TCAS I Pilot Event Questionnaire
TCAS I Pilot Event Questionnaire
Please enter as much information as you can
Name
First
Last
Email
Date:
/
MM
/
DD
YYYY
Time (UTC):
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 II 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?
Type of TA Display in Your Aircraft
Shared Weather Radar Display
MFD
Modified VSI
Stand Alone Display
For the Encounter, Please Indicate the Sequence of Events
ATC Advisory
1
2
3
TA
1
2
3
Visual Contact
1
2
3
Was the TA:
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.
