AVM863 - RFDS SE Airstrip Information Notification Form
Keeping us up to date with the details and condition of your airstrip greatly assists our pilots with flight planning when we need to reach you quickly.
Name of Station
*
Submitter's Name
*
First Name
Last Name
Submitter's Phone Number
-
Area Code
Phone Number
Submitter's Email
*
example@example.com
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Airstrip Contact Details
UHF Channel
Airstrip Primary Contact
Name (Primary)
*
Contact Number (Primary)
*
Contact Email (Primary)
*
This will be used to provide information relevant to airstrip owners.
Secondary Contact
Name (Secondary)
Contact Number (Secondary)
Contact Email (Secondary)
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Basic Strip Information
Is there mobile coverage at the Airstrip
Yes
No
Location (Lat & Long) (Degrees, Minutes, Decimal Minutes) eg. 30 23.3S 142 35.7E
*
Preferably from Centrepoint of runway/s
Elevation (Feet)
*
Lighting (Tick all that apply)
*
Pilot Activated Lighting (PAL)
E-Flares (permanent)
E-Flares (portable)
Solar Flares (permanent)
Solar Flares (portable)
None
Other
Is the airstrip ever exposed to livestock?
*
No
Yes (please provide details and frequency)
Is there an RFDS Medical Chest on location
*
Yes
No
Would you like to be contacted about applying for an RFDS Medical Chest
Yes
No
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Primary Runway
Primary Runway Direction (Deg)
*
Primary Runway Length (m)
*
Primary Runway Width (m)
*
Primary Runway slope or undulations
Primary Runway surface
*
Clay
Sealed
Grass
Gravel
Stone
Sand
Other
Primary Runway Description
*
Primary Runway - Obstacles within 200m of Runway eg. trees, tall fences or powerlines
*
No
Yes (Please describe)
Secondary Runway
Leave blank if not applicable
Secondary Runway Direction (Deg)
Secondary Runway Length (m)
Secondary Runway Width (m)
Secondary Runway slope or undulations
Secondary Runway surface
Clay
Sealed
Grass
Gravel
Stone
Sand
Other
Secondary Runway Description
Secondary Runway - Obstacles within 200m of Runway eg. trees, tall fences or powerlines
No
Yes (Please describe)
Any Additional Notes
Submit
Should be Empty: