Point of Contact * Please enter your name Email Address * Pilot Name * Pilot Certificate # * Aircraft Registration Number Date of Flight * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20232024202520262027 Flight Information Latitude * deg Longitude * deg Flight and Duration * Flt 1: 10:00am; 20minutes Please enter for each flight, the time of launch and the duration of the flight. Max Flight Altitude Flown Total Flight Time * hrs Please enter the total flight time in decimal hours (ex, 1.7 hrs) Total GCS Time * hrs Please enter the total time of ground control station operation in decimal hours (ex, 2.3 hrs) Abnormal Operation ConditionsPlease indicate if any of the following occured Takeoff and Landing Damages * Please describe any damage occurred during takeoff or landing (include which flight the damage was occurred) On-board flight control system Navigation system Powerplant failure in flight Fuel system failure Electrical system failure Control station failure In-flight fire Aircraft collision involving another aircraft Any in-flight failure of the unmanned aircraft's electrical system requiring the use of alternate or emergency power to complete the flight A deviation from any provision contained in the COA A deviation from an ATC clearance and/or Letter(s) of Agreement/Procedures None Other... Equipment Malfunctions Other... Please indicate if any equipment malfunctions occured Lost link of pilot control Lost link of ground telemetry system Lost link of payload telemetry system Fly-away resulting in flight termination Execution of a pre-planned lost link procedure Execution of a unplanned lost link procedure No lost-link events encountered Other... Lost Link Events Other... Please indicate if you encountered any of the following lost-link conditions Lost Link Events * Please enter the number and duration of each lost link event (pilot, ground control, or payload) per UA per flight. Damage to property other than the unmanned aircraft Substational damage to the unmanned aircraft system where there is damage to the aircraft that must be repaired prior to further flight Total Aircraft Loss Serious Injury Fatal Injury None Other... Accident/Mishaps Other... Please indicate if any of the following incidents or mishaps occurred during UAS operations CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
