Fueling Provider Quality Audit 2012

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

FUELING PROVIDER INFORMATION

• Fuel Service Provider Name & Phone Number

• Fuel Service Manager Name & Phone Number

• Fuel Service Trainer Name & Phone Number

FUELING PROVIDER QUALITY CHECKS (EPI 1.3.16., Items 1.1., 1.5., & 1.8.)

Fuel Manual Check

• Is the Fueling Provider able to access Virgin America's General Fuel Manual (GFM)?

  Yes

  No

  N/A

Fuel Training Check

• Did the Fueling Provider provide the Monthly Qualification roster by the 1st of the month as required?

  Yes

  No

  N/A

• Does the Monthly Qualification roster contain the information as required in GFM 02.05.01?

  Yes

  No

  N/A

STATION RECORDS QUALITY CHECKS (EPI 1.3.16., Item 1.11)

• Have all of the required Fueling Provider Quality Audits, Into-Plane Audits, and Aircraft Fuel Slip Audits been completed for the previous month?

  Yes

  No

  N/A

• Have all of the required Fueling Provider Quality Audits, Into-Plane Audits, and Aircraft Fuel Slip Audits from the previous month been uploaded to the appropriate shared file location?

  Yes

  No

  N/A

STATION EQUIPMENT QUALITY CHECKS (EPI 1.3.16., Item 1.5.)

• FUEL SPILL CART

• What vendor is responsible for maintaining the Fuel Spill Cart?

• Does the Fuel Spill Cart contain all required elements?

  Yes

  No

  N/A

• RAMP FIRE EXTINGUISHERS

• What vendor is responsible for maintaining the Ramp Fire Extinguishers?

• Have the monthly inspections of the Ramp Fire Extinguishers been completed?

  Yes

  No

  N/A

• EMERGENCY FUEL SHUT OFF

• VISUAL CHECK - Does the Emergency Fuel Shut Off Ensure appears in working order and is unobstructed.

  Yes

  No

  N/A

• HYDRANT PITS

• VISUAL CHECK - Is the condition of hydrant pit in good condition and is the hydrant pit clean?

  Yes

  No

  N/A

VERIFICATION INFORMATION

• Auditor

  Sign