(Company Name) Section/Page: G-5

(COMPANY NAME)

RECORD OF TRAINING

PILOT NAME: ______POSITION: PIC [ ]

AIRCRAFT: ______SIC [ ]

TRAINING RECEIVED:REFERENCE:ELIGIBILITY:

Initial[ ]135.331, .345Base Month: ______

Transition[ ]135.345Conducted during:

Upgrade[ ]135.347Pre month[ ]

Recurrent[ ]135.351Due month[ ]

Requalification[ ]Post month[ ]

Instructor[ ]

Check Airman[ ]

======

CURRICULUMINSTRUCTORDATES/U

SEGMENTS

A.Basic Indoctrination______

B.General Emergency______

Situation & Drill [ ] 12 Mo.______

Hands-on Drill [ ] 24 Mo.______

C.Aircraft Ground______

D.Special ______

E.Flight______

F.Qualification______

G.Instr./Ck. Airman Grd.______

H.Instr./Ck. Airman Flt.______

I.International______

J.Differences: Aircraft.______

K.Hazmat______

L.Seat Removal______

======

I recommend ______for the qualification ride in lieu of the required flight training hours.

______

SignatureDateTitle

I certify the above Record of Training is correct and the training entered was completed satisfactorily.

______

SignatureDateTitle

(COMPANY NAME)

TRAINING RECORD

PILOT DUTY ASSIGNMENT

FAR 135 PILOT RECORD

PILOT DUTY ASSIGNMENT / AUTHORIZATION FORM

Pilot Name:______

Certificate(s):______

Rating(s):______

CURRENT DUTY AND DATE OF ASSIGNMENT / AUTHORIZATION

RELEASE FROM EMPLOYMENT:

Action taken: ______

______

______

______

DateSignaturePosition

(COMPANY NAME)

TRAINING RECORD

SINGLE-LINE ENTRY

SINGLE-LINE RECORD ENTRY FORM

RECORD FOR ______

PILOT NAME: ______

(COMPANY NAME)

TRAINING RECORD

INSTRUCTOR / CHECK AIRMAN

QUALIFICATION RECORD

This certifies that ______has satisfactorily completed the training required for qualification as an instructor/check airman and is authorized to conduct pilot flight training/flight checks as indicated below:

Qualified as Flight Instructor:

AIRCRAFT:INSTRUCTOR ORTRAINING COMPLETION/

CHECK AIRMAN:OBSERVATION DATE:

______

______

______

______

______

______

______

======

Qualified as Check Airman:

AIRCRAFT: ______INSTRUCTOR: ______

Type of Checks

Authorized: *.293 [ ] CompetencyDate: ______

.297 [ ] Proficiency (IFR)Date: ______

.299 [ ] LineDate: ______

.244 [ ] IOEDate: ______

======

Qualified as Check Airman:

AIRCRAFT: ______INSTRUCTOR: ______

Type of Checks

Authorized: *.293 [ ] CompetencyDate: ______

.297 [ ] Proficiency (IFR)Date: ______

.299 [ ] LineDate: ______

.244 [ ] IOEDate: ______

======

Qualified as Check Airman:

AIRCRAFT: ______INSTRUCTOR: ______

Type of Checks

Authorized: *.293 [ ] CompetencyDate: ______

.297 [ ] Proficiency (IFR)Date: ______

.299 [ ] LineDate: ______

.244 [ ] IOEDate: ______

* Per Check Airman Letter Issued by FAA.

(COMPANY NAME)

TRAINING RECORD

PILOT ANNUAL RÉSUMÉ

Date:______

Pilot Name:______Pilot Certificate: Comm. [ ] ATP [ ]

Address:______Certificate No.: ______

City:______

State:______Zip: ______

Phone No.: Home: _(___)______

Work: _(___)______Date of Hire: ______

------

------

FLIGHT TIME SUMMARY

A.Total Time:______B.X-Country: ______C.Instrument: ______

SEL:______Total Night: ______Hood: ______

MEL:______Night X-C: ______Actual: ______

Turbo Prop:______Simulator: ______

EMERGENCY CONTACTS:

Name:______Name:______

Address:______Address:______

______

Phone:__(___)______Phone:_(___)______

______

SignatureDate

(COMPANY NAME)

TRAINING RECORD

135.267(b) Yes N0______135.267(c) Hours______

DAILY FLIGHT AND DUTY LOG

PILOT NAME: ______MONTH / YEAR: ______

Flight Hours this Month: ______Days off this Month: ______

(COMPANY NAME)

TRAINING RECORD

ANNUAL FLIGHT AND DUTY TIME RECORD

PILOT NAME: ______YEAR: ______

FLIGHT HOURSDAYS OFF

JANUARY______

FEBRUARY______

MARCH______

QUARTER TOTALS:______

APRIL______

MAY______

JUNE______

QUARTER TOTALS:______

JULY______

AUGUST______

SEPTEMBER______

QUARTER TOTALS:______

OCTOBER______

NOVEMBER______

DECEMBER______

QUARTER TOTALS:______

YEARLY TOTALS:______

Flight and Duty Limits (FAR 135.267) not to exceed:

(a) (1)500 hours in any calendar quarter;

(2)800 hours in any two consecutive calendar quarters;

(3)1,400 hours in any calendar year.

(f)At least 13 days off per quarter.

(COMPANY NAME)

TRAINING RECORD

INITIAL OPERATING EXPERIENCE

FAR 135.244

PILOT NAME: ______AIRCRAFT: ______

REMARKS:

______

I CERTIFY THAT THE ABOVE NAMED PILOT HAS SATISFACTORILY COMPLETED INITIAL OPERATING EXPERIENCE IN ACCORDANCE WITH FAR 135.244, IN THE ABOVE NAMED MAKE AND MODEL AIRCRAFT.

______

CHECK AIRMANDATE