Title Page
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Aircraft Name
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Conducted on
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Prepared by
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Location
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Maintenance Report Number
About the Aircraft
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Aircraft Name
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Aircraft S/N
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Airplane Time
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Registration Number
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Current Nautical Reading
Aileron, Elevator, and Rudder Stops
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Check for damage and security
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Is there any repair needed?
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Please describe in detail.
Seat Tracks and Stops
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Inspect seat tracks for condition and security of installation. Check seat track stops for damage and correct location. Ensure inspection of seat rails for cracks EACH 50 HOURS.
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Is there any repair needed?
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Please describe in detail.
Wing Surfaces and Tips
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Inspect for skin damage, loose rivets, and condition of paint.
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Is there any repair needed?
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Please describe in detail.
Wing Struts and Strut Fairings
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Check for dents, cracks, loose screws and rivets, and condition of paint.
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Is there any repair needed?
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Please describe in detail.
Vertical and Horizontal Stabilizers, Tips and Tailcone
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Inspect externally for skin damage and condition of paint
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Is there any repair needed?
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Please describe in detail.
Vertical and Horizontal Stabilizers and Tailcone structure
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Inspect bulkheads, spars, ribs, and skins for cracks, wrinkles, loose rivets, corrosion, or other damage. Inspect vertical and horizontal stabilizer attach bolts for looseness. Retorque as necessary. Check security of inspection covers, fairings, and tips.
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Is there any repair needed?
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Please describe in detail.
Ailerons and Hinges
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Check condition, security and operation.
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Is there any repair needed?
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Please describe in detail.
Aileron Structure, Control Rods, Hinges, Balance Weights, Bellcranks, Linkage, Bolts, Pulleys, and Pulley Brackets -
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Check condition, operation, and security of attachment.
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Is there any repair needed?
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Please describe in detail.
Aileron Controls
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Check freedom of movement and proper operation through full travel with and without flaps
extended. -
Is there any repair needed?
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Please describe in detail.
Flaps
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Check tracks, rollers, and control rods for security of attachment. Check operation.
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Is there any repair needed?
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Please describe in detail.
Flap Actuator Threads
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Clean and lubricate
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Is there any repair needed?
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Please describe in detail.
Elevator Control
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Check freedom of movement and proper operation through full travel with and without flaps extended.
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Is there any repair needed?
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Please describe in detail.
Elevator, Hinges, and Cable Attachment
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Check condition, security, and operation.
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Is there any repair needed?
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Please describe in detail.
Elevator Trim Tab and Hinges
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Check condition, security, and operation
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Is there any repair needed?
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Please describe in detail.
Rudder
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Inspect the rudder skins for cracks and loose rivets, rudder hinges for condition, cracks and security; hinge bolts, hinge bearings, hinge attach fittings, and bonding jumper for evidence of damage and wear, failed fasteners, and security.
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Is there any repair needed?
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Please describe in detail.
Rudder, Tips, Hinges, and Cable Attachment
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Check condition, security, and operation.
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Is there any repair needed?
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Please describe in detail.
Cowling
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Inspect for cracks, dents, and other damage, security of cowl fasteners, and cowl mounted landing lights
for attachment. -
Is there any repair needed?
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Please describe in detail.
Engine
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Inspect for evidence of oil and fuel leaks. Wash engine and check for security of accessories.
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Is there any repair needed?
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Please describe in detail.
Engine Controls and Linkage
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Check general condition, freedom of movement through full range. Check for proper travel, security of attachment, and for evidence of wear. Check friction locks for proper operation.
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Is there any repair needed?
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Please describe in detail.
Ignition Switch and Electrical Harness
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Inspect for damage, condition, and security.
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Is there any repair needed?
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Please describe in detail.
Firewall Structure
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Inspect for wrinkles, damage, cracks, sheared rivets, etc. Check cowl shock mounts for condition and security.
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Is there any repair needed?
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Please describe in detail.
Engine Shock Mounts, Engine Mount Structure, and Ground Straps -
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Check condition, security, and alignment
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Is there any repair needed?
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Please describe in detail.
Induction System
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Check security of clamps, tubes, and ducting. Inspect for evidence of leakage.
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Is there any repair needed?
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Please describe in detail.
Induction Airbox, Valves, Doors, and Controls
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Remove air filter and inspect hinges, doors, seals, and attaching parts for wear and security. Check operation. Clean and inspect
air filter. -
Is there any repair needed?
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Please describe in detail.
Induction Air Filter
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Remove and clean. Inspect for damage, and service per Paragraph 2-22 and 2-22A
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Is there any repair needed?
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Please describe in detail.
Alternate Induction Air System
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Check for obstructions, operation, and security.
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Is there any repair needed?
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Please describe in detail.
Alternator, Mounting Bracket, and Electrical Connections
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Check condition and security. Check alternator belts for condition and proper adjustment. Check belt tension per
Section 16, Paragraph 16-38. -
Is there any repair needed?
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Please describe in detail.
Battery Box and Cables
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Clean and remove any corrosion. Check cables for routing, support, and security of connections.
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Is there any repair needed?
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Please describe in detail.
Alternator Control Unit
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Inspect wiring, mounting, condition, and wire routing.
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Is there any repair needed?
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Please describe in detail.
External Power Receptacle and Power Cables
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Inspect for condition and security
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Is there any repair needed?
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Please describe in detail.
Maintenance Personnel
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Full Name of Maintenance Personnel
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Certificate Number
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Type of Certificate Held
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Date of Completion of Maintenance work
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Contact Details