No. AIRCRAFT JOURNEY&TECHNICAL LOG A/C REG OM- ALL TIMES UTC LEG FUEL [kg/lbs] UPLIFT INITIAL SHUTDOWN Last record of the day transfer to new page ENG 1 ENG 2 APU 2 3 LEG 4 NATURE OF FLIGHT CREW (3LC) CAPTAIN F/O PAYLOAD OTHER PAX [ADULT/INF] 1. / 2. 3. / / 4. / YEAR Time of application Type of fluid & Mix ratio Time of application Type of fluid & Mix ratio Time of application Type of fluid & Mix ratio Time of application Type of fluid & Mix ratio FROM Tatra JET, s.r.o. Pestovatelska 2, 82104 Bratislava, SLOVAKIA CAPTAIN´S ACCEPTANCE AND CONFIRMATION SIGNATURE # DE/ANTI-ICE SECTOR CARGO [kg/lbs] MONTH GROUND FACILITIES USED 1 FLIGHT NO DAY OIL UPLIFT [qt] RAMP PLANNED/ ACTUAL A/C TYPE TIMES TO BLOCK OFF TAKE OFF Fill in before flight # Captain hereby confirms aircraft prepared for intended flight in full compliance with AFM, CAME, Tatra Jet s.r.o. operational Fill in after flight Circle one suitable manual, HIL, Maintenance Statement, CRS, Dent & Buckle Chart and PFC was performed LANDING BLOCK ON LANDINGS FLIGHT TIME HRS MINS TOTAL FLIGHT TIME ON LEGS 1-4 TOTAL LANDINGS PREVIOUSLY TRANSFERED For maintenance purposes (PIREP, OBSERVATIONS, MAINTENANCE, ...) TOTAL NEW Transfer to new page Pilot Report Observation Incident Maintenance Action (Elimination) Reference (W/O) Reference (HIL) Org. Approval No XXX .145. Station/UTC Name Fault Code (if applicable) Pilot Report Flight No. Observation UTC Name PIC SIGN Incident Date (DD/MM/YY) UTC Maintenance Action (Elimination) Mech Name/Sign Reference (W/O) Release (Sign)* Reference (HIL) Org. Approval No XXX .145. Station/UTC Name Fault Code (if applicable) Flight No. UTC Name PIC SIGN Date (DD/MM/YY) UTC * Certifies that the work specified except otherwise specified was carried out in accordance with PART 145 and in respect to the work the aircraft is consider ready for release to service Necessary maintenance support information that the aircraft commander needs to know. Such information would include data on how to contact maintenance if problems arise whilst operating the routes etc.: td@tatrajet.sk, 00421911212689. After filling maintenance report for all categories send photo or scan to td@tatrajet.sk due to categorization and next steps. Mech Name/Sign Release (Sign)* Form No.: TTJ-TD-AJTL Rev. 1_XXX 2019