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Audit Incident Report
Back to Private: Safety Report
Your Name*
Your Email*
Department*
Department*
Fixed Wing Flight School
Rotor Wing Flight School
Contract and Charter
Maintenance
Facility
Contract and Charter DOT
Line Service Vehicles
Safety Department
Dispatch
Date*
Time*
Event Type*
Event Type*
Audit
Spot-Audit
Location*
N Number
OPS Part
OPS Part
61
91
133
135
137
141
145
Manual Reference
Manual Reference
14 CFR 43.13(a)
49 CFR Part 40
Accident Read File
C&C SOP
DOD
DOT
FAR 135 GOM
FAR 141
FAR 145
Fuel Quality Control Manual
IAP/IEP
POH/AFM
SMS Program
Item audited
Item audited
135 Pilot Records
Accident Reporting
Aircraft Operations Document Audit
Contract & Charter FAR 135
DOD - Department of Defense
DOT Driver Records
DOT Vehicles
Facility Department
FAR 141 Pilot Certification
FW and/or RW Flight School
Hillsboro FAR 145 Repair Station Monthly
ISBAO - Intl. Standard for Business Operations
Line Service & Fueling
Load Manifest
MTX Department
PRIA & Anti-Drug/Alcohol Audit
Quality Assurance Audit
Safety Department
SMS Program Audit
TOPS - Tour Operators Program of Safety
Troutdale FAR 145 Repair Station Monthly
TSA Records
Person Responsible
Person Responsible
Franz Bergtold
Jered Engbring
Casey Kasmeyer
Tom Mulkey
Barb Wineman
Event Summary (One Sentence)*
Describe The Situation And Sequence of Actions*
How Could The Situation Have Been Handled Differently?*
How Could The Situation Have Been Avoided?*
This Event May Have Caused a Violation or Deviation From Applicable Regs
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