017-fire-and-rescue-courses-acceptance-checklist

gaca_gov_sa · form · processed · 3 chunks

GACA
الهييه العامه للطيران المدني
General Authority of Civil Aviation
[Non-Text]
FIRE & RESCUE COURSES ACCEPTANCE CHECKLIST
<table><tr><td>Name of Training Center</td><td colspan="3"></td></tr><tr><td>Address</td><td colspan="3"></td></tr><tr><td>Request No.</td><td></td><td>Request Date.</td><td></td></tr><tr><td>Site visit date</td><td colspan="3"></td></tr></table>
<table><tr><td>No.</td><td>Section Method of Compliance</td><td>Compliance</td><td>Non-Compliance</td></tr><tr><td>1</td><td>Application</td><td>□</td><td>□</td></tr><tr><td>2</td><td>Training material review against the Matrix*</td><td>□</td><td>□</td></tr><tr><td>3</td><td>Instructor CV</td><td>□</td><td>□</td></tr></table>
<table><tr><td>No.</td><td>Tolos</td><td>Compliance</td><td>Non-Compliance</td><td>Remarks</td></tr><tr><td colspan="5">a. Simulator</td></tr><tr><td>1</td><td>Running fuel fire.</td><td>□</td><td>□</td><td></td></tr><tr><td>2</td><td>Interior aircraft fire.</td><td>□</td><td>□</td><td></td></tr><tr><td>3</td><td>Auxiliary power unit (APU).</td><td>□</td><td>□</td><td></td></tr><tr><td>4</td><td>Wheel assembly fire.</td><td>□</td><td>□</td><td></td></tr><tr><td>5</td><td>Access through normal and emergency hatches for rescue.</td><td>□</td><td>□</td><td></td></tr></table>
<table><tr><td colspan="5">b. Classroom</td></tr><tr><td>1</td><td>Computer.</td><td>□</td><td>□</td><td></td></tr><tr><td>2</td><td>Power point projector.</td><td>□</td><td>□</td><td></td></tr><tr><td>3</td><td>Audio system.</td><td>□</td><td>□</td><td></td></tr></table>
<table><tr><td colspan="5">c. Necessary training aids</td></tr><tr><td>1</td><td>SCBA availability and condition of refill room.</td><td>□</td><td>□</td><td></td></tr></table>
<table><tr><td>2</td><td>Hoses availability and storage condition.</td><td>□</td><td>□</td><td></td></tr></table>
<table><tr><td>3</td><td>Vehicle.</td><td>□</td><td>□</td><td></td></tr></table>
<table><tr><td>4</td><td>Personal protective clothing.</td><td>□</td><td>□</td><td></td></tr></table>
<table><tr><td>5</td><td>Fire extinguisher.</td><td>□</td><td>□</td><td></td></tr></table>
<table><tr><td>6</td><td>Fire drill building and area.</td><td>□</td><td>□</td><td></td></tr></table>
<table><tr><td>7</td><td>Ladder.</td><td>□</td><td>□</td><td></td></tr></table>
<table><tr><td>8</td><td>Ropes.</td><td>□</td><td>□</td><td></td></tr></table>
<table><tr><td>9</td><td>Radio communication.</td><td>□</td><td>□</td><td></td></tr></table>
GACA-AVSES-AGA-F017
Rev: 7, Date: 04 Aug 25
Page 1 of 3

