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HAA AUDIT REPORT
REPORT
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Name
*
Event Type
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Accident
Damage
Hazard
Incident
Injury
Observation
Occurrence
Weather Mitigation
Event Date
*
05/13/2025
mm/dd/yyyy
Event Time
*
hh:mm
Location and Equipment
dummy
Nearest Airport
*
Based at
HIO
TTD
S39
VGT
RDM
Audit Type
Select one
Facility Department
FAR 141 Pilot Certification
FW/RW Flight School
HAZMAT Audit
ISBAO Audit
KHIO FAR 145 Repair Station
KTTD FAR 145 Repair Station
Line Service & Fueling
MTX Department
OSHA Audit
Quality Assurance Audit
Safety Department
SMS Program Audit
TSA Records Audit
Person Responsible
*
Manual Ref
Select one
FAR 141
FAR 145
Fuel Quality Control
IAP/EAP
OSHA/HAZMAT
POH/AFM
SMS Manual
PIC Duty Time
<8 Hours
8-12 Hours
>12 Hours
Event Details
Event Description (One Sentence Summary)
(250 Characters)
Describe the Incident & Sequence of Actions
(1500 Characters)
What Different Actions Could Have Reduced or Mitigated Risk
What Additional Resources Could Have Reduced or Mitigated Risk
This Incident May Have Caused a Regulatory Deviation or Violation
No
Yes
This Incident was Non-Compliant with HAA SOP's and/or Policies & Procedures
No
Yes
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