Arci - Intermidiate - UAV Flight Authorization

• Site:

• Date of the flight:

  Date

• Estimated flight time:

  Date

• Estimated take off time:

  Date

• PIC/Controller

• Location
  Address

• Number of Flight

• Flight Altitude

Safety

• Airspace - Check local airspace requirement/restrictions

  Yes

  No

  N/A

• Weather - Check forecast for proposed flight dates/times

  Yes

  No

  N/A

• NOTAMS - Submit NOTAM for flight area

  Yes

  No

  N/A

• Local Area control - Is takeoff/landing area isolated & secure

  Yes

  No

  N/A

• 100' clearance (Personal/Equipment/Infrastructure)

  Yes

  No

  N/A

• Line of Sight - Can this be maintained?

  Yes

  No

  N/A

• 1500' clearance from NONEL Blast (Mine)

  Yes

  No

  N/A

• Permissions - Any other relevant permission necessary to fly?

  Yes

  No

  N/A

• Level 1 Risk Assessment - Has a RA been completed/reviewed on this type of mission ?

  Yes

  No

  N/A

• Additional information or notes

Routine Flight:

Is this mission is listed as a routine flight?

• Yes

  No

  N/A

• Routine Flight Type:

  Yes

  No

  N/A

• PIC Name:

  Yes

  No

  N/A

• PIC Signature:

  Sign

None Routine Flight Authorization:

None Routine Flight Authorization

• Chief Controller Name:

  Yes

  No

  N/A

• Chief Controller Signature:

  Sign

Safety

Safety

Safety

Safety

Administration Document

• UAV Flight Authorization Form Complete

  Yes

  No

• NOTAM Submited

  Yes

  No

• Pre-Operational Brief Complete (W/Crew)

  Yes

  No

Work Area

• Area demarcted with signs & clear of non-UAV personnel

  Yes

  No

• UAV personnel & vehicle clearance (50' controller, 100' observer/truck)

  Yes

  No

• 1500' clearance from NONEL, blast (mine)

  Yes

  No

• Launch area prepped and level

  Yes

  No

• Weather on-site (Temperature, wind, visibility, precipation)

  Yes

  No

• Final local hazard check (powerlines, equipment, personnel, wildlife etc).

  Yes

  No

Equipment (Ground Station)

• RTKC site radio operation

  Yes

  No

• Aviation band radio operational

  Yes

  No

  N/A

Equipment (UAV)

• UAV ID:

• Battery ID:

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A