Information
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Gate / Carrier / Fueler
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Station
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Audit/Observation Date and Time
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Auditor
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Fueling Unit Number
PRE-OPERATING (MOTORIZED EQUIPMENT)
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Are all tires in good/serviceable condition?
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Are lift deck "whip switches" present and working to prevent the lift from being raised into the plane?
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Is the meter calibration current and seals in tact?
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Are all Fire Extinguishers current and inspected for the month?
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Are the Interlock & interlock override in cab clearly labeled?
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Is the interlock override switch sealed?
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Operational check of interlock system
EQUIPMENT ARRIVAL
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Equipment clean / presentable and labeled properly
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Vehicle driven safely / proper speeds
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Completed 50 & 10 foot safety stops
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Aircraft chocked before approaching with vehicle
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Block-out procedure used if area is too congested
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Guideperson used if tight area, backing, or obscured
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Safe approach to "Circle/Diamond of Safety"
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Equipment never closer than 6 feet from A/C
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If they are not the 1st to use a mobile unit, did they indicate they checked interlocks, brakes & lights in the ticket log sheet, right after the previous Fuelers last entry?
PRE-FUELING PROCESS
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Vehicle chocked on passenger side / door closed
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A/C Reg. number Confirmed by Fueler before servicing
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Bonded in proper order and to proper location on AC
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Followed proper connection/manual handling procedures
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Safety cone or flag used on hydrant coupling pit
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Is pit dust cap laying on the deck during fueling, or hanging down inside the pit
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Properly positioned ladder / lift deck
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Panel Flag used
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Vehicle inspection form completed & displayed in unit
FUELING PROCESS
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Fueler Monitored panel, vents, and gauges
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Stopped fueling if motorized GSE parked under vent
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Hydrant pit checked free of liquid and rubbish
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Checked and documented Nozzle & Diff. Pressure & GPM
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Correct fuel distribution + calculated fuel add performed
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No leaks observed from any fueling equipment
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Properly handled deadman, including "Set Down/Disconnect"
POST-FUELING PROCESS
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Followed proper disconnect/manual handling procedures
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Returned fuel hoses, deadman & bonding clamp w/out dragging
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Aircraft fuel cap returned, valves closed and panel closed correctly
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Returned equipment, dust caps, pit valve dust covers, and pit lids
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Paperwork completed, distributed and logged
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Operator stayed with equipment while connected to aircraft
EQUIPMENT DEPARTURE
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Completed pre-departure walk around (all the way around vehicle)
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Guideperson used if tight area, backing, or obscured
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Zero 'FOD' produced or allowed to remain in fueling area/vehicle
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All action observed were safe (if "No" marked explain in comment)
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AFTER FUELING CHECKLIST properly completed
AGENT SAFETY & APPEARANCE
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Wearing hearing protection
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Wearing gloves when handling hoses and equipment
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Uniform correct and presentable
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Lifting technique (back straight, bend knees, don't jerk)
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Climbing ladders & in/out trucks (all handrails, proper direction )
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Hydrant pit connection (cautious with lid, down on one knee)
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Safety Vest worn
Questions For Fueler
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Do they know where is the EFSO for this gate?
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Do they know where all the EFSOs are located on this fueling unit?
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Can they identify at least 3 things to do if their unit will not pump
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Do they know the departure time of the flight they are servicing?
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Do they know "why" it is important to bond?
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Can they demonstrate the proper way to check interlocks?
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Can they identify three things to do in the case of a fuel spill?
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Do they know where to find the fuel manual?
COMMENTS
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Additional Comments
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Photos
Findings and Corrective Actions
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Enter a Finding or Observation
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Finding or Observation
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Corrective Action Taken
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Severity
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Follow Up Required
ACKNOWLEDGEMENTS
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Auditor / Supervisor
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Fueler