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Report No.
2006-0002
Rev. 00
Registration No.
Unknown
Manufacturer:
Cessna
Model:
170 & 172 Sample Report
Airframe Serial No.
This information or data contained in this document was provided by the
owner/operator or obtained from acceptable Internet sources for the
aircraft identified. We do not confirm the accuracy for this information but
just provide a service to covert said information into a digital record.
Aircraft Records and Related Data
(Archived Report)
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INTRODUCTION
REPORT PREPARED BY
 RFA Associates
Greensboro, NC 27410
Phone 336.297.0814 • Fax 336.297.0814
www.avtraining.com
E-mail [email protected]
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REVISION AND PAGE STATUS
The currency of this report is reflected in the revision/date which follows lists the date on which report
was revised.
Report
No.
Revision
No.
Date of
Report
2006-0002
2006-0002
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CHAPTER 7 – W & B
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CHAPTER 4 - FORMS
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Table of Contents
Revision Record
3
AC 43-210 (Procedures For Field Approval)
Table of Content
4
AC 91-67 Minimum Equip For GA Ops
Introduction
5
ASRS Report Form
Aircraft Identification & Configuration
5
8040.1 (AD Manual - digital)
Aircraft Identification Chart
6
Report Description
7
CHAPTE R
1-
CHAPTE R
5
–
DER
LI ST( 20 05)
North Carolina DER
TCDS
Airframe
Engine
CHAPTE R
Propeller
CHAPTE R
Aircraft
2-
AD
Discrepancies
INDEXES
Airframe Index
2
Engine Index
5
Propeller Index
7
Compliance Reports / Logbook Records
CHAPTE R
3- BULL ETINS
(If available)
Airframe
2
Engine
4
Propeller
6
CHAPTE R
6– PHOTOGRAPH S
4
–
FORMS&
Repairs and Modifications
CHAPTE R
7– WEIGHT
&
BALANCE
Chapter Description
1
Sample W&B / Flight Envelope Spreadsheet
3
Sample W&B Form
5
Aircraft W& B Records
6
DOC S
100-Hour Sign Off (Labels)
3
Annual Sign Off (Labels)
4
Unairworthy Letter (digital)
5
337 Form (digital and paper)
ICA Checklist (digital and paper copy)
AC 20-106 (digital) A/C Inspections GA Owners
AC 43.13-1B (digital)
AC 43.13-2A (digital)
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Introduction
I.
Introduction
The purpose of this report is to compile all applicable data pertaining to a specific aircraft into a
digital format. Most of the data is formatted in Adobe Acrobat PDF format or Microsoft Word. The data will
be linked within the report and printable. If a “free” copy of Adobe Acrobat Reader is required, it can be
obtained on the Internet directly from the highlighted link http://www.adobe.com/products/acrobat/readstep2.html.
Note:
Any report created for a specific aircraft is a snapshot of that aircraft’s maintenance activities. The
report is than time sensitive, as is the aircraft, which is continually under review for ensuring its
airworthiness. This report can be amended to reflect changes and additions (maintenance or
modifications). Archiving services for all FAA mandated records; modifications or repairs for an
aircraft are available. This service can digitally create an Adobe Acrobat file for all your aircraft’s
records, pictures, or other pertinent information, which you wish to retain. The information can be
contained on a CD-ROM disk, which is easily transportable and viewable. This digitally created
information can be use to recreate aircraft records if for some reason the permanent records are
damaged or destroyed. In many cases, this can increase the resale value of an aircraft
II.
Aircraft Identification/Configuration
The aircraft identified in the table, which follows, contains the model and serial numbers for the
airframe, engines, and propellers as they were obtained for the generation of this report. Any
changes to this configuration will invalidate some of the information contained herein. It is the
responsibility of the owner/operator to verify aircraft’s current configuration.
Note:
As required by Federal Aviation Regulation §91.417 (a), and (2) (v).
(a) Except for work performed in accordance with §§91.411 and 91.413, each registered owner
or operator shall keep the following records for the periods specified in paragraph (b) of this
section:
(2)(v) The current status of applicable airworthiness directives (AD) including, for each, the
method of compliance, the AD number, and revision date. If the AD involves recurring
action, the time, and date when the next action is required.
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Aircraft Configuration Chart
Data
Reg. No.
XXXXXX
Manufacturer
TC Airframe
Cessna
172
Manufacturer
Serial No.
