ATA 103 Fueling Equipment Audit

Introduction

• Auditing tool used to inspect fueling equipment. This inspection is based off of ATA 103 and includes further details to help monitor overall safety of the user and their equipment.

GENERAL ITEMS

• Station

• Inspection Date

  Date

• Equipment Inspected By:

• Signature

  Sign

INSPECTIONS

• Fueling Equipment Inspection

GSE

• Fueling Equipment Type

  Select Hydrant Cart Solar Cart Hydrant Truck Tanker

  • Hydrant Cart
  • Solar Cart
  • Hydrant Truck
  • Tanker

• Equipment Number

• GENERAL INSPECTION

• Damages

  SAT

  N/A

  UNSAT

• Tow Bar

  SAT

  N/A

  UNSAT

• Tire Condition

  SAT

  N/A

  UNSAT

• Brakes

  SAT

  N/A

  UNSAT

• Equipment Movable

  SAT

  N/A

  UNSAT

• SAFETY INTERLOCKS

• Tow Bar Interlocks

  Yes

  No

  N/A

• Nozzle Coupler Interlock

  SAT

  N/A

  UNSAT

• Pit Coupler Interlock

  SAT

  N/A

  UNSAT

• Lift Deck Nozzle Coupler Interlocks

  SAT

  N/A

  UNSAT

• Lift Deck Interlock

  SAT

  N/A

  UNSAT

• Interlock Override

  Yes

  No

  N/A

• DECALS

• Equipment #

  SAT

  N/A

  UNSAT

• Jet A

  SAT

  N/A

  UNSAT

• Flammable

  SAT

  N/A

  UNSAT

• No Smoking

  SAT

  N/A

  UNSAT

• Swissport Identification

  SAT

  N/A

  UNSAT

• GAUGES

• Gauge Conditions

  SAT

  N/A

  UNSAT

• Max PSI Labeled

  SAT

  N/A

  UNSAT

• Accumulator PSI Correct

  SAT

  N/A

  UNSAT

• Surge PSI Correct

  SAT

  N/A

  UNSAT

• EMERGENCY FUEL SHUT-OFFS

• Main panel EFSO Function

  SAT

  N/A

  UNSAT

• Secondary EFSO Function

  SAT

  N/A

  UNSAT

• Rear EFSO Function

  SAT

  N/A

  UNSAT

• Lift Deck EFSO Function

  SAT

  N/A

  UNSAT

• All EFSO Properly Label

  SAT

  N/A

  UNSAT

• FIRE AND SAFETY

• Meter Sealed

  Yes

  No

  N/A

• Deadman Function

  SAT

  N/A

  UNSAT

• Bonding Cable and Clamp Condition

  SAT

  N/A

  UNSAT

• Product Recovery Tank Condition

  SAT

  N/A

  UNSAT

• PRT Lid Seal

  Yes

  No

  N/A

• Fire Extinguisher Condition

  SAT

  N/A

  UNSAT

• Extinguisher Sealed

  SAT

  N/A

  UNSAT

• Annual Extinguisher Inspection Current

  SAT

  N/A

  UNSAT

• Extinguisher Bracket Condition

  SAT

  N/A

  UNSAT

• LIFT DECK

• Lift Platform Condition

  SAT

  N/A

  UNSAT

• Lift Function Operational

  SAT

  N/A

  UNSAT

• Emergency Lift Release Function

  SAT

  N/A

  UNSAT

• Wing Protectors

  SAT

  N/A

  UNSAT

• NOZZLES

• Condition

  SAT

  N/A

  UNSAT

• Safety seal

  Yes

  No

  N/A

• Dust Covers

  Yes

  No

  N/A

• Nose Seal

  Yes

  No

  N/A

• Lift Deck Nozzle Couplers Condition

  SAT

  N/A

  UNSAT

• PIT COUPLER

• Condition

  SAT

  N/A

  UNSAT

• Safety seal

  Yes

  No

  N/A

• Dust Covers

  Yes

  No

  N/A

• Nose Seal

  Yes

  No

  N/A

• HOSES

• Nozzle Hose Condition

  SAT

  N/A

  UNSAT

• Pit Coupler Hose Condition

  Yes

  No

  N/A

• Lift Deck Nozzle Hose Conditions

  SAT

  N/A

  UNSAT

• Jack Risers Hose Condition

  SAT

  N/A

  UNSAT

• ELECTRIC

• Solar Panel

  SAT

  N/A

  UNSAT

• Batteries Cleaned and Protected

  Yes

  No

  N/A

• Fuse panel Covered

  Yes

  No

  N/A

• TANKERS ONLY

• Tanker Lid Condition

  SAT

  N/A

  UNSAT

• Tanker Lid properly install to close in forward motion

  SAT

  N/A

  UNSAT

• Tanker Trough Drains

  SAT

  N/A

  UNSAT

• Tanker Bottom Load Pre-Check

  SAT

  N/A

  UNSAT

• Does the Fueling Equipment Pass Inspection

  Passed

  Failed