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Fatigue Form
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1)
First Name
2)
Last Name
3)
Employee I.D.
4)
Current Email Address:
5)
Mailing Address:
6)
City:
7)
State:
8)
Zip:
9)
Contact Phone Number:
10)
Date
11)
Time of Day
12)
Check-in Time
13)
Reported To:
14)
Idle Time on Duty Today
15)
Released From Duty By
16)
Aircraft Type
17)
Sequence(s)
18)
On Reserve?
Yes
No
19)
List ALL legs flown today. Mark legs added to original schedule with a * (include Flight number, from/to, Scheduled Time, Actual Time, Conditions) Start with Leg number 1:
20)
Leg number 2
21)
Leg number 3
22)
Leg number 4
23)
Leg number 5
24)
Leg number 6
25)
Leg number 7
26)
Leg number 8
27)
Show Flight and Duty Times for previous 6 days: Start with Day number 1:
28)
Day # 2
29)
Day # 3
30)
Day # 4:
31)
Day # 5:
32)
Day # 6:
33)
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