INFORMATION
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
CURBSIDE
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Does station accept baggage curbside?
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Is the baggage being accepted by a direct aircraft operator employee or authorized representative indicated by appropriate identification media worn above the waist and on the outermost garment? <br>
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Checked baggage tags are secured when unattended?
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Passengers photo ID is cross referenced with PNR routing and bag tag?
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Bags weighed prior to acceptance to ensure compliance & tagged w/ heavy tags if 50-99 lbs?
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"Notice To Passenger" signage is posted at the gate and ticket counter that displays our policy on the carriage of Hazardous Materials, Overbooking flights and Security compliant with 49 CFR 175.25 (a)
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Firearms in Checked Baggage
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Passenger Control of Baggage
TICKET COUNTER
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Bomb threat cards are placed within reach of every telephone and out of public view? NOTE: UA has notification process to call Network Operations Center (NOC) at 847-700-4190.
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Company & SIDA Badges worn above the waist and on the outermost garment? <br>
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Do the agents know who the GSC individual is? <br>
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If access to the secure area is permitted from a location other than the security checkpoint, do agents check the ID of working personnel, including crewmembers, prior to allowing entrance to the secure area? <br>
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Are controlled documents and other sensitive information kept in a secured location when not in the immediate control of personnel (including hand-written bag tags)? <br>
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Passenger?s photo ID is cross-referenced with PNR routing and bag tag? <br>
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Bag belt and/or baggage door to the SIDA attended or secured at all times when unattended? <br>
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Bags weighed before acceptance to ensure compliance & tagged w/ heavy tags if 50-99lbs? <br>
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Are agents ensuring that passengers carry only one bag plus one personal item (laptop, purse, briefcase, etc.) to the security checkpoint? <br>
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Customers sign waiver of liability when checking items for which there is limited liability? <br>
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Baggage sizer available, if not, means to measure? <br>
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Freight/mail/Comat/live animal kennels are weighed for actual weight before acceptance? <br>
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Upon passenger request, can station provide access to the Exit Seat Notice (equivalent Exit Seat Notice Info or Safety Information Card)? <br>
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Notice to Passenger signage is posted at the gate and ticket counter that displays our policy on the carriage of Hazardous Materials, Overbooking flights, and Security, compliant with 49 CFR 175.25 (a) <br>
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Firearms in Checked Baggage
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Passenger Control of Baggage
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Can agents verify the proper quantity and limitations of dry ice acceptable for carriage on Mesa Airlines, Inc. Aircraft? (5.5 per pkg & 220 per AC (USX Stations only per pkg)) <br>
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Ticket Counter has access to DOT-15 chart <br>
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Hazmat Discrepancies are reported to the FAA and kept on file? <br>
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Firearm declarations available and are placed inside the baggage or container prior to acceptance? <br>
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Does Ticket Counter have an operational scale for weighing baggage which has been certified by a governing authority and is it current? <br>
OPERATIONS
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Bomb threat cards are placed within reach of every telephone and out of public view? NOTE: UA has notification process to call Network Operations Center (NOC) at 847-700-4190. <br>
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The following items are current, posted, and/or available? <br>
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DOT 15 Hazardous Materials Chart
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Current Radio License
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Mesa Emergency Contact List?
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Cargo/Baggage Load Sheets? <br>
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Process established to store only 24 hrs.
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Completed fully/accurately
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Completed/signed by qualified agents (Pull several names & audit Training records)
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Radio logs filed for 30 days (fully completed & containing date, time, flight #, topic, agent signature)? <br>
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Radio Logs: If using electronic recordings in lieu of paper logs, the following must be met:
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Tapes labeled w/ date range
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Maintained for 30 days
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Paper log w/ all information available as a backup
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90 Day File established and used?
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Load Manifest (Weight & Balance)
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LEO Form (YV)
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Aircraft Search Checklist (any airlines)
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Signed Release (completed by captain)
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Station has a high wind/adverse weather plan (chocking, securing equipment, doors)?
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Is a list of CRO's available? (can be electronic)
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Aircraft searches are conducted (first flight after RON & INTL arrivals & departures)?
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Are the aircraft search checklists completed in their entirety to ensure the required areas were searched?
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Does the station have a seal program and does it have the following elements:
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Serialized tamper evident seals
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Log of seals applied and removed
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Is there a designated GSC for each departing flight observed?
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Do agents know who the GSC individual is?
