/Training Manager will determine the content and frequency of

recurrent training.

7.0 SMS COMPONENTS

The Concord Regional Airport SMS is all inclusive and incorporates the following major

components:

 An Operations Quality Assurance Program;

 A Maintenance Quality Assurance Program;

 An Occupational Health and Safety Program (including Aviation OSHA) from

City Safety;

 A program of confidential, Employee Safety Reporting;

 An SMS Committee; and

 An Airport Emergency Response Plan.

Built into the major components that are listed above are sub-components that are in

accordance with FAR 139.

 A safety Policy on which the system is based.

 A process for setting goals for improvement of Aviation Safety and for

measuring the attainment of those goals.

 A process for identifying Hazards to Aviation Safety and for evaluating and

managing the associated risk.

 A process for ensuring that personnel are trained and competent to perform

their duties.

 A process for internal, non-punitive, reporting and analyzing of hazards,

incidents and accidents and, for taking corrective actions to prevent their

recurrence.

 A document containing all Safety Management System processes and a

process for making personnel aware of their responsibilities with respect to

them.

 A process for conducting periodic reviews or audits of the Safety

Management System and reviews or audits for cause and corrective action of

safety concerns, incidents or accidents.

 Any additional requirements for the Safety Management System that are

prescribed under the Code of Federal Regulations.
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8.0 THE SMS COMMITTEE AND HOW THE SYSTEM WORKS

Maintained by the SMS Committee, the SMS program is based on pro-active and

reactive processes.

Pro-active by means of:

 Audits;

 Policy and Procedure Assessment; and

 Hazard Identification.

Reactive by means of reports based on:

 Hazard Identification;

 Accident/Incident Reports;

 Database Assessment and Review; and

 Risk Analysis.

8.1 SMS COMMITTEE PURPOSE

The purpose of the Committee is two fold:

 To administer the policies and procedures of the Airport Safety Management

System in accordance with FAR 139 and AC 150-5200-37.

 To administer the policies and procedures of the US Occupations Health and

Safety Regulations, and the Aviation Occupational Health and Safety

Regulations, in accordance the US Department of Transportation, and US

Department of Labor Regulations.

NOTE: In case of duplication requirements between the US Labor Regulations and

the US Aviation (FAA) Regulations, the more stringent will be applied.

8.2 SMS COMMITTEE RESPONSIBILITIES

 Establish and maintain a reporting system to ensure the timely collection of

information related to hazards, incident and accidents that may adversely

affect safety;

 Identify hazards and carry out analysis of those hazards;

 Investigate, analyze and identify the cause or probable cause of all hazards,

incidents and accidents identified under the safety management system;
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 Establish and maintain a safety data system, to monitor and analyze

trends in hazards, incidents and accidents;

 Monitor and evaluate the results of corrective actions with respect to

hazards, incidents and accidents;

 Monitor the concerns of the civil aviation industry in respect of safety

and their perceived effect on the Maintenance and Operations

Departments;

 Determine the adequacy of the training provided to the person

responsible for Maintenance, Operations and other personnel who are

assigned duties related to the safety management system;

 Report to the Aviation Supervisor Maintenance and Aviation

Supervisor Operations, the hazards, incidents and accidents identified

under the safety management system or as a result of a Quality

Assurance audit of the Maintenance Department, Operations

Department or the Safety Management System; and

 Provide Progress Reports to the Aviation Director.

8.3 SMS COMMITTEE MEMBERS

Chairman - Safety Manager/Training Manager

Member - City Safety Manager

Member - Maintenance Supervisor

Member - Operations Supervisor

Member - Customer Service Specialist

Member - Senior Aviation Service Worker

Member - Fire Department Representative

Member - ATC Tower Representative

Member - City Department Non-Aviation Rep

Member - Airport Tennant Representative

Member - Airport Tennant Representative

Member - Airport Fuel Vendor

Members of the SMS Committee are responsible for: risk assessment,

accident/incident investigation and determining the root cause of all safety

concerns, accidents, incidents, unscheduled events and non-conformances that

relate to their area of expertise.
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The Committee is also responsible for the follow-up of all corrective actions that

are implemented by the Aviation Supervisor Maintenance or Aviation Supervisor

Operations.

The Committee Chairman is responsible for: “Filtering” reports to the

responsible Committee member and ensuring complete documentation of all

safety related issues. In addition, the Chairman will ensure that a secure

database of all safety related issues is maintained indefinitely.

8.4 COMMITTEE MEETINGS

At a minimum of once per month, at pre-scheduled dates that are determined by the

Chairman of the SMS Committee, the Committee will meet. The Chairman will table all

raised safety concerns, incident or accident reports, audit reports, pilot reports, employ

reports, relevant deviation reports and any system enhancement recommendations that

may have been received.

Using the SMS Process Flow Chart (Figure 1 below), the committee members address

all safety concerns that are directed to them.

The Committee will review all actions taken resulting from auditing and establish a

follow-up schedule.

They will review relevant pilot reports and deviation reports to ensure adequate action

has been taken to mitigate recurrence of the event.

Using the historic database, the Committee will look for trends that identify systemic

problems.

System enhancement recommendations will be reviewed and forwarded to the

appropriate head if the Committee concurs with recommendations.

The Chairman will ensure documentation and strict control of all documentation of

safety related issues and the ongoing monitoring of corrective actions.

NOTE: The Aviation Supervisor Maintenance or Aviation Supervisor

Operations, as applicable, holds responsibility for determining and implementing

corrective actions.

The dotted line that surrounds the SMS Flow Chart is named “System Evaluation”, and

represents the independent audit of the SMS that is carried out under the Quality

Assurance Program.
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9.0 SMS PROCESS FLOW CHART

10.0 EMPLOYEE REPORTING

All employees are responsible for reporting observed hazards, incidents or accidents to

their supervisor or the SMS Committee. This will ensure that all events receive the

appropriate investigation in order to:

 Identify the underlying initial contributing factor(s) that caused the event (root

cause), and identify the action required to minimize the chance of recurrence;

 Satisfy any regulatory requirement for reporting and investigating as per the

Code of Federal Aviation Regulations;

 Provide a factual record of the circumstances of the event or hazard to allow

others to learn from the situation; and
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 Categorize the underlying causes and establish the appropriate remedial and

continuous improvement action.

All reports are treated as strictly confidential. The reporter may remain anonymous if

they choose. However, in case more information is required, it is preferred that the

reporter identifies himself or herself. In all cases, employees will receive feedback on

what, if any, action was taken or planned. Employees who choose to remain

anonymous will receive this feedback by means of a general notification in Memo for or

through other communiqué systems.

10.1 NON-PUNITIVE REPORTING POLICY

In accordance with AC 150-5200-37, Concord Regional Airport has a policy that

ensures employees who report mishaps, risk exposures, safety hazards, incidents or

accidents will not be subject to disciplinary action by the airport with a few exceptions

such as the following (which could create or worsen risk exposures):

 Premeditated or intentional acts of violence against people or damage to

equipment/property;

 Actions or decisions involving material negligence which, in the airport’s

judgment, no reasonably prudent employee of relevant training and experience

would take; or

 Failure to report safety incident or risk exposures as required by Concord

Regional Airport’s operating procedures and/or this policy.

Employees who act irresponsibly in one of these ways remain exposed to disciplinary

action. An employee’s compliance with reporting requirements will be a factor to be

weighed in Concord Regional Airport’s decision-making in such circumstances.

Outside theses specific and rarely invoked exceptions, employees who make honest

mistakes or misjudgments will not be subject to blame-provided that they report such

incidents in a proper fashion.

