FLIGHT CREW DIVISION 919

A.321 RECURRENT

WINTER 2021 - (1A/B)

PILOT 1

PILOT’S NAME: JORGE

…………………………………………………………….
ALIAGA DIAZ
CREW CODE: ……………………….
4709

REV 01 - DATE 19JAN2022

FLIGHT CREW TRAINING PROGRAM (FOR PILOT 1 ONLY)
LIST OF EFFECTIVE PAGES

Section Pages Issue No. Revision No. Effective Date

Document control
1-2 00 01 19JAN2022
pages

FFS 1A 3-4 00 01 19JAN2022

FFS 1A/B -
5 - 10 00 01 19JAN2022
THEORY REVIEW
FFS 1A TRAINING
11 00 01 19JAN2022
REPORT

FFS 1B 12 - 14 00 01 19JAN2022

This A.321 simulator recurrent WINTER 2021 (for Pilot 1) with issue number 00, revision number
01 is prepared by Fleet A.321, reviewed & recommended by Training department and approved
by Deputy Chief Pilot of Flight Crew Division 919.

Prepared by Reviewed & Recommended by Approved by

CPT. NGUYỄN NHƯ NGỌC CPT. PHẠM LÊ LONG CPT. BÙI THÁI SƠN
Date : 19JAN2022 Date : 19JAN2022 Date : 19JAN2022

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FLIGHT CREW TRAINING PROGRAM (FOR PILOT 1 ONLY)

LIST OF SIGNIFICANT CHANGES

Section Page List of significant changes

Calculated Competency Result as average of Part 1, Part 2

Training report 11 and Loft Result

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 FLIGHT CREW TRAINING PROGRAM (FOR PILOT 1 ONLY)

A321 RECURRENT - WINTER 2021 - FFS 1A

ROUTE
ORIGIN RKPK
ROUTE REFER TO CFP
DESTINATION VVNB
ALTERNATE VVVH
FLIGHT NUMBER HVN 427
SIM REGISTRATION VN018

WEATHER
METAR RKPK ……...Z 01015KT 080130Z 27017G20KT 3000 SHSN FEW009 SCT015
BKN045 00/M05 Q1001 TEMPO 27020G25KT 2500 SHSN
TAF RKPK ...........Z 0104/0206 250020KT 4000 -SN BKN050 BECMG
0516/0517 29008KT 3200 -SN OVC030 620304 QNH999INS
TAF ZSPD …….. Z 11012MPS 5000 SG BKN011 TX28/0806Z TN19/0821Z
TAF VVNB .......... Z 0800/0824 35007KT 7000 FEW020 PROB30 TEMPO 0812/0816
4000 TSRA SCT013 FEW027CB
TAF VVVH …….. Z 071908Z 0800/0824 02004 9999 SCT040 TX33/0807Z
TN25/0822Z TEMPO 0805/0811 SHRA SCT010 FEW030CB BKN033

NOTAMS RKPK 21120620 36L 3/3/3 50/60/50 6/7/6 DRY SNOW/ DRY SNOW/DRY SNOW
50 (REFER TO FON GRF AND SNOWTAMS DOCUMENT)
.

VVNB From: DEC 21 TO MAY 22 BTN 0001/1000. ALL LDG AREA LGT FAC OF RWY
11R/29L TURN ON DUE TO CHECK. RMK: RWY 11R/29L NOT AVBL
FOR LDG AND TKOF.

PERFORMANCE
TO BE FILLED BY TRAINEE:
ZFW/ ZFW CG 51.0/30% RWY 36L
COST INDEX 35 RWY CONDITION 3MM DRY SNOW
CRZ ALT/TEMP FL 340/-30C V1 142

TROPO 53000 VR 152

TRIP WIND M25 KTS V2 153

FLX/ASSUME/DERATE
BLOCK FUEL 15.2 T 55
TEMP
TOW / THS% 65.9 T / 30.0 % FLAPS 1+F

P – Application of Procedures K – Knowledge D – Problem Solving & Decision Making

A – Flight Path Management – Automation C – Communications S – Situational Awareness
M – Flight Path Management – Manual L – Leadership & Teamwork W – Workload Management

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 FLIGHT CREW TRAINING PROGRAM (FOR PILOT 1 ONLY)

