Flight Planner Form
sigmets/airmets
P IREPS ,
Freezing level (icing)
Temp/dew point
spread
Alternate airport
WX forecast
Winds and
temperatures
NOTAMs
rea
PILOT’S WX GO/NO GO
CHECKLIST
FOLD ON THIS LINE
NOTAMs/TFRs
MILITARY TRAINING ACTIVITY (e.g., MOAs, MTRs)
FLIGHT PLAN FORM
1. Type
VFR
IFR
DVFR
2. Aircraft
Identification
3.Aircraft Type
Special Equip.
4. True
Airspeed
5. Departure Point 6. Departure Time
Proposed(z) Actual(z)
7. Cruising
Altitude:
8. Route of Flight
9. Destination
(Name of Airport and City)
10. Est. Time Enroute
Hours Minutes
11. Remarks
12. Fuel on Board
Hours Minutes
13. Alternate Airport(s) 14. Pilot’s Name, Address & Telephone Number & Aircraft Home Base
17. Destination Contact/Telephone (optional)
15. Number
Aboard
16. Color of Aircraft
CLOSE VFR FLIGHT PLAN WITH FSS ON ARRIVAL
Special Equipment Suffix:
X: No DME, no transponder
T: No DME, transponder without Mode C
U: No DME, t ransponder with Mode C
D: DME, no transponder
B: DME, transponder without Mode C
A: DME, transponder with Mode C
Y: RNAV, no transponder
C: RNAV, transponder without Mode C
I: RNAV, transponder with Mode C
G: GPS with en route and terminal capability
NAVIGATION LOG
DATE: DEP. DEST.
Frequencies:
ATIS CLD GRD TWR DEP
Clearance
TANK
OFF
ON
TIME
TIME EN ROUTE
TIME
ON
TIME
OFF
ATE
CLOSE YOUR FLIGHT PLAN
DEPARTURE PT ROUTE ESTIMATE ACTUAL
CHECK POINT VIA CRS DIST GS ETE ETA GS ATE ATA
FUEL MANAGEMENT
AWOS/ASOS
CTAF
UNICOM
Ceiling and visibility
Adverse WX, including
ilot reports (P )
including cloud top
reports
aloft
Favorable a
orecastf
Density altitude
Convective outlook
Turbulence
LOCATION
A/C TYPEALTITUDE
REMARKSTURB/ICING
TIME
PIREP FORM
CLOUDS
VIS/PRECIP
WINDTEMP.
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