GSO Departure Checklist

• Site conducted

  Select

• Conducted on

  Date

• Auditor

• Site

  Select

• Gate Number

  Select

• Gate Number

  Select

• Gate Number

  Select

• Gate Number

  Select

• Gate Number

  Select

• Gate Number

  Select

• Gate Number

  Select

• Gate Number

  Select

• Tail Number

  Select N1013A N1049A N1093A N1181A N1229A N1321A N1327A N1361A N1373A N1381A N1399A N1409A N1427A N1439A N1487A N1489A N1499A N1709A N1997A N227AZ N229AZ N233AZ N239AZ N241AZ N307AZ N311AZ N313AZ N317AZ N331AZ N337AZ N347AZ N353AZ N359AZ N367AZ N379AZ N381AN N389AZ N397AZ N409AZ N419AZ N431AZ N432AX N433AZ N443AZ N449AZ N457AZ N459AZ N479AZ N491AZ N499AZ N5113A N5147A N5153A N5167A N5179A N5209A N5227A N5233A N5237A N5261A N5479A N5683A N5693A N617AZ N641AZ N714AX N739AX N744AX N749AX N750AX N761CX N762CX N763CX N768AX N774AX N7901A N7907A N7919A N791AX N7933A N7949A N795AX N8011A N8059A N919AZ N929AZ N937AZ N947AZ N967AZ

  • N1013A
  • N1049A
  • N1093A
  • N1181A
  • N1229A
  • N1321A
  • N1327A
  • N1361A
  • N1373A
  • N1381A
  • N1399A
  • N1409A
  • N1427A
  • N1439A
  • N1487A
  • N1489A
  • N1499A
  • N1709A
  • N1997A
  • N227AZ
  • N229AZ
  • N233AZ
  • N239AZ
  • N241AZ
  • N307AZ
  • N311AZ
  • N313AZ
  • N317AZ
  • N331AZ
  • N337AZ
  • N347AZ
  • N353AZ
  • N359AZ
  • N367AZ
  • N379AZ
  • N381AN
  • N389AZ
  • N397AZ
  • N409AZ
  • N419AZ
  • N431AZ
  • N432AX
  • N433AZ
  • N443AZ
  • N449AZ
  • N457AZ
  • N459AZ
  • N479AZ
  • N491AZ
  • N499AZ
  • N5113A
  • N5147A
  • N5153A
  • N5167A
  • N5179A
  • N5209A
  • N5227A
  • N5233A
  • N5237A
  • N5261A
  • N5479A
  • N5683A
  • N5693A
  • N617AZ
  • N641AZ
  • N714AX
  • N739AX
  • N744AX
  • N749AX
  • N750AX
  • N761CX
  • N762CX
  • N763CX
  • N768AX
  • N774AX
  • N7901A
  • N7907A
  • N7919A
  • N791AX
  • N7933A
  • N7949A
  • N795AX
  • N8011A
  • N8059A
  • N919AZ
  • N929AZ
  • N937AZ
  • N947AZ
  • N967AZ

• What aircraft type is this?

  737

  767-200

  767-300

• Please observe a minimum of 3 observations when answering the below questions (as applicable)

Aircraft Loading

• Two (2) Associates are utilized to move ULDs within the aircraft. Associates are only allowed to push the ULDs on the same side while loading the aircraft (AGOM 4.11.4.2)

  Yes

  No

  N/A

• ULDs checked for damage to ensure airworthiness and all restraining devices (locks, straps, curtains are properly secured before ULD is loaded (AGOM 4.11.4.1) (AGOM 4.11.4.2)

  Yes

  No

  N/A

• All empty ULDs must be physically verified to be empty before positioning on the aircraft (AGOM 4.11.4.9)

  Yes

  No

  N/A

• Verifier physically walks ULDs into position and inspects lock positions (AGOM 4.10.5.6/4.11.4.9)

  Yes

  No

  N/A

• AA’s not actively loading stay 20 feet away from loader when elevator raised more than six (6) feet (AGOM 3.4.10.1)

  Yes

  No

  N/A

• AA actively loading remain eight (8) feet from loader chassis while elevator is raising/lowering (AGOM 3.4.10.1)

  Yes

  No

  N/A

• ULDs (AKE/DQF/DPE) moved to/from the deck or dolly at a 45-degree angle (AGOM 3.4.11)

  Select All compliant One ULD non-compliant More than one ULD non-compliant N/A

  • All compliant
  • One ULD non-compliant
  • More than one ULD non-compliant
  • N/A

• Bulk bins have the required two (2) inch gap for fire suppression system (AGOM 4.11.2) (Please select all that apply)

  Select No bulk loaded 737 FWD compliant 737 FWD non-compliant 737 AFT compliant 737 AFT non-compliant N/A

  • No bulk loaded
  • 737 FWD compliant
  • 737 FWD non-compliant
  • 737 AFT compliant
  • 737 AFT non-compliant
  • N/A

• ULDs (AAX / LAY only) for aircraft bulk loading will be positioned with the curtain side resting on the exterior locks. No gap between<br>the ULD and the dolly edge (AGOM 3.3.2.4)

  Yes

  No

  N/A

Departure

• 

• Departure walk around completed clockwise with photos of doors and flashlight used if insufficient lighting (AGOM 4.12.3)

  Yes

  No

  N/A

• 15 minutes prior to aircraft arrival and departure, conduct a FOD walk of the aircraft parking area, removing any FOD found. FOD walks must consist of the ground operations Associates walking at arms-length along the entire aircraft parking area, removing foreign objects (AGOM 3.3.7)

  Yes

  No

  N/A

• Observe AAs wearing hearing protection during departure and select the answer that best applies (AGOM 3.3.2.2)

  Select All AAs wearing hearing protection One AA not wearing hearing protection More than one AA not wearing hearing protection N/A

  • All AAs wearing hearing protection
  • One AA not wearing hearing protection
  • More than one AA not wearing hearing protection
  • N/A

• Ensures safety cones remain in place until completion of all GSE activities around the aircraft and air stairs have been remove from the safety envelope. (AGOM 4.6.1)

  Yes

  No

  N/A

• Safety envelope is clear prior to pushback (AGOM 4.12.2)

  Yes

  No

  N/A

Aircraft Loading

• Two (2) Associates are utilized to move ULDs within the aircraft. Associates are only allowed to push the ULDs on the same side while loading the aircraft (AGOM 4.11.4.2)

  Yes

  No

  N/A

• ULDs checked for damage to ensure airworthiness and all restraining devices (locks, straps, curtains are properly secured before ULD is loaded (AGOM 4.11.4.1) (AGOM 4.11.4.2)

  Yes

  No

  N/A

• All empty ULDs must be physically verified to be empty before positioning on the aircraft (AGOM 4.11.4.9)

  Yes

  No

  N/A

• Verifier physically walks ULDs into position and inspects lock positions (AGOM 4.10.5.6/4.11.4.9)

  Yes

  No

  N/A

• AA’s not actively loading stay 20 feet away from loader when elevator raised more than six (6) feet (AGOM 3.4.10.1)

  Yes

  No

  N/A

• AA actively loading remain eight (8) feet from loader chassis while elevator is raising/lowering (AGOM 3.4.10.1)

  Yes

  No

  N/A

• ULDs (AKE/DQF/DPE) moved to/from the deck or dolly at a 45-degree angle (AGOM 3.4.11)

  Select All compliant One ULD non-compliant More than one ULD non-compliant N/A

  • All compliant
  • One ULD non-compliant
  • More than one ULD non-compliant
  • N/A

• Bulk bins have the required two (2) inch gap for fire suppression system (AGOM 4.11.2) (Please select all that apply)

  Select No bulk loaded 767-200 compliant 767-200 non-compliant N/A

  • No bulk loaded
  • 767-200 compliant
  • 767-200 non-compliant
  • N/A

• ULDs (AAX / LAY only) for aircraft bulk loading will be positioned with the curtain side resting on the exterior locks. No gap between<br>the ULD and the dolly edge (AGOM 3.3.2.4)

