A/C MAKE:

A/C MODEL:
A/C SERIAL NUMBER:
A/C TYPE CERT:
HOUR METER:
ACTT:
TOTAL CYCLES:

N249C
PA-46R-350T
TRACKED
ITEM
CHAPTER 4 LIMITATIONS
WING & ASSOCIATED STRUCTURE
HORIZONTAL STABILIZER
VERTICAL STABILIZER
CHAPTER 5 SCHEDULED MX CHECKS
50 HOUR INSPECTION
ANNUAL / 100 HOUR INSPECTION
CHAPTER 5 SPECIAL MX CHECKS
SECURITY OF INJECTOR NOZZELS
PIPER SB 1195A
TURBO TIT PROBE / AD 99-15-04
TURBO CHARGERS & TAIL PIPE
AIRBORNE PRESSURE MANIFOLD
GILL 250S BATTERY
VACUUM SYSTEM AIR FILTER
ENGINE AIR FILTER
WING FUEL TAINKS
FUEL TANK SEALING MATERIAL
FUEL TRANSMITTER
FUEL FLOATS & STRAINERS
PROPELLER
OIL HEAT EXCHANGER
MAGNETO'S
PROP BLADES ERROSION SHIELD
VACUUM PUMP
ENGINE COMPARTMENT HOSES
NOSE GEAR HYD HOSES
PROP BLADE
FLAP ROLLER & AILERON BOLTS
FLAP TRACKS
ENGINE OVERHAUL
PROPELLER OVERHAUL
ALTERNATOR'S
PROPELER GOVERNOR OVERHAUL
PROPELLER OVERHAUL
STARTER MOTOR
ENGINE MOUNT BOLTS
STBY ATT IND EPU
BATTERY
PORTBLE FIREX BOTTLE
ELT SELF TEST
FUEL FILTER
OIL & OIL FILTER
PROPELLER
PROPELLER
VACUUM CHECK VALVE MANIFOLD
STBY ATT IND EPU
ALTIMETER / STATIC SYSTEM
TRANSPONDER
MAGNETIC COMPASS
AVIDYNE MAGETOMETERS
OXYGEN STORAGE CYLINDER
FWD & AFT WING SPAR TO FUSELAGE
FWD VERTICAL FIN ATTACH FITTINGS
ELEVATOR TRIM TAB PUSH RODS
FWD & AFT HORZ. STAB
VACUUM PUMP SHEAR COUPLING
INTERIOR STRUCTURE
FUSELAGE & WING FLUID HOSES
AVIDYNE MFD CMOS BATTERY
OXYGEN STORAGE CYLINDER
RECURRING A.D.'S

HOUR
INTERVAL

ACTT CORRECTION:
DATE:
CYCLE
INTERVAL

PIPER
MATRIX
4692023
A25SO
803.3
803.3

ENGINE MAKE:
ENGINE MODEL:
ENGINE S/N:
ENGINE TYPE CERT:
ENG TT:
ENG SMOH
ENG TBO

0.0
12/02/15
CALENDAR
INTERVAL

15,580.0
15,580.0
15,580.0

12 MO
50.0
200.0
250.0
250.0
400.0
400.0
500.0
500.0
500.0
500.0
500.0
500.0
500.0
500.0
500.0
500.0
600.0
1,000.0
1,000.0
1,000.0
1,000.0
1,000.0
2,000.0
2,000.0
2,000.0
2,400.0
2,400.0
2,700.0
7,500.0

50.0
100.0

12 MO
11 MO
12 MO

24 MO

8 YR
8 YR

5 YR

6 YR

30 DAY
30 DAY
30 DAY
30 DAY
90 DAY
4 MO
6 MO
12 MO
12 MO
12 MO
24 MO
24 MO
24 MO
24 MO
5 YR
5 YR
5 YR
5 YR
5 YR
6 YR
7 YR
10 YR
12 YR
15 YR

SINGLE-ENGINE MAINTENANCE STATUS REPORT

LYCOMING
PROP MAKE:
HARTZELL
TIO-540-AE2A
PROP MODEL:
HC-I3YR-1E
L-12972-61A
PROP S/N:
HK1383B
E14EA
PROP TYPE CERT:
P33EA
803.3
PROP TT:
803.3
803.3
PROP SMOH:
803.3
PROP TBO:

HOUR METER:
ACTION
REQUIRED

100.0

HOURS
C/W

CYCLES:
CYCLES
C/W

DATE
C/W

HOURS
REMAINING
14,776.7
14,776.7
14,776.7

0.0
0.0
0.0

INSPECTION

642.4

09/24/13

INSPECTION
INSPECTION
REPLACE
INSPECTION
CHECK
CAP CHECK
REPLACE
REPLACE
DRAIN
CHECK
CHECK
CHECK
REMOVE & CLEAN
REMOVE & FLUSH
CLEAN & CHECK
CHECK
REPLACE
REPLACE
REPLACE
CHECK
CHECK
CHECK
OVHL/REPLACE
OVHL/REPLACE
OVHL/REPLACE
OVHL/REPLACE
OVHL/REPLACE
OVHL/REPLACE
REPLACE
CHECK
CHECK
CHECK
CHECK
CHECK
CHANGE
LUBE
LUBE
CHECK
CAP CHECK
RE-CERTIFY
RE-CERTIFY
CALIBRATE
CALIBRATE
RE-CERTIFY
CHECK
CHECK
CHECK
CHECK
REPLACE
CHECK
CHECK / REPLACE
REPLACE
REPLACE

787.8
787.8
787.8
787.8

11/22/14
11/22/14
11/22/14
11/22/14

787.8

11/22/14

DYE PEN INSPECTION

0
0
0

04/11/08
04/11/08
04/11/08

CH 4 LIFE LIMIT
CH 4 LIFE LIMIT
CH 4 LIFE LIMIT

UPCOMING A.D.'S

RECURRING S.B.'S
PIPER - SN1103E

803.3

CYCLES
REMAINING

DAYS
REMAINING

ITEM
REMARKS

-434

SEE INSP. CHK LIST FOR ITEMS

SEE INSP. CHK LIST FOR ITEMS

COMM 1&2 ANTENNA/SKIN INSP.

77-20-00
LYCOMING SB 521 & 531
30-10-00
800 HR / 11 MONTH INITIAL CHECK
OR WITH PUMP REPLACEMENT
DRAIN COMPLETELY

CLEAN SLUDGE FROM CRANKSHAFT

0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/14
04/11/08
04/11/08
04/11/08
04/11/08

-303.3
-303.3
-303.3
-203.3
196.7
196.7
196.7
196.7
196.7
1,196.7
1,196.7
1,196.7
1,596.7
1,596.7
1,896.7
6,696.7

PER SLICKF1100 MANUAL

COIN TAP TEST, MANUAL NO.135
AERO ACCESSORIES AA441CC/CW
TYPE-D HOSES ARE ON-CONDITION
ACTUATOR, DOOR & SEQUENCER
COIN TAP TEST, MANUAL NO.135
CHECK / REPLACE AS REQUIRED
2,000 HOUR TBO
-966
OR AT ENGINE OVHL
OR AT ENGINE OVHL
-601
SKY TECH MO:149-NL, OR AT ENG OVHL
SEE FLIGHT LOGBOOK FOR COMPLIANCE
SEE FLIGHT LOGBOOK FOR COMPLIANCE
SEE BOTTLE COMPLIANCE TAG
SEE FLIGHT LOGBOOK FOR COMPLIANCE

0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08
04/11/08

-753.3
-703.3

-2,701
-2,671
-2,608
-2,426
-2,426
-2,426
-2,061
-2,061
-2,061
-2,061
-966
-966
-966
-966
-966
-601
-236
859
1,589
2,684

IF ANNUAL USAGE <100/YR

AIRBORNE 1H5 SERIES MANIFOLD
FAR 91.411
FAR 91.413
COMPASS SWING
34-20-00
HYDROSTATIC TEST
ATTACH FITTINGS PER 57-40-00
55-30-00
55-20-00
ATTACH FITTINGS PER 55-10-00
AERO ACCESSORY PUMP ONLY
SKIN, BULKHEADS, STRINGERS, ETC
RE-CHECK 5 YR, REPLACE 20 YR.
AS DATED ON BATTERY