CIVIL AVIATION ADMINISTRATION REPUBLIC OF BULGARIA
APPLICATION and REPORT FORM FOR ATPL/TYPE RATING/TRAINING/SKILL TEST AND
PROFICIENCY CHECK ON MULTI-PILOT AEROPLANES
A
APPLICANTS DETAILS AND CERTIFICATION:
NAME
RANK
EMPLOYER
TYPE OF LICENCE
DATE (DD/MM/YYYY)
LICENCE NUMBER
I CERTIFY THAT I MEET ALL REQUIREMENTS
FOR THE LICENCE OR RATING FOR WHICH I AM
APPLYING.
(FOR TYPE
RATING INSERT A/C TYPE AND CAPACITY)
ISSUE
APPLICANTS SIGNATURE
REVALIDATION
RENEWAL
THEORETICAL INSTRUCTIONS:
FROM:
TO:
MARK (PASS MARK 75%)
TRAINING CENTER
INSTRUCTORS NAME
INSTRUCTORS SIGNATURE
INSTRUCTORS LICENCE NUMBER
DATE (DD/MMM/YYYY)
(FOR ATPL TICK BELOW)
(TRI)/(SFI) RECOMMENDATIONS:
INSTRUCTORS NAME
I CONSIDER THE ABOVE APPLICANT READY FOR THE SKILL TEST FOR WHICH HE IS APPLYING.
INSTRUCTORS SIGNATURE
INSTRUCTORS LICENCE NUMBER
DATE (DD/MMM/YYYY)
Manoeuvres/Procedures (including Multi Crew Cooperation)
OTD FTD
FS
INSTRUCTORS INITIALS WHEN
TRAINING COMPLETED
Type-Rating Skill Test/Prof. Check
CHKD IN ATTEMPT EXAMINER'S INITIALS WHEN
TEST COMPLETED
FS A
(1 OR 2)
Section 1. FLIGHT PREPARATION
1.1 Performance calculation
1.2 Aeroplane ext. Visual inspect.; location of each item and purpose of
inspection
P#
P
1.3 Cockpit inspection
1.4 Use of checklist prior to starting engines, starting procedure, radio and
navigation equipment check, selection and setting of navigation and
communication frequencies
P
M
P
1.5 Taxiing in compliance with air traffic control or instructions of instructor
P
1.6 Before take-off checks
Section 2. TAKE-OFF
P
2.1 Normal take-offs with different flap settings, including expedited take off
2.2 *Instrument take off; transition to instrument flight is required during
rotation or immediately after becoming airborne
2.3 Cross wind take off (if practicable)
2.4 Take-off at maximum take off mass (actual or simulated maximum takeoff mass)
2.5 Take-offs with simulated engine failure
2.5.1 * shortly after reaching V2
2.5.2 between V1 and V2
2.6 Rejected take-off at a reasonable speed before reaching V1.
M
FS only
Section 3. FLIGHT MANOEUVRES AND PROCEDURES
P
3.1 Turns with and without spoilers
3.2 Tuck under and Mach buffets after reaching the critical Mach number,
and other specific flight characteristics of the Aeroplane(e.g. Dutch Roll)
3.3 Normal operation of systems and controls engineers panel
A minimum of 3 (abnormal) shall be
selected from 3.4 0 to 3.4.14 inclusive.
3.4 Normal and abnormal operations of following systems:
3.4.0 Engine (if necessary propeller)
3.4.1 Pressurisation and air-conditioning
3.4.2 Pitot / static system
3.4.3 Fuel system
3.4.4 Electrical system
P
P
P
P
P
CIVIL AVIATION ADMINISTRATION REPUBLIC OF BULGARIA
P
3.4.5 Hydraulic system
3.4.6 Flight control and Trim -system
3.4.7 Anti- and de-icing system, Glare shield heating
3.4.8 Autopilot / flight director
3.4.9 Stall warning devices or stall avoidance devices, and stability
augmentation devices
3.4.10 Ground proximity warning system, weather radar, radio altimeter,
transponder
3.4.11 Radios, navigation equipment, instruments, flight management
system
P
P
P
P
3.4.12 Landing gear and brake
3.4.13 Slat and flap system
3.4.14 Auxiliary power unit
A minimum of 3 items shall be selected from
3.6.1 to 3.6.8 inclusive.
