Title Page
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Tail Number
- 172D
- 95-B55
- 172P
- 172N
- 172R
- 172S
- 172SP
- 182T
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Aircraft Model
- 172D
- 95-B55
- 172P
- 172N
- 172R
- 172S
- 172SP
- 182T
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Aircraft Serial #
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Engine Model #
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Aircraft Total Time
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Engine Serial #
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Engine Total Time
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Engine SMOH
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ELT Due Date
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Tach Reading
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Hobbs Reading
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Transponder & Static Certs Due
Engine (Pre-Inspection)
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Static RPM
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Idle RPM
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RPM Rise
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MR
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Mag drop Right
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Mag drop Left
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Oil and Fuel Pressure system performing satisfactory
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Oil temp system performing satisfactory
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Ignition Switch performing satisfactory
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EGT system performing satisfactory
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VAC system performing satisfactory
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Engine Gages system performing satisfactory
Airframe
Cabin and Cockpit
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Cleanliness and Loose equipment
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documents AFM/POH W&B in plane
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A/W & Registration Certs in plane
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Seat and Saftey Belts, Tags
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Windows & Windshields
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Doors and Emergency Exits Satisfactory
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Instrument panels and mounts condition
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Instruments and lines condition
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Instrument filter exchanged
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Compass condition and compass card condition
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Flight Controls, cables, tension, TB’s conditions
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Trim mechanism condition
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Engine controls condition
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Electrical switches and wires condition
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Fuse and circuit breakers condition
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Lights condition
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Fire extinguisher condition
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Brake cylinders and reservoir condition
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Brake components and plumbing condition
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Fuel valves and plumbing condition
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Fuel gauges, operations condition
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Primer system condition
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Heating and ventilating system Condition
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Stall warning system condition
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Required placard condition
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Fuel vent line conditions
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Fuel, tanks, mountains, and fittings condition
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Drain holes and bilges conditions
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Hydraulic system components conditions
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Batteries
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Radio, electronics condition
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Wiring and conduit condition
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Bonding and shielding condition
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Plane structure and skin condition
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Miscellaneous system and notes
Fuselage Exterior
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Fabric/skin
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Wing strut and landing gear
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Fittings, attachments, hardware
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Antennas and lights
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Static vents
Empennage
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General condition
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Fabric or skin
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Attachments and fittings
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Bracing
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Hinges and pins
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Bellcranks , cables, turnbuckles
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Trim tab system
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Elevator, Rutter, Travel, Direction
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Position/strobe lights and wiring
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Avionics and Antennas
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ELT ops check, Armed
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ELT battery due date
Wing and Center Section
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General Condition
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Fabric or Skin
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Lights and wiring
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Pitot Tube, Lines, Heat
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Fuel Tanks, Vents, Caps, Marking
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Flaps and actuators
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Internal structure, damage, failure
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Wiring, cables, plumbing
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Fuselage and strut fittings
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Struts and wires
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Ailerons, system, direction
Landing Gear
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General condition
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Shocks, Struts and bungees
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Linkages, trusses
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Steering linkage
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Shimmy dampeners
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Brakes and brake lines
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Retraction check, and indications
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Hydraulic lines
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Electrical system and wires
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Wheels and bearings
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Tire Pressure Aft
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Tire Pressure Left
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Tire Pressure Right
Power Plant
Propeller
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Blades, damage, track
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Hub, leaks, condition
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Bolts, torque, & safety
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Spinner
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Control mechanism
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Lube
Engine
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Oil and fuel lines
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Tubes, hoses, clamps, and fittings
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Ducts and air intakes
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Cylinder, baffles, and fins
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Cylinder and case studs and nuts
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Fuel system, screen, lines, nozzles
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Carburetor bowl/injector screen
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Engine controls travel safety
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Starter, generator, hardware, belts
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Accessory drives and units
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Magnetos internal condition
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Magneto timing
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Exhaust system and muffler
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Firewall and structure
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Engine mount structure
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Flexible dampers and bolt torque
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Oil change
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Oil filter/screens and sump plugs
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Oil tank and oil cooler
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Spark plugs, leads, harness
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Cowling and fasteners
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Cowling flaps, Hinges, actuators
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Miscellaneous systems
Completion
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Performed By:
- Steve O’brien
- Manual Chavez
- Bryan Deforge
- Jakob Kwiatkoski
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Date & Time of completion
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