Manufacturer
Manufacturer
Model
Serial No.
Notes
Sensenich
Model
Serial No.
Prop 2
TC Prop
Eng 2
TC Engine
Model
Propellers
Prop 1
Eng 1
Mfg. S/N
Engines
Model
Serial No.
Note:
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III.
Report Description
The information contained in this report was obtained from several FAA acceptable sources.
These sources meet all FAA requirements for IA's and Certified Repair Stations to have access
to Current Airworthiness Directives.
The AD Summaries includes both the “Series” and the “Model” AD's for the listed aircraft.
As an example, if your aircraft model is a "Cessna 172D" the summary report will display all of
the AD's that apply to that airframe including the 172 Series AD's.
A.
Report Layout
This report is designed to allow for easy access to necessary information needed to
maintain airworthiness of the identified aircraft. The AD's, TCDS and other related
data is available to be used to view and print as needed. Most of the data is formatted
in Adobe Acrobat PDF format or Microsoft Word. If a “free” copy of Adobe Acrobat
Reader is required, it can be obtained on the Internet directly from the highlighted link
http://www.adobe.com/products/acrobat/readstep2_allversions.html. All data is
accessible by clicking the “Blue Hyperlink” on the Master AD Indexes, which are
located in chapter 1.
a. Chapter 1 – Type Certificated Data Sheets for airframe, engine and propeller
aircraft.
b. Chapter 2 – Master AD Indexes for the aircraft being reported on. This chapter
contains the AD’s, which are likely to apply to the particular aircraft referenced in the
report and are applicable for maintaining airworthiness. Compliance forms to record
the compliance of AD’s or Engineering Orders. Digital record of all logbook entries.
c. Chapter 3 – Service Letters/Bulletins a reference to manufacture letters or bulletins,
which may be called out in an airworthiness directive.
d. Chapter 4 – Forms and Documents this chapter contains both paper and digital
forms or documents that the owner/operator may find useful. They are provided for
information and their currency should be validated.
Note:
The forms and documents listed in the TOC are all in PDF. All that is
necessary to view the documents is to “clicked” on the name and the
selected document opens in a new window. It must be remembered
however, once a new document is opened from the TOC list, it will closed
down the original document (report pdf file). It will be necessary to
reopen the report file to select other archived information.
e. Chapter 5 – DER Listing a listing of all DER’s and their approval ratings. This is
only included for information and the validity of the information cannot be confirmed.
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f. Chapter 6 – Photographs subject aircraft, which can be used to document specific
condition and repairs pertaining to the aircraft.
g. Chapter 7 – Weight and Balance contains all information pertaining to subject
aircraft’s weight and balance history. A Microsoft Excel spreadsheet for calculation of
weight and balance changes is located on CD. There may also be included an Excel
spreadsheet for the calculation of aircraft weight and balance with graphic display of
flight envelope.
B.
Password Protection
Each report can be password protected at the owner/operator choice. This service will
be provided if requested with the selection of password by the owner/operator.
C.
CD-ROM Disk Operation
The CD-ROM disk must be placed in the “D” drive of your computer to operate
properly with all the data links. If “D” drive is not available on your computer, notify
RFA Associates at [email protected] or 336-297-0814 for assistance.
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Report No.
2006-0002
Rev. 00
CHAPTER 1
Registration No.
Unknown
Manufacturer:
Model:
Serial No.
TCDSINFORMATION
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CHAPTER 1
REPORT PREPARED BY
 RFA Associates
Greensboro, NC 27410
Phone 336.297.0814 • Fax 336.297.0814
www.avtraining.com
E-mail [email protected]
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CHAPTER 1
TCDS
I.
Information
The TCDS provided in this report are for reference only and are being provided for to the
customer as is. The TCDS provided were current on the date of this report; if specific data is
required, the operator/mechanic needs to verify the currency of the information provided to
the customer in this report.
All TCDS included in this report were obtained from an FAA acceptable source and can be
viewed or printed from your Adobe Acrobat Reader program. Each of the TCDS is linked and
can be accessed by clicking on the respective reference below or from the Adobe bookmark.
The data for TCDS and Airworthiness Directives is provided in digital form, however if the
owner/operator desires printed copies of any documents can be provided. These printed
forms and records can be supplied in a loose leaf or spiral binder for the customer’s use. There
are additional charges for this service.
