| A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | OPERATOR / OWNER NAME: SANDY BOLE _________ | W&B calculator | Checklist | BULLDOG SERIES 120 MODEL 121 REGISTRATION: GWINI | ALTERNATE MARKING: XX546 | SRP SERIAL NUMBER: | <Manual> | ||||||||||||
2 | |||||||||||||||||||
3 | PRE-FLIGHT | ||||||||||||||||||
4 | CHECK A / DAILY INSPECTION COMPLETED | DATE | NEXT (TYPE) CHECK DUE AT: | ||||||||||||||||
5 | SIGNATURE | AUTHORISATION | TIME | HOURS: | ……………______ …………..…*50hr | ||||||||||||||
6 | DATE: | ………...…_____ ……...………..*50 hr/6 mth | |||||||||||||||||
7 | *State as appropriate | ||||||||||||||||||
8 | COMMANDER'S NAME: | HOURS | LANDINGS | ||||||||||||||||
9 | Arrival fuel carried forward from last Sector Record Page (UK Gallons) | ACCEPTANCE SIGNATURE* | SECTOR | TOTAL'S BROUGHT FORWARD FROM LAST SRP | Radius arm serial #s: | AFTER FLIGHT | |||||||||||||
11 | SECTOR No: | FUEL UPLIFT (UK Gallons) | DEPARTURE FUEL (UK GAL) | OIL UPLIFT (LTRS) | PERSONS ON BOARD | PRE FLIGHT INSP. NAME/ SIGNATURE | FROM | TO | DEPARTURE TAXI/TAKEOFF (UTC) | ARRIVAL LAND / TAXI (UTC) | SECTOR TOTAL AIRBORNE HOURS | SECTOR LANDINGS PAVED | SECTOR LANDINGS UNPAVED | ARRIVAL FUEL (UK GAL) | DEFECT REPORT (No's or NIL) | CAPTAINS POST FLIGHT SIGNATURE & DEFECT REPORT | |||
12 | PLANNED | ACTUAL | FULL | ROLL | FULL | ROLL | |||||||||||||||
13 | 1 | taxi / takeoff | land / taxi | F | R | F | R | ||||||||||||||
14 | Notes | Fatigue Meter readings after each flight >> | -1.5g | -0.5g | 0.25g | 1.75g | 2.5g | 3.5g | 5.0g | 6.0g | FI calculator | ||||||||
15 | 2 | taxi / takeoff | land / taxi | F | R | F | R | ||||||||||||||
16 | Notes | Fatigue Meter readings after each flight >> | -1.5g | -0.5g | 0.25g | 1.75g | 2.5g | 3.5g | 5.0g | 6.0g | FI calculator | ||||||||
17 | 3 | taxi / takeoff | land / taxi | F | R | F | R | ||||||||||||||
18 | Notes | Fatigue Meter readings after each flight >> | -1.5g | -0.5g | 0.25g | 1.75g | 2.5g | 3.5g | 5.0g | 6.0g | FI calculator | ||||||||
19 | 4 | taxi / takeoff | land / taxi | F | R | F | R | ||||||||||||||
20 | Notes | Fatigue Meter readings after each flight >> | -1.5g | -0.5g | 0.25g | 1.75g | 2.5g | 3.5g | 5.0g | 6.0g | FI calculator | ||||||||
21 | TOTAL CARRIED FORWARD TO NEXT SRP | Last Arrival fuel carried forward to next Sector Record Page (UK Gallons) | |||||||||||||||||
22 | *Commander's Acceptance Signature confirms correct completion of pre-flight inspection, acceptance of aircraft / defect state and sufficient fuel and oil for the planned flight. | ||||||||||||||||||
23 | DEFECT No: | DEFECT REPORT DETAILS | COMMANDER'S SIGNATURE / DATE | ACTION TAKEN DETAILS | SIGNATURE | AUTHORITY | DATE | ||||||||||||
24 | |||||||||||||||||||
25 | |||||||||||||||||||
26 | |||||||||||||||||||
27 | FORM VER DATE | TAL100 v7 101/03/14 | CERTIFICATE OF RELEASE TO SERVICE | ||||||||||||||||
28 | |||||||||||||||||||
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