OWNER / OPERATOR REPORTING OF MAINTENANCE, SERVICE, AND SERVICE
DIFFICULTIES
Aircraft serial number: ___________________ Aircraft model and type: _________________
Date of manufacturing: _______________ Total hours on airframe: ____________________
Total hours on engine (since new or last overhaul): _______
Total hours on propeller (since new or last overhaul): _______
Has the above aircraft had any major repairs: Yes _____ No ____
When and who completed the last annual inspection completed? ______________________________
__________________________________________________________________________________
When and who completed the last 100 hour inspection? _____________________________________
__________________________________________________________________________________
FEED BACK AREA
Name and contact information of person reporting: __________________________________________________________
Complete your reporting in the above area. Use additional pages if required.
Submit this form to the manufacturer by fax at 478-374-2793 or by mail at 441 Airport
Road, Eastman GA, 31023 USA.
FORM 1
July 09
