COMMERCIAL JET-LEG DATA CHECKLIST
ALFA-FLIGHT NUMBER DATE SUBMITTED:
 DESTINATION AIRBASE
BALANCE of FUEL ON Board :  
 

Total Passenger Head count >> First Leg >> Sec. Leg >> Third Leg



List the poundage of consumable onboard galley materials (MUST BE DIFFERENTS)
ON-BOARD PALLETABLE WATER
REPLENTISHMENT DATE:
CLICK HERE IF ICE MAKER IS WORKING IN PASSED 60 DAYS (R103)
CLICK HERE IF ALL GALLEY FOOD SERVICE EQUIP WORKING IN PASSED 60 DAYS (L102)
VERIFIED AFT AND FORWARD TOLIETS ARE OPERATIONAL (L103 & L106)
VERIFIED SUMP-PUMP FOR TOLIET SYS IS OPERATIONAL
IS THE FLIGHT CARRYING U.S. MAIL
OR LIFE SMALL ANIMAL CARGOS (?)
CLICK HERE IF YOUR FLIGHT ENCOUNTERED ROUGH AIR (L130)
WAS HERE A MEDICAL EMERGENCY INCIDENT TODAY?
Yes    
No        
The Last hour and Airport you checked undercarrage?

FREQUENCY SERIES

ROUTE BASE

DEPART FRQY

REQUEST INROUTE
DESTIN FRQY
04D
04H
05K


Please choose Alternate Landing Bases:
PIC CAPT.NAME: NOVN:
DESTINATION AIR-FEILD~INFORMATION
POE NAME:
CONTACT:
CREW BID NUMBER :
PHONE #:
CITY:
CREW HOTEL :
STATE:
HOTEL CITY & ZIP:
FLGT ATTEND. FIN #:
RADAR VERIFICATION
SOURCE:

OPERATIONS INFORMATION
AFG SPECIALIST :
DISPATH SUPERVISOR:
FUEL FIN NUMBER :
ANTICIPATED LOAD DATE :
AV FUEL LOADED # :
NEXT SHIFT DISPATH SUPERVISOR:
HEDGE DATE RECEIVED :
TIME STAMP