TYPE RATING SINGLE PILOT HELICOPTER

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1 TYPE RATING SINGLE PILOT ELICOPTER A. Skill test PC Renewal VFR PC Revalidation IFR SEP SET Revalidation of more than one helicopter type (see E2 below) B. by the examer APPLICATION AND REPORT FOR FOR TE TYPE RATING SKILL TEST AND PROFICIENCY CECK ON ELICOPTER ACCORDING TO PART FCL SUBPART D AND APPENDIX TO COISSION REGULATION (EU) NO 1178/2011 OF 3 NOVEBER 2011 Date of test/check Type of helicopter Flight time total helicopter C. by the applicant Date of birth (yyyy-mm-dd) State of licence issue Licence no Last name First and middle names Street or box Country Telephone Postal code and city address Place Date Signature of applicant D. by ATO TRAINING COPLETED AND APPLICATION APPROVED Name and approval number of ATO Signature ead of Trag Date Name of T block letters Refresher Total time durg course Instrument time durg course: Approved for PC renewal Total time F/ durg course F: : E.1 by the examer RESULT OF TE TEST/CECK Fal result: Temporary ratg issued All items passed Passed 1 5 items failed Partial pass 6 or more items failed Failed Temporary ratg not issued I have entered the followg details the applicant s licence (type used for the PC). Ratg Date of check Valid until E.2 by the examer Revalidation of Sgle Turbe Enge elicopters with a maximum take-off mass of 3175 kg or Sgle Enge Piston elicopters I, undersigned examer, hereby certify that the applicant fulfils the requirement of revalidation (See structions) Type/-s and valid until, that I have entered the licence Place and date:.. Stamp L Examer certificate number: Signature of examer:. andlgarna kan skannas som Pdf-fil och mejlas till: certifikat.w3d3@transportstyrelsen.se eller skickas till: Transportstyrelsen, SE Norrköpg Webbsida:

2 F. Before Test/check Valid PPL/CPL/ATPL licence, Valid edical Class 1/2 Valid language proficiency Valid R/T certificate: Swedish English Before PC revalidation Valid Type ratg 2 hours flight time with validity period (PC cluded) Personal identification card Before Skill test Flight Theoretical ax 6 month sce start of theoretical Trag Preparation course ( only) 70h PIC Turbe course (first turbe only) Before PC, renewal Approved performed by ATO (Copy of approval must be attached) 2 hours flight time with precedg 12 month I hereby declare that I have read the formation accordg to FCL.1015 c, and checked all prerequisites for this test... (examer) =andatory P=Traed as PIC or COP for issue X= only * =Actual or simulated IC = ulti enge only G. SECTION 1 Departure elicopter exterior visual spection; 1.1 location of each item and purpose of spection P 1.2 Cockpit spection Startg procedures, radio and navigation equipment check, selection and settg of navigation and communication frequencies Taxig/air taxig compliance with air traffic Control structions or on structions of an structor an da tory ---> (if performed the helicopter) 1.5 Pre take-off procedures ---> Examers section.. / Pass Fail SECTION 2 Flight manoeuvres and procedures A 2.1 Take-offs (various profiles) 2.2 Slopg ground take-offs & landgs an dato ry Chk d / Pass Fail

3 SECTION 2 AIRWORK (cont d) Take-off at maximum take-off mass (actual or simulated maximum take-off mass) Take-off with simulated enge failure shortly before reachg TDP or DPATO Take off with simulated enge failure shortly before reachg TDP, or DPATO Take off with simulated enge failure shortly after reachg TDP, or DPATO Climbg and descendg turns to specified headgs Turns with 30 degrees bank, 180 degrees to 360 degrees left and right, by sole reference to struments ----> P an dato ry ---> ---> 2.6 Autorotative descents ---> / Pass Fail Autorotative landg or power recovery 2.7 Landgs various profiles Go around or landg followg simulated enge failure before LDP or DPBL Landg followg simulated enge failure after LDP or DPBL Examers section.. SECTION 3 Normal and abnormal operations of the followg systems and procedures: (A mandatory mimum of 3 items shall be selected from this section) 3.1 Enge ---> 3.2 Air conditiong (heatg, ventilation) ---> 3.3 Pitot/static system ---> 3.4 Fuel System ---> 3.5 Electrical system ---> 3.6 ydraulic system ---> 3.7 Flight control and Trim-system ---> 3.8 Anti- and de-icg system ---> 3.9 Autopilot/Flight director ---> 3.10 Stability augmentation devices ---> an dato ry / Pass Fail

4 SECTION 3 Normal and abnormal operations of the followg systems and procedures: (Contd.) 3.11 Weather radar, radio altimeter, Transponder ---> an dato ry Chk d / Pass Fail 3.12 Area Navigation System ---> 3.13 Landg gear system ---> 3.14 Auxiliary power unit ---> 3.15 Radio, navigation equipment, struments flight management system ---> Examers section.. SECTION 4 Abnormal and emergency procedures: A mandatory mimum of 3 items shall be selected from this section Fire drills (cludg evacuation if 4.1 applicable) 4.2 Smoke control and removal 4.3 Enge failures, shut down and restart at a safe height 4.4 Fuel dumpg (simulated) 4.5 Tail rotor control failure (if applicable) and atory / Pass Fail Tail rotor loss (if applicable) 4.6 Transmission malfunction ----> 4.7 Other emergency procedures as outled the appropriate Flight anual may not be used for this exercise ---> Examers section..

