CAP Form 5 "CAP Pilot Flight Evaluation - Airplane/Glider"

What Is CAP Form 5?

This is a legal form that was released by the U.S. Air Force - Civil Air Patrol on February 23, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 23, 2018;
  • The latest available edition released by the U.S. Air Force - Civil Air Patrol;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of CAP Form 5 by clicking the link below or browse more documents and templates provided by the U.S. Air Force - Civil Air Patrol.

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CAP PILOT FLIGHT EVALUATION ‒ AIRPLANE/GLIDER
ANNUAL
ABBREVIATED
DATE OF FLIGHT EVALUATION:
MEMBER’S NAME (print or type)
CAPID
CHARTER NO.
CERTIFICATE(S)
AIRCRAFT MAKE & MODEL
EXERCISED
(Mark all that apply)
AIRCRAFT CATEGORY & CLASS
Private
ADDITIONAL CAP ENDORSEMENTS (Evaluator initials [typed/printed] blanks)
Commercial
G1000
Orientation Pilot
Instructor Pilot
FLIGHT TIME (or # of Glider Flights)
Instrument
Mountain Flight
Instrument
Check Pilot
CFI
OTHER CAP ENDORSEMENTS (list)
Turbo Aircraft
High Performance
Complex
CFII
Check Pilot Examiner
I.
VIII. INSTRUMENT REF MANEUVERS
ORAL DISCUSSION
S U V NP
S U V NP
A. Annual Online Written Exam .................
A. Straight & Level Flight .......................................
B. Review CAPR 70-1 & Supplements ......
B. Constant Airspeed Climbs ..................................
C. Review Flight Release Procedures .........
C. Constant Airspeed Descents ...............................
D. Review CAPF 9 Requirements ..............
D. Turns To A Heading ...........................................
E. Local Procedures ....................................
E. Recovery from Unusual Flt Attitudes .................
F. Emergency Procedures ...........................
F. Radio Nav & Radar Services ..............................
G. Electronic Flight Bag (EFB) ..................
IX. INSTRUMENT FLIGHT PROCEDURES
II. PREFLIGHT PREPARATION
A. Ground Prep (WX, AC systems, Flt Plan) .........
A. Certificates & Documents ......................
B. ATC Clearance and Traffic Procedures ..............
B. Obtaining Weather Information .............
C. Holding Procedures ............................................
C. Determine Weight & Balance ................
D. Partial Panel Unusual Attitude Recovery ...........
D. Determine Takeoff Performance ............
E. Intercept & Tracking of Courses .........................
E. Determine Cruise Performance...............
F. Instrument Approach Procedures ........................
F. Determine Landing Performance ............
(1) Precision Approach ......................................
G. Cross-country Flight Planning ...............
(2) Non-Precision Approach .............................
H. Aircraft Systems .....................................
(3) Partial Panel Approach ................................
I. Aeromedical Factors ...............................
(4) Circling & Missed Approach .......................
