Information

  • Date of Route Check

  • Check Pilot

  • License No

  • Route Check for

  • License No

  • Checked as

  • Route Check Type

  • Aircraft Type

  • Aircraft Registration

  • Route Flown

  • Flight Time

Route Check Evaluation

Grading Scale (4 Point Marking Scale)

  • 1 - Unacceptable deviations from the required standards occur which may include excursion beyond prescribed limits that are not recognized or corrected in a timely manner.

  • 2 - Major deviations from the required standards occur which may include momentary excursion beyond prescribed limits but these are recognized and corrected in a timely manner.

  • 3 - Minor deviations occur from the required standards and performance remains within prescribed limits.

  • 4 - Performance remains well within the qualification standards and flight management skills are excellent.

Preparation

  • On Time

  • Remarks

  • Personal Appearance, Uniform and Shoes

  • Remarks

  • Flight Bag, Maps, Navigation Aids, and First Aid Kit

  • Remarks

  • Flight Planning Documents; Nav Log, W&B, Wx, Notams, Flight Plan, Performance Calculations, Approach Plates

  • Remarks

Theoretical Knowledge

  • Emergency Memory Items

  • Aircraft Systems and Technical knowledge

  • Remarks

  • SOPs

  • Remarks

  • AWOPS

  • Remarks

Flight

  • Pre-Flight Inspection, Aircraft Documents, Fuel Checked

  • Remarks

  • Cockpit Setup, Frequencies, GPS Route programming

  • Remarks

  • Loading of Cargo and/or Passengers, Passenger Briefing if applicable

  • Remarks

  • Start/s

  • Remarks

  • Start Types Observed

  • Before Take Off Dos

  • Remarks

  • Taxi

  • Remarks

  • Before Take Off Briefing

  • Remarks

  • Take Off and Initial Climb, SID, Radar Vectors

  • Remarks

  • Enroute Climb

  • Remarks

  • Top of Climb

  • Remarks

  • Cruise

  • Remarks

  • Fuel Management

  • Remarks

  • Descent Planning & Briefing

  • Remarks

  • Descent, Speed Management and if applicable Pressurization settings

  • Remarks

  • Initial Approach, STAR, Radar Vectors

  • Remarks

  • Type of Final Approach

  • Visual Final Approach

  • Remarks

  • Was a Go Around executed?

  • Go Around Rating

  • Remarks

  • Reason for Go Around

  • IF Approach flown

  • IF Approach
  • Type of IF Approach

  • Approach Timing and Hold

  • Remarks

  • Execution of IF Approach

  • Remarks

  • Was a Missed Approach or Go Around executed?

  • Missed Approach or Go Around Rating

  • Remarks

  • Reason for Go Around or Missed Approach

  • Landing and Roll out

  • Remarks

  • Taxi and Shut down

  • Remarks

  • Post Flight Duties, Chocks, Covers and Cleaning

  • Remarks

General

  • General Aircraft Handling and Maneuvers

  • Remarks

  • Radio Procedures, ATIS, Clearances

  • Remarks

  • Knowledge and use of Avionics, Navigation Equipment (VOR, DME, GPS) and Radar

  • Remarks

  • Situational Awareness, Traffic, Wx and Diversion planning

  • Remarks

  • Use of Check List

  • Remarks

  • Completion of Paper work and Forms

  • Remarks

  • Multi Crew

  • Standard Calls

  • Remarks

  • CRM

  • Remarks

Emergencies

  • Engine Failure Discussed

  • Remarks

  • Engine or Wing Fire Discussed

  • Remarks

  • Other Emergency Discussed

  • Emergency
  • Description of Emergency

  • Rating

  • Remarks

General Remarks

  • General Level of Competence

  • Remarks

CERTIFICATE OF COMPETENCY

CERTIFICATE OF COMPETENCY

  • Operational Check (Route Check)

  • Once all required Signatures have been endorsed on this certificate it shall be valid for a period of twelve (12) calendar months from date endorsed by the Check Pilot or Training Captain. This certificate complies with the requirements of Part 135.3.7 "Recurrent Training and Check" and the Westair Wings Par 135 Flight Operations Manual Part 4.

  • Valid Until

  • Candidate Pilot

  • Check Pilot

  • Remarks

  • Chief Pilot

  • Remarks

  • Manager/Director Flight Operations

  • Remarks

  • Flight Training Centre

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.