SUPPLIES/INFORMATIONAL TOOLS
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Operational headsets and splitters? <br>
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Ballast bags (Dry, properly stored, weighs 50 lbs., labeled 50 lbs., undamaged, adequate quantity)? <br>
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A battery box available (leak tight/up arrows, "Class 8-Corrosive, & Battery, Wet w/ WHCR?)"<br>
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Face shield/goggles, gloves, & protective clothing available for batteries and/or lavatories? <br>
DRUG AND ALCOHOL PROGRAM
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Are agents sent for post-accident drug / alcohol testing as standard procedure? <br>
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GSC qualified individuals are in a FAA Approved random test program? <br>
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Does the vendor, if not a 121 operator - have a copy of the FAA approved program registration paperwork to include the contractor number or a copy of the vendors A449? <br>
GATE
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Bomb threat cards are placed within reach of every telephone and out of public view? NOTE: UA has notification process to call Network Operations Center (NOC) at 847-700-4190. <br>
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Do the agents know who the GSC individual is? <br>
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Baggage sizer or measuring device available?
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Are controlled documents and other sensitive information kept in a secured location when not in the immediate control of personnel (including hand-written bag tags)? <br>
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Company & SIDA Badges worn above the waist and on the outermost garment? <br>
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Do agents check the ID and assignment to aircraft of crewmembers checking in before they access the aircraft for the flight (Does USX gate agent place initials on flight release)? <br><br>
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For International Departures if applicable, gate agent provided necessary International Docs to pax & crew (Examples: completed Gen Dec, customs and immigration forms, crew member declaration forms, etc.)? <br>
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Delay announcements made every 15 minutes ? even if no new information? <br>
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Upon passenger request, can station provide access to the Exit Seat Notice (equivalent Exit Seat Notice Info or Safety Information Card)? <br>
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Pre-boarding offered for passengers with disabilities? <br>
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Agents announce carry-on baggage restrictions (1+1)? <br>
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Boarding doors, egress doors, and other exits to the secured area are attended or closed and locked at all times? <br>
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Was the 1+1 Carry-On Baggage rule enforced and large or additional carry-on items valet checked w/ tag & destination noted? <br>
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Was final Boarding announcement made? <br>
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Use of a mobile bridge adapter is consistent with the following requirements: <br>
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Safety rails or nets in place
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Positioned over aircraft threshold (not on stairs)
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Level and stable.
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Notice to Passenger signage is posted at the gate and ticket counter that displays our policy on the carriage of Hazardous Materials that is compliant with 49 CFR 175.25 (a), overbooking of flights and passenger baggage control?<br>
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Are agents aware of policies and procedures for handling intoxicated passengers? <br>
RAMP
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Fire extinguishers are available? <br>
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Extinguishers are maintained? (Must have a current annual certification tag and a monthly log kept by the station to ensure the fire extinguisher is being checked for charge.) <br>
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Agents familiar with fire extinguisher location & operation? <br>
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Ramp is free of FOD? <br>
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Are markings on ramp and aircraft position aids in good condition and specific to aircraft type for Jet Bridge parking? <br>
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Station has an appropriate Hazmat Spill cleanup kit: including sufficient latex gloves, face shields, aprons, protective clothing (for fuel, oil, lavs, etc.)? <br>
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No smoking signs are posted within 50 feet of aircraft (Ramp level gates)? <br>
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Company & SIDA Badges worn above the waist and on the outermost garment? <br>
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Do the agents know who the GSC individual is? <br>
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Adequate hearing protection is available and used by ramp personnel? <br>
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Personnel refrain from using electronic devices on the ramp (cell phone, etc.)? <br>
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Can agents verify the proper quantity and limitations of dry ice acceptable for carriage on Mesa Airlines, Inc. Aircraft? (5.5 per pkg & 220 per AC (USX Stations only per pkg)) <br>
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Passenger walkways are clear of obstacles/moving equipment for ramp-level boarding? <br>
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Are GSE vehicle engines turned off when unattended? <br>
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Is ground equipment parked in its designated area when not in use? <br>
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Aircraft doors and cargo bin secured when the aircraft is unattended? <br>
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Are non-authorized or improperly credentialed individuals challenged in SIDA areas? <br>
LIBRARY
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Does the Station know how to access the Mesa Tech Pubs Website?(If not provide the posting) <br>
ARRIVAL SERVICING &DEPARTURE
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Agents were positioned and ready for arrival and conducted a FOD walk? <br>
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Aircraft safety zones are clear of all obstacles prior to arrival and departure? <br>
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Agents use wands for arrival (day-glow or illuminated wands at night)? <br>
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Adequate # of wingwalkers are used? <br>
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Aircraft tires chocked immediately (Spans both nose tires, United-1 MLG chocked) <br>
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Equipment positioned after aircraft is chocked & engine is spooling down? <br>
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Use Guidepersons to position equipment (GPU / trucks / jetbridges) in Diamond of Safety (5 ft. from the aircraft except beltloader with seat forward of wheel & jetbridge in US System) <br>
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Agent driving/moving beltloader with conveyor in lowered position? <br>
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Beltloader being positioned properly at aircraft? (Do not position under cargo sill, against or under fuselage, inside cargo bin, touch aircraft) <br>
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Post arrival/Found on Arrival walk-around conducted for flight? (Within 10 min of arrival) <br>
