Autoritatea Aeronautică Civilă Română

Operator de date cu caracter personal înregistrat la ANSPDCP cu nr. 20425

PAC-FCL Partea 3 – Anexa 80- Fișă de evaluare

LPT Rating Sheet

Candidate’s family and first name(s): _______________________________________________________Test number: __________

Date of assessment: _____________ FIRST EXAMINER’S NAME AND SIGNATURE:_____________________________________
OVERALL LEVEL AWARDED BY FIRST EXAMINER:___________________

LPT number:

PART 1 – INTRODUCTION

PICTURE 1 IDENTIFIER: _________________________ PICTURE 2 IDENTIFIER: __________________________

Level awarded/Evidence (according to AMC2 FCL 055, Doc ICAO 9835)

ICAO Pronunciation Structure Vocabulary Fluency Comprehension Interactions
level Evidence Evidence Evidence Evidence Evidence Evidence
6 Never interferes Consistently well- Idiomatic, nuanced, Speaks at length, Consistently accurate Interacts with ease in
controlled sensitive to register. varies speech flow, nearly all situations
1□ 1□
Sufficient to
communicate on a wide
connectors used
spontaneously
1□ 1□
2□ 2□
variety of topics

2□ 1□ 1□ 2□
2□
2□
Rarely interferes Basic structures well- Sometimes idiomatic, Speaks at length on Mostly accurate, Responses are
5 controlled, complex are
sufficient on work familiar topics, uses comprehends a range of immediate and
1□ attempted
related topics connectors speech varieties informative
1□ □ □ □ □
2□ 1 1 1 1
2□
2□ 2□ 2□ 2□
4 Sometimes Basic structures Usually sufficient on Limited use of Mostly accurate on Responses are usually
interferes usually well- work related topics, connectors, common topics, may seek immediate and
controlled, local often paraphrases occasional loss of clarification informative. Checks,
1□ errors present successfully fluency, fillers not
distracting 1□
confirms and clarifies

2□ 1□ 1□ □ 1□
1 2□
2□ 2□ 2□
2□
3 Often interferes Basic structures Often sufficient on work Inappropriate Often accurate on Responses are
not always well- related topics, limited pausing, distracting common topics, may fail to sometimes immediate
1□ controlled,
frequent global
range, word choice
inappropriate
fillers and
hesitations
understand and informative.
Generally inadequate

2□
errors
1□ 1□ 1□ 1□
1□ 2□
2□ 2□ 2□
2□

Evidence:

2021 A80 - 1 Ediţia 1

 Autoritatea Aeronautică Civilă Română
Operator de date cu caracter personal înregistrat la ANSPDCP cu nr. 20425

PART 2 –LISTENING COMPREHENSION

FIRST EXAMINER:

Report: accurate/ partially accurate/ inaccurate

SECOND EXAMINER:

Report: accurate/ partially accurate/ inaccurate

EXTENSION QUESTION(s)

Level awarded/Evidence (according to AMC2 FCL 055, Doc ICAO 9835)

ICAO Pronunciation Structure Vocabulary Fluency Comprehension Interactions

level Evidence Evidence Evidence Evidence Evidence Evidence
6 Never interferes Consistently well- Idiomatic, nuanced, Speaks at length, Consistently accurate Interacts with ease in
controlled sensitive to register. varies speech flow, nearly all situations
1□ 1□
Sufficient to
communicate on a
connectors used
spontaneously
1□ 1□
2□ 2□
wide variety of topics

2□ 1□ 1□ 2□
2□
2□
Rarely interferes Basic structures well- Sometimes idiomatic, Speaks at length Mostly accurate, Responses are
5 controlled, complex are
sufficient on work on familiar topics, comprehends a range immediate and
1□ attempted
related topics uses connectors of speech varieties informative
1□ □ □ □ □
2□ 1 1 1 1
2□
2□ 2□ 2□ 2□
4 Sometimes Basic structures Usually sufficient on Limited use of Mostly accurate on Responses are usually
interferes usually well- work related topics, connectors, common topics, may immediate and
controlled, local errors often paraphrases occasional loss of seek clarification informative. Checks,
1□ present successfully fluency, fillers not
distracting 1□
confirms and clarifies

2□ 1□ 1□ □ 1□
1 2□
2□ 2□ 2□
2□
3 Often interferes Basic structures not Often sufficient on Inappropriate Often accurate on Responses are
always well- work related topics, pausing, distracting common topics, may sometimes immediate
1□ controlled, frequent
global errors
limited range, word
choice inappropriate
fillers and
hesitations
fail to understand and informative.
Generally inadequate

2□ 1□ 1□ 1□ 1□ 1□
2□
2□ 2□ 2□ 2□
Evidence:

Ediţia 1 A80 - 2 2021

 Autoritatea Aeronautică Civilă Română
Operator de date cu caracter personal înregistrat la ANSPDCP cu nr. 20425

