Appendix 1: Airport Inspection Program Daily Safety Self-Inspection Checklist Day Date Time Person completing inspection = Satisfactory X = Unsatisfactory Facility Condition Day Night Remarks Resolved by Date Lips over 3” Holes 5”diam., 3”deep Cracks/spalling/heaves Pavement Areas FOD present Rubber deposits Edge dams/ponding Ruts/humps/erosion Safety Areas Drainage/construction Support equip./A/C 120’ Wide Frangible bases Unauthorized objects 120’ Wide Clearly visible Standard Runway markings Markings Taxiway markings Hold position markings Glass beads Standard Obscured Signage Operational Damaged/lamination Obscured Operational Lighting Adjustment Runway lights Taxiway lights Wind indicators Navigational Aids REIL/PAPI/beacon Appendix 1 Airport Inspection Program Daily Safety Self-Inspection Checklist – Day Date Time
Appendix 1: Airport Inspection Program Daily Safety Self-Inspection Checklist Day Date Time Person completing inspection = Satisfactory X = Unsatisfactory Facility Condition Day Night Remarks Resolved by Date Pavement Areas Lips over 3” Holes 5”diam., 3”deep Cracks/spalling/heaves FOD present Rubber deposits Edge dams/ponding Safety Areas 120’ Wide 120’ Wide Ruts/humps/erosion Drainage/construction Support equip./A/C Frangible bases Unauthorized objects Markings Clearly visible Standard Runway markings Taxiway markings Hold position markings Glass beads Signage Standard Obscured Operational Damaged/lamination Lighting Obscured Operational Adjustment Runway lights Taxiway lights Navigational Aids Wind indicators REIL/PAPI/beacon Appendix 1 – Airport Inspection Program Daily Safety Self-Inspection Checklist Day Date Time