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546 Application for Commercial Air Transport Flight Route Qualification

CAAP application form for commercial air transport flight route qualification

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: APPLICATION FOR
COMMERCIAL AIR TRANSPORT FLIGHT

INSTRUCTIONS
Print or type. Do not write in shaded areas, these are for CAAP use
only. Submit original only to the CAAP or a CAAP Authorized Person.
If additional space is required, use an attachment

ROUTE QUALIFICATION

A. APPLICATION IS HEREBY MADE FOR THE FOLLOWING PILOT ROUTE QUALIFICATION FOR COMMERCIAL AIR TRANSPORT:
1

ANNUAL ROUTE CHECK

3

RNP-SPECIFIC OPERATIONS

5

MNPSA OPERATIONS

2

SUPERVISED LINE FLYING

4

ER-OPS OPERATIONS

6

SPECIAL AREA (Specify):

B. RECORD OF AOC HOLDER PRE-CHECK NOTIFICATION TO CAAP SAFETY REGULATIONS DEPARTMENT:
1. DATE & TIME OF NOTIFICATION

2. CAAP OFFICER NOTIFIED

3. DATE/TIME CHECK SCHEDULED

4. LOCATION & CHECK PILOT

C. AIRMAN PERSONAL INFORMATION:
1. NAME (Last, First, Middle)

2. PERMANENT ADDRESS (Street or PO Box Number)

3. TELEPHONE AND FAX

4. CITY

5. STATE

6. MAIL CODE

7. COUNTRY

D. AIR OPERATOR REQUEST:
1.
I certify that that the pilot listed in Section C is ready for a route qualifying check:
3. ASSIGNED POSITION (PIC OR SIC,)
2. AIRCRAFT (MAKE, MODEL)
4. AIRMAN LICENSE NUMBER
7. AOC CERTIFICATE#:

6. AIR OPERATOR BUSINESS NAME:

10. SIGNATURE OF COMPANY OFFICIAL (DIRECTOR OF OPERATIONS OR CHIEF PILOT)

5. PILOT BASE MONTH (FOR LINE CHECK}

8. TELEPHONE

11. DATE SIGNED

9. FAX

12. PRINTED NAME AND TITLE OF COMPANY OFFICIAL

E. CHECK CONDUCTED BY: (Insert credential, certificate or designation number) #
1

CAAP-FSIS

5. DATE

2

3

APPROVED TRAINING ORGANIZ

6. TITLE

4

FLIGHT EXAMINER

CHECK AIRMAN

7. SIGNATURE

F. RESULTS OF ROUTE QUALIICATION CHECK: 1.

Annual Line Check:

(a)

Satisfactory

(b)

Lacks Standardization

(c)

Needs further observation as indicated

2.

Special Area of Operation:

(a)

Satisfactory

(b)

Lacks Standardization

(c)

Needs further observation as indicated

G. ASSESSMENT OF FLIGHT CONDUCT & STANDARDIZATION DURING ROUTE QUALIFICATION:
Instructions: In the left block in each column (1) Insert an “S” if observed satisfactory; or (2) Insert a “U” if observed unsatisfactory. Leave blank if not observed.
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OVERALL FLIGHT OPERATIONS:
Competence and proficiency?
Standardization with company procedures?
Good crew resource management?
Flight deck and cabin crew coordination
COMPLIANCE
Compliance with regulations?
Compliance with aircraft limitations?
Compliance with ATC clearances?
Compliance with the checklist philosophy?
Compliance with fuel carriage philosophy?
Compliance with sterile flight deck philosophy?
AWARENESS
Proper altitude awareness?
Proper airspeed control?
Proper visual vigilance and awareness?
AIRCRAFT PREPARATION
Aircraft loading satisfactory?
Aircraft servicing satisfactory?
Aircraft maintenance satisfactory?

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Aircraft ground deicing satisfactory?
DOCUMENTS AND RECORDS
Crew certificates satisfactory?
Crew manuals satisfactory
Aircraft certificates satisfactory?
Aircraft manuals satisfactory?
Maintenance records satisfactory?
Route guide and charts satisfactory?
Operational flight planning satisfactory?
FLIGHT DECK SETTINGS
Proper instrument settings?
Proper navigational settings?
Proper use of the navigation charts?
Proper equipment use and settings?
Proper use of FMS?
GENERAL PROCEDURES
MEL dispatch procedures accomplished properly
Preflight inspection accomplished properly?
Flight deck setup procedures accomplished
l ?
“Before Start” procedures accomplished properly?

