AVSS_Att___5_Commander's_Task_List_Example._18-R-0098.pdf

COMMANDER'S TASK LIST

For use of this form see TC 3-04.11; the proponent agency is TRADOC.

PART I. BIOGRAPHICAL

PART II. AUTHORIZED FLIGHT DUTIES/STATIONS

Name: Rank: DoD ID: Birth Month: FAC:

Duty Title: Aircraft Type: Primary Additional Alternate

CIV 11 N/A

MTP/ME UH-60A X

RemarksCP PI PC UT IP IE SP MP ME MO XP

Right/Back Seat

Left/Front Seat

Other Station

NVG

NVS

X X X

X X X

PART III. FLYING-HOUR REQUIREMENTS

Annual First Period Second Period Remarks/Adjustment

Dates

Total Aircraft Hours

Total Simulator Hours

Night Unaided Hours

NVG Hours

Hood/Weather Hours

Other Hours (Specify)

Other Hours (Specify)

28 Mar 17-30 Apr 17

5.0

28 Mar 17-30 Apr 17

5.0

PART IV. ANNUAL REQUIREMENTS

Designated Period (AC/USAR) or Qtr (ARNG) Remarks/Date Completed

Standardization Flight Evaluation

Instrument Flight Evaluation

Operator's Manual Written Examination

NVG Flight Evaluation

ACT-E

Maintenance Test Flight Evaluation

CBRN

28 Mar 2017-30 Apr 2017

28 Mar 2017-30 Apr 2017

28 Mar 2017-30 Apr 2017

28 Mar 2017-30 Apr 2017

28 Mar 2017-30 Apr 2017

CBAT

ROC-V

Other (Specify)

Other (Specify)

PART V. CERTIFICATION

This form, its enclosure(s), and the aircrew training manual establish your Aircrew Training Program requirements.

I certify that I have read and understand my ATP requirements contained on this form, its enclosure(s), and the aircrew training manual.

Crew Member's Signature:

Signature: Date:

Date:

Commander:

DA FORM 7120-R, DEC 2009 PREVIOUS EDITIONS ARE OBSOLETE. SED V1.00

Example

CREW MEMBER TASK PERFORMANCE AND EVALUATION REQUIREMENTS

For use of this form see TC 3-04.11; the proponent agency is TRADOC.

ofPageUH-60AAircraft:Name:

RemarksSIMCBRNNVSNVGINSTNightDayTECHTasks

0.00

12026 Perform Terrain

Flight 1.00

12048 Perform External

(Sling) Load Operations 2.00

12064 Perform Paradrop

Operations 3.00

True

True SED V1.00PREVIOUS EDITIONS ARE OBSOLETE.DA FORM 7120-1-R, DEC 2009

CREW MEMBER TASK PERFORMANCE AND EVALUATION REQUIREMENTS

REMARKS AND CERTIFICATION

For use of this form see TC 3-04.11; the proponent agency is TRADOC.

REMARKS:

1. ACT-E SUSTAINMENT TRAINING REQUIRED ANNUALLY.2. ALL MISSION AND SPECIAL

TASKS MAY NOT BE PERFORMED ON AN ANNUAL BASIS DUE TO MISSION REQUIREMENTS AND

AIRCRAFT CONFIGURATION.3. THE COMMANDER HAS DELEGATED THE AUTHORITY TO THE

EVALUATOR TO SELECT SPECIFIC TASKS FOR EVALUATION.

CERTIFICATION:

I completed my first period flying-hour requirements._______

Crew Member's Signature: Date:

CERTIFICATION:

I completed my second period and annual flying-hour, iteration, and evaluation requirements.

Crew Member's Signature: Date:

DA FORM 7120-3-R, DEC 2009 PREVIOUS EDITIONS ARE OBSOLETE. SED V1.00

False