APPENDIX

Exhibit I. Mission Plan Worksheet ......................................... 2

Exhibit II. Pre-Flight Checklist............................................... 3

Exhibit III. Post-Flight Procedures............................................ 4

Exhibit IV. Flight Log .......................................................... 5

Exhibit V. Accident Log ...................................................... 6

Exhibit VI. Maintenance Log .................................................. 7

Exhibit VII. Pilot in Command Application .................................. 8

Exhibit VIII. Flight Authorization Form........................................ 9

Exhibit IX. Phantom 3 Advanced Product Information...................... 10
2

Mission Plan Worksheet

Mission Plan Worksheet Yes No NA Comment

Takeoff Location

Weather Report

Expected wind speeds (if>20knots, do 

not fly)

UAS Maintenance Status

Status of firmware

Inspect Motors

Inspect Props

Nearest town

Nearest Airport: Distance From?

Max Elevation

Max Speed

Approval from landowner(s)

Intended purpose of flight

Check NOTAM 

FSDO approval

Request COA

Pilot Name

Visual Observer (VO) Name

Duties of VO

Expected duration of flight

Time of Sunrise

Time of Sunset

Boundaries of flight plan

Characteristics of terrain

Review obstacles within flight plan

Review obstacles adjacent to plan 

boundaries

Potential hazards within flight plan

Emergency landing scenario
3

Pre-Flight Checklist

Pre-Flight Checklist Yes No NA Comment

Current weather onsite

Does visibility exceed 3nm

Battery Status of UAS (%)

Battery Status of flight controller (%)

Battery Status of flight viewer (%)

Ensure no frequency conflicts with video 

and transmitter

Check all moving parts and body of 

aircraft for any damage

Check motor mounts

Attach propellers

Inspect landing gear

Check electrical connections

Check camera mount is secure

Check for SD memory card

Set camera settings

Set Flight Mode to the correct positioning 

(P) mode

Turn on remote controller

Insert Battery into UAS

Ensure UAS is on level ground and safe 

for takeoff

Power up UAS

Ensure LED indicator lights and audible 

tones are correct

Connect mobile device to remote 

controller

Acquire satellites for GPS

GPS Signal Strength

Ensure Return to Home function is set

Calibrate Compass

Check for nearby people, animals, cars

Announce "Takeoff"

Hover at 3-5 feet for 30 seconds, listen for 

unusual noise/vibrations

Confirm safe to fly
4

Post Flight Procedures (Initial box once completed)

Power down UAS

Inspect UAS for any damage

Remove Battery from UAS

Turn off flight controller

Log flight
Flight Log

Date Location PIC VO Activity

Flight 

Time

Battery 

Before

Battery 

After Comments
6

Accident Log

Date of 

Accident

Time of 

Accident Location

Name of 

Injured, 

if any Action Taken

Reported 

to FAA/ 

NTSB Accident Details/Notes
7

Maintenance Log

Date UAS UAS SN Component(s)

Maintenance 

Activity

PostMaintenance 

Test Flight Person performing Maintenance/Comments
8

Pilot in Command Application

Pilot 

Name

Type of 

Pilot 

Certificate

Pilot License 

Number

Date 

acquired

Hours 

flying UAS

UAS 

Make/Model

Submitted 

UAS Pilot 

Log?

Approval 

Signature
9

Flight Authorization Form

By signing below, you are granting Elevate UAS LLC permission to operate their sUAS 

within 500 feet of the specified person(s), vehicle(s), vessel(s), and structure(s) to which 

you own or have authority over only on the date specified.

Date Name Location

Relation to 

Operation

Object sUAS 

will fly over Signature
10

Phantom 3 Advanced Product Information

Phantom 3 Advanced in the box - http://download.djiinnovations.com/downloads/phantom_3/en/Phantom_3_Advanced_In_the_Box_en_0901

.pdf

Phantom 3 Advanced Intelligent Flight Battery Safety Guidelines - http://download.djiinnovations.com/downloads/phantom_3/en/Intelligent_Flight_Battery_Safety_Guidelines

_en.pdf

Phantom 3 Advanced Safety Guideline Disclaimer - http://download.djiinnovations.com/downloads/phantom_3/en/Safety_Guidelines_Disclaimer_en_201509.pd

f

Phantom 3 Advanced Quick Start Guide - http://download.djiinnovations.com/downloads/phantom_3/en/Phantom_3_Advanced_Quick_Start_Guide_e

n_v1.2.pdf

Phantom 3 Advanced User Manual - http://download.djiinnovations.com/downloads/phantom_3/en/Phantom_3_Advanced_User_Manual_v1.4_e

n_0915.pdf