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Performance Work Statement Attachment 10 DA FORM

Updated

A PDF document (32 KB) attached to Fort Bliss Air Traffic Control Services, from the Department of the Army. Due Nov 4, 2026, 12:00 PM (UTC-8).

File name: J11_PWS_Attachment_10_DA_FORM_3479-1R_JUN2003.pdf

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TRAINEE/CONTROLLER EVALUATION

For use of this form, see FM 3-04.303; the proponent agency is TRADOC.

NAME

GRADE

TYPE OF TRAINING

POSITION/FACILITY EVALUATED

TRAINING MONTH

EXPECTED PERFORMANCE/REMARKS

SAT

EVALUATION FACTOR

A. SEPARATION

1. Separation is ensured.

B. CONTROL

JUDGEMENT

2. Awareness is maintained.

ATCS NUMBER

EVALUATION NUMBER

NEEDS

IMPROV

UNSAT

3. Good control judgement is applied.
4. Control actions are correctly planned.
5. Positive control of situations is provided.

C. TRAFFIC

MANAGEMENT

6. Prompt action to correct errors is taken.
7. Effective traffic flow is maintained.
8. Aircraft identity is maintained.
9. Professionalism is maintained.
10. Flight strip postings are correct and complete.

D. OPERATING

METHODS

AND

PROCEDURES

11. Clearance delivery is correct/complete/timely.
12. Letters of agreement/directives are adhered to.
13. Navigational assistance is provided.
14. Weather information is provided.
15. Handoff procedures are correctly performed.

E. COORDINATION

AND

COMMUNICATION

16. Necessary traffic advisories are provided.
17. Coordination is thorough.
18. Communication is clear and concise.
19. Necessary transmissions are made.

F. PHRASEOLOGY

20. Standard phraseology is adhered to

21. Voice quality is good.
22. Speech rate is correct.

G. EQUIPMENT

23. Equipment capabilities are fully understood/used.
24.
25.

H. OTHER (Specify)

26.
27.
28.
29.

TRAFFIC CONDITION

(Check one block
in each column.)

Light
Moderate
Heavy

DA FORM 3479-1-R, JUN 2003

Stable
Fluctuating

OVERALL RATING

DA Form 3479-1-R, APR 93, is obsolete.

USAPA V1.00

DATE

EVALUATOR COMMENTS

TYPED/PRINTED NAME AND GRADE

SIGNATURE

DATE

CONTROLLER/TRAINEE COMMENTS

THE UNDERSIGNED

AGREES

DISAGREES

(If you disagree with the evaluation, refer to specific items of contention in your comments.)

TYPED/PRINTED NAME AND GRADE

SIGNATURE

DATE

REVIEWING AUTHORITY COMMENTS

TYPED/PRINTED NAME, GRADE, AND TITLE

DA FORM 3479-1-R, JUN 2003

SIGNATURE

USAPA V1.00

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