aviation application webinar
TRANSCRIPT
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THE GENERAL AVI ATI ONRI SK AP P LICATION
W EB I N A R
Presen t ed by :
BL AI S AVI ATI ON IN SURAN CE SERVI CES
J ANUARY 28, 2010
WWW.BL AI S AV IA TION.COM1
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AVIATION INSURANCEAPPLICATIONS
There are a number of aviation exposures and each hasits own application(s). This webinar will focus on the
general aviation exposure application and pilotquestionnaire. You can view the various applications byvisiting the Blais Aviation Insurance Services website.
www.blaisaviation.com
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INDUSTRIAL AI DP LEASURE &
BUSINESSSINGLE ENGINE
TYP ES OF AVIATION EXPOSURES
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P LEASURE & BUSINESSROTORWING
P LEASURE & BUSINESS
MULTI ENGINE
TYP ES OF AVIATION EXPOSURES
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STUDENT P ILOTS AEROBATIC
TYP ES OF AVIATI ON EXPOSURES
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AIRSHOWS WARBIRDS
TYP ES OF AVIATION EXPOSURES
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SMALL AI RP ORTS LARGE AI RP ORTS
TYP ES OF AVIATION EXPOSURES
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FI XED BASEDOPERATORS FBOS
MANUFACTURESPRODUCTSCOMPLETED
OPERATIONS
TYP ES OF AVIATION EXPOSURES
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AVIATION UNDERWRITING & ANALYSIS
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Every aviation insurance underwriter hasslightly different guidelines he/she follows to
arrive at a rate, but virtually without exceptionthey all take the following into consideration
somewhere in their deliberations. Each factor,to the Underwriter, represents a change in the
chance of an accident or affects his/herchances of profit from your policy.
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KEY FACTORS AVIATION UNDERWRITERS CONSIDER
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What kind of aircraft & age Avionics Control Panel Value
Common locations flown to Who are the pilots skills! How is the aircraft used
Where is the aircraft kept Claim data
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AIRCRAFT
Pleasure & BusinessIndustrial Aid
Instructional RentalCharter
Pipeline PatrolPower Line Patrol
Crop DustingBanner Towing
StudentPrivateCommercial
ATPInstrumentInstructor
Type RatingTotal Hours
Make & Model HoursSingle Engine Land Multi Engine LandSingle Engine Sea Multi Engine Sea
Turbo Prop Turbo JetComplex Avionics Unusual Characistics
TH E COMPONENT S OF AVIATI ON
UNDERWRITING
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FOR GENERAL AVIATION RISKS
UNDERWRITERS WILL REQUIRETHE FOLLOWING APPLICATIONS
PILOT QUESTIONNA IRE&
AIRCRAFT APPLICATION
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Name of Aircraft Owner:
Name of Pilot: Date of Birth:
Address:
Pilots Occupation:
Employer: Date Employed:
PILOT QUESTIONNA IRE
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PILOT QUESTIONNA IRE
Check Al l Ce r t i f i c a t e s and Ra t ings Cur r en t ly He ld
( ) Student
( ) Private
( ) Instrument
( ) Commercial
( ) Instructor
( ) Airline Transport
( ) Single Engine Land
( ) Single Engine Sea
( ) Multi Engine Land
( ) Multi Engine Sea
( ) Rotorwing
( ) Centerline Thrust
( ) Mechanic Airframe
( ) Mechanic Powerplant
( ) Other (Specify)
( ) Type Rating(Specify Aircraft)
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15PILOT QUESTI ONNAI RE
Airmans Certificate No: Date Certified:
If Student: (Name of instructor or FBO) - (Instruction airport location)
Date of Last Medical: Class of Medical:
Medical Waivers ( ) Yes ( ) No If Yes please explain:
Date of Last BiennialReview :
Type of AircraftUsed:
Date of Last SimulatorInstruction:
Manufacturers Ground and Attended and Dates:AOPA Membership #: EAA Membership #:
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PILOT QUESTIONNA IRE
High School:1. ( ) 2. ( ) 3. ( ) 4. ( )
College:1. ( ) 2. ( ) 3 ( ) 4.( )
Graduate School1. ( ) 2. ( ) 3 ( ) 4.( )
Name Of School Years Attended Did You Graduate?
EDUCATION
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PILOT QUESTI ONNA IRE
FLYING EXPERIENCEPlease show flying experience in logged hours.Do not group different aircraft of the same type inthe category for the make and model on whichapproval is being sought. If hours can not besubstantiated by log books, please explain howhours have been verified/reconstructed.
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PILOT QUESTI ONNA IRE FLYI NG EXPERIENCE
Single Engine Aircraft
Make and Model of Aircraft Pilot inCommand
Co-Pilot Total Time Total Last 12Months
Total Last 90Days
Total Single Engine:
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PILOT QUESTI ONNA IRE FLYI NG EXPERIENCE
Multi Engine Aircraft & Jet Aircraft
Make and Model ofAircraft
Pilot inCommand
Co-Pilot
TotalTime
Total Last12 Months
Total Last90 Days
Total Multi-Engine:
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PILOT QUESTI ONNA IRE FLYI NG EXPERIENCE
Seaplanes and Helicopters
Make and Modelof Aircraft
Pilot inCommand
Co-Pilot TotalTime
Total Last12 Months
Total Last90 Days
Total Sea/Helo. :
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PILOT QUESTI ONNA IRE FLYI NG EXPERIENCE
Single Engine AircraftMake and Model of Aircraft Pilot in
CommandCo-Pilot Total Time Total Last 12
MonthsTotal Last 90Days
Total Single Engine:Multi Engine Aircraft & Jet Aircraft
Make and Model of Aircraft Pilot in
Command
Co-Pilot Total Time Total Last 12
Months
Total Last 90
Days
Total Multi-Engine:Seaplanes and Helicopters
Make and Model of Aircraft Pilot inCommand Co-Pilot Total Time Total Last 12Months Total Last 90DaysTotal Sea/Helo.:
Grand Total
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PILOT QUESTI ONNA IRE
Have you ever been involved in an aircraft accident?( ) Yes ( ) NoIf Yes please explain:
Location Date Make and Model Remarks
AIRCRAFT ACCIDENTS
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PILOT QUESTI ONNA IRE
Please Ex p la in Ci rc um s t anc es :
1.If you have a physical impairment, waiver, limitation, or conditions on yourMedical or Pilot Certificate.
2.If an FAA, Transport Canada, Military Pilot or other similar Certificate held byyou has been suspended or revoked.
3.If you have ever been cited for a violation of any aviation regulation in anycountry.
4.If you have ever been convicted of or pleaded guilty to a felony or drivingwhile intoxicated.
Explanations:
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PILOT QUESTI ONNA IRE
Name of Agent or Broker:
Address:
All particulars herein are declared to be true and complete to the best of my/our
knowledge and no information has been withheld or omitted. I/We agree that thisapplication and the terms and conditions of the policy in use by the insurer shall be thebasis of any contract between Me/Us and the Insurer. I herby authorize the insurer toinvestigate all or any qualifications and/or statements contained herein.
Date: Applicants Signature (s):THIS APPLICATION DOES NOT COMMIT THE INSURER TO ANY LIABILITY NORMAKE THE APPLICANT LIABLE FOR ANY PREMIUM UNLESS AND UNTIL THE
COMPANY AGREES TO EFFECT THE INSURANCE.
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BLAIS AVIATIONINSURANCE SERVICES
Phone: 972-818-4090Fax 972-818-4088www.blaisaviation.com
Agent or BrokerAddress
PhoneFaxE-Mail
Named Insured & Address:
E-Mail Address:
Current Insurance Company:
Effective Date:
Business Occupation:
Insurance is requested from: 12:01 AM to 12:01 AM
Phone: Residence ( ) Phone: Business ( ) Phone: Fax ( )E-Mail Address:
AIRCRAFT INSURAN CE APPLICATION
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AIRCRAFT INSURAN CE APPLICATION
Year, Make & Model FAA
Number
Total
Seats
Engine
Hours
Engine
Horsepower
AIRCRAFT
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AIRCRAFT INSURAN CE APPLICATION
AIRCRAFT
Aircraft usually based and ( ) Hangered ( ) Tied Down at (City &State):________________________________________________
Airport: __________________________________ ( ) Private Airport ( ) Public AirportPaved Runways Yes ( ) No ( )
Are any flights contemplated outside continental U.S.? ( ) Yes ( ) NoIf Yes, where: _____________________________________
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AIRCRAFT INSURAN CE APPLICATION
LIABILITY COVERAGE LIMITSEach Person Each Occurrence
Premiums
A. Bodily Injury, excluding passengers $ $ $
B. Passenger Bodily Injury $ $ $C. Property Damage XXXXXX $ $
D. Combined Single Limit Bodily Injury andProperty Damage,
( ) Including Passengers ( ) ExcludingPassengers
Limiting Each( ) person or ( ) Passenger to $
$ Each Occurrence
$
E. Medical Payments: ___including Crew $ $ $
PHYSICAL DAMAGE COVERAGE Insured Value DeductibleF. While Not In Motion $ $ $
G. While In Motion $ $ $
Other $
COVERAGES AND LIMITS
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AIRCRAFT INSURAN CE APPLICATION
USAGE AND OPERATION( ) Pleasure and Business( ) Industrial Aid
( ) Limited Commercial( ) Commercial Excluding Instruction & Rental( ) Commercial( ) Flying Club( ) Low Altitude Photography
( ) Air Ambulance( ) Air Hearse( ) Patrol Flights( ) Banner Towing( ) Crop Dusting
( ) Instruction of: (Name of Student):( ) Special Uses Please Describe:
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AIRCRAFT INSURAN CE APPLICATION
Applicant is:( ) Sole Owner( ) Owner subject to mortgage or conditional sales contract.( ) Lessee ( ) Other explainApplicant is:( ) Individual ( ) Corporation ( ) Limited Liability Corporation( ) Co-Ownership/Partnership
If aircraft is encumbered, name and address of lienholder or lessor:
Amount of encumbrance (excluding interest and finance chargers):$
Will Lienholders Interest be required by lienholder? ( ) Yes ( ) No
OWNERSHIP INFORMATION
PILOT INFORMATION
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AIRCRAFT INSURAN CE APPLICATION
PILOT
NAMEOFPILOT
DateOfBirth
Certification (s)& RatingsPlease List
MedicalCertificateDateClass
Hours Logged as Pilot inCommand
All AircraftMake and ModelTotalSELMELTotalLast 90 days12 Months
Pilot No. 1 Pilot No. 2 Pilot No. 3
PILOT INFORMATION
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AIRCRAFT INSURAN CE APPLICATION
PILOT
Pilot No. 1 Pilot No. 2 Pilot No. 3
FAA Certificate Number
Date of Last Biennial Flight Review
Details of other proficiency training
Name and address of pilots employer if other than applicant:
Pilots AOPA or EAA Membership Number/s if a member:
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AIRCRAFT INSURAN CE APPLICATION
Does the aircraft have OTHER than a standard airworthiness certificate in full effect?
Are there any other aircraft owned by the applicant?
Has the aircraft been equipped with modifications not provided by the manufacturer?Will the aircraft be normally operated in OTHER than paved public airports?
Will the aircraft be used for student or pilot instruction OTHER than for recurrent training of pilotslisted in the Pilot Information Section of this application?
Will other than the applicant and pilots listed in the Pilot Information Section of this applicationhave use of the aircraft?
Will aircraft be used for any purpose (s) for which a charge is made?
Is there any unrepaired damage to the aircraft?
Has the applicant or any pilot listed in the Pilot Information Section of this application everbeen involved in any aircraft accident?Has the applicant or any pilot listed in the Pilot Information Section of this application everbeen cited for violation of any aviation regulation in any country?
SUPPLEMENTAL QUESTIONS
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AIRCRAFT INSURAN CE APPLICATION
Has the applicant or any pilot listed in the Pilot Information Section of this application ever hadan FAA, Military, or other pilot certificate suspended or revoked?
Does the applicant or any pilot listed in the Pilot Information Section of this application haveany; (a) physical impairments, (b) waivers, limitations, conditions on their medical certificates oron their airman certificates? If Yes please explain.
Has the applicant or any pilot listed in the Pilot Information Section of this application everbeen convicted of or plead guilty to a felony, possession of drugs, or of driving while intoxicated?
Please Explain any Yes answer in the space below or on a separate sheet of paper:
SUPPLEMENTAL QUESTIONS
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AIRCRAFT INSURAN CE APPLICATION
MINIMUM PILOT REQUIREMENTSI/We understand and acknowledge that there is no coverage in flight unless the aircraft isbeing operated by the pilot(s) designated on this document who has/have at least thecertificates, ratings, and pilot experience indicated, and who, is/are qualified for the flightinvolved.
INITIAL .USE REQUIREMENTSI/We understand and acknowledge that there is no coverage in flight if the aircraft is used for
any purpose other than the use designated on this document.
INITIAL .
AIRWORTHINESS REQUIREMENTSI/We understand and acknowledge that there is no coverage in flight unless a standardairworthiness certificate in full effect
INITIAL
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AIRCRAFT INSURAN CE APPLICATION
All particulars herein are declared to be true and complete to the best of my/our knowledge and noinformation has been withheld or omitted. I/We agree that this application and the terms andconditions of the policy in use by the insurer shall be the basis of any contract between Me/Us andthe Insurer. I herby authorize the insurer to investigate all or any qualifications and/or statementscontained herein.FRAUD WARNING: Any person who knowingly and with intent to defraud any insurance companyor other person files an application for insurance containing any materially false information orconceals, for the purpose of misleading, information concerning any fact material hereto commitsa fraudulent insurance act, which is a crime.
I/We authorize to represent me/us in placing thisinsurance.Date: _____________________ Applicants Signature (s): __________________________
THIS APPLICATION DOES NOT COMMIT THE INSURER TO ANY LIABILITY NOR MAKE THEAPPLICANT LIABLE FOR ANY PREMIUM UNLESS AND UNTIL THE COMPANY AGREES TO
EFFECT THE INSURANCE.
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Other
Aircraft
Pilot
Location
Use
PILOT WARRANTY
Make sure you take noteof the pilot w arrantywording
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HIGH W I NG AI RCRAFT
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LOW W I NG AI RCRAFT
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BI P LANE
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AVI ATI ON PHONETIC A LPHAB ET
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My aircraft tail number is 1935 Lima Tango and I am located on TaxiwayQuebec on the north side of airport Alpha Delta - Sierra
TRANSLATIONMy aircraft tail number is 1935LT and I am located on Taxiway Q on the
north side of airport ADS
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The Aviation P honetic Alphabet
CHARACTER TELEPHONY PHONIC (PRONUNCIATION)
A Alfa (AL-FAH)
B Bravo (BRAH-VOH)
C Charlie (CHAR-LEE) or (SHAR-LEE)
D Delta (DELL-TAH)
E Echo (ECK-OH)
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The Aviation P honetic Alphabet
CHARACTER TELEPHONY PHONIC (PRONUNCIATION)
F FOXTROT (FOX-TROT)
G Golf (GOLF)
H Hotel (HOH-TEL)
I India (IN-DEE-AH)
J Juliet (JEW-LEE-ETT)
K Kilo (KEY-LOH)
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The Aviation P honetic Alphabet
CHARACTER TELEPHONY PHONIC (PRONUNCIATION)
L Lima (LEE-MAH)
M Mike (MIKE)
N November (NO-VEM-BER)
O Oscar (OSS-CAH)
P Papa (PAH-PAH)
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The Aviation P honetic Alphabet
CHARACTER TELEPHONY PHONIC (PRONUNCIATION)
Q Quebec (KEH-BECK)
R Romeo (ROW-ME-OH)
S Sierra (SEE-AIR-RAH)
T Tango (TANG-GO)
U Uniform (YOU-NEE-FORM) or (OO-NEE-FORM)
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The Aviation P honetic Alphabet
CHARACTER TELEPHONY PHONIC (PRONUNCIATION)
V Victor (VIK-TAH)
W Whiskey (WISS-KEY)
X X ray (ECKS-RAY)
Y Yankee (YANK-KEY)
Z Zulu (ZOO-LOO)
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AVIATI ON ABB REVI ATI ONS
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I am willing to insure a CFI who will be using a Fixed CONV SEL to giveDual to Ps, COMs, or ATPs; no SOLO until 10 hours in M&M
TRANSLATION
I am willing to insure a Certified Flight Instructor who will be using a planewith non retractable conventional gear with a tail wheel to give training by a
qualified instructor to Private Licensed, Commercial Licensed or AirlineTransport Pilots. There will be no solo flying until 10 hours instruction in themake and model has been completed.
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AVIATION ABBREVIATIONSThe following abbreviations are found in aviation insurance applications,policies, aircraft advertisements, manuals and pilot operating handbooks.
Insurance abbreviationsPage 1 of 11
AMES Aircraft multi engine, seaASES Aircraft single engine, sea
ATP Airline Transport PilotBFR Biannual flight reviewC Commercial license
CFI Certified flight instructorCFII Certified flight instructor, instrument
Conv - Conventional landing gear with tail wheelDual training given by a qualified instructor
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AVIATION ABBREVIATIONSThe following abbreviations are found in aviation insurance applications,
policies, aircraft advertisements, manuals and pilot operating handbooks.
