USAirways Express Safety Audit Copy

• Document No.

• USAirways Express Safety Audit

• Conducted on

  Date

• Prepared by

• Station:
  Address

• Flight #

Flight observations

Arrival

• A. Is ramp area clear and obstacle free prior to and during marshaling?

  Yes

  No

  N/A

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• B. Are correct hand signals used?

  Yes

  No

  N/A

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• C. Are guide persons used if necessary?

  Yes

  No

  N/A

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• D. Are day wands or night wands used as appropriate?

  Yes

  No

  N/A

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• E. Are long chocks used to span both nose gear tires (or two short chocks)

  Yes

  No

  N/A

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• F. is a 360` Post arrival Walk-Around completed within 10 minutes of aircraft arrival?

  Yes

  No

  N/A

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• G. Are proper Jetway positioning procedures followed?

  Yes

  No

  N/A

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• H. Are the correct number of cone used?

  Yes

  No

  N/A

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• I. Is the placement of the cones correct?

  Yes

  No

  N/A

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• J. Are cones in place before equipment is positioned to aircraft (except belt loader)?

  Yes

  No

  N/A

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• K. Did employees ensure there were no 3-way connections?<br><br>If yes, select all from the list below

  Yes

  No

  N/A

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• Please select GSE used that could have been a 3-way connection

  Select GPU LAV Cart Air Start Heater Utility Stairs

  • GPU
  • LAV Cart
  • Air Start
  • Heater
  • Utility Stairs

• L. Did employees avoid walking through the prop arc or in-between the prop arc and fuselage?

  Yes

  No

  N/A

• M. Was passenger movement monitored on the ramp?

  Yes

  No

  N/A

• N. Did employees avoid walking under the wing of the A/C ?

  Yes

  No

  N/A

Loading

• O. Was ground equipment (belt loader, portable air stair, etc...) positioned so not to come in contact at any time<br>with the A/C?

  Yes

  No

  N/A

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• P. Did employees stop completely at the boundary of the DIAMOND of SAFETY before entering?

  Yes

  No

  N/A

• Q. Did employees adhere to the 5 foot rule?

  Yes

  No

  N/A

• R. Did employees secure ground equipment used on A/C or in area?

  Yes

  No

  N/A

• S. Were correct cargo loading and CLR procedures followed?

  Yes

  No

  N/A

• T. Was A/C netting utilized if required?

  Yes

  No

  N/A

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Departure

• U. Were cones in place until after ground equipment (except belt loader) was removed?

  Yes

  No

  N/A

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• V. Were cones in place until A/C was ready for dispatch?

  Yes

  No

  N/A

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• W. Was tow bar shear pin correctly installed?

  Yes

  No

  N/A

• X. Was headset used during pushback?

  Yes

  No

  N/A

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• Y. Were guide persons used during pushback?

  Yes

  No

  N/A

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• Z. Were wands utilized during pushback?

  Yes

  No

  N/A

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• Z1. Were correct hand signal procedures used during pushback?

  Yes

  No

  N/A

• Z2. After pushback, was tow bar disconnected from tug prior to disconnecting form A/C?

  Yes

  No

  N/A

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• Z3. - observed double tap on communications panel and double clap signal given to flight crew

  Yes

  No

  N/A

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