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, T3 or Bagroom
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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 concern
- FOD not picked-up(Piers, conveyances, Tugs, Belt loader, FMC, Push-Back Rig, during ARR/DEP process)
- Eating/Drinking while operating a vehicle
- Electronic device being used in operation
- No process followed during “chocks-in” signal
- No process followed during chocks removal
- No walk-around conducted for ARR/DEP
- Wing-walker no (proper hand signal, lit wands if needed)
- No PPE (Safety vest, Steel toe, Hearing protection)
- Improper tow-bar connection
- Bin webbing (hanging outside of A/C, not secured in ALL bins prior to DEP)
- Transporter/cart tongues (Not in locked position, agents stepping over tongue)
- 3-point connection used for portable GSE unit (A/C, GPU, and Air starter)
- Not following 2-inch clearance in Narrow-body bins
- Unsecured equipment was pointing at A/C
- Safety zone not cleared during A/C movement
- No Safe driving (seatbelt, speed limit, bags on tug, and extremities outside vehicle, pushing GSE with GSE)
- Damaged transporter/cart being used (locks, hitch, curtains, and tires)
- Baggage cart/can curtains were not secured
- Improper bag lifting, agent didn’t ask for help with Heavy bags
- Not following "All Clear Salute" Dispatch Process
- Improper display of badge
- Riding/Standing on container loader platform or belt loader conveyor
- Improper use of belt loader ( handrail, chocks, Conveyor is not 8-10” above door threshold, 2" clearance)
- Proper A/C disconnect not followed (SPD / 3-point disconnect)
- No brake check performed prior to entering the no drive zone
- No arrival departure huddle performed using green huddle card
- Equipment within the 5-Feet “No Drive Zone”
- Other
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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: