he ee es t *, eae National Aviation Authority (name) (State) SAFA Ramp Inspection Report No, Source: RI Date: Place: Local time: Operator: _— ‘AOG Number: State: _ ‘Type of Operation: — Route trom: —_ Fight Number: —_— Route to: _ Flight Number: a Chartered by Operator Charterer’s State" * (where applicable) Aireraft Type: Registration marks: Aircraft Configuration: ‘Construction Number: Flight crew: State of Licensing: second State of Licensing” * (where applicable) Findings: Code / Std / Ref / Cat/ Finding Detailed Description Cass of actions taken: Detailed Description 2 3(¢) Immediate operating ban 1 3{6) Arora grounded by inspecting NAA o « D1 3(0) Corrective actions before fight snes son ss 1D 3{a) Restriction on aircraft fight operation a o en 2 Information to the Authority and Operator 10.1 Information to Captain ‘Additional information (if any) Inspectors’ names or numbers: sen . . beens . sens — THis report represents an indication of what was found on this occasion and must not be construed as a determination that the aircraft is ft for the Intended fight, — Data submited in this report can be subject to changes for correct wording upon entering into the SAFA database.National Aviation Authority (Name) (State) item code ‘Checked Remark A, Flight Deck General 41. General Condition... 1 1 2. Emergency Exit 2 2 8. Equipment 3a 3 Documentation 4, Manuals iotcsttnsnsinnsiinatieneni 4 4 5. Checklists z : sas si 5 5 6. Radio Navigation Charts 6 8 7. Minimum Equipment List 7 e 8. Certificate of registration .. 8 8 8. Noise certificate (where sppicabe) 8 a 10. AOC or equivalent 10 10 11. Radio licence " " 12, Cattiicate of Airworthiness (C of 4) 12 2 Flight data 13, Flight preparation on... 13 13 14, Weight and balance sheet 14 6 Safety Equipment 15, Hand fire extinguishers: 16 18 16. Life jackets/flatation device 16 16 17. Hames "7 7 18. Oxygen equipment 18 1” 19, Flash Light ... 19 19 Flight Crow 20. Flight crew licence... 2 20 20 vourney log book/Technical Log or equivalent 21. Journey Log Book, or equivalent i : ss a a 22. Maintenance release .. seen ss 22 22 28. Defect notification and rectificahon (i (eetuteg Tech og) 23 23 24, Prevflight inspection ... 24 24 B. Safety/Cabin 1. General Internal Condition “ 1 1 2. Cabin attendant’s station and crew rest area z ‘ i : 2 2 8. First Aid Kit/Emergency medical kit 3 3 4, Hand fire extinguishers 4 4 5. Life jackets/Flotation devices 5 5 6. Seat belt and seat condition 6 8 7. Emergency exit, lighting and marking, Torches 7 7 8. Slides/Lite-Rafts (as required), ELT = 8 8 8. Oxygen supply (Cabin Crew and Passenger) 8 9 10. Safety Instructions ... 10 10 11, Cabin crew members " ” 12, Access to emergency exits .. 2 12 18, Safety of passenger baggage’s ... 8 18 14, Seat capacity. 14 14‘tem Code Checked ©. Alreraft Condition 1 12, General external condition Doors and hatches Flight controls .. i Wheels, tyres and brakes Undercarriage skidsfoats Wheel well Powerplant and pylon Fan blades sn Propellers, Rotors (main & tal). os Obvious repairs . Obvious unrepaired damage. Leakage D. Cargo General condition of cargo compartment Dangerous Goods Safety of cargo on board E. General General