Print and complete this form as the first step of your flight review
DATE____________
Pilot's Name:___________________________________________
Address: ______________________________________________
Telephones: H____________W_____________M______________
Hours Breakdown:
SEL MEL
Last 6 Months ________
Last year ________
Date of last flight review or check ride_________
What a/c are you checked out in?
__________________________________________________________________
__________________________________________________________________
What a/c do you fly the most?
Have you ever had an accident/incident (describe briefly)?
Have you ever declared an emergency?
Have you taken any ground school or refresher courses in the last two years?
What is your typical flight profile?
local, crosscountry, VFR, IFR, fun, business, for hire, other:
Are there areas of ability / knowledge you'd like to improve?
Other remarks
GROUND: PART 91 Suggested Review
91.17 Alcohol or Drug Usage
91.103 Preflight Action
91.107 Safety Belt Usage
91.111 Operating Near Other Aircraft
91.123 Compliance with ATC Instructions
91.125 ATC Light Signals
91.126 Operations at Airports without Towers
91.127-91.131 Airspace Review (Class B, C, D, E, G)
91.151 Fuel Requirements for VFR
91.155 Basic VFR Minimums
91.157 SVFR
91.159 VFR/IFR Cruising Rules
91.205 Required Equipment
91.215 ATC/ Transponder Usage
91.303 Acrobatic Flight
FLIGHT
[] Pattern work
[] Normal Takeoffs and Landings
[] Short Field Takeoffs and Landings
[] Soft Field Takeoffs and Landings
[] No Flap Landings
[] Go-Around Procedures
[] Arrivals and Departures
[] Aborted Takeoffs
Stalls
[] Departure Stalls
[] Power Off Stall/ Power Off Recovery
[] Turning Stall
[] Minimum Controllable Airspeed, Clean & Dirty
[] Night Flight Operations & Landings (may be ground only)
[] Emergency Procedures
[] High & and Low Simulated Engine Failures
[] Systems and Equipment Failures
[] Lost and Lost Com Procedures
Other
[] Forward and Sideslips
[] Steep Turns
IFR
[] Straight and Level and Level Turns
[] Climbs and Descents
[] Unusual Attitudes
FAR REVIEW
1) At what altitude do you need oxygen for you the pilot, and/or passengers (91.211)?
2) Which VFR flight operations require a 24 month transponder check?
3) Must you give a passenger briefing (91.109)?
4) From sectional, give an example of Class D airspace?
What equipment do you need to fly in it?
How is it depicted on the chart?
Minimum VIS and CLEARANCE FROM CLOUDS?
5) From sectional, give an example of Class E To the Surface airspace?
What equipment do you need to fly in it?
How is it depicted?
Minimum VIS and CLEARANCE FROM CLOUDS?
6) What are the pilot/equipment/weather requirements for day & night Special
VFR,
and in what airspace types is the clearance available (91.157)?
7) What is a CTAF?
8) Can you operate an aircraft without an ELT (91.207)?
9) What is the frequency for broadcasting an emergency or MAYDAY?
10) What are the VFR currency requirements for carrying passengers (61.57)?
11) How do you get a weather briefing?
What weather information do you request for flight planning
a 100 nm VFR trip?
12) What documents are required to be in the aircraft or in the pilot's
possession for PIC flight activity?
13) What are the VFR Day requirements for fuel (91.151)?
Night VFR?
14) What VFR rules change at and above 10,000' MSL
(except within 2,500' AGL) (91.215)?
15) What are the speed limitations listed in FAR 91.117?
16) In what airspace must a transponder be used (91.215)?
17) What is the Minimum Required Equipment for day VFR flight (91.205)?
Night VFR?
If one of these items is, during a preflight, found to be INOP, what must be done before you
can fly the airplane?
If an installed piece of equipment, which is NOT listed as minimum required is found to be
or known to be INOP, what must be done to make the aircraft airworthy?
18) If you have a transponder installed in your aircraft which has not had a currency check
within the last 24 months, what must be done to make the aircraft airworthy?
In this example, what are your limitations to flight?
19) Flying into Knoxville (TYS), when do you contact APPROACH? What is the freq?
20) From sectional, give an example of Class C airspace?
What equipment do you need to fly in it?
How is it depicted on the chart?
Minimum VIS and CLEARANCE FROM CLOUDS?
21) What is the freq for Atlanta (ATL) Approach? When would you make contact?
22) From sectional, give an example of Class B airspace?
What do you need to fly in it?
How is it depicted on the chart?
Minimum VIS and CLEARANCE FROM CLOUDS?
23) What are the basic VFR weather minimums in Class G
airspace (91.155)?
24) Define and discuss L.A.H.S.O. Who has the final decision to accept or reject?
25) Locate a "TRSA" on the sectional. Are radio communications inside a TRSA voluntary or required?
PERFORMANCE AND LIMITATION SPEEDS FOR THE AIRCRAFT WE WILL FLY
Vs _______
Vso _______
Vx _______
Vy _______
Vfe _______
Vle _______
Vno _______
Vne _______
Va _______
Best Glide _______
1) Which of the above airspeeds are not marked on the airspeed indicator?
2) What is our useful load? _______
What is our payload? _______
3) What documents are required to be on board to make the aircraft airworthy
(A.R.O.W.)?
4) What inspection of the aircraft must be completed, and logged in the aircraft logbooks,
to make the aircraft airworthy?
If using your aircraft for the flight portion of the BFR, DATE OF
LAST ANNUAL? ______________
5) If the low voltage light comes on during a flight, what does it indicate and what should you do?
6) If you lose electrical power, what instruments and/or airplane systems will you lose?
7) If you lose a vacuum pump what instruments will it effect?
8) How do you know if you have lost a vacuum pump?
9) What does a gradual loss of RPM usually indicate? How do you remedy the problem?
10) What instruments are related to the pitot / static system?
11) If you are at 5,000, how far could you glide? Would a tailwind increase/decrease
the distance?
12) What is the stall speed (KIAS) while performing a 45 degree banked turn?
13) What do you do if there is an inflight engine fire? Step by step:
AIRCRAFT CHECKOUT EXAMINATION
Addendum for complex aircraft
1. Describe the variable pitch (constant speed) propeller system.
What symptom(s) signal its
failure?
2. In the event of loss of oil pressure to the hub, will the
propeller go to high or low RPM?
What effect will this have on flight operations?
3. What is expected RPM at the start of the TO roll?
4. Why do you reduce power for extended climb?
5. In what sequence should you advance throttle and RPM? Why?
6. Describe the operation of the retractable landing gear
system—basic principle, up and down
locks, annunciators, trouble-shooting.
Where do you retract?
Extend?
7. Where is the landing gear squat switch located?
8. What are the unsafe gear indications?
9. What is the maximum speed for landing gear extension?
10. What is the maximum allowable speed with the landing gear extended?
11. What is the procedure for emergency landing gear extension?
12. What is the procedure for emergency landing gear retraction?
13. What is the recommended extended climb power setting?
14. When should the cowl flaps (if equipped) be opened?
15. When should the cowl flaps (if equipped) be closed?
16. In the event of total loss of power, what would you do?
