OPERATOR: TYPE OF OPERATOR : CHECKED BY : CHECK DATE: SIGNATURE : Regulatory references : Arrêté N 00726/MINT du 07 juin 2005 fixant les conditions d utilisation des avions en aviation générale et en travail aérien. Annexe à l arrêté N 00738/MINT relatif aux licences et qualifications des personnels de l aéronautique civile AIRCRAFT DESCRIPTION AIRCRAFT REGISTRATION : AIRCRAFT TYPE : TRACKING : #ISSUE TO : FROM : FLIGHT# : PIC# : SIC# : OTHER : GENERAL 1. Responsibility of the commander 3.2 2. Reporting in case of accident 3.4 Chkl date : 11/06/2014 Edition : 1.0 Page 1 sur 5 Prepared by : Groupe OPS
3. Type and limitations of the operator s authorization 4. Aircraft documentation: availability, validity and location 5. License validity. Medical 6. Weather check at origin and destination: VMC / VFR review; cities over flight 7. Logbook review and Visual check of aircraft condition before flight 8. Calibration of the spray system (calculated flow, aircraft speed and spray zone 9. Safety Procedures during refueling 3.8 3.9 4.5 4.4 PREFLIGHT Chkl date : 11/06/2014 Edition : 1.0 Page 2 sur 5 Prepared by : Groupe OPS
10. Performance calculations (mass& balance, runway length, runway condition) 11. Calculations of spraying time versus travelling time AIRCRAFT KNOWLEDGE 12. Aircraft limitations 13. Aircraft systems 14. Aircraft immediate action items 15. Spray system description 4.4 TAXI AND TAKE OFF 16. Safety procedures during start up 17. Start-up technique Chkl date : 11/06/2014 Edition : 1.0 Page 3 sur 5 Prepared by : Groupe OPS
18. Taxi speed and safety procedures during taxi 19. Take off technique 20. Radio communication or contact with ground personnel FLIGHT EXERCICES 21. Closing turn to minimum safe height over the airfield ( speed, bank angle) 22. Over flight at spray altitude ( without spray); check speed, height, alignment 23. Pull out and closing turn for repositioning 24. Over flight in real spray conditions ; check ground safety, speed, height, alignment Chkl date : 11/06/2014 Edition : 1.0 Page 4 sur 5 Prepared by : Groupe OPS
25. Pull out with emergency dumping of the product; check procedure & closing turn 26. Approach to land and goaround following a radio call; check procedure and closing turn 27. Approach and landing; check speed, slope, breaking and landing distance REPORTING 28. Appropriate company documentation 29. Appropriate special report ( if needed) Chkl date : 11/06/2014 Edition : 1.0 Page 5 sur 5 Prepared by : Groupe OPS