UAS Monthly Flight Report

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Overview

Cover
Aircraft
Flights
Land Now
Encounters
Corrective Actions

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Sheet 1: Cover

Unmanned Aircraft System (UAS) Monthly Flight Report
Public Burden Statement A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0800. Public reporting for this collection of information is estimated to be approximately 60 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. All responses to this collection of information are required to obtain or retain a benefit (49 U.S.C. § 106(l) and (m)). Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524.
Complete and submit the UAS Monthly Flight Report by the tenth day of each month for the previous month's flights. Note: If operating under a 44807 exemption, use the UAS Exemption Monthly Flight report instead of this report.
Instrument/UAS Flights (10/24)

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Sheet 2: Aircraft

Unmanned Aircraft
Use this form to provide information about the unmanned aircraft (UA) used under each of the operator's approvals (authorizations, certifications, exemptions, waivers, etc.) during the reporting period.
Authorization, Certification, Exemption, or Waiver Number	UA Registration Number	UA Serial Number	UA Maximum Takeoff Weight (in pounds)	Maximum Airspeed (in miles per hour)	Maximum Flight Time (in minutes)

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Sheet 3: Flights

Unmanned Aircraft System (UAS) Monthly Flight Report
Report Month/Year	UA Registration Number	Total Number of Flights	Total Number of Flight Hours	Number of Flights Transporting HAZMAT	Number of "Land Now" events (Provide details on the "Land Now" tab.)	Number of flights that had interventions, incidents, or accidents (Provide details separately in the appropriate report.)	Used automated data service provider (ADSP)?	Name of ADSP	Number of encounters identified where a UA operated less than 6000' horizontally and less than 500' vertically of a manned aircraft (Provide details on the "Encounters" tab.)	For any corrective actions to previously-reported interventions, incidents, or accidents, provide an update on the "Corrective Actions" tab.
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Sheet 4: Land Now

Land Now Events
Use this form to provide details of each "Land Now" event.
Was the "Land Now" event performed automatically or manually?	Causal factor(s) of "Land Now" event	Corrective action(s) taken in response to "Land Now" event

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Sheet 5: Encounters

Encounters
Use this form to provide data about each identified encounter where a UA operated less than 6,000 feet horizontal distance and less than 500 feet vertical distance of a manned aircraft.
		Range at Closest Point of Approach for each Encounter
Cooperative or Non-Cooperative Sensor or Visual Observer?	Encounter Type	Closest Horizontal Value (in feet)	Closest Vertical Value (in feet)	Closest Slant Range Value (in feet)	Number of avoidance maneuvers performed automatically using onboard DAA systems	Number of collision avoidance maneuvers performed manually

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Sheet 6: Corrective Actions

	Corrective Actions
Use this form to provide updates on corrective actions to previously reported interventions, incidents, or accidents.
Date of Intervention, Incident, or Accident	Corrective Action Update