Information

  • Station

  • Audit Date

  • Observation Number: Format as STA:YYYY/MM/DD-Carrier Code and Flight Number (Example: SMF:2017/05/25-DL5265)

  • Audit Report Prepared By:

  • Additional Auditors - Name(s)

  • Specific Air Carrier (certificate operator) Observed (i.e. GoJet)

  • Flight Number:

  • Identify Gate:

  • Add location

PPE and RAMP

  • Hearing protection worn.<br>

  • Wearing Safety Vests and fastened. Not torn or worn.<br>

  • Gloves (as necessary) and appropriate footwear.<br>

  • Proper and approved uniforms worn.

  • ID badge properly displayed on outer garment, above the waist.<br>

  • Employees NOT using portable electronic devices (PED).<br>

  • Additional Comments

  • Additional Pictures

ARRIVAL and UNLOAD

  • Crew present at required time prior to aircraft arrival.<br>

  • Was Pre-Arrival Safety Huddle conducted by the lead/supervisor and positions assigned?<br>

  • Steering By-Pass Pin visually verified as part of the safety huddle.

  • Download properly communicated to ramp crew and required number of baggage and freight carts/dollies pre-staged for download.

  • FOD walk completed.<br>

  • Chocks and cones available for arrival, stowed outside of safety zone.<br>

  • Proper wands available and working (as required).<br>

  • Unattended GSE is properly secured (i.e. brake set, chocks as required, engine shut down, key removed, etc.).<br>

  • Cart/dolly brakes set and tongues in up position. Observe if employee pushes to check brake effectiveness.<br>

  • Safety zone clear.<br>

  • Marshall and wing walkers in position.<br>

  • Wing walkers remain in sight of marshaller at all times. <br>

  • Correct hand signals being used.<br>

  • Agents and vehicles do not approach moving A/C.<br>

  • Nose gear chocks applied immediately.<br>

  • Steering By-Pass Pin installed by agent inserting nose gear chocks, or steering otherwise bypassed (switch).

  • Main gear chocks properly applied after engine spool down.<br>

  • Cones placed in proper positions.<br>

  • Loading bridge area verified clear before movement. Bridge is guided as necessary.<br>

  • External power remains stowed until loading bridge is in final position.<br>

  • Post-arrival aircraft inspection completed. Issues brought to airline representative’s attention.<br>

  • Steering By-Pass pin verified as part of post-arrival inspection.

  • Vehicles in circle of safety driven at walking speed.<br>

  • 3 stop brake-check completed (as required).<br>

  • GSE does not strike aircraft while positioning.<br>

  • Guide person is not positioned between GSE and aircraft.<br>

  • All GSE guided into aircraft using approved hand signals.<br>

  • All GSE with handrails, lifts, etc. driven in the lowered position.<br>

  • No GSE driven or parked under aircraft.<br>

  • Agents riding on GSE only where seats are provided.<br>

  • Seat Belt use on all GSE equipped with seat belts.

  • Curtains and doors of carts/ULD’s closed or secured.<br>

  • Cargo doors opened properly and in accordance with procedures.

  • No three way connections (I.e. tug-GPU's-aircraft).

  • Motorized GSE parked with chocks in place and parking brake set and two inches of clearance (if unattended, it should be shut down).<br>

  • Safety handrails (belt loader) used and side rails of air stairs.<br>

  • All GSE servicing A/C equipped with rubber bumper guard.<br>

  • Staff does not ride/walk on moving conveyer belt or elevator of loader.<br>

  • Tail Stand Installed Timely (as applicable)

  • Rear compartments of aircraft are offloaded first. (as applicable)<br>

  • ULD offloading is monitored / ULD’s not rotated with loader elevated (Wide Body Only).

  • GSE follows travel paths away from engines and fuselage.<br>

  • GSE carts and dollies do not hit loaders.<br>

  • Agents do not walk between bag carts and dollies. <br>

  • GSE does not block fuel truck emergency movement.<br>

  • Motorized GSE positioned in accordance with carrier requirements (i.e. 5' rule, safety diamond, etc.)

  • Passenger gate claim (valet, strollers, etc.) baggage carefully and expeditiously handled.

  • Baggage scanned as required.

  • All ballast removed from aircraft.

  • Agents using properly lifting and handling techniques.

  • Live Animals properly handled and safely placed in baggage/cargo cart allowing for ample air flow (no dry ice in cart).

  • Customer wheelchairs handled with extreme caution. Hand held down belt-loader (as applicable).

