Pilot: License No. : Total Pilot Hours :

Date: Registration : Route:

DAY

NIGHT

AIRCRAFT

SIMULATOR

U S/B S

A. KNOWLEDGE I ORAL CHECK:1 Technical2 Emergency I Abnormal Procedure3 Performance & Flight Plannino

B. PREPARATION1 Cockpit Preparation and Set Up2 Engine Start (Including Failures)3 Taxi and Line-up4 Crew BriefingC. DEPARTURE

NormalCross Wind

2 Rejected Take Off3 One Engine Inoperative After V14 V2 Climb and Clean Uo5 Departure ProcedureD. AIRWORKS1 Slow Speed Flying2 Approach to Stall3 Steep Turns4 Engine Failure I Air Restart5 Emegency DescentE. INSTRUMENT FLYING1 Holding

NormalOne Engine InoperativeNormalOne Engine Inoperative

4 Circling ApproachF. LANDING1 Normal2 Short Field3 Flapless4 One Engine InoperativeG. GENERAL

Take-OffApproach

2 Use of Checklist I AOM I DDG (MEL)3 ATC Liaison and Compliance4 Crew Coordination5 Crew Resource Management

CERTIFICATE: COMPLETED NOT COMPLETED

Type of Check :

1 Windshear

Take off1

ILS. VOR, NOB2

Missed Approach3

PIC I P1

SIC I P2

Type A/C:

VFR

IFR

Check Airman:

White : Training Department Green : DGCA Blue : Chief Pilot Yellow :PersonalTA.OPS.1.1.1-11

REMARKS

FLIGHT CHECK REPORTFIXED WING

GRADE

Hours on Type :

Flight Time :

ITEMSNO

CHECK AIRMAN

Name: OTR :

Date :

Pilot Signature

CERTIFICATE:certify that the above named Pilot has satisfactory completed the checks prescribed in the COM Part D Travira Air and He is competent to act in the capacity as

Pilot In Command (P1) Second In Command (P2)

Check Airman Signature

mm/dd/yyyy

hours hours

hours

RECOMMENDATION :