CAP MISSION PILOT CHECKOUTDATE OF FLIGHT CHECK:

MEMBER’S NAME (print or type) / CAPID / FAA CERTIFICATE NO. / CHAPTER NO
MEMBER’S ADDRESS (print or type) / LAST CAPF 5 / DATE CAPF 101 ISSUED / CAP ROP NO (as req)
I. ORAL DISCUSSION
A. CAPF 116 Written Exam Passed (Initial only) / SUVNA / VI. EMERGENCY PROCEDURES
B. Mission Base Procedures / SUVNA / A. Low Altitude Engine Failure / SUVNA
(Sign In, Flight Plans, Reimbursement Forms) / SUVNA / B. Ditching / SUVNA
C. Air-to-ground Signals / SUVNA / C. Landing on Unprepared Surface / SUVNA
D. Mission Safety Principles / SUVNA / D. Deteriorating Weather / SUVNA
E. CAP Radio Procedures (as req) / SUVNA / VII. MISSION FLIGHT MANEUVERS
F. Individual & Crew Equipment/Clothing / SUVNA / A. 720 Steep Turns / SUVNA
G. Search Procedures / SUVNA / B. Turns About a Point / SUVNA
H. Map and Chart Reading / SUVNA / C. Message Drop Procedure (verbal) / SUVNA
II. PREFLIGHT PLANNING / D. Airspeed Control / SUVNA
A. Determine Performance Limitations / SUVNA / E. Low Speed Maneuvering / SUVNA
B. Obtain Mission Briefing / SUVNA / F. Low Level Navigation (without elec nav aids) / SUVNA
C. Gridded Sectional / SUVNA / H. Judgment / SUVNA
D. Observer Briefing / SUVNA / VIII. SAFETY AWARENESS
E. Fuel Planning & Reserve / SUVNA / A. Clearing and Collision Avoidance / SUVNA
F. Ground Team Coordination / SUVNA / B. Vigilance / SUVNA
III. VISUAL SEARCH PATTERNS & PROC / C. Cockpit Resource Management / SUVNA
A. Locate Grid or Area (without electronic aids) / SUVNA / D. Risk Management / SUVNA
B. Establish Search Altitudes / SUVNA
C. Parallel Search Procedures / SUVNA
D. Creeping Line Search Procedures / SUVNA
E. Expanding Square Search Procedures / SUVNA
F. Ground Team Coordination / SUVNA
IV. ELECTRONIC SEARCH PATT & PROC
A. Locate Starting Point (with & without elec. aids) / SUVNA
B. Establish Appropriate Search Altitude / SUVNA
C. VHF-DF Procedures / SUVNA
D. Wing Null Procedures / SUVNA
E. Aural (build-fade) Procedures / SUVNA
V. MOUNTAINOUS TERRAIN PROCEDURES
A. Locate Grid/Area (with & without elec nav aids) / SUVNA
B. Establish Search Altitude / SUVNA
C. Contour Search Procedures / SUVNA
D. Canyon Search Procedures / SUVNA
E. Ridge Crossing Procedures / SUVNA
F. Communications Procedures / SUVNA
G. Wing/Updrafts/Downdrafts / SUVNA
H. Mountain Wave Effect / SUVNA
I certify that I have administered a cap mission pilot flight check as indicated and that the above named member:
Has demonstrated proficiency required to fly as a mission pilot, see reverse for applicable comments.
Had demonstrated proficiency required to fly as a mission check pilot (if applicable, use reverse side for additional comments.)
Is not qualified, requires additional training and recheck. See reverse for comments.
DATE / FLIGHT TIME / EVALUATOR’S NAME & GRADE
SM2d Lt1st LtCaptMajLt ColColBrig Genc/ABc/Amnc/A1Cc/SrAc/SSgtc/TSgtc/MSgtc/SMSgtc/CMSgtc/2d Ltc/1st Ltc/Captc/Majc/Lt Colc/Col / EVALUATOR’S SIGNATURE
NAME & GRADE OF UNIT OPERATIONS OFFICER
SM2d Lt1st LtCaptMajLt ColColBrig Genc/ABc/Amnc/A1Cc/SrAc/SSgtc/TSgtc/MSgtc/SMSgtc/CMSgtc/2d Ltc/1st Ltc/Captc/Majc/Lt Colc/Col / SIGNATURE / DATE:
CONCURNON CONCUR

CAP FORM 91, NOV 01PREVIOUS EDITIONS WILL NOT BE USED AFTER 31 MAR 02OPR/ROUTING: DOV