PA Dept of Conservation & Natural Resources
| | |Check Appropriate Box: |
|PA Dept. of Conservation & Natural Resources |Name of Contractor: | |
|Bureau of Forestry | |Airplane | |
| | | | |
|Aircraft Description & Inspection |Mailing Address: | |
|Form | |Air tanker | |
| | City, State, Zip: | |
| | |Helicopter | |
|Instruction: Complete Answers by Checking Yes, No or Filling in Information. |
|Aircraft Description and Information |
|Aircraft Make & Model |Category |F.A.A. Reg |Year |Cruise IAS (MPH or KTS) |
| | |N | | |
| | | | | |
|Basic Empty Weight |Fuel (HH+MM) |Max. Cert. Takeoff Weight |Date of Last Annual Insp. |Accident History |
| |
| |Total Hours |TSOH (hrs) |Gear |No. of Engines |Tank Capacity |
|1. Airframe | | | | | |
| | | |Fixed | |Ret. |
| | | | | | |
| |Hours since 100 hour |Number 1 (L) |Number 2 (R) |Number 3 |Number 4 |
| |Inspection | | | | |
| | | | | | |
|3. Propellers |Hours since Overhaul |Number 1 (L) |Number 2 (R) |Number 3 |Number 4 |
| | | | | | |
|4. Instruments |Normal Eng. Inst. |Fuel Qty. Ind. |Stall Warning |Airspeed Indicator |Clock |
| |yes | |no | |yes |
| |yes | |no | |yes |
| |yes | |no | |yes |
| | | | | | |
| |Restraints |Cabin |Cockpit |First Aid Kit |Eng. Fire Ext. |
| | | | | | |
| |Cabin Fire Ext. |Placards |Brakes |Survival Kit |ELT Battery Date |
| | | | | | |
|6. Elec. System |Elec. Sys. (VDC) |APU |Battery Type |Ammeter |GPU Elec. Port |
| | |yes | |no | |
| |yes | |no | |yes |
| |yes | |no |
| |yes | |no |
| |yes | |no | |
| |yes |
| | |
| | |
|Information Provided and Attested to by: | |Date: | |
|(Signature Required) | | | |
1 Jan 2009 Edition BoF Aircraft Description & Approval Form 09
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