Pranacle ~ hie Prt Led, MASTER COPY PINNACLE AIR PVT .LTD. | NEW DELHI | (DECNRI/MG/020 (AOP REF- NOP 25/2008)} {Check List Ref. - PAPLICAMO/AUDIT/CL-10) SHOP AUDIT CHECK LIST GENERAL FACILITIES FOR SHOPS Name of Contracted Organization Location: Team Leader & Member Name of Post Holder present during Audit (Common for all Shops) Date of Audit Name of Contracted organisation Page 1 of § Issue 4, Res. 0.0 September. 2019 Date of Audit & Place eiviag end ‘Auditee Auditor Names & Signature of Post Holders Present |2 83r¢ MASTER COPY PINNACLE AIR PVT .LTD. NEW DELHI {DDG(NR)/MG/020 (AOP REF- NSOP 25/2008)} B = Z AUDIT DATE: FROM .. =O) | Audit Checklist Reference No. : 5 PAPL/CAMO/AUDIT/QA-10 NOTE: Columns are labeled for product line and must be used as necessary to record the audit findings related to the product line or facility, including subcontractor's review. | Against each columns w.r.t M.A Subpart G sub-paragraphs, please either (V) the box if satisfied with compliance or cross (X) the box if not satisfied with compliance and specify the reference of the findings (noncompliance or observation) on remarks column or enter N/A where an item is not applicable, or N/R when applicable but not reviewed. ‘Names & Signature of Post Holders Present (rei aa ‘uiitee ‘Auditor Name of Contracted organisation Date of Audit & Place Page 2 of 5 Issue 4, Rev. 0.0 September. 2019___ MASTER COPY _ PINNACLE AIR PVT .LTD. NEW DELHI {DDG(NR)/MG/020 (AOP REF- NSOP 25/2008)} _ SAT SIN ITEMS OF INSPECTION atest REMARKS 1 | Ensure that the previous audit findings are properly rectified. 2 [Does the Organization oid a DGCA } Approval? 3 | Does its scope of approval cover the maintenance task contracted? | = 44 | Oblain copy of the approval certificate, Scope of Approval and validity sheet. s__| Js the approval displayed in an area accessible to the public? 5 | Does the organization have the facilities to undertake the contracted work ~ Check power regulated supply 7 | - Equipment calibration = Method of storing data | PERSONNEL- = Accountable Manager 8 |. Post Holders | Verify Form 4 9 | List of AME (Certifying Staff) & their records 10 | List of special tools ' equipment as per scope ‘of work contracted _| | 11 | Cheek Special tools * equipment inspection and calibration D Procedure for ensuring availability of current maintenance data for work F 13 _| Work Benches - Adequate? Suitable? Clean? ie: Contracted organisation | Date of Aus Place | Nat & Signature of Pos Holders Present | Auditee ‘Auditor Page 3 of S Issue 4, Rev. 0.0 ptember, 2019aa — copy. PINNACLE Alf PVT.LTD. oka NEW DELHI eS chile Pov Lid {DDG(NR)/MG/020 (AOP REF- NSOP 25/2008)} 2 —— ees | SAT SIN ITEMS OF INSPECTION eee 14 | Curent taz_on Machines” 7 Test | i | Equipments ‘Test Rigs. | | Incoming & Outgoing Components- In 15. | #pPtopriate container? Labels! Documents | attached? Properly blanked/ packed! | transported? La eT || Materials / Spares-From approved 16 | source? Properly stored? Batch Number | traceable? ral Test Equipments / Fixtures/Apparatus - r 17 Clean? Operational? Properly maintained? Calibrated? Calibration | records? Ca Safety Equipments: © Fire Extinguisher - Available? | 18, Condition? Test date? © First Aid Box - Available? | Condition? | _ 19 | Existence of separate storage facility for | flammable material storage? | = | 29 | Segregation of serviceable & unserviceable _ components 21 Procedure for ensuring updating of | |_*" | maintenance data ‘Procedure for issue of CRS / CA Form 1, aa ear | L emty? 23. | Is the Sufety / Quality Policy defined 24, Has the organization developed an Internal - audit and surveillance program? - 5 | Does the organisation have an approved Tr | MOE? | el Name of Contracted organisation Date of Audit & Place Auditee Audior | Page 4 of 5 ii Issue 4, Rev. 0.0 September, 2019MASTER COPY a | PINNACLE AIR PVT .LTD. a | NEW DELHI | | {DDG(NR)/MG/020 (AOP REF- NSOP 25/2008)}_ Findings regarding CAR-M Compliance | Note: Each Level | and 2 findings should be recorded whether it has been rectified or not and should be identified by a simpler cross reference to the CAR-M requirement. All non-rectified findings should be intimated to the Accountable Manager in writing for the necessary corrective and preventive action, CAR/ Doc Audit Findings Ref: Corrective Action Due | Date Action Taken date closed, LEVEL Date of completion of the Audit: Date of closure of all findings: ____| Signature of the Auditor (QM, PAPL) Name of Contracted organisation | Date of Avait& Place | Name*& Signature of Post Holders Present Auditee “Auditor | Page Sof Issue 4, Rev. 0.0 September, 2019Y909 ASTZAM