10.2 HOW TO REPORT

Employees may choose any method to report their concerns as long as it is a written

report containing as much pertinent information as possible. However, employees are

urged to use the SMS Report Form. This multi-purpose report is designed to meet all

the SMS reporting requirements and eliminate the workload and confusion associated

with multiple reports. When submitted, the SMS Report Form is automatically sent to

the Safety Manager and either of the Supervisors or all three.
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Alternative reporting options include e-mail to the Safety Manager, e-mail to the

Supervisor, e-mail to the respective Department Safety Committee Member or fax to

any of these safety representatives.

Verbal reports may be used to start the investigative process but these must be

followed up with a written report.

Reports should contain all the details to fully describe the incident or conditions that

present a hazard.

10.3 WHAT TO REPORT

In order not to over burden the reporting system or the employee with unnecessary

paperwork, it is not required that all minor workplace hazards be addressed by means

of the official reporting system. Common sense is the key to deciding what should or

should not be reported. Some events or concerns are considered to be mandatory,

while others are not. An unsafe practice or condition in the workplace may not require

the filling out and submission of a report if:

 It is corrected immediately and was obviously caused by a “one off” event that

was not the result of a system or procedural failure. An example of this would

be;

 Someone neglecting to use the appropriate safety equipment although:

 The equipment was available;

 There was a policy in place that required its use;

 The appropriate training had been provided; and

 The person complied with the policy when reminded of his/her oversight.

HOWEVER, WHEN IN DOUBT, REPORT IT.

The airport also encourages employees to identify and report on any process or

procedure that does not fulfill the requirements of the job that they are performing. The

reporter is also encouraged to offer solutions for enhancement of the process or

procedure.

The following list is not all-inclusive. It is intended to give the employee an

understanding of what conditions to be vigilant of and what type of events require

mandatory reporting. Again, if any doubt exists as to whether or not something is

reportable, report it:
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 Any incident that requires a Service Difficulty Report (SDR) to be filed as per

FAR 139. (Notam)

 Reportable aviation occurrences as defined in the National Transportation Safety

Board Aeronautical Information Manual Part 830 must be reported to the NTSB

without delay.

 Any incident where the aircraft sustains damage requiring repair.

 Any air ground incident (accident) in which someone suffers injury or death.

 Any incident where the aircraft sustains damages or structural failure that

adversely affects the structural strength, performance and/or flight

characteristics.

 Suspected Hard landings observed by flight or ground personnel.

 Runway incursions.

 Excessive duty times by employees.

 Lack of adequate training and recurrent training.

 Poor communications between operational areas.

 Incorrect or inadequate procedures and failure to adhere to standard procedures.

 Lack of, or out of date, technical and flight publications or charts and plates.

 Inadequate tool and/or equipment control.

 OSHA/Aviation OSHA related concerns or events.

Other reports that are fed into the SMS for investigation, analysis and possible

corrective action include the following:

 Relevant Deviation Reports.

 Finding and Non-Conformance Reports resulting from internal audit.

.

The Quality Assurance Auditors and Supervisors will supply these reports as

appropriate.
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Audit findings, including findings that result in a Non-Conformance, will usually be

addressed during the audit period. However, the finding and resulting corrective action

must be supplied to the Committee Chairman. This will ensure that all system failures

are captures and entered in the database for historical reference and future follow-up.

(See, Audit Findings below).

10.4 REPORT PROCESSING

All reports are forwarded to the attention of the SMS Committee Chairman/Safety

Manager.

Employee Safety Reports will be reviewed by the Chairman upon receipt to

determine which direction the report should be

channeled. This will be; the Aviation Supervisor

Maintenance, the Aviation Supervisor Operations, or

the Safety Manager, or a combination if the report has

combined maintenance and operations implications.

Pilot Reports are forwarded by the customer service or operations

department to the Chairman who will retain a copy

and forward a copy to the Safety Manager for

committee resolution.

Deviation Reports are forwarded by the operations department to the

Chairman who will retain them for committee

resolution.

Quality Assurance Findings are forwarded by the auditor and supervisors, to the

Committee Chairman who will retain them for the

committee.

With the exception of Quality Assurance Audit

Findings which are described below, all reports will be

addressed by the responsible person (Supervisor or t

Safety Manager) with the level of priority they

determine as necessary.

The Quality Assurance Findings will be analyzed, with

the reports and recommendations given to their

“Functional Department Head” (Maintenance or

Operations) for corrective action.
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The Aviation Supervisor Maintenance or Aviation

Supervisor Operations will take whatever action, or

non action as they determine is necessary and report

such action back to their committee member (Quality

Assurance Manager or Safety Manager) and also up

to the Assistant Aviation Director or Aviation Director.

The Aviation Supervisor Maintenance or Aviation

Supervisor Operations will provide feedback on

corrective actions to their respective departments so

that staff can see the results of their commitment to

safety

Audit Findings and Non-conformances are addressed at the time of the audit and as

described in the applicable manuals (Maintenance

SOP, Operation SOP, and ACM). Conclusions of the

findings and non-conformances are tabled at the SMS

Committee meetings. The Committee will ensure that

a follow-up review of the corrective action taken.

All pertinent information from audit and nonconformance findings will be entered into the SMS

database.

11.0 QUALITY ASSURANCE FINDINGS

Audit findings will be investigated by the Quality Assurance Auditor (internal or

external), Supervisor, or Safety Manager as applicable, to the extent necessary to

determine the root cause and any contributory factors.

The results of the investigation will be forwarded to the Aviation Supervisor

Maintenance or Aviation Supervisor Operations as applicable.

The Aviation Supervisor Maintenance and Aviation Supervisor Operations will

determine what, if any corrective action is required and take that action. This will be

accomplished with pertinent department personnel. The Aviation Supervisor

Maintenance and the Aviation Supervisor Operations will document all corrective action

and non-action and include the following minimum information:

 Reference to the original audit finding and any relative information.

 The immediate or short-term corrective action that was taken.
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 The long-term corrective action, taken or planned.

 A summary of the logic applied to arrive at the corrective action.

 If the decision was that no action was necessary; the reason for this decision.

 Details on any follow-up to corrective action that may be required and the

scheduled date of that follow-up.

 Copies of this documentation will be forwarded to the Assistant Aviation Director

or Safety Manager as applicable, who will ensure that it is recorded into the SMS

database.

12.0 HAZARD IDENTIFICATION

The SMS committee shall gather information from a variety of sources to determine the

existence of hazards. These information sources include:

1. Hazard/Incident/Accident Reports,

2. Minor injury reports,

3. Safety Inspection reports,

4. Industry data, (i.e. manufacturers and other operators)

5. Safety data recording systems, (SDRs, etc.)

6. Government reports,

7. Other relevant information, and

8. Committee reviews of:

 Existing safety programs,

 MSDS (Material Safety Data Sheets) for new products introduced into the

airport or city, and

 Airport and industry trends.
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12.1 HAZARD IDENTIFICATION PROCESS

The SMS committee shall, at the monthly meeting, review any information received from

the sources above. The purpose of the review will be to identify specific hazards and

the potential impact on airport operations and/or the health and safety of employees.

All hazards reported to, or identified by, the committee shall be documented in a

database. The committee shall review information in the database to identify airport

trends.

Hazards identified through this process shall be assessed using the risk management

process in order to determine the most effective method to eliminate or mitigate the

hazard.

Any hazard reported to, or identified by, a committee member that poses an immediate

risk to airport operations or the health and safety of employees or airport equipment

shall immediately be brought to the attention of the supervisor with functional

responsibility. The risk shall be assessed and appropriate action taken. The committee

member will report to the committee the circumstances of these occurrences.

