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Aviation Pre-Flight Form — Fixed Wing Operations
1
General Info
2
FRAT – Fatigue & Env
3
FRAT – Ops & Weather
4
FRAT – Aircraft & Score
5
Medical Comms
Section 1 — General Information
1. Date of Mission
2. Operating Base
Select Base
Fixed Wing
Hajj. RW.
Arafat. RW.
Tabuk. RW.
Qassim RW.
Alhasa. RW.
Jazan. RW.
Madinah. RW.
Arar. RW.
Hail. RW.
Al-Ula. FW.
Qunfudhah. RW.
Red Sea. RW.
Riyadh RW.
Neom RW.
Jeddah. RW.
Jeddah FW
Skaka RW.
Al-Jubail RW.
Amaala RW.
Najran RW.
Al-Ula RW.
Abha RW.
Rally RW.
Umluj RW.
Al-Baha RW.
3. Air Ambulance Trip Number
4. Aircraft Tail Number
Select Aircraft
HZ-A3
HZ-A5
HZ-A8
HZ-A9
HZ-A10
HZ-A11
HZ-A25
HZ-A26
HZ-A32
HZ-A99 (Other)
5. Pilot in Command (First & Last Name)
6. First Officer (First & Last Name)
7. This Form Completed By
Select...
Pilot in Command
First Officer
FRAT Score:
0 pts
Section 2: FRAT — Flight Risk Assessment Tool
Score is calculated automatically.
Yes = points as shown. No = 0 points.
🧠 Fatigue / Duty
Duty day greater than 12 hours
+4 pts
—
Yes
No
Total flight time greater than 8 hours
+4 pts
—
Yes
No
Less than 12 hour rest period
+5 pts
—
Yes
No
🏔️ Environment / Airport
Published approaches available
+5 pts
—
Yes
No
Mountainous terrain
+5 pts
—
Yes
No
Control tower operational
+2 pts
—
Yes
No
Airport elevation over 5000' MSL
+3 pts
—
Yes
No
FRAT Score:
0 pts
🌙 Operation Type
Winter operation
+1 pts
—
Yes
No
Twilight operation (1600–2200)
+1 pts
—
Yes
No
Night operation (2200–0400)
+2 pts
—
Yes
No
Pop up trip (less than 3 hours crew report time)
+3 pts
—
Yes
No
International operation
+2 pts
—
Yes
No
🌦️ Weather
Weather reporting available at destination
+5 pts
—
Yes
No
Destination weather less than 500' / 2 SM
+3 pts
—
Yes
No
Heavy rain at departure and/or destination
+5 pts
—
Yes
No
Frozen precipitation at departure and/or destination
+4 pts
—
Yes
No
Surface winds greater than 30 knots
+3 pts
—
Yes
No
Thunderstorms at departure and/or destination
+4 pts
—
Yes
No
Severe turbulence
+5 pts
—
Yes
No
Icing (moderate–severe)
+5 pts
—
Yes
No
Crosswinds greater than 25 knots
+5 pts
—
Yes
No
FRAT Score:
0 pts
🛠️ Aircraft / Runway
Is this a maintenance flight?
+3 pts
—
Yes
No
MEL / CDL items (items related to safety of flight)
+2 pts
—
Yes
No
Is ILS approach available?
+3 pts
—
Yes
No
Circling approach (best approach available)
+4 pts
—
Yes
No
Contaminated runway
+3 pts
—
Yes
No
Runway less than 5000 ft in distance
+5 pts
—
Yes
No
Runway braking action less than good
+5 pts
—
Yes
No
🌊 Special Operations
Extended over-water operations
+4 pts
—
Yes
No
📊 FRAT Score
Total = sum of all Yes-answer points. Answer all 29 questions to see final score.
—
Fill in all FRAT questions to calculate
Score bands: 0–30 Low Risk | 31–55 Medium Risk | 56–80 High Risk | 81+ Very High Risk
Section 3 — Aviation / Medical Communications
This section does
NOT
affect the FRAT score.
1. Did medical team inform pilots of potential infectious disease (Code Black)?
Select...
Yes
No
2. Specific patient oxygen needs discussed and addressed?
Select...
Yes
No
3. Plan after patient drop off discussed?
Select...
Yes
No
4. Will any leg of mission require Customs? (If Yes, verify passports available)
Select...
Yes
No
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