Form 61-1503
Instrument Rating
Refer to: CASR 61.M
FLIGHT TEST REPORT
ARN
 Satisfactory
X Unsatisfactory
Rating Issue
Item
MOS Ref
No
OR
Description
Result
GROUND COMPONENT
1
2
(i)
2.1(a)
3
4
5
6
7
8
2.1(b)
2.1(c)
2.1(d)
2.1(e)
2.1(f)
2.1(g)
9
10
11
2.1(h)
2.1(i)
2.1(j)
12
2.1(k)
13
2.1(l)
14
15
16
17
18
2.1(m)
2.1(n)
2.1(o)
2.1.(p)
2.1.(q)
19
20
21
22
23
NTS1.1
NTS1.2
NTS1.3
NTS1.4
NTS1.5
24
25
26
NTS2.1
NTS2.2
NTS2.3
27
IFF.1
Date
VH -
Underpinning Knowledge of 19 to 52
Privileges and limitations of the
instrument rating and the instrument
endorsements covered by the flight test;
Proficiency check requirements;
IFR and approach recency requirements;
Night recency requirements
NVFR operations;
IFR flight and duty limitations;
Interpreting operational meteorological
information;
Take-off minima;
Holding and alternate requirements;
IFR procedures –all airspace
classifications
Departure and Approach instrument
procedures;
Operations below LSALT/MSA for day
and night operations;
GNSS
Circling approaches
Hazardous weather conditions
ERSA normal and emergency procedures
IFR planning
FLIGHT COMPONENT
PASS
FAIL
Additional Training Endorsement
Item
MOS Ref
No
28
S
A
Maintain effective lookout
Maintain situational awareness
Assess situations and make decisions
Set priorities and manage tasks
Maintain effective communications and
interpersonal relationships
Recognise and manage threats
Recognise and manage errors
Recognise and manage undesired
aircraft state
Determine and monitor the
serviceability of flight instruments and
instrument power sources
N Not Tested
Description
Result
Perform manoeuvres using full
instrument panel
29 IFF.3
Recover from upset situations and
unusual attitudes
30 IFL.1
Recognise failure of attitude indicator
and/or stabilised heading indicator
31 IFL.2
perform manoeuvres – limited panel
32 IFL.3
Recover from upset situations and
unusual attitudes – limited panel
33 CIR.1
Plan a flight under the IFR
34 CIR.2
Perform an instrument departure
35 CIR.3 *
Conduct a published/cleared instrument
departure (all engines)
36 CIR.4 *
Conduct an instrument departure (one
engine inoperative)
37 CIR.5
Navigate aircraft under the IFR using
ground based and /or satellite based
navigational systems
38 CIR.6 *
Perform a descent and arrival under the
IFR
39 CIR.7
Perform a published holding procedure
40 CIR.8
Perform an instrument approach 2D or
3D
41 CIR.9 *
Perform an instrument approach one
engine inoperative (multi-engine aircraft
only)-simulated IMC
42 CIR.10
Perform visual approach operations
(includes visual circling where
applicable)
43 IAP2.1 *
Prepares for approach
44 IAP2.2 *
Conducts initial approach
45 IAP2.3 *
Conducts a holding pattern
46 IAP2.4 *
Conducts an approach
47 IAP2.5*
Conducts a missed approach
48 IAP3.1 *
Prepares for approach
49 IAP3.2 *
Conducts initial approach
50 IAP3.3 *
Conducts a holding pattern
51 IAP3.4 *
Conducts an approach
52 IAP3.5 *
Conducts a missed approach
* Refer to MOS Schedule 5 – clause 3 (modifications)
Applicant Name
IFF.2
Applicant Signature
Applicant ARN
Test Number
S
Aircraft Type
Examiner Name
ARN
Examiner Signature
Ground Time
Flight Time
Simulator Type
Examiner Name
ARN
Examiner Signature
Ground Time
Simulator Time
APPROACHES TESTED
NDB
VOR
ILS
LLZ
DGA
GNSS/RNAV
OTHER
Examiner comments:
Form 61-1503 (amended)
09/2014
Instrument Rating
Page 1 of 1
A