A321 RECURRENT - WINTER 2021 - FFS 1A

THEORY & PROCEDURES TRAINING NA NP P
0h00’ 1 UPDATED NOTICES/PROCEDURES
2 FLIGHT PREPARATION/ DISPATCH PROCEDURES
3 ASSESSING RUNWAY CONDITIONS. SNOWTAMS AND FICON
4 COLD WEATHER OPERATIONS
5 DE-/ANTI ICING POLICIES AND PROCEDURES
6 RNP/RNAV 1/2 FIR PROC: PREFLT, BEFORE + WITHIN RNP/RNAV 1/2
7 UPRT THEORY REVIEW AND SESSION BRIEFING
1h30’ 8 SPECIAL AIRPORTS (FOR PILOTS CONDUCTING LPC)
PRACTICAL ITEMS PF P A M K C L D S W
TIME MEL ITEM: 22-81-03-01A FCU CHANNEL1 INOP
1 INIT TAKEOFF POSITION - SHORT BRIEFING
0h10’ M 2 TAKE-OFF – STRONG CROSSWIND
M 3 CLIMB TO FL100 - TCAS EXERCISES
M 4 [UPRT] NOSE HIGH RECOVERY WITH WINGS LEVEL/BANK ANGLE
M 5 NPA/PA - FCU 1+2 FAULT
M 6 GO AROUND – L/G RETRACTION FAULT
M 7 PFD FAULT ON PF SIDE - RADAR VECTOR FOR ILS APCH
1h25’ M 8 [UPRT] BOUNCED LANDING IN STRONG & GUSTING CROSSWIND
M 9 LOSS OF BRAKING
PRACTICAL ITEMS PM P A M K C L D S W
TIME MEL ITEM: 34-10-05B IR 2 INOP
1h30’ M 10 TAKE-OFF – STRONG CROSSWIND
M 11 ENG FAILURE AFTER V1 NO DAM – ENG RELIGHT: END OF EXERCISE
12 CLIMB TO FL 100
M 13 [UPRT] NOSE HIGH RECOVERY WITH WINGS LEVEL/BANK ANGLE
M 14 IR 2 + 3 FAULT
15 ILS APCH
2h35’ M 16 [UPRT] BOUNCED LANDING [DIRECT LAW]
LOFT ASSESSMENT/SCENARIO BASED TRAINING P A M K C L D S W
2h40’ M 17 FULL COCKPIT PREPARATION, CHECKLISTS, BRIEFING
18 ENG START
M 19 TAXI/LINE UP – COLD WEATHER OPERATIONS
20 TAKE OFF - ADVERSE WEATHER
M 21 CLIMB/CRUISE – RNAV/RNP 1/2 PROCEDURES & CHECKLISTS
M 22 [UPRT] POSSIBLE AIRCRAFT UPSET – MONITORING/PREVENTING

M 23

24
3h40’ M 25
ADDITIONAL TRAINING NA NP P
26
27
28
4h00’ 29
The LOFT items 23, 24, 25 will be filled by the INST using scenarios based on the effects from environmental, technical and operational causes.

Revision 01 – Date Jan 19, 2022 GO TO TRAINING REPORT 4

 FLIGHT CREW TRAINING PROGRAM (FOR PILOT 1 ONLY)

A321 RECURRENT - WINTER 2021 -FFS 1A

THEORY REVIEW

…………………………………………………………………………..……………
PILOT’S NAME: JORGE ALIAGA DIAZ

RESULT: %

INSTRUCTOR’S NAME: ………………………………………………………………………………

This THEORY REVIEW is a part of recurrent training/checking. The pass mark is 80%.
Complete answer of questions consists of the answer itself and reference to the relevant documents. This
THEORY REVIEW should be submitted to your instructor before the training session 1A for marking.

VARS

Q1. According to the VARS, what is the definition of Balked landing?

A landing manoeuvre that is unexpectedly discontinued at any point below the obstacle clearance altitude/height (OCA/H

Ref: VAR Part 1

Q2. A321 aircraft with seating capacity of 203 seats needs to equipped with at least the minimum number of
how many accessible first aid kits?
3
Ref: VAR 6.153 First Aid Kit

SOPS

Q3. All ATC clearances must be read back with full call sign and noted down on EFF Module of the mobile
operations iPad application.
✔ True
False
Ref: SOPS 2.1/P9, TR 04

Q4. For Admission to the Flight Deck, how is the verification of cockpit entry request made?
Using Cockpit Door Surveillance System (CDSS). In case of CDSS failure, crew shall use spy hole for confirmation.

Ref: SOPS 2.1/P12, TR 04

Q5. To minimize runway occupancy time, crews must have the aircraft ready for takeoff before lining up the
departure runway.
✔ True
False
Ref: SOPS 2.3/P3, TR 04

Q6. In IMC or VMC (day or night) on a track without a published STAR, the aircraft may descend below the
MEA, MORA, MSA and MOCA, at PIC discretion.
True
✔ False
Ref: SOPS 2.6/P3, TR 04

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 FLIGHT CREW TRAINING PROGRAM (FOR PILOT 1 ONLY)

Q7. For an autoland to be classified as satisfactory, one criteria is auto thrust speed deviation not more than
+/- 10kts from Vapp.
True
✔ False

Ref: SOPS 2.6/P3, Rev 09

Q8. During Cat II/III procedure, below 1000ft AAL, a reversion of the planned approach (downgrading from
CAT III to CAT II or from CAT II to CAT I) is allowed at some airports.
True
✔ False
Ref: SOPS 2.7/P8, Rev 08

