Information

  • Employee/Department

  • Site

  • Audit Start Date and Time

  • Auditor

ATA Daily Inspections

  • ATA Inspection should be completed prior to conducting the check-ride. The Fueler shall perform all task below (if applicable)

Fueling Equipment Inspections

  • Inspections

  • Equipment
  • Equipment type

  • Equipment #

General Condition Insepction

  • Checked for Damages

  • Inspected for Leaks

  • Checked Tire Condition

Perform Interlock Checks

  • Nozzle Coupler Interlock

  • Pit Coupler Interlock

  • Lift Deck Nozzle Coupler Interlock

  • Lift Deck Interlock

  • Overwing Nozzle Interlock (Tanker)

  • Bottom-Load Interlock (Tanker)

  • Lift Deck Railings (Tanker)

  • Bottom-Load Interlock (Tanker)

  • Pump Engage Interlock (Tanker)

  • Interlock Override sealed

Gauge Inspections

  • Nozzle pressure (Understand max psi and policies)

  • Differential Gauge (Understands purpose and max psi)

  • Checked Accumulator tank is set to correct psi

  • Checked Surge tank is set to correct psi

Deadman Inspection

  • Ensure Deadman Functions

  • Checked Cable or Cord for damages

  • Operates the deadman reel

Bonding Cable Inspection

  • Pulls out Bonding cable to inspect condition

  • Checked the Bonding clamp condition and function

Equipment Tanks Inspections

  • Product Relief Tank (Sump Tank) inspected

  • All Air Tanks Drained

Fire Extinguisher Inspection

  • Ensured B/C Fire extinguishers are installed on his unit

  • Checked Fire extinguisher condition for corrosion

  • Checked Fire extinguisher Monthly/Annual inspection current

  • Checked Fire extinguisher seal and gauge readable

Lift Deck Inspection

  • Inspected Lift Platform condition

  • Checked Platform door closes by itself to prevent personnel from falling

  • Checked Lift function properly

  • Ensure Emergency lift release functions

  • Checked Wing Protectors are operational

Hose/Nozzle/Swivel Inspection

Underwing Nozzles

  • Inspected nozzle casing for damages

  • Ensure Swivel has safety seal

  • Checked for Dust cap

  • Inspected Nose Seal

  • Conducted same inspection on Underwing Nozzles on Lift Deck?

Pit Coupler

  • Inspected nozzle casing for damages

  • Ensure Swivel has safety seal

  • Checked for Dust cap

  • Inspected Nose Seal

Overwing Nozzles

  • Inspected nozzle casing for damages

  • Checked for Dust cap

Hoses

  • Inspected Jack Risers hose condition

  • Inspected Nozzle hose condition

  • Inspected Pit Coupler condition

  • Inspected Lift Deck nozzle hoses condition

  • Inspected Overwing Hose

Electrical

  • Cleaned Solar Panel

  • Inspected Solar Panel for damages

  • Checked Vehicle lighting

  • Checked Horn operation

  • Ensure Back-up alarm operates

Tanker

  • Checked Trough drains are not clogged

  • Ensures Pre-check properly operates

Quality Control Check

  • Performed a Filter Sump Clear and Bright test

  • Performed a Tanker Sump Clear and Bright test

Additional Comments

  • Additional Comments

Fueling Procedure

Fueling Operations

    Fueling Operation

General Information

  • Carrier

  • Gate

  • Equipment type

  • Equipment #

AGENT SAFETY & APPEARANCE

  • Uniform correct and presentable

  • Safety Vest worn

  • Wearing hearing protection

  • Wearing gloves when handling hoses and equipment

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

  • Climbing ladders & in/out trucks (all handrails, proper direction )

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

PRE-OPERATING (MOTORIZED EQUIPMENT)

  • Equipment clean / presentable and labeled properly

  • Equipment inspected prior to use

  • Operational check of interlock system

EQUIPMENT ARRIVAL

  • Interlock override sealed prior to use

  • Vehicle driven safely / proper speeds

  • Completed 50 & 10 foot safety stops

  • Aircraft chocked before approaching with vehicle

  • Block-out procedure used if area is too congested

  • Guideperson used if tight area, backing, or obscured

  • Safe approach to "Circle/Diamond of Safety"

  • Equipment never closer than 6 feet from A/C

  • E-Brake engaged before exiting vehicle

  • Vehicle chocked on passenger side / door closed

PRE-FUELING PROCESS

  • A/C Reg. number Confirmed by Fueler before servicing

  • Bonded in proper order and to proper location on AC

  • Followed proper connection/manual handling procedures

  • Safety cone or flag used on hydrant coupling pit

  • Ladder inspected prior to use

  • Properly positioned ladder / lift deck

  • Panel Flag used

  • Vehicle inspection form completed & displayed in unit

FUELING PROCESS

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

  • Fueler Monitored panel, vents, and gauges

  • Stopped fueling if motorized GSE parked under vent

  • Hydrant pit checked free of liquid and rubbish

  • Checked and documented Nozzle & Diff. Pressure & GPM

  • Correct fuel distribution + calculated fuel add performed

  • No leaks observed from any fueling equipment

POST-FUELING PROCESS

  • Followed proper disconnect/manual handling procedures

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

  • Aircraft fuel cap returned, valves closed and panel closed correctly

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

  • Paperwork completed, distributed and logged

  • Operator stayed with equipment while connected to aircraft

EQUIPMENT DEPARTURE

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

  • Guideperson used if tight area, backing, or obscured

  • Zero 'FOD' produced or allowed to remain in fueling area/vehicle

Additional Knowledge

  • Knowledge of Basic "No Flow Trouble shooting" (Check connections/EFSO/Sump Tanks)

  • Knowledge of "Plane Fuel Tank Imbalance Procedures"

  • Knowledge of Swissport and local procedures regarding a Fuel Spill

  • Knwoledge on how to properly depressurize fueling equipment

  • Knowledge of Interlock Override Procedures

COMMENTS

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

  • Additional Comments

Verdict

  • Did this employee pass the necessary Qualifications to fuel in his/her operations

  • Fueler Signature

  • Auditor Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.