Airframe TCDS
Powerplant TCDS
Propeller TCDS
Cessna Aircraft
A-799 Rev 54
Teledyne Continental
Motors
E-253 Rev 18
McCauley (1A170)
P-857 Rev 24
Sensenich (73BR5)
P-170 Rev 29
Kopper (F200-H/00-74E)
P-820 Rev 17
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CHAPTER 1
Report No.
2006-0002
Rev. 00
CHAPTER 2
Registration No.
Unknown
Manufacturer:
Model:
Serial No.
AIRWORTHINESS
INFORMATION
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CHAPTER 2
REPORT PREPARED BY
 RFA Associates
Greensboro, NC 27410
Phone 336.297.0814 • Fax 336.297.0814
www.avtraining.com
E-mail [email protected]
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CHAPTER 1
Airworthiness
I.
Description
The information contained in this chapter refers to the airworthiness of the specific aircraft
identified. All data pertaining to the compliance with required airworthiness directives was
provided by the owner/operator and are contained in this chapter for archival duplication. An
AD compliance record form is also included to reflect which airworthiness directives are
required for continued airworthiness.
It is the owner/operator responsibility to insure compliance with all airworthiness requirements
for their aircraft.
II.
Airworthiness Directive Compliance Reference
Compliance ADs will be included for series and specific models. This will carry over on engine and
propeller airworthiness directives. Example: Cessna 170A Model Series and Cessna 172 Series for
additional information. The compliance report shown below is an example of how the actual report
will look like, it is the customer’s decision on which format they require.
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CHAPTER 2
AIRFRAME AIRWORTHINESS DIRECTIVES
Manufacturer: Cessna Aircraft Company TC No.: A-799
Airworthiness Directives for Model: 170
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 10
AD Number
Rec Subject
Effective
48-43-02
Yes Continental C-125-2 engines
12/31/48
69-15-03
Yes Muffler assembly
08/20/69
73-17-01
No
08/16/73
74-06-02
Yes AVCON mufflers
03/18/74
78-26-09
No
Superseded by 79-10-14
01/01/78
79-08-03
No
Electrical system
06/06/79
79-10-14 R1
No
Fuel tank venting
05/30/88
86-26-04
No
Superseded by 2004-19-01
01/06/87
87-20-03 R2
Yes Seat tracks
09/24/90
2004-19-01
No
11/01/04
Fuel transfer pump placard
Upper shoulder harness adjusters
Manufacturer: Cessna Aircraft Company TC No.: A-799
Airworthiness Directives for Model: 170A
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 11
AD Number
Rec Subject
Effective
48-43-02
Yes Continental C-125-2 engines
12/31/48
69-15-03
Yes Muffler assembly
08/20/69
73-17-01
No
08/16/73
74-06-02
Yes AVCON mufflers
03/18/74
78-26-09
No
Superseded by 79-10-14
01/01/78
79-08-03
No
Electrical system
06/06/79
79-10-14 R1
No
Fuel tank venting
05/30/88
82-07-02
No
Engine crankcase breather
04/08/82
86-26-04
No
Superseded by 2004-19-01
01/06/87
87-20-03 R2
Yes Seat tracks
09/24/90
2004-19-01
No
11/01/04
Fuel transfer pump placard
Upper shoulder harness adjusters
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Manufacturer: Cessna Aircraft Company TC No.: A-799
Airworthiness Directives for Model: 170B
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 12
AD Number
Rec Subject
Effective
48-43-02
Yes Continental C-145-2 engines
12/31/48
69-15-03
Yes Muffler assembly
08/20/69
73-17-01
No
08/16/73
74-06-02
Yes AVCON mufflers
03/18/74
78-26-09
No
Superseded by 79-10-14
01/01/78
79-08-03
No
Electrical system
06/06/79
79-10-14 R1
No
Fuel tank venting
05/30/88
82-07-02
No
Engine crankcase breather
04/08/82
86-26-04
No
Superseded by 2004-19-01
01/06/87
87-20-03 R2
Yes Seat tracks
09/24/90
99-27-02
No
Fuel selector valve cams
01/21/00
2004-19-01
No
Upper shoulder harness adjusters
11/01/04
Fuel transfer pump placard
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CHAPTER 2
POWERPLANT AIRWORTHINESS DIRECTIVES
Manufacturer: Teledyne Continental TC No.: E-253
Airworthiness Directives for Model: O-300-A
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 8
AD Number
Rec Subject
Effective
93-10-02
No
Valve retainer key
08/12/93
93-11-03
No
Connecting rod
07/13/93
93-11-03 L
No
Connecting rod
06/01/93
94-05-05 R1
Yes Cracks - cylinder rocker shaft bosses
02/13/96
98-17-11
No
Crankshafts serviced by Nelson Balancing
10/19/98
98-17-11 C1
No
Crankshafts serviced by Nelson Balancing
10/19/98
2000-11-51 E
No
Superseded by 2002-11-04
06/07/00
2002-13-04
No
Replace Unison Industries (Slick) Magnetos
07/12/02
Manufacturer: Teledyne Continental TC No.: E-253
Airworthiness Directives for Model: O-300-B
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 6
AD Number
Rec Subject
Effective
93-10-02
No
08/12/93
94-05-05 R1
Yes Cracks - cylinder rocker shaft bosses
02/13/96
98-17-11
No
Crankshafts serviced by Nelson Balancing
10/19/98
98-17-11 C1
No
Crankshafts serviced by Nelson Balancing
10/19/98
2000-11-51 E
No
Superseded by 2002-11-04
06/07/00
2002-13-04
No
Replace Unison Industries (Slick) Magnetos
07/12/02
Valve retainer key
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CHAPTER 2
Manufacturer: Teledyne Continental TC No.: E-253
Airworthiness Directives for Model: O-300-C
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 8
AD Number
Rec Subject
Effective
93-10-02
No
Valve retainer key
08/12/93
93-11-03
No
Connecting rod
07/13/93
93-11-03 L
No
Connecting rod
06/01/93
94-05-05 R1
Yes Cracks - cylinder rocker shaft bosses
02/13/96
98-17-11
No
Crankshafts serviced by Nelson Balancing
10/19/98
98-17-11 C1
No
Crankshafts serviced by Nelson Balancing
10/19/98
2000-11-51 E
No
Superseded by 2002-11-04
06/07/00
2002-13-04
No
Replace Unison Industries (Slick) Magnetos
07/12/02
Manufacturer: Teledyne Continental TC No.: E-253
Airworthiness Directives for Model: O-300-D
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 10
AD Number
Rec Subject
Effective
93-10-02
No
Valve retainer key
08/12/93
93-11-03
No
Connecting rod
07/13/93
93-11-03 L
No
Connecting rod
06/01/93
94-05-05 R1
Yes Cracks - cylinder rocker shaft bosses
02/13/96
94-14-12 L
No
Superseded by 95-21-15
06/23/94
95-21-15
No
Contaminated Aviation Fuel
11/28/95
98-17-11
No
Crankshafts serviced by Nelson Balancing
10/19/98
98-17-11 C1
No
Crankshafts serviced by Nelson Balancing
10/19/98
2000-11-51 E
No
Superseded by 2002-11-04
06/07/00
2002-13-04
No
Replace Unison Industries (Slick) Magnetos
07/12/02
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Manufacturer: Teledyne Continental TC No.: E-253
Airworthiness Directives for Model: O-300-E
Rec (Yes); Indicates a Recurring AD.
AD Number
Rec
Number of ADs: 6
Subject
Effective
93-10-02
No
Valve retainer key
08/12/93
94-05-05 R1
Yes
Cracks - cylinder rocker shaft bosses
02/13/96
98-17-11
No
Crankshafts serviced by Nelson Balancing
10/19/98
98-17-11 C1
No
Crankshafts serviced by Nelson Balancing
10/19/98
2000-11-51 E
No
Superseded by 2002-11-04
06/07/00
2002-13-04
No
Replace Unison Industries (Slick) Magnetos
07/12/02
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CHAPTER 2
PROPELLER AIRWORTHINESS DIRECTIVES
Manufacturer: Kopper Aeromatic Props TC No.: P-820
Airworthiness Directives for Model: F200
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 4
AD Number
Rec Subject
Effective
47-50-13
Yes Koppers aeromatic propellers
01/01/47
49-42-01
No
Superseded by 50-34-01
01/01/49
50-34-01
No
Blade retaining flanges
04/01/52
73-20-08
No
(See Univair Propellers)
10/04/73
Manufacturer: Kopper Aeromatic Props TC No.: P-820
Airworthiness Directives for Model: F200-H
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 4
AD Number
Rec Subject
Effective
47-50-13
Yes Koppers aeromatic propellers
01/01/47
49-42-01
No
Superseded by 50-34-01
01/01/49
50-34-01
No
Blade retaining flanges
04/01/52
73-20-08
No
(See Univair Propellers)
10/04/73
Manufacturer: McCauley TC No.: P-857
Airworthiness Directives for Model: 1A170
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 4
AD Number
Rec Subject
Effective
80-04-05
No
02/14/80
82-27-01
Yes Propeller failure
12/30/82
2003-13-17
No
Props serviced by T and W Propellers
07/18/03
2005-14-11
No
Blades serviced by Southern Calif. Prop. Service
08/17/05
Superseded by 82-27-01
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Report No.
