VFR Flight Assessment Form: Use at your own risk. This is beta software and should not be used to assess flight safety.
Source:
FAA/Industry Training Standards Personal and Weather Risk Assessment Guide
, Appendix C.
Test
#
Question
Your Answer
1
Do you have LESS than 100 hours in the type of aircraft you are going to fly?
Yes:
No:
2
Is your destination unfamiliar?
Yes:
No:
3
Have you had less sleep than usual?
Yes:
No:
4
Is the flight at the end of a work day?
Yes:
No:
5
Do you have a scheduled commitment after today's flight?
Yes:
No:
6
Has someone in your family died recently?
Yes:
No:
7
Are you having major domestic problems?
Yes:
No:
8
Do you have a serious illness in the family?
Yes:
No:
9
Do you have a second pilot who is rated and current?
Yes:
No:
10
Have you had any alcohol in the past 24 hours?
Yes:
No:
11
Have you taken any over-the-counter medications?
Yes:
No:
12
Have you had inadequate food for this flight?
Yes:
No:
13
Have you had
in
adequate water prior to flight, or do you have
no
water on board?
Yes:
No:
14
Are you planning a daylight hours flight over 10,000' with no supplemental oxygen?
Yes:
No:
15
Are you planning a night flight over 5,000' with no supplemental oxygen?
Yes:
No:
16
Is the planned flight duration over 3 hours?
Yes:
No:
17
Have you calculated fuel use for the flight with reserves for day or night conditions?
Yes:
No:
18
Is your required fuel for the flight and conditions less than 60% of available fuel?
Yes:
No:
19
Have you calculated weight and balance for this flight?
Yes:
No:
20
Is your weight within 10% of your maximum gross weight?
Yes:
No:
21
Will you require more than 50% of the runway length to land or take off?
Yes:
No:
22
Is visibility between 3 and 5 miles?
Yes:
No:
23
Is visibility between 1 and 3 miles?
Yes:
No:
24
Is your destination visibility less than 1 mile?
Yes:
No:
25
Are ceilings less than 3,000' AGL?
Yes:
No:
26
Is your destination's ceiling below 1000' AGL?
Yes:
No:
27
Is you destination's ceiling below 500' AGL?
Yes:
No:
28
Is there convective activity within 20 NM of your flight?
Yes:
No:
29
Is there convective activity and your aircraft has no stormscope or detection equipment?
Yes:
No:
30
Is there convective activity and you have detection capability?
Yes:
No:
31
Is the temperature-dew point spread less than 3 degrees ?
Yes:
No:
32
Do you lack de-icing equipment and are surface temperatures less then 40 degrees F with clouds or precipitation?
Yes:
No:
33
NA for VFR.
34
Is there an operational control tower at your destination?
Yes:
No:
35
Is there a VASI or PAPI at your destination runway?
Yes:
No:
36
Is there a radar environment at your destination?
Yes:
No:
37
Are you flying in mountainous terrain?
Yes:
No:
38
Is your approach or departure over water?
Yes:
No:
39
Is there a high bird hazard?
Yes:
No:
40
Are you using an unpaved runway?
Yes:
No:
41
NA for VFR
42
Is there weather reporting at your destination airport?
Yes:
No:
43
Is precipitation causing obstruction to visibility?
Yes:
No:
44
Is the runway wet?
Yes:
No:
45
Is there ice on the runway?
Yes:
No:
46
Is there a cross wind in excess of 90% of the demonstrated maximum crosswind in the POH?
Yes:
No:
47
Are you going to use flight following or radar advisories in high density traffic areas?
Yes:
No:
48
Are you on an IFR flight plan in VFR conditions?
Yes:
No: