Lumiform Mobile audits & inspections
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Work Safety Audit – Ground Staff

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Locations with Employees
1.0) Are work area floors clean and dry? Is drainage maintained?
1.1) Are "wet floor" signs available for employee use in break rooms?
1.2) Are aisles and passageways clear?
1.3) Are railings installed and used on open-sided floors or platforms that are 4 ft. or higher above the adjacent level (30 inches in CA)
1.4) Are load limits posted on elevated storage areas? (storage areas on top of office ceilings or baggage conveyor belts)
1.5) Are exit routes clearly marked? (exit sign letters must be 6 inches high and 3/4 inches wide)
1.6) Are exit routes clearly marked? (exit sign letters must be 6 inches high and 3/4 inches wide)
1.7) Are exit routes free of obstruction?
1.8) Are arrangements made to prevent snow/ice accumulations outside of exits?
1.9) Is the facility in a generally clean and sanitary condition?
1.10) Are precautions taken to prevent rodents, insects, etc.?
1.11) Is a professional extermination program undertaken when necessary?
1.12) Are washing facilities sanitary (soap and towels available)?
1.13) Are refrigerators, ice makers, and food preparation areas clean and sanitary?
1.14) Are ice makers/ice boxes intended for aircraft catering free of personal food containers or drink bottles?
1.15) Are waste receptacles leak-proof, and have tight-fitting covers wherever insects or rodents may be a concern? (i.e. - break rooms)
1.16) Are water cooler filters changed according to manufacturing guidelines, and are dates documented legibly on the filter?
1.17) Are all overhead ceiling panels in place, and in good repair?
1.18) Are tables, chairs and other furniture in good repair?
1.19) Are first aid kits readily available and sufficiently stocked? (Safety Manual Section 8 Page 5)
Fire Extinguishers
2.0) Are portable extinguishers fully charged, operable, and in designated locations?
2.1) Are extinguisher locations clearly marked? (i.e.-locator signage posted; clear zones painted around wheeled extinguishers)
2.2) Are portable extinguishers securely mounted to walls?
2.3) Is access to extinguishers securely mounted to walls?
2.4) Are monthly inspections documented? (Inspection tags attached, or written records on file)
2.5) Are annual inspection records attached to extinguishers?
2.6) Is the intended use marked conspicuously on each extinguisher? (i.e. - A, B, C ratings)
2.7) Overhead sprinklers unobstructed (minimum of 18 inches between sprinkler head and nearest surface?)
PPE / General Employee Safety
3.0) Is eye protection worn as required? (servicing, lavatories, deicing)
3.1) Are safety vests worn as required?
3.2) Is proper personal protective equipment used and in a sanitary, reliable condition? (Including hearing protection, goggles, face shields, chemical gloves)
3.3) Are eye wash and shower facilities with 15-minute flow capacity available for employees exposed to corrosives?
3.4) Are the locations of eye wash and shower facilities well marked?
3.5) Are plumbed eye washes & showers inspected monthly and records retained for one year?
3.6) Eyewash nozzles covered on plumbed units?
3.7) Are dates on portable eye wash bottles current?
3.8) Are forklift drivers wearing seatbelts?
3.9) Employees riding only in seats provided with arms and legs inside vehicles?
3.10) Employees riding only from riding belt loader belts, or using them as personnel lifts?
3.11) Employee refrain from horseplay or unsafe behavior?
3.12) Employees remain clear of moving equipment?
3.13) Employees wearing hearing protection?
3.14) Employees wearing proper footwear?
3.15) Handrails available on all beltloaders?
3.16) California Only: Is State Heat Illness Prevention Program followed?
4.0) Are flexible cords prohibited as a subtitle for fixed wiring where run through holes in walls, ceilings or floors; or where run through doorways, windows or similar openings where insulation may wear through?
4.1) Are heavy appliances (refrigerators, toaster ovens, microwaves) plugged directly into wall outlets? (i.e. - no power strips)
4.2) Are electric cords in good condition, or repairs properly spliced? (No splits on outer insulation, or insulation pulling away from plug ends; no tape repairs allowed)
4.3) Are grounding prongs intact on all 3-point cord plugs?
4.4) Are all light bulbs in place in light fixtures? (No open sockets)
4.5) Are circuit breaker panels unobstructed (i.e 36 inch clear zone)?
4.6) Are doors installed on circuit breaker panels?
4.7) Are circuit breakers properly identified and clearly labeled?
4.8) Are unused circuit openings in breaker panels properly closed/covered (i.e. - with rigid plates, not tape)>
4.9) Do electrical outlets and light switches have cover plates?
4.10) Are Ground Fault Circuit Interrupter (GFCI) outlets provided where water or shock hazards are present?
Storage and Handling of Flammable and Combustible Liquids
5.0) Are proper hazard labels on containers and flammables storage cabinets? (NFPA or bar code labels)
5.1) Are flammable liquids stored in approved containers/cabinets?
5.2) Are fully functional 3-point locks, or other positive locking devices, in place on flammable storage cabinets?
5.3) Are suitable fire extinguishers available in flammables storage areas?
5.4) Are "No Smoking" signs posted around flammable/combustible storage and use areas?
5.5) Are combustible wast materials kept to a minimum, stored in closed metal containers and emptied regularly?
6.0) OSHA Safety and Health Protection on the Job poster displayed?
