INFORMATION

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

MANUAL & TRAINING RECORDS

  • Does the vendor have access to the most current copy of the Mesa Airlines, Inc. Fueling Manual #310?

  • Are employees aware of how to access the Mesa Airlines Fuel Manual through the Mesa non-employee Tech Pubs website?

  • Is there at least one certified Train the Trainer for the type of aircraft serviced and is Form S-101F on file? (LMS Certificate)

  • Does each fueler have a form T-009 for the type of aircraft serviced current and on-file?

  • If differences training is marked, does fueler have full (non-differences), current training from another carrier on the type of aircraft serviced? <br>

  • Are training certification records for persons performing equipment and facility inspections current and available for review? <br>

  • Are there any waivers currently on file? (Make copies for reference if applicable) <br>

  • Does fuel vendor have an operations and maintenance manual? <br>

  • Does the vendor have a current copy of the ATA 103?

TANKER TRUCKS AIRCRAFT FUELING EQUIPMENT CHECKS

  • Does the vendor use Tanker Trucks for fueling?

  • If those signing off the appropriate checks use initials, is there a record of each person's name and initials on file?

  • Are the records being kept on file for at least 12 months?

DAILY TANKER EQUIPMENT CHECKS

  • Is the general condition of the fueling vehicle(s) being checked?

  • Are filter sumps being performed and is the first sample being recorded?

  • Are samples taken under pressure?

  • Are the differential pressures being checked and under 15 psi? On filter/separators and 25psi.On full flow monitors?<br>

  • Are the dead man controls being checked?<br>

  • Are brake (safety) interlocks being checked?<br>

  • Is the nozzle fueling pressures being checked and under 40psi (50psi max)?<br>

  • Are hoses, swivels and nozzles being checked?<br>

  • Are the static reels, cables and clamps being checked?<br>

  • Are lift platforms being checked?<br>

  • Are the fire extinguishers being checked?<br>

  • Are surge/waste tanks being checked?<br>

  • Are air tanks being checked?<br>

  • Are tanker trough drains being checked?<br>

  • Are tanker sumps being performed form each tank compartment and is the first sample being recorded?<br>

  • Is tanker bottom loading pre-check controls being checked?<br>

MONTHLY TANKER EQUIPMENT CHECKS

  • Are monthly Millipore tests being performed on each filter or monitor vessel and are they available?<br>

  • Are the results a 2A (3A wet) or less?<br>

  • Are free water test being performed?<br>

  • Can the kit detect 15ppm or less?<br>

  • Are the results 15ppm or less?<br>

  • Is the shelf life inspected on the kit to ensure no expired ones are used? (Aqua-Glo and Metrocator kits do not have an expiration date)<br>

  • Is corrected filter differential pressure being checked for fueling equipment?

  • Is a static system continuity test being performed and is the resistance less than 25 ohms?<br>

  • Are nozzle screens being removed and checked?<br>

  • Are fuel hoses being checked?<br>

  • Are signs and placards being checked?<br>

  • Are meter seals being checked?<br>

  • Are fire extinguishers being checked?<br>

  • Are emergency shutdown systems being checked?<br>

  • Are lift platforms being checked?<br>

  • Are tanker interiors being checked?<br>

  • Are tanker vents and dome covers being checked?<br>

  • Are tank tough drains being checked?<br>

QUARTERLY TANKER EQUIPMENT CHECKS

  • Are vehicle inspections being performed?<br>

  • Are pressure controls being checked?<br>

  • Is the secondary pressure recorded and below 50psi?<br>

  • Are the water defense systems (external checks) being performed?

ANNUAL TANKER EQUIPMENT CHECKS

  • Are the filter elements being replaced (2 years for full-flow monitor elements)?<br>

  • Are all pressure gages (fuel delivery and differential pressure) being checked?<br>

  • Are the meters calibrated for tanker trucks?<br>

  • Are the water defense systems being operationally checked on filter/separators?<br>

FUELING OPERATION OBSERVATION

  • Are fuel trucks backing up guided by ramp, airline, or vendor personnel?

TANKER TRUCK-FUELING EQUIPMENT WALK-AROUND

  • Does the vendor use tanker trucks for fueling?

  • Is equipment free from visible fuel leaks?<br>

  • Ensure that there are no galvanized, copper alloys or cadmium plating materials.<br>

  • Are all lights and other electrical equipment functioning properly?<br>

  • Are the windows free of cracks and crazing?<br>

  • Is the exhaust system intact?<br>

  • Are electrical junctions, boxes and conduit intact w/no exposed wiring or frayed connections?<br>

  • Are ladders in good condition?<br>

  • Do the filter/separators meet current API Group II Class C specifications?<br>

  • Do the filter/separators have an automatic water defense system that will stop fuel flow?<br>

  • Do the filtration vessels have the following:<br>

  • Provisions for eliminating air?

  • Direct reading differential pressure gauges?

  • Manual sump drains?

  • Downstream & upstream Millipore connections?

  • Pressure relief valves?

  • Placard indicating the month and year of the last filter change?

