Departure Checklist V2.0

• Site conducted

  Select

• Conducted on

  Date

• Auditor

Aircraft Loading

• Aircraft loading sequence is adhered to for the specific aircraft type (AGOM 4.11.4.7)

  Yes

  No

  N/A

• Two (2) Associates are utilized to move ULDs within the aircraft. Associates are only allowed to push the ULDs on the same side while loading the aircraft (AGOM 4.11.4.2)

  Yes

  No

  N/A

• Main Deck Cargo Door Frame Protective Devices used on all 737 & 767 aircraft (AGOM 4.11.4.7)

  Yes

  No

  N/A

• ULD’s checked for damage to ensure airworthiness and all restraining devices (locks, straps, curtains are properly secured before ULD is loaded (AGOM 4.11.4.1) (AGOM 4.11.4.2)

  Yes

  No

  N/A

• All empty ULDs must be physically verified to be empty before positioning on the aircraft (AGOM 4.11.4.9)

  Yes

  No

  N/A

• Verifier physically walks ULDs into position and inspects lock positions (AGOM 4.10.5.6/4.11.4.9)

  Yes

  No

  N/A

• AA’s not actively loading stay 20 feet away from loader when elevator raised more than six (6) feet (AGOM 3.4.10.1)

  Yes

  No

  N/A

• AA actively loading remain eight (8) feet from loader chassis while elevator is raising/lowering (AGOM 3.4.10.1)

  Yes

  No

  N/A

• ULDs (AKE/DQF/DPE) moved to/from the deck or dolly at a 45-degree angle (AGOM 3.4.11)

  Select One ULD non-compliant More than one ULD non-compliant All compliant N/A

  • One ULD non-compliant
  • More than one ULD non-compliant
  • All compliant
  • N/A

• Bulk bins have the required two (2) inch gap for fire suppression system (AGOM 4.11.2) (Please select all that apply)

  Select No bulk loaded 767 bulk compliant 767 bulk non-compliant 737 FWD compliant 737 FWD non-compliant 737 AFT compliant 737 AFT non-compliant N/A

  • No bulk loaded
  • 767 bulk compliant
  • 767 bulk non-compliant
  • 737 FWD compliant
  • 737 FWD non-compliant
  • 737 AFT compliant
  • 737 AFT non-compliant
  • N/A

• ULDs (AAX / LAY only) for aircraft bulk loading will be positioned with the curtain side resting on the exterior locks. No gap between<br>the ULD and the dolly edge (AGOM 3.3.2.4)

  Yes

  No

  N/A

Cross Check

• Observe an RLVS cross check and select all that apply

  Select No exchange of paperwork No header read No single digit ULD ID number No single digit weight Flawless RLVS cross check performed N/O

  • No exchange of paperwork
  • No header read
  • No single digit ULD ID number
  • No single digit weight
  • Flawless RLVS cross check performed
  • N/O

• A flawless cross check includes: swapping paperwork, reading the header, reading the ULD position (2L), ULD ID (AAX, LAY, DQF, or AKE number), weight, and read in single digit

Departure

• 

• Departure walkaround*******

  Yes

  No

  N/A

• FOD walk conducted prior to aircraft departure at arm’s length (AGOM 4.12.2)

  Yes

  No

  N/A

• Observe AA's wearing hearing protection during departure and select the answer that best applies (AGOM 3.3.2.2)

  Select One AA not wearing hearing protection More than one AA not wearing hearing protection All AA's wearing hearing protection

  • One AA not wearing hearing protection
  • More than one AA not wearing hearing protection
  • All AA's wearing hearing protection

• Bypass pin is installed prior to pushback connection (AGOM 4.11.10.3)

  Yes

  No

  N/A

• Ensures safety cones remain in place until completion of all GSE activities around the aircraft and air stairs have been remove from the safety envelope. (AGOM 4.6.1)

  Yes

  No

  N/A

• Safety envelope is clear prior to pushback (AGOM 4.12.2)

  Yes

  No

  N/A

• Hand closest to aircraft is down at 45-degrees, outside hand is straight up (AGOM 4.12.12.4.1)

  Yes

  No

  N/A

• Wing walkers maintain a distance of 3 ft (1m) outside of wingtips in line with main landing gear and stop the push if visual contact is lost (AGOM 4.12.12.4)

  Yes

  No

  N/A

• Headset associate stays 3 feet or more away from Nose Landing Gear (NLG) (AGOM 4.12.12.1)

  Yes

  No

  N/A

• Pushback pulls back approximately 25ft (8m) to be in line of sight with flight deck until headset associate has disconnected from aircraft (AGOM 4.12.12.5)

  Yes

  No

  N/A

• Additional comments/observations