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[[4 columns]]
ITEMS TO CHECK | SAT | UNSAT | REMARKS

SIMULATED ENGINE OUT ON TAKEOFF AND LANDING
SIMULATED LOSS OF ENGINE ON [[strikethrough]] TAKEOFF [[/strikethrough]] LANDING | - | - | -
DECISION TO ABORT OR TAKEOFF & TECHNIQUE | - | - | -
SIMULATED ENGINE OUT ON [[strikethrough]] TAKEOFF [[/strikethrough]] LANDING | [[checkmark]] | - | -
ANALYSIS CONTROL & TRAFFIC PATTERN | [[checkmark]] | - | -
PRIOR COMPUTATION & USE OF PERFORMANCE DATA | [[checkmark]] | - | -
APPROACH [[strikethrough]] & GO-AROUND [[/strikethrough]] | [[checkmark]] | - | -
LANDING | [[checkmark]] | - | -

POSTFLIGHT PROCEDURES
POSTFLIGHT ENGINE CHECK & SHUTDOWN | [[checkmark]] | - | -
COMPLETION OF FORMS & CREW CRITIQUE | [[checkmark]] | - | -

GENERAL PHASE
OVERALL RADIO & INTERPHONE PROCEDURES | [[checkmark]] | - | -
KNOWLEDGE OF FLIGHT HANDBOOK PERF CHARTS | [[checkmark]] | - | -
KNOWLEDGE OF APPLICABLE TACTICAL DOCTRINE | [[checkmark]] | - | -
OVERALL KNOWLEDGE (flight handbook, acft perf, equip) | [[checkmark]] | - | -
CRUISE CONTROL PROCEDURES | [[checkmark]] | - | -
USE OF CHECK LIST | [[checkmark]] | - | -
WEIGHT & BALANCE | [[checkmark]] | - | -
ON TIME PERFORMANCE | [[checkmark]] | - | -

AIRCRAFT COMMANDER'S RESPONSIBILITIES (Aircraft Commanders only)
CREW DISCIPLINE, TRAINING & COORDINATION | [[checkmark]] | - | -
KNOWLEDGE OF APPLICABLE PUBLICATIONS | [[checkmark]] | - | -
MATURE ACTIONS & JUDGEMENT | [[checkmark]] | - | -

SUMMARY
ATTITUDE TOWARD CHECK: | [[checkmark]] CONFIDENT | APPREHENSIVE | NEGATIVE
OVERALL FLT PERFORMANCE: | ABOVE AVERAGE | [[checkmark]] AVERAGE | BELOW AVERAGE

AREAS REQUIRING TRAINING EMPHASIS
CHECK LISTS
R/T PROCEDURES
TAKEOFFS
CREW COORDINATION
AIRCRAFT CDR DUTIES
FLIGHT PLANNING
LANDINGS
STANDARDIZATION
ENGINE OUT PROCEDURES
EMERGENCY PROCEDURES
INSTRUMENT PROCEDURES
WEATHER ANALYSIS

SUMMARY OF FLIGHT (clarify above or below average ratings) (use continuation sheet if necessary):
Good flt. in all respects.

RECOMMENDED ACTION (use continuation sheet if necessary):
N/R
[[stamp]] Recommended for passenger carrying certificate  yes  No

CORRECTIVE ACTION TAKEN (use continuation sheet if necessary):

PILOT SIGNATURE (Reviewed with Standardization Check Pilot):  [[checkmark]] [[signature]] B.O. Davis Jr. [[/signature]]

STANDARDIZATION CHECK PILOT SIGNATURE: [[signature]] William J. Ryan [[/signature]]
GRADE:  Capt
ORGANIZATION:  HQ 7030 SUPPGP/OPS APO 12

REVIEWED BY (Signature):  [[signature]] Edwin A. Waller [[/signature]]
GRADE:  Capt.
ORGANIZATION:  HQ 7030 OPN RON
DATE REVIEWED:  23 OCT 1959

Air Force–USAFE, Wsbn, Ger-58-7642


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