2006-0002
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CHAPTER 3
Registration No.
Unknown
Manufacturer:
Model:
Serial No.
170XXXXXX
SERVICE
BULLETINS
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CHAPTER 3
REPORT PREPARED BY
 RFA Associates
Greensboro, NC 27410
Phone 336.297.0814 • Fax 336.297.0814
www.avtraining.com
E-mail [email protected]
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CHAPTER 3
Bulletins/Alerts
I.
Description
This chapter contains references or links to Service Bulletins, Letters, or Alerts, which are
referenced in applicable ADs. Not all bulletins, letters or alerts may be available for viewing or
printing; those, which are, will have links to the applicable document. All Service Bulletins or
Letters can be obtained from the manufacturer; there may be a charge for their data.
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AIRFRAME AIRWORTHINESS DIRECTIVES
Manufacturer: Cessna Aircraft Company TC No.: A-799
Airworthiness Directives for Model: 170
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 10
AD Number
Rec Subject
Bulletin References
48-43-02
Yes Continental C-125-2 engines
Continental Service Bulletins
Nos. M48-20 and M48-25 covers
this same subject.
69-15-03
Yes Muffler assembly
Piper Service Letter No. 324B
describes the critical areas
73-17-01
No
Cessna Service Letter No. SE6924
74-06-02
Yes AVCON mufflers
78-26-09
No
Superseded by 79-10-14
79-08-03
No
Electrical system
79-10-14 R1
No
Fuel tank venting
86-26-04
No
Superseded by 2004-19-01
87-20-03 R2
Yes Seat tracks
Cessna Single Engine Service
Information Letter SE83-6
2004-19-01
No
Cessna Single Engine Service
Bulletin SEB86-8 and Revision 1
Fuel transfer pump placard
Upper shoulder harness adjusters
Avcon Industries Service Letter
No. 1
Cessna Service Letter SE77-6
Manufacturer: Cessna Aircraft Company TC No.: A-799
Airworthiness Directives for Model: 170A
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 11
AD Number
Rec Subject
Bulletin References
48-43-02
Yes Continental C-125-2 engines
Continental Service Bulletins
Nos. M48-20 and M48-25 covers
this same subject.
69-15-03
Yes Muffler assembly
Piper Service Letter No. 324B
describes the critical areas
73-17-01
No
Cessna Service Letter No. SE6924
74-06-02
Yes AVCON mufflers
78-26-09
No
Fuel transfer pump placard
Avcon Industries Service Letter
No. 1
Superseded by 79-10-14
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79-08-03
No
Electrical system
79-10-14 R1
No
Fuel tank venting
82-07-02
No
Engine crankcase breather
86-26-04
No
Superseded by 2004-19-01
87-20-03 R2
Yes Seat tracks
Cessna Single Engine Service
Information Letter SE83-6
2004-19-01
No
Cessna Single Engine Service
Bulletin SEB86-8 and Revision 1
Upper shoulder harness adjusters
Cessna Service Letter SE77-6
Cessna Service Letter ME78-47
(Rev. 1)
Manufacturer: Cessna Aircraft Company TC No.: A-799
Airworthiness Directives for Model: 170B
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 12
AD Number
Rec Subject
Bulletin References
48-43-02
Yes Continental C-145-2 engines
Continental Service Bulletins
Nos. M48-20 and M48-25 covers
this same subject.
69-15-03
Yes Muffler assembly
Piper Service Letter No. 324B
describes the critical areas
73-17-01
No
Cessna Service Letter No. SE6924
74-06-02
Yes AVCON mufflers
78-26-09
No
Superseded by 79-10-14
79-08-03
No
Electrical system
79-10-14 R1
No
Fuel tank venting
82-07-02
No
Engine crankcase breather
86-26-04
No
Superseded by 2004-19-01
87-20-03 R2
Yes Seat tracks
Cessna Single Engine Service
Information Letter SE83-6
99-27-02
No
Fuel selector valve cams
Cessna Service Bulletin SEB99-7
2004-19-01
No
Upper shoulder harness adjusters
Fuel transfer pump placard
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Avcon Industries Service Letter
No. 1
Cessna Service Letter SE77-6
Cessna Service Letter ME78-47
(Rev. 1)
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CHAPTER 3
POWERPLANT AIRWORTHINESS DIRECTIVES
Manufacturer: Teledyne Continental TC No.: E-253
Airworthiness Directives for Model: O-300-A
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 8
AD Number
Rec Subject
Bulletin References
93-10-02
No
Valve retainer key
TCM Mandatory Service Bulletin
(MSB) No. 93-12
93-11-03
No
Connecting rod
93-11-03 L
No
Connecting rod
94-05-05 R1
Yes Cracks - cylinder rocker shaft bosses
98-17-11
No
Crankshafts serviced by Nelson Balancing
98-17-11 C1
No
Crankshafts serviced by Nelson Balancing
2000-11-51 E
No
Superseded by 2002-11-04
TCM Mandatory Service
Bulletin (MSB) 00-6
2002-13-04
No
Replace Unison Industries (Slick) Magnetos
TCM Mandatory Service Bulletin
00-6A
Manufacturer: Teledyne Continental TC No.: E-253
Airworthiness Directives for Model: O-300-B
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 6
AD Number
Rec Subject
Bulletin References
93-10-02
No
TCM Mandatory Service Bulletin
(MSB) No. 93-12
94-05-05 R1
Yes Cracks - cylinder rocker shaft bosses
98-17-11
No
Crankshafts serviced by Nelson Balancing
98-17-11 C1
No
Crankshafts serviced by Nelson Balancing
2000-11-51 E
No
Superseded by 2002-11-04
TCM Mandatory Service
Bulletin (MSB) 00-6
2002-13-04
No
Replace Unison Industries (Slick) Magnetos
TCM Mandatory Service Bulletin
00-6A
Valve retainer key
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Manufacturer: Teledyne Continental TC No.: E-253
Airworthiness Directives for Model: O-300-C
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 8
AD Number
Rec Subject
Bulletin References
93-10-02
No
Valve retainer key
TCM Mandatory Service Bulletin
(MSB) No. 93-12
93-11-03
No
Connecting rod
93-11-03 L
No
Connecting rod
94-05-05 R1
Yes Cracks - cylinder rocker shaft bosses
98-17-11
No
Crankshafts serviced by Nelson Balancing
98-17-11 C1
No
Crankshafts serviced by Nelson Balancing
2000-11-51 E
No
Superseded by 2002-11-04
TCM Mandatory Service
Bulletin (MSB) 00-6
2002-13-04
No
Replace Unison Industries (Slick) Magnetos
TCM Mandatory Service Bulletin
00-6A
Manufacturer: Teledyne Continental TC No.: E-253
Airworthiness Directives for Model: O-300-D
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 10
AD Number
Rec Subject
Bulletin References
93-10-02
No
Valve retainer key
TCM Mandatory Service Bulletin
(MSB) No. 93-12
93-11-03
No
Connecting rod
93-11-03 L
No
Connecting rod
94-05-05 R1
Yes Cracks - cylinder rocker shaft bosses
94-14-12 L
No
Superseded by 95-21-15
95-21-15
No
Contaminated Aviation Fuel
98-17-11
No
Crankshafts serviced by Nelson Balancing
98-17-11 C1
No
Crankshafts serviced by Nelson Balancing
2000-11-51 E
No
Superseded by 2002-11-04
TCM Mandatory Service
Bulletin (MSB) 00-6
2002-13-04
No
Replace Unison Industries (Slick) Magnetos
TCM Mandatory Service Bulletin
00-6A
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Manufacturer: Teledyne Continental TC No.: E-253
Airworthiness Directives for Model: O-300-E
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 6
AD Number
Rec Subject
Bulletin References
93-10-02
No
TCM Mandatory Service
Bulletin (MSB) No. 93-12
94-05-05 R1
Yes Cracks - cylinder rocker shaft bosses
98-17-11
No
Crankshafts serviced by Nelson Balancing
98-17-11 C1
No
Crankshafts serviced by Nelson Balancing
2000-11-51 E
No
Superseded by 2002-11-04
TCM Mandatory Service
Bulletin (MSB) 00-6
2002-13-04
No
Replace Unison Industries (Slick) Magnetos
TCM Mandatory Service
Bulletin 00-6A
Valve retainer key
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CHAPTER 3
PROPELLER AIRWORTHINESS DIRECTIVES
Manufacturer: Kopper Aeromatic Props TC No.: P-820
Airworthiness Directives for Model: F200
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 4
AD Number
Rec Subject
Bulletin References
47-50-13
Yes Koppers aeromatic propellers
Koppers Service Bulletin No. 12,
dated October 9, 1947, covers this
same subject.)
