D17 - Crewmember - Underway Currency Maintenance / Recertification Check Ride (Page 3 of 3) in pdf

D17 - Crewmember - Underway Currency Maintenance / Recertification Check Ride Page 3

D17 - Crewmember - Underway Currency Maintenance / Recertification Check Ride

Member Name:

EMPLID:

21. Demonstrate proper casualty control procedures for: Engine Overheat:

__________

Engine Over Speed:

Low Lube Oil Pressure:

Fire:

Engine Fails to Start:

Steering Failure:

QE’s Signature/EMPLID________________________

Date_______________

Accomplished

QE’s Signature/EMPLID ________________________

Date_______________

AUXSTA

LINC for NSB

LINC Signature/EMPLID

Date

Qualification

NOTE- Comments should be made in detail. Tasks that were not performed to standards, require specific

COMMENTS

comments addressing what the deficiencies were and why, and what corrective action must be taken to be

(Additional

successful at the next check ride. Only those tasks not successfully completed must be redone during the next

comments may be

QE Evaluation session. The session should be conducted in a reasonable time frame. Each QE should initial on

recorded on the

the line by the task that was successfully accomplished during the check ride they evaluated and then sign on the

back of this sheet)

“Accomplished” and “Date” line. A copy of this task should accompany the letter for Recommend for

Recertification, to the Director.

*SEND COMPLETED FORMS DIRECTLY TO DIRAUX OFFICE*

DIRAUX Office

Routing

OTO:

Asst. DIRAUX(AUXDATA Entry):

Copy to DSO-OP:

___

Page 2 of 2

Revised: 31 March 2007

D17 - Crewmember - Underway Currency Maintenance / Recertification Check Ride Page 3