  Yes

  No

  N/A

Departure

• 

• Departure walk around completed clockwise with photos of doors and flashlight used if insufficient lighting (AGOM 4.12.3)

  Yes

  No

  N/A

• FOD walk conducted prior to aircraft departure at arm’s length (AGOM 4.12.2)

  Yes

  No

  N/A

• Observe AAs wearing hearing protection during departure and select the answer that best applies (AGOM 3.3.2.2)

  Select All AAs wearing hearing protection One AA not wearing hearing protection More than one AA not wearing hearing protection N/A

  • All AAs wearing hearing protection
  • One AA not wearing hearing protection
  • More than one AA not wearing hearing protection
  • N/A

• Ensures safety cones remain in place until completion of all GSE activities around the aircraft and air stairs have been remove from the safety envelope. (AGOM 4.6.1)

  Yes

  No

  N/A

• Safety envelope is clear prior to pushback (AGOM 4.12.2)

  Yes

  No

  N/A

Aircraft Loading

• Two (2) Associates are utilized to move ULDs within the aircraft. Associates are only allowed to push the ULDs on the same side while loading the aircraft (AGOM 4.11.4.2)

  Yes

  No

  N/A

• ULDs checked for damage to ensure airworthiness and all restraining devices (locks, straps, curtains are properly secured before ULD is loaded (AGOM 4.11.4.1) (AGOM 4.11.4.2)

  Yes

  No

  N/A

• All empty ULDs must be physically verified to be empty before positioning on the aircraft (AGOM 4.11.4.9)

  Yes

  No

  N/A

• Verifier physically walks ULDs into position and inspects lock positions (AGOM 4.10.5.6/4.11.4.9)

  Yes

  No

  N/A

• AA’s not actively loading stay 20 feet away from loader when elevator raised more than six (6) feet (AGOM 3.4.10.1)

  Yes

  No

  N/A

• AA actively loading remain eight (8) feet from loader chassis while elevator is raising/lowering (AGOM 3.4.10.1)

  Yes

  No

  N/A

• ULDs (AKE/DQF/DPE) moved to/from the deck or dolly at a 45-degree angle (AGOM 3.4.11)

  Select All compliant One ULD non-compliant More than one ULD non-compliant N/A

  • All compliant
  • One ULD non-compliant
  • More than one ULD non-compliant
  • N/A

• Bulk bins have the required two (2) inch gap for fire suppression system (AGOM 4.11.2) (Please select all that apply)

  Select No bulk loaded 767-300 compliant 767-300 non-compliant N/A

  • No bulk loaded
  • 767-300 compliant
  • 767-300 non-compliant
  • N/A

• ULDs (AAX / LAY only) for aircraft bulk loading will be positioned with the curtain side resting on the exterior locks. No gap between<br>the ULD and the dolly edge (AGOM 3.3.2.4)

  Yes

  No

  N/A

Departure

• 

• Departure walk around completed clockwise with photos of doors and flashlight used if insufficient lighting (AGOM 4.12.3)

  Yes

  No

  N/A

• FOD walk conducted prior to aircraft departure at arm’s length (AGOM 4.12.2)

  Yes

  No

  N/A

• Observe AAs wearing hearing protection during departure and select the answer that best applies (AGOM 3.3.2.2)

  Select All AAs wearing hearing protection One AA not wearing hearing protection More than one AA not wearing hearing protection N/A

  • All AAs wearing hearing protection
  • One AA not wearing hearing protection
  • More than one AA not wearing hearing protection
  • N/A

• Ensures safety cones remain in place until completion of all GSE activities around the aircraft and air stairs have been remove from the safety envelope. (AGOM 4.6.1)

  Yes

  No

  N/A

• Safety envelope is clear prior to pushback (AGOM 4.12.2)

  Yes

  No

  N/A

• Additional comments/observations