Title Page
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Conducted on
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Indicate AM or PM
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Where observation took place; T2, T4, DCI, Bagroom, and PAD
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Gate, MU or PAD number or Work area
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Prepared by
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Personnel
Safety Observation
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Safety concerns
- 3-point connection used for portable GSE unit (A/C, GPU, and Air Starter)
- Baggage cart/Can curtains were not secured
- Bin webbing (hanging outside of A/C, not secured in all bins prior to DEP)
- Business partners
- Damaged transporter/Cart being used (Locks, hitch, curtains, and tires)
- D.C. Air-panel is not secured
- Electronic device being used in operation
- FOD not picked-up (Piers, conveyances, Tugs, Beltloader, FMC, Push-Back Rig, during ARR/DEP process)
- GSE not staged after use
- Improper bag lifting, agent didn't ask for help with heavy bags
- Improper use of beltloader (Safety stop, handrails, chocks, conveyor is not 8-10" above door threshold, 2" clearance)
- No conveyance check for out of limit damages)
- No PPE ( Safet vest, Steel toe, and Hearing protection)
- No process followed during "Chocks-in" signal
- No process followed during chocks removal
- No safe driving (Seatbelt, speed limit, bags on tug, and extremities outside vehicle, pushing GSE with GSE)
- No walk-around conducted for ARR/DEP
- Not following beltloader 2-inch clearance in Narrow-body bins
- Proper A/C disconnect not followed (SPD/3-point disconnect)
- Riding on container loader platform, or beltloader conveyor
- Safety zone not cleared during A/C movement
- Transporter/Cart tongue (Not in lock position, Agent stepping over tongue)
- PVI not done on GSE/ Hand-brake down
- Unsecured equipment pointing at A/C
- Wing-walker not (Blocking VSR, proper hand signal, lit wands if needed)
- Water hose is not retracted and capped after use
- Others
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Add any additional information:
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Add media
GSE involvement
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Is GSE involved?
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Type of GSE:
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GSE Number:
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Location that GSE being taking to:
Damage
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Did this safety infraction resulted on a damage?
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Aircraft type:
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Ship number:
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Type of Aircraft Damage:
Injury
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Did this safety infraction resulted on an injury?
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Briefly describe the injury: