REPORT FORM IR(A) INITIAL SKILL TEST. (Use Type or Class Rating forms to revalidate IR(A) or renew expired IR(A)) Type rating: Type rating:

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REPORT FORM IR(A) INITIAL SKILL TEST Applicant Last name(s)*: First name(s)*: Date of birth: Type of licence held: Licence number: State of licence issue: (Use Type or Class Rating forms to revalidate IR(A) or renew expired IR(A)) PBN privileges verified: Yes No 1 Detail of the flight First attempt: Date of flight: Departure: Type of aeroplane: Class: Type rating: Registration: Examiner Name/Surname: Destination: Block-off: Block-on: Flight time: Landings: Trip: Second attempt: Date of flight: Departure: Trip: Type of aeroplane: Class: Type rating: Registration: Examiner Name/Surname: Destination: Block-off: Block-on: Flight time: Landings: 2 ATO information Instructor last name*: First name*: Licence number: Signature of flight instructor: The ATO confirms that the candidate has been trained according to the approved syllabus and assures the level of proficiency required. ATO name: Registration number: Name of head of training*: Licence number: Location & date: Signature of head of training & ATO stamp: 01/06

3 A Result of the test 1 Attempt Pass Partial Pass** Fail** Date of exam: Examiner s certificate number: I have received information from the applicant regarding his/her experience and instruction and found that experience and instruction complying with the applicable requirements in this Part. I confirm that all the required manoeuvres and exercises have been completed as well as information on the verbal theorecal knowledge examination when applicable. Examiner name(s)*: Signature of examiner: 3 B Result of the test 2 Attempt CONTENT OF THE SKILL TEST IR (A) Date of exam: *In capital letters 4 Remarks Pass Examiner s certificate number (if applicable): Examiner name(s)*: 1 Attempt Fail** I have received information from the applicant regarding his/her experience and instruction and found that experience and instruction complying with the applicable requirements in this Part. I confirm that all the required manoeuvres and exercises have been completed as well as information on the verbal theorecal knowledge examination when applicable. **Give reasons and detail any further training: Signature of examiner: 2 Attempt 02/06

1. An applicant for an IR shall have received instruction on the same class or type of aircraft to be used in the test which shall be appropriately equipped for the training and testing purposes. 2. An applicant shall pass all the relevant sections of the skill test. If any item in a section is failed, that section is failed. Failure in more than one section will require the applicant to take the entire test again. An applicant failing one section shall repeat the failed section. Failure in any section of the retest, including those sections that have been passed on a previous attempt, will require the applicant to take the entire test again. All relevant sections of the skill test shall be completed within 6 months. Failure to achieve a pass in all relevant sections of the test in two attempts will require further training. 3. Further training may be required following a failed skill test. There is no limit to the number of skill tests that may be attempted. CONDUCT OF THE TEST 4. The test is intended to simulate a practical flight. The route to be flown shall be chosen by the examiner. An essential element is the ability of the applicant to plan and conduct the flight from routine briefing material. The applicant shall undertake the flight planning and shall ensure that all equipment and documentation for the execution of the flight are on board. The duration of the flight shall be at least 1 hour. 5. Should the applicant choose to terminate a skill test for reasons considered inadequate by the examiner, the applicant shall retake the entire skill test. If the test is terminated for reasons considered adequate by the examiner, those sections not completed shall be tested in a further flight. 6. At the discretion of the examiner, any manoeuvre or procedure of the test may be repeated once by the applicant. The examiner may stop the test at any stage if it is considered that the applicant s demonstration of flying skill requires a complete retest. 7. An applicant shall fly the aircraft from a position where the PIC functions can be performed and to carry out the test as if there is no other crew member. The examiner shall take no part in the operation of the aircraft, except when intervention is necessary in the interests of safety or to avoid unacceptable delay to other traffic. Responsibility for the flight shall be allocated in accordance with national regulations. 8. Decision heights/altitude, minimum descent heights/altitudes and missed approach point shall be determined by the applicant and agreed by the examiner. 9. An applicant for an IR shall indicate to the examiner the checks and duties carried out, including the identification of radio facilities. Checks shall be completed in accordance with the authorised checklist for the aircraft on which the test is being taken. During pre-flight preparation for the test the applicant is required to determine power settings and speeds. Performance data for take-off, approach and landing shall be calculated by the applicant in compliance with the operations manual or flight manual for the aircraft used. FLIGHT TEST TOLERANCES 10. The applicant shall demonstrate the ability to: operate the aircraft within its limitations; complete all manoeuvres with smoothness and accuracy; exercise good judgment and airmanship; apply aeronautical knowledge; and maintain control of the aircraft at all times in such a manner that the successful outcome of a procedure or manoeuvre is never seriously in doubt. 11. The following limits shall apply, corrected to make allowance for turbulent conditions and the handling qualities and performance of the aircraft used. Height Generally ± 100 feet Starting a go-around at decision height/altitude + 50 feet/ 0 feet Minimum descent height/map/altitude + 50 feet/ 0 feet Tracking on radio aids ± 5 for angular deviations Half scale deflection, azimuth and glide path (e.g. LPV, ILS, MLS, GLS) 2D (LNAV) and 3D (LNAV/VNAV) cross-track error/deviation shall normally be limited to ± ½ the RNP value linear lateral deviations associated with the procedure. Brief deviations from this standard up to a maximum of 1 time the RNP value are allowable. 3D linear vertical deviations (e.g. RNP APCH not more than 75 feet below the vertical profile at any Time, and not LNAV/VNAV) using BaroVNAV) more than + 75 feet above the vertical profile At or below 1.000 feet above aerodrome level. 03/06

