Class/Type Rating SPA (Single Pilot Aeroplane) except HPCA ... · INAC – Departamento de...

INAC – Departamento de Licenciamento de Pessoal e Formação Rua C - Edifício Santa Cruz - Aeroporto da Portela 1749-034 Lisboa – PORTUGAL

Class/Type Rating SPA (Single Pilot Aeroplane) except HPCA – Skill Test / Prof. Check

DLPF Form 012 Revision Date

03/04/2014 Page 1/6

1) Preencher preferencialmente por via eletrónica, caso contrário deve utilizar letras MAIÚSCULAS com tinta azul ou preta Preferably complete electronically, otherwise use CAPITAL letters with blue or black ink 2) Examinador em supervisão, referir em “C3” e preencher “DLPF Form 003” Examiner under supervision mention in “C3” and fill the form “DLPF Form 003”

3) Em caso de Emissão Inicial e Renovação preencher as secções A e C In case of Initial Issue and Renewal fill section A and C

4) Em caso de Revalidação preencher a secção C In case of Revalidation fill section C

Nome do candidato: Applicant´s name ....….……………………………………………………………………………………………………………………………………………………………..

Nº de licença:

Licence number …………………………………..……………………………

Prova de Voo Inicial Initial Skill test Monomotor Single Engine

Multimotor Multi Engine

Avião: Aeroplane

EASA list of CR/TR ….………………….....………………………..…………….…

Revalidação de CR /TR CR/TR revalidation Renovação de CR/TR, expirado: * CR/TR renewal, expired: *

< 3 meses

< 3 months

Entre 3 meses e 1 ano Between 3 months and 1 year

Entre 1 e 3 anos Between 1 and 3 years

Revalidação de IR IR revalidation Renovação de IR, expirado: * IR renewal, expired: *

< 3 meses < 3 months

Entre 3 meses e 1 ano Between 3 months and 1 year

Entre 1 e 7 anos Between 1 and 7 years

Repetição de ST/PC com aprovação parcial Repetition of partial passed ST/PC

Repetição de ST/PC Repetition of failed ST/PC efetuado na data: from date

dd/mm/yyyy

………………………………..

A - Declaração da ATO ATO declaration * Em anexo envia-se certificado/outro documento comprovativo.

* Certificate/another document in attachment. A preencher pelo Diretor de Instrução

To be completed by the Head of Training

Nome da ATO: Name of ATO .……………………..…………………………………………...……………………..….………………………

Número de Certificado ATO: Certificate number of ATO ….…………………………………..……………………..….………………………

A organização de formação confirma que o candidato cumpriu o programa teórico e treino de voo aprovado de forma satisfatória. I confirm that the experience of the applicant comply with the applicable requirements of Part-FCL

Nome do DI: HT´s name …………………………………….…………………………………………………………………………………..

Assinatura do DI: HT´s Signature ………….……………………………………………………………………………………..……………

B - National Procedures Declaration Only for NON-INAC EXAMINERS

To be completed by the examiner

“I hereby declare that I, (complete name) ………………………………..………………………………………………………….…………………………………………………………………………………………………………………………..

have reviewed and applied the relevant national procedures and requirements of the applicants Competent Authority contained in version

…….…..….………………………………………..… of the Examiner Differences Document.” Examiner´s signature: .………………..………………………………….…………………………………………………

C1 - Detalhes da verificação Check details A preencher pelo examinador


Data Date

Tipo de avião Aeroplane type

Matrícula/Refª certificado FSTD Registration/FSTD certificate reference

Nível do simulador Simulator Level

Tempo total Total time

dd/mm/yyyy ………………………………..

………………………………..

…………………………………………………………………

……………………….……………..

hh:mm ………………………………..

Aeródromo de partida Departure

Aeródromo de destino Destination

Calços retirados

Block-OFF Calços colocados

Block-ON Descolagens

Take-offs Aterragens

Landings

……………………………..……….……………..

…………………………………..…………….. hh:mm

……………………………….. hh:mm

………………………………..

………………………………..

……………………………….

