Attachment_5_-_NWS_Flight_Log.pdf

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 #

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