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116 APPENDIX A Survey Instrument Airport Cooperative Research Program S04-13 Safely Combining Mixed-Use Flight Operations at Airports AIRPORT IDENTIFIER: CONTACT PERSON: EMAIL: PHONE: Please check all those specialized activities that routinely or seasonally occur on or within 1 nm of your airport: Glider Balloon Floatplane/Seaplane Helicopter Blimp VTOL/Tiltrotor Gyrocopter Banner towing UAV/RPV Parachute/Skydive Acrobatic Fire fighting Powered Parachutes Agriculture aerial applicator Other Hang glide, micro or powerlight vehicles RC model aircraft Q1. Are you satisfied with the manner that your specialized activities have been safely incorporated into your airport operating environment? YES NO SOMEWHAT Q2. What benefits does the airport or community derive from accommodating any of the listed specialized activities? Please list/describe: Q3. What concerns or issues might you have with any of the specialized activities, if any? Please list/describe: Q4. Are there particular hazards, risks, or problems that you have encountered as a result of allowing any of the specialized activities? Please list/describe: Q5. What common complaints have you received from aeronautical users about the specialized activities? Please list/describe: Q6. Are there operational or managerial impacts on staffing or supervision that are related to any of the specialized activities, such as: (Please check those that apply) maintenance of a pavement, grass, ramp or other operational area? access control? providing escort/security? training or education? interference with navaids? affect on the community? emergency response? Other. Please list/describe: Q7. Are there any specialized activities that you would NOT ALLOW on your airport? YES NO If yes, which activities? For what reasons would you not allow them? Q8. What airport logistics, requirements, or resources are needed for each aeronautical activity in order for them to stage, launch, recover, or manage the activity? For instance, access for support vehicles, airfield training, mowing, parking, storage, office, restroom, security, key code, utility provision water/electrical, NOTAM issuance, permits, environmental requirements, etc. Please list/describe: Q9. What hazards or risks do you associate with any of the specialized activities on your airport? Please list/describe: Q10. Does your airport require operators to carry insurance? YES NO OTHER If so, what type , amounts , or conditions?
117 Q13. From a safety and operational standpoint, what actions, procedures or measures have you taken to improve the safe and concurrent use and operation of the specialized activities on your airport? Please list/describe: Q14. Does your airport have minimum standards, rules and regulations, standard operating procedures, permit applications, or checklists related to any of the specialized activities? YES NO OTHER OTHER Q15. Does your FAA ADO Regional Office or State Bureau /Division of Aviation have regulations related to any of the specialized activities, or have helpful guidelines or recommendations? YES NO OTHER Q16. Does your airport layout plan (ALP) show a specialized operating area for any of the activities noted, or does your master plan evaluate provisions for the specialized aeronautical activities? YES NO OTHER Q17. Would you be willing to share one or more of your documents so others may benefit? YES NO OTHER Q18. Are there any particular lessons you have learned that would be of benefit to other airport operators? In particular, what unexpected circumstance happened, what would you do differently, or what has really worked well for you? Please list/describe: Thank you very much for your responses, as they will help other airports to learn from your experiences. Contact me should you have any questions. I will follow up if any clarification is needed. Please return email to: SMQAirportServices@gmail.com. Stephen M. Quilty, A.A.E. 26757 Haverhill Drive SMQAirportServices@gmail.com SMQ Airport Services Lutz, FL 33559-8509 813-388-9132 The mission of SMQ Airport Services is to support the airport management profession with training and education, safety audits, SMS and SRA facilitation, organizational development and assessment, and special research study. Q11. Does your airport charge a special fee or rate structure for the use of the airfield by each specialized operator? YES NO Please describe the fee or rate structure: Q12. How do you inform other aeronautical users, especially transient aircraft, of specialized activity operations? Please list/describe:
