Acct. #:_____________

 

Year:†† †† _____________

ORLANDO AERO CLUB, Inc.

P.O. Box 149306

Orlando, FL 32814-9306

407-894-4355

FLIGHT REVIEW PLAN AND CHECKLIST

PERSONAL INFORMATION

 

PILOT CERTIFICATE INFORMATION:

 

 

E-Mail Address:_______________________________

Name: __________________________________________    

 

Certificate No.:________________________________

Age:_____________________ D.O.B.:_________________

 

 

Grade of Certificate:____________________________

Home Address:___________________________________

 

 

Ratings and Limitations:________________________

City:___________________ State:____ Zip:____________

 

____________________________________________

 

____________________________________________

Home Phone:___________________________

 

 

Describe any Accidents/Suspensions:____________

Work Phone:____________________________

____________________________________________

 

 

____________________________________________

IN CASE OF AN EMERGENCY NOTIFY:

 

Date of Medical:___________________

Name: __________________________________________

 

 

 

Class of Medical:___________________

Relationship:_____________________________________

 

 

Restrictions:__________________________________

Home Phone:___________________________

 

 

61.56 Flight Review Date:___________

Work Phone:___________________________

 

(OR DATE REFLECTING LATEST RATING)

 

 

 

GROUND INSTRUCTION REVIEW

 

___

Currency Requirements (VFR/IFR)

___

VFR Min. (controlled airspace & Class G)

___

Carb. Ice

 

 

 

___

Certificates and Documents

___

Special VFR

___

Airframe Ice

 

 

 

 

 

___

Weight and Balance, Performance Limitations

___

IFR Alternate Reqmt's.

___

Fires ( Fuel, Oil, Elect.)

 

 

 

 

 

 

___

Aircraft Range (Hours)

___

Starting Procedures (hot / cold / cold weather)

___

E. L. T. Operations (Auto, Manual)

 

 

 

 

 

 

___

Fuel Reqmt's., Capacities and Procedures

___

Flight Control Positioning

 

Multi-Engine Operations

 

 

 

___

Oil Reqmt's., Capacities and Procedures

___

Runway / Taxiway Safety

___

Vmc

 

 

 

 

 

___

Performance Charts, Performance Limitations

___

Wake Turbulence (Landings, Depart's., In-Flight)

___

Vsse

 

 

 

 

___

Airspeeds: VA, VNE, VFE, VLE, VS, VSO

___

Collision Avoidance

___

Vxse

 

 

___

Hemisperical Rule

___

Pitot/Static Blockage

___

Vyse

 

 

 

___

Cross Country Planning, Weather Briefing

___

Vacuum Failure/Stand-By Vacuum

___

Engine Inoperative Procedures

 

 

 

___

TFRís, Restricted Areas, MOA's, MTR's

___

Alternator Failure

___

 

 

 

 

 

___

Airspace: Class A, B, C, D, E, G

___

Comm. Failure (VFR / IFR)

___

 

 

 

 


FLIGHT REVIEW KNOWLEDGE, MANUEVERS AND PROCEDURES

Aircraft to be used: Make and Model _________________ N_________________

Flight Review for: Initial ___ Annual ___ 61.56 _____

(Total hours last 90 days:) _________________

___

Preflight Procedures

___

Selection Of Practice Area

___

Gear Operations / Emergency Exten.

___

Avionics Panel Operations

___

Clearing Turns (All Manuevers)

___

Pattern Entry & Comm. Proced.

___

Seat and Seat Belt Locking Procedures

___

Maneuvering During Slow Flight

___

NormalTakeoffs and Landings

___

Use Of Check List (All Operations)

___

Cowl Flap Operations

___

Crosswind Takeoffs and Landings

___

Starting Procedures

___

Steep Turns

___

Short-Field Takeoff and Landings

___

Proper Gnd. Communications

___

Power -Off Stalls

___

Soft-Field Takeoff and Landings

___

Brake Check

___

Power -On Stalls

___

Short Approach

___

Instrument Check

___

Spin Avoidance

___

Slips

___

Taxi Procedures, Control Positioning

___

Emergency Descents

___

Balked Landings

___

Before Takeoff Procedures

___

Emergency Procedures

___

No Flap Landings

 

___

Fouled Plug Clearing Procedures

___

Instrument Proficiency

___

Spec Multi Engine Emer. Oper.

___

Strobe Operations

___

Partial Panel Proficiency

___

System/Equipment Malfunctions

 

 

 

 

 

___

Mode C Operations

___

Unusual Flight Attitudes/Recovery

___

Manuevering With One Eng. Inop.

 

 

 

 

___

Communication Procedures With Tower

___

VOR Navigation , RNAV

___

Vmc Demo

 

       

___

Power Check On Take-Off

___

ADF Navigation

___

Drag Demo-Gr, Flp, Gr & Flps, WiPr

       

 

___

Class B Operations/Communications

___

DME Usage

___

Engine Failure TO Before Vmc,

   

 

___

Class C Operations/Communications

___

Leaning Procedures / EGT / PPH Gauges

___

Lift-Off, App & Ldg With Inop Eng.

         

TOTAL RECORDED HOURS: ______________

Type

Hours

Qual.

Type

Hours

Qual.

Type

Hours

Qual.

C150/152

 

Taildragger

 

 

Baron

 

 

C172

 

 

Retractable

 

Cessna 310

 

 

C172RG

 

 

Multi-Engine

 

Seneca

 

C182

 

 

Bonanza

 

 

Other

 

 

C210

 

 

Mooney

 

 

Other

 

 

Citabria

 

Piper Arrow

 

Other

 

 

I am aware of all pilot currency requirements to include a current medical certificate and FAR 61.56 Flight Review. I agree not to exercise the privileges of my certificate unless I am current, in possession of my medical, pilot certificate and a government issued photo ID. I will adhere to all FARís and Orlando Aero Club operational rules and procedures.

Pilot Signature:________________________________________ Date: ___________________

Instructor Signature:____________________________________ Date:____________________