H. CAAP CERTIFICATION:



1

ACCEPTABLE - NO FURTHER ACTION NECESSARY

CAAP Form 546 [0]2011



2

RE-EXAMINATION REQUIRED.
Control Number:

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“Engine Start” procedures accomplished properly?
“After Start” procedures accomplished properly?
“Before Takeoff” procedures accomplished
l ?
Appropriate takeoff briefing?
“After Takeoff” procedures accomplished properly?
LVTO procedures accomplished properly?
Fuel control procedures accomplished properly?
Correct altitude awareness procedures?
Correct navigation procedures?
Correct RNP procedures?
Correct MNSPA procedures?
Correct RVSM procedures?
Correct RVSM procedures?
Correct Communications procedures?
“Descent” procedures accomplished properly?
Appropriate approach briefing?
“Before Landing” procedures accomplished
l ?
Correct approach procedures accomplished
l Approach or Balked Landing accomplished
“Missed ?
l ?
“After Landing” procedures accomplished properly?
Were parking procedures accomplished properly?
Abnormal procedures accomplished properly?
Emergency procedures accomplished properly?
Aircraft in-flight anti- and de -icing satisfactory?
Severe weather avoidance procedures satisfactory?
Severe turbulence procedures satisfactory?
MANEUVER PROFILES AND CALLOUTS
Proper takeoff profile, procedures and callouts?
Proper departure profile, procedures and callouts?
Proper climb profile, procedures and callouts
Proper cruise profile and procedures?
Proper descent profile and procedures
Proper arrival profile, procedures and callouts?
Proper approach profile, procedures and callouts?
Correct CAT II profile, procedures & callouts?
Correct CAT III profile, procedures & callouts?
Visual or electronic glide slope used?
Proper landing profile, procedures & callouts?
Proper MA profile, procedures & callouts?
MISCELLANEOUS ISSUES
Proper security procedures followed?
Proper dangerous good procedures followed?
Flight deck door kept locked?
MAINTENANCE ISSUES
Aircraft and aircraft systems functioned properly7
PIC determined status of all maintenance defects
i
l l
di t h
PIC entered all indicationsl of ?
aircraft irregularities or
d f t iCREW LICENSES & EQUIPMENT
t hl ?
FLIGHT
Crew licenses appropriate for assigned duties?
Medical certificates appropriate for assigned duties?
Torch for each crewmember.
Individual aeronautical computing device?
Proper glasses for vision (including a spare set)?
AIRCRAFT-SPECIFIC CHECKLISTS & MANUALS
AVAILABLEnormal operations checklist
Condensed
Condensed emergency/abnormal checklists
Details of the aircraft systems and limitations?
Current Flight Crew Operating Manual?
Approved Flight Manual (specific aircraft serial #)?
Runway analysis manual (or AFM charts/ obstacle)
d t ?

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Performance and planning manual ?
Current MEL/CDL?
Loading manual (or ops manual section)?
Refueling manual (or ops manual section)?
FLIGHT PLANNING
Operational Flight Plan (manual or computer)
tl
i t
ti
Redispatch l l t d and/or executed properly?
planned i
“Master” flight plan designated and used?
ATS Flight Plan filed?
Navigation Log completed in accordance with
ifi ti
“Standard” flight plan (supported by operational
diti
)?
Weather reports, forecasts, charts appropriate and
lid f
Alternatefli ht? identified in flight planning?
airports
CURRENT NAVIGATION INFO & EQUIP
Fuel burn performance tables or graphs available?
Current route guide readily available?
Aeronautical information publication readily
il bl ?
Current navigational software for routing?
IFR departure navigation charts for each required
il approach navigation charts for each required
IFR t?
il enroute navigation charts for each required pilot
IFR t?
VFR enroute navigation charts for each required
il t
LOADING AND SERVICING FORMS AVAILABLE
Passenger manifest (and compared)?
Cargo waybills (and compared)?
Load Manifest appropriate to aircraft and signed by
?
CG takeoff (with stabilizer) and landing calculated?
Takeoff limitations calculated?
Dangerous goods notification provided?
Fuel and oil servicing forms reviewed?
AIRCRAFT TECHNICAL+ LOG
Appropriate maintenance release?
Maintenance discrepancies properly corrected?
Maintenance discrepancies properly deferred?
Appropriate DMI stickers in place?
Conformance with MEL dispatch procedures?
Proper completion of aircraft tech log?
FLIGHT DECK INSTRUMENTS & EQUIPMENT
Headsets available for all required crewmembers?
Boom microphones for all required crewmembers?
Microphones available for all required
b
?
Required communications radios operational?
Required nav radios for routing operational?
Required flight instruments operational
iti
ti
Other required equipment l operational?
FLIGHT DECK EMERGENCY EQUIPMENT
Operational safety harness for each required
Seatbelts b ?harness for all other occupants?
and
Quick-donning oxygen mask for each required
b ?
Regular oxygen mask for all occupants?
Adequate oxygen for the flight (altitude and time)
Smoke goggles for each required crewmember?
PBEs for each required crewmember?
First aid kit (with appropriate contents)?
Medical kit (with appropriate contents)?
Emergency evacuation means?
Emergency locating beacon?
Life vests for all occupants?
Crash axe?
 
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