Members Name:

 

 DPC Number: Aircraft Number: Check Date:
Type of Checkout (Check blocks satisfactorily completed)

 ___  INITIAL                            ___  INSTRUCTOR                    ___  NIGHT ORIENTATION     ___  FAA BFR
 ___  STUDENT PRE-SOLO     ___  INSTR. COMPETENCY    ___  INSTRUMENT                    ___  OTHER:
 ___  ANNUAL                          ___  MULTI-ENGINE                ___  AIRCRAFT CHECKOUT             _______
 
Review of Certificates and Documents (Verified by Check Pilot)

FAA Pilot Certificate No. _______________________         FAA BFR (or AFR) Date: ______________

FAA Class: ____________________                                        Medical Issue Date: __________________
I certify that I have administered a DPC flight check as indicated and that the above named member:

 ___  Has demonstrated the proficiency required to fly the indicated aircraft.
 ___  Has demonstrated the proficiency required to be a DPC Flight Instructor.
 ___  Has demonstrated instrument competency.
 ___  IS NOT QUALIFIED.  REQUIRES ADDITIONAL TRAINING AND A RECHECK.
 
Comments:

 
Check Pilot's Name/Certificate Number:

 

 Check Pilot Signature: Flight Time: Date:
I certify that I have read and understand all applicable FAA, DPC and STATE regulations pertaining to flying subject
aircraft.  I acknowledge any restrictions or training requirements stated above.  I also understand that maintaining
currency, recurring requirements and compliance with applicable directives is my personal responsibility.  I certify
that I am not taking any medication or other substances that would prohibit me from acting as Pilot In Command.

Members Signature: ___________________________________              Date:  ___________
 

INSTRUCTIONS:
Ground phase may be completed separately within a 30-day period before flight check.  All items must be completed
indicating S - Satisfactory, U - Unsatisfactory, V - Verbally or NA - Not Applicable.  If a member can satisfactorily
perform the more complex maneuvers, less complex maneuvers need not be accomplished at the discretion of the
check pilot.  Night orientation is for familiarization only.  Pilots are evaluated on their ability to satisfactorily
perform the tasks assigned,  knowledge of procedures, smoothness, judgment, and mastery of the aircraft.  Failure
to meet the standards of performance for any task performed will result in an unsatisfactory evaluation.  Tolerances
specified in the FAA Private Practical Test Standards represent the minimum performance expected in good flying
conditions.  Individuals holding an Instrument rating (or ATP certificate) are required to demonstrate instrument
competency on a DPC check flight or be restricted from exercising instrument privileges in DPC Aircraft.
GENERAL PILOT INFORMATION
A DPC flight check must be taken and passed to:
     1.  Fly PIC in DPC aircraft without a DPC instructor.
     2.  Fly IFR in DPC aircraft.

The flight check must be taken in the most complex DPC aircraft to be flown at the highest rating to be used in DPC
aircraft.  An FAA rating check ride will not fulfill the requirements of this check.

 
 
.
 


















PILOTS CHECK LIST






  

       I.   DPC ORAL 
    DISCUSSION

   ___ A.  DPC 
    Written Exam Passed

   ___ B.  Review of Regs and DPC policies

                 
    and Operating Rules.

   ___ C.  Review of 
    A/C Limitations.

   ___ D.  Review of 
    Pilot Limitations

   ___ E.  Local 
    Procedures.

      II.   PRE-FIGHT PREPARATION

   ___ A.  
    Certificates and Documents.

   ___ B.  Obtaining 
    Weather Information.

   ___ C.  Determine 
    Performance and Limitations.

   ___ D.  
    Cross-Country Flight Planning.

   ___ E.  Airplane 
    Systems.

   ___ F.  Aeromedical Facts.

    
 III.   GROUND OPERATIONS

   ___ A.  Visual 
    Inspection.

   ___ B.  Cockpit 
    Management.

   ___ C.  Starting 
    Engine.

   ___ D.  Taxing.

   ___ E.  Pre-takeoff Check.

   ___ F.  
    Post-flight Procedures.

    
  IV.   AIRPORT & TRAFFIC PATTERN OPS

   ___ A.  Radio Comm 
    & ATC Light Signals.

   ___ B.  Traffic 
    Pattern Operations.

   ___ C.  Airport & 
    Runway Markings/Lighting.

    
   V.   TAKEOFFS AND CLIMBS

   ___ A.  Normal 
    Takeoff and Climb.

   ___ B.  Crosswind 
    Takeoff and Climb.

   ___ C.  
    Short-field Takeoff and Climb.

   ___ D.  Soft-field 
    Takeoff and Climb.

    
  VI.   CROSS-COUNTRY FLYING

   ___ A.  Pilotage 
    and Dead Reckoning.

   ___ B.  Radio 
    Navigation.

   ___ C.  Diversion.

   ___ D.  Lost 
    Procedures.

   ___ E.  Airspace.

    
 VII.   INSTRUMENT REF. MANEUVERING

   ___ A.  Straight 
    and Level Flight.

   ___ B.  Straight 
    Constant Airspeed Climbs.

   ___ C.  Straight 
    Constant Airspeed Descents.

   ___ D.  Turns to 
    Heading.

   ___ E.  Unusual 
    Flight Attitudes.

   ___ F.  Radio Nav 
    and Radar Services.

    

    
VIII.   
    FLIGHT AT SLOW AIRSPEEDS

   ___ A.  Full 
    Stalls - Power Off.

   ___ B.  Full Stall 
    - Power On.

   ___ C.  
    Imminent Stalls - Power On/Off..

   ___ D.  
    Maneuvering At Slow Airspeed.

   ___ E.  Constant 
    Altitude Turns.

    
  IX.   GROUND REFERENCE MANEUVERING

   ___ A.  
    Rectangular Course.

   ___ B.  S-Turns 
    Across a Road.

   ___ C.  Turns 
    Around a Point.

    
   X.   NIGHT FLIGHT OPERATIONS

   ___ A.  
    Preparation and Equipment.

   ___ B.  Night 
    Flight.

    
  XI.   EMERGENCY OPERATIONS

   ___ A.  Emergency 
    Approach & Landing.

   ___ B.  System and 
    Equipment Malfunction..

   ___ C.  Engine 
    Failure on Takeoff.

    
 XII.   APPROACHES AND LANDINGS

   ___ A.  Normal 
    Approach & Landing.

   ___ B.  Crosswind 
    Approach & Landing.

   ___ C.  Forward 
    Slips to Landing.

   ___ D.  Go-Around.

   ___ E.  
    Short-Field Approach & Landing.

   ___ F.  Soft-Field Approach & Landing.

    
XIII.   INSTRUMENT COMPETENCY

   ___ A.  Ground 
    Prep (Weather, Aircraft Sys & Flt Planning)

   ___ B.  Air 
    Traffic Procedures.

   ___ C.  Compliance 
    With ATC Clearances.

   ___ D.  Holding 
    Procedures.

   ___ E.  Flight by 
    Reference to Instruments.

                  
    Straight/Level, Climb/Descent, Timed/

                  Steep Turns & Airspeed Control

   ___ F.  Unusual 
    Attitude Recovery - Partial Panel.

   ___ G.  
    Intercept/Track VOR/NDB Radials. 

   ___ H.  Instrument 
    Approach Procedures:

   ___       
    1.  ILS/MLS Approach.

   ___       
    2.  VOR/VORTAC Approach.

   ___       
    3.  NDB Approach.

   ___       
    4.  Circling Approach Procedures.

   ___       
    5.  Missed Approach.

    
 XIV.  SAFETY AWARENESS

   ___ A.  Clearing 
    Turns.

   ___ B.  Vigilance.

   ___ C.  Fuel 
    Management.

    		
  





To return to the Homepage, Click Here