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GPS RFI Information Submission FormPlease provide the following general information along with information/data for the possibleeffects (as applicable).General Information:1.Date of Event:2.Airplane Registration:3.Flight number:4.Flight Phase:5.Altitude during the event:6.Approximate start location and UTC of event:7.Approximate end location and UTC of event:8.Did the GPS systems recover automatically during the remaining duration of the flight?a.Did both GPS systems recover automatically?(Yes No)b.If the GPS system recovered automatically,what was the approximate duration of theGPS outage?(Hrs Min)c.If the GPS system did not recover automatically,what was done to recover the system?9.Please provide QAR/FDR/CPL/EAFR data for the event flight(sent to FRDS team)10.Please provide the part number of the GPS/MMR/INR unit and GPS antenna installed on theevent airplane:MMR PN:Antenna PN:11.If airplane is equipped with a:Honeywell INR or IMMR,please download and provide BITE data from that unit and sendin for analysis.For all other suppliers,if the unit was removed and replaced,was the unit sent back to thesupplier for additional analysis?Possible Effects:Time/Date-12.Did the airplane time/date on clocks or Auxiliary Displays change?a.What value did the time/date change to?b.Did the time/date recover automatically:-YES:What was the duration of the anomaly?HrsMin-NO:What actions were performed to recover the time/date?
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