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Safety Diamond is observed and policies followed: <br>
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USX 5 cones; YV 3 cones; UA 4 cones or 5 if no pushback
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Arms length from aircraft
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No walking in between cones & aircraft
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Fuel trucks backing up are guided by ramp, airline, or vendor personnel? <br>
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(Ramp level boarding) An authorized, properly credentialed individual monitors passengers on the ramp at all times <br>
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Disabled customers were boarded/deplaned according to requirements outlined in 14 CFR Part 382? <br>
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Passengers were monitored/escorted on the ramp? <br>
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Passengers access to checked baggage (behind wing/near cargo bin) is prevented? <br>
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Are Ground Power cables serviceable and not worn down? <br>
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Agents test brakes prior to approaching the aircraft with all motorized equipment? (UA-only a finding for self-propelled lav cart, gate Serv Modified Galley Service Cart and Lektro) <br>
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Lavs are serviced on all turns at Hubs, RONS, or on request in outstations? <br>
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Agents never tow more than 4 baggage carts? <br>
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Baggage is handled carefully (not thrown)? <br>
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The most heavily loaded cart(s) always hitched closest to the towing vehicle <br>
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Ballast offloaded upon arrival? <br>
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Ramp level boarding/deplaning is stopped near spinning props <br>
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Equipment isn't driven/parked under any part of the aircraft? <br>
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Equipment is used only for what it was designed and intended. (i.e. Do not transport luggage/freight on top of tug/carts/beltloader, no riders, etc?) <br>
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Agents and passengers avoid walking through prop arc? <br>
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Agents do not walk between tug and connected carts <br>
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Equipment tires are chocked when in proximity to the aircraft with the engine running? <br>
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Agents set parking brakes on equipment? <br>
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Vehicles clear the wing and tail by adequate distance? <br>
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Agents adhere to speed limit of 5 MPH within vicinity of aircraft (UA uses walking speed?)? <br>
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360 Walk and/or visual inspection around of towable ground equipment prior to operating equipment to ensure no 3 way connections is completed? <br>
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Station prohibits 3 way connections of equipment to aircraft (i.e. AC to GPU to Tug) <br>
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Ground Power Units (GPUs) are not connected or disconnected from the aircraft during aircraft fueling / de-fueling? <br>
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Ramp Level Boarding Only - Ramp agents scan carry-on bags and large or additional carry-on items valet checked w/ tag & destination noted? <br>
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Is Load form being completely correctly and in its entirety? (Comparing bags loaded and recorded for several flights. Ensure corrected before departure). <br>
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Signed by individual loading compartment
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Delivered to crew in a timely manner
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Agents latch door cargo nets properly? <br>
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Towbar is connected to aircraft and then tug? <br>
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Pre-departure walk-around conducted for every flight? <br>
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GPU is disconnected after Captain's request after shutting down current (not during fueling)? <br>
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Chocks were removed after the Captain's request? <br>
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Ramp agents use wands for push/departure (day-glow or illuminated wands at night)? <br>
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Was headset used for pushback, if not, was a face-to-face briefing conducted with the crew? <br>
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Are panel doors secured and latched after servicing is completed? (US-Double Tap) (Communication , Air Start, AC/Heat, Lav Service, Potable Water, Fuel, and GPU Doors) <br>
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Are agents using proper hand signals to show all panels doors have been secured? <br>
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Marshaller remains in clear view of the Captain during pushback and engine start-up. Marshaller also remains in eye-contact with wingwalkers? <br>
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Is the towbar disconnected from the tug first and then aircraft? <br>
GROUND EQUIPMENT
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At start of shift, station checks equipment brakes, lights, tires, wipers, horn, mirrors, oil & fuel? <br>
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Does Station have records of maintenance performed on GSE <br>
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Station uses a Lock Out/Tag Out program with Out of Service tags? <br>
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Potable Water carts are sanitized each 30 days or when opened for maintenance. <br>
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Is the appropriate equipment operational, available, and in appropriate numbers? (Brakes, lights, horn, plugs, hoses, engines, transmissions, hydraulics, anti-skid surfaces, etc.) <br>
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Ground Power
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Lav Cart/Truck
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Air Start
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Bag Tugs/EZGO
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Bag/Tail Carts
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Beltloader
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AC/Heat Cart
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Potable Water Unit
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Pushback Tug or Diesel Tug
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Headsets/Adapters
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Tow Bar & Pins/Straps
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Bridge Extender
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ADA Ramp/Lift
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Aisle Chair
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Wheel Chair
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Ladders and Stands
STATION TRAINING
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Training documents are secured but available for review by Mesa personnel & FAA? <br>
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Obtain a list of CUSTOMER SERVICE Agents & audit a sampling to verify adequate completion of: <br>
INITIAL TRAINING - (Form S100A or via LMS is accepted)
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Passenger Service. (E.g.. CAPPS, ID Checks)
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Air Carrier Access Act? YV training or training from Part 121 Airline.