GACA
الطبيه العامه للطيران المدني
General Authority of Civil Aviation
[Non-Text]
FIRE & RESCUE COURSES ACCEPTANCE CHECKLIST
<table><tr><td>No.</td><td>Courses</td><td>Standard/List Edition</td><td>Compliance</td><td>Non-Compliance</td><td>Not Request</td></tr><tr><td>1</td><td>Hazardous Materials Awareness</td><td>NFPA 1072 / 470</td><td>□</td><td>□</td><td>□</td></tr><tr><td>2</td><td>Hazardous Materials Operations - Operations Core</td><td rowspan="3">NFPA 1072 / 470</td><td>□</td><td>□</td><td>□</td></tr><tr><td>3</td><td>Hazardous Materials Operations - OP MSC Personal Protective Equipment (6.2)</td><td>□</td><td>□</td><td>□</td></tr><tr><td>4</td><td>Hazardous Materials Operations - OP MSC Product Control (6.6)</td><td>□</td><td>□</td><td>□</td></tr><tr><td>5</td><td>Hazardous Material Technician</td><td>NFPA 1072 / 470</td><td>□</td><td>□</td><td>□</td></tr><tr><td>6</td><td>Hazardous Material Incident Commander</td><td>NFPA 1072 / 470</td><td>□</td><td>□</td><td>□</td></tr><tr><td>7</td><td>Fire Fighter I</td><td>NFPA 1001 / 1010</td><td>□</td><td>□</td><td>□</td></tr><tr><td>8</td><td>Fire Fighter II</td><td>NFPA 1001 / 1010</td><td>□</td><td>□</td><td>□</td></tr><tr><td>9</td><td>Driver Operator - General</td><td rowspan="4">NFPA 1002/1010</td><td>□</td><td>□</td><td>□</td></tr><tr><td>10</td><td>Driver Operator - Pumper</td><td>□</td><td>□</td><td>□</td></tr><tr><td>11</td><td>Driver Operator - Aircraft Rescue and Fire-Fighting Apparatus</td><td>□</td><td>□</td><td>□</td></tr><tr><td>12</td><td>Driver Operator - Mobile Water Supply</td><td>□</td><td>□</td><td>□</td></tr><tr><td>13</td><td>Airport Firefighter</td><td>NFPA 1003 / 1010</td><td>□</td><td>□</td><td>□</td></tr><tr><td>14</td><td>Fire Officer I</td><td>NFPA 1021/ 1020</td><td>□</td><td>□</td><td>□</td></tr><tr><td>15</td><td>Fire Officer II</td><td>NFPA 1021/ 1020</td><td>□</td><td>□</td><td>□</td></tr><tr><td>16</td><td>Fire Officer III</td><td>NFPA 1021/ 1020</td><td>□</td><td>□</td><td>□</td></tr><tr><td>17</td><td>Fire Officer IV</td><td>NFPA 1021/ 1020</td><td>□</td><td>□</td><td>□</td></tr><tr><td>18</td><td>Fire Instructor I</td><td>NFPA 1041/1020</td><td>□</td><td>□</td><td>□</td></tr><tr><td>19</td><td>Fire Instructor II</td><td>NFPA 1041/1020</td><td>□</td><td>□</td><td>□</td></tr><tr><td>20</td><td>Fire Instructor III</td><td>NFPA 1041/1020</td><td>□</td><td>□</td><td>□</td></tr><tr><td>21</td><td>First Responder Inspector/ Fire Inspector I</td><td>NFPA 1031/ 1030</td><td>□</td><td>□</td><td>□</td></tr><tr><td>22</td><td>Fire Inspector II</td><td>NFPA 1031/1030</td><td>□</td><td>□</td><td>□</td></tr><tr><td>23</td><td>Plan Examiner</td><td>NFPA 1031/1030</td><td>□</td><td>□</td><td>□</td></tr><tr><td>24</td><td>Public Safety Telecommunications I</td><td>NFPA 1061/1225</td><td>□</td><td>□</td><td>□</td></tr><tr><td>25</td><td>Public Safety Telecommunications II</td><td>NFPA 1061/1225</td><td>□</td><td>□</td><td>□</td></tr><tr><td>26</td><td>Incident Safety Officer</td><td>NFPA 1026</td><td>□</td><td>□</td><td>□</td></tr><tr><td>27</td><td>Helicopter Firefighting Operations</td><td>ICAO Annex 14 – Vol II</td><td>□</td><td>□</td><td>□</td></tr><tr><td>28</td><td>Aerodrome Emergency Plan</td><td>GACAR139</td><td>□</td><td>□</td><td>□</td></tr><tr><td>29</td><td>Working with GACAR 139: Aerodrome</td><td>GACAR 139</td><td>□</td><td>□</td><td>□</td></tr><tr><td>30</td><td>Working with GACAR 138: Heliports</td><td>GACAR 138</td><td>□</td><td>□</td><td>□</td></tr><tr><td>31</td><td>Working with GACAR 137: Water Aerodrome</td><td>GACAR 137</td><td>□</td><td>□</td><td>□</td></tr></table>
*** Reference GACAR PART 139 Appendix L-3: Rescue & Firefighting (RFF) Courses
Final Decision: Entity □ Compliance □ Non-Compliance
GACA-AVSES-AGA-F017
Rev: 7, Date: 04 Aug 25
Page 2 of 3

GACA
الهييه العامه للطيران المدني
General Authority of Civil Aviation
[Non-Text]
FIRE & RESCUE COURSES ACCEPTANCE CHECKLIST
<table><tr><td colspan="4">The training center is</td></tr><tr><td>□</td><td colspan="3">Compliance with the requirement (Attach the accepted courses)</td></tr><tr><td>□</td><td colspan="3">Partial Compliance (Attach the Accepted and non-Accepted courses with clarification)</td></tr><tr><td>□</td><td colspan="3">Non-compliance with the requirement (Attach the clarification)</td></tr></table>
<table><tr><td colspan="4">Inspector(s) Completing Worksheet</td></tr><tr><td>Name</td><td>Signature</td><td>Position</td><td>Date</td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td>Name</td><td>Signature</td><td>Position</td><td>Date</td></tr><tr><td></td><td></td><td></td><td></td></tr></table>
<table><tr><td colspan="4">Verification by Section Head</td></tr><tr><td>Name</td><td>Signature</td><td>Position</td><td>Date</td></tr><tr><td></td><td></td><td></td><td></td></tr></table>
*This will be waived if the Training course(s) is credited by IFSAC or Pro-Board
GACA-AVSES-AGA-F017
Rev: 7, Date: 04 Aug 25
Page 3 of 3