035-heliport-safety-inspector-findings-and-heliport-operator-corrective-action- plan

gaca_gov_sa · form · processed · 13 chunks
document_type=form entity=format:application/pdf entity=language:ar language=en taxonomy_l1=transport taxonomy_l2=aviation taxonomy_l3=airport_operations validity=valid validity_confidence=0.6
GACA
العامه للطيران المدني
General Authority of Civil Aviation
[Non-Text]
HELIPORT SAFETY INSPECTOR FINDINGS & HELIPORT OPERATOR CORRECTIVE ACTION PLAN
(GACAR PART 138)
<table><tr><td>Heliport Name/ID Code</td><td colspan="3"></td></tr><tr><td>Heliport Reference Point</td><td></td><td>Heliport Operator</td><td></td></tr><tr><td>Inspection Type</td><td></td><td>Inspection Date</td><td></td></tr><tr><td>Report Number</td><td></td><td>Report Date</td><td></td></tr><tr><td>Name of Heliport Safety Inspector</td><td></td><td>Signature</td><td></td></tr></table>
GENERAL INSTRUCTION
1. This form of findings must be completed by GACA Heliport Safety Inspectors (HSIs)/Heliport Certificate Project Manager (HCPM).
2. Wherever, findings are observed during the Technical Inspection, On-site verification, Surveillance and Un-Announced Inspections, same are to be filled in this form by HSIs and HCPM in assigned fields. Any supporting documents may be submitted in Appendix B, if so required.
3. Based on the findings, the Heliport Operator must conduct initial safety risk assessments and develop mitigation measures. Then finding needs to be re-assessed for residual risk considering the mitigation. Heliport operator must develop the corrective action plan as per the timeline of the finding category and submitted in this form using prescribed space. Any supporting documents may be submitted in Appendix C, if so required.
4. For any clarification, the General Manager (Aerodrome Standards) of General Authority of Civil Aviation, Kingdom of Saudi Arabia, may be contacted
GACA-AVSES-AGA-F035
Rev: 3, Date: 26 Aug 25
Page 1 of 15

GACA
العاليه للطيران المدني
General Authority of Civil Aviation
[Non-Text]
HELIPORT SAFETY INSPECTOR FINDINGS & HELIPORT OPERATOR CORRECTIVE ACTION PLAN
(GACAR PART 138)
SUBPART A TO D – CERTIFICATION, AUTHORIZATION AND DESIGN & ESTABLISHMENT
<table><tr><td rowspan="2">No.</td><td colspan="3">FINDINGS BY GACA HELIPORT SAFETY INSPECTORS</td><td colspan="6">RISK ASSESSMENT AND CORRECTIVE ACTION BY HELIPORT OPERATOR</td><td rowspan="2">REMARKS</td></tr><tr><td>GACAR REFERENCE</td><td>LOCATION</td><td>DESCRIPTION OF ASD-GACA FINDINGS</td><td>FINDING LEVEL (L1/ L2/ L3) (Ref-E Book 16)</td><td>INITIAL RISK ASSESSMENT (Ref GACAR 5)</td><td>(1). MITIGATION MEASURES &amp; (2). CORRECTIVE ACTION PLAN (CAP)</td><td>RESIDUAL RISK ASSESSMENT (Ref GACAR 5)</td><td>START DATE (CAP)</td><td>COMPLETION DATE (CAP)</td></tr><tr><td>1</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>2</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>3</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>4</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>5</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>6</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>7</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>8</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>9</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>10</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AGA-F035
Rev: 3, Date: 26 Aug 25
Page 2 of 15

GACA
العامه للطيران المدني
General Authority of Civil Aviation
[Non-Text]
HELIPORT SAFETY INSPECTOR FINDINGS & HELIPORT OPERATOR CORRECTIVE ACTION PLAN
(GACAR PART 138)
SUBPART E – HELIPORT DATA
<table><tr><td rowspan="2">No.</td><td colspan="4">FINDINGS BY GACA HELIPORT SAFETY INSPECTORS</td><td colspan="5">RISK ASSESSMENT AND CORRECTIVE ACTION BY HELIPORT OPERATOR</td><td rowspan="2">REMARKS</td></tr><tr><td>GACAR REFERENCE</td><td>LOCATION</td><td>DESCRIPTION OF ASD-GACA FINDINGS</td><td>FINDING LEVEL (L1/ L2/ L3) (Ref-E Book 16)</td><td>INITIAL RISK ASSESSMENT (Ref GACAR 5)</td><td>(1). MITIGATION MEASURES &amp; (2). CORRECTIVE ACTION PLAN (CAP)</td><td>RESIDUAL RISK ASSESSMENT (Ref GACAR 5)</td><td>START DATE (CAP)</td><td>COMPLETION DATE (CAP)</td></tr><tr><td>1</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>2</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>3</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>4</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>5</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>6</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>7</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>8</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>9</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>10</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AGA-F035
Rev: 3, Date: 26 Aug 25
Page 3 of 15

GACA
العامه للطيران المدني
General Authority of Civil Aviation
[Non-Text]
HELIPORT SAFETY INSPECTOR FINDINGS & HELIPORT OPERATOR CORRECTIVE ACTION PLAN
(GACAR PART 138)
SUBPART F – PHYSICAL CHARACTERISTICS
<table><tr><td rowspan="2">No.</td><td colspan="4">FINDINGS BY GACA HELIPORT SAFETY INSPECTORS</td><td colspan="5">RISK ASSESSMENT AND CORRECTIVE ACTION BY HELIPORT OPERATOR</td><td rowspan="2">REMARKS</td></tr><tr><td>GACAR REFERENCE</td><td>LOCATION</td><td>DESCRIPTION OF ASD-GACA FINDINGS</td><td>FINDING LEVEL (L1/ L2/ L3) (Ref-E Book 16)</td><td>INITIAL RISK ASSESSMENT (Ref GACAR 5)</td><td>(1). MITIGATION MEASURES &amp; (2). CORRECTIVE ACTION PLAN (CAP)</td><td>RESIDUAL RISK ASSESSMENT (Ref GACAR 5)</td><td>START DATE (CAP)</td><td>COMPLETION DATE (CAP)</td></tr><tr><td>1</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>2</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>3</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>4</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>5</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>6</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>7</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>8</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>9</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>10</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AGA-F035
Rev: 3, Date: 26 Aug 25
Page 4 of 15

GACA
العامه للطيران المدني
General Authority of Civil Aviation
[Non-Text]
HELIPORT SAFETY INSPECTOR FINDINGS & HELIPORT OPERATOR CORRECTIVE ACTION PLAN
(GACAR PART 138)
SUBPART G – OBSTACLE ENVIRONMENT
<table><tr><td rowspan="2">No.</td><td colspan="4">FINDINGS BY GACA HELIPORT SAFETY INSPECTORS</td><td colspan="5">RISK ASSESSMENT AND CORRECTIVE ACTION BY HELIPORT OPERATOR</td><td rowspan="2">REMARKS</td></tr><tr><td>GACAR REFERENCE</td><td>LOCATION</td><td>DESCRIPTION OF ASD-GACA FINDINGS</td><td>FINDING LEVEL (L1/ L2/ L3) (Ref-E Book 16)</td><td>INITIAL RISK ASSESSMENT (Ref GACAR 5)</td><td>(1). MITIGATION MEASURES &amp; (2). CORRECTIVE ACTION PLAN (CAP)</td><td>RESIDUAL RISK ASSESSMENT (Ref GACAR 5)</td><td>START DATE (CAP)</td><td>COMPLETION DATE (CAP)</td></tr><tr><td>1</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>2</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>3</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>4</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>5</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>6</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>7</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>8</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>9</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>10</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AGA-F035
Rev: 3, Date: 26 Aug 25
Page 5 of 15

