PPQ 818 SIT Pilot and Aircraft Check-in Sheet

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it
displays a valid OMB control number. The valid OMB control number for this information collection is 0579-0298. The time required to complete this information collection is
estimated to average .25 hours per response including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information.

UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
PLANT PROTECTION AND QUARANTINE

OMB APPROVED
0579-0298
EXP. XX/XXXX

2. PROGRAM

SIT PILOT AND AIRCRAFT CHECK‐IN SHEET

3. INSPECTION SITE

1. CONTRACTOR'S NAME AND MAILING ADDRESS (include ZIP Code)
4. CONTRACT NUMBER

5. DATE
TELEPHONE NUMBER

PILOT INFORMATION
6. PILOT'S NAME AND CURRENT ADDRESS (include ZIP Code)

11. TOTAL FLIGHT TIME (1,200 hours minimum)

12. TOTAL PIC TIME (200 hours minimum)
TELEPHONE NUMBER
7. CERTIFICATE AND NUMBER (ATP or commercial)

13. TOTAL PIC TIME IN TYPE (i.e., C‐206, C‐207, B58, C90) (25 hours minimum)

8. RATINGS

14. GOVERNMENT ISSUED PHOTO I.D. (driver's license, passport)

9. MEDICAL CLASS AND DATE (first or second)

15. COMPLETED AGENCY'S BACKGROUND CHECK
YES

10. FLIGHT REVIEW DATE

NO

16. DATE

AIRCRAFT INFORMATION
17. REGISTERED AIRCRAFT OWNER'S NAME AND ADDRESS
AS SHOWN ON AIRCRAFT REGISTRATION (include ZIP Code)

24. ENGINE TIME SINCE NEW OR SMOH

25. PROPELLER TIME SINCE NEW OR SINCE OVERHAUL

26. FAA FORM 337 (reflecting installation of insect release machine)
YES

NO

27. WEIGHT AND BALANCE (reflecting installation of release machine)
TELEPHONE NUMBER

YES

18. AIRCRAFT REGISTRATION NUMBER

NO

28. FAA CERTIFICATE OF WAIVER OR AUTHORIZATION (FAR 91.313 (E))

N

YES

19. AIRCRAFT MAKE AND MODEL

NO

N/A

29. FAA CERTIFICATE OF WAIVER OR AUTHORIZATION (FAR 91.119 (C))
YES

NO

N/A

20. PROOF OF INSURANCE

30. FAA CERTIFICATE OF WAIVER OR AUTHORIZATION (FAR 91.119 (B))

21. AIRWORTHINESS CERTIFICATE CATEGORY

31. AIRCRAFT SPEED DURING INSECT RELEASE (MPH)

22. DATE OF ANNUAL INSPECTION

32. ASSIGNED SWATH (feet)

23. AIRCRAFT TIME SINCE 100 HOUR INSPECTION (if required)

33. DGPS GUIDANCE MAKE AND MODEL

YES

NO

INSECT RELEASE EQUIPMENT
34. INSECT RELEASE MACHINE TYPE (PBW, fruit fly, arundo wasps, etc.)

38. HOPPER AND HOPPER SEAL INSTALLED PROPERLY

35. INSECT RELEASE MACHINE INTERIOR CLEAN AND DRY

39. MACHINE COOLING PROPERLY

YES

YES

NO

36. AUGER INSTALLED AND WORKING PROPERLY
YES

NO

37. FUNNEL AND RELEASE TUBE INSTALLED PROPERLY
YES

PPQ FORM 818
OCT 2018

NO

YES

NO

NO

40. BUG FLOW MONITOR WORKING PROPERLY
YES

NO

41. REVIEW SOP WITH PILOT
YES

NO

N/A

SIT PILOT AND AIRCRAFT CHECK‐IN SHEET
42. DEFICIENCIES NOTED

43. DEFICIENCIES CORRECTED

44. REMARKS

I CERTIFY THAT I HAVE COMPLETED THE ABOVE INSPECTIONS AND HAVE NOTED FINDINGS AS

ACCEPTABLE

UNACCEPTABLE

45. OFFICIAL SIGNATURE

46. TITLE

47. DATE

48. PILOT/CONTRACTOR SIGNATURE

49. TITLE

50. DATE

PPQ FORM 818 (Reverse)