SMS Trainer Competence Self-Assessment

A

Identification

Complete this self-assessment annually, no later than the anniversary of the prior assessment (SMS Manual §5.11.4.3). This record is filed in Gold Safety and retained for five years (SMS Manual §5.11.4.6).

Assessment Year *

Date Completed *

Next Assessment Due

Assessor Name *

Role

B

Competence Assessment

Rate each area: Met · Partial · Not Met

For each area, select a rating and add notes documenting your evidence or any identified gaps. A rating of Partial or Not Met requires a corrective action (Section D).

C1

Regulatory Foundation

Current working knowledge of 14 CFR Part 5 (all subparts), particularly Subpart E (§5.91–5.97). Awareness of regulatory changes and associated FAA guidance since last assessment. [SMS Manual §5.11.4.2(1)]

Rating *

Evidence / Notes

C2

Advisory Circular Currency

Current knowledge of AC 120-92B and relevant supporting ACs (AC 120-51E, AC 120-79A, AC 120-90). Ability to identify revisions and update training content accordingly. [SMS Manual §5.11.4.2(2)]

Rating *

Evidence / Notes

C3

ICAO & SMICG Standards

Current knowledge of ICAO Annex 19 Appendix 2 and the SMICG evaluation tool criteria (Component 4, criteria 4.1.1–4.2.1). Ability to map training content to SMICG criteria and identify coverage gaps. [SMS Manual §5.11.4.2(3)]

Rating *

Evidence / Notes

C4

Training Design & Platform Administration

Ability to structure adult learning content with clear learning objectives, appropriate knowledge checks, and role-differentiated content. Proficiency with the Gold Safety Training platform (dispatch, tracking, records). [SMS Manual §5.11.4.2(4)]

Rating *

Evidence / Notes

C5

Subject Matter Currency

Active awareness of SMS developments, industry safety events, and FAA enforcement trends relevant to Part 135 operations. Ability to identify topics requiring training content updates between annual cycles. [SMS Manual §5.11.4.2(5)]

Rating *

Evidence / Notes

C6

Human Factors & Just Culture

Working knowledge of AC 120-92B §6 human factors content, the Dirty Dozen, SHELL model, just culture principles (SMS Manual §2.4 and §3.4), and non-technical skills frameworks (CRM, TEM) sufficient to evaluate and update Module 2 content. [SMS Manual §5.11.4.2(6)]

Rating *

Evidence / Notes

C

Overall Summary

Overall Rating *

Gaps Identified

Actions Planned to Address Gaps

D

Corrective Action

Required if any rating is Partial or Not Met

SMS Manual §5.11.4.5: If this assessment identifies a competence gap, a corrective action must be opened in Gold Safety within 14 days and remediation completed before the next training cycle dispatch.

A corrective action has been opened in Gold Safety for gaps identified in this assessment.

Corrective Action Number

E

Attestation

I attest that this self-assessment accurately reflects my current knowledge, competence, and the currency of the Gold Aviation Services SMS training program. I understand that identified gaps require corrective action per SMS Manual §5.11.4.5.

Name (type to sign) *

Date

F

Assessment History

Last 5 years

Loading history…