Q9. The "After landing” procedure is started only…

When runway vacated and, - Initial taxi clearance received and, - Initial taxi route has been identified by both pilots

Ref: SOPS 2.10/P1, TR 04

Q10. Upon completion of the flight, PM must completely fill all required information (asterisk *), input their
signature on EFF Module/VIEW AND SIGN before uploading to Mobile Ops server and signing out of the
application.
True
✔
False
Ref: SOPS 2.10/P1, TR 04

Q11. “Brace” Instructions: At approximately 2000 FT the First Officer should make the following PA
announcement: “BRACE FOR IMPACT, BRACE FOR IMPACT”
True
✔ False
Ref: SOPS 3.12/P3, Rev 11

Q12. If there is any change in environment (weather, RWY, runway surface condition, braking actions) condition
occurs the take-off or landing performance should be recalculated.
✔ True
False
Ref: SOPS 4.1/P1, TR 04

FCTM

Q13. According to the FCTM, what are the UPRT NOSE HIGH ACTIONS?
Recognize and confirm the situation
Takeover and disconnect AP and A/THR
Apply nose down pitch order
Adjust the thrust
Adjust the roll not to exceed 60 degrees
Recover the level flight
Ref: FCTM PR-AEP-MISC P 30/32

Q14. For AP/FD TCAS MODE equipped aircraft, what does TCAS in blue on the FMA indicate?
That the AP/FD TCAS mode is available, and armed.
Ref: FCTM PR-AEP-MISC P 30/32

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 FLIGHT CREW TRAINING PROGRAM (FOR PILOT 1 ONLY)
Q15. What caution applies to the “liquid prohibited zone” in the cockpit as shown below?

The flight crew must carefully handle liquids in the cockpit area in accordance with the liquid
prohibited zone in order to avoid any damage to equipment or inadvertent operation of controls.
The flight crew must always ensure that the cups are equipped with lids and bottles equipped with caps.

Ref: FCTM PR-NP-GEN P 2/6

FOM

Q16. What is the Take-off alternate distance for:

A321NEO ____________
400
A321CEO ____________
390
Ref: FOM 8.1.2 /P 8, Rev 04

Q17. Prior to operating to a Category B airport, the PIC should be briefed, or…
Self-briefed by means of programmed instruction, on the Category B airport(s) concerned and should
certify that he has carried out these instructions.
Ref: FOM 8.1.2 /P 17, Rev 00

Q18. If threshold lights for landing runway are inoperative, what are the effects on landing minima for a Cat IIIA
approach to that runway?
Day: ___________
No effects
Night: __________
RVR 550
Ref: FOM 8.1.3 /P 16, Rev 10

Q19. For the eCFP shown below, what does ACBO mean?

Actual cumulative burn off fuel.

Ref: FOM 8.1.10 /P 36, Rev 09

Q20. The transportation of passengers together with cargo in the passenger compartment is not allowed for
international flights unless there is a divider between the passenger zone and the cargo zone.
True
✔ False

Ref: FOM 8.2.2 /P 13, TR 02

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 FLIGHT CREW TRAINING PROGRAM (FOR PILOT 1 ONLY)
FCOM

Q21. On MCDU PERF take off page, if the pilot does not enter V2…

The SRS mode will be unavailable at takeoff.

Ref: FCOM DSC-22_20-50-10-28 P 100/148

Q22. What is the MAXIMUM DIFFERENCES BETWEEN SPEED ADR1 and ADR2 (on PFD) INDICATIONS
during GND CHECK?

6 Kts
Ref: FCOM DSC-34-NAV-10-20 P 10/12

Q23. What are the cockpit-assigned duties for evacuation if it is not possible to reach the passenger cabin?
The cockpit crew should evacuate the aircraft via the cockpit clearview windows, by using the
escape ropes. On ground, each crewmember must help passengers, and direct them away from the aircraft.
Ref: FCOM PRO-ABN-90 P 1/8

Q24. Do not transmit on HF during refueling operations (i.e. refueling, defueling, fuel transfer).
✔ True
False
Ref: FCOM PRO-NOR-SOP-06 P 11/24

Q25. After start in icing conditions, the flight crew must should not turn on the engine anti-ice but wait until
seeing ice building up.
True
✔ False
Ref: FCOM PRO-NOR-SOP-09 P 1/8

Q26. During QFE operations, the flight crew must convert QFE into QNH. The entry of QFE in QNH field of
the PERF APPR page lead to…
An erroneous cabin pressurization profile.
Ref: FCOM PRO-NOR-SOP-16 P 4/10

Q27. For A321NEO, If the forecasted tailwind at landing is greater than 10 kt, a decelerated approach is allowed,
and the speed should be stabilized around VREF + 5 kt in final.
True
✔ False
Ref: FCOM PRO-NOR-SOP-18-C P 22/24

Q28. Avoid the use of high levels of reverse thrust at low airspeed, unless required due to an emergency.
The distortion of the airflow, caused by gases reentering the compressor, can cause…
engine stalls that may result in excessive EGT.
Ref: FCOM PRO-NOR-SOP-19 P 3/6

Q29. According to the FCOM limitations, what is the Maximum Crosswind for Takeoff (Gust included) for runway
covered with standing water?
20Kts
Ref: FCOM LIM-AG-OPS P 5/6

Q30. A damp runway is considered wet, regardless of whether or not the surface has a shiny appearance.
✔ True
False
Ref: FCOM EFB-LDG-30 P 1/6

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 FLIGHT CREW TRAINING PROGRAM (FOR PILOT 1 ONLY)

JEPPESEN

Q31. What does this marshalling signal from a signalman to an aircraft shown indicate?

