INTO PLANE FUEL CHECKLIST

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

POLICY

• Are the lastest revisions of the ATA 103, JIG, or Local Authority Standards available?

  Yes

  No

  N/A

• Does the vendor maintain a file(s) of audit findings and corrective actions for a minimum of 12 calendars months and is it (are they) accessible to the auditor?

  Yes

  No

  N/A

• Does the vendors have a Operations Manual (Airlines Manual) to help ensure the safe and dependable flow of quality fuel to aircraft?

  Yes

  No

  N/A

• If a person[s initials or employee number is (are) used for signing off paperwork, is there a roster showing name, number and/or initials?

  Yes

  No

  N/A

• Does the vendor have a documented training program and records for all personnel under their direction or control, qualifying them to to properly perform their assignedtasks?

  Yes

  No

  N/A

• Do training records include Aviation Fuel Knowledge, Safety (Emergency Procedures(SPILL)), Fuel Quality Management, Aircraft Fuel Servicing, Drive Safety (Driving License, UAEAC Approval, only for CM*).

  Yes

  No

  N/A

• Does the Airline and then Vendors provide initial and recurrent training respectively to their personnel on an interval not less than once during every 36 months period?

  Yes

  No

  N/A

• Does the vendor have a pre-employment and post accident drug/alcohol program for personnel dealing with the handling and dispensing of fuel?

  Yes

  No

  N/A

• Are fuels handing personnel given a color blindness test?

  Yes

  No

  N/A

• Fuel Farm use the same pipeline for differents products? (JET A1, GAS, Biodiesel)

  Yes

  No

  N/A

• If Biodiesel is used, there is procedures for measure FAME (Fatty Acid Methyl Ester)?

  Yes

  No

  N/A

FUELING EQUIPMENT INSPECTIONS

• DAILY CHECKS: General condition, Filter sumps, Filter DPI Pressures, Safety Interlocks, Nozzle pressures, Static reels, cables (less than 10 ohms), Hoses, Nozzles, Swivels, Deadman , Lift Platforms , Fire extinguishers , Air Tanks, Surge/Rel

  Yes

  No

  N/A

• MONTHLY CHECKS: Millipore, Static System Continuity Test, Corrected Filter DP, Emergency Shutdown System, Nozzle Screens, Signs, Labels, Placards, Meter seals, Tanker Interiors, Deadman Controls, Lift Platforms, Fire Extinguishers, Free

  Yes

  No

  N/A

• QUARTERLY CHECKS: Water defense system external, Pressure Controls Primary and Secundary Pressure, Vehicle inspection, Interlock Override function check

  Yes

  No

  N/A

• SEMI-ANNUALLY CHECKS: Periodic Hose Pressure and certifications

  Yes

  No

  N/A

• ANNUALLY CHECKS: Filter Element change, Filter and DPI Pressure Gauge Calibration, Meter Calibration, Water defense system insp. and test

  Yes

  No

  N/A

• Do the records indicate when any equipment was not in service?

  Yes

  No

  N/A

• Does the data on the filter conversion placards compliment the original filter unit specifications?

  Yes

  No

  N/A

PHYSICAL FUELING EQUIPMENT CHECKS

• Check the vehicle for general condition

  Yes

  No

  N/A

• Check condition of boding, reels, cables and clamps

  Yes

  No

  N/A

• Check minimum 20 LBS B, C rated fire extinguishers for accessibility, intact seal, and current inspection tag. There must be a minimum of one (1) on a Hydrant unit and two (2) on a tanker truck

  Yes

  No

  N/A

FILTER/SEPARATOR IS USED, CHECK THE FOLLOWING

• Has filter vessel been converted? If so, is there an up to date conversion data placardon vessel?

  Yes

  No

  N/A

• Air elimination provision?

  Yes

  No

  N/A

• Direct reading DPI gauges?

  Yes

  No

  N/A

• Manual sump drain?

  Yes

  No

  N/A

• Upstream and downstream menbrane sampling ports, and caps?

  Yes

  No

  N/A

• Over pressure or thermal relief device?

  Yes

  No

  N/A

• Is a nameplate attached to the filter vessel, complete with the required information?

  Yes

  No

  N/A

• Water defense sytem?

  Yes

  No

  N/A

FULL FLOW IS USED, CHECK THE FOLLOWING

• Air elimination provision?

  Yes

  No

  N/A

• Direct reading DPI gauges?

  Yes

  No

  N/A

• Manual sump drain?

  Yes

  No

  N/A

• Upstream and downstream menbrane sampling ports, and caps?

  Yes

  No

  N/A

• Over pressure or thermal relief device?

  Yes

  No

  N/A

• Is a nameplate attached to the filter vessel, complete with the required information?

  Yes

  No

  N/A

• Check for the following sign and placards<br>JET A (each side and rear) -- FLAMMABLE (each side and rear) -- NO SMOKING (two sides and in cab vehicle) -- EMERGENCY SHUTOFF by each shutoff control and placard indicating it operations(both side tanker, one sid

  Yes

  No

  N/A

• Placard identified FILTER DPI -- Placards identifying tanks drain valve -- Placard showing last date (month/year) filter was changed or single element change performed -- Placard showing filter sump drain -- Placard showing normal/override position of bra

  Yes

  No

  N/A

• Check for presence of emergency shutoff switch on lift, if lift present

  Yes

  No

  N/A

• Check for presence of deadman control system

  Yes

  No

  N/A

• Check condition of hoses, swivels and nozzles

  Yes

  No

  N/A

• Check fo intack calibratror/adjuster cover seal

  Yes

  No

  N/A

• Check for hose/dust covers and proper attachment

  Yes

  No

  N/A

• Perform tank and filter sump fuel appareance test for each compartment

  Yes

  No

  N/A

• Is there a three way valve or other effective means of detecting a failure of the DPI gauge?

  Yes

  No

  N/A

• Check to ensure emergency shutoff cuts off fuel flow at a level of less than 5% when activated?

  Yes

  No

  N/A

• Perform downstream free water test (15 PPM), Test result acceptable?, Testing procedures acceptables?

  Yes

  No

  N/A

• Does the brake (safety) interlock system operate properly? Check interlock override warning light.

  Yes

  No

  N/A

• Perform stastic system continuity check.

  Yes

  No

  N/A

• Check condition of 100 mesh nozzle screens

  Yes

  No

  N/A

• Check to ensure deadman cuts off fuel flow at a level of less than 5% when de-activated

  Yes

  No

  N/A

• Check for fuel leaks on plumbing hose reels and hoses.

  Yes

  No

  N/A

OBSERVING AIRCRAFT FUELING ACTIVITY

• If the truck/carts chocked properly?

  Yes

  No

  N/A

• If the fueling vehicle bonded to the aircraft prior to hose hook up?

  Yes

  No

  N/A

• If the vehicle positioned clear of the wing?

  Yes

  No

  N/A