TIACAO

Daily Checklist of Airport Lighting Condition Report

(Related to TIA, AM, Appendix F) Date and Time:
Item
Runway Lights Runway End 02 Side Runway End 20 Side Turning Light R/W 02 Side Turning Light R/W 20 Side PAPI 02 Side PAPI 20 Side Threshold 02 Side Threshold 20 Side Sequential Flashing Light System R/W 02 Side RTILS 20 Side (R/W Threshold Identification Lighting System) Approach Light R/W 02 Side Stub Taxiway Light - 1 Stub Taxiway Light - 2 Stub Taxiway Light - 3 Stub Taxiway Light - 4 Stub Taxiway Light - 5 ABN & OBS Light Apron Flood Lights:- Mast No. 1-7 LWI-R/W @, 02 & Centre Others

Tick if No. of Light Inspected Fused

Replaced Date

No. of Light Broken

Date of Maintenance

Remarks

Others
....... .

Inspected and Reported By: TMD 1. Name: 2. Designation: 3. Signature:

CMD 1. Name: 2. Designation: 3. Signature:

EMD 1. Name: 2. Designation: 3. Signature:

TIACAO

Daily Checklist of Airport Operational Inspection Report

(Related to TIA, Aerodrome Manual Chapter 4.5 Checklist for the Inspection of Physical Facilities of Movement Area)

Date and Time:

Facilities Inspection Items
Foreign Objects Surface Degradation Markings Runway Rubber Deposits Fuel & Other Spillages Profile & Transverse Slope Foreign Objects Surface Degradation Taxiway Markings Fuel & Other Spillages Profile & Transverse Slope Foreign Objects Apron Surface Degradation Markings Fuel & Other Spillages Foreign Objects Unpaved Areas Grass Growth Surface Condition Surface Drainages Transverse Slope Drainage Facilities Paved Drains Structural Damage Sedimentation Grass Structural Damage Earthen/Other Drains Sedimentation Grass

Operational Inspection (Daily)

Remarks

Others
.......

Inspected and Reported By: TMD 1. Name: 2. Designation: 3. Signature:

CMD 1. Name: 2. Designation: 3. Signature:

EMD 1. Name: 2. Designation: 3. Signature:

CC: General Manager Airport Operation and Facilitation Department Safety Services Office: