ATC Communication Log Form
Record and track all air traffic control communication exchanges in a structured log.
Date and Time of Communication
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Aircraft Call Sign
*
ATC Sector or Controller Identifier
*
Frequency Used (MHz)
*
Direction of Communication
*
Pilot to ATC
ATC to Pilot
Type of Communication
*
Clearance
Instruction
Request
Position Report
Emergency
Other
Message Content (verbatim or summary)
*
Readback or Confirmation Status
*
Correct Readback/Confirmation
Incorrect Readback/Confirmation
No Readback/Confirmation
Outcome or Action Taken
*
Acknowledged
Clarification Requested
Action Completed
No Action
Other
Additional Notes or Observations
Submit Log Entry
Should be Empty: