ѣള≇⭞㡠グቶ伔㺂ḽ߼ਮ
૞䈘䙐઀
㕌 ਭφAC-61-FS-2015-17R1 сਇᰛᵕφ2015 ᒪ 11 ᴾ 2 ᰛ 㕌࡬䜞䰞φFS ᢯߼Ӱφ㜗ᥥ⊕
伔㺂㔅়䇦ᖋᵢḽ߼Ṳᕅ਀ມߏ㾷≸
κⴤⲺ ѰҼ䘸ᓊᡇള≇⭞㡠グⲺਇኋθ┗䏩CCAR-121䜞䘆䗉㡠グ‫ޢ‬ ਮሯ৕ᴿ伔㺂㔅়䇦ᖋᵢㆶौⲺ䴶≸θ‫ᦤד‬CCAR-61.51ᶗ伔㺂㔅 ়䇦ᖋᵢⲺ㾷≸θ⢯сਇᵢ૞䈘䙐઀Ⱦᵢ䙐઀ሼ伔㺂㔅়䇦ᖋᵢ ࠼Ѱ121䜞䘆䗉‫ޢ‬ਮ⡾ᵢδㆶ〦121⡾ᵢεૂ䙐⭞伔㺂⡾ᵢδㆶ〦 䙐⭞⡾ᵢεθṲᕅૂມߏ亱⸛㿷䱺ԬȾ
δжεㅢж䜞࠼δⲳ㢨享䶘䜞࠼ε ᰛᑮ伔㺂Աࣗ 1. ᰛᵕ
⭞ćᴾ.ᰛĈⲺᯯ⌋ມߏȾྸ 8 ᴾ 22 ᰛθມߏѰ 8.22Ⱦ 2. 㡠グಞශਭ
ມߏѣള≇⭞㡠グቶ᢯߼Ⲻ㡠グಞශࡡԙ⸷θޭ։ਥ৸㿷 /Ⱦ
3. 㡠グಞⲱ䇦ਭ ມߏѣള≇⭞㡠グቶ᢯߼Ⲻ㡠グಞⲱ䇦ਭȾ
ມߏ䎭ခᰬࡱф㔉ᶕᰬࡱҁ䰪൞⁗ᤕᵰр䇣㓹Ⲻᙱ⵶䱼⅗ᮦθມߏ֒Ѱ PFδᬃ֒ 傴催઎εᬃ㓫㩳൦Ⲻ⵶䱼⅗ᮦθྸ᷒ᵠᬃ֒㩳൦θᓊມߏ“0ĈȾ࠼ᱲ䰪ૂདྷ䰪ມߏȾ 9. ᮏ઎ㆴᆍ ມ‫ޛ‬ᮏ઎ⲺӨㅊㆴ੃Ⱦ 10. ༽⌞ ެԌ䴶㾷䈪᱄Ⲻ޻ᇯȾ δпεㅢп䜞࠼δ㬓㢨享䶘䜞࠼ε 伔㺂䇣㓹 1. ᰛᵕ ৸㿷ㅢж䜞࠼ѣ 1 Ⲻມߏ䈪᱄Ⱦ 2 . 㡠グಞශਭ ৸㿷ㅢж䜞࠼ѣ 2 Ⲻມߏ䈪᱄Ⱦ 3. 㡠グಞⲱ䇦ਭ ৸㿷ㅢж䜞࠼ѣ 3 Ⲻມߏ䈪᱄Ⱦ 4. 㡠⇫䇦ᖋ ৸㿷ㅢж䜞࠼ѣ 4 Ⲻມߏ䈪᱄Ⱦ 5. 䇣㓹㊱ශ ມߏ䇣㓹Ⲻ㊱ශθׁྸθᵢ൰䇣㓹Ⱦ 6. ⵶䱼⅗ᮦ ৸㿷ㅢж䜞࠼ѣ 6 Ⲻມߏ䈪᱄Ⱦ 7. 䇣㓹ᰬ䰪 ມߏᨆ‫ב‬ᮏᆜⲺ伔㺂ᰬ䰪ᡌ᧛਍ᮏᆜⲺ伔㺂ᰬ䰪χ དྷ䰪φມ‫ޛ‬དྷ䰪䇣㓹Ⲻ伔㺂ᰬ䰪Ⱦ 8. ᮏ઎ㆴᆍ
9.ᮉઈㆮᆇ
instructor's signature
10.༷⌘ remarks
ᵜӪ‫؍‬䇱ᡰປ޵ᇩ኎ᇎ I certify that the statements on this form are true.
ㆮ਽(signature)
ᰕᵏ(date)
ᵜ亥ᙫ䇑 page total
10
ㅢп䜞࠼
1.ᰕᵏ date
ᵜӪ‫؍‬䇱ᡰປ޵ᇩ኎ᇎ
I certify that the statements on this form are true.
