Cabin Crew Line Evaluation Form
CCM Name
*
CCM Staff No
*
CCM Position
*
R1
L4
R4
Instructor / Examiner Name
*
Instructor Examiner Staff No
*
Flight Details:
Flight Details
*
Rows
Date
A/C Reg.
Flight No.
Sectors
Flight Duration
Name of PIC
Sector 1
Sector 2
Flight Details Sector 3 & 4 (If Applicable)
Rows
Date
A/C Reg.
Flight No.
Sectors
Flight Duration
Name of PIC
Sector 3
Sector 4
Pre-Flight Briefing
Rows
Code
Remarks
1. Punctuality
S
I/R
N/O
N/A
2. Compliance with Uniform & Grooming Regulations
S
I/R
N/O
N/A
3. Safety Knowledge
S
I/R
N/O
N/A
4. First Aid Knowledge
S
I/R
N/O
N/A
5. Crew Bag (all necessary items)
S
I/R
N/O
N/A
6. Crew Discipline
S
I/R
N/O
N/A
7. Situational Awareness
S
I/R
N/O
N/A
8. Crew Responsibilities
S
I/R
N/O
N/A
9. Chain of Command
S
I/R
N/O
N/A
10. Crew Coordination & Communication Procedures
S
I/R
N/O
N/A
Pre-Departure
*
Rows
Code
Remarks
11. Check of Assigned Exit/ Door
S
I/R
N/O
N/A
12.Safety & Emergency Equipment Check
S
I/R
N/O
N/A
13. Systems Check (Calls, Interphone & PA)
S
I/R
N/O
N/A
14. Passenger Seats (Seat Belt, Life Jacket and Safety Cards)
S
I/R
N/O
N/A
15. Over Wing Exit Check
S
I/R
N/O
N/A
16. Galley Safety & Security Check
S
I/R
N/O
N/A
17. LAV Safety & Security Check
S
I/R
N/O
N/A
18. Defect Reporting
S
I/R
N/O
N/A
19. Security Check (Cabin/Galley/Lavatory)
S
I/R
N/O
N/A
20. Communication of Checks Complete (Safety/Security)
S
I/R
N/O
N/A
21. Correct Boarding Position & Participation
S
I/R
N/O
N/A
22. ISB distributed and briefed on use; Correct stowage of passenger Baggage; All other Special Needs are assisted, seated , briefed as per SOP
S
I/R
N/O
N/A
23. Briefing of ABP’s at OWE Exits
S
I/R
N/O
N/A
24. Refuelling Procedures Observed (If Applicable)
S
I/R
N/O
N/A
25. Crew Vigilance to PA (Action and Response time)
S
I/R
N/O
N/A
26. LAV’s checked and locked
S
I/R
N/O
N/A
27. Arming of Door; Cross Check and Report as per SOP
S
I/R
N/O
N/A
28. Cockpit/Cabin Communication Procedure
S
I/R
N/O
N/A
29. Safety & Security Announcements
S
I/R
N/O
N/A
30. Alertness To Cabin System Communication Signals
S
I/R
N/O
N/A
31. Performance of Manual Safety Demo
S
I/R
N/O
N/A
32. Conduct of Cabin Secure Check
S
I/R
N/O
N/A
33. Reporting of “Zone check” (Seated & Secured)
S
I/R
N/O
N/A
34. Brace Position on Jump Seat & Observation of Silent Review
S
I/R
N/O
N/A
In-Flight
*
Rows
Code
Remarks
35. LAV Check (any Loose objects) (After take-off)
S
I/R
N/O
N/A
36. Reporting Unusual Occurrences (unusual smell, sound etc.)
S
I/R
N/O
N/A
37. Periodic Lavatory & Cabin Check (every 15 min)
S
I/R
N/O
N/A
38. Actions during Turbulence (if applicable)
S
I/R
N/O
N/A
39. Reporting of Defects (if applicable)
S
I/R
N/O
N/A
40. Galley safety checks for precautions against fire/ smoke & ensured that service equipment are secured when not in use
S
I/R
N/O
N/A
41. Level of Situational Awareness pre service, during service and post service
S
I/R
N/O
N/A
Pre-Landing
*
Rows
Code
Remarks
42. Conduct of Cabin Secure Check
S
I/R
N/O
N/A
43. Reporting of “Zone check” (Seated & Secured)
S
I/R
N/O
N/A
44. Brace Position on Jump Seat & Observation of Silent Review
S
I/R
N/O
N/A
Post-Flight
*
Rows
Code
Remarks
45. Monitoring of Cabin & Ensuring PAX remain seated until Seat Belt Sign is Switched Off
S
I/R
N/O
N/A
46. Remained Seated until Aircraft comes to a complete stop
S
I/R
N/O
N/A
47. Disarming of Door; Cross Check and Report as per SOP
S
I/R
N/O
N/A
48. Ensured All Passengers Disembarked Safely
S
I/R
N/O
N/A
49. Conduct of Post Disembarkation checks & Reporting
S
I/R
N/O
N/A
50. Participation and Acceptance of De-Briefing
S
I/R
N/O
N/A
Instructor’s/ Examiner’s – Comments/ Observations
*
CCM Name
*
CCM Signature
*
Instructor / Examiner Name
*
Instructor / Examiner Signature
*
Cabin Safety TM Signature
Recommendations
HOT Airline Operations Signature
Date
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Preview PDF
Submit
Should be Empty: