logo (type) TRAINING - COMPLETE CODE:

NAME: LICENCE Nº
LOCATION: A/C TYPE:
PLANNED COMPLETED
Nº Code Course GND FFS Instructor GND FLT Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
TOTAL
PLANNED COMPLETED
Hours Result
Nº Code Assessment Examiner Date
GND A/C FFS A B C D E
1
2
3
4
5
6
7
8
A= Excellent; B= Good; C=Adequate; D= Unsatisfactory; F= Not applicable not evaluated
Notes:

Evaluation Summary
FINAL TRAINING ASSESSMENT
The Trainee is considered: ABLE  NOT ABLE 
Instructor Name Instructor Trainee Training Managerr Training Manager
Initials Date Signature Name signature
Chonogramme
CHRONOGRAMME
Day Code Training Hrs Day Code Training Hrs

1 2

4
3

5 6

7 8

9 10

TOTAL GROUND HOURS

11
TOTAL FFS HOURS
 OPC FORM (continuation)
VERIFIED
3. SPECIAL PROCEDURES/ADDITIONAL VERIFICATIONS & MANEOUVERS Examiner initials
3.1 Take-off & Rejected take-off - LVTO (maneouvers at minimum authorised RVR)
3.2 CAT II/III APP (minimum three approaches, including one G/A from DH applicable)
3.3 Pilot qualification to operate in either pilot´s seat
3.4 Commander's in flight relief pilot above FL200
3.5 Upgrading to Commander
OPC. Observations and comments section:

CRM SKILLS EVALUATION

COOPERATION A B C D E
Team building and maintaining
Consideration of others
Support of others
Conflict solving
COMMUNICATION A B C D E
Removing barries
Clarity of exposition
Listening
Feedback
Use of standard Call-outs and Check-list
LEADERSHIP AND MANAGERIAL SKILLS A B C D E
Use of authority and assertiveness
Proviving and maintaining standards
Planning and coordination
Workload management
SITUATION AWARENESS A B C D E
System awareness
Environmental awareness
Awareness of time and anticipation of
future events
DECISION MAKING A B C D E
Problem definition / Diagnosis
Option generation
Risk Assessment
Option Choice
Outcome review
A= VERY GOOD B= GOOD C= ACCEPTABLE D= POOR E = VERY POOR
NOTE: Only one result for each category
CRM SKILLS OVERALL EVALUATION
Positive Futher training requiered
NOTE: If Positive indicate the reasons in the Comments section
Examiner's (TRE) name: Examiner's (TRE) signature:

COMMENTS:

Place and date:

Pilot's name: Pilot's signature*:

Note: *Signature does not imply acceptance

NOTE: Tick the box ( ) when appropiate OPC FORM page: 2/2
 SIMULATOR/AIRCRAFT TRAINING FORM
(continuation)
PILOT INCAPACITATION CAT II/III APPROACHES
Procedures to recognise and handle flight crew incapacitation. The training in normal operation without aircraft or equipment
failures during meteorological conditions according to the Category
A practical training should be carried out at intervals not II/III operations approved, and with scenarios with equipment
exceeding 3 years. faults that could affect the Category II/III operations.
QUALIFICATION TO OPERATE * Incapacitation
IN EITHER PILOT'S SEAT * Approaches with engine failures at different stages of the approach
Engine failure during take-off * Approach with failures in critical systems: electrical, automatic
One engine inoperative approach and go-around. flight, ground and/or on board ILS and status monitoring systems.

One engine inoperative landing. * Approaches where low-level failures of automatic flight
equipment require changing to manual flight at or below the
AIRPORT AND/OR ROUTE
decision altitude, including those that could result in touching the
QUALIFICATION TRAINING ground during a GA.
AIRPORT * Specific failures for the aircraft type and failure of the ground
Applicable to a Category C aerodrome according to OM Part C. systems from the ILS.
ROUTE * For Category III operations during a fail-passive approach, a
missed approach is completed as a result of an autopilot failure at
The database must be appropriate to the route concerned.
or below decision height when the last reported RVR is 300 m or
Training should be conducted according to: less.
Seasonal meteorological conditions. CRM SKILLS
* Terrain and minimum safe altitudes applicable. The training should be operated by the following criteria
* ATC Communication and procedures. Cockpit communication
* Search and rescue procedures. Communication with the Auxiliary Crew
* Navigational facilities associated with the route. Cooperation (Team Building / Conflict Solving)
COMMANDER'S IN FLIGHT Assertivity
RELIVEF PILOT ≥ FL200 Providing and Maintaining standards
The pilot shall demonstrate practice of drills and procedures, Planning and Coordination
which would otherwise have been the commander’s responsibility Workload & Resources Management & Management
acting as pilot non-flying. Situation awareness (Collect information/Anticipation of future events)
Where the differences between left and right seats are not Decision making (Diagnosis / Risk Assessment / Option Choice)
significant (for example because of use of autopilot) then practice
Outcome review
may not be necessary conducted.
CRM SKILLS OVERALL EVALUATION
RECENT EXPERIENCE Positive Futher training requiered
At least 3 take-off and 3 landings as pilot flying in an aeroplane or NOTE: If Positive indicate the reasons in the Comments section
an approved flight simulator Instructor's (TRI) name:
BASE TRAINING / ZFTT Signature:
BASE TRAINING
Minimum 6 landings in the applicable type. If the pilot has in COMMENTS:
excess of 1500 hours total flight time and 500 hours on similar
types, a minimum of 4 landings with aeroplane should be
completed.
ZFTT
6 take-offs and landings in a flight simulator. This simulator session
shall be conducted by a Type Rating Instructor (TRI(A)) Place and date:
occupying a pilot's seat

LVO INITIAL TRAINING

LVTO: RVR 125M (150 M. FOR AIRCRAFT CAT D)
* TO in minimum authorized RVR conditions with an
engine inoperative between V 1 and V 2 or as soon as safety
* Rejected TO in minimum authorized RVR conditions with
an engine inoperative before V 1.

NOTE: Tick the box ( ) when appropiate TRAINING FORM page: 1/2