Free International Flight Plan and Pre-Flight Pilot Checklist - Federal

Form Approved OMB No. 2120-0026 09/30/2006
U S Department of Transportation Federal Aviation Administration

International Flight Plan

PRIORITY

ADDRESSEE(S)

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FILING TIME ORIGINATOR

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8 FLIGHT RULES TYPE OF FLIGHT 10 EQUIPMENT

SPECIFIC IDENTIFICATION OF ADDRESSEE(S) AND / OR ORIGINATOR 3 MESSAGE TYPE 7 AIRCRAFT IDENTIFICATION TYPE OF AIRCRAFT TIME

<=(FPL
9 NUMBER WAKE TURBULENCE CAT.

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13 DEPARTURE AERODROME 15 CRUISING SPEED LEVEL

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ROUTE

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TOTAL EET 16 DESTINATION AERODROME 18 OTHER INFORMATION HR MIN ALTN AERODROME 2ND ALTN AERODROME

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19 SUPPLEMENTARY INFORMATION (NOT TO BE TRANSMITTED IN FPL MESSAGES) ENDURANCE EMERGENCY RADIO HR MIN VHF ELBA PERSONS ON BOARD UHF

E/ /

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SURVIVAL EQUIPMENT POLAR DESERT MARITIME JUNGLE DINGHIES NUMBER CAPACITY COVER JACKETS

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LIGHT FLUORES

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COLOR

UH F

VHF

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AIRCRAFT COLOR AND MARKINGS

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REMARKS

A/ N /
PILOT-IN-COMMAND

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ACCEPTED BY ADDITIONAL INFORMATION

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FILED BY

FAA Form 7233-4 (7-93)

Pre-Flight Pilot Checklist
Aircraft Identification Time of Briefing

Remarks

Present Weather
(Destination) (Alternate)

Report Weather Conditions Aloft
Report immediately weather conditions encountered---particularly cloud tops, upper cloud layers, thunderstorms, ice, turbulence, winds and temperature Time Weather Conditions Position Altitude

Forecast

Present

Weather
(En Route)

Forecast

Pireps

Winds Aloft

Best Crzg. Alt.

Nav. Aid & Comm. Status.

Destination

En Route

Destination Airport
Conditions

Alternate

ADIZ

Airspace Restrictions

Civil Aircraft Pilots
FAR Part 91 states that each person operating a civil aircraft of U S. registry over the high seas shall comply with Annex 2 to the Convention of International Civil Aviation, International Standards - Rules of the Air. Annex 2 requires the submission of a flight plan containing items 1-1 9 prior to operating any flight across international waters. Failure to file could result in a civil penalty not to exceed $1,000 for each violation (Section 901 of the Federal Aviation Act of 1958, as amended). International briefing information may not be current or complete. Data should be secured, at the first opportunity, from the country in whose airspace the flight will be conducted. Paperwork Reduction Act Statement: Flight Plan information is collected for the protection and identification of aircraft and property and persons on the ground. Air Traffic uses the information to provide control services and search and rescue services. An individual respondent would require about 2.5 minutes to provide the information. FAR Part 91 requires an Instrument Flight Rules (IFR) flight plan to operate under IFR in controlled airspace. Filing a Visual Flight Rules flight plan is recommended but not mandatory. It is FAA policy to make factual information available to persons properly and directly concerned except information held confidential for good cause, i.e., pilot's address/telephone number. All flight plan data is destroyed when 15 days old except for data retained due to an accident/incident investigation. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number associated with this collection is 2120-0026. Comments concerning the accuracy of this burden and suggestions for reducing the burden should be directed to the FAA at: 800 Independence Ave SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, ABA-20