Title Page

Sec.1-0-0 Flight Information

  • Select date

  • Terminal

  • Zone

  • Gate

  • B-

  • Arrival Flight Number

  • Departure Flight Number

  • Aircraft Type

  • Aircraft Number

Sec. 2-0-0 Aircraft Arrival

Sec. 2-1-0 Pre-Aircraft Arrival

  • 2-1-1 Ramp personnel at gate 5 minutes before arrival?

  • 2-1-2 Ramp personnel conduct arrival/safety briefing?

  • 2-1-3 Ramp personnel wearing hearing protection on arrival?

  • 2-1-4 Operational Safety Zone clear of equipment and personnel before aircraft arrival?

  • 2-1-5 Operational Safety Zone clear of FOD before aircraft arrival?

  • 2-1-6 Jet bridge stowed properly (designated spot or fully retracted) prior to aircraft arrival?

  • 2-1-7 Chocks used to delineate stop mark (abeam appropriate A/C marking, Marshaller's right side of lead-in-line)?

Sec. 2-2-0 Aircraft Arrival

  • 2-2-1 Marshaller in position for arrival (maintains contact with Flight Crew)?

  • 2-2-2 Marshaller utilized proper hand signals?

  • 2-2-3 Marshaller used safety wands for arrival (lighted when required)?

  • 2-2-4 Wingwalker(s) in position to receive aircraft (able to observe threats & Marshaller)?

  • 2-2-5 Wingwalker(s) uses appropriate signals during arrival (Clear or Stop)?

  • 2-2-6 Wingwalker(s) utilized safety wands for arrival (lighted when required)?

  • 2-2-7 No GSE operated in Operational Safety Zone during aircraft arrival?

  • 2-2-8 Aircraft parked correctly on designated spot?

Sec. 2-3-0 Securing Aircraft

  • 2-3-1 Signal it is safe to approach an A/C only given by Marshaller when engines are off, nose chocked and beacon off?

  • 2-3-2 Crew doesn't approach aircraft until receiving the all clear signal from the Marshaller?

  • 2-3-3 Aircraft properly chocked (chocks touching nose & 2 mains for UA, nose & 1 main for UAX)?

  • 2-3-4 Were the appropriate safety cones placed (the minimum incl. Diamond Zone marker) for UAX aircraft?

  • 2-3-5 Crew properly positioned wingtip markers at the aircraft (UA Mainline)?

  • 2-3-6 Servicing equipment not positioned until aircraft chocked (minimum nose & one main landing gear chocked)?

  • 2-3-7 RSE gave Jetbridge driver appropriate hand signal(s) when OK to approach aircraft?

  • 2-3-8 Did ramp crew perform an arrival walkaround?

  • 2-3-9 Safety guidelines for connecting external ground power followed ( no dragging plugs, power off for connection)?

Sec. 3-0-0 Aircraft Handling & Servicing

Sec. 3-1-0 All Personnel - General Ramp Safety

  • 3-1-1 Ramp personnel wearing hearing protection during servicing?

  • 3-1-2 RSEs use injury prevention techniques to include proper body mechanics and stretching?

  • 3-1-3 Tugs made full safety stop before entering Operational Safety Zone?

  • 3-1-4 RSEs positioning GSE observed 3' No Drive Zone around aircraft?

  • 3-1-5 RSEs operate GSE in Aircraft Buffer Zone at walking speed?

  • 3-1-6 Vehicles with limited vision use Guideperson for positioning in Aircraft Buffer Zone(UA)?

  • 3-1-7 RSEs keep feet inside vehicles while driving?

  • 3-1-8 Brakes set on all parked carts & dollies?

  • 3-1-9 RSEs utilize seat belts (if installed) when driving outside the Operational Safety Zone?

  • 3-1-10 Only equipment needed to service aircraft driven in Diamond Zone (UAX)?

  • 3-1-11 Guideperson used for GSE positioning within Diamond Zone (UAX)?

Sec. 3-2-0 Ramp Personnel - Belt Loader Operation

  • 3-2-1 Beltloader made full safety stop prior to entering Operational Safety Zone?

  • 3-2-2 Beltloader positioned to aircraft properly (within 1 inch / not touching)?

  • 3-2-3 RSE stopped movement of Beltloader to adjust boom height?

  • 3-2-4 Safety handrail up while RSEs on Beltloader?

  • 3-2-5 Beltloaders chocked (touching tire both forward & aft) with brakes set when positioned to aircraft?

  • 3-2-6 Ground Crew observes requirements to never ride the moving conveyor on Beltloaders?

  • 3-2-7 Safety handrail down when Beltloader repositioned?

  • 3-2-8 Beltloader safety handrail lowered before cargo door closed?

Sec. 3-3-0 Ramp Personnel - Container Loader Operation

  • 3-3-1 Container Loader made full safety stop prior to entering Operational Safety Zone?

  • 3-3-2 Container Loader positioned to aircraft properly (within 1 inch/not touching)?

  • 3-3-3 Container Loader driven with all platforms fully down?

  • 3-3-4 Safety handrail in down position when driving the Container Loader?