PART 3 – LISTENING FOR SPECIFIC INFORMATION

FIRST EXAMINER: Recording 1 Q1 Q2 Q3

Recording 2 Q1 Q2 Q3
Recording 3 Q1 Q2 Q3

SECOND EXAMINER: Recording 1 Q1 Q2 Q3

Recording 2 Q1 Q2 Q3
Recording 3 Q1 Q2 Q3
*Put a tick if the answer is correct, a cross if it is incorrect and a slash (/) if the answer is partially correct
EXTENSION QUESTION(s)

Level awarded/Evidence (according to AMC2 FCL 055, Doc ICAO 9835)

ICAO Pronunciation Structure Vocabulary Fluency Comprehension Interactions

level Evidence Evidence Evidence Evidence Evidence Evidence
6 Never interferes Consistently well- Idiomatic, nuanced, Speaks at length, Consistently accurate Interacts with ease in
controlled sensitive to register. varies speech flow, nearly all situations
1□ 1□
Sufficient to
communicate on a
connectors used
spontaneously
1□ 1□
2□ 2□
wide variety of topics 1
2□ □ 2□
1 2 □
2□
Rarely interferes Basic structures well- Sometimes idiomatic, Speaks at length Mostly accurate, Responses are
5 controlled, complex are
sufficient on work on familiar topics, comprehends a range immediate and
1□ attempted
related topics uses connectors of speech varieties informative
1□ □ □ □ □
2□ 1 1 1 1
2□
2□ 2□ 2□ 2□
4 Sometimes Basic structures Usually sufficient on Limited use of Mostly accurate on Responses are usually
interferes usually well- work related topics, connectors, common topics, may immediate and
controlled, local errors often paraphrases occasional loss of seek clarification informative. Checks,
1□ present successfully fluency, fillers not
distracting
confirms and clarifies

2□ 1□ 1□ 1□ 1□ 1□
2□ 2□ 2□
2□ 2□
3 Often interferes Basic structures not Often sufficient on Inappropriate Often accurate on Responses are
always well- work related topics, pausing, distracting common topics, may sometimes immediate
controlled, frequent limited range, word fillers and fail to understand and informative.
1□ global errors choice inappropriate hesitations
1□
Generally inadequate

2□ 1□ 1□ 1□ 1□
2□
2□ 2□ 2□ 2□
Evidence:

2021 A80 - 3 Ediţia 1

 Autoritatea Aeronautică Civilă Română
Operator de date cu caracter personal înregistrat la ANSPDCP cu nr. 20425

PART 4 – INCIDENT SUMMARY & EXTENSION QUESTION(s)

Level awarded/Evidence (according to AMC2 FCL 055, Doc ICAO 9835)

ICAO Pronunciation Structure Vocabulary Fluency Comprehension Interactions

level Evidence Evidence Evidence Evidence Evidence Evidence
6 Never interferes Consistently well- Idiomatic, nuanced, Speaks at length, Consistently accurate Interacts with ease in
controlled sensitive to register. varies speech flow, nearly all situations
1□ 1□
Sufficient to
communicate on a
connectors used
spontaneously
1□ 1□
2□ 2□
wide variety of topics

2□ 1□ 1□ 2□
2□
2□
Rarely interferes Basic structures well- Sometimes idiomatic, Speaks at length Mostly accurate, Responses are
5 controlled, complex are
sufficient on work on familiar topics, comprehends a range immediate and
1□ attempted
related topics uses connectors of speech varieties informative
1□ □ □ □ □
2□ 1 1 1 1
2□
2□ 2□ 2□ 2□
4 Sometimes Basic structures Usually sufficient on Limited use of Mostly accurate on Responses are usually
interferes usually well- work related topics, connectors, common topics, may immediate and
controlled, local errors often paraphrases occasional loss of seek clarification informative. Checks,
1□ present successfully fluency, fillers not
distracting
confirms and clarifies

2□ 1□ 1□ 1□ 1□ 1□
2□ 2□ 2□ 2□
2□
3 Often interferes Basic structures not Often sufficient on Inappropriate Often accurate on Responses are
always well- work related topics, pausing, distracting common topics, may sometimes immediate
1□ controlled, frequent
global errors
limited range, word
choice inappropriate
fillers and
hesitations
fail to understand and informative.
Generally inadequate

2□ 1□ 1□ 1□ 1□ 1□
2□
2□ 2□ 2□ 2□

Evidence:

1 □ – FIRST EXAMINER

2 □ – SECOND EXAMINER

FINAL ASSESSMENT (to be filled in by SECOND EXAMINER)

Pronunciation Structure Vocabulary Fluency Comprehension Interactions

SECOND EXAMINER’S NAME and SIGNATURE: _________________________________________

DATE OF ASSESSMENT: __________________________

Ediţia 1 A80 - 4 2021

 Autoritatea Aeronautică Civilă Română
Operator de date cu caracter personal înregistrat la ANSPDCP cu nr. 20425

*THIRD ASSESSMENT (to be filled in by THIRD EXAMINER)

Pronunciation Structure Vocabulary Fluency Comprehension Interactions

THIRD EXAMINER’S NAME and SIGNATURE: _________________________________________

DATE OF ASSESSMENT: __________________________

* to be used in case of appeals also

2021 A80 - 5 Ediţia 1