Federal Department of the Environment,

Transport, Energy and

Communications DETEC
Federal Office of Civil Aviation FOCA
Safety – Division Flight Personnel
3003 Bern

Application & report form

SPL
Skill Test/ Proficiency Check
Applicant’s Licence Nr.

Applicant : Last name: First name: Date of birth:

Place of birth: Place of origin: Nationality:
Adress: Street/box:
Postal code: City: Country:
Phone: e-mail:

 initial SPL Skill Test - Sailplane  recency proficiency check - Sailplane

 initial SPL Skill Test - TMG  recency proficiency check - TMG
 repetition of failed/partial passed skill test from:  conversion of an ICAO SPL

The ATO/DTO confirms that the candidate has been trained in accordance with approved syllabus and recommends him/her for the skill test.

ATO/DTO name: ______________________________________________________ Registration no:______________________________

Name of Head of Training:_________________________________________________ Licence no:______________________________

Location & date: __________________________________________ Signature of Head of Training:______________________________

Details of flight

 Aero tow launch  Winch launch  Self-launch  ___________________________________________________

Date: _____________ Type of aeroplane: ________________________________________ Registration: _________________________

Departure: Destination: Block-off: Block-on: Block time: # of landings:

__________________ __________________ __________________ __________________ __________________ ________________

__________________ __________________ __________________ __________________ __________________ ________________

Result of skill test:  passed  failed  partial passed: section to be repeated

Remarks:

I confirm that the test has been carried out in full compliance with the provisions of SFCL.400, SFCL.405, and SFCL.410.

Examiner last name: ____________________________________________________ First name:______________________________

Foreign Examiner Certificate no: ____________________________________________ Licence no:______________________________

Location & date: ________________________________________________ Signature of Examiner:______________________________

To be completed by applicant:

I declare that
 I do not possess a pilot licence, certificate, rating, authorisation or attestation with the same scope and in the same category
issued in another EASA Member State.
 I have not applied for a pilot licence, certificate, rating, authorisation or attestation with the same scope and in the same category
issued in another EASA Member State.
 I have never possessed any personnel licence, certificate, rating, authorisation or attestation with the same scope and in the
same category issued in another EASA Member State which was revoked or suspended in any other EASA Member State.
 the information provided is correct. I am aware of the consequences of providing false information, such as being denied a
license, certificate, rating, authorisation or attestation, or having it revoked or cancelled.
 I have received the test result and been informed about my rights of appeal

Date and place: .............................................................. Signature of applicant: ..................................................................................

FOCA Form 62.020 05.2022 Part SFCL 1/6

 Federal Department of the Environment,
Transport, Energy and
Communications DETEC
Federal Office of Civil Aviation FOCA
Safety – Division Flight Personnel
3003 Bern

Licence Nr.

General flight experience report

A copy of the relevant logbook pages (flight experience) showing the confirmed completion of the flight instruction must be
attached to this form.

Details of conditions: instruction and flying experience before SPL skill test

a) Applicants minimum age: 16 years 

b) Enclose copy of passport 

c) EASA Medical class 1 or 2 or LAPL  valid until:

d) Theoretical examination passed  date:

e) VFR radiotelephony practical test passed, if applicable date:

(required to obtain a radiotelephony qualification)

f) Flight instruction (MNM 15 HR) hours:

of which

in sailplane excluding TMG - for sailplane licence entry (MNM 7 HR)

in TMG - for TMG licence entry (MNM 6 HR)

Crediting:
Holders of pilot licences for another category of aircraft, with the exception of balloons,
shall be credited with 10% of their total flight time as PIC on such aircraft up to
a maximum of 7 hours.
The amount of credit given shall in any case not include solo flights (see points 3) ii
below) and not exceed 10 launches or take-offs and landings.A copy of the relevant
logbook pages must be submitted. hours:

The 15 hours flight instruction must include at least:

1) 45 launches or take offs and 45 landings number of launches or take offs / landings: /

2) dual flight instruction (MNM 10 HR) hours:

3) supervised solo flight (MNM 2 HR) hours:

of which in sailplane (excluding TMG) for sailplane licence entry:

i. dual flight instruction (MNM 3 HR) hours:

ii.  solo as PIC or (MNM 50 KM) km:

 solo as SPIC (MNM 100 KM) km:

State of flight:  straight  return  triangle date:

Take off: Start point:

Turning point 1: Turning point 2: Landing point:

of which in TMG for TMG licence entry:

i. dual flight instruction (MNM 4 HR) hours:

ii. one solo cross-country flight (MNM 150 KM) date:

LEG 1 Start point Landing point: km:

LEG 2 Start point: Landing point: km:

total km:

FOCA Form 62.020 05.2022 Part SFCL 2/6

 Federal Department of the Environment,
Transport, Energy and
Communications DETEC
Federal Office of Civil Aviation FOCA
Safety – Division Flight Personnel
3003 Bern

Licence Nr.

