Chapter Appendix G
Sample Pilot's Instrument Experience Summary
Appendix G. Sample Pilot’s Instrument Experience Summary
Pilot’s Name:
Address:
Phone(s):
Flight Instructor:
Email:
Type of Pilot Certificate(s):
- Private
- Commercial
- Airline Transport Pilot (ATP)
- Flight Instructor
Rating(s):
- Instrument
- Multiengine
- Rotorcraft
- Glider
- Lighter than Air (LTA)
Experience (pilot):
- Total time
- Last 6 months
- Average hours/month
- Time logged since last instrument proficiency check (IPC)
Experience (aircraft):
Aircraft type(s) you fly
Aircraft used most often
For this aircraft:
Total time
Last 6 months
Average hours/month
Experience (flight environment):
Approximately how many hours logged in:
- Day visual flight rules (VFR)
- Day instrument flight rules (IFR)
- Instrument meteorological conditions (IMC)
- Night VFR
- Night IFR
- Approaches
- Approaches to minimums
- Approaches in last 6 months
Type of Flying (external factors):
What percentage of your flying is for:
- Pleasure
- Business
- Local
- Cross-country
Personal Skills Assessment:
Strengths as a pilot?
Areas for improvement?
Aviation goals?