dji Inspire 1 - Appendix B; Pre-Site Survey

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PRE-SITE SURVEY/ RISK ASSESSMENT
SECTION 1: JOB DETAILS
Date of Flight:
Job Number:
!
Pilot in Command:
Mission Summary:
Support Pilot:
Observer:
!
SECTION 2: SITE DETAILS
Landowner:
Tel:
Email:
Permission Received:
Y N
Site address:
Site Co-ordinates:
Vehicle Access:
Y N
Site Altitude (ft. amsl):
Local Hospital:
Contact Number:
Local Police:
Contact Number:
!
SECTION 3: AIRSPACE
3A: AIRSPACE (WITHIN 10NM)
Controlled/Uncontrolled:
C U
Airspace Classification:
ATC Permission Required:
Y N
!
3B: AIRPORTS (WITHIN 10NM)
Airport Name
Operation in
(M)ATZ
Permission
Required
Contact Name/Number
1:
Y N
Y N
!
!
2:
Y N
Y N
!
!
3:
Y N
Y N
!
!
!