Type Rating Multi-Pilot Helicopter · Dual flight training Valid PPL licence, Medical Class 2hrs...

Luftfartstilsynet / CAA Norway NF-1042 E / ver.1.2.1 06/2016 of 6 Name of applicant: Licence no.:

Send to: [email protected] or Luftfartstilsynet Postboks 243 8001 BODØ

Approved application and report form, Skill test, Proficiency check and Renewal, Multi-pilot helicopters (MPH), according to EASA Part FCL Appendix 9.

Type Rating Multi-Pilot Helicopter

TO BE COMPLETED BY APPLICANT Skilltest only TO BE COMPLETED BY ATO

RESULT OF THE TEST: TO BE COMPLETED BY EXAMINER

Skill Test Proficiency check LICENCE ENDORSEMENT (Type):

Renewal IFR VFR Total flight time: Date of test:

Licence type and number/pers. no

State of issue

Last name

First, middle name

Adress

Postal code and city

Country

Telephone daytime

Place date and signature of the applicant

E-mail:

Invoice to be sent to: Applicant Company

TRAINING COMPLETED AND APPLICATION APPROVED Name of ATO Signature Head of Training Name in capital letters

Technical type course performed, documentation enclosed Approved Type Rating Course completed

Section 1 Passed Failed






FINAL RESULT Passed Partial Pass Failed

Rating revalidated/renewed and entered in licence Type Rating valid until:

Instrument Rating valid until:

Temporary Type-Rating Issued Temporary Type Rating valid until:

Temporary Type-Rating not issued

Place and date: Examiner authorisation number:

Signature of examiner: Name in capitals:

mailto:[email protected]

PMA

Tekst i maskinskrift

PIC Co-Pilot

PMA

Tekst i maskinskrift

ATPL


TO BE COMPLETED BY EXAMINER: Before Skill Test Single-Pilot/Multi-engine: (Acknowledge flight time on dotted lines)

Dual flight training hrs

Technical training

Valid CPL/ATPL licence, Medical Class 1

Valid PPL licence, Medical Class 2

Pilot in Command hours hrs Valid Language Proficiency

Before Skill Test Single pilot/Single engine Valid CPL/ATPL licence, Medical Class 1


M = Mandatory during Skill test / Proficiency check P = Trained as PIC for issue X = FS only * = Actual or simulated IMC

Before PC with valid type rating Yes No Valid CPL/ATPL licence, Medical Class 1


Valid Class/Type rating

Hours on type within validity period: ……….

Before PC renewal Yes No Valid CPL/ATPL licence, Medical Class 1


Training performed by ATO

SECTION 1 Pre-flight preparations and checks

PRACTICAL TRAINING Type Rating Skill test/Prof. check

FTD

FS

H

Instructors initials when training completed

Chkd in

Passed Failed FFS H

1.1 Helicopter exterior visual inspection; location of each item and purpose of inspection. P

M (if perfomed in helicopter)

1.2 Cockpit inspection P → M

1.3 Starting procedures, radio and navigation equipment check, selection and setting of navigation and communication frequencies

P → → M

1.4 Taxiing /air taxiing in compliance with air traffic control instructions or with instructions of an instructor P → M

1.5 Pre-take off procedures and checks P → → M

Examiners initials when test-section completed............................………………....... Passed Failed

SECTION 2 Flight manoeuvres and procedures FTD

FS

H

Instructors initials when training completed Passed Failed

2.1 Take-offs (various profiles ) P → M

2.2 Sloping ground or crosswind take-offs & landing P →

2.3 Take-off at maximum take-off mass (actual or simulated maximum take-off mass) P → →

2.4. Take-offs with simulated engine failure shortly before reaching TDP, or DPATO P → M

2.4.1 Take-offs with simulated engine failure shortly after reaching TDP or DPATO P → M

2.5 Climbing and descending turns to specified headings P → → M

2.5.1 Turns with 30° bank, 180° to 360° left and right, by sole reference to instruments P → → M

2.6 Autorotative descent P → → M

2.6.1 Autorotative landing (SEH only) or power recovery P → M

2.7 Landings, various profiles P → M

2.7.1 Go-around or landing following simulated engine failure before LDP or DPBL P → M

2.7.2 Landing following simulated engine failure after LDP or DPBL P → M


SECTION 3 Normal and abnormal operations of the following systems and procedures: (A mandatory minimum of three items shall be selected from this section) FT

