TCAS II Pilot Event Questionnaire
TCAS II Pilot Event Questionnaire
Please enter as much information as you can
Name
First
Last
Email
Date:
/
MM
/
DD
YYYY
Time (UTC):
TCAS Logic Version:
7.0
6.04A
Airline:
Flight #:
A/C Type:
Tail Number:
Origin:
Destination:
Own Altitude (FT)
Own Position (VOR/RADIAL/DME)
Phase of Flight
Departure (Takeoff to 10,000 FT)
Climb (10,000 FT to TOC)
Cruise
Descent (TOD to 10,000 FT)
Approach (Below 10,000 FT)
TCAS Display Range Setting
5 NM
10 NM
20 NM
30 NM
Other
If 'Other' please enter TCAS Display Range Setting
Intruder Aircraft
ID (if known)
TCAS Equipped (if known)
Unknown
Yes
No
Relative Altitude at TA (FT)
Clock Position
Est. Range at TA (NM)
Were Multiple TA's (aurals) issued for the same aircraft?
Yes
No
If 'Yes' how many?
Relative Altitude at RA (FT)
Clock Position
Est. Range at RA
Were Multiple RA's issued for the same aircraft?
Yes
No
If 'Yes' how many?
Estimated Closest Proximity - Range (NM)/Altitude (FT)
Initial RA Issued
Desend, Descend
Climb, Climb
Monitor Vertical Speed
Adjust Vertical Speed, Adjust
Climb, Crossing Climb
Descend, Crossing Descend
Maintain Vertical Speed, Maintain
Maintain Vertical Speed, Crossing Maintain
Did the Initial RA Change to any of the Following?
Adjust Vertical Speed, Adjust
Increase Climb
Increase Descent
Climb, Climb Now
Descend, Descend Now
No
Type of RA Display in Your Aircraft
IVSI
Pitch Cues
Vertical Speed Tape
For the Encounter, Please Indicate the Sequence of Events
ATC Advisory
1
2
3
4
TA
1
2
3
4
RA
1
2
3
4
Visual Contact
1
2
3
4
Was the RA:
Followed
Yes
No
Necessary for the Situation
Yes
No
Conflict Wiith ATC Instructions
Yes
No
Result in a Clearance Deviation
Yes
No
If 'Yes' What Was the Deviation (FT)?
Remarks: (Comments/Concerns on This Encounter)
Type the letters you see in the image below.
