CA 42

DGCA India
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Route Check Form for Commercial Aeroplanes with
AUW exceeding 5700 kgs Rev 3 1 Jan 17

Company Name: InterGlobe Aviation Ltd. (IndiGo) DATE:

Pilot under check: License Number : Aircraft Type: A-320 / Aircraft registration:
ATR 72-600
Check Pilot / Examiner / License Number : Route Sector:
LTC / TRI / DE:

Crew status: Nature of duties: PF / PM Take off time (UTC): Day / Night
PIC / Co-pilot Landing time (UTC): Day / Night
Seat occupied: LHS / RHS (D/N route check determined by time of landing)
Type of check: Type of approach:
Annual Line / PIC / SLF Release / Line Release / Other ILS / VOR / LOC / NDB / RNAV / Visual / Circling

Assessment
Pre-flight: S/U In-flight: S / U Post-flight: S/U

Overall assessment: Satisfactory / Unsatisfactory

CRM:
Situational awareness: S/U FMS/FMGS/GNSS: S/U
Crew coordination: S/U ECAM/EFB/ECL: S/U
Communication: S/U F/D: S/U
Decision making & judgment: S/U A/T: S/U
Remarks:

Certified that I have 10 hours PIC experience on Type during

preceding 90 days and have exercised the functions /privileges of
C heck Pilot / Examiner / LTC / TRI / DE on type during
preceding 6 months / new Approval on the type

(Signature)
Pilot Under Check (Signature)
Check Pilot / Examiner / LTC / TRI / DE
' 0
Limitations: ± 100 ±10 and ±10 kts. except in Approach Phase when speed limits would be + 10 kts and -0.
Note: 1) Remarks mandatory when assessment is U.
2) Take-off and landing to be given to Co-Pilots, weather permitting
3) S - SATISFACTORY U – UNSATISFACTORY
One form to be filled up for each route sector. Pilot performance is to be monitored for assessment in the following areas.
Pre-flight COCKPIT RESOURCE MANAGEMENT
1) Flight Planning, 1. COMMUNICATION
2) Pre-flight Procedures - Shares information/ ideas
In-Flight - Attentive Listener
1) Taxy - Assertive when required
2) Departure Procedures (Clearances, Briefing, T/O, SID, etc.) - Admits mistakes and clarifies doubts
3) Climb , 2. LEADERSHIP/ TEAMWORK
4) Cruise, - Balances Rank Authority
5) GNSS/GPS/INS / Radio Navigation - Open to feedback
6) Descent and Approach Procedures, - Pro-active Participation
7) Instrument Scan, 3. SITUATION AWARENESS
8) Landing, landing roll - Gathers Appropriate Data
9) Taxy and Parking and Shut down procedures - Recognizes Potential Threats
10) Knowledge of Emergency Equipment / Procedures - Stays Ahead & Updates Plans
11) Route Knowledge / Airline Procedures, Diversion Awareness - Traps Errors
12) Knowledge of Flight and Route Manuals 4. DECISION MAKING
13) Airmanship and Crew Co-ordination and Standard Callouts - Refrains from Assumptions
where applicable - Uses the CLEAR Decision Making Tool
Post-flight - Optimum Utilization of Resources
1) Post Flight Documentation 5. WORKLOAD MANAGEMENT
2) Debriefing and snag reporting - Recognizes High workload
- Manages time
- Sets Priorities
- Avoids Distraction & Distracting