C2 - Resultado da verificação Check result ** Mencionar razão para os itens reprovados, referir em “E”

** Mention reasons for failed items in “E” A preencher pelo examinador


Apto Pass

Não apto * Fail **

Parcialmente apto * Partial pass **

Assinatura do candidato:

Applicant´s signature ……………………………………………………..………………

C3 - Observações Remarks A preencher pelo examinador


.……………………………………………………………………………………………………………………………………………………………………………………………………………………………………

.……………………………………………………………………………………………………………………………………………………………………………………………………………………………………

.……………………………………………………………………………………………………………………………………………………………………………………………………………………………………

.……………………………………………………………………………………………………………………………………………………………………………………………………………………………………

C4 - Apenas para revalidação Only for revalidation A preencher pelo examinador


Confirmo que revalidei no dorso da licença com nova data de validade de: I confirm that the endorsement of license was made with new validity of:

dd/mm/yyyy ………………………………..

C5 - Declaração do Examinador Examiner Declaration A preencher pelo examinador


Confirmo que a experiência do candidato cumpre com os requisitos aplicáveis da Part-FCL. I confirm that the experience of the applicant comply with the applicable requirements of Part-FCL

Confirmo que as manobras e exercícios requeridos foram completados. I confirm that the required manoeuvres and exercises have been completed

Nome: Name …………………………………………………………………………………………………………………………………

Número de certificado de examinador: Examiner´s certificate number ………………………………………………………….………

Local e data: Location and date …………………………………………………………………………………………………………………

Assinatura do examinador: Examiner´s signature .……………………………………….……………………………………………………




03/04/2014 Page 2/6

General Requirements Fill by ATO/Examiner/Applicant Examiner

Check INAC only

Certificate ATO Examiner Certificate Certificate FSTD Document of identification Pilot License EASA Medical Certificate Logbook filled and signed

Certificate Certificate Certificate Copy If applicable Class 1 or 2 Logbook

Valid until: ………………………………….. Valid until: ……………….…………………. Total hours: …………………………………

□ □ □ □

⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝

Chose the applicable (Initial or Revalidation or Renewal)

Initial Issue CR/TR Requirements Fill by ATO

INAC only

1) Training course 2) Theoretical knowledge examination 3) Skill Test *

Certificate ATO Certificate ATO

⃝ ⃝ ⃝

Revalidation CR/TR/IR Requirements Fill by ATO/Examiner/Applicant Examiner

Check INAC only

Only for IR Revalidation – Last IR prof. check was performed: □ Aeroplane □ FNPT II □ FFS □ ⃝

1) Prof Check ** or 2) Experience (chose the applicable A or B)

□ or □

⃝ or ⃝

A – Multi Engine (During validity of the rating) Multi-Engine

a) Route sectors or b) Route sector or FFS ***

Min 10 or Min 1

Nº sectors: ……………………………………

□ or □

⃝ or ⃝

B - SEP aeroplane or TMG SEP/TMG

Flight time: (within 12 months) a) PIC b) Take-offs/Landings c) Training flight ****

or CR/TR prof check/skill test

Min 12 H Min 6 H 12/12 Min 1H

Hours: ………………………………………… Hours: ………………………………………… Take-offs: .….…… Landings: .….……. Hours: ………………………………………… or Date: ……….……..………………………

⃝ ⃝ ⃝ ⃝ ⃝

Renewal CR/TR/IR Requirements

INAC only

1) Refresher Training 2) Prof Check

Certificate ATO

⃝ ⃝

Pre-requisites HPA non-complex

Requirements Fill by ATO/Examiner/Applicant Examiner

Check INAC only

1) Flying experience a) PIC aeroplanes

2) Theoretical knowledge:

Min 200 H Min 70 H

Hours: ………………………………………… Hours: …………………………………………

□ □

⃝ ⃝

1) Additional theoretical knowledge or 2) ATPL(A) theoretical knowledge or 3) ATPL(A) or CPL(A)/IR *****

Certificate ATO or Passed or Hold

Date: ………………. Rate: ……………….. or Date: ………………………………………….. or Date: …………………………………………..