Emergency stop: Abruptly extend arms and wands to top of head, crossing wands.
Ref:JEPPESEN AIR TRAFFIC CONTROL

Q32. With filed ATC flight plan A321/M-SDFGHIRWY/EB1, if ATC requests to CONFIRM RVSM APPROVED;
what is the response of the flight crew?
Affirm RVSM
Ref: JEPPESEN AIR TRAFFIC CONTROL

Q33. What report is made to ATC when severe turbulence affects the capability of an aircraft to maintain height
keeping requirements for RVSM.
Unable RVSM due turbulence
Ref: JEPPESEN AIR TRAFFIC CONTROL

Q34. When ATC requests the pilot to RESET SQUAWK (mode code), what is the response of the flight crew?
Resetting (mode code)
Ref: JEPPESEN AIR TRAFFIC CONTROL

Q35. What is the meaning of this significant weather symbol?

Rain
Ref: JEPPESEN METEOROLOGY

Q36. What is the meaning of this significant weather symbol?

Freezing precipitation
Ref: JEPPESEN metereology

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 FLIGHT CREW TRAINING PROGRAM (FOR PILOT 1 ONLY)

CLASS 1 EFB

Q37. In case of during pre-flight when one EFF (EFB) has failed, what are the mitigation means?
At main base
Change the iPad.
Out of main base
base If unable to use one EFF: continue flight with one operative EFF and personal iPad with up-to-date database
Could be uses as replacement
Ref: CLASS 1 EFB MANUAL 7.2 /P 5

MEL

Q38. According to the MEL, what is extended overwater flight?

A flight where the aeroplane is operated over water at a distance away from land greater than 400 nm
Ref: MI-00-06 P 2/4

Q39. According to the MEL, what is the ADS-B requirement for Hochiminh and Hanoi FIR?
Civil aircraft without ADS-B OUT will be operated below FL290 or at other FL assigned by ATC.
L625, L628, L642, M765, M768, M771, N500 and N892. Ref: MEL-SUPPLEMENT P 5/6
Ref: MEL-SUPPLEMENT P 5/6

Q40. According to the MEL, what is the TCAS requirement condition of dispatch for Vietnam FIR (VVVV, VVTS)?
Get permission from CAAV
Ref: MEL-SUPPLEMENT P 4/4

GRF AND SNOWTAMS 2020

(REFER TO FON ASSESSING RUNWAY CONDITIONS GRF AND SNOWTAMS)

Q41. RCAM is applicable on Paved, Turf, Dirt, and Gravel Runways

FON ASSESSING RUNWAY CONDITIONS GRF AND SNOWTAMS
Ref: MEL-SUPPLEMENT P 4/4

Q42. STANDING WATER indicates what depth of water?

Depth greater than 3 mm.
Ref: FON ASSESSING RUNWAY CONDITIONS GRF AND SNOWTAMS

Q43. NOTAM ‘Slippery wet’ means The surface friction characteristics of a runway or a portion thereof can be
degraded due to…
rubber deposits, surface polishing, poor drainage or other factors.
Ref: FON ASSESSING RUNWAY CONDITIONS GRF AND SNOWTAMS

Q44. Annex 6 Part I 4.4.2.1 mandates that flight crew make special air reports (AIREPs) whenever…
they observe worse runway braking action than previously reported.
✔ True
False
Ref: FON ASSESSING RUNWAY CONDITIONS GRF AND SNOWTAMS

Q45. Shall the new SNOWTAM be related to airport, or to the single Runway on that airport?
A new SNOWTAM relates to the latest Runway Condition report (RCR) for the individual runways provided by
The aerodrome
Ref: FON ASSESSING RUNWAY CONDITIONS GRF AND SNOWTAMS

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A321 RECURRENT - WINTER 2021 - FFS 1A

FFS 1A TRAINING REPORT

PILOT JORGE
__________________________
ALIAGA DIAZ INSTRUCTOR __________________________DATE __________

PROGRESS

READY FOR PROFICIENCY CHECK

EXTRA TRAINING IS NEEDED NOW

THEORY RESULT % BACK TO SYLLABUS 1A

COMPETENCE RESULT P A M K C L D S W
GRADE AVERAGE 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
FINAL SCORE

NOTES: 1. Final Score for REC training is calculated with the following rounding rules of the Grade Average for each competency:
• Rounded up to the nearest whole number if its decimal 0.5 - 0.9 (Example 3.5 = 4.0).
• Rounded down to the nearest whole number if its decimal 0.1 - 0.4 (Example 3.4 = 3.0).
2. If there is any single exercise (row) with more than one box graded below 3, that will result in a need for Extra Training.
3. If there is any single competence (column) with more than one box graded below 3, that will result in a need for Extra Training.
4. Any Grade 1 in one competency is a fail, that will result in a need for Extra Training.

