Title Page

  • Site conducted

  • Conducted on

  • Auditor

  • Site

  • Gate Number

  • Gate Number

  • Gate Number

  • Gate Number

  • Gate Number

  • Gate Number

  • Gate Number

  • Gate Number

  • Tail Number

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

GSE

  • Associates on air stairs perform eight (8) foot safety stop (AGOM 3.4.8)

  • Wheels on the K-loader are straight while pulling up and parked at the plane (AGOM 3.4.10.2)

  • When not in use, belt loader is pulled back eight (8) feet from plane, belt lowered, turned off, and chocked (AGOM 3.4.9)

  • Seatbelts used when operating all GSE equipment (AGOM 3.4.3)

  • Unattended GSE in safety envelope must be in neutral, parking brake applied, wheels chocked/stabilizers down with engine off (exception if temp is <32 degrees engine stays on in cold weather stations) (AGOM 3.4.6)

  • All marshalling duties must be performed until clear of the safety envelope (AGOM 3.7.2)

  • Sample at least 2 GSE Checklists and answer the following questions

  • Perform and document the GSE Pre-Trip Operator Checklist prior to initial GSE use and the GSE Post-Trip Operator Checklist after operating the GSE (AGOM 3.4.5)

  • Which GSE did you sample?

  • Which GSE did you sample?

  • Which GSE did you sample?

  • Additional comments/observations

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.