/ ÚŘAD PRO CIVILNÍ LETECTVÍ /
SEKCE LETOVÁ A PROVOZNÍ
ODBOR OBCHODNÍ LETECKÉ DOPRAVY
Kontrolní list: / CA01 /

Kontrola za letu

/ 1 – 3
Checklist: /

En-route inspection

/ Strana
Inspector’s Name:
Operator:
Place of Inspection: / Date of Inspection:

Crew:

Name of CDR: / Name of SCC: / Number of Cabin Crew:
LEG 1 / LEG 2 / LEG 3 / LEG 4
Date: / Flight Nr: / Date: / Flight Nr: / Date: / Flight Nr: / Date: / Flight Nr:
A/C Type: / A/C Type: / A/C Type: / A/C Type:
Registration: / Registration: / Registration: / Registration:
From: / To: / From: / To: / From: / To: / From: / To:
Off Block: / On Block: / Off Block: / On Block: / Off Block: / On Block: / Off Block: / On Block:
Block Time: / Block Time: / Block Time: / Block Time:
S = satisfactory
U = unsatisfactory - remarks required / IC = immediately corrected
NA = not applicable
Checked Item: / Check result / Action to be taken:
S / U / IC / NA
Preparation
1. / Crew Briefing /  /  /  / 
Pre-departure Prior Push Back
2. / Availability of checklist /  /  /  / 
3. / CC Equipment checks /  /  /  / 
4. / Stowage of service items /  /  /  / 
5. / CC Surveillance PAX boarding /  /  /  / 
6. / Ramp Safety /  /  /  / 
7. / Smoking Restrictions /  /  /  / 
8. / Seating Restrictions /  /  /  / 
9. / Stowage of Baggage /  /  /  / 
10. / Arming of EXITS /  /  /  / 
11. / PAX seated prior Push Back /  /  /  / 
Kontrolní list: / CA01 /

Kontrola za letu

/ 2 – 3
Checklist: /

En-route inspection

/ Strana
Checked Item: / Check result / Action to be taken:
S / U / IC / NA
Pre-Take-off
12. / Passenger Briefing video /  /  /  / 
13. / Tape plus Demo /  /  /  / 
14. / PA plus Demo /  /  /  / 
15. / PAX briefing procedures /  /  /  / 
16. / Briefing Comprehensive /  /  /  / 
17. / Cabin Secure check /  /  /  / 
18. / Galleys Secure check /  /  /  / 
19. / Cabin Secure Report toSCCCDR /  /  /  / 
20. / CC Secure for T/O /  /  /  / 
In Flight
21. / CC release from Station /  /  /  / 
22. / Cabin and Toilet checks /  /  /  / 
23. / P/AS safety related /  /  /  / 
24. / Cabin Defect Log /  /  /  / 
25. / Access to CC-Manual /  /  /  / 
26. / No smoking Compliance /  /  /  / 
27. / Seat Belt restriction Compliance /  /  /  / 
28. / Stowage of A/C waste /  /  /  / 
29. / Response to Flight Deck calls /  /  /  / 
30. / Handling Emergencies /  /  /  / 
Pre-landing
31. / Passenger Briefing /  /  /  / 
32. / Cabin Secure check /  /  /  / 
33. / Galleys Secure for landing /  /  /  / 
34. / Cabin Secure Report toSCCCDR /  /  /  / 
35. / CC Secure for landing /  /  /  / 
Post Landing
36. / CC release from station /  /  /  / 
37. / P/AS safety related /  /  /  / 
38. / No Smoking - Compliance /  /  /  / 
39. / Seat Belt restriction Compliance /  /  /  / 
40. / Disarming of Exits /  /  /  / 
41. / Opening of Exits /  /  /  / 
42. / CC Surveillance-Disembarking /  /  /  / 
43. / Handling of special category PAX /  /  /  / 
44. / Ramp Safety /  /  /  / 
Other
45. / RegulationsRules compliance /  /  /  / 
46. / CRM /  /  /  / 
Kontrolní list: / CA01 /

Kontrola za letu

/ 3 – 3
Checklist: /

En-route inspection

/ Strana
Checked Item: / Check result / Action to be taken:
S / U / IC / NA
Passenger Control
47. / Unruly PAX handling /  /  /  / 
48. / Alcohol limits and restrictions /  /  /  / 
Cabin Security
49. / Pre T/O /  /  /  / 
50. / Pre Landing /  /  /  / 
51. / Info to CC about expedit. T/O /  /  /  / 
52. / Info to CC about time to landing /  /  /  / 
53. / Flt. time sufficient for Service /  /  /  / 
54. / CC refuse any items to cabin? /  /  /  / 
55. / In Turbulence /  /  /  / 
56. / During in flight service /  /  /  / 
57. / Other hazards /  /  /  / 
58. / Communication with Flight Deck /  /  /  / 
59. / Response to CDR order /  /  /  / 
60. / Cabin Crew seated /  /  /  / 
61. / Use of 1st Aid / doctor kit /  /  /  / 
62. / DGR compliance /  /  /  / 
Poznámky/Remarks:
Jméno a podpis inspektora:
Inspector‘s name & signature: …………………………………………………………………………