Information
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Document No.
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Conducted on
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Prepared by
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Station address code
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Aircraft Tail Number
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Aircraft Flight Number
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Arrival, Departure, Both - select one
All ramp personnel- General Ramp Safety
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Hearing protection being worn
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Safety vest being worn
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Proper body mechanics being utilized to reduce potential injuries ( lifting,pushing,pulling)
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Tractors make safety stop (1) when entering OSZ. RSM chapter 2 pg 6 and Chapter 6 pg 18
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3' no drive zone is observed while positioning GSE
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GSE is operated at a walking speed while in the Aircraft Buffer Zone
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Vehicles with limited vision utilize a guide person in aircraft buffer zone
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Safe movement of baggage carts (string size <4, curtains closed)
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Occupants keep all body parts inside the profile of the vehicle when driving
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Brakes are set and functional on all parked ground equipment ( carts, dollies, vehicles, GPU, Conditioned Air etc.)
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United Airlines Vehicle operator(s) and occupants utilize seat belts when installed outside of OSZ
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Only vehicles and equipment necessary to service the aircraft are operated within the OSZ
Ramp Personnel Belt Loader Operation
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Belt loader completed safety stop entering into OSZ ( 1 stop) RSM Chapter 2 and Chapter 6
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Belt loader positioned properly to aircraft for arrival process a minimum of 1 inch from bumper and door sill
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Belt loader positioned properly to aircraft for departure process - Belt loaders that have been specially modified may be placed inside the compartment on mainline aircraft - must have D style bumpers and plastic protective guards on the bottom of the boom RSM chapter 6 pg 22
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RSE stop movement of the belt loader to adjust boom height
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Safety hand rail in down position (except fixed rail) when positioning belt load to aircraft
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Safety hand rail in down position (except fixed rail) when removing belt load from aircraft
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Safety handrail in down position when belt loader is in motion
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Belt loader hand rail in up position when personnel is on belt transiting into or out of cargo compartment
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Belt loader chocked/brake set/ gear lever in neutral when positioned at aircraft
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RSE observe requirement to not ride on moving belt
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Hand rail lowered and belt loader moved away from aircraft before closing door ( exception 757 boom and safety rail must be in down position, belt may be repositioned at aircraft to operate door
Ramp Personnel - Container Loader Operation
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Container loader made full safety stop while entering into OSZ
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Container loader positioned correctly at aircraft (1 inch gap)
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Container loader driven with all platforms fully down
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Safety handrail in down position when driving the loader
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Safety hand rail down when operating the cargo door
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Safety hand rail in up position and extended while loading / unloading aircraft ( extension arm (if applicable) not greater than 6 inches from aircraft)
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Platform guard rails up and aligned with aircraft lateral guides
Ramp Personnel- Loading
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Allowed 2" clearance between top of cargo/bags and ceiling of pit. ( Airbus A319/320 and ER170)
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RSE adhere to orientation markings (this side up)
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Pit nets secured inside cargo compartment when windy or aircraft unattended
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DG cargo secured to prevent shifting or movement
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Live animals secured from shifting or movement
Bag Runners/ Cargo Personnel
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Bag runner wearing hearing protection
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Bag runner wearing safety vest
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Bag runner wearing seat belt as required
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Bag runners observe the 3' no drive zone
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Bag runner performs safety stop before entering OSZ
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Cargo runner wearing hearing protection
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Cargo runner wearing safety vest
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Cargo runners observe the 3' no drive zone
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Cargo runner performs safety stop before entering OSZ
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Cargo runners wearing seat belt as required
Catering Operations/ Personnel
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Catering personnel wearing hearing protection
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Full safety stop made prior to entering the OSZ
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Personnel wear safety belts (as applicable per company standard)
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Catering truck observe 3' no drive zone
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Catering truck operated in aircraft buffer zone <walking speed
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Catering truck positioned to aircraft properly (>6" not touching)
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Removed any FOD dropped on ground by catering personnel
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Safety rails and platforms used maximum
Cleaning Operation/ Personnel
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Cabin service employees wearing hearing protection while in exposure area (ramp)
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Fully safety stop made prior to entering the OSZ
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Personnel wearing seat belts as required
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Cleaning truck observed 3' no drive zone
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Cleaning truck operated in Aircraft buffer zone <walking speed
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All FOD dropped on ramp by cleaning personnel picked up
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Passenger doors opened / closed from outside of aircraft, safety check performed before opening and after closing
Customer Service Operation/Personnel
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Customer service agent operating jet bridge does not move from designated parking spot until the all clear, clear to approach signal is given
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Customer service personnel wearing hearing protection while on the ramp or positioning jet bridge
Flight Operations
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Flight crews wearing hearing protection while performing duties on the ramp
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Flight crews wearing safety vest while performing duties on the ramp (as applicable)
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Flight crews do not step over tow bars, cart tongues, or between carts while performing duties on the ramp
Fueling Operations/ Personnel
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Fueler wearing hearing protection
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Fuelers wearing seat belts as required
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Full safety stop made prior to entering the OSZ
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Fuel truck observed the 3' no drive zone
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Fuel truck operated in aircraft buffer zone <walking speed
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Fuel truck observes the 10' safety zone (no parking) around fuel vent
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Fuel truck daily users check completed
Lavatory Servicing / Personnel
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Lavatory service personnel wearing hearing protection
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Lavatory service personnel wearing appropriate PPE ( gloves, face shield etc. )
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Lavatory service vehicle observed 3' no drive zone
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Lavatory service vehicle conducts full brake stop before entering OSZ
Potable Water Servicing / Personnel
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Potable water service personnel wearing hearing protection
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Potable water service truck observe the 3' no drive zone
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Potable water service vehicle conducts full brake safety stop prior to entering the OSZ
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Potable water service personnel wearing seat belts as required
Technical Operations Personnel
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MX personnel wearing hearing protection
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MX personnel perform full safety stop prior to entering OSZ
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MX vehicles observe the 3' no drive zone
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MX vehicle operated in aircraft buffer zone < walking speed
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MX man lifts positioned to aircraft properly (>1" / not touching
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MX personnel use appropriate fall protection on man lifts or working from heights
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Remove any FOD/ items dropped during servicing of aircraft
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MX personnel wearing seat belts as required