GACA
العاليه للطيران المدني
General Authority of Civil Aviation
[Non-Text]
HELIPORT SAFETY INSPECTOR FINDINGS & HELIPORT OPERATOR CORRECTIVE ACTION PLAN
(GACAR PART 138)
SUBPART H – VISUAL AIDS
<table><tr><td rowspan="2">No.</td><td colspan="4">FINDINGS BY GACA HELIPORT SAFETY INSPECTORS</td><td colspan="5">RISK ASSESSMENT AND CORRECTIVE ACTION BY HELIPORT OPERATOR</td><td rowspan="2">REMARKS</td></tr><tr><td>GACAR REFERENCE</td><td>LOCATION</td><td>DESCRIPTION OF ASD-GACA FINDINGS</td><td>FINDING LEVEL (L1/ L2/ L3) (Ref-E Book 16)</td><td>INITIAL RISK ASSESSMENT (Ref GACAR 5)</td><td>(1). MITIGATION MEASURES &amp; (2). CORRECTIVE ACTION PLAN (CAP)</td><td>RESIDUAL RISK ASSESSMENT (Ref GACAR 5)</td><td>START DATE (CAP)</td><td>COMPLETION DATE (CAP)</td></tr><tr><td>1</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>2</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>3</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>4</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>5</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>6</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>7</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>8</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>9</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>10</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AGA-F035
Rev: 3, Date: 26 Aug 25
Page 6 of 15

GACA
العامه للطيران المدني
General Authority of Civil Aviation
[Non-Text]
HELIPORT SAFETY INSPECTOR FINDINGS & HELIPORT OPERATOR CORRECTIVE ACTION PLAN
(GACAR PART 138)
SUBPART I – HELIPORT EMERGENCY RESPONSE
<table><tr><td rowspan="2">No.</td><td colspan="4">FINDINGS BY GACA HELIPORT SAFETY INSPECTORS</td><td colspan="5">RISK ASSESSMENT AND CORRECTIVE ACTION BY HELIPORT OPERATOR</td><td rowspan="2">REMARKS</td></tr><tr><td>GACAR REFERENCE</td><td>LOCATION</td><td>DESCRIPTION OF ASD-GACA FINDINGS</td><td>FINDING LEVEL (L1/ L2/ L3) (Ref-E Book 16)</td><td>INITIAL RISK ASSESSMENT (Ref GACAR 5)</td><td>(1). MITIGATION MEASURES &amp; (2). CORRECTIVE ACTION PLAN (CAP)</td><td>RESIDUAL RISK ASSESSMENT (Ref GACAR 5)</td><td>START DATE (CAP)</td><td>COMPLETION DATE (CAP)</td></tr><tr><td>1</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>2</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>3</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>4</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>5</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>6</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>7</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>8</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>9</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>10</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AGA-F035
Rev: 3, Date: 26 Aug 25
Page 7 of 15

GACA
العامه للطيران المدني
General Authority of Civil Aviation
[Non-Text]
HELIPORT SAFETY INSPECTOR FINDINGS & HELIPORT OPERATOR CORRECTIVE ACTION PLAN
(GACAR PART 138)
SUBPART J – ELECTRICAL SYSTEMS
<table><tr><td rowspan="2">No.</td><td colspan="4">FINDINGS BY GACA HELIPORT SAFETY INSPECTORS</td><td colspan="5">RISK ASSESSMENT AND CORRECTIVE ACTION BY HELIPORT OPERATOR</td><td rowspan="2">REMARKS</td></tr><tr><td>GACAR REFERENCE</td><td>LOCATION</td><td>DESCRIPTION OF ASD-GACA FINDINGS</td><td>FINDING LEVEL (L1/ L2/ L3) (Ref-E Book 16)</td><td>INITIAL RISK ASSESSMENT (Ref GACAR 5)</td><td>(1). MITIGATION MEASURES &amp; (2). CORRECTIVE ACTION PLAN (CAP)</td><td>RESIDUAL RISK ASSESSMENT (Ref GACAR 5)</td><td>START DATE (CAP)</td><td>COMPLETION DATE (CAP)</td></tr><tr><td>1</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>2</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>3</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>4</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>5</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>6</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>7</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>8</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>9</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>10</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AGA-F035
Rev: 3, Date: 26 Aug 25
Page 8 of 15

