UAV-1003600-001
Page 17 of 17
Rev B
Appendix A
– Installation Record
A copy of this appendix must be used to record installation information and
must be kept in the aircraft permanent records.
A copy of this form must be submitted by visiting:
tailBeaconX Installation and Configuration Log
Date:
By:
Aircraft Information
Make:
Model:
Serial Number:
Registration Number:
tailBeaconX Information
Serial Number:
Wi-Fi SSID:
ADS-B Software Version:
GPS Software Version:
tailBeaconX Configuration
Aircraft Registration/Callsign:
ICAO Number (hex):
Maximum Aircraft Speed:
V
SO
(knots):
ADS-
B In Capability: □ 978 □ 1090
Emitter Type:
Aircraft Length:
Aircraft Width:
GPS Antenna Offset (Lat):
GPS Antenna Offset (Lon):
Customer Information
Name:
Email:
Telephone:
Address:
