Shift Safety Risk Rating

1
Date* This field is required.
Date
Month
Day
Year
2
Email* This field is required.example@example.com
3
Station* This field is required.
Please Select
Please Select
KOA
LIH
HNL
OGG
4
Time of Day* This field is required.AM/PM
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Please Select
AM
PM
5
Daily Staffing* This field is required.CSA/RSA/CC/FLEET 7/6/1/4 - Single Ops 9/9/1/6 - Dual Ops
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Please Select
Fully Staffed
Short 1-2 agents (Single Ops) Short 1-4 agents (Dual Ops)
Short 3 or more (Single Ops) 5 more agents (Dual Ops)
Need TDY or OAL help
6
GSE Status* This field is required.Yes = All GSE fueled and in operation No = Short GSE (OAL GSE, down tugs, etc.)
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Please Select
Yes - All GSE fueled and in operation
No - Short GSE (OAL GSE, down tugs, no fuel, etc)
7
Type of Weather* This field is required.
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Please Select
High Heat/High Winds/Rain
Extreme WX (Lightning, Heat Wave, Hurricane)
NA
8
Did you have Irregular Ops
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Please Select
Late arrivals/Early Arrivals
Unscheduled dual or triple ops
Cancellations or Extra segment
Diversions/W&B
NA
9
Did you have any Recent Events
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Please Select
GIR filed against station yesterday or Leader observation finding
Close call over last 4 days (Pax Discrepancy, cargo error)
Load Integrity event under 500lbs in last 7 days
Unreportable damage or minor injury in last 7 days
Damage/Injury in last 10 days
NA
10
Total Points100-88 Points = Green 87-70 Points = Yellow 69 or Below = Red
11
Mitigation * This field is required.*If you're seeing this box your risk level is below 88*
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: