Form FAA Form 7140-1 FAA Form 7140-1 Notice of Proposed Outdoor Laser Operation(s)

U.S. Department
of Transportation
Federal Aviation
Administration

FAA Form 7140-1, Notice of Proposed Outdoor Laser Operation(s)
Who Should Complete and Submit This Form
Any person, entity, or proponent who plans to conduct outdoor laser operations with a visible laser
beam exceeding 50 nanowatts per square centimeter in navigable airspace or with any laser beam
(visible or non-visible) that exceeds the maximum permissible exposure in navigable airspace. FAA
encourages proponents to contact the applicable FAA service center for guidance.
Instructions to Complete
Consult FAA Advisory Circular (AC) 70-1 for detailed instructions to assist with completing and
submitting this form. Refer to FAA Order JO 7400.2, Chapter 29 for additional background
information. FAA provides public access to these documents via
https://www.faa.gov/regulations_policies.
Please print or type on this form and complete all sections prior to submission to the appropriate FAA
service center. To enhance clarity, use plain language and numbers, e.g., decimal notation (0.7277)
instead of scientific notation (72.77x10-2 or 72.77E-02). Failure to provide all requested information
may delay processing.
Paperwork Reduction Act Statement
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to
a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act
unless that collection of information displays a currently valid OMB control number. The OMB control number for this
information collection is 2120-0662. Public reporting for this collection of information is estimated to be approximately 240
minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, completing, and reviewing the collection of information.
The Federal Aviation Administration (FAA) requires all responses to this collection of information if the proponent wishes
to obtain or retain benefits available per Title 21 Code of Federal Regulations Part 1010 if projecting into navigable
airspace. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101
Hillwood Parkway, Fort Worth, TX 76177-1524.

FAA Form 7140-1 approved July 2021 revised March 2022 (supersedes previous version)

Page i

Form Approved OMB No 2120-0662
Expiration Date: 07/31/2024

Print form
Please print or type on this form. Failure to provide all requested information may delay processing.

U.S. Department of Transportation
Federal Aviation Administration

Notice of Proposed Outdoor Laser Operation(s)
1. General information
a. To
(FAA Service Center)

b. From (Proponent)

Western Service Center

c. Name of event
or facility

d. Date
prepared

e. Customer

f. Site
address

2. Date(s) and time(s) of laser operation
a. Testing and alignment

b. Operation

3. Brief description of laser operation

4. On-site operation information
a. Operator(s)
b. On-site phone 1
(primary)

c. On-site phone 2
(secondary)

5. FDA/CDRH information (if applicable)
a. Variance #

b. Variance
expiration date

c. Accession #

6. Brief description of control measures

7. Attachments

a. Number of laser configurations (state the total number of configurations and complete a Laser Configuration Worksheet (page 2) for each):

b. Attachments: List all attachments (example: maps, diagrams, control measure details, calculation details, or software printouts)

8. Designated contact person (if FAA requires further information)
a. Name

b. Position

c. Phone

e. E-mail

d. Fax

9. Statement of accuracy: To the best of my knowledge, the information provided in this form (all pages) and corresponding attachment(s) is accurate and correct
a. Name
b. Signature
c. Position

d. Date

FAA Form 7140-1 approved July 2021 revised March 2022 (supersedes previous version)

Page 1 of 2

Form Approved OMB No 2120-0662
Expiration Date: 07/31/2024

Print form
Please print or type on this form. Failure to provide all requested information may delay processing.

Laser Configuration Worksheet

10. Configuration information

of

a. Configuration number (example: 7 of 9):

b. Brief description of configuration

11. Geographic location
a. Site elevation, in feet mean sea level:

d. Information determined by: ☐ GPS ☐ Map (topo) ☐ Other:

b. Laser height above site elevation, in feet above ground level:

e. Latitude:

degrees,

minutes,

seconds

f. Longitude:

degrees,

minutes,

seconds

c. Overall laser elevation (a) + (b), in feet mean sea level:

0

12. Beam characteristics and calculations (check only one mode of operation and fill in only that column)
Mode of Operation

☐ Single pulse

☐ Continuous wave

☐ Repetitively pulsed

(maximum power)

(average power )

a. Laser and beam characteristics
Laser type
(example: CO2, diode, or Nd:YAG)
Laser hazard class
(example: Class 2, Class 3B, Class 4)
Power
Watts (W)

(not applicable)

Pulse energy
Joules (J)
Pulse duration
Seconds (s)
Pulse repetition frequency (PRF)
Hertz (Hz)
Beam diameter at 1/e points
Centimeters (cm)
Beam divergence 1/e at full angle
Milliradians (mrad)
Wavelength(s)
Nanometers (nm)

(not applicable)
(not applicable)
(not applicable)

b. Maximum permissible exposure (MPE) values (use this value to calculate the NOHD)
MPE
(not applicable)
Milliwatts per square cm (mW/cm2)
MPE per pulse
(not applicable)
Joules per square cm (J/cm2)
c. Visual effect calculations
The following items are for lasers with visible wavelengths (400 nm to 700 nm). If the laser has no visible wavelengths, enter “N/A (non-visible laser)” in all blocks.
Pulse energy (J) x 4
Maximum power (W)
Pulse energy (J) x PRF (Hz)
Pre-corrected power (PCP)
Watts (W)
Visual Correction Factor (VCF)
Enter “1.0” or use FAA AC 70-1 Table 3
Visually Corrected Power
See FAA AC 70-1
13. Beam direction(s)
a. Minimum elevation angle
(degrees, where horizontal = 0 degrees)
b. Maximum elevation angle
(degrees, where vertical = 90 degrees)

c. Azimuth
(degrees, least to greatest)
d. Magnetic declination
(degrees, if using magnetic north)

☐ True north or
☐ Magnetic north

14. Protection distances (fill in the entire NOHD row and the entire column for the applicable mode of operation)
Slant range (feet)

Horizontal distance (feet)

Vertical distance (feet)

a. NOHD (based on MPE value)
The following items are for lasers with visible wavelengths (400 nm to 700 nm). If the laser has no visible wavelengths, enter “N/A (non-visible laser)” in all blocks.
b. SZED (for 100 µW/cm2)
c. CZED (for 5 µW/cm2)
d. LFED (for 50 nW/cm2)
15. Calculation method

☐ Commercial software (enter product name and version below) or ☐ Other (describe method such as a spreadsheet or calculator below)

FAA Form 7140-1 approved July 2021 revised March 2022 (supersedes previous version)

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