12.1 HAZARD IDENTIFICATION PROCESS

The SMS committee shall, at the monthly meeting, review any information received from

the sources above. The purpose of the review will be to identify specific hazards and

the potential impact on airport operations and/or the health and safety of employees.

All hazards reported to, or identified by, the committee shall be documented in a

database. The committee shall review information in the database to identify airport

trends.

Hazards identified through this process shall be assessed using the risk management

process in order to determine the most effective method to eliminate or mitigate the

hazard.

Any hazard reported to, or identified by, a committee member that poses an immediate

risk to airport operations or the health and safety of employees or airport equipment

shall immediately be brought to the attention of the supervisor with functional

responsibility. The risk shall be assessed and appropriate action taken. The committee

member will report to the committee the circumstances of these occurrences.
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13.0 RISK MANAGEMENT

13.1 DEFINITITIONS

Hazard: Anything that, given the right set of circumstances,

can cause injury to personnel and/or damage airport

facilities, equipment or reputation.

Risk: Risk is measured in terms of severity and probability

that an identified hazard will cause damage.

Probability: An expression of the likelihood a “hazard” could

cause an occurrence.

Severity: The consequences that could arise from a “worst

case scenario” for a particular hazard.

Mitigation: Measures taken to eliminate a hazard or reduce the

probability or severity of a risk.

Risk Tolerance: Risk tolerance is the amount of risk Concord Regional

Airport is willing to accept.

Risk Management: Risk management is the process of identifying risk,

assessing their implications, deciding on a course of

action, and evaluating the results.

13.2 RISK MANAGEMENT POLICY

Concord Regional Airport will identify and analyze hazards and determine the most

effective preventive measures the airport can use to eliminate or mitigate the risk the

hazard poses to the airport.

13.3 HAZARD IDENTIFICATION

Concord Regional Airport shall use three methods to identify hazards: process analysis,

trend analysis and reports from personnel.

Process Analysis:

Individual steps of a process are detailed and analyzed by management and

employees involved to determine the existence of hazards and identify possible

preventive measures to put in place to mitigate potential side effects of these

hazards.
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Trend Analysis:

The SMS committee and/or management personnel will review and compare safety

records to determine if repetitive, isolated incidents are indicative of an unrecognized

hazard. When hazards are identified, they will be analyzed to determine the most

efficient preventive measure available to mitigate the effects of the hazard.

Personnel Reports:

Employees are required to report hazards using the monthly inspection forms or the

airport Hazard/Incident/Accident report. Management will investigate report and

identify and implement any required preventive measures.

13.4 RISK ASSESSMENT

All identified hazards will be reviewed and be assigned to either the corrective action

program or be subjected to risk analysis. The corrective action program will be used

when a hazard has a straightforward and affordable solution, which must be complied

with due to either regulatory or operational requirements. All other hazards shall be

subjected to a risk assessment. This assessment will be assigned to an SMS

committee member and may involve the responsible supervisor. Each assessment will

be reviewed at committee meetings. The risk statement tab of the Incident Report

Database form is used to document the process.

The risk assessment process is broken down into five steps:

Step 1: Determine a Severity rating.

The assessor will determine the severity of the consequences a hazard

presents in a reasonable worst-case scenario. The assessor shall rate the

severity against the various criteria of the assessment form and assign a

High, Medium or Low rating to each criterion. The assessor then shall assign

an overall rating to the hazard based upon the different criteria and his

knowledge and experience.

The Severity Ratings are:

 Catastrophic

 Critical

 Major

 Minor

 Negligible
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Step 2: Determine a Likelihood rating.

The likelihood that a hazard will cause an incident is calculated by assessing

the effectiveness of any existing preventive measures already in place. The

assessor shall list the preventive measures on the form and rate these

against the following criteria:

1. Justified

Considering the resources required to implement the preventive measure:

are the benefits justifiable?

2. Address the Issue

Is the preventive measure addressing the hazard it is designed to

prevent?

3. Sufficient

Does the preventive measure have sufficient capacity to deal with the

issue it is designed to prevent?

4. Reliable

Is the preventive measure adhered to? Can it be trusted to be effective?

Are there any conditions where it may not be effective?

5. Assigned

Is there someone responsible to ensure the preventive measure is used?

Can they follow-up and modify the system to strengthen the preventive

measure if required?

6. Specific Instructions

Are there specific instructions for the preventive measure? Do these

effectively describe proper procedures for the functions and operations of

the preventive measures?

7. Communicated, Trained, Documented

Are the preventive measures described in company publications and

documentation? Are these continuously verified to ensure they remain

current, clear and effective? Are personnel trained on how to use the

preventive measures?

8. Tested, Practical

Have the preventive measures been tried in practice? Are they practical?
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The assessor must assess all eight criteria. If any criteria is weak or missing the

effectiveness of the preventive measure will be reduced. The effectiveness rating

for preventive measures are:

1. Extremely Unlikely highly unlikely to occur due to very effective and

robust prevention systems

2. Unlikely reduced chances of occurrence due to good

prevention systems

3. Likely could occur due to deficiencies in the prevention

systems

4. Extremely likely likely to occur due to inadequate prevention systems

5. Certain very likely to occur due to absent prevention systems

When there are more than one preventive measure, an overall rating of the

various preventive measures is assigned.

Step 3: Determine the Exposure Level

The exposure level is determined using the knowledge of current airport

practices, policies and procedures. Past experience and knowledge of future

operations is used to assign an exposure level. The exposure levels are:

1. Never Occurs once every two or three years

2. Hardly Ever Occurs once per year

3. Often Occurs once or more per month

4. Very Often Occurs once or more per week

5. Continuously Occurs once or more per day
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Step 4: Assign a risk priority rating to the hazard.

The Incident Report Database calculates the risk priority rating of a hazard. The

Severity Rating, the Likelihood Rating and the Exposure Level are entered into

the database on the Risk Statement Tab. The database then automatically

calculates a risk priority rating.

The calculations made are as follows:

Variables

1. Severity

a. Catastrophic (110);

b. Critical (100);

c. Major (65);

d. Minor (15);

e. Negligible (10).

2. Likelihood

a. Extremely Unlikely (0);

b. Unlikely (20);

c. Likely (70);

d. Extremely Likely (90);

e. Certain (110).

3. Exposure

a. Never (0);

b. Hardly Ever (.5);

c. Often (1);

d. Very Often (1.1);

e. Continuously (1.4).

Equations

1. Risk = Likelihood + Severity

2. Risk Analysis = (Risk * Exposure)

3. Risk Relative = Risk Analysis / 3.08 (Note: result is rounded to nearest

whole number)

4. Risk Zone = (Risk Analysis) = <104 (Low); <145 (Medium); >145 (High)

5. Relative Calculated Risk = Risk Zone

Example:

Exposure = Very Often = 1, Likelihood = Likely = 70, Severity = Major = 65

 Risk = Likelihood (70) + Severity (65) = 135

 Risk Analysis = Risk (135) * Exposure (1.1) = 148.5
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 Risk Relative = Risk Analysis (148.5) / 3.08 = 48

 Risk Zone = (Risk Analysis) = “High”

 Relative Calculated Risk = Risk Zone (High)

(The source of this formula is The Medallion Foundation of Alaska.)

The risk priority rating is used as guidance to assign priorities to ensure

mitigating or rectifying action is taken. The following levels will be used when

setting the priorities.

Rating Level Priority

75-100 Improvement is a high priority: Act immediately.

50-75 Improvement is priority: Act this year.

40-50 Issue is important. Continue to monitor, improve as needed.

25-40 Improvement is not a priority. Review opportunity next year

budget.

