REPORT FORM IR(H) INITAL SKILL TEST. (Use Type or Class Rating forms to revalidate IR(H) or renew expired IR(H)) Yes. Type Rating: Rotor stop:

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Applint Lst nme(s)*: First nme(s)*: Dte of irth: REPORT FORM IR(H) INITAL SKILL TEST Type of liene hel: Liene numer: Stte of liene issue: (Use Type or Clss Rting forms to revlite IR(H) or renew expire IR(H)) PBN privileges verifie: Yes No 1 Detil of the flight : First ttempt: Dte of flight: Deprture: Type of heliopter / Vrint: Destintion: Rotor strt: Type Rting: Rotor stop: Registrtion: Flight time: Exminer: Nme / Surnme*: Lnings: Trip: Seon ttempt: Dte of flight: Trip: Type of heliopter / Vrint: Type Rting: Registrtion: Exminer: Nme / Surnme*: Deprture: Destintion: Rotor strt: Rotor stop: Flight time: Lnings: 2 ATO informtions Instrutor lst nme*: First nme*: Liene numer: Signture of flight instrutor: The ATO onfirms tht the nite hs een trine oring to the pprove syllus n ssures the level of profiieny require. ATO nme: Registrtion numer: Nme of he of trining*: Liene numer: Lotion & te: Signture of he of trining: * In pitl letters DGAC/EASA - 09.2018 EASA-FCL APPENDIX 7 01/08

3 A Result of the test 1 Attempt Pss Prtil Pss** Fil** Dte of exm: Exminer s ertifite numer: I hve reeive informtion from the pplint regring his/her experiene n instrution n foun tht experiene n instrution omplying with the pplile requirements in this Prt. I onfirm tht ll the require mnoeuvres n exerises hve een omplete s well s informtion on the verl theorel knowlege exmintion when pplile. Exminer nme(s)*: Signture of exminer: 3 B Result of the test Pss Dte of exm: Exminer s ertifite numer (if pplile): Exminer nme(s)*: 2 Attempt Fil** I hve reeive informtion from the pplint regring his/her experiene n instrution n foun tht experiene n instrution omplying with the pplile requirements in this Prt. I onfirm tht ll the require mnoeuvres n exerises hve een omplete s well s informtion on the verl theorel knowlege exmintion when pplile. Signture of exminer: *In pitl letters: 4 Remrks **Give resons n etil ny further trining: 2 Attempt 1 Attempt DGAC/EASA - 09.2018 EASA PART FCL APPENDIX 7 02/08

Use of heklist, irmnship, nti-iing/e-iing proeures, et. pply in ll setions Setion 1 Deprture Use of flight mnul (or equivlent) espeilly irrft performne lultion; mss n lne Use of Air Trffi Servies oument, wether oument Preprtion of ATC flight pln, IFR flight pln/log e Ientifition of the require nvis for eprture, rrivl n pproh proeures Pre-flight inspetion exminer s initils f Wether minim g h i j k Txiing/Air txy in ompline with ATC or instrutions of instrutor PBN eprture (if pplile) : Chek tht the orret proeure hs een loe in the nvigtion system; n Cross-hek etween the nvigtion system isply n the eprture hrt. Pre-tke-off riefing, proeures n heks Trnsition to instrument flight Instrument eprture proeures inluing PBN proeures Psse Psse File File Setion 2 Generl hnling Control of the heliopter y referene solely to instruments, inluing: Climing n esening turns with sustine Rte 1 turn Reoveries from unusul ttitues, inluing sustine 30 nk turns n steep esening turns Psse Psse exminer s initils File File DGAC/EASA - 09.2018 EASA PART FCL APPENDIX 7 03/08

Use of heklist, irmnship, nti-iing/e-iing proeures, et. pply in ll setions Setion 3 En-Route IFR proeures Trking, inluing intereption, e.g. NDB, VOR, RNAV Use of rio is e f g h Setion 3 Level flight, ontrol of heing, ltitue n irspee, power setting Altimeter settings Timing n revision of ETAs Monitoring of flight progress, flight log, fuel usge, systems mngement Ie protetion proeures, simulte if neessry n if pplile ATC liison - ompline - R/T proeures Setting n heking of nvigtionl is, if pplile Arrivl proeures, ltimeter heks Altitue n spee onstrints, if pplile PBN rrivl (if pplile) : Chek tht the orret proeure hs een loe in the nvigtion system; n Cross-hek etween the nvigtion system isply n the rrivl hrt. Psse Psse exminer s initils File File Arrivl Proeures exminer s initils Psse File Psse File DGAC/EASA - 09.2018 EASA PART FCL APPENDIX 7 04/08

Use of heklist, irmnship, nti-iing/e-iing proeures, et. pply in ll setions Setion 4 (+) 3D Opertions Setting n heking of nvigtionl is, hek Vertil Pth ngle For RNP APCH : () Chek tht the orret proeure hs een loe in the nvigtion system; n () Cross-hek etween the nvigtion system isply n the pproh hrt. Approh n lning riefing, inluing esent / pproh / lning heks (*) Holing proeure Compline with pulishe pproh proeure e Approh timing f Altitue, spee, heing ontrol (stilise pproh) g (*) Go-roun tion h (*) Misse pproh proeure / lning i ATC liison - ompline - R/T proeures (*) To e performe in Setion 4 or Setion 5 Psse Psse exminer s initils File File DGAC/EASA - 09.2018 EASA PART FCL APPENDIX 7 05/08

Use of heklist, irmnship, nti-iing/e-iing proeures, et. pply in ll setions Setion 5 (+) (*) Setting n heking of nvigtionl is, For RNP APCH : Chek tht the orret proeure hs een loe in the nvigtion system; n Cross-hek etween the nvigtion system isply n the pproh hrt. Approh n lning riefing, inluing esent / pproh / lning heks e Holing proeure Compline with pulishe pproh proeure Approh timing 2D Opertions exminer s initils i f g (*) h (*) Setion 6 Altitue, spee, heing ontrol (stilise pproh) Go-roun tion Misse pproh proeure* / lning ATC liison - ompline - R/T proeures Anorml n Emergeny proeures This setion my e omine with setions 1 through 5. The test shll hve regr to ontrol of the heliopter, ientifition of the file engine, immeite tions (touh rills), follow-up tions n heks n flying ury, in the following situtions : Simulte engine filure fter tke-off n on/uring pproh (**) (t sfe ltitue unless rrie out in n FFS or FNPT II/III, FTD 2,3) Filure of stility ugmenttion evies/hyruli system (if pplile) Limite pnel Autorottion n reovery to pre-set ltitue Psse Psse File File exminer s initils 3D opertions mnully without flight iretor (***) e 3D opertions mnully with flight iretor (***) Psse (*) To e performe in setion 4 or setion 5. (**) Multi-engine heliopter. (***) Only one item to e teste. Psse (+) To estlish or mintin PBN privileges, one pproh in either Setion 4 or Setion 5 shll e n RNP APCH. Where n RNP APCH is not prtile, it shll e performe in n ppropritely equippe FSTD DGAC/EASA - 09.2018 EASA-FCL APPENDIX 7 06/08 File File

IR skill test 1. An pplint for n IR shll hve reeive instrution on the sme lss or type of irrft to e use in the test whih shll e ppropritely equippe for the trining n testing purposes 2. An pplint shll pss ll the relevnt setions of the skill test. If ny item in setion is file, tht setion is file. Filure in more thn one setion will require the pplint to tke the entire test gin. An pplint filing one setion shll repet the file setion. Filure in ny setion of the retest, inluing those setions tht hve een psse on previous ttempt, will require the pplint to tke the entire test gin. All relevnt setions of the skill test shll e omplete within 6 months. Filure to hieve pss in ll relevnt setions of the test in two ttempts will require further trining. 3. Further trining my e require following file skill test. There is no limit to the numer of skill tests tht my e ttempte. CONDUCT OF THE TEST 4. The test is intene to simulte prtil flight. The route to e flown shll e hosen y the exminer. An essentil element is the ility of the pplint to pln n onut the flight from routine riefing mteril. The pplint shll unertke the flight plnning n shll ensure tht ll equipment n oumenttion for the exeution of the flight re on or. The urtion of the flight shll e t lest 1 hour. 5. Shoul the pplint hoose to terminte skill test for resons onsiere inequte y the exminer, the pplint shll retke the entire skill test. If the test is terminte for resons onsiere equte y the exminer, those setions not omplete shll e teste in further flight. 6. At the isretion of the exminer, ny mnoeuvre or proeure of the test my e repete one y the pplint. The exminer my stop the test t ny stge if it is onsiere tht the pplint s emonstrtion of flying skill requires omplete retest. 7. An pplint shll fly the irrft from position where the PIC funtions n e performe n to rry out the test s if there is no other rew memer. The exminer shll tke no prt in the opertion of the irrft, exept when intervention is neessry in the interests of sfety or to voi uneptle ely to other trffi. Responsiility for the flight shll e llote in orne with ntionl regultions. 8. Deision heights/ltitue, minimum esent heights/ltitues n misse pproh point shll e etermine y the pplint n gree y the exminer. 9. An pplint for n IR shll inite to the exminer the heks n uties rrie out, inluing the ientifition of rio filities. Cheks shll e omplete in orne with the uthorise heklist for the irrft on whih the test is eing tken. During pre-flight preprtion for the test the pplint is require to etermine power settings n spees. Performne t for tke-off, pproh n lning shll e lulte y the pplint in ompline with the opertions mnul or flight mnul for the irrft use. FLIGHT TEST TOLERANCES 10. The pplint shll emonstrte the ility to: operte the irrft within its limittions; omplete ll mnoeuvres with smoothness n ury; exerise goo jugment n irmnship; pply eronutil knowlege; n mintin ontrol of the irrft t ll times in suh mnner tht the suessful outome of proeure or mnoeuvre is never seriously in out. DGAC/EASA - 09.2018 EASA-FCL APPENDIX 7 07/08

IR skill test 11.The following limits shll pply, orrete to mke llowne for turulent onitions n the hnling qulities n performne of the irrft use. Height Trking Generlly ± 100 feet Strting go-roun t eision height/ltitue + 50 feet/ 0 feet Minimum esent height/map/ltitue + 50 feet/ 0 feet On rio is ± 5 For ngulr evitions Hlf sle efletion, zimuth n glie pth (e.g. LPV, ILS, MLS, GLS) 2D (LNAV) n 3D (LNAV/VNAV) liner lterl evitions ross-trk error/evition shll normlly e limite to ± ½ the RNP vlue ssoite with the proeure. Brief evitions from this stnr up to mximum of 1 time the RNP vlue re llowle. 3D liner vertil evitions (e.g. RNP APCH (LNAV/VNAV) using BroVNAV) not more thn 75 feet elow the vertil profile t ny time, n not more thn + 75 feet ove the vertil profile t or elow 1 000 feet ove erorome level. Heing ll engines operting ± 5 with simulte engine filure ± 10 Spee ll engines operting ± 5 knots with simulte engine filure + 10 knots/ 5 knots DGAC/EASA - 09.2018 EASA-FCL APPENDIX 7 08/08