Licence Type & Number: Issuing Authority / Date of Issue: Section

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1 Report on Skill Tests / Proficiency Checks for Multi-Pilot eroplanes and High-Performance Complex eroplanes with one pilot Sgle or Multi-Pilot Operation TR MP, SP complex HP MP/SP-OPS pplicant`s Personal Details (Block Capitals) pplicant`s Surname, First Name: Date of Birth: ddress: Licence Type & Number: Ratgs held: Issug uthority / Date of Issue: Result of Skill Test / Proficiency Check * Skill Test Proficiency Check Partial Repetition Entire Repetition * PIC * Skill Test acc. FCL.725 c) (TR) FCL.415. b) (MPL) FCL.520. (TPL) * Copilot * acc. FCL.740. a) (Revalidation) FCL.740 b) (Renewal) FCL.625. (IR) PIC SP-OPS: The manoeuvres/procedures 2.5, , 4.3, 5.5 and at least one manoeuvre/procedure from section 3.4 have been addition as sgle-pilot. Section mount of failed items the respective section: Result: Pass* Partial Pass* Fail* s a result of the proficiency check the followg ratg(s) has / have been revalidated /renewed (acc. licence entry) Revalidation of further ratgs:* Ratg / valid until: Yes No t least 10 route sectors with the last 12 months as a pilot of the relevant type of aeroplane* (or one route sector accompanied by an examer): Yes No valid until: Ratg / valid until: Operation: MP only SP only MP+SP OPS Manual revalidation entry licence: Yes No Remarks / Documentation of failed items: I have been formed about the right of written complat and I herewith register the result of the Skill Test / Proficiency Check:: Date pplicant's Signature Specifications of practical performance 's Name: Simulator/FNPT/FTD: uthorisation No. and Licence No.: FSTD ID: eroplane Type: Registration: Departure D/rea, Time: Departure D/rea, Time: Number of pproaches: Number of Landgs: Destation D/rea, Time: Destation D/rea, Time: erodrome(s): erodrome(s): 1 st Flight Time: 2 nd Flight Time: The examer confirms the adherence to FCL.1030 a) through d) Location: Date: 's Signature: * tick applicable item TR MP / SP complex HP MP/SP-OPS (Rev. 4.0) Page 1 of 7

2 pplicant's Name, Date: Multi-Pilot eroplanes and Sgle-Pilot test SECTION 1 1. Flight preparation 1.1 Performance calculation P 1.2 eroplane external visual spection; location of each item and purpose of spection P# P 1.3 Cockpit spection 1.4. Use of checklist prior to startg enges, startg procedures, radio and navigation equipment check, selection and settg of navigation and communication frequencies M 1.5. Taxig compliance with air traffic control or structions of structor 1.6. Before take-off checks M SECTION 2 2. Take-offs 2.1 Normal take-offs with different flap settgs, cludg expedited take-off 2.2* Instrument take-off; transition to strument flight is required durg rotation or immediately after becomg airborne 2.3 Crosswd take-off 2.4. Take-off at maximum take-off mass (actual or simulated maximum take-off mass) 2.5 Take-offs with simulated enge failure: 2.5.1* shortly after reachg V2 To 2.5.1: In aeroplanes which are not certificated as transport category or commuter category aeroplanes, the enge failure shall not be simulated until reachg a mimum height of 500 ft above runway end. In aeroplanes havg the same performance as a transport category aeroplane regardg take-off mass and density altitude, the structor may simulate the enge failure shortly after reachg V * between V1 and V2 P X M FFS only 2.6 Rejected take-off at a reasonable speed before reachg V1 X M TR MP / SP complex HP MP/SP-OPS (Rev. 4.0) Page 2 of 7

3 pplicant's Name, Date: Multi-Pilot eroplanes and Sgle-Pilot test SECTION 3 3. Flight Manoeuvres and Procedures 3.1 Turns with and without spoilers 3.2. Tuck under and Mach buffets after reachg the critical Mach number, and other specific flight characteristics of the aeroplane (e.g. Dutch Roll) X n for this exercise 3.3 Normal operation of systems and controls engeer s panel Normal and abnormal operations of followg systems: Enge (if necessary propeller) Pressurisation and air-conditiong Pitot/static system Fuel system Electrical system Hydraulic system Flight control and Trim-system M mandatory mimum of 3 abnormal shall be selected from to clusive nti-icg / de-icg system, Glare shield heatg utopilot / Flight director M (sgle pilot only) Stall warng devices or stall avoidance devices, and stability augmentation devices Ground proximity warng system, weather radar, radio altimeter, transponder Radios, navigation equipment, struments, flight management system Landg gear and brake Slat and flap system uxiliary power unit Intentionally left blank TR MP / SP complex HP MP/SP-OPS (Rev. 4.0) Page 3 of 7

4 pplicant's Name, Date: Multi-Pilot eroplanes and Sgle-Pilot test 3.6 bnormal and emergency procedures: M mandatory mimum of 3 items shall be selected from to clusive Fire drills e.g. enge, PU, cab, cargo compartment, flight deck, wg and electrical fires cludg evacuation Smoke control and removal Enge failures, shutdown and restart at a safe height Fuel dumpg (simulated) Wd shear at take-off / landg P X FFS only Simulated cab pressure failure / emergency descent Incapacitation of flight crew member Other emergency procedures as outled the appropriate eroplane Flight Manual CS event n FFS only 3.7 Steep turns with 45 bank, 180 to 360 left and right 3.8 Early recognition and counter measures on approachg stall (up to activation of stall warng device) take-off configuration (flaps take-off position), cruisg flight configuration and landg configuration (flaps landg position, gear extended) Recovery from full stall or after activation of stall warng device climb, cruise and approach configuration 3.9 Instrument flight procedures P X 3.9.1* dherence to departure and arrival routes and TC structions M 3.9.2* Holdg procedures TR MP / SP complex HP MP/SP-OPS (Rev. 4.0) Page 4 of 7

5 pplicant's Name, Date: Multi-Pilot eroplanes and Sgle-Pilot test 3.9.3* 3D operations to DH/ of 200 feet (60 m) or to higher mima if required by the approach procedure Note: ccordg to the FM, RNP PCH procedures may require the use of autopilot or Flight director. The procedure to be flown manually shall be chosen takg to account such limitations (for example, choose an ILS for case of such FM limitation) * manually, ithout flight director M (skill test only) * manually, with flight director * with autopilot * manually, with one enge simulated operative; enge failure has to be simulated durg fal approach before passg feet above aerodrome level until touchdown or through the complete missed approach procedure In aeroplanes which are not certificated as transport category aeroplanes (JR/ FR 25) or as commuter category aeroplanes (SFR 23), the approach with simulated enge failure and the ensug go-around shall be itiated conjunction with the non-precision approach as described The go-around shall be itiated then reachg the published obstacle clearance height (OCH/), however not later than reachg a mimum descent height/altitude (MDH/) of 500 feet above runway threshold elevation. In aeroplanes havg the same performance as a transport category aeroplane regardg take-off mass and density altitude, the structor may simulate the enge failure accordance with M 3.9.4* 2D operations down to the MDH/ P* M Circlg approach under followg conditions: P* To (a)* approach to the authorised mimum circlg approach altitude at the aerodrome question accordance with the local strument approach facilities simulated strument flight conditions; followed by: (b) circlg approach to another runway at least 90 off centrele from fal approach used item (a), at the authorised mimum circlg approach altitude. Remark: if (a) and (b) are not possible due to TC reasons, a simulated low visibility pattern may be performed. TR MP / SP complex HP MP/SP-OPS (Rev. 4.0) Page 5 of 7

6 pplicant's Name, Date: Multi-Pilot eroplanes and Sgle-Pilot test SECTION 4 4. Missed pproach Procedures 4.1 Go-around with all enges operatg* durg a 3D operation on reachg decision height P* 4.2 Other missed approach procedures P* 4.3* Manual go-around with the critical enge simulated operative after an strument approach on reachg DH, MDH or MPt P* M 4.4 Rejected landg at 15 m (50 ft) above runway threshold and go-around SECTION 5 5. Landgs 5.1 Normal landgs* with visual reference established reachg D/H followg an strument approach operation 5.2 Landg with simulated jammed horizontal stabiliser any out-of-trim position P n for this exercise 5.3 Crosswd landgs (a/c, if practicable) 5.4 Traffic pattern and landg without extended or with partly extended flaps and slats 5.5 Landg with critical enge simulated operative M 5.6 Landg with two enges operative: - aeroplanes with 3 enges: the centre enge and 1 outboard enge as far as practicable accordg to data of the FM; - aeroplanes with 4 enges: 2 enges at one side P X M FFS only (skill test only) General remarks: Special requirements for extension of a type ratg for strument approaches down to a decision height of less than 200 feet (60 m), i.e. Cat II/III operations. TR MP / SP complex HP MP/SP-OPS (Rev. 4.0) Page 6 of 7

7 pplicant's Name, Date: Multi-Pilot eroplanes and Sgle-Pilot chkd test SECTION 6 dditional authorisation on a type ratg for strument approaches down to a decision height of less than 60 m (200 ft) (CT II/III) The followg manoeuvres and procedures are the mimum requirements to permit strument approaches down to a DH of less than 60 m (200 ft). Durg the followg strument approaches and missed approach procedures all aeroplane equipment required for type certification of strument approaches down to a DH of less than 60m (200ft) shall. 6.1* Rejected take-off at mimum authorised RVR X n for this exercise M* 6.2* CT II/III approaches: simulated strument flight conditions down to the applicable DH, usg flight guidance system. Standard procedures of crew coordation (task sharg, call out procedures, mutual surveillance, formation exchange and support) shall be observed 6.3* Go-around: after approaches as dicated 6.2 on reachg DH. The shall also clude a go-around due to (simulated) sufficient RVR, wd shear, aeroplane deviation excess of approach limits for a successful approach, and ground/airborne equipment failure prior to reachg DH and, go-around with simulated airborne equipment failure 6.4* Landg(s): with visual reference established at DH followg an strument approach. Dependg on the specific flight guidance system, an automatic landg shall be performed M M* M NOTE: CT II/III operations shall be accomplished accordance with the applicable air operations requirements. The starred items (*) shall be flown solely by reference to struments. If this condition is not met durg the skill test or proficiency check, the type ratg will be restricted to VFR only. TR MP / SP complex HP MP/SP-OPS (Rev. 4.0) Page 7 of 7

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