Less than 25 Improvement is not a priority.

Step 5: Assess Potential Preventive Measures

Identify other potential preventive measures the airport could use to help reduce

the severity of the consequences or the likelihood of occurrence.

The assessor shall assess the effectiveness of these potential measures and

assign an effectiveness rating to the measure. He then plots the likelihood rating

with the consequences rating and exposure level to determine the risk priority

rating of the hazard with new preventive measures.

13.5 RISK MANAGEMENT

The responsibility supervisor will be provided with the risk assessment form. The

supervisor will review the risk rating for the hazard and any potential preventive

measure and determine the best approach for the airport to follow to either

eliminate or mitigate the hazard.

13.6 MONITOR RESULTS

Decisions taken by supervisors to eliminate or reduce a risk shall be promulgated

to all employees affected. An implementation plan will be developed and carried

out. The SMS committee will monitor the implementation to ensure completion of

the process.
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Monitoring will ensure the following four things occur:

 A responsible person is assigned:

Somebody will be assigned the responsibility to implement the

mitigating process. This person will require the authority to perform his

duties.

 A due date is set:

A date by which the mitigating process is to be implemented shall be

set.

 The mitigating process:

The responsible person will have the choice of eliminating, mitigating,

monitoring or transferring the hazardous condition. He shall document

the course of action chosen and provide substantiation for this choice.

The substantiation is not required if the recommended course of action

is chosen.

Complex mitigating action can be broken into implementation targets.

This will allow the responsible person to delegate portions of the

mitigation action and provides him a tool to monitor progress.

Once the mitigating process is completed the responsible person will

document the action taken and enter the date completed in the Date

completed field of the database.

 A review date is set:

The SMS committee shall review the effectiveness of any mitigating

process implemented to ensure the process is effective and cost

efficient. Individual members of the committee may be tasked to

review the process and report to the committee on the effectiveness of

the process.

The committee will also review any items determined to require

budgetary considerations before the next business year’s budget is

developed. This review will be to prioritize the items that should be

considered in the budget plan and present these to the Aviation

Director.
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13.7 DOCUMENTATION

All hazards subjected to the risk analysis process will be documented on the Risk

Assessment form (appendix A).

Items generated by the SMS system will be assigned a tracking number matching the

SMS file number of the generating item.

If the form is completed electronically, it should be saved in PDF format to prevent the

file from being inadvertently modified if opened for review. Completed reports shall be

kept in the appropriate file folder of the Safety Database directory.

Integrated Risk Assessment forms completed on paper will be scanned and a copy will

be kept in the appropriate file folder of the Safety Database directory. The hard copy

will be kept by the Safety Manager and will be accessible to the SMS committee and

members of the airport management.

14.0 INVESTIGATION PROCESS

All incidents and accidents will be investigated to identify the root cause of the

occurrence. Hazards that do not show obvious solutions shall also be investigated.

The following are components of an investigation.

 Reference Material:

Identify and review all documentation pertinent to the occurrence. The

investigator must be familiar with policy and procedures as well as regulations

that may have an impact on the occurrence. Examples of reference material are:

 Regulations

 Customer Requirements

 Airport policies and procedures

 Maintenance/Operations SOPs, etc.

 Interview Personnel Involved:

Personnel involved in an occurrence and witnesses to the occurrence need to be

interviewed to find out what happened. The purpose of the interview will be to

identify issues that contributed to the occurrence. The results of the interview

must be documented.

 On Site Investigation:

On occasion it may be necessary to attend the site of the occurrence to see if

there are environmental conditions that may have contributed to the occurrence.

Pictures may be used to document the existence of these conditions.
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 Document Extent of Damage:

Pictures of damage caused by an occurrence shall be taken and provided to the

SMS committee for review and to support the database file. The financial impact

of the occurrence shall also be estimated.

 Document Extent of Injuries:

If personnel are injured as a result of the occurrence, the extent of the injuries as

well as the impact on the personnel involved shall be documented. All injuries

requiring medical attention shall also be reported to the City HR and Safety

Departments for required reports to be filed.

Once an investigation is completed, the investigator shall document the investigation.

The investigator shall summarize what happened, identify root causes and provide

suggestions for corrective action. The investigation shall be recorded into the database.

The results of safety investigations shall not be used to apportion blame. If

management feels disciplinary action is required, a duplicate investigation will be

required.

15.0 DOCUMENTATION AND RECORDS RETENTION

Copies of all reported hazards, incidents and accidents, complete with documented

actions, and meeting minutes to the Committee, will be retained indefinitely by the

Chairman and Assistant Aviation Director. These will be provided to the NTSB, FAA,

Department of Labor (OSHA) and Quality Assurance Auditor as requested, for review

and auditing purposes.

16.0 SMS AUDIT AND ASSESSMENT

The Safety Management System described in this manual will receive constant

monitoring and review by Concord Regional Airport’s Quality Assurance Program. In

addition, management will complete an audit of the SMS initially within 6 months of

commencement of the program and annually, thereafter.

All audit findings and assessments will be documented on the appropriate checklist and

findings of the audit forwarded to the Safety Manager and Aviation Director.

The Supervisory Staff with the assistance of the Safety Manager will implement

corrections and changes to the SMS as directed by the Aviation Director.
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VI. APPENDICES

Appendix A-Risk Assessment Forms

Appendix B

VII Other Forms
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CONCORD REGIONAL AIRPORT INTEGRATED RISK ASSESSMENT FORM

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Date Course Taken Instructed By Credit Hours Recirtification Due

Personnel Orientation

8/14/2006 Site Orientation GH OJT N/A

H/R Orientation

Flt. Line Equip.

Rules & Regs.

Job Responsibilities

Cust. Serv. Counter

Radios & Comm.

City Organization Cht.

