Ramp/Gates Airside Safety Observations Copy Copy Copy

• Conducted on

  Date

• Observation Completed by

• Station

• Flight

• SHIP Number
  Address
• Gate
  Address

• Crew names

Seatbelt compliance

• Was agent observed wearing a seatbelt?

  Yes

  No

  N/A

• Was agent observed wearing a seatbelt?

  Yes

  No

  N/A

• Was agent observed wearing a seatbelt?

  Yes

  No

  N/A

• Was agent observed wearing a seatbelt?

  Yes

  No

  N/A

• Was agent observed wearing a seatbelt?

  Yes

  No

  N/A

• Was agent observed wearing a seatbelt?

  Yes

  No

  N/A

• Was agent observed wearing a seatbelt?

  Yes

  No

  N/A

• Was agent observed wearing a seatbelt?

  Yes

  No

  N/A

• Was agent observed wearing a seatbelt?

  Yes

  No

  N/A

• Was agent observed wearing a seatbelt?

  Yes

  No

  N/A

• Was agent observed wearing a seatbelt?

  Yes

  No

  N/A

• Was agent observed wearing a seatbelt?

  Yes

  No

  N/A

• Was agent observed wearing a seatbelt?

  Yes

  No

  N/A

• Was agent observed wearing a seatbelt?

  Yes

  No

  N/A

Pre-Arrival

• Is the safety zone clear of equipment prior to aircraft arriving?

  Yes

  No

  N/A

  N/O

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• Is the boarding bridge inside the stowbox?

  Yes

  No

  N/A

  N/O

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• Were all agents wearing required PPE - High visibility vests, hearing protection, steel toe shoes (DL only), whistles in their being?

  Yes

  No

  N/A

  N/O

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  Media

Arrival/Onload

• Were wing walkers ready, in position?

  Yes

  No

  N/A

  N/O

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• Were wing walkers and marshal agent using wands (lighted wands at night or during periods of poor visibility) in the aircraft arrival and parking process?

  Yes

  No

  N/A

  N/O

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• Did wing walkers and marshall agents display correct "all clear" hand signals?

  Yes

  No

  N/A

  N/O

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• Was the aircraft parked at the correct stop mark?

  Yes

  No

  N/A

  N/O

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• Did wing walkers wait for the engine to spool down prior to approaching the aircraft to chock it?

  Yes

  No

  N/A

  N/O

• Was the boarding bridge operator communicated the "all clear" to approach the aircraft after the nose gear was chocked?

  Yes

  No

  N/A

  N/O

• Was the chock in signal communicated after all gears were chocked?

  Yes

  No

  N/A

  N/O

• Did boarding bridge driver rotate the bridge cab at less than 3 ft. from the aircraft?

  No

  Yes

  N/O

• Was post arrival aircraft check completed within 15 min.?

  Yes

  No

  N/A

  N/O

• Was a single belt loader safety brake check completed prior to approaching the aircraft?

  Yes

  No

  N/A

  N/O

• Was belt loader driven at walking speed?

  Yes

  No

  N/A

  N/O

• Did beltloader touch the aircraft?

  No

  Yes

  N/O

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• Was the belt loader properly chocked with wheels straight?

  Yes

  No

  N/A

  N/O

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• Were the handrails of the belt loader extended to enter and exit the aircraft (A319/320, B757, B767, 777, etc...)?

  Yes

  No

  N/A

  N/O

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• Was agent observed riding belt loader like an elevator (up/down or sitting on it)?

  Yes

  No

  N/A

  N/O

• Were all aircraft bin opened and verified?

  Yes

  No

  N/A

  N/O

• Were any agent observed walking between conveyances?

  No

  Yes

  N/O

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  Media

• Was the bin webbing hanging out of aircraft at any point of the offload/on load phase of the flight?

  No

  Yes

  N/O

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  Media

• Were baggage carts transported in/out of gate with curtains closed?

  Yes

  No

  N/A

  N/O

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• Did ALA/AIC use a load report & RWS planeside?

  Yes

  No

  N/A

  N/O

• Were bags/cargo stacked within 2 inches of the compartment ceiling on narrow body aircrafts?

  No

  Yes

  N/O

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• Was a clean as you go FOD pick up completed for visible FOD at the gate?

  Yes

  No

  N/A

  N/O

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  Media

• Was anyone observed driving any GSE in the no drive zone of the aircraft

  No

  Yes

  N/O

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• Was lavatory servicing completed on flight?

  Yes

  No

  N/A

  N/O

• Did lavatory agent use a guide person if the lavatory service truck was not equipped with side view mirrors and feelers or if a cone is positioned as a reference prior to servicing?

  Yes

  No

  N/A

  N/O

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  Media

• Did lavatory agent use a face shield and gloves to service the aircraft?

  Yes

  No

  N/A

  N/O

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  Media

• Did gate agent make lithium battery announcement?

  Yes

  No

  N/A

  N/O

• Did gate agent make wheelchair and car seat announcements with a pause in between?

  Yes

  No

  N/A

  N/O

• Did gate agent check oversized carry on?

  Yes

  No

  N/A

  N/O

• Was a 2 person tow bar connection completed?

  Yes

  No

  N/A

  N/O

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  Media

• Were any GSE equipment observed on, unattended?

  No

  Yes

  N/O

• Were bin webbings secured for all bins?

  Yes

  No

  N/A

  N/O

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  Media

• Was a pre-departure aircraft check completed?

  Yes

  No

  N/A

  N/O

• Were any stand alone GSE equipment (air start unit, air conditioning cart, etc...equipment that need a tug to maneuver unit) connected to the aircraft and and tug?

  No

  Yes

  N/O

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  Media

Departure

• Were any chocks removed while the aircraft was connected to a jetway and/or belt loader on aircraft?

  No

  Yes

  N/O

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  Media

• Was boarding bridge driver communicated "all clear" to remove bridge from aircraft and guided into stow box?

  Yes

  No

  N/A

  N/O

• Was the chock removal signal communicated to wing walker by marshall agent?

  Yes

  No

  N/A

  N/O

• Were wing walkers observed throwing chocks?

  Yes

  No

  N/A

  N/O

• Was the safety zone clear?

  Yes

  No

  N/A

  N/O

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  Media

• Were wing walkers in position, engaged and displaying correct "all clear" hand signals?

  Yes

  No

  N/A

  N/O

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  Media

• Was marshall agent driving at a walking speed?

  Yes

  No

  N/A

  N/O

• Was a 3 point disconnect executed with the use of a chock?

  Yes

  No

  N/A

  N/O

• Did wing walker communicate salute hand signal to Captain when area was cleared of tractor, tow bar, and wing walker?

  Yes

  No

  N/A

  N/O

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  Media