Form 61-1504

Private Instrument Rating

Refer to: CASR 61 N

FLIGHT TEST REPORT

ARN
Satisfactory

Item
MOS Ref
No

Result

Description

ROUND COMPONENT
1
2

(i)
2.1(a)

3
4
5
6
7

2.1(b)
2.1(c)
2.1(d)
2.1(e)
2.1(f)

8
9
10
11

2.1(g)
2.1(h)
2.1(i)
2.1(j)

12

2.1(k)

13

2.1(l)

14
15
16

2.1(m)
2.1(n)
2.1(o)

17
18
19
20
21

NTS1.1
NTS1.2
NTS1.3
NTS1.4
NTS1.5

22
23
24

NTS2.1
NTS2.2
NTS2.3

25

IFF.1

26

IFF.2

27

IFF.3

28

IFL.1

29
30

IFL.2
IFL.3

X Unsatisfactory

Underpinning knowledge of 17 to 63
Privileges and limitations of the private
instrument rating and the private
instrument endorsement(s) covered by
the flight test;
Flight review requirements;
Recency requirements;
NVFR recency requirements;
NVFR operations;
Interpreting operational meteorological
information;
IFR planning
Take-off minima;
Holding and alternate requirements;
IFR procedures all airspace
classifications
Departure and approach instrument
procedures;
Operations below LSALT/MSA for day
and night operations;
GNSS
Circling approaches
ERSA normal and emergency procedures

FLIGHT COMPONENT

Maintain effective lookout

Maintain situational awareness
Assess situations and make decisions
Set priorities and manage tasks
Maintain effective communications and
interpersonal relationships
Recognise and manage threats
Recognise and manage errors
Recognise and manage undesired
aircraft state
Determine and monitor the
serviceability of flight instruments and
instrument power sources
Perform manoeuvres using full
instrument panel
Recover from upset situations and
unusual attitudes
Recognise failure of attitude indicator
and/or stabilised heading indicator
perform manoeuvres limited panel
Recover from upset situations and
unusual attitudes limited panel

N Not Tested

Item
No
31
32
33
34

MOS Ref

Description

PIF.1
PIF.2
PIF.3
PIF.4

35
36
37

PIF.5
PIF.6
PIF.7

38

PIF.8

39
40
41

CIR.1 *
CIR.2 *
CIR.3 *

42

CIR.4 *

43

CIR.5 *

44

CIR.6 *

45
46

CIR.7 *
CIR.8 *

47

CIR.9 *

48

CIR.10 *

49
50
51
52
53
54
55
56
57
58
59
60
61
62
63

NVR1.1 *
NVR1.2 *
NVR1.3 *
NVR1.4 *
NVR1.5 *
IAP2.1 *
IAP2.2 *
IAP2.3 *
IAP2.4 *
IAP2.5*
IAP3.1 *
IAP3.2 *
IAP3.3 *
IAP3.4 *
IAP3.5 *

Plan a flight under the IFR

Conduct a visual departure
En route IFR operation
Navigating and holding using navigation
system
Conduct instrument departure
Perform instrument approach operation
Perform an instrument approach 1
engine inoperative (multi-engine aircraft
only)
Perform a descent, visual approach and
landing
Plan a flight under the IFR
Perform an instrument departure
Conduct a published/cleared instrument
departure (all engines)
Conduct an instrument departure (one
engine inoperative)
Navigate aircraft under the IFR using
ground based and /or satellite based
navigational systems
Perform a descent and arrival under the
IFR
Perform a published holding procedure
Perform an instrument approach 2D or
3D
Perform an instrument approach one
engine inoperative (multi-engine aircraft
only)-simulated IMC
Perform visual approach operations
(includes visual circling where
applicable)
Control aircraft on ground at night
Activate pilot activated lighting (PAL)
Take off aircraft at night
Fly a circuit pattern at night
Manage emergency situations at night
Prepares for approach
Conducts initial approach
Conducts a holding pattern
Conducts an approach
Conducts a missed approach
Prepares for approach
Conducts initial approach
Conducts a holding pattern
Conducts an approach
Conducts a missed approach

Result

* Refer to MOS Schedule 5 clause 3 (modifications)

Date

PASS

Aircraft Type

FAIL

Examiner Name

Examiner Signature

Examiner ARN

Test Number

Applicant Name

Applicant Signature

Ground Time

Flight Time

VH -

Form 61-1504 (amended)

09/2014

Private Instrument Rating

Page 1 of 2

Form 61-1504
Private Instrument Rating
Refer to: CASR 61 N

FLIGHT TEST REPORT

ARN
Satisfactory

Form 61-1504 (amended)

09/2014

X Unsatisfactory

Private Instrument Rating

N Not Tested

Page 2 of 2