Attachment_5_-_Rotary_NWS_Flight_Log.docx
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- FA4890-14-R-0002
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Attachment 5
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Attachment 5
NORTH WARNING SYSTEM FLIGHT LOG
| FLT DATE: ____________ | A/C REG | TYPE: ____________ | F/R #: ___________ __ | |
| Crew: P1_________________ _ | P2 | Engineer__________ |
Flight Safety Briefing Completed By: ___________________________________ Date: ______________ _____ Purpose of Flight (check all that apply): □ PMI □ CM □ PMT □ EMER □ CSR □ TPS □ Other
Scheduled Routing (Full day, all stops):____________________________________________________________________
| FLIGHT LOG (actuals) |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| TOTALS |
DEPART FROM
DESTINATION
TIME UP (scheduled-local)
TIME UP (actual-local)
TIME DOWN (local)
FLIGHT TIME (hours)
FLIGHT DIST (GCSM)
FLIGHT DIST (para 4.6.2)
FUEL CONSUMED
REFUEL LOCATION
FUEL TANK # AT SITE
FUEL SAMPLE TAKEN
TEST RESULTS
QTY FUEL TAKEN LTRS
Cargo/PAX Manifest # Manifest #
CARGO IN LBS
CARGO TYPE
NUMBER OF PAX
FLIGHT (VFR/IFR)
WEATHER
REMARKS: Include time/wx for cancellations. Provide applicable reference numbers (WO, CSR, TPS, etc)
COST REIMBURSABLE EXPENSES (receipts required for all items except meals & incidentals)
Airport Landing Fees
Call Out Fees
Plug In Fees
Fuel Cost
Other Fees
| Crew Expenses |
| Hotel |
| Breakfast |
| Lunch |
| Supper |
| Incidentals |
| Overnight |
| Other |
Pilot # 1
Pilot # 2
Engineer # 1
Engineer # 2
| Signature |
| Printed Name |
Air Carrier
Customer
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