№ lp_1_2_37875
A template for collecting data during SMS verification, describing organizational systems related to aviation safety for approval holders.
Note: Revision History
Rev: 0
Description of Change: Original Release
Effective Date: TBD
Approval: Daniel J. Elgas Lirio Liu
Date: MM/DD/YYYY
Approval Holder: SMS
Verification Dates: SMS Follow Up Verification Dates (if applicable): SMS Team Leader: SMS Team Members:
Objective: Verify that the approval holder has developed an organizational system description that summarizes the organization’s processes, procedures, activities, personnel, equipment, facilities, and operating environment that impact the aviation safety of the products and services provided.
Instructions: Answer each question “Yes” or “No” based on review of information provided by the approval holder during the verification. For “Yes” answers, provide reference(s) in the references / comments box including policies, processes, procedures or other information. For “No” answers, provide justification in the references / comments box describing the reason the question was answered “No”. Note: Approval holders with an FAA accepted voluntary SMS program have already completed an SMS verification. It is only necessary to answer the questions marked with an asterisk (*) for these approval holders.
Year: TBD
Region / City: TBD
Subject: Aviation Safety, SMS Verification
Document Type: Template, Instructional Reference
Organization / Institution: Aircraft Certification Service, FAA
Author: Daniel J. Elgas, Lirio Liu
Target Audience: FAA approval holders, SMS teams
Period of validity: TBD
Approval Date: TBD
Date of amendments: TBD
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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