Rental Dispatch Form-Palm Beach Flight Training Page 2
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1
2Preflight Risk Assessment
Before each flight, assess each of the following conditions and assign a numerical rating of 1 to 5 in the right-hand
(Rating) column.
Add up the entries in the Rating column to obtain an overall risk estimate, and see where it falls in the
Green/Yellow/Red Risk Chart.
1
2
3
4
5
RATING
Terrain
Flat Urban
Flat Remote
High Rugged
Remote
Crewmembers
Pilot &
Pilot &
Pilot- Solo
Instructor
Co-pilot
Day/Night
Day
Night-Full
Night-no moon
moon
Rating
CFI/ATP
Comm
PPL Instr
PPL
Student
Rest in last 24 hrs
>7 hrs
6-7 hrs
3-5 hrs
<3 hrs
Visibilty
>15 miles
10-15
6-9 miles
3-5 miles
<3 miles
miles
Ceiling
>10,000
5,000-
3,000-4,000
1,000-
<1,000
9,000
2,000
Crosswind –
0-5 kts
6-10 kts
11-15 kts
16-20 kts
>20kts
Departure
Weather Stability
Stable
Slow
Rapid
deterioration
deterioration
Destination airport
Yes
No
familiarity
Hours in aircraft
>200
151-199
100-150
50-99
<50
Hours in last 90 days
>20
15-20
10-14
5-9
<5
Total Hours
>2,000
501-2,000
251-500
100-250
<100
TOTAL RISK SCORE >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
0
No Unusual hazards. Use normal flight planning and established personal minimums and
14-30
operating procedures.
Somewhat riskier than usual. Conduct flight planning with extra care. Review personal
31-47
minimums and operating procedures to ensure that all standards are being met. Consider
or a 5
alternatives to reduce risk. Have an instructor sign you off before flying.
in any
row
Conditions present much higher than normal risk, Conduct flight planning with extra care and
48-63
review all elements to identify those that could be modified to reduce risk, If available, consult
or a 5
with more experienced pilot or instructor for guidance before flight. Develop contingency
in any 2
plans before flight to deal with high risk items. Decide beforehand on alternates and brief
rows
passengers and other crewmembers on special precautions to be taken during the flight.
Consider delaying flight until conditions improve and risk is reduced. Have Marian, Andy
or David sign off before flying.
_______________________________
___________________________________
Customer Signature
PBFT Instructor Signature
SUBMIT
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