City Departments

Avi. Catagories

FBO Definition

Haz/Comm Program

Flt. Line Haz/Comm

Mechanics Of Fire

Flt. Line Safety

Fuel Trk Driving Test

Fuel Trk Driving Test

Fuel Trk Driving Test

Pumping Av-Fuels

Fuel Farm Training

Fire Alarm Systems

NATA - PLST Test # 1

NATA - PLST Test # 2

NATA - PLST Test # 3

NATA - PLST Test # 4

NATA - PLST Test # 5

NATA - PLST Test # 6

NATA - PLST Test # 7

NATA - PLST Test # 8

NATA - PLST Test # 9

NATA - PLST Test # 10
SAFETY

MANAGEMENT

SYSTEMS

MANUAL

SAFETY MANAGEMENT SYSTEM V. 1.0

Pg. 41

Premier Care Testing

Customer Service Counter

Recirtification Date: _______________________

Name: ______________________________________

ASW SASW

a. Public Address (Paging) System _______ _______

b. Telephone System Operations _______ _______

c. Credit Card POS Machines (Airworld & Avcard) _______ _______

d. Services, Products and Rates _______ _______

e. Service Orders, On-line logs, Aircraft Activity Log. _______ _______

f. Renal Cars / Crew Cars _______ _______

g. Catering _______ _______

h. Hotel Reservations _______ _______

i. Shuttle / Limo / Towncar / Taxi Services _______ _______

j. Directional Maps _______ _______

k. Pilot Supplies / Retail Shop _______ _______

l. Conference Rooms (Upstairs, Down Stairs, Crosby Room) _______ _______

m. Pay Phone Location _______ _______

n. Terminal Fire Alarm Panel _______ _______

o. Fire Alarm Monitor Box & Printer _______ _______

p. Fax Machine & Copy Machine _______ _______

q. Computer Terminals _______ _______

r. Unicom Radio & Frequencies _______ _______

s. Security Cameras & Gate Controls _______ _______

t. ILS Monitor Box / ILS Alarms _______ _______

u. Hallway Key Box / Key Drawer _______ _______

v. Memo Book _______ _______

w. WSI Weather System (Flight Planning) _______ _______

x. RDU Flight Services / CLT Clearance Phones (Flight Planning) _______ _______

y. Pilots Lounge / Snooze Rooms _______ _______

z. TV’s, Remote’s, Direct TV (Satellite System) _______ _______
SAFETY

MANAGEMENT

SYSTEMS

MANUAL

SAFETY MANAGEMENT SYSTEM V. 1.0

Pg. 42

Aviation Refueler Driving Test

Recertification Date: ______________

Name: _______________________________

Driving Test

#8125 #8664 #8652 Trainer

a. Initial Start-up ______ ______ ______ _____

b. Operating Controls ______ ______ ______ _____

c. Parking Brake ______ ______ ______ _____

d. Wheel Chocks ______ ______ ______ _____

e. Gauges ______ ______ ______ _____

f. Lights & Rotating Beacon ______ ______ ______ _____

g. Automatic Shut-off Devises

1. High Coolant Temp. ______ ______ ______ _____

2. Low Oil Pressure ______ ______ ______ _____

3. Low Air Pressure ______ ______ ______ _____

h. Right of Way ______ ______ ______ _____

i. Backing-up / Avoid at All Cost ______ ______ ______ _____

j. Approaching Aircraft ______ ______ ______ _____

k. Positioning Refueler @ Aircraft ______ ______ ______ _____

l. Driving Test ______ ______ ______ _____

Refueler – Pumping Mode

a. Setting the park Brake ______ ______ ______ _____

b. Engaging PTO (pump) ______ ______ ______ _____

c. Brake Interlock System

1. PTO Interlock ______ ______ ______ _____

2. Fuel Nozzle Interlock ______ ______ ______ _____

3. Bottom Load Interlock ______ ______ ______ _____

d. Pumping System

1. Pump ______ ______ ______ _____

2. Piping ______ ______ ______ _____

3. Valves ______ ______ ______ _____

4. Filter Vessel ______ ______ ______ _____

5. Hose Reel ______ ______ ______ _____

6. Nozzle Types ______ ______ ______ _____

7. Deadman Nozzles ______ ______ ______ _____

8. Deadman Control ______ ______ ______ _____
SAFETY

MANAGEMENT

SYSTEMS

MANUAL

SAFETY MANAGEMENT SYSTEM V. 1.0

Pg. 43

9. Registers (meters) ______ ______ ______ _____

e. Static Electricity

1. Grounding vs. Bonding ____

Flight Line Equipment

Recirtification Date: __________

Name: ____________________________________

Flight Line Equipment

a. Harlan & Lektro Tugs ASW SASW

1. What Is Draw Bar Pull (DBP) ______ ______

2. Capacity of Tugs ______ ______

3. Jack-Knifing ______ ______

4. Speed While Towing ______ ______

5. Wet Pavement & Towing ______ ______

b. Hobart – Ground Power Unit (GPU)

1. Purpose of a GPU ______ ______

2. 28 Volts vs. 14 Volts ______ ______

3. Plug Types ______ ______

4. 110 A/C Current (Location) ______ ______

c. Jet Refueler

1. Fire Extinguisher (How Many & Where) ______ ______

2. Emergency Shutoff (How Many & Where) ______ ______

3. Purpose of Internal Valve ______ ______

4. Hose Reel Valves ______ ______

5. Filter Vessel Valve ______ ______

6. Types of Nozzles & Costs ______ ______

7. Fuel System Icing Inhibitor (FSII Additive) ______ ______

8. Recirculation Piping ______ ______

9. Registers (Meters) – Whole Gallons ______ ______

10. Smoking ______ ______

d. Avgas Refueler

1. Fire Extinguisher (How Many & Where) ______ ______

2. Emergency Shutoff (How Many & Where) ______ ______

3. Internal Valve Actuator ______ ______

4. Register (Meter) ______ ______

5. No Tenths – Only Whole Gallons ______ ______

e. Tow Bars

1. Tronair Tow Bar Receiver ______ ______
SAFETY

MANAGEMENT

SYSTEMS

MANUAL

SAFETY MANAGEMENT SYSTEM V. 1.0

Pg. 44

2. Tronair Towheads ______ ______

3. Joy Bar ______ ______

4. Joy Bar (DBP) Capacity ______ ______

5. Jetstar Tow Bar ______ ______

f. Wands ______ ______

g. Electric Golf Carts ______ ______

h. Low Profile Lavatory Cart

Flight Line Safety

Recirtification Date: ____________

Name: ________________________________________

Flight line Safety

ASW SASW

a. Hearing Protection

1. Must Be Worn On Line _________ _________

b. Eye Protection _________ _________

c. Summer Precautions

1. Know The Signs of Heat Exhaustion _________ _________

2. Know The Signs of Heat Stroke _________ _________

3. Drink Plenty of Fluids _________ _________

4. Wear Sun-Block _________ _________

5. Sunglasses _________ _________

d. Winter Precautions

1. Know The Signs of Frostbite _________ _________

2. Layer Clothing _________ _________

3. Gloves & Head Gear _________ _________

e. Work Gloves _________ _________

f. Ladders

1. Inspected Daily _________ _________

2. If Defective – Destroyed _________ _________

3. No Standing on Top Rung _________ _________

g. Helicopters

1. Blades _________ _________

2. Tail Rotor _________ _________

3. Ground Effect Oscillations _________ _________

4. More Than One Helicopter _________ _________

h. Propellers

1. Never Stand In The Arc _________ _________
SAFETY

MANAGEMENT

SYSTEMS

MANUAL

SAFETY MANAGEMENT SYSTEM V. 1.0

Pg. 45

2. Always Turn Prop – Opposite Rotation _________ _________

3. Never Stare Into a Turning Prop _________ _________

4. Never (Hand) Prop Start Any Aircraft _________ _________

i. Chocking Wheels

1. Propellers must be stopped turning _________ _________

2. Jets Must Be Shut Down _________ _________

j. Pitot Tubes, Antenna, Landing Gear Doors _________ _________

k. Directing Aircraft _________ _________

l. Prop Wash & Jet Blast

TRAINING PROGRAM SCHEDULEDate of Hire:

