Acct. #:
_____________ Year:
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ORLANDO AERO CLUB, Inc.
P.O. Box 149306
Orlando, FL 32814-9306
FLIGHT REVIEW PLAN AND CHECKLIST
PERSONAL INFORMATION |
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PILOT CERTIFICATE INFORMATION: |
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Name: __________________________________________ |
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Age:_____________________ D.O.B.:_________________
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Home Address:___________________________________ |
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Ratings and Limitations:________________________ |
City:___________________ State:____
Zip:____________ |
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Home Phone:___________________________ |
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Work Phone:____________________________ |
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IN CASE OF AN EMERGENCY NOTIFY: |
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Date of Medical:___________________ |
Name: __________________________________________ |
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Class of Medical:___________________ |
Relationship:_____________________________________ |
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Home Phone:___________________________ |
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61.56 Flight Review
Date:___________ |
Work Phone:___________________________ |
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(OR
DATE REFLECTING LATEST RATING) |
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GROUND INSTRUCTION
REVIEW
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Currency
Requirements (VFR/IFR) |
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VFR Min.
(controlled airspace & Class G) |
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Carb. Ice |
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Certificates
and Documents |
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Special
VFR |
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Airframe
Ice |
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Weight and
Balance, Performance Limitations |
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IFR
Alternate Reqmt's. |
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Fires (
Fuel, Oil, Elect.) |
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Aircraft
Range (Hours) |
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Starting
Procedures (hot / cold / cold weather) |
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E. L. T.
Operations (Auto, Manual) |
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Fuel
Reqmt's., Capacities and Procedures |
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Flight
Control Positioning |
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Multi-Engine Operations |
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Oil
Reqmt's., Capacities and Procedures |
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Runway /
Taxiway Safety |
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Vmc |
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Performance
Charts, Performance Limitations |
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Wake
Turbulence (Landings, Depart's., In-Flight) |
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Vsse |
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Airspeeds:
VA, VNE, VFE, VLE, VS, VSO |
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Collision
Avoidance |
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Vxse |
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Hemisperical
Rule |
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Pitot/Static
Blockage |
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Vyse |
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Cross
Country Planning, Weather Briefing |
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Vacuum
Failure/Stand-By Vacuum |
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Engine
Inoperative Procedures |
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TFR’s,
Restricted Areas, MOA's, MTR's |
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Alternator
Failure |
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Airspace:
Class A, B, C, D, E, G |
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Comm.
Failure (VFR / IFR) |
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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:) _________________
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Preflight
Procedures |
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Selection
Of Practice Area |
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Gear
Operations / Emergency Exten. |
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Avionics
Panel Operations |
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Clearing
Turns (All Manuevers) |
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Pattern
Entry & Comm. Proced. |
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Seat and
Seat Belt Locking Procedures |
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Maneuvering
During Slow Flight |
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Normal Takeoffs and Landings |
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Use Of
Check List (All Operations) |
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Cowl Flap
Operations |
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Crosswind
Takeoffs and Landings |
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Starting
Procedures |
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Steep
Turns |
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Short-Field
Takeoff and Landings |
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Proper
Gnd. Communications |
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Power -Off
Stalls |
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Soft-Field
Takeoff and Landings |
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Brake
Check |
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Power -On
Stalls |
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Short
Approach |
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Instrument
Check |
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Spin
Avoidance |
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Slips |
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Taxi
Procedures, Control Positioning |
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Emergency
Descents |
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Balked
Landings |
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Before
Takeoff Procedures |
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Emergency
Procedures |
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No Flap
Landings |
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Fouled
Plug Clearing Procedures |
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Instrument
Proficiency |
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Spec Multi Engine Emer. Oper. |
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Strobe
Operations |
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Partial
Panel Proficiency |
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System/Equipment
Malfunctions |
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Mode C
Operations |
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Unusual
Flight Attitudes/Recovery |
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Manuevering
With One Eng. Inop. |
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Communication
Procedures With Tower |
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VOR
Navigation , RNAV |
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Vmc Demo |
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Power
Check On Take-Off |
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ADF
Navigation |
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Drag
Demo-Gr, Flp, Gr & Flps, WiPr |
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Class B
Operations/Communications |
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DME Usage |
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Engine
Failure TO Before Vmc, |
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Class C
Operations/Communications |
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Leaning
Procedures / EGT / PPH Gauges |
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Lift-Off,
App & Ldg With Inop Eng. |
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TOTAL RECORDED
HOURS: ______________
Type |
Hours |
Qual. |
Type |
Hours |
Qual. |
Type |
Hours |
Qual. |
C150/152 |
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Taildragger |
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Baron |
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C172 |
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Retractable |
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Cessna 310 |
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C172RG |
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Multi-Engine |
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Seneca |
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C182 |
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Bonanza |
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Other |
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C210 |
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Mooney |
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Other |
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Citabria |
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Piper Arrow |
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Other |
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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 FAR’s and Orlando Aero Club operational rules and procedures.
Pilot Signature:________________________________________
Date: ___________________
Instructor
Signature:____________________________________ Date:____________________