Form 61-1512

Instrument proficiency check – IPC

refer to 61.880 (5) of CASR

PROFICIENCY CHECK REPORT Applicant’s ARN

 Satisfactory X Unsatisfactory TR Training Records N Not Tested

Item Result Item Result
No Activities and Manoeuvres MOS No Activities and Manoeuvres MOS
A S A S
(b) Using full and limited instrument IFF.3
GROUND COMPONENT Sch.5 panels, recover from at least 2 unusual IFL.3
2. Knowledge requirements attitudes
(a) Privileges and limitations of the rating 2(a) (c) Conduct instrument departure OEI – CIR.4
and each endorsement assessed ME aircraft only
(b) Proficiency check requirements 2(b) (d) Conduct instrument approach OEI - ME CIR.9
(c) IFR and approach recency 2(c) aircraft only
requirements (e) Conduct missed approach OEI or visual CIR.9 or
(d) Aircraft instrument requirements 2(d) circling OEI – ME aircraft only CIR.10
(e) Interpreting operational and 2(e) 3.5 Descent and arrival
meteorological information (a) Perform a descent or published arrival CIR.6
(f) Take-off minima 2(f) procedure to an aerodrome
(g) Holding and alternate requirements 2(g) (b) Track to holding fix and conduct a CIR.7
(h) IFR procedures for all airspace 2(h) holding pattern or sector 3 entry IAP2.3
classifications procedure
(i) Departure and approach instrument 2(i) (c)(i) 2D, prepare for approach IAP2.1
procedures IAP2.2
(j) Operations below LSALT and MSA for 2(j) (c)(ii) 2D, conduct approach CIR.8
day and night operations IAP2.4
(k) GNSS and PBN standards 2(k) (d)(i) 3D, prepare for approach IAP3.1
(l) Circling approaches 2(l) IAP3.2
(m) Adverse weather operations 2(m) (d)(ii) 3D, conduct approach CIR.8
(n) ERSA normal and emergency 2(n) IAP3.4
procedures (e) Conduct missed approach IAP2.5 or
(o) IFR planning 2(o) IAP3.5
3.6 Circuit, approach and landing
FLIGHT COMPONENT Sch.2 A S (a) Conduct visual circling with at least 90° CIR.10
3.1 Pre-flight heading change
(a) Plan an IFR flight CIR.1 (b) Perform after-landing actions and A4.1
(b) Perform pre-flight actions and C2.1 procedures
procedures C4.1 3.7 Shut down and post-flight
3.2 Ground ops, take-off, departure and climb (a) Park, shut down, secure aircraft and C2.3
(a) Complete all relevant checks and CIR.1 complete post-flight administration
procedures IFF.1 3.8 General requirements
(b) Plan, brief and conduct take-off and CIR.2 (a) Maintain effective lookout NTS1.1
departure procedures
(b) Maintain situational awareness NTS1.2
(c) Conduct instrument departure – CIR.3
(c) Assess situations and make decisions NTS1.3
published if available or ATC cleared if or
(d) Set priorities and manage tasks NTS1.4
available CIR.4
(e) Maintain effective communications NTS1.5
3.3 En route cruise and interpersonal relationships
(a) Navigate aircraft en route using ground CIR.5 (f) Recognise and manage threats NTS2.1
and satellite navigation systems (g) Recognise and manage errors NTS2.2
(b) Perform navigation systems integrity CIR.5
(h) Recognise and manage undesired NTS2.3
checks
states
(c) Identify and avoid hazardous weather CIR.5
(i) Use correct radio procedures CIR
conditions
(j) Manage relevant aircraft systems CIR
3.4 Test specific activities and manoeuvres (k) Manage fuel system and monitor fuel CIR.5
(a) Perform full and limited panel IFF.2 plan and usage
instrument flying IFL.1
IFL.2 Refer to the Flight Examiner Handbook for Requirements and
Recommendations

Form 61-1512 08/2018 Instrument proficiency check - IPC Page 1 of 2

D17/235623
 Form 61-1512
Instrument proficiency check – IPC
refer to 61.880 (5) of CASR

PROFICIENCY CHECK REPORT Applicant’s ARN

 Satisfactory X Unsatisfactory TR Training Records N Not Tested

Details of the proficiency check

Test number Result Pass Fail

Applicant
ARN Name Signature

Aircraft
Date VH- Type Ground time Flight time

Examiner
ARN Name Signature

FSTD
Date FSTD number FSTD type Ground time Simulator time

Examiner
ARN Name Signature
Examiner’s comments :

Form 61-1512 08/2018 Instrument proficiency check - IPC Page 2 of 2

D17/235623