AIRPORT SAFETY SELF-INSPECTION CHECKLIST DATE: DAY: Satisfactory √ X Unsatisfactory Day Inspector/Time: Night Inspector/Time: RESOLVED BY FACILITIES CONDITIONS D N REMARKS (Date/Initials) Pavement lips over 3" Hole 5" diam. 3" deep – Cracks/spalling/heaves Pavement Areas FOD: gravel/debris/sand Rubber deposits Ponding/edge dams Drainage/construction Support equipment/aircraft Safety Frangible bases Unauthorized objects Clearly visible/standard Runway markings Taxiway markings Markings Holding position markings Glass beads Standard/meet Sign Plan Obscured/operable Signs Damaged/retroreflective Lighting Obscured/dirty/operable
AIRPORT SAFETY SELF-INSPECTION CHECKLIST DATE: DAY: √ Satisfactory X Unsatisfactory Day Inspector/Time: Night Inspector/Time: FACILITIES CONDITIONS D N REMARKS RESOLVED BY (Date/Initials) Pavement Areas Pavement lips over 3" Hole – 5" diam. 3" deep Cracks/spalling/heaves FOD: gravel/debris/sand Rubber deposits Ponding/edge dams Safety Drainage/construction Support equipment/aircraft Frangible bases Unauthorized objects Markings Clearly visible/standard Runway markings Taxiway markings Holding position markings Glass beads Signs Standard/meet Sign Plan Obscured/operable Damaged/retroreflective Lighting Obscured/dirty/operable