A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | |
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1 | AIRWORTHINESS CHECKLIST | ||||||||||||||
2 | Completed By:______________ | Instructor:______________ | Date: ______________ | N-NUMBER: | ______________ | ||||||||||
3 | |||||||||||||||
4 | PILOT | FLIGHT REQUIREMENTS | FREQUENCIES | ||||||||||||
5 | S | I | N | KOEL 91.205(b) | ATIS | ||||||||||
6 | A | M | W | VFR DAY | CLX: | ||||||||||
7 | F | S | K | VFR NIGHT | GRND: | ||||||||||
8 | E | A | R | IFR DAY | TOWER: | ||||||||||
9 | T | F | A | IFR NIGHT | APP: | ||||||||||
10 | Y | E | F | AD | DEP: | ||||||||||
11 | T | INOP EQUIP | OTHER: | ||||||||||||
12 | |||||||||||||||
13 | AIRCRAFT | W&B | PA-34-200 | N144JK | |||||||||||
14 | Regulation: | Regulation: | WEIGHT | ARM | MOMENT | ||||||||||
15 | A | 91.203(a)(1) | A | 91.409(a) | Basic Empty Weight | 3,275.10 | X | 89.44 | 292,935.00 | ||||||
16 | R | 91.203(a)(2) | V | 91.171 | Front Pilots | 380.00 | X | 37.00 | 14,060.00 | ||||||
17 | R | 87.18 | 1 | Current: | 91.409(b) | Rear Passengers | 0.00 | X | 74.00 | 0.00 | |||||
18 | O | 91.9(b) | Due:________ | Baggage A | 10.00 | X | 97.00 | 970.00 | |||||||
19 | W | POH/ 23.2620 | A | 91.411 | Baggage B | X | 116.00 | 0.00 | |||||||
20 | E | 45.11 | T | 91.413 | |||||||||||
21 | C | 91.205 | E | 91.207 | Zero Fuel Weight | 3,665.10 | X | 84.03 | 307,965.00 | ||||||
22 | ENVIRONMENT | Usable Fuel | 288.00 | X | 46.50 | 13,392.00 | |||||||||
23 | Forecast Weather Conditions | ||||||||||||||
24 | TIME: | PRESSURE ALT: | Ramp Weight | 3,953.10 | X | 81.29 | 321,357.00 | ||||||||
25 | LOCATION: | DENSITY ALT | Taxi Fuel | 2.00 | X | 46.50 | 93.00 | ||||||||
26 | WIND: | ||||||||||||||
27 | VISIBILITY: | NOTES: | Takeoff Weight | 3,951.10 | X | 81.310 | 321,264.00 | ||||||||
28 | CEILING: | Fuel Burn | 100.00 | X | 46.50 | 4,650.00 | |||||||||
29 | NOTAMS: | ||||||||||||||
30 | RUNWAY DISTANCE: | Landing Weight | 3,851.10 | X | 82.214 | 316,614.00 | |||||||||
31 | Edit | CG | |||||||||||||
32 | PROPERTY OF LONG ISLAND AVIATORS 2023 |