Provide complete identification and technical specifications for the experimental aircraft or unmanned system. All fields marked mandatory must be completed to process your clearance request.
Aircraft Registration or Experimental Identification Number
Aircraft Manufacturer and Model Designation
Experimental Flight Test Certificate or Special Airworthiness Number
Aircraft Operational Category
Manned Fixed-Wing Aircraft
Manned Rotary-Wing Aircraft
Unmanned Fixed-Wing Drone
Unmanned Rotary-Wing Drone
Hybrid VTOL Aircraft
Lighter-than-Air Platform
Other Experimental Configuration
Maximum Takeoff Weight (MTOW) in kilograms
Wingspan or Maximum Rotor Diameter in meters
Overall Length in meters
Primary Propulsion Type
Electric Battery
Electric Hybrid
Turbine Engine
Piston Engine
Rocket Motor
Fuel Cell
Other Propulsion System
Power Source Details and Endurance Specifications
Primary Construction Materials (select all that apply)
Carbon Fiber Composite
Fiberglass Composite
Aluminum Alloy
Titanium Alloy
Steel
Aircraft Grade Wood
Synthetic Fabric
3D Printed Components
Other Material
Is this the inaugural flight of this specific aircraft?
Detail the qualifications and contact information for all key personnel involved in the flight test operation. This information is critical for emergency response and authority coordination.
Test Crew Roster and Certification Details
Crew Role | Full Name | License or Certification Number | Primary Contact Number | Emergency Contact Name and Number | |
|---|---|---|---|---|---|
Chief Test Pilot | John Doe | ATP-123456 | +1-555-0100 | Jane Doe +1-555-0101 | |
Flight Test Engineer | Alice Smith | FTE-789012 | +1-555-0102 | Bob Smith +1-555-0103 | |
Safety Observer | Robert Johnson | SO-345678 | +1-555-0104 | Mary Johnson +1-555-0105 | |
Chief Test Pilot Total Flight Hours (all aircraft)
Chief Test Pilot Flight Hours on This Aircraft Type
I confirm that valid flight test insurance coverage is active for this operation
Insurance Provider Name and Policy Number
Liability Coverage Amount (in USD equivalent)
Has this aircraft or crew been involved in any previous flight test incidents or accidents?
Define the complete flight test plan including objectives, temporal parameters, and precise airspace boundaries. Accuracy in this section is critical for airspace management and collision avoidance.
Primary Flight Test Objective and Success Criteria
Secondary Test Objectives (if any)
Detailed Description of Test Maneuvers and Flight Profile
Test Category Classification
Performance Envelope Expansion
Handling Qualities Evaluation
Systems Integration and Validation
Avionics and Sensor Testing
Propulsion System Characterization
Endurance and Reliability
Emergency and Safety System Validation
Other Specialized Test
Proposed Primary Test Date
Planned Test Start Time (UTC)
Estimated Test Duration in Minutes
Planned Test End Time (UTC)
Alternative Backup Dates and Times (in priority order)
Is there flexibility in the test time window?
Minimum Operating Altitude Above Ground Level (AGL) in feet
Maximum Operating Altitude Above Ground Level (AGL) in feet
Typical Cruise/Operating Altitude AGL in feet
Maximum Rate of Climb/Descent in feet per minute
Will the test require operation above standard altitude restrictions or in controlled airspace?
Primary Flight Profile Type
Level Flight Maneuvers
Climb and Descent Profiles
Aerobatic or Aggressive Maneuvering
Hover and Low-Speed Flight
Transition Flight (VTOL)
High-Altitude Cruise
Other Profile
Restricted Area Name or Designator
Airspace Classification Type
Permanent Restricted Area
Temporary Danger Area
Prohibited Area
Temporary Reserved Airspace (TRA)
Controlled Airspace Coordination
Other Restricted Volume
Horizontal Boundary Definition Method
Circular Radius from Center Point
Polygon with Vertex Coordinates
Linear Corridor with Width
Predefined Airspace Block
Complex Geometry
Complete Coordinate Set with Vertical Limits
Point ID | Latitude (decimal degrees) | Longitude (decimal degrees) | Altitude Reference | Radius (m) if applicable | |
|---|---|---|---|---|---|
R-01 | 40.7128 | -74.006 | AGL | 3000 | |
Vertical Lower Limit (minimum altitude) in feet AGL
Vertical Upper Limit (maximum altitude) in feet AGL
Will the aircraft exit the defined restricted airspace at any point during the test?
Coordination Measures with Adjacent Airspace Users or ATC Facilities
Conduct a thorough risk assessment for the proposed flight test operation. This section evaluates potential hazards, failure modes, and establishes contingency protocols to ensure safe operations within restricted airspace.
Overall Mission Risk Level Assessment
Low Risk - Routine testing with proven systems
Medium Risk - Moderate envelope expansion or new systems
High Risk - Significant envelope expansion or complex maneuvers
Critical Risk - First flight or major system modifications
Risk Assessment Methodology Used (e.g. MIL-STD-882, FAA Order 8110.4)
Date of Last Formal Risk Review
Rate each hazard category for Probability and Severity
Very Unlikely | Unlikely | Possible | Likely | Very Likely | |
|---|---|---|---|---|---|
Mechanical System Failure (structural, propulsion) | |||||
Electrical System Failure (avionics, power distribution) | |||||
Software/Autopilot Malfunction | |||||
Human Error (pilot, ground crew) | |||||
Environmental Factors (weather, birds) | |||||
Mid-air Collision with Non-participating Aircraft | |||||
Uncontrolled Ground Impact | |||||
Loss of Positive Aircraft Control |
Propulsion System Failure Contingency and Emergency Landing Procedure
Flight Control System Failure or Degradation Response
Communication Link Failure (Lost C2 Link) Procedure
Navigation System Failure or GPS Denial Contingency
Structural Failure or Anomaly Response Plan
Complete Electrical Power Loss Emergency Procedure
Pre-Selected Emergency Landing Sites
Site Name/ID | Latitude | Longitude | Distance from Test Area (nm) | Suitability Rating (1=Poor, 5=Excellent) | |
|---|---|---|---|---|---|
ELS-01 Primary | 40.715 | -74.009 | 2.5 | ||
ELS-02 Secondary | 40.718 | -74.012 | 4.2 | ||
In-Flight Emergency Procedure Trigger Conditions and Decision Matrix
Is a Flight Termination System (FTS) installed and available for this test?