Insurance abbreviationsPage 2 of 11
Fixed non-retractable landing gearFixed tri Fixed tri-cycle landing gear
FR Flight reviewG & F ground and flight
GNIM ground not in motionGNIF Ground not in flight
G & T Ground and taxiHeli helicopter or rotor wing
Hr - Hours
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AVIATION ABBREVIATIONSThe following abbreviations are found in aviation insurance applications,
policies, aircraft advertisements, manuals and pilot operating handbooks.
Insurance abbreviationsPage 3 of 11
I Instrument ratedIFR Instrument rated
ICC Instrument competency checkIPC Instrument proficiency check
M multi engineMed medical paymentsMed pay medical payments
ME Multi engineMEL Multi engine land
MEI Multi engine instructorMM Make and modelM & M Make and model
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AVIATION ABBREVIATIONSThe following abbreviations are found in aviation insurance applications,policies, aircraft advertisements, manuals and pilot operating handbooks.
Insurance abbreviationsPage 4 of 11
OPW Open pilot warrantyP Private licensePax - Passengers
PIC - Pilot in command
RG Retractable gearRotor Helicopter or rotorcraftRW Rotor wing
SE Single engineSEL Single engine landSES Single engine sea
SIC Second in commandSolo no passengers or flight instructor in aircraft
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AVIATION ABBREVIATIONSThe following abbreviations are found in aviation insurance applications,policies, aircraft advertisements, manuals and pilot operating handbooks.
Insurance abbreviationsPage 5 of 11
TO Take off
TO & L Take off and landingsTRI Tri-gearTW TailwheelTT Total time
TTL Total time logged
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AIRCRAFT ABBREVIATIONPage 6 OF 11
0SFRM - zero time since a factory remanufacture0SMOH - Zero time since major engine overhaul
FWF - Firewall forwardMDH - major damage history
NDH - No damage history
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AIRCRAFT ABBREVIATIONPage 7 OF 11
SCMOH - Since chrome cylinder major overhaulSFRM - Since factory remanufactureSMOH - Since major engine overhaul
SOH - since engine overhaul (not necessarily a major)SPOH - Since prop overhaul
STOH - Since top overhaul (pistons, cylinders and valve train)
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AIRCRAFT ABBREVIATIONPage 8 of 11
TBO - Time between overhauls (factory recommendations)TT - Total time
TTA - Total time on the airframeTTAE - Total time on the airframe and engine
TTE - Total time on the engineTTSN - Total time since new
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AIRCRAFT PERFORMANCE AND SPECIFICATION ABBREVIATIONSPage 9 of 11
Amp - Amperage of the alternator (electrical system rating)Alt - Alternator
AOC - Angle of climbC/S - Constant speed (governed speed, adjustable pitch) propeller
Cu. In. - Cubic inches displacement of enginesFixed tri gear - non retractable tricycle landing gear with a nose wheel
F/P - Fixed pitch (non adjustable) propeller
FPM - Feet per minute (usually regarding climb)
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AIRCRAFT PERFORMANCE AND SPECIFICATION ABBREVIATIONSPage 10 of 11
Gen - GeneratorGPH - Gallons per hour MPH - Miles per hour
HP - Horsepower of engineKTS - Knots (1 knot = 1.151 statue miles per hour, or 1852 kilometers per hour)
L/R - Long-range fuel
NM - Nautical mile = approximately 6,080 ft.Oct. - Octane rating of fuel.
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AIRCRAFT PERFORMANCE AND SPECIFICATION ABBREVIATIONSPage 11 of 11
PSI - Pounds per square inch (tire and strut pressure)
Ret. tri gear - Retractable tricycle landing gear with a nose wheelROC - Rate of climb
SM - Statue mile = 5,280 ft.Sq. Ft. - Square feet regarding wing area.
STD - Standard fuelV VoltsVis - Viscosity of oil
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AVI ATI ON APPLI CATI ONQUESTION AN SWER
SESSION
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Bla i s Av iat ion Insu rance Se r v ic es
(A d iv i s ion o f B la i s Exc ess & Surp lus Agency o f Texas , Lt d .)
A w h o le s a le s p ec i a l t y f a c i l i t y d e d i c a t e d t o s e r v e as a na g e n t /b r o k e r s b a c k r o o m i n t h e d e s ig n , p l a c e m e n t a n d
s e r v i c e o f a vi at i o n i ns u r a n c e .
w w w. b l a i s a v i a t i o n . c o m
Da l la s 9 7 2 8 18 -4 0 90
H o us t o n 7 13 7 8 0-7 7 87Aus t in 512 894-3460
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