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Appendix H: General Aviation Questionnaire
Pages 106-146

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From page 106...
... The questionnaire consisted of four sections that corresponded with the general topics covered in the air carrier questionnaire: Section A addressed pilot qualifications and experience; Section B addressed safety events; Section C addressed a specific focus topic (weather-related is sues) ; and Section D offered pilots an opportunity to provide feedback on the interview process and the questionnaire.
From page 107...
... We sent you a letter a few days ago to tell you about the National Aviation Operations Monitoring Service project that NASA is conducting.
From page 108...
... 0 AN ASSESSMENT OF NASA'S NATIONAL AVIATION OPERATIONS MONITORING SERVICE General Aviation Questionnaire Section A: Background Questions 135
From page 109...
... NO .................................................................................................0 YES ...............................................................................................1 NOTE: IFR = Instrument Flight Rules RF..................................................................................................7 DK............................................... ..................................................8 During your life, approximately how many hours in A2 TOTAL HOURS DURING LIFE .....................
From page 110...
... flights, how many # PART 135 AIRPLANE FLIGHTS NIGHT.................. occurred during night time conditions?
From page 111...
... 998 MUST BE EQUAL TO OR LESS THAN A11 A12 ASK ONLY IF A1 = YES. During the last 60 days, # FILED IFR FLIGHT PLAN ..............................................
From page 113...
... 1st ______________________________ YES NO RF DK 2nd ______________________________________ YES NO RF DK 3rd ______________________________________ YES NO RF DK 4th YES NO RF DK ______________________________________ 5th ______________________________ YES NO RF DK 6th ______________________________ YES NO RF DK A16 (AIRPLANE ONLY) During the last 60 days, how HOURS FLY EXPERIMENTAL ...............
From page 114...
...  AN ASSESSMENT OF NASA'S NATIONAL AVIATION OPERATIONS MONITORING SERVICE General Aviation Questionnaire Section B: Safety Related Events 141
From page 115...
... AIRPLANES ONLY ER2-A I am going to read a list of possible airplane malfunctions or failures. For each one, please tell me how many times during the last 60 days an in-flight airplane on which you were a pilot or copilot experienced any of these malfunctions or failures.
From page 116...
... E Failure of the landing gear to extend or retract?
From page 117...
... For each one, please tell me how many times during the last 60 days an in-flight helicopter on which you were a pilot or copilot experienced ER2-H any of these malfunctions or failures. If a piece of equipment does not apply, please answer "not applicable" rather than "zero".
From page 118...
... ASK ONLY IF MORE THAN ONE MAKE/ MODEL IN A10. SPECIFY MAKE/MODEL: Which helicopter experienced this warning?
From page 119...
... on which you were a pilot or copilot experience smoke, fire, or fumes that originated in any of the following areas (READ QUESTIONS)
From page 120...
... experienced smoke, fire or fumes in the passenger compartment area?
From page 121...
... SPECIFY MAKE/MODEL: ER6. Experience total loss of electrical power?
From page 122...
... experienced a cargo shift or cargo coming loose?
From page 123...
... indicator failed, how many occurred/Did this failure of the attitude indicator occur) in instrument meteorological conditions or I.M.C?
From page 124...
... ? Did this time when you lacked accurate weather information involve a Flight Service Station (FSS?
From page 125...
... ? Did this time when you lacked accurate weather information involve the Automatic Weather Observation Service (AWOS)
From page 126...
... Just as a reminder, we are only asking about events that you experienced flying under FAR Part 135 or Part 91 as (an airplane/a helicopter) pilot or copilot.
From page 127...
... on which you were a pilot or copilot inadvertently enter an active runway?
From page 128...
... (Of the [# in GE13] near collisions with a ground vehicle, how many occurred/Did this near collision with a ground vehicle # AT HELIPORT ...........................................................
From page 129...
... (Of the [# in GE14] near collisions with # ON RAMP/APRON/GATE AREA ..............................
From page 130...
... sight of another aircraft, how many occurred/Did losing sight of another THE AMOUNT IN AH3A CANNOT BE GREATER THAN aircraft occur) in marginal visual conditions THE AMOUNT IN AH3.
From page 131...
... (Of the [# in AH12] near collisions with terrain, ground obstruction or wires, how many involved just wires?
From page 132...
... How many times during these A12 IFR flights) did you descend below Minimum Safe Altitude when you were not following A.T.C.
From page 133...
... leave a communications frequency with A.T.C to get a weather briefing?
From page 134...
...  AN ASSESSMENT OF NASA'S NATIONAL AVIATION OPERATIONS MONITORING SERVICE General Aviation Questionnaire Section C: Weather-related Issues 161
From page 135...
... flights where you obtained preflight weather information, how many were obtained by/Was the preflight weather information obtained by)
From page 136...
... IF ONLY ONE QUESTION ANSWERED IN COMMERCIAL NOT SPECIFIC TO AVAITION C1A1-7, SKIP TO C2A. COMMERCIAL SPECIFIC TO AVIATION You said you used the following pre flight COMPANY PROVIDED weather information sources in the last 60 days (LIST ITEMS CODED ONE OR DUATS OR OTHER COMPUTER ACCESSED HIGHER IN C1A1-7.
From page 137...
... VFR = Visual Flight Rules: Visibility greater than 3 miles and ceiling greater than 1,000 feet above ground level C5. Do you, or your organization, apply pre-flight YES ...............................................................................................1 V.F.R weather minimums that are more NO .....................................
From page 138...
... instrument meteorological conditions or I.M.C while on a VFR flight? IMC = Instrument meteorological conditions: Visibility less than 3 miles and/or cloud ceiling less than 1,000 feet above ground level VFR = Visual Flight Rules: Visibility greater than 3 miles and ceiling greater than 1,000 feet above ground level A
From page 139...
... OBTAIN PILOT REPORTS FROM OTHER PILOTS USING FLIGHT WATCH DO SOMETHING ELSE (RECORD) _________________________________________________ The following questions are for VFR rated pilots only (Determined from question A1=no)
From page 140...
... ) IMC: = Instrument meteorological conditions: Visibility less than 3 miles and/or cloud ceiling less than 1,000 feet above ground level C16 Do you, or your organization, apply pre-flight YES ...............................................................................................1 I.F.R weather minimums that are more NO ....................................
From page 141...
... instrument approach to landing in instrument meteorological conditions, what RVR (RUNWAY VISUAL RANGE)
From page 142...
... conducted under FAR part 91? C20 As you may know, the F.A.A currently allows pilots flying under FAR Part 91 to conduct instrument approaches, but not landings, when the weather conditions at the instrument approach landing facility is below landing minimums.
From page 143...
...  APPENDIX H General Aviation Questionnaire Section D: Questionnaire Feedback 170
From page 145...
... RECORD VERBATIM. ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Again, thank you very much for your time and your help with this survey.


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