GACA
العاليه للطيران المدني
General Authority of Civil Aviation
HELIPORT SAFETY INSPECTOR FINDINGS & HELIPORT OPERATOR CORRECTIVE ACTION PLAN
(GACAR PART 138)
SUBPART K – HELIPORT OPERATIONAL SERVICES, EQUIPMENT AND INSTALLATIONS
<table><tr><td rowspan="2">No.</td><td colspan="3">FINDINGS BY GACA HELIPORT SAFETY INSPECTORS</td><td colspan="6">RISK ASSESSMENT AND CORRECTIVE ACTION BY HELIPORT OPERATOR</td><td rowspan="2">REMARKS</td></tr><tr><td>GACAR REFERENCE</td><td>LOCATION</td><td>DESCRIPTION OF ASD-GACA FINDINGS</td><td>FINDING LEVEL (L1/ L2/ L3) (Ref-E Book 16)</td><td>INITIAL RISK ASSESSMENT (Ref GACAR 5)</td><td>(1). MITIGATION MEASURES &amp; (2). CORRECTIVE ACTION PLAN (CAP)</td><td>RESIDUAL RISK ASSESSMENT (Ref GACAR 5)</td><td>START DATE (CAP)</td><td>COMPLETION DATE (CAP)</td></tr><tr><td>1</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>2</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>3</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>4</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>5</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>6</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>7</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>8</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>9</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>10</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AGA-F035
Rev: 3, Date: 26 Aug 25
Page 9 of 15

GACA
الاعاده للطيران المدني
General Authority of Civil Aviation
[Non-Text]
HELIPORT SAFETY INSPECTOR FINDINGS & HELIPORT OPERATOR CORRECTIVE ACTION PLAN
(GACAR PART 138)
SUBPART L – HELIPORT MAINTENANCE
<table><tr><td rowspan="2">No.</td><td colspan="4">FINDINGS BY GACA HELIPORT SAFETY INSPECTORS</td><td colspan="5">RISK ASSESSMENT AND CORRECTIVE ACTION BY HELIPORT OPERATOR</td><td rowspan="2">REMARKS</td></tr><tr><td>GACAR REFERENCE</td><td>LOCATION</td><td>DESCRIPTION OF ASD-GACA FINDINGS</td><td>FINDING LEVEL (L1/ L2/ L3) (Ref-E Book 16)</td><td>INITIAL RISK ASSESSMENT (Ref GACAR 5)</td><td>(1). MITIGATION MEASURES &amp; (2). CORRECTIVE ACTION PLAN (CAP)</td><td>RESIDUAL RISK ASSESSMENT (Ref GACAR 5)</td><td>START DATE (CAP)</td><td>COMPLETION DATE (CAP)</td></tr><tr><td>1</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>2</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>3</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>4</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>5</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>6</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>7</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>8</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>9</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>10</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AGA-F035
Rev: 3, Date: 26 Aug 25
Page 10 of 15

GACA
العامه للطيران المدني
General Authority of Civil Aviation
[Non-Text]
HELIPORT SAFETY INSPECTOR FINDINGS & HELIPORT OPERATOR CORRECTIVE ACTION PLAN
(GACAR PART 138)
SUBPART APPENDICES A TO N – OTHERS, IF ANY
<table><tr><td rowspan="2">No.</td><td colspan="4">FINDINGS BY GACA HELIPORT SAFETY INSPECTORS</td><td colspan="5">RISK ASSESSMENT AND CORRECTIVE ACTION BY HELIPORT OPERATOR</td><td rowspan="2">REMARKS</td></tr><tr><td>GACAR REFERENCE</td><td>LOCATION</td><td>DESCRIPTION OF ASD-GACA FINDINGS</td><td>FINDING LEVEL (L1/ L2/ L3) (Ref-E Book 16)</td><td>INITIAL RISK ASSESSMENT (Ref GACAR 5)</td><td>(1). MITIGATION MEASURES &amp; (2). CORRECTIVE ACTION PLAN (CAP)</td><td>RESIDUAL RISK ASSESSMENT (Ref GACAR 5)</td><td>START DATE (CAP)</td><td>COMPLETION DATE (CAP)</td></tr><tr><td>1</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>2</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>3</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>4</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>5</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>6</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>7</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>8</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>9</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr><tr><td>10</td><td></td><td></td><td></td><td>Choose Findin</td><td>Risk Level</td><td></td><td>Risk Level</td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AGA-F035
Rev: 3, Date: 26 Aug 25
Page 11 of 15

GACA
الاعاده للطيران المدني
General Authority of Civil Aviation
HELIPORT SAFETY INSPECTOR FINDINGS & HELIPORT OPERATOR CORRECTIVE ACTION PLAN
(GACAR PART 138)
<table><tr><td colspan="4">APPENDIX A – DOCUMENTATION</td></tr><tr><td colspan="4">(TO BE FILLED BY GACA HELIPORT SAFETY INSPECTOR)</td></tr><tr><td>GACAR 138 Sub Part</td><td>Finding Reference No.</td><td colspan="2">Details of Document/Evidence Attachment, if applicable</td></tr><tr><td>Sub Part A</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part B</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part C</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part D</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part E</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part F</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part G</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part H</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part I</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part J</td><td></td><td colspan="2"></td></tr><tr><td>Appendixes</td><td></td><td colspan="2"></td></tr></table>
<table><tr><td colspan="4">DETAILS OF GACA HELIPORT INSPECTORS&#x27; SAFETY TEAMS</td></tr><tr><td>No.</td><td>Name of the Heliport Safety Inspector</td><td>Signature</td><td>Date</td></tr><tr><td>1.</td><td></td><td></td><td></td></tr><tr><td>2.</td><td></td><td></td><td></td></tr><tr><td>3.</td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AGA-F035
Rev: 3, Date: 26 Aug 25
Page 12 of 15

GACA
الاعاده للطيران المدني
General Authority of Civil Aviation
HELIPORT SAFETY INSPECTOR FINDINGS & HELIPORT OPERATOR CORRECTIVE ACTION PLAN
(GACAR PART 138)
<table><tr><td colspan="4">APPENDIX B - FINDING LEVEL CHARTS</td></tr><tr><td colspan="4">(TO BE FILLED BY GACA HELIPORT CERTIFICATION PROJECT MANAGER)</td></tr><tr><td rowspan="2">GACAR PART 138 SUBPARTS</td><td colspan="3">Status of Finding Level</td></tr><tr><td>Level 1</td><td>Level 2</td><td>Level 3</td></tr><tr><td>SUBPART A To D - CERTIFICATION, AUTHORIZATION AND DESIGN &amp; ESTABLISHMENT</td><td></td><td></td><td></td></tr><tr><td>SUBPART E - HELIPORT DATA</td><td></td><td></td><td></td></tr><tr><td>SUBPART F - PHYSICAL CHARACTERISTICS</td><td></td><td></td><td></td></tr><tr><td>SUBPART G - OBSTACLE ENVIRONMENT</td><td></td><td></td><td></td></tr><tr><td>SUBPART H - VISUAL AIDS</td><td></td><td></td><td></td></tr><tr><td>SUBPART I - HELIPORT EMERGENCY RESPONSE</td><td></td><td></td><td></td></tr><tr><td>SUBPART J - ELECTRICAL SYSTEMS</td><td></td><td></td><td></td></tr><tr><td>SUBPART K - HELIPORT OPERATIONAL SERVICES, EQUIPMENT AND INSTALLATIONS</td><td></td><td></td><td></td></tr><tr><td>SUBPART L - HELIPORT MAINTENANCE</td><td></td><td></td><td></td></tr><tr><td>SUBPART APPENDIXES: A TO N – OTHERS, IF ANY</td><td></td><td></td><td></td></tr></table>
<table><tr><td colspan="4">VERIFICATION BY GACA HELIPORT CERTIFICATE PROJECT MANAGER</td></tr><tr><td>No.</td><td>Name Of the Heliport Certification Project Manager</td><td>Signature</td><td>Date</td></tr><tr><td>1.</td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AGA-F035
Rev: 3, Date: 26 Aug 25
Page 13 of 15