□ or □ or □

⃝ or ⃝ or ⃝

3) For MPA operations

a) MCC course (A) or b) MCC course (H) and

i) MPH hours or c) MPH hours or d) Pilot MPA operations on SPA

multi-engine, in CAT

Certificate or Certificate Min 100 H or Min 500 H or Min 500 H

Certificate date: ………………………….. or Certificate date: ………………………….. Hours: ………………………………………… or Hours: ………………………………………… or Hours: …………………………………………

□ or □ □ or □ or □

⃝ or ⃝ ⃝ or ⃝ or ⃝

* Pass the skill test within a period of 6 months after start CR/TR training course and within a period of 6 months preceding the application for the issue of the CR/TR.

** Relevant class or type or an FSTD representing that class or type, within the 3 months immediately preceding the expiry date of the rating.

*** As pilot of the relevant CR/TR or FFS, flown with an examiner. This route sector may be flown during the proficiency check.

**** With a FI or a CRI. Applicants shall be exempted from this flight if they have passed a CR/TR proficiency check or skill test in any other CR/TR of aeroplane. ***** With theoretical knowledge credit for ATPL(A), Issued in accordance with Annex 1 to the Chicago Convention.

Local e data

Location and date …………………………………………………………………………………………………………………… Assinatura do examinador: Examiner´s signature .……………………………………….………………………………………………




03/04/2014 Page 3/6

Nome do candidato: Applicant´s name ……………………………………………………….….………………………………………………………………………………………..

SINGLE-PILOT AEROPLANES, EXCEPT FOR HIGH PERFORMANCE COMPLEX

AEROPLANES

PRACTICAL TRAINING

SKILL TEST / PROFICIENCY CHECK

Manoeuvres/Procedures

Instructor initials when

training completed

Chkd in Examiner

initials when test

completed FTD FFS A

FFS A

SECTION 1

1 Departure

1.1

Pre-flight including: Documentation Mass and Balance Weather briefing NOTAM

1.2 Pre-start checks

1.2.1 External P# P

1.2.2 Internal P M

1.3 Engine starting: Normal Malfunctions

P——> ——> ——> M

1.4 Taxiing P——> ——> M

1.5 Pre-departure checks: Engine run-up (if applicable)

P——> ——> ——> M

1.6 Take-off procedure: Normal with Flight Manual flap settings Crosswind (if conditions available)

P——> ——>

1.7

Climbing: Vx/Vy Turns onto headings Level off

P——> ——> M

1.8 ATC liaison — Compliance, R/T procedure

SECTION 2

2 Airwork (VMC)

2.1

Straight and level flight at various airspeeds including flight at critically low airspeed with and without flaps (including approach to VMCA when applicable)

P——> ——>

2.2 Steep turns (360° left and right at 45° bank) P——> ——> M

2.3

Stalls and recovery: i) Clean stall ii) Approach to stall in descending turn with

bank with approach configuration and power

iii) Approach to stall in landing configuration and power

iv) Approach to stall, climbing turn with take-off flap and climb power (single engine aeroplane only)

P——> ——> M

2.4 Handling using autopilot and flight director (may be conducted in section 3) if applicable

P——> ——> M


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03/04/2014 Page 4/6



AEROPLANES

PRACTICAL TRAINING




training completed

Chkd in Examiner

initials when test

completed FTD FFS A

FFS A

SECTION 3A

3A En-route procedures VFR (see B.5(c) and (d))

3A.1 Flight plan, dead reckoning and map reading

3A.2 Maintenance of altitude, heading and speed

3A.3 Orientation, timing and revision of ETAs

3A.4 Use of radio navigation aids (if applicable)

3A.5 Flight management (flight log, routine checks including fuel, systems and icing)

3A.6 ATC liaison — Compliance, R/T procedure

SECTION 3B

3B Instrument flight

3B.1* Departure IFR P——> ——> M

3B.2* En-route IFR P——> ——> M

3B.3* Holding procedures P——> ——> M

3B.4* ILS to DH/A of 200' (60 m) or to procedure minima (autopilot may be used to glideslope intercept)

P——> ——> M

3B.5* Non-precision approach to MDH/A and MAP P——> ——> M

3B.6* Flight exercises including simulated failure of the compass and attitude indicator: rate 1 turns, recoveries from unusual attitudes