3.6 Abnormal and emergency procedures:
P
3.6.1 Fire drills e.g. engine, APU, cabin, cargo compartment, flight deck,
wing and electrical fires including evacuation
3.6.2 Smoke control and removal
3.6.3 Engine failures, shut down and restart at a safe height
3.6.4 Fuel dumping (simulated)
3.6.5 Windshear at take off and landing
3.6.6 Simulated cabin pressure failure / emergency descent
P
3.6.7 Incapacitation of flight crew member
3.6.8 Other emergency procedures as outlined in the appropriate
Aeroplane Flight Manual
P
3.6.9 ACAS event
0
FS only
FS only
P
3.7 Steep turns with 45 bank, 180 to 360 left and right
3.8 Early recognition and counter measures on approaching stall (up to
action of stall warning devices) in take-off configuration (flaps in take-off
position), in cruising flight configuration and in landing configuration
(flaps in landing position, gear extended)
3.8.1 Recovery from full stall or after activation of stall warning device in
climb, cruise and approach configuration
3.9 Instrument flight procedures
3.9.1 * Adherence to departure and arrival routes and ATC instructions
3.9.2 * Holding procedures
3.9.3 * ILS approaches down to a decision height (DH) not less than 60 m
(200 ft)
P
3.9.3.1 * Manually, without flight director
3.9.3.2 * Manually, with flight director
3.9.3.3 * With autopilot
3.9.3.4 Manually, with one engine simulated inoperative (engine failure has
to be simulated during final approach from before passing the outer
marker (OM) until touchdown or through the complete missed approach
procedure).
3.9.4 NDB or VOR / LOC or RNAV approach down to the MDH / A
3.9.5 Circling approach under following conditions:
(a) * approach to the authorized minimum circling approach altitude at the
aerodrome in question in accordance with the local instrument
approach facilities in simulated instrument flight conditions; followed by:
(b) circling approach to another runway at least 90 off centreline from final
approach used in item a), at the authorised minimum circling approach
altitude;
Remark: if a) and b) are not possible due to ATC reasons a simulated low
visibility pattern may be performed
M
Skill Test
Only
P
P
P
M
P
Section 4. MISSED APPROACH PROCEDURES
4.1 Go-around with all engines operating after an ILS approach on
reaching decision height
4.2 Other missed approach procedures
4.3* Go around with one engine simulated inoperative after an ILS
approach on reaching DH (see also 3.9.3.4).
4.4 Reject landing at 15 m (50 ft) above runway threshold and go-around
P*
P*
P*
M
P
CIVIL AVIATION ADMINISTRATION REPUBLIC OF BULGARIA
Section 5. LANDINGS
5.1 Normal landings also after an ILS approach with transition to visual
flight on reaching DH
5.2 Landing with simulated jammed horizontal stabilizer in any out-of-trim
position
P
P
5.3 Cross wind landings (a/c, if practicable)
5.4 Traffic pattern and landing without extended flaps and slats.
5.5 Landing with critical engine simulated inoperative
5.6 Landing with two engines simulated inoperative (Not 2 eng. Aircraft)
Aeroplanes three engines - centre engine & one outboard engine
Aeroplanes four engines - two engines at one side
M
M
FS Skill
Test
Only
Section 6. ADDITIONAL AUTHORISATION ON A TYPE RATING FOR INSTRUMENT APPROACHES DOWN TO A DECISION HEIGHT OF LESS
THAN 60 m (200 ft) (CAT II/III)
The following manoeuvres and procedures are the minimum training
requirements to permit instrument approaches down to a DH of less than
60 m (200 ft). During the following instrument approaches and missed
approach procedures all aeroplane equipment required for type
certification of instrument approaches down to a DH of less than 60 m
(200 ft) shall be used
6.1* Rejected take-off with minimum authorised RVR.
6.2* ILS approach
In simulated instrument flight conditions down to the applicable DH, using
flight guidance system. Standard procedures of crew coordination (task
sharing, call out procedures, mutual surveillance, information exchange
and support) shall be observed.
6.3* Go Around
after approaches as indicated in 6.2 on reaching DH. The training also
shall include a go around due to (simulated) insufficient RVR, wind shear,
aeroplane deviation in excess of approach limits for a successful
approach, and ground/airborne equipment failure prior to reaching DH
and, go-around with simulated airborne equipment failure
6.4* Landing(s)
with visual reference established at DH following an instrument approach.
Depending on the specific flight guidance system, an automatic landing
shall be performed
EXAMINERS REPORT and DECLARATION
P*
P
M
P
M*
P
M
I have found the applicant experience and instruction to comply with Annex I to Part FCL.
I hereby declare that I,, have
reviewed and applied the relevant national procedures and
requirements of the applicants competent authority
contained in version 01-2014 of the Examiner Differences
Document.
I confirm that all the required maneuvers and exercises have been completed.
I confirm that the applicant's theoretical knowledge has been confirmed
by verbal examination (where applicable).
Date..Signature
PASSED*
RESULT OF TEST:
SIM or SIM LOCATION / AIRCRAFT REGISTRATION:
START:
END:
EXAMINERS NAME
Note:
EXAMINERS
SIGNATURE
EXAMINERS SIGNATURE
FAILED*
* EXAMINER TO SIGN NEXT TO PASSED
OR FAILED AS APPLICABLE
MCFN issued (Copy
Attached)
TOTAL TIME:
EXAMINERS AUTHORISATION
TRE/TRI shall refer to PART-FCL as
applicable for more details.
CAA LST/LPC (A) FORM 003 / Issue 3
DATE (DD/MM/YYYY).
Regulation Requirements column, (M) mandatory, (X) not authorised on Aircraft, (*)
required for Instrument Rating.