JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
UCSC - UAS/Drone Post Flight Report
For general flight questions and advice please contact
UASsafety@ucmerced.edu
. For campus specific questions contact
uas@ucsc.edu
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Application Information
Applicant
*
Please enter your name or the name of your organization/group.
Your answer
Contact Name
*
Your answer
Contact Email
*
Your answer
Pilot Information
Pilot Name
*
Your answer
Pilot Certificate Number
*
Your answer
Aircraft Registration Number
*
Your answer
Flight Information
Flight Date
*
MM
/
DD
/
YYYY
Flight Location
*
Latitude and Longitude, please use decimal degrees
Your answer
Flight Times and Duration
*
Please enter time of launch and duration for each flight. Flt 1: 10:00 am, 20 min.
Your answer
Total Flight Time
*
Hrs
:
Min
:
Sec
Total GCS Time
Please enter the total time of ground control station operation.
Hrs
:
Min
:
Sec
Max Flight Altitude Flown
*
Your answer
Abnormal or Unintended Events
Please indicate if any of the following occurred.
Takeoff or Landing Damage
Please describe any damage occurred during takeoff or landing (indicate which flight the damage occurred)
Your answer
Equipment Malfunction
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
Other:
Lost Link Events
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
Other:
Accident or Mishaps
Damage to property other than the unmanned aircraft
Substantial 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
Other:
Any other issues:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UC Santa Cruz.
Report Abuse
Forms