Complete Lost Link Procedure for Unmanned Systems
Minimum Safe Altitude for Controlled Recovery in feet AGL
Weather Deterioration Contingency and Abort Criteria
Intruder Aircraft or Unauthorized Airspace Penetration Procedure
I confirm that a comprehensive pre-flight inspection checklist has been completed and verified
Redundant Systems Available Onboard (select all that apply)
Propulsion System Redundancy
Flight Control Redundancy
Communication Link Redundancy
Navigation Sensor Redundancy
Power Distribution Redundancy
No Redundancy - Single String System
Safety and Recovery Equipment Onboard
Ballistic Parachute Recovery System
Emergency Locator Transmitter (ELT)
Secondary Tracking Transponder
Visual Warning Strobe Lights
Smoke Generation System
No Additional Safety Equipment
Will a chase aircraft be deployed for visual observation?
Will ground observers be deployed for visual line-of-sight monitoring?
NOTAM or equivalent airspace notification has been or will be coordinated
Establish ground-based monitoring, control, and emergency response coordination capabilities. This ensures real-time situational awareness and rapid response to any contingency.
GCS Physical Address or Location Description
Primary Telemetry and Command & Control Frequency
Backup or Redundant C2 Frequency
Maximum Reliable Telemetry Range in kilometers
Is the telemetry data link encrypted?
Parameters Continuously Monitored in Real-Time
Three-dimensional Position (Lat/Lon/Alt)
Airspeed and Groundspeed
Attitude (Pitch/Roll/Yaw)
Engine/Propulsion Parameters
Battery State of Charge or Fuel Level
Control Surface Positions
Video or Sensor Feed
All Critical Systems Status
Ground Station Personnel and Shift Schedule
Role | Name | Contact Number | Shift Start (UTC) | Shift End (UTC) | |
|---|---|---|---|---|---|
GCS Operator | Carol White | +1-555-0200 | 1:30 PM | 5:00 PM | |
Safety Monitor | David Brown | +1-555-0201 | 1:30 PM | 5:00 PM | |
Will real-time telemetry data be relayed to external authorities or regulators?
Have local emergency services been formally notified of the test operation?
Primary Fire and Rescue Service Contact Number
Medical Emergency and Ambulance Service Contact
Search and Rescue Coordination Center Contact
Estimated Emergency Response Time in minutes
Is a dedicated emergency hotline established for this operation?
On-Site Emergency Equipment and Personnel
Certified Fire Extinguishing Equipment
Advanced First Aid and Trauma Kit
Automated External Defibrillator (AED)
Crash Rescue and Extraction Kit
On-site Paramedic or Flight Surgeon
No Specialized Equipment
Primary Communication Method with Emergency Services
VHF Aeronautical Radio
UHF Tactical Radio
Satellite Telephone
Cellular Telephone
Internet-based Communication
Dedicated Landline
Other Method
Backup Communication Method
VHF Aeronautical Radio
UHF Tactical Radio
Satellite Telephone
Cellular Telephone
Internet-based Communication
Dedicated Landline
No Backup Available
I confirm that communication equipment check with emergency services has been completed successfully
Inter-Agency Communication Plan and Frequency Management
Escalation Procedure for Emergency or Abnormal Situations
Final verification and official approval by responsible authorities. This section must be completed with digital signatures and represents formal acceptance of risk and authorization to proceed.
All required technical documentation, drawings, and specifications are attached and verified
Complete technical data package and flight test cards have been reviewed and approved
Formal risk assessment has been completed, reviewed, and approved by safety board
Valid insurance certificate and liability coverage documentation is current and on file
Official restricted airspace approval or coordination has been obtained from appropriate authority
Current and forecast weather conditions have been reviewed and meet minimum requirements
All test crew members have met rest requirements and are medically fit for flight
Pre-flight safety briefing schedule is confirmed with all participants
Chief Test Pilot concurs that the flight can be conducted safely within the defined parameters
Airworthiness Safety Board Final Approval Status
Full Approval - Proceed as Planned
Conditional Approval - With Specified Limitations
Rejection - Do Not Proceed
Deferred - Requires Additional Information
Final Organizational Risk Acceptance Decision
Risk Accepted - Within tolerable limits
Risk Accepted with Mitigation - Conditional operation
Risk Deferred - Requires further review
Risk Rejected - Unacceptable hazard level
Chief Test Pilot Digital Signature
Chief Test Pilot Printed Name
Chief Test Pilot License or Certification Number
Chief Test Pilot Signature Date
Airworthiness Safety Board Chair or Designated Authority Digital Signature
Board Chair Printed Name and Credentials
Board Approval Date
Authorization Valid From (date and time UTC)
Authorization Valid Until (date and time UTC)
Special Conditions, Limitations, or Additional Authorization Notes