Route Winds and Temperature Date Aircraft Captain Callsign
2000ft W/V Temp 5000ft W/V Temp
Brakes off Take off Landing Brakes On
Max Drift: Max Drift:
Station Service Frequency Name/Ident Type Frequency
Depart Time: Fuel T/O: Fuel Tank
_________ _________ Switch Time
From To MSA Alt/FL CAS TAS TRK T W/V Hdg T Var Hdg M G/S Dist Time ETA ATA REQ FOB L R
Alternate
Fuel Plan USG or Litres ATIS
Dep Arrival Arrival
Start-up and Taxi Info
A. Route Fuel Time
B. Alternate Fuel Runway
5% of A + B Wind
Hold 45 Min Visibility
Min Fuel Required Cloud
Fuel Available Temp/DP
Additional Reserve QNH