COMMENTS

INSTRUCTOR’S SIGNATURE PILOT’S SIGNATURE

INSTRUCTOR CLICK TO SIGN

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 FLIGHT CREW TRAINING PROGRAM (FOR PILOT 1 ONLY)

A321 RECURRENT - WINTER 2021 - FFS 1B

MANDATORY DOCUMENTS/ITEMS CHECK

DOCUMENTS/ITEMS CHECKED NOT PRESENTED N/A

FLIGHT CREW LICENCE

FLIGHT CREW CLASS 1 MEDICAL

AIRCRAFT RATING

CAAV LICENSING FORM 544

FLIGHT CREW GLASSES (2 PAIRS)

ORAL EXAMINATION

TYPE OF QUESTION
(3 relevant items from each section) PROFICIENT NOT PROFICIENT

1. MEMORY ACTION ITEMS

2. AIRCRAFT LIMITATIONS

3. AC SYSTEMS
1st item
1st item

2nd item
2nd item

3rd item
3rd item

INSTRUCTOR’S SIGNATURE PILOT’S SIGNATURE

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 FLIGHT CREW TRAINING PROGRAM (FOR PILOT 1 ONLY)

A321 RECURRENT - WINTER 2021 - FFS 1B

ROUTE
ORIGIN RKSI
ROUTE:
RNAV 1, 2, 5 REFER TO CFP

DESTINATION VVNB
ALTERNATE VVVH
FLIGHT NUMBER HVN 415
AIRCRAFT VN001 / VN018

WEATHER
METAR RKSI ..........Z …..08008KT 150V230 R33L175V200 BCFG BKN001 01/M01 Q1003
TAF RKSI ...........Z …..25008KTS R33L/200 FG BECMG 0516/0517 23008KT
TAF RKPK……...Z ….21011KT 5000 -RA 07/00 OVC030
TAF VVNB .........Z ….0018 28007KT 4000 TSRA SCT030 FEW015CB
TAF VVVH……..Z ….0018 12007KT 6000 FEW020 PROB30 TEMPO 0913 TS FEW020

NOTAMS
RKSI:
FROM …/…/18 1500 UTC TO …/…/18 2200 UTC OUTER MARKER RWY33L
FREQ 75 MHZ WITHDRAWN PERMANENTLY.

RKSI:
FROM 17….2300/17....0700 UTC RWY 33L ALSF II DOWNGRADED TO
SSALR.

PERFORMANCE
TO BE FILLED BY TRAINEE:
ZFW/ ZFW CG 52.0/30% RWY 33L
COST INDEX 50 RWY CONDITION DAMP
CRZ ALT/TEMP FL 361/-28C V1 148

TROPO 53000 VR 152

TRIP WIND M55 KTS V2 153

FLX/ASSUME/DERATE
BLOCK FUEL 14.6 67
TEMP
TOW / THS% 65.4 / 30.0 FLAPS 1+F

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 FLIGHT CREW TRAINING PROGRAM (FOR PILOT 1 ONLY)

A321 - RECURRENT - WINTER 2021 - FFS 1B

1- Safety involved / Poor 2-Unacceptable 3-Acceptable 4-Standard 5-Above Standard
NA – Not applicable NP – Not proficient P – Proficient

P – Application of Procedures K – Knowledge D – Problem Solving & Decision Making

A – Flight Path Management – Automation C – Communications S – Situational Awareness
M – Flight Path Management – Manual L – Leadership & Teamwork W – Workload Management

