T 4 KLM Safety Observation.

Safety Team Obs JFK - T4

• Indicate AM or PM

• Arrival or Departure?

• Flight Number:

• Ship's Number:

• Conducted on

  Date

• Prepared by (Lastname Firstname):

• ALA in charge

• What gate is being observed?

Ramp Observations

• Is Ramp Team on gate in sufficient time for the arrival/departure ?

  Safe

  At Risk

  N/A

• All equipment outside Clearance Lines during Aircraft Movement?

  Safe

  At Risk

  N/A

• Was FOD Pickup observed during Arrival/Departure Process?

  Safe

  At Risk

  N/A

• Does the agent perform 3 points safety stops while approaching the aircraft ?

  Safe

  At Risk

  N/A

• Failure to provide "chocks-in" signal?

  Safe

  At Risk

  N/A

• Are Chocks being used properly?( Nose gear: 4 chocks, and Main gear: 8 chocks. Inter and outer main gears wheels needs to be chocked)

  Safe

  At Risk

  N/A

• Are Cones being used properly (cones needs to be placed along wing span)

  Safe

  At Risk

  N/A

• Beltloader handrail up?

  Safe

  At Risk

  N/A

• Belt-loader position 2" Clearance, 8-10" above bin floor and not crossing door threshold?

  Safe

  At Risk

  N/A

• Are beltloader chocks properly placed?

  Safe

  At Risk

  N/A

• Was unsecured equipment observed pointing at aircraft?

  Safe

  At Risk

  N/A

• Arrival/Departure Walk-around conducted by KLM agents or engineers?

  Safe

  At Risk

  N/A

• Was a guide person used for all equipment and vehicles approaching the aircraft or reversing from it?

  Safe

  At Risk

  N/A

• Agents observed walking between conveyances, over cart tongues or over tow-bars?

  Safe

  At Risk

  N/A

• Agent observed riding on Container Loader Platform OR Beltloader conveyor?

  Safe

  At Risk

  N/A

• Wing-walkers observed on roadway for arrival/departure using proper hand signals and blocking the traffic?

  Safe

  At Risk

  N/A

• Wing-walkers are using TWO working wands (lite wands at night)?

  Safe

  At Risk

  N/A

• Did you witness any unsafe driving practice around aircraft or under the wings during the offload/load process?

  Safe

  At Risk

  N/A

• Is bin webbing secured in bulk bin before departure?

  Safe

  At Risk

  N/A

• Damaged ULD being used ?

  Safe

  At Risk

  N/A

• Damaged Transporter being used?

  Safe

  At Risk

  N/A

• GSE Staged after use?

  Safe

  At Risk

  N/A

• Was proper chock removal process observed?

  Safe

  At Risk

  N/A

• Was proper disconnect process observed?

  Safe

  At Risk

  N/A

• Is water hose retracted and capped after use?

  Safe

  At Risk

  N/A

• Are Portable GSE units (Air starter, A/C and GPU) connected properly (No 3 points connections)?

  Safe

  At Risk

  N/A

Safety Behaviors

• Seat-belt observation: describe ramp, baggage or transfer

• Are Seat-belts being used where it is appropriate?

  Safe

  At Risk

  N/A

• Are agents observed transporting baggage on tugs or transporters ?

  Safe

  At Risk

  N/A

• Are carts/transporters observed with tongues down?

  Safe

  At Risk

  N/A

General Behavior

• Be specific about PPE observation. Delta agent, KLM agent or business partner agent?

• Observed agent without proper PPE (Safety Vest, steel toe shoes and hearing protection) in designated area?

  Safe

  At Risk

  N/A

• Is agent's uniform in compliance with Delta or KLM Brand?

  Safe

  At Risk

  N/A

• Be specific about Electronic device observation. Mark as Ramp/Bag-room/Transfers + location.

• Observed electronic device being used in operation?

  Safe

  At Risk

  N/A

• Add Comments or concerns. Or add something that was a Safety Observation that you want to highlight

• You are complete?

  Sign