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92 APPENDIX H Sample Checklist for SRA Courtesy: HartsfieldâJackson Atlanta International Airport (2015).
93 Safety Management System Manual Hartsfield-Jackson Atlanta International Airport SRA Checklist Approval Date 1 HJAIA Safety Risk Assessment (SRA) Process Checklist 1. Department/Division conducting SRA: Airport Operations 2. Station: ATL 3. SRA Owner: 4. Schedule SRA Date/Time Duration: 5. General Office: Criteria Yes No Owner of Task Date Completed A. Schedule Conference Room 1. Projector 2. Laptop Computer 3. Conference phone setup 4. Flip Charts 5. Recorder 6. Participants/Stakeholders B. Agenda C. Copies of Risk Matrix & Severity and Likelihood Definitions D. Copies of the SMS SRA 1 and SMS SRA 2 E. Relevant Diagram(s) ATL for Airport F. ATL Aerial G. ATL utilities, airfield lighting, FAA facilities drawings. H. I. J. 6. Recommended Participants: a. n. b. o. c. p. d. q. e. r. f. s. g. t. h. u. i. v. j. w. k. x. l. y. m. z.
94 Safety Management System Manual Hartsfield-Jackson Atlanta International Airport SRA Checklist Approval Date 2 7. SRA Topic: Criteria Owner of Task A. Describe the System that prompted this SRA: B. Hazard that prompted this SRA: 8. Documentation Criteria Yes No Owner of Task Date Completed A. Review all Supporting SMS SRA1 and SRA 2 B. Publish minutes of meeting and SRA recommendation(s) C. SRA Review by SMS committee D. SRA Review by Executive Committee E. SRMD recommendation(s) (dis)approval & signature F. Implement SRA recommendation (s) G. Track implementation for six months H. Close SRA or Adjust SRA Recommendation(s) 1. Was SRA closed 2. Was SRA recommendation (s) adjusted I. Complete 8C through 8H again 9. This section to be completed by Safety Division personnel: A. Risk Code B. Report Status: Closed C. Date Closed: D. Report Closed by (Enter Initials): E. Comments: