|
Airlines Insurance Proposal Form
1.General information
Company details
Name of insured : Address : Subsidiaries: Chairman: Number of employees: Company activities
a)
airtransport :
·
Specify
: Are there any aircraft leased out? Yes no If any, wet
dry
b)
other activities : Does the company perform any maintenance
work or other work for the benefit of third parties? Yes no Type of works carried out: Type of aircraft involved: Maximum total value of aircraft (other
than those owned and/or operated by the airline) likely to be stored in the
same hangar at the same time: Specify any other activity Company revenues: -
Airtransport revenues: Passenger: Freight&mail: Other revenue: Handling
services for third parties: Maintenance
works for third parties: Specify other type of activities and
related sales: Hubs and network: Main
base(s): Secondary
base(s) (with permanent flight operations and/or maintenance staff): Route network: Scheduled services: if possible, enclose
a detailed map and a flight schedule. Other services: state countries and
airports usually serviced Handling services: List
the companies in charge of handling at airports: Air traffic statistics: (estimated
figures –annual basis-):
·
Specify Fleet schedule: (Specify USD value): Identification of insured aircraft: fill
in corresponding aircraft questionnaire attached to the proposal for each
aircraft Specify orders and options and estimated
delivery dates; Are the aircraft owned or leased? Yes no If so is there any aircraft operated by
the airline on short-term lease? Name of lessors/owners: Property: -
Are the
buildings leased? Yes no Owned by the
company? Yes no Spares: Give a brief
description: What is the
dollar value of your aircraft parts inventory? Engines: Other parts: Indicate: Place of storage: Maximum value any one location: Maximum value any one building: Maximum value any one unit: Maximum value any one sending: Total amount at risk: 2.
Flight operations Management
For all the
persons listed here below, specify names aeronautical experience, date of entry
in company and if recently joined the firm, name of former employers and former
duties:
Landing
minima: Does the
airline determine its own landing minima requirements ? Yes no *Specify Is the airline
authorized to perform precision approach? Cat 1: yes no Cat 2: yes no Cat 3A: yes no Cat 3B: yes no How many
regularly serviced airports have? No ILS? No ILS and no VASIS? ETOPS
Is the airline certified to operate ETOPS flights
further than 60 minutes from an alternate airfield? Yes no If so, is it for 90
minutes: yes no 120
minutes yes no 180
minutes yes no 3. Crew and
Training Staff:
Crew: Composition of crew
per type of aircraft (specify for each function, origin and type of license
held – ECAA, DGAC, FAA, CAA or other to be identified): Are the aircrew members assigned to one
single type of aircraft only? Captains yes no First
officers yes no Flight
engineers yes no If not, specify: Three-year average number of flight hours
annually performed per pilot: Average seniority of captains: What are the minimum education and flight
experience requirements for new Captains? First
officers? Flight
engineers? Are there specific written requirements
for promotion of first officer to captains that involve more than flight time
and seniority? Yes no Training: Does the airline do its own training? Yes no In its own simulators? What are the types, the age of
simulators? Does the airline train other operators? Yes no What training standards are followed? Has the same provider of training been
used exclusively ? Yes no If not, how many years with present
supplier? What is the average number of hours of
classroom training for? Initial
training? Transition
training? Upgrade
training ? Same question for captains. Initial
training? Transition
training? Upgrade
training? What is the average number of hours of
simulators training for? Initial
training? Transition
training? Upgrade
training ? Indicate the time spent in each recurrent
training and the time interval. Include flight checks : 1.
Captains receive simulators training about every month for hours 2.
First officers receive simulators training about every month for hours 3.checks
are done every Months
in the airplane Months
in the simulators 4.line
checks are done about every month Number
of flight segments Has the airline implemented crew resource
management (CRM) training ? Yes no If so, what are the hours for the
courses? Does it include line operational
simulation / line orientated flight training (LOS/LOFT)? Yes no Does initial and recurrent training place
significant importance on the following? MEL yes no GPWS yes no WINDSHEAR yes no ICING (flight & ground) yes no STABILISED APPROACH yes no GO AROUND DECSION yes no GO/ON GO TAKE OFF DECSION yes no *Is there an airline procedure that
requires a mandatory response to GPWS? All circumstances yes no IMC yes no Visual conditions at night yes no Other situations (specify): **Does the windshear system on each type
of aircraft include “flight guidance “?
Yes no Are captains and first officers trained
and type rated to the same standard? Trained? Yes no Type
rated? Yes no Is a psychological test used to screen
new-hire pilots ? Yes no Is a simulator or flight device used to
screen new-hire pilots? Yes no Do recently hired experienced pilots
receive initial training with special emphasis on standardization and
discipline? Yes no Does training in abnormal procedures
include the captain designating the co-pilot to fly the airplane while trouble
shooting is carried out? Yes no Does substandard performance in recurrent
training result in immediate and formal corrective action? Yes no Does the airline have formally
established program to identify the pilots who may have a proficiency problem? Yes no If so, does the airline have a program to
provide additional training and checking to ensure proper correction of the
problem? Yes no Are there written standards for selecting
check airmen, check pilots candidates? Yes no Who trains them? How is continued quality of check pilots
performance assured? Do instructors regularly cycle through
line operations? Yes no If the airline is engaged in cargo as
well as revenue passenger operations, are the amount and frequency of flight
crew training the same for passenger and cargo crews? Yes no Are performance standards for flight
crews the same for passenger and cargo operations? Yes no 4. Accident /
Safety Safety
officer: Name: Accidents: State all
significant accidents (according to ICAO annex 13 definition) which occurred
during the past three years provide full details regarding circumstances,
causes, incurred costs as well as any measure taken by the airline to prevent
recurrence. Does the airline have in place a formal
internal audit program ? Yes no If
so,
1.
How
often is the audit conducted?
2.
Who
administrate the program? Who does the auditor reported to?
3.
How
are the audit guides / checklists developed?
4.
How
are discrepancies corrected?
5.
Is
there follow-up system to ensure that corrections are made?
6.
What
method is used to conduct the audits? Describe: Flight
crew reports: Follow
up yes no How
long are they kept in file? Procedure by which safety related
information reaches the safety officer: Is this procedure confidential? Yes no International methods used for
prevention: Does the airline
have a system for receiving, recording, reporting and analyzing accidents,
incidents and hazards? If so, describe the system? |
