INTO-PLANE (FUEL) CHECKLIST MNT-012

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

POLICY

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

  Yes

  No

  N/A

• Does the vendor maintain a file(s) of COPA HOLDING audit findings and corrective actions for a minimum of 12 calendars months and is it (are they) accessible to the auditor? (CASE 1F)

  Yes

  No

  N/A

• Does the vendor have COPA HOLDING fueling Manual to help ensure the safety and dependable flow of quality fuel to aircraft? (CASE 2-1.11)

  Yes

  No

  N/A

MOBILE FUELLER LOADING RACK

• Selective coupling (If applicable)

  Yes

  No

  N/A

• Color coding to API 1542

  Yes

  No

  N/A

• Dust caps

  Yes

  No

  N/A

• Hose and nozzle condition

  Yes

  No

  N/A

• Nozzle screen/strainer

  Yes

  No

  N/A

• Filter type. (MICRONIC, FILTER/SEPARATOR, MONITOR)

  Yes

  No

  N/A

• Date elements changed (FILTER #, DATE, INTERVAL)

  Yes

  No

  N/A

• Filter pressure differential

  Yes

  No

  N/A

• Filter sump sample

  Yes

  No

  N/A

• Fire extinguishers

  Yes

  No

  N/A

• Deadman/emergency shut-off

  Yes

  No

  N/A

• Bonding cable and clamps

  Yes

  No

  N/A

MOBILE FUELLER LOADING RACK RECORDS

• Hose records

  Yes

  No

  N/A

• Nozzle screen/strainer

  Yes

  No

  N/A

• Filter information: Checks with 7.6, 7.7, 7.8

  Yes

  No

  N/A

• Filter/separators meet API/IP 1581 (GROUP/ CLASS/CATEGORY/TYPE)

  Yes

  No

  N/A

• Filter pressure differential

  Yes

  No

  N/A

• Fire extinguishers

  Yes

  No

  N/A

• Deadman/emergency shut-off

  Yes

  No

  N/A

• Bonding cable and clamps

  Yes

  No

  N/A

MOBILE FUELLERS

• Identification of vehicle (s): (FLEET NUMBER CHECKED)

  Yes

  No

  N/A

• Vehicle condition (including leaks etc)

  Yes

  No

  N/A

• Grade plates and placards: (GRADE/ FLAMMABLE/ NO SMOKING /EMERGENCY SHUTOFF CLEAR EXIT)

  Yes

  No

  N/A

• Filter type: ( FILTER MONITOR OR FILTER/SEPARATORS)

  Yes

  No

  N/A

• Date filter changed: (DATE AND INTERVAL)

  Yes

  No

  N/A

• Filter pressure differential

  Yes

  No

  N/A

• Filter sump sample

  Yes

  No

  N/A

• Tank sump sample

  Yes

  No

  N/A

• Water defense system (If fitted)

  Yes

  No

  N/A

• Hoses and nozzles: (CONDITION, BRAND, TYPE)<br>Hoses: Date manufactured (MAX 10 YEARS)

  Yes

  No

  N/A

• Pressure control: Primary Type: ( HOSE END/ INLINE) ( Perform spot check of pressure regulation)<br> Secondary Type: (2 x Hose End/ Inline)

  Yes

  No

  N/A

• Gauges (and visible whilst refueling): (Record reading: Fueling pressure, Filter DP, Air References)

  Yes

  No

  N/A

• Deadman and emergency shut-off

  Yes

  No

  N/A

• Brake interlocks: override and seal

  Yes

  No

  N/A

• Fuel grade selective couplings

  Yes

  No

  N/A

• Nozzle screen / strainer

  Yes

  No

  N/A

• Bonding cable and clamps

  Yes

  No

  N/A

• Meter: calibration placards and seals

  Yes

  No

  N/A

• Tank interior

  Yes

  No

  N/A

• Night level shutoff system and precheck

  Yes

  No

  N/A

• Fire extinguishers: (number installed, date and interval)

  Yes

  No

  N/A

• Exhaust system, tires and brakes etc

  Yes

  No

  N/A

VEHICLE RECORDS: MOBILE FUELLERS

• Daily checks: Maintenance checks, bonding cable, fire extinguishers, meter seal, clean sample bottles, water detector kit, water check ALL points, interlock seals, deadman.

  Yes

  No

  N/A

• Weekly checks: Interlocks, bonding cables/clips (continuity check), filter differential pressures

  Yes

  No

  N/A

• Monthly check: Colour membrane filtration tests, hose visual check, hose-end strainers, deadman (opening/ closure/ volume), fire extinguisher (condition)

  Yes

  No

  N/A

• Quarterly checks: Pressure and surge controller

  Yes

  No

  N/A

• Six monthly checks: gavimetric membrane or double membrane colourimetric tests, Hose records (Record date), Pressure tested, meter calibrations, gauge accuracy test, differential pressure gauge (free movement of piston and zeroing)

  Yes

  No

  N/A

• Annual checks: Fire extinguisher inspections, fire inspections/ change (check with 9.4, 9.5, 9.6), water defence (slug valve, if applicable), FUELLER tank inspections (annually from the lid on top of the tank), FUELLER tank, draining, inspecting, cleaning (every two years)

  Yes

  No

  N/A