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Station Surveillance Check Sheet A –Arrival Station: Check sheet A to be filed locally for 2 years
Date: Flight: Reg.: A/C Type: Classification Findings
Safety Related Findings shown in bold letters, Follow up with Check Sheet B – Reporting according QAM Ch. 7 Non-Safety Related Finding, Follow up with Check Sheet B – Reporting according QAM Ch. 7 Non complaint or objection Not applicable or not checked
Arrival Reference Comment
Operational messages received in time (MVT, LDM, CPM, etc.): AHM 6.4, 6.8, 6.9, 6.10.1
Ramp free of FOD: AHM 1.3.5
Necessary equipment positioned safely and manned in due time. AHM 1.3.4
NO equipment within the operational safety zone until anti-collision lights are off:
AHM 1.3.4 IATA AHM 630
Chocking according OS requirements: AHM 1.1.15, AHM Vol. 2, 7.17
Safety cones are placed according OS requirements: AHM Vol. 2, 9.9
Securing of restricted areas during disembarkation (DAA): AHM Vol. 2, 11. 9.1
Aircraft inspected for damage after arrival: AHM 1.1.14
Ground stability observed during unloading: AHM Vol. 2, 5.6
NOFIT positions visible from door: AHM, Vol. 2, 4.6
Incoming ULDs are properly secured (all locks raised incl. NOFIT):
AHM 4.2, Vol. 2, 4.6
All compartment divider nets are in place: AHM 1.1.3, Vol 2, 11.4.1
Minimum distance between aircraft and moving vehicles is kept: AHM, Vol. 1, App. H
Breaks of GSE, dollies, stairs are set and engines turned off when not manned:
Airsideordnung , IATA AHM 630
Loading sequence according OS requirements (cargo, mail baggage): AHM 4.3
Segregation and incompatibility of special load/DG observed: AHM 4.7.3.
Special load properly secured in compartment (AVI, DG, HEA):
AHM 4.7.1, 4.8, 4.9
DG received in good order and condition: AHM 4.7.1
Baggage separation according OS requirements: AHM 4.1
ULDs loaded in correct alignement: AHM 4.2
ULDs correctly prepared (special load, DG, curtain, etc.): AHM 4.2
ULD tags are used and filled in correctly (mail, cargo, DG): AHM 4.1, 4.2, CHM 5.3.10
Only serviceable ULDs are used: CHM 5.2.4 AHM 4.2
Locks for ULDs on dollies are set: IATA AHM 630
Deadload is properly protected against snow/rain: AHM 4.2, 4.3
Sealing of catering units loaded in hold: CBM 1.2.5
Incoming CPM/LDM correspond to actual loading: AHM 6.8, 6.9
DAA are labeled and handled according OS requirements: AHM 4.1, 5.3.1, PHM 11.3.4
WCHR and babystrollers are labeled and handled according OS requirements:
AHM 4.1, 5.3.1, PHM 11.3.4
Empty Compartment check: AHM 1.1.2
Aircraft sealing according OS requirements: AHM 1.1.6
Visible and valid identification is worn by staff on ramp: ICAO Annex 17
Checked by: Signature:
Station Surveillance Check Sheet A - Departure
Station:
T/DQA/FORMS/LSSS last edited JUL12/OV
Check sheet A to be filed locally for 2 yearsDate: Flight: Reg.: A/C Type:
Classification Findings Safety Related Findings shown in bold letters, Follow up with Check Sheet B – Reporting according QAM Ch. 7 Non-Safety Related Finding, Follow up with Check Sheet B – Reporting according QAM Ch. 7 Non complaint or objection Not applicable or not checked
Departure Reference Comment
Necessary equipment positioned safely and manned in due time: AHM 1.3.4
Ramp free of FOD: AHM 1.3.5
Chocking according OS requirements: AHM 1.1.15, Vol. 2, 7.17
Safety cones are placed according OS requirements: AHM Vol. 2, 9.9
Adj. EZFW sent to dispatch 180 (120 VIE) min prior departure for longhaul flights: AHM 6.12
Safety regulations are observed during fueling (e.g. escape route of fuel truck is not blocked): AHM 1.2.1
Empty Compartment check: AHM 1.1.2
Deadload is properly protected against snow/rain: AHM 4.2, 4.3
Breaks of GSE, dollies, stairs are set and engines turned off when not manned:
Airsideordnung,IATA AHM 630
Min. distance between aircraft and moving vehicles is kept: AHM, Vol. 1, App. H
Locks for ULDs on dollies are set: IATA AHM 630
Ground stability observed during loading: AHM Vol. 2, 5.6
Loading sequence adhered to (cargo, mail baggage): AHM 4.3
ULD tags are used and filled in correctly (mail, cargo, DG): AHM 4.1, 4.2; CHM 5.3.10
Dangerous Goods checked for damage prior to loading: AHM 4.7.1
Special load properly secured in compartment/ULD(AVI, DG, HEA):
AHM 4.7.1, 4.3, 4.9
Only serviceable ULDs are used: CHM 5.2.4
ULDs loaded in correct alignment: AHM 4.2
Segregation and incompatibility of special load/DG observed:
AHM 4.7.3., Vol. 2, 4.6
Outgoing ULDs are properly secured (all locks raised incl. NOFIT):
AHM 4.2, Vol. 2, 4.6
Outgoing ULDs are correctly prepared (DG, special load, curtain, …): AHM 4.2
NOFIT positions visible from door: AHM Vol. 2, 4.6
Baggage separation according to OS requirements: AHM 4.1
Sealing of catering units loaded in hold: CBM 1.2.5
All compartment divider nets are in place: AHM 1.1.3, Vol 2, 11.4.1
DAA are labeled and handled according OS requirements:AHM 4.1,5.3.1 Vol.2 ,5.2, PHM 11.3.4
WCHR and babystrollers are labeled and handled according OS requirements:
AHM 4.1, 5.3.1, PHM 11.3.4
Flight docs delivered in time (NOTOC completed): AHM 5.5
Walk around check is performed (DH8-4: lock plate is flush with door handle): AHM 1.1.14
No equipment within the operational safety zone after anti collision lights are turned on: AHM 1.3.4
Communication ground to cockpit by use of head-set: AHM 1.1.4 and 1.1.9
Aircraft sealing according OS requirements: AHM 1.1.6
All deadload is reflected on loading instruction and final loading report (incl. signatures) corresponds to final loadsheet:
AHM 2.4.2 and 2.6
Visible and valid identification is worn by staff on ramp: ICAO Annex 17
Dispatch of messages (MVT, LDM, CPM, UCM, etc.): AHM 6.3, 6.8, 6.9, 6.10.1
LDM/CPM correspond to loadsheet and loading instruction: AHM 6.8, 6.9
Content of trip file according OS requirements: AHM 2.1
Checked by: Signature:
T/DQA/FORMS/LSSS last edited JUL12/OV