1. Orientation by Airport Personnel Date Trainee

Trainer

a. Airport Operations Manager Welcome ________ _______ _______

1. City of Concord Mission Statement

2. Co-Workers Committee

3. In-House Meetings

b. City ID/Time Card Badge (Human Resources) ________ _______ _______

c. CDL License Confirmation - Photocopy ________ _______ _______

d. Locker Assignment ________ _______ _______

1. Right to Search

2. Paperwork

e. Employee Parking Lot ________ _______ _______

f. Telephone List and AV-Number List ________ _______ _______

g. Safety Equipment ________ _______ _______

1. Paperwork

2. Hearing Loss

3. Must Use Safety Equipment

h. Assign Radio Equipment ________ _______ _______

1. Conversations Recorded

2. Other Channels

3. Failure to Return Equipment

i. Uniforms ________ _______ _______

1. Policy

2. Shoes

3. Casual Friday

j. Airport Director Greeting ________ _______ _______

k. Training Schedule ________ _______ _______

1. Hours of Training

2. Safety While Training

3. Testing
SAFETY

MANAGEMENT

SYSTEMS

MANUAL

SAFETY MANAGEMENT SYSTEM V. 1.0

Pg. 46

4. 100% Score to Pass

5. Assignment to Teams

l. Scheduling of Road Test for CDL ________ _______ _______

m. Scheduling of Hepatitis B Shots ________ _______ _______

n. Expectations on Personal Appearance ________ _______ _______

o. Time Clock Operation ________ _______ _______

2. Site Orientation

a. Terminal Building (including Tower) ________ _______ _______

b. Diamond Aviation Hangar ________ _______ _______

c. S & D Coffee Hangar ________ _______ _______

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Date Trainee

Trainer

d. C.C. Dickson Hangar ________ _______ _______

e. Helicopter Pads ________ _______ _______

f. Aircraft Wash Rack ________ _______ _______

g. Security Gates and Cameras ________ _______ _______

h. Maintenance Building ________ _______ _______

i. Dumpster ________ _______ _______

j. Electrical Vault Building ________ _______ _______

k. Customer Parking Lot ________ _______ _______

l. Fire Pump Station ________ _______ _______

m. Airport Business Park ________ _______ _______

n. Hangar A ________ _______ _______

o. Hangar A Offices ________ _______ _______

p. Fire Station #6 ________ _______ _______

q. Spitfire Maintenance Hangar ________ _______ _______

r. Hangar B ________ _______ _______

s. Hangar C ________ _______ _______

t. Hangar “D” ________ _______ _______

u. Aircraft Self-Maintenance Building ________ _______ _______

v. T-Hangars (TA, TB, TC, TD) ________ _______ _______

w. Tiedowns ________ _______ _______

x. Taxiways ________ _______ _______

1. Width

2. Designators for Taxiways (A, B, C, and D)

3. Restricted Travel

y. Medium Intensity Approach Lighting System ________ _______ _______

1. What is MALSR

2. Visual vs. Instrument Aid
SAFETY

MANAGEMENT

SYSTEMS

MANUAL

SAFETY MANAGEMENT SYSTEM V. 1.0

Pg. 47

z. Precision Approach Positioning Lights (PAPI) ________ _______ _______

1. What are PAPIs

2. Location of PAPIs

z. Runway 02/20 ________ _______ _______

1. Airport Designator (JQF)

2. Length and Width

3. Direction of Runways

4. High Intensity Quartz Landing Lights (HIRQL)

5. Tower Hours of Operations

6. Control Runway Lighting Intensity

aa. AWOS ________ _______ _______

1. What is AWOS

2. Location of AWOS

3. Weather Information by Telephone or Radio

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(Continuation of Site Orientation) EMPLOYEE :

Date Trainee Trainer

bb.ILS System ________ _______ _______

1. What is ILS

2. Three Instruments for ILS

3. Instrument Flight Rules (IFR)

4. Visual Flight Rules (VFR)

cc. Glide Slope

1. Purpose of GS

2. Location of GS

dd. Localizer ________ _______ _______

1. Purpose of LOC

2. Location of LOC

ee. Distance Measuring Equipment ________ _______ _______

1. Purpose of DME

2. Location of DME

3. City of Concord Orientation (Human Resources)

a. Video - "Concord - A City Meeting the Future" ________ _______ _______

b. Benefits Information and Sign-ups ________ _______ _______

c. Withholding Forms ________ _______ _______

d. Issuance of the Individual Personnel Policy

Handbook - Book # _________ ________ _______ _______
SAFETY

MANAGEMENT

SYSTEMS

MANUAL

SAFETY MANAGEMENT SYSTEM V. 1.0

Pg. 48

4. Rules and Regulations

a. 1. Safety First ________ _______ _______

b. 2. The Unbreakable Rule : Don’t Know - Don’t Do ________ _______ _______

c. 3. 100% Rule ________ _______ _______

d. 4. No Paperwork – No Work ________ _______ _______

e. Training Videos ________ _______ _______

f. Reading of City's Personnel Policy ________ _______ _______

5. Flight Line Equipment

(Must Pass Ground Vehicle Operations Test Before you Can Operate Any

Equipment)

a. Harlan Tugs ________ _______ _______

1. What is Drawbar Pull (DBP)

2. Capacity of Tug

3. Jack-knifing

4. Speed

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(Continuation of Flight Line Equpment) EMPLOYEE :

Date Trainee Trainer

b. Hobart Brothers Ground Power Unit (GPU) ________ _______ _______

1. Purpose of a GPUs

2. 28 Volts vs. 14 Volts

3. Plug Types

4. 110 AC Voltage (Household Current)

c. Jet Refueler ________ _______ _______

1. Fire Extinguishers – How Many and Where

2. Emergency Shutoff – How Many and Where

3. Purpose of Internal Valve

4. Hose Reel Valve

5. Filter Vessel Valve

6. Types of Nozzles and Cost

7. Fuel System Icing Inhibitor (FSII Additive)

8. Recirculation Pipe

9. Register (Meters) – Whole Gallons

10.Smoking

d. Avgas Refueler ________ _______ _______

1. Fire Extinguishers – How Many and Where
SAFETY

MANAGEMENT

SYSTEMS

MANUAL

SAFETY MANAGEMENT SYSTEM V. 1.0

Pg. 49

2. Emergency Shutoff – How Many and Where

3. Internal Valve Actuator

4. Register (Meter)

5. No Tenth Only Whole Gallons

e. Towbars ________ _______ _______

1. Tronair Towbar Receiver

2. Tronair Towheads

3. Joy Bar

4. JetStar Towbar

f. Wands ________ _______ _______

g. Golf Carts ________ _______ _______

h. Low-Profile Lavatory Cart ________ _______ _______

i. Low-Profile Pottable Water Cart ________ _______ _______

j. Helicopter Dollies

1. Number and Location ________ _______ _______

2. Sizes

k. Towable Baggage Carts ________ _______ _______

l. Terminal Building Valet Carts ________ _______ _______

m. Aircraft Chocks ________ _______ _______

1. Wooden Chocks

2. Large Aircraft Rubber Chocks

3. Main Wheel vs. Nose Wheel Chocking

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(Continuation of Flight Line Equipment) EMPLOYEE :

Date Trainee Trainer

4. Leave Space to Remove

5. Turning Props and Chocking

6. Removing Chocks While Aircraft is Running

n. Lektro Electric Tug ________ _______ _______

1. Harlan Tug vs. Lektro

2. GPU

3. Large Lektro Tug

4.

6. ASW I : Job Responsibilities

a. Five Areas of Responsibility ________ _______ _______

1. Vehicle and Equipment Maintenance

2. Building Maintenance

3. Airfield/Runway Maintenance
SAFETY

MANAGEMENT

SYSTEMS

MANUAL

SAFETY MANAGEMENT SYSTEM V. 1.0

Pg. 50

4. Landscaping Maintenance

5. Aircraft Service

b. Fire/Rescue Responsibilities ________ _______ _______

1. Fire Station #6

2. Blood Borne Pathogens

c. Security Requirements ________ _______ _______

1. Detaining Individuals

2. Gates

3. Night Inspections

h. Shop Work ________ _______ _______

1. Learning to Use the Equipment

2. Wear Safety Equipment

3. Lock Out/Tag Out

i. Fuel Farm Maintenance ________ _______ _______

1. Filter Changes

2. Proper Tools

3. Safety Issues

j. Quality Control ________ _______ _______

k. Customer Service Counter ________ _______ _______

l. Performance Evaluation Paperwork ________ _______ _______

1. Copy of Paperwork

2. Length of Probation

3. Who is Involved in the Evaluation

4. Performance Progress Notes

5. Written and Verbal Warnings

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(Continuation of Job Responsibilities) EMPLOYEE :