Demonstration of theoretical knowledge acc. SFCL.150 (b)

pass fail Remarks

20 Aircraft general knowledge

30 Flight performance and planning

60 Navigation.
70 Operational procedures
80 Principles of flight

examiner’s signature

Section 1 Sailplane PRE-FLIGHT OPERATIONS AND DEPARTURE

1 attempt 2 attempt
Remarks
pass fail pass fail

Pre-flight sailplane (daily) inspection, documentation, flight planning,

a
NOTAM(s) and weather briefing
b Verifying in-limits mass and balance and performance calculation
c Sailplane servicing compliance
d Pre-take-off checks

pass fail
please delete as necessary examiner’s signature

Note for SECTION 2A-2C:

At least for one of the three launch methods, all the mentioned items are fully exercised during the skill test.

Section 2A Sailplane WINCH OR CAR LAUNCH

1 attempt 2 attempt
Remarks
pass fail pass fail

a Signals before and during launch, including messages to winch driver

b Adequate profile of winch launch
c Simulated launch failure (during launch or in free flight)
d Situational awareness

pass fail
please delete as necessary examiner’s signature

Section 2B Sailplane AEROTOW LAUNCH

1 attempt 2 attempt
Remarks
pass fail pass fail

Signals before and during launch, including signals to or communications

a
with the tow plane pilot for any problems
b Initial roll and take-off climb
c Launch abandonment (simulation only or ‘talk-through’)
d Correct positioning during straight flight and turns
e Out of position and recovery
f Correct release from tow
g Look-out and airmanship through the whole launch phase

pass fail
please delete as necessary examiner’s signature

FOCA Form 62.020 05.2022 Part SFCL 3/6

 Federal Department of the Environment,
Transport, Energy and
Communications DETEC
Federal Office of Civil Aviation FOCA
Safety – Division Flight Personnel
3003 Bern

Licence Nr.

Section 2C powered sailplanes only SELF-LAUNCH

1 attempt 2 attempt
Remarks
pass fail pass fail

a ATC compliance (if applicable)

b Aerodrome departure procedures
c Initial roll and take-off climb
d Look-out and airmanship during the whole take-off
e Simulated engine failure after take-off
f Engine shut down and stowage

pass fail
please delete as necessary examiner’s signature

SECTION 3 Sailplane GENERAL AIRWORK

1 attempt 2 attempt
Remarks
pass fail pass fail

a Maintain straight flight: attitude and speed control

Coordinated medium (30 ° bank) turns, look-out procedures and collision
b
avoidance
c Turning on to selected headings visually and with use of compass
d Flight at high angle of attack (critically low air speed)
e Clean stall and recovery
f Spin avoidance and recovery*
g Steep (45 ° bank) turns, look-out procedures and collision avoidance
h Local area navigation and awareness

pass fail
please delete as necessary examiner’s signature

(*) If no suitable training aircraft is available to demonstrate the fully developed spin including spin recovery, or if such spin manoeuvres
cannot be performed due to bad weather constraints, the applicant should demonstrate the competence in all the aspects related to this
exercise during a discussion with the examiner.

Section 4 Sailplane CIRCUIT, APPROACH AND LANDING

1 attempt 2 attempt
Remarks
pass fail pass fail

a Aerodrome circuit joining procedure

b Collision avoidance: look-out procedures
c Pre-landing checks
d Circuit, approach control and landing
e Precision landing (simulation of out-landing and short field)
f Crosswind landing if suitable conditions are available

pass fail
please delete as necessary examiner’s signature

FOCA Form 62.020 05.2022 Part SFCL 4/6

 Federal Department of the Environment,
Transport, Energy and
Communications DETEC
Federal Office of Civil Aviation FOCA
Safety – Division Flight Personnel
3003 Bern

Licence Nr.

