Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Station:

  • Select date

  • Observer Name:

  • Employee Number:

  • Flight Number:

  • Aircraft Tail Number:

  • What type of aircraft movement?

  • What is the schedule time of departure?

  • What was the actual time of departure?

Instructions: Please indicate "1" for compliance and "0" for not in compliance.

Pre-Arrival

  • Ramp crew at gate 10 minutes prior to arrival

  • FOD walk conducted by all team members

  • GSE staged outside buffer zone

  • Hearing protection and highly-reflective vest worn

  • PLB stored / staged in designated spot

  • 2 wingwalkers in place for arrival

  • Comments:

Arrival

  • Proper hand signals used

  • Proper wands used (lighted during dusk and night)

  • Marshaller stays in view of flight deck until safe to approach

  • Aircraft chocked properly and on stop mark

  • PLB operator verified area clear and waited for signal to approach

  • No approach until engines spooled down and beacon light off

  • Aircraft damage walk around complete including visible door edges

  • Cones properly places (9)

  • 2 stops and guide person used for GSE approach at approx 25 feet and 8 feet

  • No equipment touching aircraft

  • Belt loader boom/rail down on approach

  • No equipment driven under aircraft (except fuel truck MX vehicle)

  • Comments:

Unloading / Loading

  • Belt loaders chocked and (at least one) rails raised

  • No riding on moving belt

  • Cart brakes set, as required

  • No crossing towbars or walking between connected carts

  • No last-minute bags carried on tractor/loader

  • 2 inch max. load line in cargo compartments observed

  • All COMAT checked as Hazmat-free and weight on label

  • All cargo netting secured before bin doors closed

  • Comments:

Lav Service

  • Guideman used ( proper hand signals)

  • Equipment properly chocked

  • Comments:

Fueling

  • Truck properly parked, chocked, bonded to aircraft

  • Dead man switch used not bypassed

  • Comments:

Water Service

  • Lav truck and water truck at least 25 feet from each other

  • Water hose nozzle does not contact ground

  • End cap used and hose stored properly

  • Comments:

Catering

  • Vehicle marshaled up to aircraft with safety stops

  • Truck is chocked and rear door closed

  • Gap between separator and A/C is less than 12 feet

  • No adjustments to the platform after door is open

  • Comments:

Departures

  • Pre departure FOD walk completed

  • Pre departure walkaround completed

  • Belt loader booms/rails down during retract

  • GSE staged outside safety buffer zone

  • GPU cord removed before PLB movement

  • PLB properly parked using a guide person

  • 2 wing walkers in position

  • Proper hand signals used

  • Proper wands used (lighted during dusk and night)

  • Pushback conducted at proper speed

  • Proper salute and release from guidance signal

  • Comments:

Aircraft Security

  • All doors shut and secured including jet bridge

  • Air stairs removed from aircraft

  • Secure cargo doors and shut exterior accessible compartments

  • Comments:

General

  • No PEDs in use on ramp

  • Speed limit observed

  • Ramp team is not rushing to avoid delay. No "short cuts" taken.

  • Hearing protection and highly-reflective safety vest worn

  • Comments:

Training

  • Are all working teammates Pelesys qualified?

  • If no, please list teammate name, course missing, and status. I.e, incomplete, failed

  • Comments:

  • Do you have any media to attach?

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.