QUALITY ASSURANCE DEPARTMENT QA-F004

SAFETY INVESTOR ASSESSMENT SHEET

PHIẾU ĐÁNH GIÁ NHÂN VIÊN SAFETY INVESTIGATOR

Name: BÙI HOÀI LINH Date of birth: 26/06/1983

Vaeco ID: VAE02208 Mobile phone: 0902070808

Division: STAFF QUALIFYING DIVISION

Licence:  EASA  FAA VAR 5  Others

Number: 44995-AMT Category: A  B1  B2  C ARS
On A/C Type/: A330(PW4000) Expiry date: 30/09/2022

Type of approved: Initial  Renewal

I. DOCUMENT REVIEW
Not
Educational/ Training/ Experience Requirement Satisfied
satisfied

1 Basic training

2 SMS training

3 Human Factor training

4 MOE & SOP training

5 Working experience

Date: Assessor (name and signature):

II. MULTIPLE CHOICE ASSESSMENT

Assessment Assessor name/
Subject Result Remark
date signature

Technical

Reg.& Pro.

Date: Assessor (name and signature):

III. PRACTICAL/ ORAL ASSESSMENT

No. Description Reference Pass Fail
SOP 10.22
MAINTENANCE ERROR/ VIOLATION DETECT AND
1. SOP 10.14
RECTIFICATION
SMS Chap. 11
2. QUALITY NOTICE SOP 10.15

REPORTING OF OCCURRENCES/ DEFECTS TO THE SOP 10.12

3. COMPETENT AUTHORITY, OPERATOR AND
SMS Chap. 8
MANUFACTURER

4. HAZARD INDENTIFACATION AND RISK ASSESSMENT SMS Chap. 9

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No. Description Reference Pass Fail

5. MANAGEMENT OF CHANGE SMS Chap. 15

6. SAFETY DIRECTIONS AND SAFETY TARGETS SMS Chap. 5

7. VAR Part 5, VAR Part 7, VAR Part 4, CFR 14 Part 145/43.

8. Airworthiness, continuous airworthiness, C of A, C of R

9. Authorisation privileges & responsibilities

10. Temporary authorization (Dispensation)

11. Management of tool and equipment

12. Management of spare part & material

13. General Safety Requirement

14. A/C maintenance procedures

15. Definition, control of critical task.

16. AD, SB, MOD and EO compliance control

17. Continuity of maintenance (shift/task hand-over)

18. Towing procedure

19. A/C arrival and departure

20. Technical support

21. Preliminary, in-progress, final inspection and return to service

22. Control of maintenance data

23. Maintenance record completion and handling

24. MOR/ Malfunction and defect reporting

25. Suspected unapproved parts reporting

26. VNA Tech log & Cabin Defect log checking/ handling/ entry
Definition, description, using of maintenance data as: MEL,
27. CDL...
28. ADD definition, defer of ADD, ADD list checking/ entry

29. Structural damage repair for VNA A/C

30. Control of emergency equipment on VNA A/C

31. Using of Loan component for VNA A/C

Applicable customer’s maintenance procedures:
Line maintenance check, chock/ safety cone positioning,
32.
fuelling and reporting, concession, ETOPS, RVSM, CAT
II/III….
ADDITIONAL QUESTIONS

33.

34.

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No. Description Reference Pass Fail

35.

36.

37.

38.

39.

Date: Assessor (name and signature):

QUALITY ASSURANCE APPROVAL

Satisfactory approved as: Safety Investigator

Approval validity: From ............................................................................ …………... to ...............................................................................................................................
Date: …………………
QA Director: Name………………………………………………...Signature: .....................................................................................................

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