Heading all engines operating ± 5 with simulated engine failure ± 10 Speed all engines operating with simulated engine failure ± 5 knots + 10 knots/ 5 knots Use of checklist, airmanship, A/C limitations, anti-icing/de-icing procedures, etc. apply in all sections Section 1 Pre-flight operations & departure a b Use of flight manual (or equivalent) especially a/c performance calculation, mass & balance Use of Air Traffic Services document, weather document CONTENT OF THE SKILL TEST IR (A) c Preparation of ATC flight plan, IFR flight plan/log Identification of the required navaids for departure, d arrival and approach procedures e Pre-flight inspection f Weather minima g Taxiing PBN departure (if applicable): h in the navigation system; and - Cross-check between the navigation system display and the departure chart i Pre-take off briefing. Take off j Transition to instrument flight k Instrument departure procedures, including PBN departure, and altimeter setting l Section 2 a Control of the aeroplane by reference solely to instruments, including: level flight at various speeds, trim General handling b c d* e Climbing and descending turns with sustained Rate 1 turn Recoveries from unusual attitudes, including sustained 45 bank turns and steep descending turns Recovery from approach to stall in level flight, climbing/descending turns and in landing configuration - applicable to aeroplanes Limited panel: stabilised climb or descent at Rate 1 turn onto given headings, recovery from unusual attitudes - applicable to aeroplanes * May be performed in a FFS, FTD 2/3 or FNPT II + May be performed in either Section 4 or Section 5 Must be performed by sole reference to instruments 04/06

Section 3 En-Route IFR procedures a b c d e f g Tracking, including interception, e.g. NDB, VOR or track between waypoints Use of navigation system and radio aids Level flight, control of heading, altitude and airspeed, power setting, trim technique Altimeter settings Timing and revision of ETAs (En-route hold, if required) Monitoring of flight progress, flight log, fuel usage, systems management Ice protection procedures, simulated if necessary h Section 3a Arrival procedures a Setting and checking of navigational aids, if applicable b Arrival procedures, altimeter check c d Altitude and speed constraint, if applicable PBN arrival (if applicable): in the navigation system; and - Cross-check between the navigation system display and the arrival chart * May be performed in a FFS, FTD 2/3 or FNPT II + May be performed in either Section 4 or Section 5 Must be performed by sole reference to instruments 05/06

Section 4 3D operations ** a b c + d e f g + h + i Setting and checking of navigational aids Check Vertical Path angle For RNP APCH: in the navigation system; and - Cross-check between the navigation system display and the approach chart Approach and landing briefing, including descent /approach / landing checks, including identification of facilities Holding procedure Compliance with published approach procedure Approach timing Altitude, speed, heading control (stabilised approach) Go-around action Missed approach procedure / landing ** To establish or maintain PBN privileges, one approach in either Section 4 or Section 5 shall be an RNP APCH. Where an RNP APCH is not practicable, it shall be performed in an appropriately equipped FSTD Section 5 2D operations ** a b c + d e f g + h + i Setting and checking of navigational aids For RNP APCH: in the navigation system; and - Cross-check between the navigation system display and the approach chart Approach and landing briefing, including descent /approach / landing checks, including identification of facilities Holding procedure Compliance with published approach procedure Approach timing Altitude/distance to MAPT, speed, heading control (stabilized apporach), Stop Down Fixes (SDF(s)), if applicable Go-around action Missed approach procedure / landing Section 6 (ME ) a b c d Simulated engine failure after take-off, or on go-around Approach, go-around and procedural missed approach with one engine inoperative Approach and landing with one engine inoperative * May be performed in a FFS, FTD 2/3 or FNPT II + May be performed in either Section 4 or Section 5 Must be performed by sole reference to instruments 06/06 Flight with one engine inoperative