<p> MISSION FLIGHT PLAN / BRIEFING FORM</p><p>Incident Name/Number: Incident Base: Sortie #</p><p>FLIGHT PLAN SECTION Pilot Qualifications: Aircraft Equipment Pilot: Mountain RADIO SAR SIGNAL PANELS RADIO CAP SIGNAL FLARES Observer: Night MESSAGE DROPS FIRST AID KIT GPS FIRE EXTINGUISHER DIGITAL CAMERA ELT Scanner L: AC Type VIDEO CAMERA DIRECTION FINDER Scanner R: Instrument SURVIVAL KIT</p><p>Mission Kit? Weather? NOTAM’s? W MOA’s? Airspace? Crew Rest? t &</p><p>B a l ?</p><p>1. Flt Plan 2. Acft ID: 3. 4. AC Type 5. TAS: 6. Depart. Point: 7. ETD: (00:00L) VFR IFR Mission Call Sig n</p><p>8. Route: 9. Time Enroute: (0.0) </p><p>10. Cruise Alt: 11. Destination: 15. Fuel on Board: (0.0)</p><p>13. Alternate: 14. Color Acft:</p><p>16. Current and Forecasted Weather: 17. ETA: (00:00L)</p><p>BRIEFING SECTION Mission Objective: Tracker Number: Grid Assignment:</p><p>Air to Ground Frequencies/Channels: Air to Air Frequencies/Channels: 123.1 123.2 122.9 123.1 123.2 122.775 122.9 123.45 STSAR 1 STSAR 2 STSAR 3 STSAR 1 STSAR 2 STSAR 3 OSSCR LERN VTAC ______OSSCR LERN VTAC ______MARINE ______CAP CC1 CAP TAC1 CAP AIR1 CAP Repeater ______CAP CC1 CAP TAC1 CAP AIR1 </p><p>CAP Repeater ______</p><p>Base Call Sign: Base Telephone#: Code Phrase: Find: Pilots Signature: Briefer Signature: Air Tactical Supervisor / FRO Signature: </p><p>DEBRIEFING SECTION Diagram sightings and major landmarks if No Track Printout available Search Data Sighting 1: Lat: Search Visibility: ______NM ______N Long: Search Speed: ______GS ______W</p><p>Track Spacing: ______NM Sighting 2: Lat: Track Altitude: ______AGL ______N Long: Pattern used: ______W</p><p>Weather in area: Use Degrees, Mins, Decimal ______(N47 29.50 / W122 34.06) WGS 84 Datum Takeoff: IN OUT Grid/Route/Area Landing: Total: Hours & Tenths Flight Time Gr All Times Local (L) (L) (L) id/ Ro ut e/ Ar ea</p><p>(L) Pilots Signature: Debriefer’s Signature: Air Tactical Supervisor Signature:</p><p>ICS 220A WSDOT – Aviation Emergency Services Ver. July 2015</p>