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Guidance concerning Air Navigation in and above the NAT MNPSA

ATTACHMENT 3

ATTACHMENT 3 - WAKE TURBULENCE REPORT FORM

DATE OF OCCURRENCE

TIME

(UTC)

OPERATOR

AIRCRAFT TYPE & SERIES

*DAY/NIGHT

REGISTRATION

For use by pilots involved in Wake Vortex incidents which have occurred in NAT MNPS Airspace.

This information is requested by the North Atlantic Central Monitoring Agency and will be forwarded for inclusion in the UK National Air Traffic Services Limited Wake Vortex database.

AIRCRAFT WEIGHT (KG)

SECTION A

FLIGHT NUMBER

ORIGIN & DESTINATION

POSITION IN LAT & LONG

CLEARED TRACK CO-ORDINATES

FLIGHT LEVEL

SPEED/MACH NBR.

FLIGHT PHASE:

WERE YOU TURNING?

*CRUISE/CLIMB/DESCENT

*YES/NO

DID YOU APPLY A TRACK OFFSET?

SIZE OF TRACK OFFSET?

WAS ATC INFORMED?

*YES/NO

Nautical Miles

*YES/NO

MET CONDITIONS

ACTUAL WEATHER

DEGREE OF TURBULENCE

IMC

WIND

VISIBILITY

CLOUD

*LIGHT/MODERATE/SEVERE

VMC

TEMPERATURE / km

/

°C

OTHER SIGNIFICANT WEATHER?

(*Circle the appropriate reply only)

SECTION B

1

What made you suspect Wake Vortex as the cause of the disturbance?

2

Did you experience vertical acceleration? If YES please describe briefly

*YES/NO

3

What was the change in attitude? (please estimate angle)

Pitch

º

Roll

º

Yaw

º

4

What was the change in height if any?

*INCREASE/DECREASE

Page 1 of 2

NAT Doc 007

106

Edition 2010

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