Information

  • Gate / Carrier / Fueler

  • Station

  • Audit/Observation Date and Time

  • Auditor

PRE-OPERATING (MOTORIZED EQUIPMENT)

  • Operational check of interlock system

EQUIPMENT ARRIVAL

  • Equipment clean / presentable and labeled properly

  • Vehicle driven safely / proper speeds

  • Completed 50 & 10 foot safety stops

  • Aircraft chocked before approaching with vehicle

  • Block-out procedure used if area is too congested

  • Guideperson used if tight area, backing, or obscured

  • Safe approach to "Circle/Diamond of Safety"

  • Equipment never closer than 6 feet from A/C

PRE-FUELING PROCESS

  • Vehicle chocked on passenger side / door closed

  • A/C Reg. number Confirmed by Fueler before servicing

  • Bonded in proper order and to proper location on AC

  • Followed proper connection/manual handling procedures

  • Safety cone or flag used on hydrant coupling pit

  • Properly positioned ladder / lift deck

  • Panel Flag used

  • Vehicle inspection form completed & displayed in unit

FUELING PROCESS

  • Properly handled deadman, including "Set Down/Disconnect"

  • Fueler Monitored panel, vents, and gauges

  • Stopped fueling if motorized GSE parked under vent

  • Hydrant pit checked free of liquid and rubbish

  • Checked and documented Nozzle & Diff. Pressure & GPM

  • Correct fuel distribution + calculated fuel add performed

  • No leaks observed from any fueling equipment

POST-FUELING PROCESS

  • Followed proper disconnect/manual handling procedures

  • Returned fuel hoses, deadman & bonding clamp w/out dragging

  • Aircraft fuel cap returned, valves closed and panel closed correctly

  • Returned equipment, dust caps, pit valve dust covers, and pit lids

  • Paperwork completed, distributed and logged

  • Operator stayed with equipment while connected to aircraft

EQUIPMENT DEPARTURE

  • Completed pre-departure walk around (all the way around vehicle)

  • Guideperson used if tight area, backing, or obscured

  • Zero 'FOD' produced or allowed to remain in fueling area/vehicle

  • All action observed were safe (if "No" marked explain in comment)

  • AFTER FUELING CHECKLIST properly completed

AGENT SAFETY & APPEARANCE

  • Wearing hearing protection

  • Wearing gloves when handling hoses and equipment

  • Uniform correct and presentable

  • Lifting technique (back straight, bend knees, don't jerk)

  • Climbing ladders & in/out trucks (all handrails, proper direction )

  • Hydrant pit connection (cautious with lid, down on one knee)

  • Safety Vest worn

COMMENTS

  • Additional Comments

  • Photos

Findings and Corrective Actions

    Enter a Finding or Observation
  • Finding or Observation

  • Corrective Action Taken

  • Severity

  • Follow Up Required

ACKNOWLEDGEMENTS

  • Auditor / Supervisor

  • Fueler

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