PRACTICAL SESSION BRIEFING NP P

1 LVO THEORY BRIEFING
2 SKILL TEST ITEMS BRIEFING
3 LHS/RHS ITEMS BRIEFING (IF APPLICABLE)
PRACTICAL ITEMS
PART 1: LVO TRAINING AND CHECKING PILOT 1+2 P A M K C L D S W
TIME MEL ITEM: 22-60-04A YAW DAMPER 1 INOP
0h00’ M 1 QUICK A/C PREPARATION + LVO BRIEFING
M 2 LVTO WITH 1 ENG FAIL BEFORE V1 – RTO
M 3 INIT T/O POSITION – LVTO WITH 1 ENG FAIL AFTER V1
RADAR VECTOR FOR CAT II/III APCH - REVIEW OF LANDING CAPABILITY
M 4
AUTO FLIGHT MODE AND CAT I/II/III VISUAL SEGMENTS & LANDING
RADAR VECTOR FOR CAT II/III APCH WITH DOWNGRADED GROUND
M 5
EQUIPMENT & GO AROUND AT OR AFTER AH OR DH
RADAR VECTOR FOR CAT II/III APCH WITH FAILURE OR DOWNGRADED
M 6
AIRCRAFT EQUIPMENT & LANDING
1h00’ M 7 AFTER LANDING - VACATE RWY – TAXI IN – RVR OF 75M
PART 2: SKILL TEST PF P A M K C L D S W
1h10’ M 8 TAKE OFF - ENG FAIL (WITH DAM. / FIRE) AFTER V1
M 9 NPA
M 10 GO-AROUND – A/THR OFF
M 11 ILS APCH – AP & FD OFF
M 12 LANDING
1h55’ M 13
PART 3: SKILL TEST PM P A M K C L D S W
2h00’ M 14 TAKE OFF – ENG FAIL (WITH DAM. / FIRE) AFTER V1
M 15 RNP APCH
M 16 GO AROUND
M 17 ILS APCH (AP & FD OFF) or RNP APCH (For pilots doing LPC)
M 18 LANDING
2h45’ M 19
PART 4: LHS/RHS TRAINING (N/A FOR FO) NA NP P
2h50’ M 20 TAKE OFF – ENG FAIL (WITH DAM. / FIRE) AFTER V1
M 21 ILS APCH (AP & FD OFF)
M 22 GO AROUND (AP & FD OFF)
3h35’ M 23 VISUAL APCH - LANDING
NOTE: - FOR NON-STANDARD CREW: CHANGE SEAT AND REPEAT 2-6.
- M: MANDATORY ITEM FOR LICENSING OPC.
- BLANK ITEMS WILL BE FILLED IN BY DPE.
- PART OF THE OPC SYLLABUS WILL BE UNFORESEEN BY PILOTS AND THE SEQUENCE OF THE EXERCISES CONDUCTED DURING THE SKILLS TEST WILL
BE AT THE EXAMINER'S DISCRETION

GO TO SIM ASSESSMENT FORM

Revision 01 – Date Jan 19, 2022 14

 APPLICATION FOR INSTRUCTIONS
Print or type. Do not write in shaded areas, these are for CAAV use
COMMERCIAL AIR TRANSPORT FLIGHT only. Submit original only to the CAAV or an CAAV Authorized
Person. If additional space is required, use an attachment
PROFICIENCY CHECK
A. APPLICATION IS HEREBY MADE FOR PILOT PROFICIENCY CHECK FOR COMMERCIAL AIR TRANSPORT IN:
1 ✔ TURBOJET AIRCRAFT 4 FLIGHT ENGINEER 7 HELICOPTER IFR/VFR/DAY/NIGHT
2 TURBOPROP AIRCRAFT 5 9 PAX OR 5700 kg: IFR/VFR/DAY/NIGHT 8 HELICOPTER TYPE - VFR DAY ONLY
3 RECIPROCATING OVER 5700 kg 6 9 PAX OR 5700 kg: VFR DAY ONLY 9 OTHER (Specify):
B. RECORD OF AOC HOLDER PRE-CHECK NOTIFICATION TO FLIGHT SAFETY STANDARDS DEPARTMENT:
1. DATE & TIME OF NOTIFICATION 2. FSSD PERSON NOTIFIED 3. DATE/TIME CHECK SCHEDULED 4. LOCATION & CHECK PILOT
/ TA MINH TRONG / VVTS - DPE

C. AIR OPERATOR REQUEST:

1. I certify that the airman listed in Section D below has completed all applicable training requirements for operations with this company under commercial
air transport and request that he or she be checked for proficiency for the following aircraft, positions and flight operations:
2. AIRCRAFT (MAKE, MODEL) 3. ASSIGNED POSITION (PIC OR SIC,) 4. FLIGHT OPERATIONS: (DAY, NIGHT, VFR, IFR) 5. PILOT BASE MONTH (FOR PROF CHECK}
A321 PIC DAY, NIGHT, IFR MAY
6. AIR OPERATOR BUSINESS NAME: 7. AOC CERTIFICATE#: 8. TELEPHONE 9. FAX
VIETNAM AIRLINES JSC 1997-01CAAV 84-04-38272289 84-4-38722375
10. SIGNATURE OF COMPANY OFFICIAL (DIRECTOR OF OPERATIONS OR CHIEF PILOT) 11. DATE SIGNED 12. PRINTED NAME AND TITLE OF COMPANY OFFICIAL
NGO PHUONG MAI - DGM of QS Dept.
D. AIRMAN PERSONAL INFORMATION:
1. NAME (Last, First, Middle) 2. PERMANENT ADDRESS (Street or PO Box Number)
ALIAGA JORGE OSWALDO SAN JUAN CUMBAYA

