Aerodrome Safety Assessment Form
Assess and document aerodrome safety conditions across key operational areas.
Aerodrome Name and Location
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Runway and Taxiway Surface Condition
*
1
2
3
4
5
Apron and Parking Area Status
*
1
2
3
4
5
Lighting and Signage Functionality
*
Rows
Fully Functional
Partially Functional
Non-Functional
Runway Lighting
1
2
3
Taxiway Lighting
4
5
6
Signage
7
8
9
Wildlife and FOD (Foreign Object Debris) Hazards Observed
*
No hazards observed
Minor hazards present
Significant hazards present
Perimeter Security and Access Control
*
Secure and controlled
Partially secure
Inadequate security
Emergency Response Readiness
*
Not ready
1
2
3
4
Fully ready
5
1 is Not ready, 5 is Fully ready
Recent Safety Incidents or Near Misses
*
None reported
Minor incidents
Major incidents
Overall Safety Assessment
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
Additional Comments or Recommendations
Submit Assessment
Should be Empty: