Flight Authorisation Form
Task/Job Number
*
Date of Operation
*
Time of Operation
*
Specific Location
*
Coordinates
Coordinates
Coordinates
RPAS Type/Model
*
Clean Core 16 1
Clean Core 16 2
Clean Elite Pro 30 1
Clean Elite Pro 30 2
Clean Elite Pro 30 3
Clean Elite Pro 30 4
Clean Elite Pro 30 5
Clean Elite Pro 52 1
Agri Core 1
Agri Elite 40 1
Agri Elite Z 50 1
Agri Elite Z 50 2
Agri Elite Z 62 1
Lex 10 1
Spy 120
Unique RPA ID(s)
*
Unique RPA ID(s)
*
Unique RPA ID(s)
*
Unique RPA ID(s)
*
Unique RPA ID(s)
*
Unique RPA ID(s)
*
Unique RPA ID(s)
*
Unique RPA ID(s)
*
Unique RPA ID(s)
*
Unique RPA ID(s)
*
Unique RPA ID(s)
*
Unique RPA ID(s)
*
Unique RPA ID(s)
*
Unique RPA ID(s)
*
Unique RPA ID(s)
*
Is it Servicable?
*
Yes
No
RPA Controller
*
Maximum Height
*
Line of Sight
*
VLOS
EVLOS
BVLOS
RPIC Name
*
2nd RP Name
*
Observer / Crew Name
ARN
*
ARN
*
Observer / Crew ARN
Task Description
*
Procedure
*
Normal Procedure
Specialised Procedure
Has CASA issued an instrument for this operation?
*
Yes
No
Do you have a copy with you?
Yes
No
Local Area Frequencies
*
Emergency Contact Numbers
*
CRP to Complete
Restrictions/Limitations Applied
*
Approved?
*
Yes
No
Chief Remote Pilot Name
*
CRP ARN
*
CRP Signature
*
Clear
Date
*
RPIC Name
RPIC ARN
RPIC Signature
Clear
Date
CRP Notes
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