  • 3-3-5 Container Loader safety handrail down when opening/closing the aircraft cargo door?

  • 3-3-6 Container Loader safety rails up & extension arm extended when positioned at the aircraft?

  • 3-3-7 Container Loader platform guide rails up & aligned with aircraft lateral guides during loading?

Sec. 3-4-0 Ramp Personnel- Loading

  • 3-4-1 RSE allowed 2 inches of clearance between the pit ceiling & top of bags/cargo (A320)?

  • 3-4-2 Pit nets secured inside the pit whenever the aircraft is left unattended?

  • 3-4-3 DG cargo secured to prevent movement during flight?

Sec. 3-5-0 Bag Runners/Cargo Personnel

  • 3-5-1 Bag Runner personnel wearing hearing protection during servicing?

  • 3-5-2 Cargo Runner personnel wearing hearing protection during servicing?

Sec. 3-6-0 Catering Personnel

  • 3-6-1 Catering personnel wearing hearing protection during servicing?

  • 3-6-2 Catering vehicles made a full safety stop prior to entering the Operational Safety Zone?

  • 3-6-3 Catering truck made observed 3' No Drive Zone?

  • 3-6-4 Catering truck operated in Aircraft Buffer Zone at walking speed?

  • 3-6-5 Catering truck positioned to aircraft properly (Greater than 6 inches separation/ not touching)?

  • 3-6-6 Safety rails used on catering trucks?

Sec. 3-7-0 Cleaning Personnel

  • 3-7-1 Cabin service personnel wearing hearing protection during servicing?

  • 3-7-2 Cleaning service vehicles made a full safety stop prior to entering the Operational Safety Zone?

  • 3-7-3 Cleaning truck made observed 3' No Drive Zone?

  • 3-7-4 Cleaning vehicle operated in Aircraft Buffer Zone at walking speed?

Sec. 3-8-0 Customer Service Personnel

  • 3-8-1 Customer Service personnel wearing hearing protection during servicing?

Sec. 3-9-0 Flight Operations Personnel

  • 3-9-1 Pilots wearing hearing protection during servicing?

Sec. 3-10-0 Fueling Personnel

  • 3-10-1 Fueler wearing hearing protection during servicing?

  • 3-10-2 Fueling truck made a full safety stop prior to entering the Operational Safety Zone?

  • 3-10-3 Fueling truck observed 3' No Drive Zone?

  • 3-10-4 Fuel truck operated in Aircraft Buffer Zone at walking speed?

Sec. 3-11-0 Lavatory/Potable Water Personnel

  • 3-11-1 Potable water service personnel wearing hearing protection during servicing?

  • 3-11-2 Lavatory service personnel wearing hearing protection during servicing?

  • 3-11-3 Lavatory service vehicles made a full safety stop prior to entering the Operational Safety Zone?

  • 3-11-4 Lavatory truck observe 3' No Dive Zone?

  • 3-11-5 Lavatory trucks operate in Aircraft Buffer Zone at a walking speed?

Sec 4-0-0 Aircraft Departure

Sec. 4-1-0 Ramp Personnel - General Ramp Safety

  • 4-1-1 Ramp personnel wearing hearing protection during departure?

Sec. 4-2-0 Pre-Departure Preparation

  • 4-2-1 Were cargo nets secured for departure?

  • 4-2-2 Did ramp crew perform departure walk-around?

  • 4-2-3 Jetbridge stowed properly (designated spot or fully retracted) prior to aircraft departure?

  • 4-2-4 Operational Safety Zone cleared of FOD before aircraft departure?

  • 4-2-5 Before departure, all servicing equipment staged outside the Operational Safety Zone?

  • 4-2-6 Wingwalker(s) utilized for pushback (2 required for UA, at least 1 for UAX)?

  • 4-2-7 Prior to departure, ground power cord properly stowed?

  • 4-2-8 Aircraft chocked and bypass pin installed prior to/during towbar attachment?

  • 4-2-9 Towbar latching jaw secure (locking handle approximately parallel to towbar)?

  • 4-2-10 Chocks not removed until servicing complete (except Jetbridge) & tractor connected?

Sec. 4-3-0 Pushback

  • 4-3-1 Wingwalker(s) maintained clear line of sight with the Pushback Driver during pushback?

  • 4-3-2 Wingwalker(s) used appropriate signals during pushback (Clear or Stop)?

  • 4-3-3 Wingwalker(s) utilized safety wands for departure (lighted when required)?

  • 4-3-4 Tractor & towbar in line with aircraft at the completion of the pushback?

  • 4-3-5 Final Marshaller held the STOP signal until all personnel and GSE were safely clear of the A/C?

  • 4-3-6 Final Marshaller gave HOLD signal only after the aircraft clear of all persons and GSE?

Sec. 5-0-0 Station Specific Questions

Sec. 5-1-0 Newark (EWR)

  • 5-1-1 All unattended GSE turned OFF when not in use?

  • 5-1-2 RSEs properly set hand brake on GSE?

  • 5-1-3 RSEs verified ALL hitches are secure when connecting baggage carts/ULD's?

  • 5-1-4 All personnel avoid walking between propellers & fuselage?

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.