NOMBRES:

CURSO:

Aircraft Technical & Journey Log

DAY MON YEAR Page No
Operator/Owner Name: Aircraft type Aircraft registration SX - Flight No: 1

BEFORE FLIGHT
Daily Check completed: Sector GROUND ANTI DE-ICING (If NIL circle below)
Authorization: Signature: NEXT "100 Hrs" CHECK AT:
1 NIL or Start Finish Fluid type Mix Ratio
Hours
1
NIL or Start Finish Fluid type Mix Ratio
*Commander's Name
3 NIL or Start Finish Fluid type Mix Ratio ARC expires at Date
4 NIL or Start Finish Fluid type Mix Ratio

*
Arrival Fuel carried forward Pre-flight Act eptanc( Tota s brought Hours:
Inspectio
from last TLP SECTOR forward from last TLP . Landings : Cycles : AFTER FLIGHT
n
Departu
Sector Oil Signature Signature
re
Fuel Uplift
CAPTA
No Fuel Uplift TOTAL TOTAL Arrival D R (No
INS
FROM TO Depart Arrive TOTAL HRS
SIGNA
Planned Actual LDGS CYCLES Fuel or NIL)
TURE
• • •
1
. .
• • •
2
• • •
. . .
3
. . .
. . .
4
. . .
Mr TOTAL CARRIED FWD
•
r AI TO NEXT TLP

Commander's acceptance signature confirms correct completion Or pre-flight inspection. ground ant/de-icing, acceptance of aircraft / defect state and sufficient fuel and oil for the planned fuel.

**Autho **Autho
DISCREPANCY DESCRIPTION ACTION TAKEN DISCREPANCY DESCRIPTION ACTION TAKEN
rity rity

I hereby certify that the data I hereby certify that the data reported on this page is
reported on this page is accurate and accurate and correct.
—
correct. Date Cleared: Commander's Signature I )ate cleared:

I hereby certify that the data I hereby certify that the data reported on this page is
reported on this page is accurate and accurate and correct.
correct. Date Cleared: Commander's Signature Date Cleared:

Ded/TLP-03
Signing where two asterisks (**) implies the following: "Certifies that the work specified except as otherwise specified, was carried out in accordance with Part-M and in respect to that work the aircraft is considered ready for release to service".
White page — Remove at regular intervals and file aircraft file Rose page — Remove before each flight and retain till completion Yellow page — DO NOT REMOVE, remains in logbook. When is completed return to Technical Department