Into-Plane Audit - 2012

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

AUDIT INFORMATION

• Aircraft Number

• Flight Number

• Fueler Name

• Fueler ID Number

• Fueling Vehicle Number

• Fueling Vehicle Type

  Cart, Truck

PRIOR TO FUELING (EPI 1.3.16., Items 1.5., 1.7., & 1.8.)

• Are all GSE engines outside of a ten (10) foot radius of the wing vents?

  Yes

  No

  N/A

• Have the fueling vehicle daily checks been completed and documented?

  Yes

  No

  N/A

• Was the bonding of the fuel vehicle accomplished in the proper sequence?

  Yes

  No

  N/A

DURING FUELING (EPI 1.3.16., Items 1.3., 1.4., 1.5., 1.7., & 1.8.)

• Is the DEADMAN switch being continuously held by the fueler during fueling operations?

  Yes

  No

  N/A

• Is the DEADMAN switch being operated properly (not blocked open)?

  Yes

  No

  N/A

• Is fueling being accomplished in ONLY the AUTOMATIC mode?

  Yes

  No

  N/A

• Is the fueler observing all gauges, meters, and hose connections during the fueling process?

  Yes

  No

  N/A

• Are all required signs, placards, and labels present and intact?

  Yes

  No

  N/A

• Is the seal on the delivery meter calibrator intact?

  Yes

  No

  N/A

• Are vehicle fire extinguishers in place and have the monthly inspections been completed?

  Yes

  No

  N/A

• VISUAL CHECK - Is the Emergency Shut Off valve on the vehicle visible and unobstructed?

  Yes

  No

  N/A

• Was the filter changed within twelve (12) months?

  Yes

  No

  N/A

• Enter the MM/DD/YY of the change?

• Is the NOZZLE PRESSURE at steady flow less than fifty one (51) PSI OR less than three point five two (3.52) BAR?

  Yes

  No

  N/A

• Enter the NOZZLE PRESSURE observed during fueling?

• WARNING: if the NOZZLE PRESSURE exceeds fifty one (51) PSI OR three point five two (3.52) BAR, STOP FUELING AND REMOVE VEHICLE FROM SERVICE!

• Is the DIFFERENTIAL PRESSURE within limits?

  Yes

  No

  N/A

• FILTER SEPARATOR (PSI)

• FILTER SEPARATOR (BAR)

• MONITOR (PSI)

• MONITOR (BAR)

AFTER FUELING (EPI 1.3.16., Items 1.5., 1.7., & 1.8.)

• Is the INTERLOCK operational and functioning properly? If Fuel Cart, check N/A.

  Yes

  No

  N/A

• FUEL CART ONLY - Are the brakes working properly and is the fuel cart properly chocked?

  Yes

  No

  N/A

• Are all fueling hoses properly stowed with dust caps installed?

  Yes

  No

  N/A

• Was the aircraft fuel cap properly installed?

  Yes

  No

  N/A

AUDIT VERIFICATION INFORMATION

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