Flight Risk Assessment Checklist 4.2

Flight & Pilot Information

Pilot Qualifications and Experiences

#ItemPointsCheck
1CAPTAIN WITH LESS THAN 200 HOURS IN TYPE5
2FIRST OFFICER WITH LESS THAN 200 HOURS IN TYPE5
3SINGLE PILOT FLIGHT5
4DUTY DAY GREATER THAN 12 HOURS4
5FLIGHT TIME (GREATER THAN 8 HOURS IN THE DUTY DAY)4
6CREW REST (LESS THAN 10 HOURS PRIOR TO THE DUTY DAY)5

Operating Environment

#ItemPointsCheck
7VOR/GPS/LOC/ADF (BEST APPROACH AVAILABLE W/O VERTICAL GUIDANCE)3
8CIRCLING APPROACH (BEST AVAILABLE APPROACH)4
9NO PUBLISHED APPROACHES4
10MOUNTAINOUS AIRPORT - MOUNTAINOUS AIRPORT5
11CONTROL TOWER NOT OPERATIONAL AT ETA OR ETD3
12UNCONTROLLED AIRPORT5
13ALTERNATE AIRPORT NOT SELECTED4
14ELEVATION OF PRIMARY AIRPORT GREATER THAN 5000 FT. MSL3
15WET RUNWAY3
16CONTAMINATED RUNWAY3
17WINTER OPERATION / AIRPORT CONDITIONS3
18TWILIGHT OPERATION2
19NIGHT OPERATION5
20STOPPING DISTANCE GREATER THAN 80 OF AVAILABLE RUNWAY5
21REPOSITIONING FLIGHT (NO PASSENGERS OR CARGO)2
22POP UP TRIP (LESS THAN 4 HOURS CREW NOTICE)2

Pilot Notes

Operating Environment (cont.)

#ItemPointsCheck
23INTERNATIONAL OPERATION2
24NO WEATHER REPORTING AT DESTINATION5
25THUNDERSTORMS AT DEPARTURE AND/OR DESTINATION4
26SEVERE TURBULENCE5
27CEILING & VISIBILITY AT DESTINATION LESS THAN 500 FT. / 2 SM3
28HEAVY RAIN AT DEPARTURE AND/OR DESTINATION5
29FROZEN PRECIPITATION AT DEPARTURE AND/OR DESTINATION3
30ICING (MODERATE-SEVERE)5
31SURFACE WINDS GREATER THAN 30 KNOTS4
32CROSSWINDS GREATER THAN 15 KNOTS4
33RUNWAY BRAKING ACTION LESS THAN GOOD5

Equipment

#ItemPointsCheck
34SPECIAL FLIGHT PERMIT OPERATION (FERRY PERMIT)3
35MEL / CDL ITEMS (ITEMS RELATED TO SAFETY OF FLIGHT)2
36SPECIAL FLIGHT LIMITATIONS BASED ON AFM EQUIPMENT LIMITATIONS2

User Defined

#ItemPointsCheck
37ONE RUNWAY AIRPORT (ARRIVAL)3
38CAPTAIN WITH LESS THAN 15 LANDINGS LAST 90 DAYS3
39FIRST OFFICER LESS THAN 15 LANDINGS LAST 90 DAYS3
40MAINTENANCE TEST FLIGHT2
41CLASS B AIRSPACE WITHIN DEST / DEP AIRPORT1
42SPEED RESTRICTION ON SID1
43UNFAMILIAR AIRPORT1
44NIGHT ASEL3
45NOISE SENSITIVE AIRPORT1
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