49-42-01
No
Superseded by 50-34-01
50-34-01
No
Blade retaining flanges
Koppers Service Bulletin No. 22
Koppers Service Bulletin No. 23E
Koppers Service Bulletin No. 24
(See Univair Propellers)
Service Bulletin No. 29 on this
same subject is available from
Univair Aircraft Corporation,
Route 3, Box 59, Aurora, Colorado
80010
73-20-08
No
Manufacturer: Kopper Aeromatic Props TC No.: P-820
Airworthiness Directives for Model: F200-H
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 4
AD Number
Rec Subject
Bulletin References
47-50-13
Yes Koppers aeromatic propellers
Koppers Service Bulletin No. 12,
dated October 9, 1947, covers this
same subject.)
49-42-01
No
Superseded by 50-34-01
50-34-01
No
Blade retaining flanges
Koppers Service Bulletin No. 22
Koppers Service Bulletin No. 23E
Koppers Service Bulletin No. 24
(See Univair Propellers)
Service Bulletin No. 29 on this
same subject is available from
Univair Aircraft Corporation,
Route 3, Box 59, Aurora, Colorado
80010
73-20-08
No
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Manufacturer: McCauley TC No.: P-857
Airworthiness Directives for Model: 1A170
Rec (Yes); Indicates a Recurring AD.
Number of ADs: 4
AD Number
Rec Subject
Bulletin References
80-04-05
No
82-27-01
Yes Propeller failure
2003-13-17
No
Props serviced by T and W Propellers
2005-14-11
No
Blades serviced by Southern Calif. Prop. Service
Superseded by 82-27-01
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Report No.
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Rev. 00
CHAPTER 4
Registration No.
Unknown
Manufacturer:
Model:
Serial No.
170XXXXXXX
FORMS &
DOCUMENTS
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CHAPTER 4
REPORT PREPARED BY
 RFA Associates
Greensboro, NC 27410
Phone 336.297.0814 • Fax 336.297.0814
www.avtraining.com
E-mail [email protected]
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CHAPTER 4
FORMS & DOCUMENTS
I.
Description
This chapter contains forms provided by the FAA or other sources for use by the
owner/operator, mechanic or pilot for documenting or reporting information. The forms
are either in Microsoft Word or Adobe PDF formats and in some cases, data can be
entered directly on the form and saved in a digital file. Be sure to save these files with a
different name in order to retain use of the master form.
Note: The paste-in logbook entry statement can be provided in various formats.
Forms provided:
•
337 (digital format, can be used to make entries)
•
AC 43.13-1B (digital)
•
AC 43.13-2A (digital)
•
AC 42-210 (Procedures For Field Approval)
•
8040.1 (AD Manual)
•
100-Hour Airworthy statement (logbook paste-in statement label)
•
100-Hour Unairworthy statement (logbook paste-in statement label)
•
Annual Airworthy statement (logbook paste-in statement label)
•
Annual Unairworthy statement (logbook paste-in statement label)
•
Unairworthy discrepancy letter (form letter)
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CHAPTER 4
Sample Sign Offs
Make/Model/Serial Number:
Registration Number:
Date:
Total Time:
Performed 100-hour inspection in accordance with FAR Part 43 Appendix D and manufacturer’s maintenance manual (Enter manual and
documentation references here). Airworthiness Directive compliance may be found in aircraft records. I certify that this aircraft has been
inspected in accordance with a 100-hour inspection and was determined to be in an airworthy condition.