6.1) OSHA 300 log current? (OSHA Trac)
6.2) OSHA 300a summary log posted between Feb. 1 - April 30th?
6.3) Hazard Communications lesson completed by all employees? (2011: O9651 / 2013: O9653)
6.4) Environmental Awareness training completed by all employees? (O9896)
6.5) Hearing protection and Fire Safety completed by all employees? (I0010)
6.6) Powered Industrial Truck training on file for all employees (every 2 years, 2012: HQ2012)
6.7) Fall Protection Inspector HE4000 (if no, deicing harness and lanyard should have been inspected)?
6.8) Harness / Lanyard inspection form on file for all deicing equipment?
6.9) Current month safety meeting minutes posted?
6.10) 3 month of safety meeting minute on file?
6.11) Vendor checklist maintained for 1-year following completion of work?
6.12) Daily equipment checks?
Aircraft Handling
7.0) Are parking brakes engaged on unattended vehicles/equipment.
7.1) Are motors turned off when equipment is left unattended (operator more than 25-ft away, or out of sight)?
7.2) Are vehicle motors turned off during fueling?
7.3) Are electric vehicles charged away from sources of flame and ignition?
7.4) Are employees observing speed limits and posted roadway markings?
7.5) Vehicles & carts free of FOD?
7.6) Ramp free of FOD?
7.7) Smoking allowed only in authorized areas?
7.8) Safe lifting techniques utilized?
7.9) Employees remain clear of operating aircraft engines and propeller arcs?
7.10) Employees refrain from walking under the wings?
7.11) Employees using proper procedures for opening, closing, and accessing cargo compartments?
7.12) Are MAPS of Safety Vest required areas posted on ramp/AOA access points?
7.13) Employees wearing safety vests?
7.14) 8-foot safety stops performed?
7.15) 5-foot clearance zone around aircraft observed?
7.16) Guide person used for moving the jetbridge? (Skywest)
7.17) Arm rests in lowered position during operation of Lektros?
7.18) Speed limits and roadway markings observed?
7.19) Curtains closed on bag carts?
7.20) Employees refrain from placing bags on top of carts or hoods?
7.21) Jetbridge adapter curtains fastened to the jetbridge at the top and bottom of each curtain?
7.22) Aircraft right-of way observed?
8.0) Safety walk / FOD walk performed prior to arrival?
8.1) Equipment parked outside of aircraft clearance lines (I.e. - red zone)?
8.2) All parked equipment chocked?
8.3) Parking brakes set on all parked equipment?
8.4) Chocks positioned as required/
8.5) Aircraft ramp markings fully visible? (Lead-in lines and safety zones)
8.6) Wing-walker(s) in position as required?
8.7) Proper wands used for all signals?
8.8) Safety cones positioned as required?
8.9) Aircraft properly choked? (main gear when required)
8.10) Chocks in good condition?
8.11)Visual safety check performed prior to moving jetbridge? (jetbridge marshaled when required)
8.12) Arrival walk around performed to check for obvious signs of ground damage?
8.13) Customers properly supervised and escorted
8.14) Ground equipment disconnected form tow vehicles while in use?
8.15) Orange sock procedure used on portable GPUs?
8.16) Belt loaders properly positioned (not touching aircraft)?
9.0) Pre-departure walk-around performed
9.2) Proper wands used for all signals?
9.3) Interphone and required signals used during pushback operations?
9.4) Panel tap procedure followed (comm and nose steering disconnect panel doors)
9.5) Night wands used for dusk / early dawn departures?
9.6) Verify marshaller knows the proper signal for engine fire.
9.7) Are headsets available and operational for pushback operations?
Condition of Equipment
10.0) Are vehicles maintained in a safe condition? (operable lights, brakes, horns, etc.; operating placards in place)
10.1) Are OTS vehicles and other ground equipment tagged "Out of Service"?
10.2) Do employees refrain from using out of service vehicles and ground equipment?
10.3) Air stairs
10.4) Boarding adapter ramps
10.5) Bag carts
10.6) Valet carts
10.7) Towbards
10.8) GPU in proper operating condition
10.9) Belt Loaders
10.10) Airstairs
10.11) Lav Carts
10.12) Deice trucks/carts
10.13) E-stops in place and working
General Certificate Requirements
11.0) Proper bag scan procedures followed? (scan-load-scan-load)
11.1) Are quarterly Safety self-audits being conducted? (most recent audit on file)
11.2) Dangerous Goods training completed by all employees? (2011-2012: O2700)
11.3) AC Search Training Record on file for employees who conducted the aircraft search?
11.4) AE ramp safety observations being performed on a regular basis?
11.5) GM ER Workshop completed (Course: M0157)?
11.6) Notification Section of the SEPM matches the 911 star?
11.7) Notification Section up to date?
11.8) Airport Map and Vicinity Map correctly placed in the SEPM (AE/AA only)
11.9) Annual Site Team Kit audit complete?
11.10) Annual Command Center Team Kit audit complete?
11.11) Can employees locate the online SEPM and Station Notification section?
11.12) Can employees locate and access the hardcopy SEPM during all hours of operation? (not locked in an office)
11.13) Can employees locate the online Safety manual and SOM?
12.0) Are SIDA badges worn above the waist on the outer most gament?
12.1) Flight crew ID verified during crew swaps?
12.2) Security doors monitored at all times?
12.3) Are agent signing out of set when they walk away?
12.4) Do Agents know who the GSC on duty is?
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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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