Date Trainee Trainer

7. Customer Service

a. Public Address System ________ _______ _______

b. Telephones ________ _______ _______

c. Cash Register ________ _______ _______

d. Services, Products and Rates ________ _______ _______

e. Credit Cards and POS Machine ________ _______ _______

f. Service Orders - Fuel ________ _______ _______

g. Rent-A-Cars ________ _______ _______

h. Catering ________ _______ _______

i. Hotel Reservations ________ _______ _______

j. Taxi Service ________ _______ _______
SAFETY

MANAGEMENT

SYSTEMS

MANUAL

SAFETY MANAGEMENT SYSTEM V. 1.0

Pg. 51

k. Limo Service ________ _______ _______

l. Directional Maps ________ _______ _______

m. Retail Shop - Pilot Supplies ________ _______ _______

n. Downstairs Conference Room ________ _______ _______

o. Lobby House Telephone ________ _______ _______

p. Terminal Fire Alarm Panel ________ _______ _______

q. Remote Fire Alarm Monitor Box and Printer ________ _______ _______

r. Fax Machine ________ _______ _______

s. Computer Terminal ________ _______ _______

t. Copy Machine ________ _______ _______

u. Aircraft On-Line and Activity Logs ________ _______ _______

v. AWOS Terminal ________ _______ _______

w. Security Camera and Gate Controls ________ _______ _______

y. ILS Monitor Boxes ________ _______ _______

z. Outside Vendors and Solicitations ________ _______ _______

aa. Key Box ________ _______ _______

bb. Memo Book ________ _______ _______

cc. WSI - Weather Radar (Flight Planning) ________ _______ _______

dd. Flight Service Phone (Flight Planning) ________ _______ _______

ee. Pilot's Lounge ________ _______ _______

ff. Snooze Rooms ________ _______ _______

gg. TV, Remote Control and PrimeStar ________ _______ _______

8. Radios and Communication

a. Phraseology ________ _______ _______

b. Unicom ________ _______ _______

c. Motorola 800 Radio ________ _______ _______

d. ICOM Air to Air Radios ________ _______ _______

e. Batteries and Chargers ________ _______ _______

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(Continuation of Radio and Communication) EMPLOYEE :

Date Trainee Trainer

9. ILS Training Video - Lesson #1

a. Review Test Results ________ _______ _______

b. Discussion and Questions ________ _______ _______

c. On-The-Job Training ________ _______ _______

10. Commercial Driver's License

a. Scheduling of Training for CDL Road Test ________ _______ _______
SAFETY

MANAGEMENT

SYSTEMS

MANUAL

SAFETY MANAGEMENT SYSTEM V. 1.0

Pg. 52

Date : __________ Time : __________

b. Road Test ________ _______ _______

Date : __________ Time : __________

11. On-The-Job Training with Flight Line Crews ________ _______ _______

12. Organizational Chart ________ _______ _______

a. Board of Alderman h. Marketing

b. City Manager i. CSR I

c. Department Heads j. CSR II

d. Aviation Director k. ASW I

e. Assistant Aviation Director l. ASW II

f. Account Clerk m. Courier

g. Administrative Assistant

13. City Departments ________ _______ _______

a. Fleet Services/Public Works

b. Electric Department

c. Human Resources

d. Engineering & Water Resources

e. Zoning and Planning

f. Fire Department

g. Police Department

14. PLST Training Video #1 - Introduction

a. Review Test Results ________ _______ _______

b. Discussion and Questions ________ _______ _______

c. On-The-Job Training ________ _______ _______

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Date Trainee Trainer
SAFETY

MANAGEMENT

SYSTEMS

MANUAL

SAFETY MANAGEMENT SYSTEM V. 1.0

Pg. 53

15. Aviation Categories ________ _______ _______

a. Commercial Passenger Service

b. Commercial Air Cargo Service

c. Commercial Air Taxi Service

d. Military Aviation

e. General Aviation

1. Commercial Charter and Air Freight

2. Flight Training

3. Business Aircraft

4. Private Aircraft

5. Air Ambulance

16. Concord Regional Airport ________ _______ _______

a. General Aviation Reliever Airport

b. FAA Funding of the Airport

c. City of Concord Funding of the Airport

d. Uncontrolled Field - "See and Be Seen"

e. Control Tower - Special Events

17. Fixed Based Operator ________ _______ _______

a. Full Service FBO b. Services We Provide

1. Line Services 1. Line Services

2. Maintenance 2. Fuel Additives (Prist)

3. Avionics 3. Aviation Oils

4. Aircraft Charter 4. Towing

5. Aircraft Parts 5. Ground Power

6. Aircraft Sales 6. Baggage Handling

7. Flight Training 7. Pottable Water

8. Airline Fueling 8. Aircraft Storage (T-Hangars and

HIC)

9. Military Fueling 9. Self-Maintenance

10. Aircraft Cleaning 10. Wash Rack

11. Aircraft Deicing 11. Pilot Shop

12. Pilot Shop 12. Catering

13. Catering 13. Rent-A-Car

14. Rent-A-Car 14. Airport Operations

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MANAGEMENT

SYSTEMS

MANUAL

SAFETY MANAGEMENT SYSTEM V. 1.0

Pg. 54

EMPLOYEE :

Date Trainee Trainer

18. Hazard Communication Program

a. Written Hazard Communication Program ________ _______ _______

b. Employee's "Right to Know" Law ________ _______ _______

c. Product Labels and Material Safety Data Sheets ________ _______ _______

d. Handling Hazard Materials Using Protective Equip. ________ _______ _______

e. Cleanup of Spills and Disposal ________ _______ _______

f. Exposure and First Aid Procedures ________ _______ _______

g. Fire and Explosion ________ _______ _______

19. Flight Line Products - Haz Communication

a. Jet A Fuel ________ _______ _______

b. Avgas 100LL ________ _______ _______

c. Mogas (Unleaded Gasoline) ________ _______ _______

d. Petroleum Based Aviation Oils ________ _______ _______

e. Synthetic/Petroleum Based Aviation Oils ________ _______ _______

f. Synthetic Aviation Turbine Oils ________ _______ _______

g. Prist - Fuel Additive ________ _______ _______

20. Mechanics of Fire

a. Fire Triangle ________ _______ _______

b. Fuel Vapors ________ _______ _______

c. Fire Extinguishers ________ _______ _______

d. Fire Station # 6

21. Flight Line Safety

a. Hearing Protectors ________ _______ _______

b. Eye Protection ________ _______ _______

c. Summer Precautions ________ _______ _______

d. Winter Precautions ________ _______ _______

e. Gloves ________ _______ _______

f. Ladders ________ _______ _______

g. Propellers ________ _______ _______

h. Helicopter

1. Blades ________ _______ _______

2. Tail Rotor ________ _______ _______
SAFETY

MANAGEMENT

SYSTEMS

MANUAL

SAFETY MANAGEMENT SYSTEM V. 1.0

Pg. 55

3. Ground Effect Oscillations ________ _______ _______

4. More Than One Helicopter ________ _______ _______

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(Continuation of Flight Line Safety) EMPLOYEE :