GACA
الاعاده للطيران المدني
General Authority of Civil Aviation
HELIPORT SAFETY INSPECTOR FINDINGS & HELIPORT OPERATOR CORRECTIVE ACTION PLAN (GACAR PART 138)
<table><tr><td colspan="4">APPENDIX C – DOCUMENTATION(TO BE FILLED BY HELIPORT OPERATOR)</td></tr><tr><td>GACAR 138 Sub Part</td><td>Finding Reference No.</td><td colspan="2">Detail of Document/Evidence Attachment/Risk assessment and Mitigation</td></tr><tr><td>Sub Part A</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part B</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part C</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part D</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part E</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part F</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part G</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part H</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part I</td><td></td><td colspan="2"></td></tr><tr><td>Sub Part J</td><td></td><td colspan="2"></td></tr><tr><td>Appendixes</td><td></td><td colspan="2"></td></tr></table>
<table><tr><td colspan="4">DETAILS OF HELIPORT OPERATOR MANAGEMENT PERSONNEL</td></tr><tr><td>No.</td><td>Name of Heliport Operator Management Personnel</td><td>Signature</td><td>Date</td></tr><tr><td>1.</td><td>HEAD OF HELIPORT (ACCOUNTABLE EXECUTIVE)</td><td></td><td></td></tr><tr><td>2.</td><td>HEAD OF OPERATIONS</td><td></td><td></td></tr><tr><td>3.</td><td>HEAD OF MAINTANANCE</td><td></td><td></td></tr><tr><td>4.</td><td>HEAD OF RFF SERVICES</td><td></td><td></td></tr><tr><td>5.</td><td>HEAD OF SAFETY MANAGEMENT</td><td></td><td></td></tr></table>
<table><tr><td colspan="4">VERIFICATION BY HELIPORT OPERATOR ACCOUNTABLE EXECECUTIVE</td></tr><tr><td>No.</td><td>Name of the Accountable Executive</td><td>Signature</td><td>Date</td></tr><tr><td>1.</td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AGA-F035
Rev: 3, Date: 26 Aug 25
Page 14 of 15

GACA
General Authority of Civil Aviation
[Non-Text]
HELIPORT SAFETY INSPECTOR FINDINGS & HELIPORT OPERATOR CORRECTIVE ACTION PLAN
(GACAR PART 138)
<table><tr><td colspan="3">APPENDIX D - FINDING LEVEL(For details explanation and time scale please refer E-Book Volume 16)</td></tr><tr><td>Level</td><td>Description</td><td>Time scale</td></tr><tr><td>Level 1 (Non-Compliance)</td><td>A major regulatory non-compliance with immediate or short-term implications for safety or security.</td><td>The audit team leader (HCPM) shall consider and assess the each finding as immediate safety risk and assign a timescale for closure between IMMEDIATE and 7 days.</td></tr><tr><td>Level 2 (Non-Compliance)</td><td>A regulatory non-compliance not defined as Level 1.</td><td>The audit team leader (HCPM) shall consider and assess the each finding, which are not L 1, for associated safety risk and assign a timescale for closure between 8 days and 90 days.</td></tr><tr><td>Level 3 (Observation)</td><td>An observed condition which, in the judgment of the heliport safety inspector/team leader (HSI/HCPM), the heliport operator should modify, eliminate or improve in the interests of continuous improvement for safety or security and to avoid such observation getting converted to L 2 finding.</td><td>No timescale for closure shall be assigned but the heliport operator shall be expected to provide a written response to the observation within 90 days. Additional time be considered based on seriousness of finding (observation) and corrective action plan of the operator.</td></tr></table>
GACA-AVSES-AGA-F035
Rev: 3, Date: 26 Aug 25
Page 15 of 15