D

FS

H


3.1 Engine P → →

3.2 Air conditioning (heating, ventilation) P → → 3.3 Pitot/static system P → →

3.4 Fuel System P → → 3.5 Electrical system P → → 3.6 Hydraulic system P → →


3.7 Flight control and Trim system P → → 3.8 Anti-icing and de-icing system P → → 3.9 Autopilot/Flight director P → → 3.10 Stability augmentation devices P → →

3.11 Weather radar, radio altimeter, transponder P → →

3.12 Area Navigation System P → → 3.13 Landing gear system P → → 3.14 Auxiliary power unit P → →

3.15 Radio, navigation equipment,instruments flight management system P → →


SECTION 4 Abnormal and emergency problems: (A mandatory minimum of three items shall be selected from this section) FT

D

FS

H


4.1 Fire drills (including evacuation if applicable)

P → →

4.2 Smoke control and removal P → → 4.3 Engine failures, shutdown and restart at a safe height P → → 4.4 Fuel dumping (simulated) P → →

4.5 Tail rotor control failure (if applicable) P → →

4.5.1 Tail rotor loss (if applicable) p →

Helicopter may not be used for this

exercise

4.6 Incapacitation of crew member — MPH only P → →

4.7 Transmission malfunctions P → →

4.8 Other emergency procedures as outlined in the appropriate Flight Manual P → →


SECTION 5 Instrument flight procedures (to be performed in IMC or simulated IMC) FT

D

FS

H


5.1 Instrument take-off: transition to instrument flight is required as soon as possible after becoming airborne

P* →* →*

5.1.1 Simulated engine failure during departure P* →* →* M*

5.2 Adherence to departure and arrival routes and ATC instructions

P* →* →* M*

5.3 Holding procedures P* →* →*

5.4 ILS approaches down to CAT I decision height P* →* →*

5.4.1 Manually, without flight director P* →* →* M*

5.4.2 Precision approach manually, with or without flight director P* →* →* M*

5.4.3 With coupled autopilot P* →* →*

5.4.4

Manually, with one engine simulated inoperative. (Engine failure has to be simulated during final approach before passing the outer marker (OM) until touchdown or until completion of the missed approach procedure)

P* →* →* M*


5.5 Non-precision approach down to the minimum descent altitude MDA/H

P* →* →* M*

5.6 Go-around with all engines operating on reaching DA/DH or MDA/MDH

P* →* →*

5.6. 1 Other missed approach procedures P* →* →*

5.6.2 Go-around with one engine simulated inoperative on reaching DA/DH or MDA/MDH

P* M*

5.7 IMC autorotation with power recovery P* →* →* M*

5.8 Recovery from unusual attitudes P* →* →* M*


SECTION 6 Use of optional equipment FTD

FS

H


6 Use of optional equipment P → →


DETAILS OF THE FLIGHT Registration:

Block on:

On ground:

Departure aerodrome:

Block off:

Take-off:

Destination aerodrome:

Total block:

Total:

Remarks:

De-briefing/taken part of comments above date: Signature of applicant

Aircraft training completed date:

ACFT Type:

No of landings/Airb. Hrs:

Signature of TRI : Name in capitals:

Verification of compliance according to ARA.GEN.315 and AMC1 ARA.GEN.315(a)

I am not holding any personnel licence, certificate, rating, authorisation or attestation with the same scope and in the same category issued in another Member State;

I have not applied for any personnel licence, certificate, rating, authorisation or attestation with the same scope and in the same category in another Member State;

I have never held any personnel licence, certificate, rating, authorisation or attestation with the same scope and in the same category issued in another Member State which was revoked or suspended in any other Member State.

I hereby declare that the above details given and on additional pages are true and correct. I am aware of that any incorrect information could disqualify me as an applicant from being granted a personnel licence, certificate, rating, authorisation or attestation.

Date: Place:

Signature of applicant:…………………………………………………………………..

Luftfartstilsynet / CAA Norway Ver.1.2.1 06/2016 Side 6 av 6

The test and check forms used by a Non-Norwegian examiner who have been certified by another competent authority shall have the following declaration attached. FCL.1030(b)(3)(iv) from 03 April 2014

Declaration of National procedure and requirements for Non-Norwegian Examiners

I hereby declare that I, [name examiner], have reviewed and applied the relevant national procedures and requirements of the applicant’s competent authority contained in version [insert document version, i.e. 01-2014] of the Examiner Differences Document.

Date

Signature

Luftfartstilsynet / CAA Norway NF-1042 E / ver.1.2.1 06/2016 Page 5 of 5 Name of applicant: Licence no.:

Guide for NF-1041E and 1042E

The following symbols mean: P = Trained as PIC for the issue of a type rating for SPH or trained as PIC or Co-pilot and as PF and PNF for the issue of a type rating for MPH. The practical training shall be conducted at least at the training equipment level shown as (P), or may be conducted up to any higher equipment level shown by the arrow (——>). The following abbreviations are used to indicate the training equipment used: FFS = Full Flight Simulator FTD = Flight Training Device H = Helicopter The starred items (*) shall be flown in actual or simulated IMC, only by applicants wishing to renew or revalidate an IR(H), or extend the privileges of that rating to another type. Instrument flight procedures (section 5) shall be performed only by applicants wishing to renew or revalidate an IR(H) or extend the privileges of that rating to another type. An FFS or FTD 2/3 may be used for this purpose. Where the letter ‘M’ appears in the skill test or proficiency check column this will indicate the mandatory exercise. An FSTD shall be used for practical training and testing if the FSTD forms part of a type rating course. The following considerations will apply to the course: (i) the qualification of the FSTD as set out in Part-OR; (ii) the qualifications of the instructor and examiner; (iii) the amount of FSTD training provided on the course;

(iv) the qualifications and previous experience in similar types of the pilot under training; and

(v) the amount of supervised flying experience provided after the issue of the new type rating. MULTI-PILOT HELICOPTERS Applicants for the skill test for the issue of the multi-pilot helicopter type rating and ATPL(H) shall take only sections 1 to 4 and, if applicable, section 6. Applicants for the revalidation or renewal of the multi-pilot helicopter type rating proficiency check shall take only sections 1 to 4 and, if applicable, section 6.

Luftfartstilsynet / CAA Norway NF-1042 E / ver.1.2.1 06/2016

In order to process your application we need information about you. Your personal data is required in order to issue Airline Transport Pilot Licence(ATPL) or type rating, revalidate or renew correct type rating to correct person.Your personal data will be handled in accordance with regulation (EU) 2016/679 – General Data Protection Regulation (GDPR). Article 6 (1)(e), Civil Aviation Act § 5-3 regulation on certifying crewmember and EU-regulation no. 1178/2011 FCL.015 and MED. A.035 specifies the criteria on which your application will be processed.

Your personal data will be stored only as long as required for the purpose in which they were collected. You have the right to access your personal data, and, if necessary, have them corrected. If you believe that your personal data is not handled in accordance with the GDPR, you may appeal to the Norwegian Data Protection Authority.

The Civil Aviation Authority – Norway (CAA-N) is responsible for the processing of your application and our data protection officer is Torgeir Øines, e-mail: [email protected].

All written inquiries to CAA-N are subject to the Archive Act and the Freedom of Information Act. The public’s right to access information does not apply to personal data which is subject to confidentiality. Read our privacy police here.

http://www.luftfartstilsynet.no/privacy-policy

Type Rating Multi-Pilot Helicopter · Dual flight training Valid PPL licence, Medical Class 2hrs...

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