CS LOSA Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Enter time

  Date

• Registry/Nose#

• Outbound Flight#

• Gate Number

• Agents Initials or First name

• A/C Type

• Weather Conditions

  Select Clear Fog Dry Rainy Windy Calm

  • Clear
  • Fog
  • Dry
  • Rainy
  • Windy
  • Calm

• Light Conditions

  Daylight

  Dawn

  Dusk

Arrival

• We're accountable /regulated items stowed and secured properly<br>(Baggage tags,ticket stock)?

  Yes

  No

  N/A

• Did the CSR wear hearing protection?

  Yes

  No

  N/A

• Did the CSR receive a thumbs up from the ramp guide person?

  Yes

  No

  N/A

• Was the JETBRIDGE positioned so that there was a 1" gap between<br>The bumper and A/C?

  Yes

  No

  N/A

• Did the CSR positioned the JETBRIDGE so that the A/C white dot was aligned with the JETBRIDGE threshold?

  Yes

  No

  N/A

• Did the CSR stop the JETBRIDGE approximately 5 feet from the A/C<br>And check the fuselage damage?

  Yes

  No

  N/A

• Did the CSR adhere to the requirement to not make any major <br>Adjustment within 5' of the A/C?

  Yes

  No

  N/A

• Was the auto leveler engaged prior to opening the arrival door?<br>Did CSR knock on A/C door two times and receive thumbs up

  Yes

  No

  N/A

• Did CSR knock on the A/C door two times and receive thumbs up<br>Prior to opening aircraft door?

  Yes

  No

  N/A

• During non JETBRIDGE operation , was passenger safety ensured <br>(Designated walking areas, prop are jet blast,non smoking )<br>Upon arrival?

  Yes

  No

  N/A

Servicing

• Did CSR complete the crew ID verification according to<br>Company policy

  Yes

  No

  N/A

• Did the boarding CSR contact the Purser or delegate for<br>Confirmation of FA minimum staffing prior to boarding?

  Yes

  No

  N/A

• Did the CSR make the required carry-on baggage announcement <br>(Primary announcement with second announcement after Seating Area1 is called?

  Yes

  No

  N/A

• Did the CSR gate check all baggage exceeding United carry-on baggage policy?

  Yes

  No

  N/A

• Did the CSR ask the /Purser or delegate prior to AC door<br>Closure are you ready to go?

  Yes

  No

  N/A

• CSR use safe lifting techniques/body mechanics when lifting bags?

  Yes

  No

  N/A

Departure

• Did the CSR close the aircraft door prior to disengaging the auto leveler?

  Yes

  No

  N/A

• Except where Tarmac guide person is prohibited, did the CSR<br>Withdrawal JETBRIDGE according to RSE guidance ?

  Yes

  No

  N/A

• During non JETBRIDGE operation, was passenger safety ensured <br>(Designated walking areas,props are jet blast, no-smoking)

  Yes

  No

  N/A

• Was weather door closed after JETBRIDGE was stowed?

  Yes

  No

  N/A