Aviation Safety Action Program

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Aviation Safety Action Program
Memorandum of Understanding

1.	Certificate Holder Name
2.	Abbreviation for Certificate Holder
3.	Applicable FAR Part
4.	Kind of Operation
5.	List Major Continents or Countries of Operation
6.	Air Carrier or Repair Station
7.	Flight-Based or Ground-Based MOU
8.	Number of Aircraft or Repair Stations
9.	Number of Employees Belonging to this Employee Group
10.	Employee Group Type
11.	Employees Represented by Labor Association
12.	Name of Employee Labor Association, Group or "N/A"
13.	Employee Labor Association Abbreviation, Group Abbreviation or "N/A"
14.	Demonstration or Continuing Program MOU
15.	Number of Months for Demonstration Program ("N/A" if Continuing Program)
16.	ASAP Form Number or "Form Number Not Applicable"
17.	Time Limit Statement
18.	Name of Publication or Newsletter
19.	Frequency of Publication
20.	Name of Company Manual Containing ASAP Information
21.	Means of Submitting ASAP report
22.	Company Position Title (signature page)
23.	Employee Labor Representative Position Title or N/A (signature page)


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For further information, please contact: Flight Standards Service, Voluntary Safety Programs Branch (AFS-230) 45005 Aviation Drive, Suite 203A ATPCO Building Dulles, VA 20166 Page Last Updated: 10/17/07