Title Page

  • Conducted on

  • Prepared by

  • Did the fuel agent complete the After Fueling Checklist?

  • Did the fuel circle the Fuel Density?

  • Did the fuel agent circle the Aircraft Number?

  • Did the fuel agent add the Fuel Grade?

  • Did the fuel agent complete the Before Fueling section?

  • Did the fuel agent complete the After Fueling section?

  • Did the fuel agent complete the Calculated Fuel Added section?

  • Did fuel agent complete the Add The Gallons From Meter section?

  • Did the fuel agent complete the Actual Difference section?

  • Did the fuel agent Initial Fuel Cap Installed section?

  • Did the fuel agent Initial Fuel Panel Door Closed?

  • Did the fuel agent add their Signature and Employee Number?

  • Did the fuel agent add the Equipment Number?

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