Demonstration of theoretical knowledge acc. SFCL.150 (e)

pass fail Remarks

20 Aircraft general knowledge

30 Flight performance and planning

60 Navigation.
70 Operational procedures
80 Principles of flight

examiner’s signature

SECTION 1 TMG PRE-FLIGHT OPERATIONS AND DEPARTURE

1 attempt 2 attempt
Remarks
pass fail pass fail

a Pre-flight documentation, flight planning, NOTAM(s) and weather briefing

b Mass and balance and performance calculation
c TMG inspection and servicing
d Engine starting and after starting procedures
e Taxiing and aerodrome procedures, pre-take-off procedures
f Take-off and after take-off checks
g Aerodrome departure procedures
h ATC liaison: compliance

pass fail
please delete as necessary examiner’s signature

SECTION 2A TMG GENERAL AIRWORK (WITH ENGINE POWER)

1 attempt 2 attempt
Remarks
pass fail pass fail

a ATC liaison
b Straight and level flight, with speed changes
Climbing:
i. best rate of climb;
c
ii. climbing turns; and
iii. levelling off.
d Medium (30 ° bank) turns, look-out procedures and collision avoidance
e Steep (45 ° bank) turns
f Flight at critically low air speed with and without flaps
Stalling:
i. clean stall and recover with power;
g ii. approach to stall descending turn with bank angle 20 °, approach
configuration; and
iii. approach to stall in landing configuration.
Descending:
i. with and without power;
h
ii. descending turns (steep gliding turns); and
iii. levelling off.
pass fail
please delete as necessary examiner’s signature

FOCA Form 62.020 05.2022 Part SFCL 5/6

 Federal Department of the Environment,
Transport, Energy and
Communications DETEC
Federal Office of Civil Aviation FOCA
Safety – Division Flight Personnel
3003 Bern

Licence Nr.

SECTION 2B TMG GENERAL AIRWORK (WITHOUT ENGINE POWER)

1 attempt 2 attempt
Remarks
pass fail pass fail

a Straight and level flight, with speed changes

b Medium (30 ° bank) turns, look-out procedures and collision avoidance
c In-flight engine start and stop procedures
d Stall in turns

pass fail
please delete as necessary examiner’s signature

SECTION 3 TMG EN-ROUTE PROCEDURES

1 attempt 2 attempt
Remarks
pass fail pass fail

a Flight plan, dead reckoning and map reading

b Maintenance of altitude, heading and speed
Orientation, airspace structure, timing and revision of estimated times
c
of arrival (ETAs), log keeping
d Diversion to alternate aerodrome (planning and implementation)
e Flight management (checks, fuel systems, carburettor icing, etc.)
f ATC liaison: compliance

pass fail
please delete as necessary examiner’s signature

SECTION 4 TMG APPROACH AND LANDING PROCEDURES

1 attempt 2 attempt
Remarks
pass fail pass fail

a Aerodrome arrival procedures

b Collision avoidance (look-out procedures)
Precision landing (short field landing) and crosswind, if suitable conditions
c
are available
d Flapless landing (if applicable)
e Approach to landing with idle power
f Touch and go
g Go-around from low height
h ATC liaison
i Actions after flight

pass fail
please delete as necessary examiner’s signature

SECTION 5 TMG ABNORMAL AND EMERGENCY PROCEDURES

This section may be combined with Sections 1 through 4.
1 attempt 2 attempt
Remarks
pass fail pass fail

a Simulated engine failure after take-off

b * Simulated forced landing
c * Simulated precautionary landing
d Simulated emergencies
e Oral questions

pass fail
please delete as necessary examiner’s signature
* These items may be combined, at the discretion of the FE.

FOCA Form 62.020 05.2022 Part SFCL 6/6

 Federal Department of the Environment,
Transport, Energy and
Communications DETEC
Federal Office of Civil Aviation FOCA
Safety – Division Flight Personnel
3003 Bern

Licence Nr.

Hinweis:
Innert 10 Tagen nach Zustellung des Ergebnisses vom Skill Test/Proficiency Check kann beim Bundesamt für Zivilluftfahrt, 3003 Bern,
schriftlich die Ausstellung einer beschwerdefähigen Verfügung über das Prüfungsresultat verlangt werden.
Remarque:
Il est possible, dans les dix jours suivant la communication du résultat du Skill Test/Proficiency Check d'obtenir, sur réquête écrite auprès de
l'Office fédéral de l'aviation civile, 3003 Berne, une décision susceptible de recours portant sur le résultat dudit examen.
Avviso:
Entro dieci giorni dall'invio dei resultati dello Skill Test/Proficiency Check può essere richiesta per iscritto all'Ufficio federale dell'aviazione
civile, 3003 Berna, una decisione impugnabile sull'esito dell'esame.
Remark:
Within 10 days after receipt of this skill test/proficiency check result, an appealable decision about the test / check results may be requested in
writing to the Federal Office of Civil Aviation, 3003 Bern, using one of the official languages (German/French/Italian)

FOCA Form 62.020 05.2022 Part SFCL Annex