  • Do the filtration vessels nameplate contain all of the following:<br>

  • The manufactureÂ’s name and address?

  • The serial and unit number?

  • The API classification?

  • The rated capacity for Jet A?

  • The date of manufacture?

  • The number and model numbers of the coalescer and separator elements?

  • The manufactureÂ’s recommended element change pressure differential? (API 1581)

  • Are the filter vessel sumps acceptable?<br>

  • Are the tank sumps acceptable?<br>

  • Does each tanker truck have an emergency fuel shutoff in addition to a dead man?<br>

  • Do units with a lift platform have an emergency shutoff on the platform in addition to one on the ground level?<br>

  • Is there an emergency shutoff system on each side of the tanker trucks?<br>

  • Are the emergency shutoff systems placarded with at least 2” letters and does the placard indicate the method of operation (NFPA 407)?<br>

  • Does the interlock system function properly or are wheel chocks used?<br>

  • The interlock systems override device, if installed, should be secured in the normal positions with breakaway safety wire and the positions should be placarded.<br>

  • Are tanker trucks equipped with a minimum of two 20-lbs. B/C dry chemical fire extinguishers?<br>

  • Are Fire Extinguisher inspection tags and seals intact? (If not, the extinguisher must be taken out of service)<br>

  • Are the extinguishers mounted on opposite sides of the truck and placarded for location if in enclosed compartments?<br>

  • Do fuel hoses meet API 1529 Standards?<br>

  • Are all nozzle swivels secured by lock-rings or safety wired screws?<br>

  • Are there manual shutoffs ahead of each fuel hose?<br>

  • Are dust covers installed?<br>

  • Are the nozzles equipped with 100 mesh strainers?<br>

  • Is the fueling pressure gauge visible to the operator at all times and at least 4” in diameter?<br>

  • Is the nozzle pressure limited to 40psi?<br>

  • Have the fuel meters been calibrated within one year and are they sealed?<br>

  • Are the bonding cables in good condition and are there bayonet plugs available for the cable and the nozzles?<br>

  • Are the following placards posted:<br>

  • Jet A on each side and rear?

  • FLAMMABLE (3”) on each side and rear?

  • NO SMOKING (3”) on each side and in the cab?

  • Fuel and differential pressure gauges?

  • Filter vessels and tank drains?

  • Are tank interiors clean and made of stainless steel, aluminum or epoxy coated?<br>

  • Do the dome covers have forward mounted hinges?<br>

  • Are dome cover seals intact?<br>

  • Is there a pre-check system working for bottom loading trucks?<br>

  • Are solid wing mats available? (Mesa Airlines, Inc. Manual 310)<br>

HYDRANT SYSTEM CHECKS

  • Does vendor use Hydrant Systems for fueling

  • If those signing off the appropriate checks use initials, is there a record of each person's name and initials on file?

  • Are the records being kept on file for at least 12 months? Filter change records 36 months? <br>

DAILY HYDRANT SYSTEM CHECKS

  • Are pit areas being checked for leaks and cleanliness?<br>

  • Are hydrant pit covers being checked?<br>

  • Are the EFS (emergency fuel shutoff) stations being checked?<br>

MONTHLY HYDRANT SYSTEM CHECKS

  • Are hydrant valve assemblies being checked?<br>

  • Are isolation valve pits being checked?<br>

  • Are low point drains being checked and cleaned of debris?<br>

  • Are the emergency shutdown systems being checked?<br>

QUARTERLY HYDRANT SYSTEM CHECKS

  • Are high point vents being checked?<br>

  • Are surge absorbers being checked?<br>

  • Are leak detection and piping isolation system checks being performed?<br>

ANNUAL HYDRANT SYSTEM CHECKS

  • Is the cathodic protection being checked?<br>

HYDRANT SYSTEM PIT WALK-AROUND

  • Does station use Hydrant Systems for fueling?

  • Are pits free from fuel leaks and trash?

  • Pits are removed from service if the water level is within 12" from the top of the pit valve.

  • Are the hydrant valves and sense plug dust covers in place?

  • Are the hydrant pit covers and hinges in acceptable condition?

  • Inspect the pressure flow charts for abnormal operating conditions. Are they acceptable?

  • Are the emergency shut off stations clearly marked and accessible?

HYDRANT TRUCKS/CARTS AIRCRAFT FUELING EQUIPMENT CHECKS

  • Does vendor use Hydrant Systems for fueling?

HYDRANT TRUCKS/CARTS AIRCRAFT FUELING EQUIPMENT CHECKS

  • If those signing off the appropriate checks use initials, is there a record of each personÂ’s name and initials on file?

  • Are the records being kept on file for at least 12 months?<br>

HYDRANT TRUCKS/CARTS DAILY CHECKS

  • Is the general condition of the fuel vehicles being checked?<br>

  • Are filter sumps being performed under pressure and is the FIRST sample being recorded?

