LOCAL STATION DE/ANTI-ICING PLAN

CVG

Winter 2016/2017

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2016/2017 DE/ANTI-ICING PLAN

TABLE OF CONTENTS

SECTION – 1LOCAL STATION DE/ANTI-ICING PLAN

SECTION – 2QUALIFIED DE/ANTI-ICING AGENTS

SECTION -- 3SYSTEM DE/ANTI-ICING WORKSHEET

SECTION – 4REFRACTOMETER-HARNESS – LANYARD INSPECTION

DOCUMENTATION

SECTION – 5DE/ANTI-ICING FLUID ACCEPTANCE WORKSHEET

SECTION – 6PRE-OPERATIONAL EQUIPMENT CHECKLIST (if applicable)

SECTION – 7PRESEASON TYPE II AND TYPE IV FLUID TEST RESULTS

SECTION – 8OTHER

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2016/2017 DE/ANTI-ICING PLAN

IMPORTANT: De/Anti-Icing will be carried out in accordance with Corporate Flight Management Ground De/Anti-icing Manual

Ground handlers may use their own Local Deicing/Anti-Icing Plans provided they are included in a FAA Approved Ground Deice Program with approval from the Corporate Flight Management (CFM) Airport Operations. Ground handlers may adhere to their own retention policy. Local Station De/Anti-Icing plans not included in an FAA approved Ground Deice Program may be used, if the plan contains similar information as the CFM plan.

Station Information / Deicing Provider
Station Type:N/ACold WeatherCold Season
Target Readiness Date: / Primary:ASIG
Contact Name:SHAWN BROWN
Contact Number:859-743-0519
Secondary:
Contact Name:
Contact Number:
  1. RESPONSIBILITY:

The following qualified positions will be responsible for implementing and terminating the de/anti-icing plan:

  1. Station Manager
  2. Station Supervisor
  3. Lead Agent on duty
  4. Any de/anti-ice trained individual delegated by one of the above positions
  1. QUALIFIED DEICING/ANTI-ICING PERSONNEL:

Other Information: ASIG

  1. PROCEDURE

When the need for de/anti-icing is determined, the person implementing the plan will contact:

  1. The Deicing desk located in the local ATC tower at 859-743-0519
  2. The deicing personnel on duty and the flight crew
  3. Backup deicing contractor if necessary at
  4. If de/anti-icing creates a delay, Corporate Flight Management dispatch (615-220-1765) will be advised and the flight schedule will be updated.
  1. DE/ANTI-ICE LOCATIONS:
  • Primary Deicing: PAD
  • Secondary Deicing:
  1. TYPES OF FLUID AVAILABLE AT THE STATION:

Type I Fluid:

Type II Fluid:

Type III Fluid:

Type IV Fluid:

  1. DE/ANTI-ICING FLUID
  2. PRIMARY - De/Anti-icing fluids used by the primary deicer (enter manufacturer and fluid trade name in the space provided or N/A if Not Available):

Deicing (Type I):Manufacturer: Ucar Flight Guard PG

Fluid Name:

Anti-Icing (Type II):Manufacturer:

Fluid Name:

Anti-Icing (Type III):Manufacturer:

Fluid Name:

Anti-Icing (Type IV):Manufacturer: Cryotec Polar Guard Advance

Fluid Name:

  1. SECONDARY: - Contractor, Back-up deicer or Other Airline De/Anti-Icing Fluids Available (enter manufacturer and fluid trade name in the space providedor N/A if Not Available):

Deicing (Type I):Manufacturer:

Fluid Name:

Anti-Icing (Type II):Manufacturer:

Fluid Name:

Anti-Icing (Type III):Manufacturer:

Fluid Name:

Anti-Icing (Type IV):Manufacturer:

Fluid Name:

Additional fluids may be listed on a Local De/Anti-Icing Plan (Addendum) form and should include the fluid manufacturer and trade name. If used, this document should be attached to the Local Station De/Anti-Icing Plan.

  1. DE/ANTI-ICING COMMUNICATION PROCEDURES:

Radio: Frequencies: 122.875

Interphone: Other:

  1. OTHER DE/ANTI-ICING ITEMS SPECIFIC TO THE LOCAL AIRPORT:

N/A

  1. PRE-SEASON FLUID TEST RESULTS:

Type II –:Type IV –:

Type II –:Type IV –:

Type IV – :

Type IV – :

Type IV – :

Type IV – :

Type IV – :

Additional preseason fluid storage test results should be listed on a separate sheet and attached to the Local Station De/Anti-Icing Plan.

TRUCK/ DEICING UNIT #

Type II Fluid – Truck Nozzle: Type II Fluid – Truck Tank:

Type IV Fluid – Truck Nozzle: Type IV Fluid – Truck Tank:

TRUCK/DEICING UNIT # (if applicable)

Type II Fluid – Truck Nozzle: Type II Fluid – Truck Tank:

Type IV Fluid – Truck Nozzle: Type IV Fluid – Truck Tank:

TRUCK/DEICING UNIT # (if applicable)

Type II Fluid – Truck Nozzle: Type II Fluid – Truck Tank:

Type IV Fluid – Truck Nozzle: Type IV Fluid – Truck Tank:

TRUCK/DEICING UNIT # (if applicable)

Type II Fluid – Truck Nozzle: Type II Fluid – Truck Tank:

Type IV Fluid – Truck Nozzle: Type IV Fluid – Truck Tank:

Additional preseason Truck Nozzle and/or Truck Tank test results should be listed on a Local De/Anti-Icing Plan (Addendum) form and attached to the Local Station De/Anti-Icing Plan.

NOTE: All fluid test results must be maintained in the Station De/Anti-Icing Plan or its equivalent until the beginning of the next de/icing season (October 15th) and then purged.

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