Appendix B B-3 Figure B-2. Training Provider Affidavit for Lost/Unobtainable Previous Experience Documentation
STATE OF
COUNTY OF [Name of Company Representative] , being duly sworn, says:
1. On [today’s date], I, [Company Representative], [Company Name], certify that I have been unable to find or obtain the records documenting that [instructor’s name] was employed by [Company Name] from [date] to [date].
2. I have made a good faith effort to obtain such records. Notwithstanding this effort, I have been unable to find such records. I do not know where such records presently are, or where they may be found. I believe them to be lost or destroyed.
3. I acknowledge that any fraudulent or intentionally false statements concerning aeronautical experience are a basis for suspension or revocation of any certificate or rating I hold, as well as revocation or suspension of this [Air Carrier Certificate or management specifications].
For the above reason, I offer the below statement in lieu of the actual records:
I, [Company Representative], on behalf of [company name], attest the information above is accurate and therefore [Name of instructor] meets the baseline requirements of an instructor as set forth in § 121.410(b)(2), § 135.336(b)(2), § 141.33(a)(4)(ii), or § 142.54(b).
Company Representative’s Signature Company Representative’s Pilot Certificate Number (if applicable) Company Representative’s Name (Print) Company Name and Certificate Number SUBSCRIBED AND SWORN TO before me this day of , [Seal] Notary Public in and for County State of My Commission expires on
Appendix C C-1 APPENDIX C. RELATED GUIDANCE C.1 Related Reading Material (current editions):
1. Advisory Circular (AC) 61-107, Aircraft Operations at Altitudes A bove 25,000 Feet Mean Sea Level or Mach Numbers Greater Than .75.
2. AC 90-48, Pilots’ Role in Collision Avoidance.
3. AC 91-74, Pilot Guide: Flight in Icing Conditions.
4. AC 91-79, Mitigating the Risks of a Runway Overrun Upon Landing.
5. AC 120-35, Flightcrew Mem ber Line-Operational Simulations: Line-Oriented Flight Training, Special Purpose Operational Training, Line Operational Evaluation.
6. AC 120-51, Crew Resource Management Training.
7. AC 120-62, Takeoff Safety Training Aid.
8. AC 120-64, Operational Us e and Modification of Electronic Checklists.
9. AC 120-66, Aviation Safety Action Program.
10. AC 120-71, Standard Operating P rocedures and Pilot Monitoring Duties for Flight Deck Crewmembers.
11. AC 120-74, Parts 91, 12 1, 125, and 135 Flightcrew Procedures During Taxi Operations.
12. AC 120-82, Flight Operational Quality Assurance.
13. AC 120-109, Stall Prevention and Recovery Training.
14. AC 120-111, Upset Prevention and Recovery Training.
15. AC 120-123, Flightpath Management.
16. AC 121.195-1, Operational Landing Distances for Wet Runways; Transport Category Airplanes.
17. AC 121-42, Leadership and Command Training for Pilots in Command.
18. Commercial Aviation Safety Team (CAST) – Safety Enhancement 30, Mode Awareness and Energy State Management Aspects of Flight Deck Automation.
19. In formation for Operators (InFO) 07009, Runway L ights Required for Night Takeoffs in Part 121.
20. I nFO 07018, Taxi Clearances: Know the Rules, Understand Your Clearance.
21. InFO 08029, Approach and L anding Accident Reduction (ALAR): Recommended Flightcrew Training.
22. I nFO 08034, Design a nd Content of Checklists for In-Flight Smoke, Fire and Fumes (SFF).
23. I nFO 08049, Preventing Wrong Runway Takeoffs.
24. InFO 10010, Enhanced Upset Recovery Training.
Appendix C C-2
25. InFO 10024, Airline Transport Pilot (ATP) Certificate Requirement for Pilots in Part 121 Operations.
26. Safety Alert for Operators (SAFO) 07003, Confirming the Takeoff Runway.
27. SAFO 10006, In-Flight Icing Operations and Training Recommendations.
28. SAFO 10012, Possible Misinterpretation of the Practical Test Standards (PTS) Language “Minimal Loss of Altitude.”
29. Or der 8900.1, Volume 4, Chapter 2, Section 2, All Weather Operations Approach and Landing Concepts.
30.
Order 8900.1, Volume 3, Chapter 32, Section 12, Safety Assurance System: Aircraft Checklists for 14 CFR Parts 121/135.
31. Aerodynamics for Naval Aviators, https://www.faa.gov/regulations_policies/ha ndboo ks_manuals/aviation/media/00-80T-80.pdf.
32. Degani, A., and Wiener, E.L. (1994). On the Design of Flight-Deck Procedures.
(NASA Contractor Report 177642). Washington, DC: National Aeronautics and Space Administration.
33. F AA, Air Traffic Organization, Office of Safety. (n.d.). Pilot ‘Best Practices’ for Airfield Safety.
34. FAA, Office of Integrated Safety Analysis, Human Factors Analysis Division. (1995).
Human Performance Considerations in the Use and Design of Aircraft Checklists.
35. FAA-H-8083-3C, Airplane Flying Handbook.
36. FAA-H-8083-25B, Pilot’s H andbook of Aeronautical Knowledge.
37. International Civil Aviation Organization. (1991). Human Factors Digest Number 3:
Training of Operational Personnel in Human Factors. (ICAO Circular 227-AN/136).
38. McDonnell, L.K., Jobe, K.K., and Dismukes, R.K. (1997). Facilitating LOS Debriefings: A Training Manual. (NASA Technical Memorandum 112192).
39. Prince, C. (n.d.). Guidelines for Situation Awareness Training.
NAWCTSD/UCF/FAA Partnership for Aviation Training.
40. Svatek, N. (1990). Techniques in CRM Training. ICAO Journal, 45(10), 12-13.
41. Tarnowski, E. (1999). Understanding Design Philosophy Can Help Pilots Benefit from Modern Automated Flight Systems. ICAO Journal, November/December 1999, 22-24, 29-30.
42. T urner, J.W. and Huntley, M.S. (1991). The Use and Design of Flightcrew Checklists and Manuals (Report No. DOT/FAA/AM-91/07).
43. U.S. Air Force, Air Education and Training Command. (2012). Cockpit/Crew Resource Management Program. (Air Force Instruction 11-290).
Appendix C C-3 C.2 Decision Making, Crew Resource Management (CRM), and Human Factors:
1. AC 60-22, Aeronautical Decision Making.
2. Adams, R.J. (1993). How Expert Pilots Think. (Report No. DOT/FAA/RD-93/9).
3. Civil Aviation Authority (United Kingdom). (2002). Flight Crew Training: Cockpit Resource Management (CRM) and Line-Oriented Flight Training (LOFT).
(Previously ICAO Digest No. 2).
4. D riskell, J.E., and Adams, R.J. (1992). Crew Resource Management: An Introductory Handbook. (FAA Report No. DOT-VNTSC-FAA-92-8).
5. FAA Report No. DOT-VNTSC-FAA-03-07. (2003). Human Fact ors Considerations in the Design and Evaluation of Electronic Flight Bags (EFBs).
6. H elmreich, R.L., Merritt, A.C., and Wilhelm, J.A. (1999). The Evolution of Crew Resource Management Training in Commercial Aviation. (University of Texas at Austin Human Factors Research Project: 235). International Journal of Aviation Psychology, 9(1), 19-32.
7. InFO 07015, Flight Risk A ssessment Tool.
8. Jensen, R.S. (1989). Aeronautical Decision Making—Cockpit Resource Management (Report No. DOT/FAA/PM-86/46).
9. Johnston, A.N., and Maurino, D.E. (1990). Human Factors Training for Aviation Personnel. ICAO Journal, No. 5, May 1990, pp. 16-19.
10. Kochan, J.A., Jensen, R.S., and Chubb, G.P. (1997). A New Approach to Aeronautical Decision-Making: The Expertise Method (Report No. DOT/FAA/AM- 97/6).
11. Merritt, A.C., and Helmreich, R.L. (1996). Creating and sustaining a safety culture:
Some practical strategies. In B. Hayward and A. Lowe (Eds.), Applied Aviation Psychology: Achievement, Change and Challenge (pp. 20-26). Sydney: Avebury Aviation.
12. Reason, J. (1990). Human Error. New York: Cambridge University Press.
13. Seamster, T.L., Boehm-Davis, D.A., Holt, R.W., and Schultz, K. (1998). Developing Advanced Crew Resource Management (ACRM) Training: A Training Manual. FAA, Office of the Chief Scientific and Technical Advisory for Human Factors, AAR-100.
14. S umwalt, R.L., Thomas, R.J., and Dismukes, K. (2002). Enhancing Flight- cr ew Monitoring Skills Can Increase Flight Safety. Paper presented at the 55th International Air Safety Seminar, Flight Safety Foundation. Dublin, Ireland, November 4-7, 2002.
Appendix C C-4 C.3 Related References:
1. Airplane Upset Recovery Training Aid Revision 2.
2. Helmreich, R.L. (n.d.) Culture, Threat, and Error: Assessing System Safety.
3. Defensive Flying for Pilots: An Introduction to Threat and Error Management.
Ashleigh Merritt, Ph.D. and James Klinect, Ph.D. The University of Texas Human Factors Research Project. The LOSA Collaborative.
Advisory Circular Feedback Form If you find an error in this AC, have recommendations for improving it, or have suggestions for new items/subjects to be added, you may let us know by contacting the Air Transportation Division at 9-AFS-200-Correspondence@faa.gov or the Flight Standards Directives Management Officer at 9-AWA-AFB-120-Directives@faa.gov.
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