  • Are safety interlock systems verified for proper operation?<br>

  • Are the dead man controls being checked?<br>

  • Is the nozzle fueling pressures being checked and under 40psi (50psi max)?<br>

  • Are hoses, swivels and nozzles being checked?<br>

  • Are the static reels, cables and clamps being checked?<br>

  • Are lift platforms checked for proper operation?<br>

  • Are the fire extinguishers tags and seals being checked?<br>

  • Are surge/waste tanks being checked?<br>

  • Are air tanks being checked?<br>

  • Are refueling truck troughs checked for proper drainage?<br>

HYDRANT TRICKS/CARTS MONTHLY CHECKS

  • Are monthly Millipore tests being performed on each filter or monitor vessel and are they available? (ATA 103.04B)<br>

  • Are the results a 2A (3A wet) or less?<br>

  • Are free water tests being performed?<br>

  • Can the kit detect 15ppm or less?<br>

  • Are the results 15ppm or less?<br>

  • Is the shelf life inspected on the kit to ensure no expired ones are used? (Aqua-Glo and Metrocator kits do not have expiration dates)<br>

  • Is corrected filter differential pressure being checked for fueling equipment?<br>

  • Is a static system continuity test being performed and is the resistance less than 25 ohms?<br>

  • Are nozzle screens being removed and checked?<br>

  • Are fuel hoses being checked?<br>

  • Are signs and placards being checked?<br>

  • Are meter seals being checked?<br>

  • Are fire extinguishers being checked?<br>

  • Are emergency shutdown systems being checked?<br>

HYDRANT TRUCKS/CARTS QUARTERLY CHECKS

  • Are vehicle inspections being performed?<br>

  • Are primary and secondary pressure controls being checked?<br>

  • Are filter separators external water defense system checks being performed?<br>

  • Are internal valve function tests performed for bottom loading or dispensing fuel?<br>

HYDRANT TRUCKS/CARTS SEMI-ANNUAL CHECKS

  • Are refueling hoses with reusable couplings pressure checked to 225psi every six months per API/IP 1540?<br>

HYDRANT TRUCKS/CARTS ANNAUL CHECKS

  • Are the water defense systems being operationally checked on filter/separators?

  • Are all pressure gauges (fuel deliver and differential pressure) checked for accuracy within (+/-) 2psi of full scale in accordance with manufacturerÂ’s procedures?<br>

  • Are the filter elements being replaced (2 years for full flow monitor elements)?<br>

FUELING EQUIPMENT WALK AROUND HYDRANT TRUCKS/CARTS

  • Does vendor use Hydrant System for fueling?

  • Is equipment free from visible fuel leaks?

  • Ensure that there are no galvanized, copper alloys or cadmium plating materials.

  • Are all lights and other electrical equipment functioning properly?

  • Are the windows free of cracks and crazing?

  • Is the exhaust system intact?

  • Are electrical junctions, boxes and conduits intact with no exposed or frayed connections?

  • Are ladders in good condition?

  • Do the filter/separators meet current API Group II Class C specifications?

  • Do filtration vessels have the following:

  • Provisions for eliminating air?

  • Direct reading differential pressure gauges?

  • Manual sump drains?

  • Downstream and upstream Millipore connections?

  • Pressure relief valves?

  • Placard indicating the month and year of last filter change?

  • Do the filtration vessel's nameplate contain the following:

  • The manufacturer's name and address.

  • The serial and unit number.

  • The API classification.

  • The rated capacity for Jet A.

  • The date of manufacture.

  • The number and model numbers of the coalescer and separator elements?

  • The manufacture's recommended element change pressure differential?

  • Are the filter sumps acceptable?

  • Does the deadman function properly?

  • Does each hydrant hydrant cart/truck have an emergency fuel shutoff in addition to a deadman?

  • Does the hydrant cart/truck stop the fuel flow by automatically closing the hydrant pit valve upon activation of the emergency fuel shut off system?

  • Are the emergency shutoff systems placarded with at least 2" letters and does the placard indicate the method of operation?

  • Are the following placards posted:

  • Flammable (3") on each side and rear.

  • No Smoking (3") on each side and in the cab?

  • Fuel and differential pressure gauges?

  • Filter vessels and tank drains?

  • Does the interlock system function properly or are wheel chocks used?

  • The interlock system override device, if installed, should be secured in the normal position with break away safety wire and the position should be placarded.

  • Are hydrant carts/trucks equipped with a minimum of one 20-pound B/C dry chemical fire extinguisher?

  • Ensure that all inspection tags and seals are intact or the extinguisher is taken out of service.

  • Do fuel hoses meet API 1529 standards?

  • Are all nozzle swivels secured by lock rings or safety wire screws?

  • Are there manual shutoff ahead of each fuel hose?

  • Are dust covers installed?

  • Are nozzles equipped with 100 mesh strainers?

  • Is the fueling pressure gauge visible to the operator at all times and at least 4" in diameter?

  • Is the nozzle pressure limited to 40 PSI?

  • Have the fuel meters been calibrated within one year and are they sealed?

  • Are the bonding cables in good condition and are there bayonet plugs available for the cable and the nozzle?

OUTBRIEF & SIGNATURE

  • Please sign below to acknowledge that the audit results have been reviewed with you.

  • Add signature

  • Auditor's Signature:

  • Add signature

  • Auditor Comments:

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.