CLEAR

DATE

FLT# Offload

RAMP AIRCRAFT PRE/POSTTRIP FORM A/C# GATE# ORG/DEST Onload Upper Deck

Lower Deck

All header information at the top of this form must be completed. Use the bullet points as a guide to complete each check. Indicate whether this is Offload or Onload. ALL times and dates on this form must be in LOCAL format. Answer“Damage Found?” for each section. If damage is found, complete the bottom section of this form. Ramp Operations Manual R3-5-5-2 explains form completion responsibility.

Exterior Pre Check must be completed PRIOR to OFFLOAD and/or PRIOR to ONLOAD. Document the start time when this check begins. Compartment checks must be completed AFTER OFFLOAD and/or PRIOR to ONLOAD. Compartment checks must be completed AFTER the Exterior Pre Check. Exterior Post Check must be completed AFTER OFFLOAD and/or AFTER ONLOAD is completed. Once each check is finished, complete Signature, EE#, and Time blocks.

Exterior Pre Check

Damage Found?

No

Yes

If yes, complete bottom of form.

Complete aircraft walk around checking for damage. (Pay close attention to wings, vertical stabilizer, areas around cargo doors, engine cowlings and wing tips for obvious external damage.)

Crew stairs positioned approximately between 2– 4 inches from aircraft.

Completed by Signature

EE#

Start Time

End Time

Main Deck Check

Damage Found?

No

Yes

If yes, complete bottom of form.

Cargo door net installed, if applicable. Check cargo door frame/seals for damage (external, internal gashes, dents). Crew luggage net is properly installed, if applicable. Check 9G net and smoke curtain/bulkhead for damage (zippers, velcro, vinyl, pins). Check restraint locks for damage, missing, proper orientation and placement.

Check for inoperative/missing PDUs and rollers. Check control panel/box to ensure proper operation. Check for holes in sidewalls and floor panels. Remove debris/FOD/inbound packages/ULDs. Check the condition of Halon hoses and fittings (aircraft receptacle) for proper working order (if applicable).

Completed by Signature

EE#

Completed Time

Forward Belly Check Aft Belly Check

Damage Found? Damage Found?

No No

Yes Yes

If yes, complete bottom of form. If yes, complete bottom of form.

Check cargo door/frame/seals for damage (external, internal gashes, Check restraint locks for damage, missing, proper orientation and dents). placement (Widebody only). Check for obvious holes in sidewall, floor, ceiling, and blow out Apply power and check for inoperative PDUs and missing rollers panels. (Widebody only). Remove debris/FOD/inbound packages/ULDs. Check control panel/box to ensure proper operation (Widebody& 757 only). Check door nets for damage (757).

FWD Belly Completed by Signature AFT Belly Completed by Signature

EE# EE#

Completed Time Completed Time

Aft Bulk Check

Damage Found?

No

Yes

If yes, complete

bottom of form.

Check cargo door/frame/seals for damage (external, internal gashes, Check net fittings and straps for damage, missing, and inoperable dents). components. Check for obvious holes in sidewall, floor, ceiling, blow out panels Remove debris/FOD/inbound packages. and smoke detector screens, as well as tears in Airbus curtains.

Completed by Signature

EE#

Completed Time

Exterior Post Check

Damage Found?

Complete aircraft walk around checking for damage. (Pay close attention to wings, vertical stabilizer, areas around cargo doors, engine cowlings and wingtips for obvious external damage.) Completed by Signature

No Yes If yes, complete bottom of form. Crew stairs positioned approximately between 2– 4 inches from aircraft. Start Time End Time

EE#

Document Damage Here If no damage is found leave this section blank. Only complete this section if Management/Designee and Local AMT/MOCC representative have been consulted and the damage/discrepancy reviewed has been determined to be“new”. Indicate A/C type and where damage was found on the section below and give a description of damage found. B-757 Main Cargo Door LH Wing Engine Fuselage

Print the name and employee number of the AMT/MOCC representative consulted and their employee number. Management/Designee confirming the damage/discrepancy was reviewed will sign this form and record employee number. Make an entry in the Aircraft Damage Form online at (keyword ADF). MD-10 MD-11 Aft Bulk Door R Wing Nose Gear

B-767

B-777

A300

A310 Halon Hose Other

Interior Cargo Compartment Forward Belly Door RH Wing Engine

Tail Aft Belly Door L Wing

Damage Description

Signature of qualified Ramp Agent, Team Leader, or Ramp Manager confirming the damage/discrepancy was reviewed and evaluated.

Print the Name/EE# of the AMT/MOCC representative consulted.

Name M-10122 Revised July 2013 - Ramp Engineering

EE#

Name

EE#