Survey form4.doc

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Aircraft registration_number
Australian Government Statistical Clearing House
Approval Number xxxxx-xx
survey_date
DRAFT
(2 Pages – survey form overleaf)
Dear Sir/Madam
Ten years ago, the Civil Aviation Authority (now CASA) conducted an Australian aircraft equipment
survey to find out about the equipment fitted to aeroplanes and helicopters below 5,700 kg MTOW
on the VH Register, and also ultralights. The response rate was very good and much valuable
information was obtained about the equipment fitted to these aircraft. These data were very useful
to CASA and Airservices Australia when developing rules and policies on avionics equipment,
airspace design, navaid deployment and fitment of emergency equipment.
Ten years have passed and much has changed in aviation technology. DME (A) and OMEGA have
gone, GPS is now widely used and Datalink is becoming more common. Hence the reason for
sending this letter to you, the certificate of registration (COR) holder or owner of the above referred
aircraft – CASA is seeking new information from you about the equipment on your aircraft.
Up to date aircraft equipment data will help CASA to develop safety standards appropriate to the
Australian aviation environment and to promote the safety of air navigation for the benefit of aircraft
owners, operators and the whole community. The data you provide will be used to ensure that, when
CASA intends to introduce a new regulation, it has up to date information on the equipment currently
in aircraft and can gauge the likely impact on the industry of any new safety requirements. This will
help ensure that CASA makes new requirements that improve safety in a cost-effective way. The
data will NOT be used for the purposes of compliance monitoring or enforcement action.
The survey form overleaf has been developed to be suitable for all aircraft types, with the assistance
of RAA, HGFA and ASRA for applicability to sports aircraft. The questions on the back of this form
apply only to the aircraft with the registration number at the top right of this letter. The questions
cover this aircraft’s operation, avionics and SAR equipment. Please do not tell us about any other
aircraft. Since CASA is randomly selecting aircraft for this survey, it is possible that you may receive
another letter from us about another aircraft for which you are the owner or COR holder.
Some of the questions may not apply to your aircraft - if so, please leave the box blank. Please
provide as much information as you can following each question. If you do not understand the
question, please ring CASA on 131 757 during business hours (for the cost of a local call) and ask
for extension XXXX. Please send your survey form back to CASA by using the Reply Paid mail
envelope provided.
Thank you for your help.
Yours faithfully
Bruce Byron
Chief Executive Officer
Civil Aviation Safety Authority
SCH Approval Number xxxxx-xx
1. What is the main type of operation of your
aircraft? Tick one box
 RPT or charter
 Flying school /aero club
 Agriculture / aerial work
 Private – business
 Private – recreational
 Other (specify)……….
……………………………
2. Is your aircraft approved for IFR
operations?
 Yes
 No
3. Has your aircraft flown in the last 12
months?
 Yes
 No
4. Which type of aerodrome does your aircraft
use most? Please specify its name
 Private
(location)…………………..
 Licensed
 Unlicensed
(name)………………………..
DRAFT
How often does your aircraft fly into
aerodromes used by passenger/RPT aircraft?
 Never
 < 5 times per year
 5- 20 times per year
 > 20 times per year
5. What percentage of flight time does your
aircraft spend in controlled airspace?
 None
 <30%
 30-60%
 >60%
6. How many radio transceivers of each type
does your aircraft have? Write in the number
 None
VHF…………
UHF/CB…………
HF…………
7. What is the VHF channel spacing available
in your aircraft? Please tick
 8.33 kHz
 25 kHz
 50 kHz
 100 kHz
8. How many navaids of each type does your
aircraft have? Write in the number
 None
VOR/ LLZ……..
ILS………
ADF………..
 None
DME……….
GPS……….
Other (specify)……………….
 VFR Portable
Make and model…………
 VFR Panel mount
Make and model…………
 IFR Panel mount
Make and model…………
9. Tick the type of GPS equipment in your
aircraft. Please provide details of the make and
model
10. Tick the type of SSR transponders in your
aircraft. Please provide details of the make and
model
 None
 Mode A only…..
Make and model…………
 Mode A/C…….
Make and model…………
 Mode S……..
Make and model…………
11. Does your aircraft carry any of the
following systems? Please tick the boxes
 GPWS/ EGPWS(TAWS)
 Moving map/
Multifunction displays
 TCAS I
 TCAS II
 Weather radar/ Strike
Finders
 Other
(specify)…………….
…………………………………
12. Which of the following emergency
beacons are carried?
 None
 Portable EPIRB 121.5
 Fixed ELT 121.5
 Fixed ELT 406
 Other (specify)………..
………………………………
Supplemental question for AusSAR:
 Don’t know
 406 MHz
 121.5 MHz
13. Which emergency beacon frequency will
NOT be monitored by the satellite monitoring
system from 2009?
When completed please return this form in the reply paid envelope provided. If the envelope is missing, please mail to
ASSD Aircraft Equipment Survey, GPO Box 2005, Canberra, ACT 2601. If you have any questions, please call 131 757
and ask for extension XXXX.
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