Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PART 1: OBSERVATION LABEL

  • OBSERVATION NO.

  • OBSERVER ID

  • DATE:

  • START TIME:

  • END TIME:

  • STATION/LOCATION:

  • GATE/RAMP POSITION:

  • TERMINAL:

  • ON TRAINING?

  • CONTRACTOR?

  • AIRCRAFT TYPE (if applicable):

  • ARRIVING FROM:

  • DEPARTING(ED) TO:

  • OBSERVATION TYPE:

  • OBSERVATION AREA:

  • TYPE OF OPERATIONS (Tick all that apply):

  • LIGHTING CONDITIONS (tick all that apply):

  • ENVIRONMENTAL (tick all that apply):

  • RAMP FLOOR CONDITIONS:

PART 2: TEAM MEMBER DETAILS

TEAM MEMBER L/H

  • JOB FUNCTION (tick all that apply):

  • WORK EXPERIENCE:

  • REGULAR WORKSHIFT:

  • TIME IN CURRENT POSITION:

  • Year(s)

  • Month(s)

  • Extended Shift?

  • CONSECUTIVE NO. OF DAYS WORKED BEFORE THIS GOSA OBSERVATION:

TEAM MEMBER 2

  • JOB FUNCTION (tick all that apply):

  • WORK EXPERIENCE:

  • REGULAR WORKSHIFT:

  • TIME IN CURRENT POSITION:

  • Year(s)

  • Month(s)

  • Extended Shift?

  • CONSECUTIVE NO. OF DAYS WORKED BEFORE THIS GOSA OBSERVATION:

TEAM MEMBER 3

  • JOB FUNCTION (tick all that apply):

  • WORK EXPERIENCE:

  • REGULAR WORKSHIFT:

  • TIME IN CURRENT POSITION:

  • Year(s)

  • Month(s)

  • Extended Shift?

  • CONSECUTIVE NO. OF DAYS WORKED BEFORE THIS GOSA OBSERVATION:

TEAM MEMBER 4

  • JOB FUNCTION (tick all that apply):

  • WORK EXPERIENCE:

  • REGULAR WORKSHIFT:

  • TIME IN CURRENT POSITION:

  • Year(s)

  • Month(s)

  • Extended Shift?

  • CONSECUTIVE NO. OF DAYS WORKED BEFORE THIS GOSA OBSERVATION:

ARRIVAL

  • A1. Pre-flight briefing (a.k.a. huddle) held

  • SAFTEY RISK

  • ERRROR CODE (See Annex A for Codes

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A2. Airside crew ready prior to A/C arrival

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A3. Arrival FOD/trash walk complete

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A4. Gate area cleared (clean and orderly)

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A5. Aerobridge staged/stowed properly

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A6. Equipment staged properly outside clearance area

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A7. Marshaller/wingwalkers in position for A/C arrival with proper wands

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A8. Stop line identified

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A9. Proper hand signals used

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A10. Tow-in/tow-on procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A11. A/C was "safe to approach" (e.g., engines spooled down, rotating beacon off)

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A12. A/C properly chocked

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A13. Wing tip/engine markers properly placed before GSE approaches A/C

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A14. Head set fitted whilst aircraft occupied by technical crew

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A15. GPU disconnected from tractor prior to connecting to A/C

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A16. Fixed GPU properly connected to A/C

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A17. Conditioned air properly connected

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A18. Aerobridge guide/crew stairs procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A19. Aerobridge pre-use check completed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A20. Aerobridge positioning procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A21. Inspection of the passenger door and surrounding area completed before opening

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A22. Passenger stairs pre-use check completed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A23. Passenger stairs positioning procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A24. Inspection of the passenger door completed before opening

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A25. Passenger doors opened and secured properly

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A26. Team member wearing PPE

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A27. Team member exhibits appropriate work behaviour (e.g., no "horseplay")

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • A28. All traffic regulation procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

UNLOADING

  • U1. Beltloader approach procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • U2. Beltloader positioning and set up procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • U3. Cargo door/sills/locks checked prior to GSE approaching A/C

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • U4. GSE operated properly (e.g., speed, safety zones)

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • U5. Dollie locks are properly set prior to approach to container loader

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • U6. Baggage/package, including specials, properly handled

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • U7. All cargo properly handled during unload

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • U8. Cargo hold/CLS systems visually checked for damage after unloading

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • U9. If A/C left unattended all security procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • U10. Container loader approach procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • U11. Container loader positioning procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • U12. Loader/ULD operating procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • U13. Dollie ULD locks checked during offload

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • U14. Team member use correct manual handling, proper lifting practices

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • U15. Team member avoid walking under fuselage (except as authorized) or
    stepping over towbar

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

LAVATORY SERVICING

  • LA1. Lavatory vehicle operating procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • LA2. Lavatory servicing procedures followed (including hygene)

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

POTABLE WATER SERVICING

  • P1. Water vehicle operating procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • P2. Water servicing procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • P3. Potable water units kept away from other sources of contamination

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

LOADING

  • L1. Ramp free of any items that could interfere with the safe operation of GSE or cause FOD

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • L2. Beltloader operating procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • L3. Beltloader positioning and configuration procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • L4. Beltloader removal procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • L5. All traffic regulation procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • L6. Baggage/package, including specials, properly handled

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • L7. All cargo is properly transported

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • L8. Hard copies of LIR/ULA available and followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • L9. Cargo hold/CLS systems visually checked for damage before loading

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • L10. Cargo door/sills/locks check observed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • L11. Required locks set/cargo nets/barriers installed and secured before doors closed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • L12. Cargo door closure procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • L13. Container loader approach procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • L14. Container loader positioning procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • L15. Container loader removal procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

DEPARTURE

  • D1. Pre-departure walkaround performed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D2. Steering by-pass pin installed and towbar hooked up

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D3. Correct size of tractor and towbar used for pushback

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D4. Pushback briefing held as necessary

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D5. Passenger door not secured until approval from cabin crew received

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D6. Passenger doors closed and secured properly

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D7. Aerobridge procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D8. Passenger stairs procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D9. Ground power removal procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D10. Pre-pushback procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D11. Agent remains at a safe position on the bridge until the A/C clears the gate

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D12. If headset inoperative, prior to A/C departure, flight crew briefed about
    the use of hand signals during departure pushback

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D13. Wingwalking procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D14. Pushback procedures followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D15. Steering by-pass pin & towbar disconnect procedure followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D16. Final dispatch/release procedures Followed

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D17. Wingwalkers conducted a FOD walk while walking back into the gate area

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D18. Gate area verified ready for next arrival

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

  • D19. Crew debrief as necessary

  • SAFETY RISK

  • ERROR CODE (See Annex A for Codes)

  • THREAT CODE (See Annex A for Codes)

  • THREAT MANAGED EFFECTIVELY? (Tick Y/N)

  • ERROR OUTCOME

  • COMMENT (Guide Questions: How did Team Member manage/mismanage threats? Describe crew errors?)

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