III. GROUND OPERATIONS
X. GROUND REFERENCE MANEUVERS
A. Visual Inspection....................................
A. Rectangular Course ............................................
B. Starting Engines .....................................
B. S – Turns ............................................................
C. Taxiing ...................................................
C. Turns Around A Point ........................................
D. Use of Checklist (mandatory) ...............
XI. NIGHT FLIGHT OPERATIONS
E. Passenger & Crew Briefing ....................
A. Physiological aspects of night flying ..................
F. Sterile Cockpit Procedures ......................
B. Preparation & Personal Equipment ....................
G. Post-flight Procedures ............................
C. Aircraft & Airport Lighting ...............................
IV. AIRPORT & TRAFFIC PATTERN OPS
D. Night Orientation and Navigation ......................
A. Radio Comm & ATC Light Signals .......
XII. EMERGENCY PROCEDURES
B. Surface and Traffic Pattern Operations ..
A. Emergency Approach & Landing (sim) ............
C. Airport & Runway Markings & Lighting ......
B. System & Equipment Malfunction .....................
C. POH Bold Face Knowledge................................
V. TAKEOFF & CLIMBS
A. Normal Takeoff & Climb .......................
D. Emergency Descent ............................................
B. Crosswind Takeoff & Climb ..................
XIII. APPROACHES & LANDINGS
C. Short-field Takeoff & Climb ..................
A. Normal Approaches and Landings .....................
D. Soft-field Takeoff & Climb ....................
B. Crosswind Approaches and Landings.................
VI. CROSS-COUNTRY FLYING
C. Forward Slips to Landing ...................................
A. Pilotage & Dead Reckoning ...................
D. Go-around...........................................................
B. Radio Navigation....................................
E. Short-field Approach & Landing ........................
C. Diversion ................................................
F. Soft-field Approach & Landing ..........................
D. Lost Procedures ......................................
XIV. SAFETY AWARENESS
VII. MANEUVERS
A. Clearing Turns and Collision Avoidance ...........
A. Power-Off Stalls ....................................
B. Vigilance, Risk Mgt & Judgment .......................
B. Power-On Stalls.....................................
C. Fuel Management ...............................................
C. Maneuvering During Slow Flight ...........
D. Use of Crew Resource Management ..................
D. Steep Turns ............................................
E. Ground Handling Procedures ..............................
F. Use of Risk Management (Go-No Go) ...............
CAP FORM 5, 23 FEB 18 Previous Editions Will Not Be Used
OPR/ROUTING: DOV
Continue on Next Page
CAP PILOT FLIGHT EVALUATION ‒ AIRPLANE/GLIDER
ANNUAL
ABBREVIATED
DATE OF FLIGHT EVALUATION:
MEMBER’S NAME (print or type)
CAPID
CHARTER NO.
CERTIFICATE(S)
AIRCRAFT MAKE & MODEL
EXERCISED
(Mark all that apply)
AIRCRAFT CATEGORY & CLASS
Private
ADDITIONAL CAP ENDORSEMENTS (Evaluator initials [typed/printed] blanks)
Commercial
G1000
Orientation Pilot
Instructor Pilot
FLIGHT TIME (or # of Glider Flights)
Instrument
Mountain Flight
Instrument
Check Pilot
CFI
OTHER CAP ENDORSEMENTS (list)
Turbo Aircraft
High Performance
Complex
CFII
Check Pilot Examiner
I.
VIII. INSTRUMENT REF MANEUVERS
ORAL DISCUSSION
S U V NP
S U V NP
A. Annual Online Written Exam .................
A. Straight & Level Flight .......................................
B. Review CAPR 70-1 & Supplements ......
B. Constant Airspeed Climbs ..................................
C. Review Flight Release Procedures .........
C. Constant Airspeed Descents ...............................
D. Review CAPF 9 Requirements ..............
D. Turns To A Heading ...........................................
E. Local Procedures ....................................
E. Recovery from Unusual Flt Attitudes .................
F. Emergency Procedures ...........................
F. Radio Nav & Radar Services ..............................
G. Electronic Flight Bag (EFB) ..................
IX. INSTRUMENT FLIGHT PROCEDURES
II. PREFLIGHT PREPARATION
A. Ground Prep (WX, AC systems, Flt Plan) .........
A. Certificates & Documents ......................
B. ATC Clearance and Traffic Procedures ..............
B. Obtaining Weather Information .............
C. Holding Procedures ............................................
C. Determine Weight & Balance ................
D. Partial Panel Unusual Attitude Recovery ...........
D. Determine Takeoff Performance ............
E. Intercept & Tracking of Courses .........................
E. Determine Cruise Performance...............
F. Instrument Approach Procedures ........................
F. Determine Landing Performance ............
(1) Precision Approach ......................................
G. Cross-country Flight Planning ...............
(2) Non-Precision Approach .............................
H. Aircraft Systems .....................................
(3) Partial Panel Approach ................................
I. Aeromedical Factors ...............................
(4) Circling & Missed Approach .......................
