Client Information
Name:
Attention:
Company:
Phone:
Address #1:
Address #2:
City:
State:
Zip:
Aircraft Description
Manufacturer:
Model:
Reg #:
Serial #:
Year of MFG:
Maintenance
Airframe Total Time:
Number of Landings:
Number Cycles:
Airframe Condition:
Log Books Original:
Comments:
Maintenance Annual Date:
Progressive Inspection:
Comments:
Time Limiters:
Cycle Limiters:
Comments:
Service Bulletins:
AD's Complied With:
Estimated Cost to Comply:
Damage History:
Current Damage:
Extent of Damage (Category):
Estimated Cost of Repairs:
Required Repairs:
Damage Event #1:
Date of Damage:
Extent of Damage (Category):
Repairs:
Damage Event #2:
Date of Damage:
Extent of Damage (Category):
Repairs:
Damage Event #3:
Date of Damage:
Extent of Damage (Category):
Repairs:
Airframe Condition
Tires:
Brakes (Type):
Anti Skid:
Exterior Paint Condition:
Re-paint Date:
Painted By:
Comments:
Interior Condition:
Cabin Configuration:
Cockpit Condition:
Panel Layout:
Pressurized Cabin:
Window Condition:
Comments:
Instrumentation
Full Panel:
Panel Configuration:
Dual Panel:
Panel Condition:
Additional Equipment
Dual Controls:
Type:
Stall Warning:
Stick Shaker:
Strobe Lights:
Rotating Beacon:
Navigation Lights:
Taxi Lights:
Long Range Fuel/Aux Tanks:
Aux Fuel Quantity:
Single Point Refueling:
Galley:
Cabinetry:
Toilet::
Other Equipent:
Comments:
De-Ice Systems
Known IC System:
Ice Lights:
Prop De-Ice:
Type:
Pitot Heat:
Wing/Tail Boots:
Condition:
Windshield De-Ice:
Wipers:
Jet Intake De-Ice:
Additional Comments
Comments:
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