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Aviation Safety Action Program
Memorandum of Understanding - Version 1.6.1, March 31, 2010
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1.
Certificate Holder Name
2.
Abbreviation for Certificate Holder
3.
Applicable FAR Part
SELECTED
select
Part 121
Part 145
Part 135
Parts 121/135
Part 91K
4.
Kind of Operation
5.
List Major Continents or Countries of Operation
6.
Air Carrier or Repair Station
SELECTED
select
air carrier
repair station
fractional ownership program
7.
Flight-Based or Ground-Based MOU
SELECTED
select
flight operations
ground based
8.
Number of Aircraft or Repair Stations
9.
Number of Employees Belonging to this Employee Group
10.
Employee Group Type
SELECTED
select
pilot
flight crewmember
flight attendant
flight follower
dispatcher
mechanic
11.
Employees Represented by Labor Association
SELECTED
select
Yes
No
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
SELECTED
select
Demonstration
Continuing
15.
ASAP Form Number or "Form Number Not Applicable"
16.
Time Limit Statement
SELECTED
select
the end of flight sequence for the day of occurrence
the end of the duty shift
17.
Name of Publication or Newsletter
18.
Frequency of Publication
SELECTED
select
weekly
monthly
quarterly
semi-annually
annually
19.
Name of Company Manual Containing ASAP Information
20.
Means of Submitting ASAP report
21.
Company Position Title (signature page)
22.
Employee Labor Representative Position Title or N/A (signature page)
MOU Template - Version 1.6.1, March 31, 2010
