AC 61-98C

Appendix 7

Page 1 (and 2)

APPENDIX 7. SAMPLE PILOT’S INSTRUMENT EXPERIENCE SUMMARY Pilot’s Name: CFI:

Address:

Phone(s): E-mail:

Type of Pilot Certificate(s):

Private Commercial Airline transport pilot (ATP) Flight instructor Rating(s):

Instrument Multiengine Rotorcraft Glider Lighter-than-air (LTA) Experience (pilot):

Total time Last 6 months Average hours/month Time logged since last instrument proficiency check (IPC) Experience (aircraft):

Aircraft type(s) you fly Aircraft used most often For this aircraft: Total time Last 6 months Average hours/month Experience (flight environment): Approximately how many hours logged in:

Day visual flight rules (VFR) Day instrument flight rules (IFR) Instrument meteorological conditions (IMC) Night VFR Night IFR Approaches Approaches to minimums Approaches in last 6 months Type of Flying (external factors): What percentage of your flying is for:

Pleasure Business Local Cross country Personal Skills Assessment:

Strengths as a pilot?

Areas for improvement?

Aviation goals?

Appendix 8

Page 1 (and 2)

APPENDIX 8. SAMPLE INSTRUMENT TRAINING AND PROFICIENCY PLAN Pilot’s Name: CFI:

Date: Review Date:

Instrument Training Goals Certificate Level (Private, Commercial, airline transport pilot (ATP)) Ratings (Instrument, Multiengine Land (MEL), Airplane Single-Engine Sea (ASES), Airplane Multiengine Sea (AMES)) Phase in Pilot Proficiency (WINGS) Program Instructor Qualifications (certificated flight instructor (CFI), CFI–instrument (CFII), multiengine instructor, advanced ground instructor (AGI), instrument ground instructor (IGI)) Other:

Instrument Proficiency Goals Lower personal minimums to:

Ceiling Visibility Winds Precision approach minimums Non-precision approach minimums Fly instrument flight rules (IFR)/instrument meteorological conditions (IMC) at least:

Times per month Hours per month Hours per year Cross-country flights per year Night hours per month Make an IFR/IMC cross-country trip to:

Other:

Aeronautical Training Action Plan

Appendix 9

APPENDIX 9. SAMPLE CERTIFICATED FLIGHT INSTRUCTOR'S

INSTRUMENT PROFICIENCY CHECK (IPC) CHECKLIST SIDE 1 References 14 CFR § 61.57(d)—Instrument Proficiency Check.

Except as provided in paragraph (e) of this section, a person who has failed to meet the instrument experience requirements of paragraph (c) for more than six calendar months may reestablish instrument currency only by completing an instrument proficiency check. The instrument proficiency check must consist of the areas of operation and instrument tasks required in the instrument rating practical test standards.

(1) The instrument proficiency check must be–

(i) In an aircraft that is appropriate to the aircraft category;

(ii) For other than a glider, in a flight simulator or flight training device that is representative of the aircraft category; or

(iii) For a glider, in a single-engine airplane or a glider.

(2) The instrument proficiency check must be given by—

(i) An examiner;

(ii) A person authorized by the U.S. Armed Forces to conduct instrument flight tests, provided the person being tested is a member of the U.S.

Armed Forces;

(iii) A company check pilot who is authorized to conduct instrument flight tests under part 121, 125, or 135 of this chapter or subpart K of part 91 of this chapter, and provided that both the check pilot and the pilot being tested are employees of that operator or fractional ownership program manager, as applicable;

(iv) An authorized instructor; or

(v) A person approved by the Administrator to conduct instrument practical tests.

AC 61-65E Completion of an Instrument Proficiency Check:

§ 61.57(d).

I certify that (First name, MI, Last name), (pilot certificate), (certificate number), has satisfactorily completed the instrument proficiency check of § 61.57(d) in a (list make and model of aircraft) on (date).

/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05 Note: No logbook entry reflecting unsatisfactory performance on an instrument proficiency check is required.

Checklist for Instrument Proficiency Check Step 1: Preparation  Expectations  Regulatory Review  Cross-Country Flight Plan Assignment Step 2: Ground Review  English Language Proficiency (ELP)  Preflight  Taxi, Takeoff, Departure  En Route  Arrival and Approach  Missed Approach Step 3: Flight Activities  Aircraft Control by Reverence to Flight Instruments  Systems and Procedures  Aeronautical Decision-Making  Stabilized Approaches and Landing Step 4: Postflight Discussion  Replay, Reflect, Reconstruction, Redirect  Questions Step 5: Aeronautical Health Maintenance & Improvement Plan  Personal Minimums Checklist  Personal Proficiency Practice Plan  Training Plan (if desired) For aviation safety information and online resources, visit www.faasafety.gov.

Appendix 9

SIDE 2 Ground Review PILOT:

 Recency of Experience (61.57)  PIC Responsibilities and Authority (91.3)  Preflight Actions (91.103)  Medical Facts for Pilots (AIM 8) AIRCRAFT:

 Fuel Requirements (91.167)  Equipment Check (VOR) (91.171)  IFR Two-way Radio Communications Failure

(91.185)  Malfunction Reports (91.187)  Required Instruments and Equipment

(91.205)  ELT (91.207)  Aircraft Lights (91.209)  Inoperative Instruments and Equipment

(91.213)  Altimeter and Pitot-Static System Tests

(91.411)  ATC Transponder Tests (91.413) ENVIRONMENT:

 ATC Instructions (91.123)  IFR Flight Plan (91.169)  ATC Clearance and Flight Plan (91.173)  TO and LDG in IFR (91.175)  Minimum IFR Altitudes (91.177)  IFR Cruising Altitudes (91.179)  Course to be Flown (91.181)  IFR Two-way Communications (91.183)  Navigation Aids (AIM 1)  Air Traffic Control (AIM 4)  Air Traffic Procedures (AIM 5) EXTERNAL PRESSURES:

 IFR Two-way Radio Communications Failure

(91.185)  Emergency Procedures (AIM 6)  National Security and Interception Procedures (AIM 5-6) Suggested Flight Activities Note: Structure the flight portion as an out-and-back IFR XC, with one leg focused on XC procedures (including missed approach and diversion procedures) and the other leg focused on airwork (aircraft control). Suggested activities include:

AREA OF OPERATION  Preflight Preparation  Weather Information  Cross-Country Flight Planning  Preflight Procedures  Aircraft Systems Related to IFR Operations  Aircraft Flight Instruments and Navigation Equipment  Instrument Cockpit Check  Air Traffic Control Clearances and Procedures  Air Traffic Control Clearances  Compliance with Departure, En Route, and Arrival Procedures and Clearances  Holding Procedures  Flight by Reference to Instruments  Basic Instrument Flight Maneuvers  Recovery from Unusual Flight Attitudes  Navigation Systems  Intercepting/Tracking Navigational Systems and DME Arcs  Instrument Approach Procedures  Nonprecision Approach (NPA)  Precision Approach (PA)  Missed Approach  Circling Approach  Landing from a Straight-in or Circling Approach  Emergency Operations  Loss of Communications  One Engine Inoperative During Straight-and-Level Flight and Turns (Multiengine Airplane)  One Engine Inoperative—Instrument Approach (Multiengine Airplane)  Loss of Primary Flight Instrument Indicators  Automation Failure: Failure of Autopilot and Avionics  Postflight Procedures  Checking Instruments and Equipment

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