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Hazardous Materials? YV/US/UA training or Differences if trained by other 121 airline).
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Carry-On Baggage? YV & contract employees.
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Exit Seat Program? YV & contract employees.
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Emergency Program? YV/US employees & YV - non-part 121 airline employees.
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GSC/CRO (as appropriate)
RECURRENT TRAINING - No later than the 12th month after initial/recurrent training
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Passenger Service. (E.g.. CAPPS, ID Checks)
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Hazardous Materials - YV /US training or Differences if trained by other 121 airline).
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Emergency Program ?YV employees & non-part 121 airline employees.
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GSC/CRO (as appropriate)
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Obtain a list of Skycaps & audit a sampling to verify adequate completion of: <br>
INITIAL TRAINING
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Hazardous Materials? Full YV/US training or Differences if trained by other 121 airline.
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Exit Seat Program? Skycaps checking passengers in for YV flights.
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Air Carrier Access Act? YV training or training from Part 121 Airline.
RECURRENT TRAINING - No later that the 12th month after initial/recurrent training
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Hazardous Materials - YV/US training or Differences if trained by other 121 airline).
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Obtain a list of Ramp Agents & audit a sampling to verify adequate completion of: <br>
INITIAL TRAINING
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Ramp Service (CRJ, DH-8)? YV & contract employees.
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Hazardous Materials? YV/HP training or Differences if trained by other 121 airline).
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Carry-On Baggage? YV & contract employees handling YV.
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Emergency Program? Any non-121 handling company (RAS/DGS).
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Aircraft Search
RECURRENT TRAINING - last 12 months
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Hazardous Materials? YV/HP training or Differences if trained by other 121 airline).
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Emergency Program? Any non-121 handling company (RAS/DGS).
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GSC
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Employees are familiar with/qualified on equipment before operation?<br>
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TDY Agents (temporary assignment) are fully trained and have records accessible? <br>
CARGO FACILITY
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Does location utilize a cargo facility?
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Facility has a lockable storage unit for valuables? <br>
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Does Cargo Facility accept Perishables? If so, does cargo facility has a refrigeration system for perishables or do they have time limits set for accepting perishables? <br>
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An isolated area exists for the safe storage of hazardous materials? <br>
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Company & SIDA Badges worn above the waist and on the outermost garment? <br>
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A secured entrance and exit exists for personnel? <br>
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Current DOT 15 Hazardous Materials Chart is posted? Know Your Freight poster?<br>
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Cargo Facility has an operational scale for weighing cargo which has been certified by a governing authority on a yearly basis? <br>
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The following manuals are available: <br>
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IATA Dangerous Goods Book
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Codeshare Cargo Manual Available
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MSDS
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DOT Emergency Response Guidebook
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Can agents access the Known Shipper list for the applicable code-share partner? <br>
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Cargo ID/Verification/Security Endorsement/Screening Information Form being completed properly and entirely and is the form retained for 30 Days? <br>
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Security screening log for cargo maintained by station for 30 days? <br>
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Obtain a list of Cargo Agents & verify adequate completion of annual Hazmat, Cargo, and Cargo Security Training. (Full YV/US training or Differences if trained by other 121 airline). <br>
AIRLINE SPECIFIC
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Is this a go! Station audit?
go! Airlines
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First Aid Kits are available and monthly first aid kits audits are completed and recorded? <br>
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Eye-wash bottles/eye-wash stations available? <br>
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Federal/Local employment required postings? <br>
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MSDS available? <br>
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Station has at least 1 Designated Trainer certified by Mesa Training Dept. (validated on form S101) or electronically (if applicable)and only conducts training of modules that they have completed. (if applicable) <br>
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Is this a United Express station audit?
UAX (United Express)
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Has station completed an RGOM checklist every 6 months and have the last 2 available on file for review? <br>
STATION START-UP
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Is the city a new or start-up? (over 90 days since last service)
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Station has received Welcome Packet <br>
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Fire Department (CFR) has a current CFR Manual? <br>
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SOC has tested sending release packages? <br>
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Flight Track (Plot) has accurate information in the ?Airport Notes Database? section <br>
OUTBRIEF & SIGNATURE
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Please sign below to acknowledge that the audit results have been reviewed with you.
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Add signature
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Auditor Signature
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Auditor comments
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Risk Matrix Chart