P——> ——> ——> M

3B.7* Failure of localiser or glideslope P——> ——> ——>

3B.8* ATC liaison — Compliance, R/T procedure

Intentionally left blank

SECTION 4

4 Arrival and landings

4.1 Aerodrome arrival procedure P——> ——> M

4.2 Normal landing P——> ——> M

4.3 Flapless landing P——> ——> M

4.4 Crosswind landing (if suitable conditions) P——> ——>

4.5 Approach and landing with idle power from up to 2 000' above the runway (single-engine aeroplane only)

P——> ——>

4.6 Go-around from minimum height P——> ——> M 4.7 Night go-around and landing (if applicable) P——> ——> ——> 4.8 ATC liaison — Compliance, R/T procedure

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03/04/2014 Page 5/6



AEROPLANES

PRACTICAL TRAINING




training completed

Chkd in Examiner

initials when test

completed FTD FFS A

FFS A

SECTION 5

5 Abnormal and emergency procedures (This section may be combined with sections 1 through 4)

5.1 Rejected take-off at a reasonable speed P——> ——> M

5.2 Simulated engine failure after take- off (single-engine aeroplanes only)

P

M

5.3 Simulated forced landing without power (single-engine aeroplanes only)

P M

5.4

Simulated emergencies: i) fire or smoke in flight; ii) systems’ malfunctions as appropriate

P——> ——> ——>

5.5 Engine shutdown and restart (ME skill test only) (at a safe altitude if performed in the aircraft)

P——> ——> ——>


SECTION 6

6 Simulated asymmetric flight

6.1*

(This section may be combined with sections 1 through 5) Simulated engine failure during take-off (at a safe altitude unless carried out in FFS or FNPT II)

P——>

——>

—>X

M

6.2* Asymmetric approach and go- around P——>

——>

——>

M

6.3* Asymmetric approach and full stop landing

P——>

——>

——>

M


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03/04/2014 Page 6/6

Flight Checklist Instructions

Single-pilot aeroplanes, except for high performance complex aeroplanes:

a) The following symbols mean:

P = Trained as PIC or Co-pilot and as Pilot Flying (PF) and Pilot Not Flying (PNF)

X = Flight simulators shall be used for this exercise, if available, otherwise an aeroplane shall be used if appropriate for the manoeuvre or procedure

P# = The training shall be complemented by supervised aeroplane inspection

b) The practical training shall be conducted at least at the training equipment level shown as (P), or may be conducted on any higher level of equipment shown by the arrow (——>)

The following abbreviations are used to indicate the training equipment used:

A = Aeroplane

FFS = Full Flight Simulator

FTD = Flight Training Device (including FNPT II for ME class rating)

c) The starred (*) items of section 3B and, for multi-engine, section 6, shall be flown solely by reference to instruments if revalidation/renewal of an IR is included in the skill test or proficiency check. If the starred (*) items are not flown solely by reference to instruments during the skill test or proficiency check, and when there is no crediting of IR privileges, the class or type rating will be restricted to VFR only.

d) Section 3A shall be completed to revalidate a type or multi-engine class rating, VFR only, where the required experience of 10 route sectors within the previous 12 months has not been completed. Section 3A is not required if section 3B is completed.

e) Where the letter ‘M’ appears in the skill test or proficiency check column this will indicate the mandatory exercise or a choice where more than one exercise appears.EN 25.11.2011 Official Journal of the European Union L 311/117

f) An FFS or an FNPT II shall be used for practical training for type or multi-engine class ratings if they form part of an approved class or type rating course. The following considerations will apply to the approval of the course:

i) the qualification of the FFS or FNPT II as set out in Part-OR;

ii) the qualifications of the instructors;

iii) the amount of FFS or FNPT II training provided on the course; and

iv) the qualifications and previous experience on similar types of the pilot under training.

g) When a skill test or proficiency check is performed in multi-pilot operations, the type rating shall be restricted to multi-pilot operations.

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Class/Type Rating SPA (Single Pilot Aeroplane) except HPCA ... · INAC – Departamento de...

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