Applicant and DPE Combined Risk Assessment Tool

DPE Information

Aircraft Category

Select the aircraft type to filter risk questions accordingly.

No category selected — showing all questions.

Flight Information

Applicant Assessment

Applicant Qualification/Experience

Less than 50 Hours in Aircraft or Avionics Type
YesNo0
Less than 8 hours sleep prior to flight
YesNo0
WINGS Phase Completion in last 6 months
YesNo0
Flight will occur after work
YesNo0
Private Pilot Certificate
YesNo0
Commercial Pilot Certificate
YesNo0
Airline Transport Pilot Certificate
YesNo0

Flight Conditions

Day
YesNo0
Night
YesNo0
Night IMC
YesNo0
Cross wind greater than 7 Knots
YesNo0
Surface wind greater than 15 Knots
YesNo0
Nearby Convective Activity
YesNo0
Icing Risk
YesNo0

Airport

Non-towered Airport or tower closed at ETD or ETA
YesNo0
Wet or soft field Runway
YesNo0
Runway length less than 4,000 Feet
YesNo0
Obstacles on Approach and/or departure
YesNo0

Aircraft Factors

Equipment not fully operational
YesNo0
Limited Automation Familiarity
YesNo0

Mission/Operational Risk

Mountainous Terrain
YesNo0
Class C,D,E,G
YesNo0
Class A,B
YesNo0

Human Factors (IMSAFE)

Illness
YesNo0
Medication
YesNo0
Stress
YesNo0
Alcohol within 24 hours
YesNo0
Alcohol within 8 Hours
YesNo0
Fatigue
YesNo0
External Pressures
YesNo0
Unfamiliar with specific avionics/equipment on test aircraft
YesNo0
Unfamiliar with local area or terrain
YesNo0

Total Score

LOW RISK
0

DPE Assessment

DPE Qualification/Experience

Less than 100 hours in aircraft type being tested
YesNo0
Less than 5 practical tests conducted in this category/class
YesNo0
Less than 8 hours sleep prior to exam
YesNo0
Exam will occur after a full work day
YesNo0
Recurrent training completed in last 12 months
YesNo0
Current
YesNo0
CLOA
YesNo0
> 10 hours last 12 months in type
YesNo0

DPE Personal Risk Factors

Illness
YesNo0
Medication
YesNo0
Stress
YesNo0
Alcohol within 24 hours
YesNo0
Alcohol within 8 Hours
YesNo0
Fatigue
YesNo0
External Pressures
YesNo0
Unfamiliar with specific avionics/equipment on test aircraft
YesNo0
Unfamiliar with local area or terrain
YesNo0

DPE Administrative Readiness

Applicant documents reviewed and verified prior to exam
YesNo0
Pre-flight briefing completed with applicant
YesNo0
Weather briefing obtained and reviewed
YesNo0
POH/AFM not available or not reviewed
YesNo0
Aircraft maintenance status unknown or unverified
YesNo0
Conducting more than one practical test in same day
YesNo0

Total Score

LOW RISK
0

Combined Risk Score

Applicant (0) + DPE (0)

LOW RISK
0

Risk Assessment Reference

Individual Assessment (Applicant or DPE)

Low Risk

0 to 15

Moderate Risk

15 to 25

High Risk

>25

Combined Assessment (Applicant + DPE)

Low Risk

0 to 20

Moderate Risk

20 to 30

High Risk

>30

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