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Guidance concerning Air Navigation in and above the NAT MNPSA

5

Was there buffeting?

6

Was there stick shake?

7

Was the Autopilot engaged?

8

Was the Auto throttle engaged?

9

What control action was taken?

Please describe briefly

*YES/NO

*YES/NO

*YES/NO

*YES/NO

10

Could you see the aircraft suspected of causing the wake vortex?

11

Did you contact the aircraft suspected of causing the vortex?

12

Was the aircraft suspected of causing the vortex detected by TCAS?

If YES to any of questions 10 to 12, what type of aircraft was it?

*YES/NO

*YES/NO

*YES/NO

and where was it relative to your position?

(Estimated separation distance)

Were you aware of the preceding aircraft before the incident?

*YES/NO

OTHER INFORMATION

13

Have you any other comments that you think may be useful?

Signed

Name (BLOCK CAPITALS)

DATE

(*Circle the appropriate reply only)

When complete send this form to:

North Atlantic Central Monitoring Agency c/o National Air Traffic Services Room G41 Scottish & Oceanic Area Control Centre, Sherwood Road, Prestwick, Ayrshire - KA9 2NR

natcma@nats.co.uk

NAT Doc 007

107

ATTACHMENT 3

Page 2 of 2

Edition 2010

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