ㆮ਽(signature)
ᰕᵏ(date)
ᵜ亥ᙫ䇑 page total ㍟䇑 total

ㅢӂ䜞࠼
1.ᰕᵏ date
2.㡚オಘ ර࡛
type of A/C
3.⁑ᤏᵪ ਸṬ䇱㕆ਧ
2.㡚オ රਧ type of A/C
3.㡚オಘ ⲫ䇠ਧ
Reg.
ࠪਁㄉ from
4.㡚⇥䇠ᖅ
records of flight leg
ࡠ䗮ㄉ ━ࠪᰦ࡫
to
DEP.
━‫ޕ‬ᰦ࡫ ARR.
5.䇝㓳 ㊫ර type of training
6.⵰䱶⅑ᮠ landings
ᱬ䰤 ཌ䰤 day night
7.䇝㓳ᰦ䰤 time of training ᨀ‫׋‬ᮉᆖᰦ䰤 ᧕ਇᮉᆖᰦ䰤 giving training receiving training
8.ᮉઈㆮᆇ
ཌ䰤 night
instructor's signature
9.༷⌘ remarks
ᵜӪ‫؍‬䇱ᡰປ޵ᇩ኎ᇎ
I certify that the statements on this form are true.
ㆮ਽(signature)
ᰕᵏ(date)
ᵜ亥㍟䇑 page total
11
4. 㡠⇫䇦ᖋ ມߏ࠰ਇㄏȽࡦ䗴ㄏθਥ⭞ᵰ൰пᆍԙ⸷ᡌ഑ᆍԙ⸷Ⱦ ມߏ┇࠰ᰬࡱȽ┇‫ޛ‬ᰬࡱȾᰬ䰪Ṳᕅྸ 09: 10Ⱦ
5. 㡠⨣ਭ ມߏ㡠⨣ਭθྸ CA1403Ⱦ
6. ⵶䱼⅗ᮦ ມߏ┇࠰ᰬࡱф┇‫ޛ‬ᰬࡱҁ䰪ᙱⲺ⵶䱼⅗ᮦθມߏ֒Ѱ PFδᬃ֒傴催઎εᬃ㓫㩳 ൦Ⲻ⵶䱼⅗ᮦθྸ᷒ᵠᬃ֒㩳൦θᓊມߏ“0ĈȾ࠼ᱲ䰪ૂདྷ䰪ມߏȾ
7κ傴催઎伔㺂㔅়ᰬ䰪 ᤽൞ੂжѠᰛ়ᰛᡌ䘔㔣Ⲻᰬ䰪⇫޻θ֒Ѱ傴催઎Ⲻ伔㺂ᰬ䰪θऻᤢグѣૂ൦䶘ᰬ 䰪θਥԛ࠼Ѱφ ᵰ䮵ᰬ䰪φມ‫֒ޛ‬Ѱᵰ䮵৸ࣖ伔㺂Ⲻ伔㺂ᰬ䰪χሯӄ傴催઎ᢝ➝ᤷᴿӰ൞ᮏ઎ᡌỶ ḛ઎ⴇ㿼сᔰ㄁ᵰ䮵䘆㺂㔅়Ⲻᰬ䰪θມߏᵰ䮵δPICεᰬ䰪Ⱦ ࢥ傴催ᰬ䰪φມ‫֒ޛ‬Ѱࢥ傴催Ⲻ伔㺂ᰬ䰪δ⌞φ൞ශਭਾṲᇗᇐ㾷≸ 1 ੃ԛр傴催 ઎Ⲻ㡠グಞр᣻Աࢥ傴催Ⲻᰬ䰪ᯯਥ䇦Ѱࢥ傴催ᰬ䰪εχሯӄ֒Ѱࢥ傴催൞ᮏ઎ᡌ Ỷḛ઎ⴇ㿼сኛ㺂ᵰ䮵㚂䍙Ⲻᰬ䰪θມߏࢥ傴催δF/Oεᰬ䰪Ⱦ དྷ䰪φມ‫ޛ‬དྷ䰪伔㺂ᰬ䰪δᵰ䮵ᡌࢥ傴催εȾ
κ૞䈘䙐઀ᇔ᯳ ᵢ૞䈘䙐઀㠠сਇҁᰛ䎭⭕᭾θ৕ᴿⲺ伔㺂㔅়䇦ᖋᵢਥԛ
2
㔝㔣ມߏ㠩㔉ᶕȾ
3
䱺Ԭж CCAR-121 䘆䗉㡠グ‫ޢ‬ਮ⡾ᵢδㆶ〦 121 ⡾ᵢε ሷ䶘φ
ᵮ ☾ 㭒 八 栟 垍 丐 ⋇ 嫱 ⺖ 㙭
CAAC PILOT LOGBOOK
澠CCAR-121 弑廔八䦻₭⌹䆉㙭澡
ᢗ➗਽〠(Licences)
亱ਁᰕᵏ(Date) ᒤY ᴸM ᰕD ᒤY ᴸM ᰕD ᒤY ᴸM ᰕD
ᡶ ᤷ ᢝ ➝δLicences&Ratings Recordε ᢗ➗кㆮ⌘Ⲵㅹ㓗(Rating)
༷⌘(Remarks)
ᙫ⵰䱶⅑ᮠ
landings
ᱬ䰤 ཌ䰤
day
night
ֵ⭞ᵢ㔅়䇦ᖋᵢҁࢃⲺ㔅়㍥䇗δSummary of logbooks before ε
Cert. No.
4.⁑ᤏᵪ ㅹ㓗
level of simulator
5.䇝㓳ᵪᶴ FTO
6.䇝㓳Ựḕ ⿽㊫ type of
training or check
7.䇝㓳ᰦ䰤
training time
䎧࿻ᰦ࡫ 㔃ᶏᰦ࡫ 䇝㓳ᰦ䰤
from
to
time
8.⵰䱶⅑ᮠ landings
ᱬ䰤 ཌ䰤 day night
њӪㆮᆇ(Pilot’s signature) 5
ມߏ亱⸛
жȽມߏᯯ⌋ 1. ⭞㬓㢨ᡌ唇㢨ໞ≪ㅊມߏθྸ䴶‫ؤ‬᭯θ䴶ᦘ㺂䠃ມȾ 2. Աࢥ傴催㘻θ⭧ᵰ䮵ㆴᆍ䇷᱄χ㻡ᑜ伔㘻θ⭧ᮏ઎ㆴᆍ䇷᱄χԱᵰ䮵/ᮏ઎Ⲻ傴 催઎θਥ൞ެ伔㺂㔅়ᵢᴶ੄θ⭧ᵢঋփ伔㺂㇗⨼䜞䰞ⴌㄖ⺤䇚Ⱦ
ӂȽ㔅়㺞਺䜞࠼䇦ᖋມߏ 1. ᵢ伔㺂㔅়䇦ᖋᵢᡶມߏᰬ䰪ൽѰ伔㺂㔅়ᰬ䰪Ⱦ 伔㺂㔅়ᰬ䰪θ᤽Ѱㅜਾ㡠グӰ઎ᢝ➝Ƚㅿ㓝ȽᇐᵕỶḛᡌ䘇ᵕ伔㺂㔅়㾷≸ ѣⲺ䇣㓹ૂ伔㺂ᰬ䰪㾷≸θ൞㡠グಞȽ伔㺂⁗ᤕᵰᡌ伔㺂䇣㓹ಞрᡶ㧭ᗍⲺ൞ ᓝ伔㺂ᰬ䰪θ䘏ӑᰬ䰪ᓊᖉᱥ֒Ѱ伔㺂ᵰ㓺ᗻ䴶ᡆ઎Ⲻᰬ䰪θᡌ൞㡠グಞȽ伔 㺂⁗ᤕᵰᡌ伔㺂䇣㓹ಞрԄᦾᵹᮏ઎༺᧛਍䇣㓹ᡌ֒Ѱᦾᵹᮏ઎ᨆ‫ב‬ᮏᆜⲺ ᰬ䰪Ⱦ 2. ᡶᤷᢝ➝ਠມߏֵ⭞䈛伔㺂㔅়䇦ᖋᵢᵕ䰪ᡶ㧭਌Ⲻᢝ➝ૂㅿ㓝Ⱦ 3. ㍥䇗ṅ ӻѰᵢ伔㺂㔅়䇦ᖋᵢⲺ਺㊱ᮦᦤⲺ㍥䇗Ⱦ 1εᵢ享ᙱ䇗θѰᵢ享䶘ᮦᦤⲺ㔕䇗Ⱦ 2ε㍥䇗θѰᵢ伔㺂㔅়䇦ᖋᵢ਺亯ᮦᦤⲺ㍥ࣖȾ
1.Ựḕᰕᵏ date
2.㡚オಘරਧ type of A/C
ㅢ഑䜞࠼
伔㺂Ỷḛ䇦ᖋ享 Records of flight check
3.Ựḕ㊫ර
4.㔃䇪
type of check
conclusion
5.㘳䈅ઈ㕆ਧ઼ㆮᆇ examiner # and signature
6.༷⌘ remarks
12
䱺Ԭӂφ䙐⭞⡾ᵢ ሷ䶘φ
ມߏ伔㺂ỶḛⲺ㔉᷒θਾṲᡌуਾṲȾ 5. 㘹䈋઎㕌ਭૂㆴᆍ
㘹䈋઎Ⲻ㕌ਭૂӨㅊㆴ੃Ⱦ 6. ༽⌞
ެԌ䴶㾷䈪᱄Ⲻ޻ᇯȾ
8
ㅢж䜞࠼
1.ᰕᵏ date
2.㡚オಘ රਧ type of A/C
3.㡚オಘ ⲫ䇠ਧ
Reg.
ࠪਁㄉ from
4.㡚⇥䇠ᖅ
records of flight leg
ࡠ䗮ㄉ ━ࠪᰦ࡫
to
8. ᵰ䮵/ᮏ઎ㆴᆍ ມ‫ޛ‬ᵰ䮵Ƚᮏ઎ⲺӨㅊㆴ੃χԱᵰ䮵/ᮏ઎Ⲻ傴催઎θਥ൞ެ伔㺂㔅়ᵢᴶ੄θ⭧ᵢ ঋփ伔㺂㇗⨼䜞䰞ⴌㄖ⺤䇚Ⱦ
9. ༽⌞
6
1εሯӄ֒Ѱࢥ傴催൞ᮏ઎ᡌỶḛ઎ⴇ㿼сኛ㺂ᵰ䮵㚂䍙Ⲻᰬ䰪θມߏࢥ傴催δF/Oε ᰬ䰪θᒬ൞ᵢṅѣມߏ“SPICĈδassigned as co-pilot acting in command under supervisionεȾ 2εሯӄ傴催઎ᢝ➝ᤷᴿӰ൞ᮏ઎ᡌỶḛ઎ⴇ㿼сᔰ㄁ᵰ䮵䘆㺂㔅়Ⲻᰬ䰪θມߏ
3.2 䙐⭞⡾ᵢḽ߼Ṳᕅૂদ࡬㾷≸ 䙐⭞⡾ᵢ䘸⭞ӄ൞਺㊱㡠グ‫ޢ‬ਮȽ伔㺂ᆜṗ৸ф䘆㺂ૂ䇣㓹 Ⲻ㡠グಞ傴催઎θḽ߼Ṳᕅ৸㿷䱺ԬӂȾদ࡭ᰬθㅢж䜞࠼޻ᇯ 䟽⭞ⲳ㢨㓮ᕖθদ࡬60ᕖχެѣㅢӂ㠩ㅢ഑䜞࠼ਥ‫ڐ‬ᡆ㠠䍪㓮䍪 ൞⴮ᓊグⲳ༺θᡌֵ⭞দㄖদ൞⴮ᓊグⲳ༺θެ৸㘹Ṳᕅਥ৸㿷 /ᡶ‫ޢ‬ᐹⲺɅ伔㺂㔅়䇦ᖋᵢδ䙐⭞ ⡾ᵢεⲺ䜞࠼৸㘹ṲᕅɆȾㅢӂȽп䜞࠼㺞Ṳ䟽⭞㔵㢨㓮ᕖθެ ѣㅢӂ䜞࠼দ࡬グⲳ享ᕖθㅢп䜞࠼দ࡬グⲳ享ᕖχㅢ഑䜞࠼ 䟽⭞㬓㢨㓮ᕖθদ࡬グⲳ享ᕖχㅢӊ䜞࠼䟽⭞哺㢨㓮ᕖθদ࡬5 ᕖȾ 3.3 伔㺂㔅়䇦ᖋᵢদ࡬㾷≸ ᔶᵢφ787*1092 1/16 ᡆ૷ተሮφ150*230 㓮ᕖφ100 ‫ށ‬㜬⡾㓮 㻻䇘ᖘᕅφ㋴㻻 দ࡭φঋ㢨দ࡭
DEP.
━‫ޕ‬ᰦ࡫ ARR.
5.㡚⨝ਧ
flight number
6.⵰䱶⅑ᮠ landings
ᱬ䰤 ཌ䰤 day night
7.傮傦ઈ伎㹼㓿শᰦ䰤
flight time
ᵪ䮯 ࢟傮傦 ཌ䰤
PIC
F/O night
8.ᵪ䮯ᮉઈㆮᆇ PIC or
instructor's signature
9.༷⌘ remarks
ᵮ ☾ 㭒 八 栟 垍 丐 ⋇ 嫱 ⺖ 㙭
CAAC PILOT LOGBOOK
澠彛䑩䆉㙭澡
13
➗⡷ photo
ဃ ਽(Name)
ࠪ⭏ᰕᵏ(DOB)