3. TELEPHONE AND FAX 4. CITY 5. STATE 6. MAIL CODE 7. COUNTRY

+84 0936352342 QUITO PI 17094 ECUADOR
8. DATE OF BIRTH 9. HEIGHT 10. WEIGHT 11. HAIR 12. EYES 13. SEX 14. NATIONALITY (CITIZENSHIP)
30/09/1965 178 CM 74 KG BROUN GREEN MALE ECUADOR
E. AIRMAN LICENSE INFORMATION AND FLIGHT HOURS:
1. CAAV PEL NUMBER 2. STATE OF ISSUE 3. DATE ISSUED 4. RATING(S)
41160 - TYPE VIET NAM 06/08/2021 A321
5. FLIGHT HRS 6. PIC HRS 7. DAY LGS 8.NIGHT HRS 9.NIGHT LDGS 10. INST HRS 11. INST APPR 12. HRS TYPE
6 MONTHS 6 MONTHS 90 DAYS 6 MONTHS 90 DAY 6 MONTHS 6 MONTHS 90 DAYS
154.0 154.0 30 57.0 15 154.0 30 0.0
F. MEDICAL CERTIFICATE INFORMATION:
1. CLASS OF CERTIFICATE 2. STATE OF ISSUE 3. DATE OF ISSUE 4.MEDICAL EXAMINER
CLASS 1 VIET NAM 18/05/2022 DR CHAU
G. PILOT CERTIFICATION:
1. I certify that the above personal and certificate information is true and correct. I further certify that I have completed all applicable initial and/or recurrent
training requirements approved for the AOC holder and meet all VAR Part 7, 10 and 14 aeronautical experience requirements for the assigned aircraft,
position and operations proposed.:
2. DATE SIGNED. 3. SIGNATURE OF AIRMAN 4.PRINTED NAME OF AIRMAN
29/05/2022 JORGE ALIAGA
H. PROFICIENCY CHECK RESULTS: -
1. Proficiency Check-Oral (a) Satisfactory (b) Needs further training as indicated
2. Proficiency Check-Simulator (a) Satisfactory (b) Needs further training as indicated
3. Proficiency Check - Aircraft (a) Satisfactory (b) IFR with SIC Authorized (e) Needs further training as indicated.
(c) IFR, Autopilot, No SIC
(d) VFR only
4. Re-Establish Landing (a) Satisfactory Aircraft Type & Variant: (e) Needs further training as indicated.
Currency A321
I. CHECK CONDUCTED BY: (Insert credential, certificate or designation number) -
1 CAAV-FSSD 2 APPROVED TRAINING ORGANIZ 3 FLIGHT EXAMINER 4 CHECK AIRMAN
✔
5. DATE 6. TITLE 7. SIGNATURE
- DPE

J. CAAV-FSSD CERTIFICATION:

1 ACCEPTABLE - NO FURTHER ACTION NECESSARY 2 RE-EXAMINATION REQUIRED.

CAAV-FSSD Form 544 [2]2015

 41
V
Crosswind landing (in aircraft, if practical) P
PILOT: JORGE ALIAGA
42
V
Landing with engine inoperative P
43
V
AIRCRAFT: A321 Short Field approach and landing NA
NORMAL AND ABNORMAL SYSTEMS OPERATIONS
44
#
DATE: Engine (if necessary propeller) P
45
#
Pressurization and air conditioning P
RESULTS: 46 Pitot/static system
#
P
47
#
CHECK Fuel system P
48
#
AIRMAN: Electrical system P
49
#
ORAL (OR WRITTEN) EXAMINATION Hydraulic system P
50
#
1 Memory Action Items P Flight control and trim system P
51
#
2 Aircraft Limitations P Anti-/de-icing system, glare shield heating P
52
#
3 Aircraft Systems P Autopilot and flight director P
53
#
4 Operations Specifications & Ops Manual NA Stall warning, stall avoidance and stability
P
5 Operational Flight Planning NA augmentation devices
54
#
6 Load Manifest and Performance Calculation NA GPWS, wx radar, radio altimeter, xponder P
55
#
7 Completion of the Aircraft Tech Log NA Radios, navigation equipment, instruments,
P
flight management system
8 Applicable Regulations and Schedules NA
56
#
FLIGHT PREPARATION
Landing gear and brake-system P
57
#
9 Airplane exterior visual inspection
#
NA Slat and flap system P
58
#
10 Use of checklists prior to starting engines
#
P Auxiliary power unit P
ABNORMAL AND EMERGENCY PROCEDURES
11
#
Taxiing P
59
#
Fire Drills (e.g. Engine, APU, cabin, cargo
12
#
Preflight checks and checklists P compartment, flight deck and electrical fires P
TAKEOFFS including evacuation)
13
V
P 60
#
Normal takeoffs Smoke control and removal NA
14
V
61
#
Short Field takeoffs NA Engine failures, shutdown and restart P
15
IR
Instrument takeoff (transition during rotation or 62 Fuel dumping
#
NA
immediately after becoming airborne
P
63
SIM; #
Wind shear at takeoff or landing P
16
V
Crosswind Takeoff (a/c if practical) P 64 Cabin pressure failure and emergency
#

