GM2 NCO.SPEC.105 Checklists

TEMPLATE FORMS

The following templates are examples, which could be used for developing checklist.

(a) Template Form A — Risk assessment (RA)

Date: RA of Responsible:

Purpose:

Type of operation and brief description:

Participants, working group:

Preconditions, assumptions and simplifications:

Data used:

Description of the analysis method:

External context:

— Regulatory requirements — Approvals — Environmental conditions (visibility, wind, turbulence, contrast, light, elevation, etc.; unless evident from the checklists) — Stakeholders and their potential interest

Internal context:

— Type(s) of aircraft — Personnel and qualifications — Combination/similarity with other operations/SOPs — Other RA used/considered/plugged in

Existing barriers and emergency preparedness:

Monitoring and follow up:

Description of the risk:

Risk evaluation:

Conclusions:

(b) Template Form B — Hazard identification (HI)

Date: HI of Responsible:

Phase of operation	Haz ref	Hazard / accidental event	Cause / threat	Current Treatment Measures (TM)	Further treatment required	TM ref	Comment

Haz ref: A unique number for hazards, e.g., for use in a database

TM ref: A unique number for the treatment method

(c) Template Form C — Mitigating measures

Date:……………….. RA of Responsible:………………………

Phase of operation	Haz ref	Hazard/ accidental event	Current Treatment Measures (TM)/ controls	TM ref	L	C	Further treatment required

Haz ref: A unique number for hazards, e.g., for use in a database

TM ref: A unique number for the treatment method

L: Likelihood (probability)

C: Consequence

(d) Template register A — Risk register

Ref	Operation/ Procedure	Ref	Generic hazard	Ref	Accidental event	Treatment/ control	L	C	Monitoring

L: Likelihood (probability)

C: Consequence