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8574X Aircraft Risk Assessment Tool (RAT)
This form is for flight time and data collection for the DAC Flying Club's Safety Management System (SMS). Members MUST complete the flight times portion and are STRONGLY ENCOURAGED to share their flying experiences so we may share information and create training programs specifically tailored to the needs of our aircraft and our members. All information is welcome and will not be shared outside the club nor used for disciplinary action. If you feel that a FAA violation has occurred, in addition to sharing the information with us, you should also consider sharing that information with the Aviation Safety Reporting System (ASRS).
http://asrs.arc.nasa.gov/report/electronic.html
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* Indicates required question
Date Flown
Only enter if different than today.
Your answer
Name
*
Enter member's last name only.
Your answer
Flight Time
*
Enter billable Hobbs time with proper decimal.
Your answer
Start Hobbs
Your answer
End Hobbs
*
Your answer
End Tach
Helps with maintenance tracking.
Your answer
Oil Added?
Leave blank for none, otherwise enter quantity in quarts.
Your answer
What kind of flying did you do to day?
*
For training and tracking.
Primary Training
Flight Review
Just for Fun
Maintenance Flight
Check the THREATS that you may have encountered on today's flight.
Remember, THREATS come at you! Check all that apply.
Weather
Winds
Aircraft Malfunction
ATC Complications
Traffic and Radio Congestion
Airport Conditions
Personal Conditions IMSAFE
Other:
Threats
Briefly describe any threats that you experienced. Weather, Crosswinds, aircraft malfunctions, etc. Threats come at you and are a normal biproduct of the flying environment.
Your answer
Check the ERRORS you may have made on today's flight
Errors come from you and are a normal part of being human and gaining experience. Check all that apply.
On Ground Aircraft Handeling
In Flight Aircraft Handeling
Communications Errors
ATC Errors
Flight Management Errors
Other:
Errors
Briefly Describe any errors you may have experienced. Too high or fast on final, bounced landing, wrong squawk code, etc.
Your answer
UAS - Undesired Aircraft State
Did the aircraft end up in a state that could have had an undesired consequence? Please describe and remember to fill out a NASA form if required. Not for MX items!
Your answer
Maintenance Items
Please describe any items you think need attention.
Your answer
Additional Comments
Please share any other information you think will make the DAC Flying Club even better!
Your answer
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