III. GROUND OPERATIONS
X. GROUND REFERENCE MANEUVERS
A. Visual Inspection....................................
A. Rectangular Course ............................................
B. Starting Engines .....................................
B. S – Turns ............................................................
C. Taxiing ...................................................
C. Turns Around A Point ........................................
D. Use of Checklist (mandatory) ...............
XI. NIGHT FLIGHT OPERATIONS
E. Passenger & Crew Briefing ....................
A. Physiological aspects of night flying ..................
F. Sterile Cockpit Procedures ......................
B. Preparation & Personal Equipment ....................
G. Post-flight Procedures ............................
C. Aircraft & Airport Lighting ...............................
IV. AIRPORT & TRAFFIC PATTERN OPS
D. Night Orientation and Navigation ......................
A. Radio Comm & ATC Light Signals .......
XII. EMERGENCY PROCEDURES
B. Surface and Traffic Pattern Operations ..
A. Emergency Approach & Landing (sim) ............
C. Airport & Runway Markings & Lighting ......
B. System & Equipment Malfunction .....................
C. POH Bold Face Knowledge................................
V. TAKEOFF & CLIMBS
A. Normal Takeoff & Climb .......................
D. Emergency Descent ............................................
B. Crosswind Takeoff & Climb ..................
XIII. APPROACHES & LANDINGS
C. Short-field Takeoff & Climb ..................
A. Normal Approaches and Landings .....................
D. Soft-field Takeoff & Climb ....................
B. Crosswind Approaches and Landings.................
VI. CROSS-COUNTRY FLYING
C. Forward Slips to Landing ...................................
A. Pilotage & Dead Reckoning ...................
D. Go-around...........................................................
B. Radio Navigation....................................
E. Short-field Approach & Landing ........................
C. Diversion ................................................
F. Soft-field Approach & Landing ..........................
D. Lost Procedures ......................................
XIV. SAFETY AWARENESS
VII. MANEUVERS
A. Clearing Turns and Collision Avoidance ...........
A. Power-Off Stalls ....................................
B. Vigilance, Risk Mgt & Judgment .......................
B. Power-On Stalls.....................................
C. Fuel Management ...............................................
C. Maneuvering During Slow Flight ...........
D. Use of Crew Resource Management ..................
D. Steep Turns ............................................
E. Ground Handling Procedures ..............................
F. Use of Risk Management (Go-No Go) ...............
CAP FORM 5, 23 FEB 18 Previous Editions Will Not Be Used
OPR/ROUTING: DOV
Continue on Next Page
XV. GLIDER PROCEDURES
XVI. MULTI-ENGINE PROCEDURES
S U V NP
S U V NP
A. Assembly and Ground Handling ...............
A. Engine Failure During T.O. Below VMC ..
B. Aerotow Launch Procedures .....................
B. Engine Failure After Liftoff .......................
(1) Visual Signals ......................................
C. Maneuvering wt 1 Engine Inoperative .......
(2) Normal & Crosswind Takeoffs ............
D. Approach & Landing with 1 Engine ..........
(3) Maintaining Tow Position ....................
E. VMC Demonstration ..................................
(4) Boxing the Wake ..................................
F. Instrument Maneuvers wt 1 Engine Out .....
(5) Slack Line & Tow Release Procedure ..
G. Instrument Approach wt 1 Engine Out .......
(6) Aero tow Abnormal Occurrences .........
XVII. INSTRUCTOR & CHECK PILOTS
(7) Rope break above 200ft AGL ..............
A. Demonstrate ground instruction .................
C. Ground Launch (Auto or Winch) .............
B. Positive control exchange & who is PIC ....
(1) Visual Signals ......................................
C. T.O. & Landing from both control positions .....
(2) Normal & Crosswind Takeoffs ............
D. Demonstrate teaching maneuvers in flight ......
(3) Ground Launch Abnormal Occurrences ..
E. Demonstrate evaluating maneuvers in flight ....
D. Airspeeds-to-fly, including minimum sink ....
F. How to conduct a CAPF-5 (Check Pilot) ...
E. Thermal Soaring ........................................
XVIII. ORIENTATION PILOT
F. Ridge and Slope Soaring ...........................
A. Knowledge of CAPP 52-7, CAP Cadets ....
G. Wave Soaring ............................................
B. Demonstrate syllabus maneuvers/items ......
H. Downwind landing ....................................
C. Knowledge of CAPR 70-1 restrictions .......
I. Simulated Off-airport Landings ..................
D. Knowledge of AF(J)ROTC program/MOU ...
REVIEW OF CERTIFICATES AND DOCUMENTS (VERIFIED BY CHECK PILOT)
FAA Pilot Cert No.
CFI Cert No.
CFI Exp Date
Class Medical
Medical Issue Date
Flight Review Date
I certify that I have read and understand all applicable FAA, CAP, and state regulations pertaining to flying subject aircraft. I
acknowledge any restrictions or training requirements stated on this CAPF 5. I also understand that maintaining currency,
recurring requirements, and compliance with applicable directives is my personal responsibility.
Date
Member’s Name & Grade (print or type)
Member’s Signature
I certify that I have administered a CAP flight evaluation as indicated and that the above named CAP member has
demonstrated the proficiency required to fly the indicated aircraft. The member also successfully completed the
questionnaire for the make and model of aircraft flown.
Date
Evaluator’s Name & Grade (print or type)
Evaluator’s Signature
CAP check pilot approval (if a non-CAP check pilot evaluated the flight)
Date
Name & Grade (print or type)
Signature
COMMENTS:
CAP FORM 5, 23 FEB 18 Previous Editions Will Not Be Used
OPR/ROUTING: DOV
Page 2
INSTRUCTIONS FOR CAP PILOT FLIGHT EVALUATIONS
‒ AIRPLANE/GLIDER
These instructions specify how to conduct a CAP Pilot Flight Evaluation (CAPF 5 and/or CAPF 5B) in accordance with this regulation.
The CAP Check Pilot evaluates the CAP member on:
Ability to satisfactorily perform the tasks assigned;
Knowledge of procedures; and
Smoothness, judgment and mastery of the aircraft.
The current and applicable FAA Practical Test Standards (PTS) or Airman Certification Standards (ACS) for the certificate being exercised
define the level of satisfactory performance. For example, the CAP Check Pilot must evaluate a CAP Instructor Pilot candidate in
accordance with the FAA Instructor PTS or ACS. If the holder of an FAA Commercial Pilot Certificate seeks a CAP qualification that
requires only the exercise of Private Pilot privileges, the Check Pilot need not evaluate that pilot IAW the FAA Commercial PTS or ACS.
The CAP Check Pilot must complete all items appropriate to the evaluation, indicating S (Satisfactory), U (Unsatisfactory) or V (Verbally
evaluated). If a CAP member can satisfactorily perform the more complex maneuvers, the Check Pilot has the discretion to not require
performance of less complex maneuvers. Items or maneuvers not performed or applicable to evaluation (such as powered maneuvers for
gliders) should be marked as NP (Not Performed).
Failure to meet the standards of performance for any task performed will result in an unsatisfactory evaluation. In the case of an
unsatisfactory CAP Pilot Flight Evaluation, the Check Pilot must inform the applicant of the specific unsatisfactory item(s), note them on
the CAPF 5/CAPF 5B, and follow the guidance/procedures of Section 7.4 of this document.
Instructions for specific parts of the CAPF 5/CAPF 5B are as follows:
Additional CAP Endorsements – More than one may be initialed by the CAP Check Pilot. Turbo, Mountain Flight and other endorsements
may be required by applicable wing or region supplements to this regulation.
Aircraft Category & Class – Possible entries include “Airplane SE Land”, “Airplane ME Land”, “Glider”, etc.
I. Oral Discussion & II. Preflight Preparation – May be completed separately within a 30-day period before the flight evaluation.
IX. Instrument Flight Procedures – Minimum completion standards for this section include at least one partial panel unusual attitude
recovery, one holding pattern, and one instrument approach. The Check Pilot has discretion to cover this section verbally if the pilot has
satisfactorily completed an FAA Instrument Proficiency Check requiring a demonstration of instrument competency within six calendar
months prior to the CAPF 5.
XI. Night Flight Operations – Familiarization only, and may be required at the discretion of Wing Commanders or higher.
XVI. Multi-Engine Procedures – Pilots seeking to exercise instrument privileges in multi-engine aircraft must demonstrate an instrument
approach with one engine simulated inoperative.
XVII. Instructor & Check Pilots – On each CAPF 5 and/or CAPF 5B, the CAP Check Pilot must assign a candidate for initial or renewal of
CAP Instructor or CAP Check Pilot endorsement(s) to make a ground instruction demonstration on a topic/maneuver listed in the FAA Instructor
PTS or ACS. The candidate must demonstrate that maneuver to the Check Pilot during the flight portion of the CAP Pilot Evaluation.
XVIII. CAP Orientation Pilot – The CAP Check Pilot must review and discuss the orientation flight syllabus with the pilot seeking a CAP
Orientation Pilot endorsement and select syllabus maneuver(s) for the pilot to demonstrate during the CAP Pilot Evaluation. The CAP Check Pilot
must verify the pilot’s knowledge of applicable provisions in this regulation and CAPP 52-7, Cadet Orientation Flight Syllabus.
Review of Certificates and Documents – The CAP Check Pilot must verify each item in this section.
Signatures – Both the applicant and the Check Pilot must sign the CAPF 5 or CAPF 5B. If the evaluator is not a CAP Check Pilot, a CAP
Check Pilot must also sign to indicate coverage of CAP-specific items. If the applicant fails, the Check Pilot will enter the word
“UNSATISFACTORY” in lieu of the Evaluator’s Signature.
CAP PILOT FLIGHT EVALUATION PROCEDURE
The applicant for a CAPF 5 or CAPF 5B Pilot Flight Evaluation should bring the following materials for review by the CAP Check Pilot:
1.
Unless otherwise arranged in accordance with Section 7.2.2. of this regulation, evidence of flight review (logbook entry, WINGS
documentation, new pilot certificate or rating, new flight instructor certificate, or 14 CFR part 135.293/297, 121.441, or 61.58
(proficiency checks).
2.
FAA certificate(s) and medical (or current state issued driver’s license and medical education course completion certificate if
operating under
BasicMed).
3.
Proof of CAP membership.
4.
Completed aircraft questionnaire (CAPFs 5Q-A or 5Q-G) for the make and model of CAP aircraft in which the member is being evaluated.
5.
Online CAPR 70-1, CAPF 5 Annual Examination and Supplemental Glider or Balloon Exam results as applicable.
The CAP Check Pilot must review and grade all materials and conduct the CAP Pilot Flight Evaluation. Following the evaluation, the
applicant must upload the CAPF 5 document as applicable and enter the required information into the CAP Ops Quals system for
validation.
CAP FORM 5, 23 FEB 18 Previous Editions Will Not Be Used
OPR/ROUTING: DOV
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