17 NA
SIM
Takeoff at maximum takeoff mass (actual or descent
simulated)
NA
65
SIM; #
Landing with jammed horizontal stabilizer
18 Takeoff with engine failure before 500' AGL
V
in any out of trim system
NA
(reciprocating less than 12,500 lbs)
NA
66
#
Landing with two engines inoperative
19 Takeoff with engine failure between V1 and (3 and 4 engine a/c)
NA
P
V2 67
#
Go-around with one engine inoperative at
20 Rejected takeoff before reaching V1
V
P ILS-DH
P
68
SIM; #
FLIGHT MANUEVERS Approach and landing with flap slat
NA
21 Steep Turns (45o bank-180o to 360o left and right)
V
NA malfunction
22
V
Takeoff configuration approach to stall 1FLOAT PLANE ONLY PROCEDURES
NA
(early recognition and counter measures) 69
W1
Step Turns NA
23 70
V
Clean configuration approach to stall Plow Taxi NA
(recognition and counter measures) W1 NA
71 Glassy Water Landings NA
24
V
Landing configuration approach to stall
NA 72 Sailing NA
(recognition and countermeasures) W1
73 Docking NA
25
#
Special flight characteristic procedure NA HELICOPTER ONLY PROCEDURES
26
#
Normal operations of systems and controls P 74 Hovering in ground effect NA
INSTRUMENT FLIGHT PROCEDURES
75 Hovering autorotation NA
27 Area departure and arrival routes P 76 Autorotation NA
28 ATC Procedures P 77 Recovery from settling with power NA
28 Holding Procedures P 78 Pinnacle approach to touchdown NA
29 ILS approach (200 DH) manually P 2

30 ILS approach (200 DH) autopilot coupled P Completion Instructions:

1. Insert in right column the evaluation of the applicant.
31 ILS approach (200 DH) manually with one engine
P P = Proficient;
inop NT = Needs Training)
32
#
ILS Category II approach (100 DH) P 2. Other letters may be used in the right column to denote omission or action other than
33
#
ILS Category III approach (appropriate DH) P evaluation:
34 Non-precision approach (Type: RNP ) V
P W = Waived;
NA = Not Applicable to particular check conducted
35
nd W
2 non-precision approach (Type: LOC ) P
Legend:
36 Circling Approach (low visibility pattern) NA The indications in superscript just prior to the right column indicate to the check pilot
MISSED APPROACH PROCEDURES whether the maneuvers are applicable:
37 P = PIC;
V
Rejected landing at 50 feet AGL NA
B = Both PIC and SIC must accomplish;
38
IR
From DH during ILS approach P # = PIC and SIC can be credited for simultaneous performance,
LANDINGS IR = Required on instrument check.
39
V
Normal VFR pattern and landing NA SIM = Maneuver should not be performed in aircraft.
40 Landing after ILS approach to DH
IR
P H = Helicopter;
W = Maneuver may be waived in accordance with FSI guidelines.
 No: 012/HVN/FCD-01.2022

SIMULATOR ASSESSMENT FORM

Pilot’s name:JORGE ALIAGA DIAZ Function: Captain First Officer S. Officer
License Number: 41160 TYPE Aircraft Type: A321 Date:
Examiner’s name: Session number:
SIM. Registration number: Location:

Y N Y N Y N
 Recurrent  TR Revalidation/Renewal  RHS
 Screening-OPC  IR Revalidation/Renewal  LHS
 Requalification  EDTO
 LVO

COMPETENCE RESULT P A M K C L D S W

GRADE AVERAGE 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

FINAL SCORE

OVERALL SCORE AVERAGE 0.0

THEORY RESULT % BACK TO SYLLABUS 1B

COMMENTS……………………………………………………………………………………………………………………….

OVERALL PERFORMANCE

SATISFACTORY UNSATISFACTORY

09 Competencies EXAMINER’S SIGNATURE

P – Application of Procedures
A – Flight Path Management – Automation EXAMINER CLICK TO SIGN
M – Flight Path Management – Manual
K – Knowledge
C– Communications PILOT’S SIGNATURE
L– Leadership & Teamwork
D– Problem Solving & Decision-Making
S– Situational Awareness SUBMIT FORM
W–Workload Management

NOTES: 1. If any competency item is evaluated below 3, the final Overall Performance must be graded below 3.
2. The Overall Performance is calculated as the average of assessment items from 1 to 9 with the following rounding rules:
• Rounded up to the nearest whole number if its decimal 0.5 - 0.9. Example 3.5 = 4.0
• Rounded down to the nearest whole number if its decimal 0.1 - 0.4. Example 3.4 = 3.0
3. If there is any single syllabus exercise graded below 3 for any single competence, that will require a Final score of "2"
and result in Overall Performance of Unsatisfactory.
4. This form must be submitted within 03 working days.