Form №:SL/QMS/16

Contracted Fuel Providers Revision: 00

Audit Checklist Issued 25 Jan 21

CONTRACTED FUEL PROVIDERS

Name of Operator:
Date of Audit:
Title:
Auditor(s): /
Location:
Assessment Code:
S= Satisfactory
U = Unsatisfactory, mark this column if you determine that the document or individual line item does not
comply
N/C= Not Checked, Reasons should be given in remarks column
N/A= Not Applicable, mark this column if it is not applicable or you do not have adequate information to make
a valid comment.

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 Assessment
GENERAL INFORMATION S U N/C N/A
1. Name of Installation

2. Type of installation

3. Type Base

4. Does this location have a Fuel Reclamation System/Tank?

5. Is there a Depot Manual for actions relating to fueling, training,

maintenance, and quality control?
6. Are procedures followed by the fuel staff?

7. Is the previous review report available?

Discrepancies remedied?
Remarks:

FUEL TANKS S U N/C N/A

8. Are the tanks constructed of stainless steel or interior epoxy coated
carbon steel?
Transport Tanks
9. Operator/Owner Inspection
10. NTSA Inspections: Are dates recorded on the transport tank data
plate?
 Transport Tank Intermediate Inspection
 Transport Tank Recertified
11. Are seals on tank inspection hatches and caps in good condition?
12. Do tank openings have tamper proof witness seals to verify contents
are untampered?
13. Is there a method of pressure relief?
Is it inspected and calibrated?
14. Labeling – Proper for Jet Fuel?
15. For multiple tanks; are tanks used in order of receipt?
Is there a control system?
Bulk Tanks
16. How often are bulk tanks inspected?
17. Labeling – Proper for Jet Fuel?

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18. Are tanks sloped 1-20 towards the sump drain?
19. Does tank have floating suction or draw pipe located off tank
bottom?
20. Is the tank bottom-filled or have a down pipe to stop free fall of
the fuel?
21. Is clearance under drains sufficient to permit direct drain
samples?
22. Do tank openings have frangible witness seals to verify contents
are untampered?
23. Are tanks labeled with fuel type?
24. Are pipelines labeled with fuel type?
25. Bonding
Is tank bonded to ground and continuity checked and recorded?
26. What method of verifying fuel quantity is available?
27. Is there a method of pressure relief?
Is it installed?
Calibrated (if applicable)?
28. Are inlet and outlet valves labeled with fuel type? (Not
required all regions)
Remarks:

PUMPS S U N/C N/A

29. Pump running warning light installed?
30. Is a non-reversing valve fitted downstream of the pump?
31. Are stop/start buttons or valves adjacent to equipment and within the
sight of the refueler and accessible?
32. Is a pressure gauge fitted to the outlet of the pump?
Is it calibrated and results recorded?
Remarks:

FILTERS S U N/C N/A

33. Are filter/separator and/or filter/monitor units installed?
34. Are records of filter changes logged on Quality Control records?

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35. Are filter canisters/housings marked with last date of filter change?
36. Are filter/separators equipped with a water defense system?
37. Are the filter/separator units drained daily, inspected, tested for
water, and results recorded on Quality Control records
38. Do the filters have automatic air eliminators?
Remarks:

FUEL DISPENSING UNIT S U N/C N/A

Differential Pressures
39. Readings recorded (25 psi Maximum)?
(A reading of zero indicates filter is in bypass and should be
replaced.)
40. Are filter pressure differential checks completed daily or when the
refueling equipment is being used for that day?
Are checks recorded?
41. Are the gauges calibrated?
42. Meter
Is the delivery meter calibrated/
controlled and results recorded?
Pressure Gauge
43. Is a pressure gauge fitted at dispensing cabinet?
Is it calibrated?
44. Is dispensing equipment exposed or fitted into a cabinet?
45. Is system located below helideck landing level?
Bonding Cable
46. Is there a bonding cable installed and being used
47. Is the bonding cable serviceable?
Has the continuity been checked and recorded? (less than 25
ohms)
Hoses
48. Is refueling hose in good condition?
49. Is hose marked as per API 1529 spec?
50. Is hose replaced in accordance with manufacture or regulatory
guidance?
51. Is the fuel hose marked with date?

Fuel Nozzle
52. Are fuel nozzles capped when not in use?

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53. If open port refueling; does the fuel nozzle have a cone filter
fitted?
Is this filter inspected for cleanliness?
54. Do fuel nozzles have bonding cables?
Has the continuity been checked and recorded? (less than 25
ohms)
Remarks:

SAMPLING S U N/C N/A

55. Are fuel samples taken from the fuel nozzle, filter, and tank sump
prior to the first flight of the day?
56. Are these fuel samples inspected and tested for water/contamination?
57. Are the results of these tests recorded?
58. Are a sufficient number of fuel samples from aircraft, tank sumps,
and fuel filters retained until the end of the flight day to verify fuel
quality at all stages of handling?
59. Are there a sufficient amount of fuel sample jars available?
Remarks:

FIRE FIGHTING S U N/C N/A

60. Is fire-fighting equipment available? (At least one Fire Extinguisher
Type B:C)
61. Are fire extinguishers tagged and inspected at least monthly?
62. Are fueling personnel trained on the use of fire-fighting equipment?
63. Are fire drills conducted periodically and recorded? (Manned
locations only)
Remarks:

QUALITY CONTROL and RECORDS S U N/C N/A

64. Are water detection kits (capsules or tubes)
used to check fuel samples?

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 Are the kits being used before the labeled expiration date?
65. Are quality control checks made in accordance with the previous
recommendations for all equipment, fuel sampling, maintenance
programs, etc.?
Is there a documented record of these QC checks on file
66. Are logs/checklists available to indicate the required checks are being
performed? (See previous references for frequency of inspections)
67. Are records for Daily, Monthly, Semi- annual, and Annual Fuel
System checks retained in local files for at least 12 months?
68. Are calibration records available for all equipment, meters, gauges,
and pressure relief valves which require calibration?
69. Is fuel settling times observed? (One hour per one foot of fuel depth)
70. Is fuel tested before loading it into bulk or transport tanks?
Is there a record maintained of this testing?
71. Is there a Quality Assurance program for transport tanks to verify
they are sealed on receipt at destination?
72. Do Quality Control records allow tractability of fuel back to its
source?
Remarks:

TRAINING S U N/C N/A

73. Is there a fuel training and qualification program?

74. Are training records available for personnel maintaining the fuel
systems and conducting aircraft refueling?
75. Is competence checked periodically?

Remarks:

SAFETY S U N/C N/A

76. Are No Smoking, Flammable, and Product ID signs prominently
displayed?
77. Is there an Emergency Fuel Shut-off system and is it marked in
accordance with (National Fire Protection Association) NFPA 407?
(This standard outlines vital safety provisions for procedures,

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 equipment, and installations in order to protect people, aircraft, and
other property during ground fuel servicing of aircraft using liquid
petroleum fuels)

Is it tested periodically?
78. Are the appropriate Material Safety Data Sheets (MSDS) available?

79. Is an eyewash station available?

80. Are spill cleanup and containment supply available?

81. Are gloves and eye protection worn during fuel handling operations?

Remarks:

Auditor’s Assessment & Recommendations

Name & Signature of Auditor(s) Date:

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