5 SECTION 5 Instrument Flight Procedures (to be performed IC or simulated IC): A anda tory Chk d / Pass Fail 5.1 Instrument take-off: transition to strument flight is required as soon as possible after becomg airborne Simulated enge failure durg departure 5.2 Adherence to departure and arrival routes and ATC structions * * 5.3 oldg Procedures 5.4 ILS-approaches down to CAT 1 decision height anually, without flight director anually, with flight director With coupled autopilot * (Skill test only) anually, with one enge simulated operative. (Enge failure has to be simulated durg fal approach before passg the outer marker (O) until touchdown or until completion of the missed approach procedure) * Non-precision approach down to the mimum descent altitude DA/ Go-around with all enges operatg on reachg DA/D or DA/D Other missed approach procedures * Go-around with one enge simulated operative on reachg DA/D or DA/D * 5.7 IC autorotation with power recovery * 5.8 Recovery from unusual attitudes * Examers section.. SECTION 6 Use of Optional equipment Use of optional equipment 6 Eq:... P > > anda tory / Pas s Examers test section Fail

6 . FLIGT DETAILS elicopter registration or TD qualification no: Rotor stop/end of TD slot Departure aerodrome Rotor turng/start of TD slot Destation aerodrome Total flight time elicopter type/variant Pilot command Other flight crew, if any I. REARKS Item no Comment Note! Applicants who has a JAR type ratg course at a FTO/TRTO not approved by the Swedish Transport Agency must attach the followg documents to the application: Course completion certificate. FTO/TRTO Approval Certificate. TD qualification certificate. The Examers authorization documents cludg copy of the licence. Copy of the licence of the TRI responsible for the aircraft. Debriefg/taken part of comments above Date Signature of applicant J. ADDITIONAL INFORATION REGARDING TE TEST/PC K. AIRCRAFT TRAINING (AFTER SKILL TEST IN ONLY) Aircraft date: Aircraft variant No of landgs/flight time / Signature of TRI Name block letters Licence number

7 Instructions for completg form L 1647-Type ratg Sgle Pilot elicopter, A. Please tick the appropriate boxes. If the PC is aimed to revalidate a valid ratg, please tick Revalidation. Note: When a proficiency check on a sgle-pilot helicopter is performed a multi-pilot operation accordance with an O or equivalent document the type ratg will be restricted to muli-pilot and form L 1676 shall be used. B. Please enter the complete formation. Type of helicopter means the relevant type of helicopter accordg to EASA Class and Type Ratg List/Licence Endorsement list (elicopters). Flight time total is the applicants total flight time on helicopter. C. Personal formation of the applicant D. This section is to be by the ead of Trag of the FTO/TRTO/RF. E.1 The result of the test. E. 2 If the PC is aimed to revalidate Sgle Enge Piston helicopters the examer can revalidate other SEP types provided that the applicant has flown a mimum of 2 hours as pilot command durg the last period of validity on each type that is to be revalidated. If the PC is aimed to revalidate a Sgle enge turbe helicopters the examer can revalidate other SET types with a TO equal to or less than kg provided that the applicant has: 1. a mimum of 300h pilot command on helicopters 2. a mimum of 15 hours total on each type that is to be revalidated 3. a mimum of 2 hours as pilot command durg the last period of validity on each type In both cases above the PC must be each time on a different type. F. This section is a checklist of prerequisites for the examer to check before the test/check. Please note that the examer must sign and thus affirm that he has checked all prerequisites before the test. G. Protocol 1. The followg symbols mean: P = Traed as Pilot--Command or co-pilot for the issue of the class/type ratg as applicable. X = Flight simulators shall be used for this exercise, if available, otherwise a helicopter shall be used if appropriate for the manoeuvre or procedure. = ulti enge only 2. The practical shall be conducted at least at the equipment level shown as (P), or may be conducted on any higher level of equipment shown by the arrow (---->) 3. The followg abbreviations are used to dicate the equipment used: = elicopter = Flight Simulator = Flight Trag Device (cludg FNPT) 4. Instructor itials are required for skill test and for PC renewal after 12 months of lapsed ratg. For PC without prior mandatory, structor itials are not required.

8 5. The items of section 5 shall be flown solely by reference to struments if revalidation/renewal of an strument ratg is cluded the skill test or proficiency check. If the items are not flown solely by reference to struments durg the skill test or proficiency check, and when there is no creditg of strument ratg privileges, the type ratg will be restricted to VFR only. 6. Where the letter appears the skill test/proficiency check column this will dicate a mandatory exercise or a choice where more than one exercise appears. 7. When a proficiency check on a sgle-pilot helicopter is performed a multi-pilot operation accordance with JAR-OPS, the type ratg will be restricted to muli-pilot operations. 8. A flight simulator shall be used for practical for type ratgs if the simulator forms part of an approved type ratg course. The followg considerations will apply to the approval of the course: (a) the qualification of the flight simulator or FNPT II as set out JAR STD; (b) the qualifications of the structors and examer; (c) the amount of le-oriented flight on the course. (d) the qualifications and previous experience of the pilot under. (e) the amount of supervised le flyg experience provided after the issue of the new type ratg. Details of the flight. I. Comments regardg tested items please dicate the item commented. The applicant signs that he/she has taken part of the result of the test (it is not a formal acceptance of the result). J. Additional formation regardg the conditions durg test, simulators etc. K. Details of the aircraft when (if pertent).

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