Signature
Certificate Number:
Type or print name
Make/Model/Serial Number:
Registration Number:
Date:
Total Time:
Performed 100-hour inspection in accordance with FAR Part 43 Appendix D
and manufacturer’s maintenance manual (Enter manual and documentation
references here). Airworthiness Directive compliance may be found in aircraft
records. I certify that this aircraft has been inspected in accordance with a 100hour inspection and a list of discrepancies and unairworthy items dated
________________________ has been provided to the owner/operator.
Signature
Certificate Number:
Type or print name
Make/Model/Serial Number:
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Date:
Total Time:
I certify that this aircraft has been inspected in accordance with an Annual Inspection and was
determined to be in an airworthy condition.
Signature
Certificate Number
Type or print name here
Make/Model/Serial Number:
Registration Number:
Date:
Total Time:
I certify that this aircraft has been inspected in accordance with an Annual Inspection and a list of
discrepancies and unairworthy items dated
has been provided to the
owner/operator.
Signature
Certificate Number
Type or print name above here
June 3, 2006
[Click here and type recipient’s address]
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Re:
Unairworthy items found during annual inspection
Dear Sir or Madam:
This letter is to certify that on (enter date here), I completed a (enter name of inspection here)
on your (enter aircraft type and registration number here), and found it to be in an unairworthy
condition for the following reasons:
1. Enter discrepancy here
2. Enter discrepancy here
Your aircraft will be considered airworthy when the above listed discrepancies are corrected
and approved for return to service by a person authorized in FAR Part 43.
Sincerely,
Signature here
Enter name here, Certificate number and address here
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Report No.
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Rev. 00
CHAPTER 5
Registration No.
Unknown
Manufacturer:
Model:
Serial No.
170XXXXXX
DER
LISTING
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REPORT PREPARED BY
 RFA Associates
Greensboro, NC 27410
Phone 336.297.0814 • Fax 336.297.0814
www.avtraining.com
E-mail [email protected]
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CHAPTER 5
DER LISTING
I.
Description
Contained in this chapter are the names and approved rating for all DER displayed by state.
This information is provided to the customer with the understanding that the currency of the
information is as provided by the FAA for the date listed.
The DER list is only available in digital form due to the size of the document. This document
is the 2005 version issued by the FAA and can be accessed by clicking on Chapter 5 DER List
bookmark in master report PDF document.
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CHAPTER 5
Report No.
2006-0002
Rev. 00
CHAPTER 6
Registration No.
Unknown
Manufacturer:
Model:
Serial No.
170XXXXXX
AIRCRAFT
PHOTOGRAPHS
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REPORT PREPARED BY
 RFA Associates
Greensboro, NC 27410
Phone 336.297.0814 • Fax 336.297.0814
www.avtraining.com
E-mail [email protected]
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CHAPTER 6
AIRCRAFT PHOTOGRAPHS
I.
Description
This chapter contains photographs and other drawings provided by the customer requested to
be digitize. The information is as provided by customer with no computerized enhancement
provided for this report.
The photographs in this sample report are for display purposes only and don’t reflect any
particular aircraft model referenced in the report.
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CHAPTER 3
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CHAPTER 7
Registration No.
Unknown
Manufacturer:
Model:
Serial No.
170XXXXXX
AIRCRAFT
WEIGHT & BALANCE
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CHAPTER 3
REPORT PREPARED BY
 RFA Associates
Greensboro, NC 27410
Phone 336.297.0814 • Fax 336.297.0814
www.avtraining.com
E-mail [email protected]
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CHAPTER 3
AIRCRAFT WEIGHT & BALANCE
I.
Description
This chapter contains aircraft weight and balance information or documentation. In some
reports may include an aircraft weight and balance Microsoft Excel spreadsheet for calculation
of aircraft weight and flight envelope limits. The program will graphically represent the flight
envelope and weight limits and will display if aircraft is within the flight-operating envelope. A
sample spreadsheet for safe and unsafe conditions is provided for review only.
There may also be provided to the customer, if desired, weight and balance worksheets for the
calculation and recording of changes to the aircraft weight. These forms will be in Microsoft
Excel format and Adobe PDF formats for calculation and printing.
A link to an Excel W & B Spreadsheet for the Cessna 170 aircraft (normal category) is provided
as a sample. Just click on link to open spreadsheet, you must have the Excel program on your
computer for this link to work properly.
W & B Spreadsheet
Link
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