  • Additional Comments

  • Additional Pictures

AIRCRAFT LOADING and DEPARTURE

  • Supervisor/lead communicates upload instructions and briefs crew prior to loading.<br>

  • 3 stop brake-check completed. (NA if GSE in place)<br>

  • Agents riding on GSE only where seats are provided and seat belts used.<br>

  • GSE does not block fuel truck emergency movement.<br>

  • All GSE with handrails, lifts, etc. driven in the lowered position. (NA if GSE in place)<br>

  • Motorized GSE parked and properly chocked.<br>

  • Safety handrails fully extended and used.<br>

  • Motorized GSE positioned in accordance with carrier requirements (i.e. 5' rule, safety diamond, etc.)

  • All GSE required to interface with aircraft (belt loaders, air stairs) is at least two inches from aircraft.<br>

  • Staff does not ride/walk on moving conveyer belt or elevator of loader.<br>

  • Loader operator monitors clearances for all ULD while loading (Wide Body Only).

  • GSE follows travel paths away from engines and fuselage.<br>

  • ULD’s are inspected for damage, prior to loading (Wide Body Only)<br>

  • GSE carts and dollies do not hit loaders (Wide Body Only).

  • ULD’s not rotated with loader in elevated position (Wide Body Only).

  • Agents do not walk between baggage carts and dollies.<br>

  • Supervisor / lead verifies all locks are raised for each ULD loaded (Wide Body Only)

  • Upload baggage and cargo scanned in accordance with carrier scanning point requirements.

  • All cargo bin load height limit lines strictly adhered to protect fire suppression. Lead or supervisor ACTUALLY checks each bin.

  • Primary loading agents maintains control, and accountability of upload. Load verified with second party as required.

  • Baggage and cargo stacked correctly and secured as required. Gate claim (valet) baggage properly handled and loaded last.

  • Lead, Supervisor or other assigned responsible team member verifies the proper loading of all live animals and dangerous goods.

  • All cargo bin curtains/nets securely fastened. Crew notified of any inoperable fasteners/nets.

  • Conditioned air removed 10mins prior to departure and properly stowed.

  • Cargo doors closed properly and in accordance with procedures.<br>

  • Was a Pre-Departure Safety Huddled conducted by the lead/supervisor? All positions assigned and understood.<br>

  • Pre-departure FOD walk completed.<br>

  • Nose gear steering by-pass pin properly installed and verified by the pushback agent AND both wing-walkers.<br>

  • Ground guide person in position to assist pushback driver in attaching towbar. <br>

  • Headset verified operational with flight deck crew 10mins prior to departure/push.

  • Cones are removed only after all GSE are clear of A/C and secured.<br>

  • Main gear chocks removed only after aircraft is attached to pushback.<br>

  • Pre-departure aircraft safety inspection conducted in correct sequence verifying installation of nose gear steering bypass pin.

  • Prior to push, the tow bar and tractor are aligned to center-line of aircraft.<br>

  • Ground power disconnected and properly stowed only after receiving confirmation from the captain.

  • Wing walkers in proper position and using approved wands.<br>

  • Pushback pathway confirmed clear of obstacles.<br>

  • Pushback does not start until wing walkers are in place and ready.

  • Inop Headset Pushback: Face to face briefing with captain required.

  • Wing walkers remain in view of pushback driver at all times and using proper clearance signals.<br>

  • Pushback operator verifies steering bypass pin installation and once in position on pushback, gives permission to remove nose gear chocks.

  • Pushback is smooth and no faster than a walking pace.

  • Additional Comments

  • Additional Pictures

TOWBAR DISCONNECT

  • Tug, tow bar and aircraft are aligned to release tension.<br>

  • Chock of contrasting color (not black) placed 2" to 6" inches in front of nose gear prior to disconnect (except AS).

  • Tow bar disconnected from push tractor first and pulls safe distance (at least 10 feet) from aircraft. Exception: AS <br>

  • Agent receives permission to disconnect tow bar from pushback operator, with bypass pin installed, disconnects towbar. Does not straddle the tow bar. <br>

  • By-pass pin removed and displayed to flight crew.<br>

  • Marshaller uses proper signals to hold A/C until all personnel are clear from aircraft.<br>

  • Marshaller remains in position with hold signal until signaled clear by the captain. Marshaller returns signal.

  • Additional Comments

  • Additional Pictures

Observation Summary

CONCLUSIONS

FINDINGS AND OBSERVATIONS

    Finding
  • Finding or Observation Description

  • Severity of Finding

  • Corrective Action Taken

  • Corrective Action Assigned To:

  • Corrective Action Due By

Misc.

  • Drawing or Layout of Area Requiring Additional Explanation

Acknowledgements

  • Signature of Auditor

  • Signature of Auditee

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.