7210.56C

8/15/02

 

APPENDIX 7.     INSTRUCTIONS FOR FAA FORM 7230-6, FLIGHT ASSIST REPORT

INSTRUCTIONS

This form will facilitate analysis and correlation of the significant factors that can individually or in combination, result in a pilot requiring assistance from an FAA air traffic control or flight service facility.  Complete this form for each incident in which in-flight assistance is provided to the pilot of an aircraft in a potentially dangerous situation.  To ensure uniformity of information, follow the instructions below.

The word Outstanding should be entered at the top center of the form for all Outstanding Flight Assists.

REGION:  Use three letter regional identifier (AAL, ACE, AEA, AGL, ANE, ANM, ASO, ASW, AWP).

FLIGHT ASSIST REPORT NO.:  Assign number using three digits; start with 001 at beginning of each calendar year.

ITEM

1.        Use FAA three-letter identifier

2.        Use six digits to specify date of assist, such as 010101 for January 1, 2001.

3.        Supply UTC at which initial contact was made with aircraft requiring flight assistance.  Use four digits.

4.        Use aircraft registration number or if applicable, FAA authorized call sign.

5.        Self-explanatory.

6.        Self-explanatory.

7.        Self-explanatory.

8.        Indicate type of facility making report.

9.        Indicate whether flight assist occurred during daylight or darkness.

10.     Indicate if an Incident Report, FAA Form 8020-11 was filed.

11.     Place an “X” in the box that describes the aircraft involved in the flight assist.  Use FAA designator for the type of aircraft in the last box.

12.     Self-explanatory.

13.     Indicate actual flight conditions in the vicinity at the time the aircraft made it’s initial call.

14.     Indicate primary cause that triggered the flight incident.  If an “X” is placed in the equipment malfunction or other box, explain as necessary in Item 16.  Only mark “Other” when the primary cause for the flight assist is not indicated elsewhere in Item 14.

15.     Self-Explanatory.

16.     Give a brief narrative summary of the incident.  Include the results such as damage to the aircraft and whether other aircraft were delayed; further explanation of Items 13 and 14 if appropriate; and any other significant factors, comments or recommendations. The pilot’s name and address should be included, if known, or if obtainable from the pilot.  Use additional sheets if more space is required.

17.     Indicate the employee(s) primarily responsible for the flight assist with and asterisk (*).