Fueling Audit - Short Version

• Gate / Carrier / Fueler

• Station

• Audit/Observation Date and Time

  Date

• Auditor

EQUIPMENT ARRIVAL

• Equipment clean / presentable and labeled<br>properly

  Yes

  No

  N/A

• Vehicle driven safely / proper speeds

  Yes

  No

  N/A

• Completed 50 & 10 foot safety stops

  Yes

  No

  N/A

• Aircraft chocked before approaching with vehicle

  Yes

  No

  N/A

• Guideperson used if tight area, backing, or obscured

  Yes

  No

  N/A

• Equipment never closer than 6 feet from A/C

  Yes

  No

  N/A

PRE-FUELING PROCESS

• Vehicle chocked on passenger side / door closed

  Yes

  No

  N/A

• Bonded in proper order and to proper location on AC

  Yes

  No

  N/A

• Followed proper connection/manual handling procedures

  Yes

  No

  N/A

• Safety cone or flag used on hydrant coupling pit

  Yes

  No

  N/A

• Properly positioned ladder / lift deck

  Yes

  No

  N/A

• Panel Flag used

  Yes

  No

  N/A

FUELING PROCESS

• Properly handled deadman, including "Set Down/Disconnect"

  Yes

  No

  N/A

• Fueler Monitored panel, vents, and gauges

  Yes

  No

  N/A

• Stopped fueling if motorized GSE parked under vent

  Yes

  No

  N/A

• No leaks observed from any fueling equipment

  Yes

  No

  N/A

POST-FUELING PROCESS

• Followed proper disconnect/manual handling procedures

  Yes

  No

  N/A

• Returned fuel hoses, deadman & bonding clamp w/out dragging

  Yes

  No

  N/A

• Returned equipment, dust caps, pit valve dust covers, and pit lids

  Yes

  No

  N/A

• Operator stayed with equipment while connected to aircraft

  Yes

  No

  N/A

EQUIPMENT DEPARTURE

• Completed pre-departure walk around (all the way around vehicle)

  Yes

  No

  N/A

• Guideperson used if tight area, backing, or obscured

  Yes

  No

  N/A

• All action observed were safe (if "No" marked explain in comment)

  Yes

  No

  N/A

AGENT SAFETY & APPEARANCE

• Wearing gloves when handling hoses and equipment

  Yes

  No

  N/A

• Uniform correct and presentable

  Yes

  No

  N/A

• Lifting technique (back straight, bend knees, don't jerk)

  Yes

  No

  N/A

• Hydrant pit connection (cautious with lid, down on one knee)

  Yes

  No

  N/A

• Safety Vest worn

  Yes

  No

  N/A

COMMENTS

• Additional Comments

• Photos

  Media

Findings and Corrective Actions

Enter a Finding or Observation

• Finding or Observation

• Corrective Action Taken

• Severity

  Catastrophic or Hazardous

  Major

  Minor

  Negligible

  Positive Comment

• Follow Up Required

ACKNOWLEDGEMENTS

• Auditor / Supervisor

  Sign

• Fueler

  Sign