Date Trainee Trainer

i. Chocking Wheels ________ _______ _______

j. Pitot Tubes, Antenna, and Landing Gear Doors ________ _______ _______

k. Directing Aircraft ________ _______ _______

l. Prop Wash and Jet Blast ________ _______ _______

m. Backing Vehicles ________ _______ _______

n. Night Operations ________ _______ _______

o. Night Reflective Vest ________ _______ _______

p. Wands ________ _______ _______

q. Thunderstorms ________ _______ _______

r. High Winds ________ _______ _______

s. Wet Pavement ________ _______ _______

t. Fuel Spills ________ _______ _______

u. First Aid Kits ________ _______ _______

v. Refueler Eye Wash Kits ________ _______ _______

w. Burn Kits ________ _______ _______

x. Back Injuries and the Back Support ________ _______ _______

y. Golf Cart Operations

1. Body, Hands & Feet Inside Cart at all times ________ ________ _______

2. Policy and Procedures reviewed ________ ________ _______

3. Must pass Ground Veh. Ops test to operate ________ ________ _______

22. Aviation Refueler - Driving Test #8125 #8664 #8652

a. Initial Start-up ______ ______ ______ ________ _______ _______

b. Operating Controls ______ ______ ______ ________ _______ _______

c. Parking Brake ______ ______ ______ ________ _______ _______

d. Wheel Chocks ______ ______ ______ ________ _______ _______

e. Gauges ______ ______ ______ ________ _______ _______

f. Lights and Rotating Beacon ______ ______ ______ ________ _______ _______

g. Automatic Shut-Off Devices

1. High Coolant Temperature ______ ______ ______ ________ _______ _______

2. Low Oil Pressure ______ ______ ______ ________ _______ _______

3. Low Air Pressure ______ ______ ______ ________ _______ _______

h. Right of Way ______ ______ ______ ________ _______ _______
SAFETY

MANAGEMENT

SYSTEMS

MANUAL

SAFETY MANAGEMENT SYSTEM V. 1.0

Pg. 56

i. Backing Up - Avoid at all Cost ______ ______ ______ ________ _______ _______

j. Approaching Aircraft ______ ______ ______ ________ _______ _______

k. Positioning Refueler at A/C ______ ______ ______ ________ _______ _______

l. Driving Test ______ ______ ______ ________ _______ _______

23. Aviation Refueler – Pump Mode #8125 #8664 #8652

a. Setting Park Brake ______ ______ ______ ________ _______ _______

b. Engaging PTO (Pump) ______ ______ ______ ________ _______ _______

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(Continuation of Aviation Refueler-Pump Mode) EMPLOYEE :

Date Trainee Trainer

#8703 #8706 #8157

c. Brake Interlock System

1. PTO Interlock ______ ______ ______ ________ _______ _______

2. Fuel Nozzle Interlock ______ ______ ______ ________ _______ _______

3. Bottom Load Interlock ______ ______ ______ ________ _______ _______

c. Static Electricity-Ground/Bond______ ______ ______ ________ _______ _______

e. Pumping System

1. Pump ______ ______ ______ ________ ________ _______

2. Piping ______ ______ ______ ________ ________ _______

3. Valves ______ ______ ______ ________ ________ _______

4. Filter Vessel ______ ______ ______ ________ ________ _______

5. Hose Reel ______ ______ ______ ________ ________ _______

6. Nozzle Types ______ ______ ______ ________ ________ _______

7. Deadman Nozzles ______ ______ ______ ________ ________ _______

8. Deadman Control ______ ______ ______ ________ ________ _______

9. Registers (Meters) ______ ______ ______ ________ ________ _______

f. Gauges

1. Nozzle Pressure ______ ______ ______ ________ ________ _______

2. Differential Pressure ______ ______ ______ ________ ________ _______

g. Bypass Valve ______ ______ ______ ________ ________ _______

h. Additive Pump System ______ ______ ________ ________ _______

I. Emergency Shut-Off Controls ______ ______ ______ ________ ________ _______

j. Water Defense Shut-Down ______ ______ ______ ________ ________ _______

k. Disengaging Pump System ______ ______ ______ ________ ________ _______

l. Paperwork ______ ______ ______ ________ ________ _______

m. Post-Fueling Inspection ______ ______ ______ ________ ________ _______
SAFETY

MANAGEMENT

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n. Driving Away from Aircraft ______ ______ ______ ________ ________ _______

o. Parking Refueler ______ ______ ______ ________ ________ _______

24. Fuel Farm Training

a. Fuel Master System (Manual vs Automatic) ________ _______ _______

b. PIN Numbers - Confidential ________ _______ _______

c. EMCO-Wheaton EEOC Tank Monitor System ________ _______ _______

d. Oil/Water Separator ________ _______ _______

e. Dike Drainage Area and Valve ________ _______ _______

f. Floating Suction ________ _______ _______

g. Emergency Shut-Off Buttons ________ _______ _______

h. Filter Vessel Sump ________ _______ _______

i. Fencing and Locks ________ _______ _______

j. Product Slop Tanks ________ _______ _______

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(Continuation of Fuel Farm Training) EMPLOYEE :

Date Trainee Trainer

k. Deadman Controls ________ _______ _______

l. Overfill Protection Alarms and Lights ________ _______ _______

m. Avgas Tank #3 System

1. Piping and Valves ________ _______ _______

2. Grounding and Bonding ________ _______ _______

4. Product Receipt Procedures and Paperwork ________ _______ _______

6. Recirculation Procedures and Paperwork ________ _______ _______

7. Vapor Recovery System ________ _______ _______

8. Daily Quality Control Procedures ________ _______ _______

n. Jet Tanks #1 and #2

1. Piping and Valves ________ _______ _______

2. Grounding and Bonding ________ _______ _______

3. Manual vs. Automatic ________ _______ _______

4. Product Receipt Procedures and Paperwork ________ _______ _______

5. Refueler Reloading Procedures and Paperwork ________ _______ _______

6. Recirculation Procedures and Paperwork ________ _______ _______

7. Daily Quality Control Procedures ________ _______ _______

o. Mogas Tank #4

1. Piping and Valves ________ _______ _______

2. Product Receipt Procedures and Paperwork ________ _______ _______

3. Refueling Vehicles/Equipment Procedures ________ _______ _______

4. PROKEEs (Programmable Keys) ________ _______ _______
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5. Odometer vs. Hour Meter ________ _______ _______

6 Paperwork ________ _______ _______

25. Airport Fire Alarm Control System

a. Terminal Building Fire Alarm Control System ________ _______ _______

b. Fire Alarm Control Box for Out Building

1. Zone Codes ________ _______ _______

2. Address Codes ________ _______ _______

3. Pump House Codes ________ _______ _______

4. Pump “RUNNING” Procedures ________ _______ _______

5. Acknowledgment Procedures ________ _______ _______

6. Printer ________ _______ _______

7. Calling 911 ________ _______ _______

c. Hangar “A” Fire Control System

1. Fire Alarm Box ________ _______ _______

2. Dry vs Wet Sprinkler System ________ _______ _______

3. Sprinkler Header Room ________ _______ _______

4. Control Valves ________ _______ _______

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(Continuation of Fire Alarm Control System) EMPLOYEE :

Date Trainee Trainer

5. Tamper Switches ________ _______ _______

6. Air Compressor ________ _______ _______

7. Hangar Beam Sensor Detectors ________ _______ _______

d. Hangar “B” Fire Control System ________ _______ _______

e. Spitfire Aviation Hangar Fire Control System ________ _______ _______

f. T-Hangars “TA”, “TB”, “TC”, and “TD”

1. Fire Header Room and Local Fire Alarm Boxes _______ _______ _______

2. Dry System Operation _______ _______ _______

3. Air Pressure Gauges and Air Compressor Pump _______ _______ _______

4. Air Leaks and Drip Barrels _______ _______ _______

5. Low Water Pressure Gauge _______ _______ _______

6. Air Pressure Reading vs Water Pressure Reading _______ _______ _______

7. TRIPPED System - Reset _______ _______ _______

8. Water Shut-Off and Draining the System _______ _______ _______

9. Winter Precautions - Freezing _______ _______ _______
SAFETY

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MANUAL

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