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AVIATION ENVIRONMENTAL PROTECTION, AVIATION INFRASTRUCTURE Form Number: CA 139-12 Section/department/division Telephone number: 011-545-1000 Fax Number: 011 545 1455 Physical address Ikhaya Lokundiza, 16 Treur Close, Waterfall Park, Bekker Street, Midrand, Gauteng Postal address: Private Bag X73, Halfway House 1685 Website: www.caa.co.za CHECKLIST FOR AERODROME ENVIRONMENTAL PROTECTION INSPECTION Name of Aerodrome Physical address Postal Address Date of inspection Aerodrome representative Inspector(s) Assessment Code: N/A = Not Applicable; Y = Yes; N = No REFERENCE: CAR 139.02.11: N/A Y N ESTABLISHMENT OF AERODROME EMPr(s) 1. Has the aerodrome operator established a method to identify the environmental aspects and impacts of the aerodrome s activities? 2. Have potential significant environmental impacts been considered in establishing and implementing the EMPr? 3. Has the aerodrome operator considered the following environmental aspects in sufficient detail? i. Air emissions iv. Wastewater effluent Waste management Soil pollution v. Raw material and natural resource usage (water consumption, electricity consumption etc.) vi. Storage of Hazardous and toxic material v Other environmental specific issues on site such as housekeeping, storage, areas, piping 4. Are all the aerodrome s significant Aviation Environmental Protection (AEP) aspects controlled by: i. Objectives Targets Programmes/ mitigation measures/ Procedures 5. Do the objectives and targets take into consideration the following: i. Identified significant environmental aspects Compliance with the applicable legal and other requirements 6. Do the programmes/ mitigation measures/ procedures include the following elements: i. Allocation of responsibility for achieving objectives and targets Means and time-frame by which the programmes are to be achieved CA 139-12 03 AUGUST 2018 Page 1 of 5

NOTES ON ESTABLISHMENT OF AERODROME EMPr(S) REFERENCE: CAR 139.02.25 N/A Y N MAINTENANCE OF AERODROME EMPr(S) 1. Are the documented programmes/ mitigation measures/ procedures: i. Implemented accordingly? Maintained and reviewed periodically? 2. Has the aerodrome operator identified a Management Representative, irrespective of other functions, who has the ultimate responsibility and accountability, on behalf of the organisation, for environmental protection? 3. Have monitoring and measuring data been recorded to evaluate effectiveness of the EMPr(s)? 4. Are the documented programmes/ mitigation measures/ procedures implemented and maintained to evaluate the EMPr(s) compliance with the applicable sections of the National Environmental Management Act (NEMA) No 107 of 1998? 5. Is the aerodrome operator aware of the provisions of the applicable NEMA sectorial Act regulating biodiversity- National Environmental Management: Biodiversity Act 10 of 2004 pertaining to protected ecosystems and species? 6. Does the aerodrome operator have any current Licences/ Permits issued to ensure compliance with the National Environmental Management: Biodiversity Act 10 of 2004? i. Are there any threatened or protected ecosystems on and/or in the vicinity of the aerodrome? Are there any threatened or protected species (flora) on and/or in the vicinity of the aerodrome? Are there any threatened or protected species (fauna) on and/or in the vicinity of the aerodrome? 7. Is the aerodrome operator aware of the provisions of the applicable NEMA sectorial Act regulating local air quality - National Environmental Management: Air Quality Act 39 of 2004? 8. Does the aerodrome operator have any current Licences/ Permits issued to ensure compliance with the National Environmental Management: Air Quality Act 39 of 2004? CA 139-12 03 AUGUST 2018 Page 2 of 5

NOTES ON MAINTENANCE OF AERODROME EMPr(S) REFERENCE: CAR 139.02.11: N/A Y N AERODROME CONSULTATIVE ENVIRONMENTAL COMMITTEES 1. Does the aerodrome operator receive, document and respond to communications from external interested parties relating to environmental protection? 2. Are environmental issues communicated within the organization? 3. Is there an aerodrome consultative environmental committee (comprised of all relevant stakeholders) established for the purpose of reviewing AEP issues? 4. i. Was the committee established as a result of the Director s directive? 5. Have Terms of Reference for the committee been established and approved by management? 6. Is the aerodrome operator complying with these approved Terms of Reference? NOTES ON AERODROME CONSULTATIVE ENVIRONMENTAL COMMITTEES CA 139-12 03 AUGUST 2018 Page 3 of 5

REFERENCE: CAR 139.02.13: N/A Y N APPLICATION FOR LICENCE OR AMENDMENT THEREOF- COMPLIANCE WITH ENVIRONMENTAL LEGISLATION 1. Is the aerodrome operator aware of compliance to the National Environmental Management Act (NEMA) 107 of 1998 and the regulations made thereunder? 2. Does the aerodrome operator have any current Environmental Authorisations/ Record of Decisions? 3. Does the aerodrome operator have any other licences related to environmental protection? NOTES ON APPLICATION FOR LICENCE OR AMENDMENT THEREOF- COMPLIANCE WITH ENVIRONMENTAL LEGISLATION REFERENCE: CAR 139.02.22; SA-CATS 139: N/A Y N HANDLING OF AIRCRAFT NOISE COMPLAINTS 1. Does the aerodrome operator understand their responsibility of handling aircraft noise related to the aerodrome? 2. Is the aerodrome operator aware of the CA139-11 Form (available on the SACAA website) for reporting Noise Violations? 3. Has the aerodrome operator received any noise complaints during the past 12 months? 4. Is the aerodrome operator implementing the elements of the ICAO guidance on implementing a Balanced Approach (TGM available on the SACAA website) to aircraft noise management? i. Reporting Chapter 2 aircraft operations? CA 139-12 03 AUGUST 2018 Page 4 of 5

iv. Liaison with Local Authorities on land-use planning and management policies? Application of noise abatement operating procedures? Application of operating restrictions on aircraft? 5. Have aircraft noise studies been previously conducted to determine whether a noise problem exist at the aerodrome? 6. If a noise problem exists: i. Has the aerodrome operator calculated and predicted aircraft noise contours as prescribed in SA-CATS 139 Has the aerodrome operator installed any aircraft noise monitoring stations and equipment to monitor adherence to aircraft flight tracks as prescribed in SA-CATS 139? 7. Is there an aerodrome consultative environmental committee (comprised of all relevant stakeholders) established as a result of noise complaints? NOTES ON HANDLING OF AIRCRAFT NOISE COMPLAINTS SIGNATURE OF SPECIALIST: AEP NAME IN BLOCK LETTERS DATE CA 139-12 03 AUGUST 2018 Page 5 of 5