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GACA الطبيه العامه للطيران المدني General Authority of Civil Aviation [Non-Text] DOCUMENT INITIAL REVIEW FORM - LOCAL SUPPLEMENT (GACAR PART 151) <table><tr><td>Document(s)</td><td>Local Supplement (Operations or/and Quality)</td></tr><tr><td>Organization</td><td></td></tr><tr><td>Issue Date</td><td></td></tr><tr><td>Review Date</td><td></td></tr></table> <table><tr><td colspan="2">Conformance</td><td>S = Satisfactory</td><td>U = Unsatisfactory</td><td colspan="3">X = Not Applicable</td></tr><tr><td>Item</td><td colspan="4">Subject / Subtopic</td><td>S</td><td>U</td></tr><tr><td>1.</td><td colspan="6">General / Administration</td></tr><tr><td>1.1</td><td colspan="4">Issue / Edition Number and Effectivity / Validity Date</td><td>□</td><td>□</td></tr><tr><td>1.2</td><td colspan="4">Company Name, Location, and Contact Details</td><td>□</td><td>□</td></tr><tr><td>1.3</td><td colspan="4">List of Effective Pages</td><td>□</td><td>□</td></tr><tr><td>1.4</td><td colspan="4">Record of Revision (date and page included)</td><td>□</td><td>□</td></tr><tr><td>1.5</td><td colspan="4">Distribution List</td><td>□</td><td>□</td></tr><tr><td>1.6</td><td colspan="4">Table of Contents (comprehensive not fragmented)</td><td>□</td><td>□</td></tr><tr><td>1.7</td><td colspan="4">Definitions / Abbreviations</td><td>□</td><td>□</td></tr><tr><td>1.8</td><td colspan="4">Appendices / List and Sample of Forms</td><td>□</td><td>□</td></tr><tr><td>1.9</td><td colspan="4">Manual Review, Amendment and Administration procedure (including Notification to the President for Acceptance of Revisions)</td><td>□</td><td>□</td></tr><tr><td>2.</td><td colspan="6">Local Ground Operations Supplement Requirements</td></tr><tr><td>2.1</td><td colspan="4">Scope of Services (as per Part-151 Application / Certificate)</td><td>□</td><td>□</td></tr><tr><td>2.2</td><td colspan="4">Organization, structure and accountabilities for the particular ground station</td><td>□</td><td>□</td></tr><tr><td>2.3</td><td colspan="4">Processes and procedures not addressed in generic ground operations manual.</td><td>□</td><td>□</td></tr><tr><td>2.4</td><td colspan="4">Facilities and staging areas allocated to organization at particular ground station.</td><td>□</td><td>□</td></tr><tr><td>2.5</td><td colspan="4">Ground support equipment and maintenance accommodations at the particular ground station.</td><td>□</td><td>□</td></tr><tr><td>2.6</td><td colspan="4">Budgeted (planned) personnel for the subject ground station.</td><td>□</td><td>□</td></tr><tr><td>3.</td><td colspan="6">Local Quality Assurance Supplement Requirements</td></tr><tr><td>3.1</td><td colspan="4">Local quality department organization and accountabilities.</td><td>□</td><td>□</td></tr><tr><td>3.2</td><td colspan="4">Special local quality procedures not described in the generic quality manual.</td><td>□</td><td>□</td></tr><tr><td>3.3</td><td colspan="4">Local audit and inspection plan.</td><td>□</td><td>□</td></tr></table> GACA-AVSES-AGA-F073 Rev: 2, Date: 08 Oct 25 Page 1 of 2 GACA المنيه العامه للطيران المدني General Authority of Civil Aviation [Non-Text] DOCUMENT INITIAL REVIEW FORM - LOCAL SUPPLEMENT (GACAR PART 151) <table><tr><td>Item (Above)</td><td>Reference (in the Manual)</td><td>Findings / Observations / Remarks</td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr></table> GACA-AVSES-AGA-F073 Rev: 2, Date: 08 Oct 25 Page 2 of 2