Faa Form 8410 3 PDF Details

The Faa Form 8410 3, also know as the Aircrewmember's Medical Certificate and Verification of Medical Status, is a form that aircrew members must fill out and submit to the Federal Aviation Administration (FAA) every six months. The form is used to verify the medical status of aircrew members and ensure that they are fit to fly. In this blog post, we will discuss what information is required on the Faa Form 8410 3, and how to complete it. We will also provide some tips for keeping your medical certification up-to-date.

QuestionAnswer
Form NameFaa Form 8410 3
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesfaa 8410 form, 8410 3, faa form 8410 3 fillable, form 8410 3

Form Preview Example

 

AIRMAN COMPETENCY/PROFICIENCY CHECK

 

LOCATION

 

 

 

DATE OF CHECK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FAR 135

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF AIRMAN (last, first, middle initial)

 

 

 

TYPE OF CHECK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FAR 135.293

 

FAR 135.297

FAR 135.299

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PILOT

 

Grade

 

 

 

 

 

 

 

MEDICAL INFORMATION:

Date of Exam.

 

 

 

 

 

CERTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number

 

 

 

 

 

 

 

Date of Birth

 

 

 

Class

 

 

 

 

 

INFORMATION:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYED BY:

 

 

BASED AT (City, State)

 

 

 

TYPE OF AIRPLANE (Make/Model)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Simulator/Training Device (Make/Model)

 

 

 

 

 

NAME OF CHECK AIRMAN

 

SIG. OF CHECK AIRMAN

 

FLIGHT TIME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FLIGHT MANEUVERS GRADE (S - Satisfactory

U - Unsatisfactory)

 

 

 

 

 

 

 

 

 

 

 

PILOT

 

 

 

 

 

 

 

 

 

 

Air-

Simu-

Trng.

 

 

 

 

 

 

 

Air-

Simu-

Trng.

 

 

 

 

 

 

 

 

craft

lator

Dev.

 

 

 

 

 

 

 

craft

lator

Dev.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PREFLIGHT

 

 

 

 

 

HELICOPTER

 

 

 

 

 

1. Equipment Examination (Oral or Written)

 

 

 

1.

Ground and/or Air Taxi

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. Preflight Inspection

 

 

 

 

 

 

2.

Hovering Manuevers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. Taxiing

 

 

 

 

 

 

 

3.

Normal and Crosswind T.O. & Landings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Powerplant Checks

 

 

 

 

 

 

4.

High Altitude Takeoffs & Landings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TAKEOFFS

 

 

5.

Sim. Engine Failure

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. Normal

 

 

 

 

 

 

 

6.

Confined Areas, Slopes, & Pinnacles

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. Instrument

 

 

 

 

 

 

 

7.

Rapid Deceleration (Quick Stops)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. Crosswind

 

 

 

 

 

 

 

8.

Autorotations (Single Engine)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8. With Simulated Powerplant Failure

 

 

 

9.

Hovering Autorotations (Single Engine)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. Rejected Takeoff

 

 

 

 

 

 

 

10. Tail Rotor Failures (Oral)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFLIGHT MANEUVERS

 

 

11. Settling With Power (Oral or Flight)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. Steep Turns

 

 

 

 

 

 

 

 

 

SEAPLANE OPERATIONS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11.

Approaches to Stalls

 

 

 

 

 

 

1.

Taxiing, Sailing, Docking

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

Specific Flight Characteristics

 

 

 

2.

Step Taxi & Turns

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13.

Powerplant Failure

 

 

 

 

 

 

3.

Glassy/Rough Water T.O. & Landings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LANDINGS

 

 

4.

Normal Takeoff & Landings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14.

Normal

 

 

 

 

 

 

 

5.

Crosswind T.O. & Landings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15. From an ILS

 

 

 

 

 

 

 

 

 

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16.

Crosswind

 

 

 

 

 

 

 

6.

Ski Plane Ops. (when applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17.

With Simulated Powerplant(s) Failure

 

 

 

 

 

 

GENERAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18.

Rejected Landing

 

 

 

 

 

 

 

7.

Judgment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19.

From Circling Approach

 

 

 

 

 

 

8.

Crew Coordination

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMERGENCIES

 

 

 

 

AIRMAN COMPETENCY INFORMATION:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20.

Normal and Abnormal Procedures

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21. Emergency Procedures

 

 

 

 

 

 

Demonstrated Current Knowledge FAR 135.293(a)

 

 

 

 

 

 

 

 

INSTRUMENT PROCEDURES

 

 

Make/Model Expires

 

(12 months)

(

 

)

 

 

22.

Area Departure

 

 

 

 

 

 

 

Demonstrated Competency FAR 135.293(b)

 

 

 

 

 

23.

Holding

 

 

 

 

 

 

 

Make/Model Expires

 

(12 months)

(

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24.

Area Arrival

 

 

 

 

 

 

 

Satisfactorily Demonsttrated Line Checks

 

 

 

 

 

25.

ILS Approaches

 

 

 

 

 

 

 

FAR 135.299

 

 

 

(12 months)

(

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26.

Other Instrument Approaches

 

 

 

Satisfactorily Demonstrated IFR Proficiency

 

 

 

 

 

 

Approaches: NDB/ADF

 

 

 

 

 

 

FAR 135.297

 

 

 

(6 months)

(

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VOR

 

 

 

 

 

 

Use of Autopilot (is) (is not ) Authorized.

 

 

 

 

 

 

ILS

 

 

 

 

 

 

Expires

 

 

 

(12 months)

(

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other (Specify)

 

 

 

REMARKS

 

 

 

 

 

 

 

 

 

27.

Circling Approaches

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28. Missed Approaches

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

29.

Comm. / Nav. Procedures

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

30.

Use of Auto Pilot

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RESULT OF

 

 

Approved

 

 

 

CHECK AIRMAN’S

 

 

Satifactory

CHECK

 

 

Disapproved

 

 

 

PERFORMANCE (FAA Only)

 

 

Unsatisfactory

 

 

 

 

 

 

 

 

 

 

 

REGION

 

 

 

DISTRICT OFFICE

 

 

 

FAA INSPECTOR’s SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FAA Form 8410-3 (6-81)

U.S. GOVERNMENT PRINTING OFFICE 1998-768-212/81005

How to Edit Faa Form 8410 3 Online for Free

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To be able to complete this document, be sure you provide the right details in each area:

1. The form 8410 necessitates particular information to be entered. Be sure that the next fields are complete:

form 8410 3 printable completion process clarified (part 1)

2. After completing this step, go to the subsequent step and enter the essential particulars in all these blanks - Approaches to Stalls, Specific Flight Characteristics, Powerplant Failure, LANDINGS, Normal, From an ILS, Crosswind, With Simulated Powerplants Failure, Rejected Landing, From Circling Approach, EMERGENCIES, Normal and Abnormal Procedures, Emergency Procedures, INSTRUMENT PROCEDURES, and Area Departure.

Filling out segment 2 in form 8410 3 printable

Always be very careful when filling in Emergency Procedures and From Circling Approach, since this is the part where a lot of people make errors.

3. Completing Other Specify, Circling Approaches, Missed Approaches, Comm Nav Procedures, Use of Auto Pilot, Expires months, REMARKS, RESULT OF CHECK, Approved Disapproved, CHECK AIRMANS PERFORMANCE FAA Only, Satifactory Unsatisfactory, REGION, DISTRICT OFFICE, FAA INSPECTORs SIGNATURE, and FAA Form US GOVERNMENT PRINTING is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Step no. 3 of completing form 8410 3 printable

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