RW Frat

• Tail Number

• Conducted on

  Date

• Prepared by

Pilot Qualification / Experience / Duty Time

• PIC Crew rest less than 12 hours?

  1yes

  No

• SIC Crew rest less than 12 hours?

  1yes

  No

• Crew duty day will exceed 12 hours

  B yes

  No

• Duty times between 2300 -0500 local<br>

  4yes

  No

• Duty time between 2300-0500 and duty day exceeds 12 hours

  19 yes

  No

• Two Captains assigned?

  5 yes

  No

• Pop up trip (less than 4 hours notice)

  6yes

  No

Operating Environment

• Operating to or from a heliport or confined area without HOGE capability

  7 yes

  No

• Frozen Precipitation along route of flight (other than scattered or isolated)

  8 yes

  No

• Off airport LZ - PIC no precious experience

  9 yes

  No

• Departure or Destination above 5000 msl

  10 yes

  No

• Forecast destination weather less than 300 above and/or less than 1 mile above lowest available approach minimums

  11 yes

  No

• Forecast surface winds greater than 35 knots

  12 yes

  No

• Helipad/heliport operations

  13 yes

  No

• Unimproved landing area (unmarked/unlit)

  14 yes

  No

• Flight through or in the vicinity of a TFR

  15 yes

  No

• Night operations

  16 yes

  No

• Forecast weather along route of flight greater than 3000/6

  17 yes

  No

Operating equipment

• TCAS

  Inop

• WX radar

  Inop

Mission planning checklist

• Weather reviewed for all legs.

  Complete

• Designated departure and destination alternates as required

  Complete

• NOTAMS reviewed

  Complete

• TFR's reviewed

  Complete

• Aircraft preflight and Catalyst review complete.

  Complete

Risk Mitigation strategies