Form 9400 1A – Fill Out and Use This PDF

The Form 9400-1a, issued by the United States Department of the Interior and managed by the Bureau of Land Management, functions as an Aircraft Flight Request/Schedule. This document meticulously records initial flight request information, passenger and cargo specifics, flight itinerary, along with other critical details such as flight following protocols and administrative data crucial for operational safety and efficiency. For those needing to organize or request aircraft services within the department's scope, mastering the nuances of this form is essential. Click the button below to start filling out your Form 9400-1a today.

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Form 9400 1A PDF Details

The Form 9400-1A, developed by the United States Department of the Interior’s Bureau of Land Management (BLM), serves a crucial role in ensuring the smooth operation and management of aircraft flights connected to various missions and activities undertaken by the department. Featuring meticulously detailed sections ranging from the initial request information which captures the essence of the flight purpose, cost-account management codes, to the specific aircraft type desired, this form is comprehensive in its approach to flight planning. Moreover, it emphasizes both passenger and cargo information, underscoring the importance of weight and balance in flight safety, alongside outlining a flight itinerary that demands details on points of departure and arrival with an attached map indicating the flight route and any known hazards. This form also facilitates flight following, resource tracking with systematic check-ins, and incorporates an administrative section for payment documentation. An essential component includes the review and close-out sections focusing on hazard analysis, which obligates a thorough review of potential dangers along the flight path, including but not limited to weather factors, military training routes, high-density air traffic areas, and other aerial obstructions. The close-out section ensures that all evaluated hazards and logistics are acknowledged and addressed, providing a well-rounded overview of the flight's operational planning and safety considerations.

Question	Answer
Form Name	Form 9400 1A
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	IFR, DEST, MOAs, DOI

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Form 9400-1a

UNITED STATES

Change #

6. Aircraft Information

(May 1993)

DEPARTMENT OF THE INTERIOR

FAA#

BUREAU OF LAND MANAGEMENT

AIRCRAFT FLIGHT REQUEST/SCHEDULE

1. Initial request information

Cost-Account/Management Code(s)

Billee Code (OAS A/C only)

Flight Schedule No.

PAX Seats

Initial

To/From

Phone Number

Make/Model

Date/Time

Color

Check one: • Point-to-Point Flight

• Mission Flight

Desired A/C Type: • Helicopter

• Airplane

Vendor

Mission Objective/Special Needs:

Phone No.

Pilot(s)

2. Passenger/Cargo Information – Indicate Chief of Party with an asterisk (*)

NAME/TYPE OF CARGO

LBS OR

PROJECT ORDER/

DEPT

DEST

RETURN

NAME/TYPE OF CARGO

LBS OR

PROJECT ORDER/

DEPT

DEST

RETURN

CU FT

REQUEST NO.

ARPT

CU FT

REQUEST NO.

ARPT

3. Flight Itinerary (For Mission-Type Flights, Provide Points of Departure/Arrival and Attach Map with Detailed Flight Route and Known Hazards Indicated)

DEPART WITH

DEPART FROM

ENROUTE

ARRIVE AT

DROP OFF

KEY POINTS

INFO RELAYED

Date

No. Pax

Lbs.

Airport/Place

ETD

ATD

ETE

Airport/Place

ETA

ATA

No. Pax.

Lbs.

Drop-Off Points, Refueling Stops, Flight Check-Ins, Pickup Points

To/From

4. Flight Following
FAA IFR	Satellite
FAA VFR With Check-In Every _______ Minutes To
FAA or	Agency

Agency VFR With Check-In via radio Every _15______ Minutes

Frequency(ies): RX-/TX-168.650Nat’l Flight Follow

5. Method of Resource Tracking:
Phone		Radio
To Scheduling Dispatcher @ ___________________________
	(Phone Number)
Prior to Takeoff	Each Stop Enroute	Arrival at Destination
To: __________________ @ ___________________________
(Other Office)	(Phone Number)

7. Administrative

Type of Payment

Document:

OAS-23 or

OAS 2

FS 6500-122

Route Document To: RWC

8.Review (If

applicable)

Hazard Analysis

Performed

Dispatch/Aviation

Mgr. Checklist

Other:

9. Close-out	Closed by:
	Date/Time:

(Hazard Analysis and Dispatch/Aviation Manager Checklist on reverse)

HAZARD ANALYSIS AND DISPATCH/AVIATION MANAGER CHECKLIST

I.MISSION FLIGHT HAZARD ANALYSIS (Fire flights exempt provided a pre-approved plan is in place). The following potential hazards in the area of operations have been checked, have been identified on flight itinerary map, and will be reviewed with Pilot and Chief-of-Party prior to flight.

XMilitary Training Routes (MTRs) or Special-Use Airspace (MOAs, Restricted Areas, etc) N/A

Areas of high-density air traffic (airports); Commercial or other aircraft N/A

XWires/transmission lines; wires along rivers or streams or across canyons N/A

XWeather factors; wind, thunderstorms, etc.

XTowers and bridges

XOther aerial obstructions

XPilot flight time/duty day limitations and daylight/darkness factors

SUNRISE __________________

SUNSET __________________

XLimited flight following communications

High elevations, temperatures, and weights:

MAX LANDING ELEV (MSL) __________________

MIN FLIGHT ALTITUDE AGL. ________________

Transport of hazardous materials N/A

Other ________GPS equipment________________________

__________________________________________________

II. DISPATCHER/AVIATION MANAGEMENT CHECKLIST

xPilot and aircraft carding checked with source list and vendor, carding meets requirements

Or, Necessary approvals have been obtained for use of uncarded cooperator, military, or other government agency aircraft and pilots

xCheck with vendor that an aircraft with sufficient capability to perform mission safely has been scheduled

xQualified Aircraft Chief-of-Party has been assigned to the flight (noted on reverse)

xAll DOI passengers have received required aircraft safety training

xOR, Aviation manager will present detailed safety briefing prior to departure

xBureau Aircraft Chief-of-Party will be furnished with Chief-of- Party/Pilot checklist and is aware of its use

xMeans of flight following and resource tracking requirements have been identified

Flight following has been arranged with another unit if flight crosses jurisdictional boundaries and communications cannot be maintained

xFlight hazard maps have been supplied to Chief-of-Party for non- fire low-level missions

xProcedures for deconfliction of Military Training Routes and Special-Use Airspace have been taken

xChief-of-Party is aware of PPE requirements

XCost analysis has been completed and is attached Other/Remarks:

NOTE: Reference Handbook 9420 for approval(s) required.

_ _____________________

(Chief-of-Party Signature)

_________________________________________________

(Dispatcher or Aviation Manager Signature Required))

C.
_____________________________________	_______
(Chief-of-Party Signature)	(Date)

____________________________________ __________

(Authorized Signature) _ (Date)

**For recurring Special-Use Mission, signature is required on Special- Use Air Safety Plan, and not required here.

Form 9400 1A – Fill Out and Use This PDF

Form 9400 1A PDF Details

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