Unmanned Aerial System Questionnaire

(UAV Proposal)

    Details of Proposer

    UAS Information

    UAS 1 UAS 2 UAS 3
    Make and Model
    Year of Manufacture
    Serial Number
    Maximum Take-off weight (kg)
    How many hours has the UAS type flown since production
    Single or Multi-Engine
    Engine type
    What is the engine overhaul / ultimate life on the engines
    Maximum operating rangeta
    Maximum operating endurance
    Hull Sum to be Insured
    Required Liability Limit

    Is the UAS to be insured a prototype/development vehicle, or a series production machine?

    How does UAV take-off? conventional undercarriage/ launch rail/ rocket assissted etc.

    How does the UAS recover/land? Recovery net, parachute, conventional landing on an undercarriage etc.

    Do primary flight control surfaces have any form of control redundancy?

    if yes, please supply details

    If the engine/generator fails, is there any alternate electrical power supply (i.e. onboard battery) to provide electrical power for communication link and controls? Could the vehicle attempt a glide return to base?

    In the event of any malfunction during the flight, are there any fail-safe systems (auto recovery / parachute system)?

    If “yes” please supply details.

    UAS Uses

    (Estimate hours per year) UAS 1 UAS 2 UAS 3
    Aerial Surveying / Photography
    Powerline Inspection
    Agriculture Operation
    Sporting events / Festivals
    Total Hours

    Are any unusual manoeuvres being carried out?

    If possible, please provide a summary on the proposed flight test schedule (i.e. how many hours of basic manoeuvre, cruise, high altitude / low altitude etc. to be flown)

    Will any take-off or landings be carried out in poor visibility or at night (either be external pilot or autonomous)?

    Is the UAS operated in controlled airspace or over built-up areas? (please specify)

    Ground Control Station & Communication

    UAS 1 UAS 2 UAS 3
    Operates inline of sight or GPS
    Take-off / Landing – fully autonomous or external pilot
    Single or Dual communications
    Mean time between failure (MTBF)
    Is there any form of comms “Relay” employed?
    Communication type
    Communication range

    If communication / contact is lost in flight can the UAS return to base on its own?

    If yes, what is the procedure for attempting to retain contact with the UAS once it is overhead the ground station / recovery zone?

    What is the operational range / radius of the UAS from the ground station?

    Additional Equipment (Cameras)

    Make and Model Serial Number Insured Value



    Controller 1 Controller 2 Controller 3 Controller 4
    Total UAS time (hrs)
    Total UAS make & model (hrs)
    Total aeronautical experience (hrs)
    Controllers License number
    Other pilot qualifications held

    Have any controller has any accidents or claims in the last 5 years?

    (Please include date, locations, and circumstances of loss to an airframe and any damage to third parties and details of any insurance / client pay outs to third parties as a result of the incident/s)

    Provide details of relevant training undertaken in the past 2 years

    gate review
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