Copy_of_Weight_and_Balance_Forms.xls

XLS spreadsheet 79 KB Posted

Attached to
National CWN Helicopter Services Federal contract opportunity
Solicitation number
12024B19R9000
Issued by
Department of Agriculture Forest Service

About this file

Weight and Balance Forms to be utillized.

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Amendment_1_SF_30_.pdf PDF
Solicitation_No._12024B19R9000_(8.1.2019).pdf PDF

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Text version

Form A

Form A : List of approved equipmentDate WeighedDate Weighed
PageA/C Make, Model, SeriesRegistration NumberSerial NumberIn A/CON 'C' ChartIn A/CON 'C' Chart
Location and Description of ItemWeightArmMomentLat. ArmLat. Moment
X: Item was on the aircraft at the time aircraft was weighed or is included in the basic weight
O: Item was off the aircraft at the time aircraft was weighed or is not included in the basic weight.
C: Item is on Form C when installed.

Form B

Form B : Aircraft Weighing Record
Make, Model, SeriesRegistration NumberSerial NumberDate
Datum isLeveling MeansWeighing Procedures ReferencesScale Location
Scale Readings
ScaleReadingTareNet WeightLong. ArmMomentLat. ArmMoment
Left Front or Nose
Right Front
Left Aft or Tail
Right Aft
Basic WeightTotal
Fuel & Oil at Time of WeighingNotes
FullDefueledDrained
Fuel
Oil Engine
Oil Transmission
Oil Tail Gearboxes
Hydraulic Fluid
Items Weighed not part of Basic WeightItems not Weighed but part of Basic Weight
ItemWeightArmMomentItemWeightArmMoment
Total (–)Total (+)
Adjusted Basic Weight of Aircraft as Weighed
CGMoment
Total Empty Weight of Aircraft as AdjustedLongitudinal EW. CG
Lateral EW CG
Aircraft Weighed ByScales
Print Name :Type :
Signature :Serial Number :
Certificate Type and Number :Calibration Date :

Form C

Form C : Continuous History of Equipped Weight After Weighing
Make, Model, SeriesRegistration NumberSerial NumberPage Number
Date mm/dd/yyyyDescription of ItemWeight ChangeCurrent Total Equipped Weight
Added (+)Removed (--)
WeightArmMomentWeightArmMomentWeightCGMoment

Form A EX

Form A : List of approved equipmentDate WeighedDate Weighed
9/15/09
PageA/C Make, Model, SeriesRegistration NumberSerial NumberIn A/CON 'C' ChartIn A/CON 'C' Chart
1 of 1Bell 205A -1N1234566666
Location and Description of ItemWeightArmMomentLat. ArmLat. Moment
Fuselage:
Ballast25.3+ 8.5215.1+ 3.486X
Battery52.5+ 8.5446.3X
Wire Strike kit upper and lowerO
Pulse light kitX
StrobeX
Cargo HookX
Cabin:
Instruments
Radios
Automated Flight Following
Seats
Engine Deck:
Rotor brakeX
T-53 engineX
212 Rotor assyX
Tail:
Fast FinX
Strake KitX
212 Tail Rotor AssyX
Strobe LightX
Removable Equipment:
Fill PumpC
Rappel KitC
Survival KitC
First Aid KitX
Fire Tank395.2+ 12549400C
X: Item was on the aircraft at the time aircraft was weighed or is included in the basic weight
O: Item was off the aircraft at the time aircraft was weighed or is not included in the basic weight.
C: Item is on Form C when installed.

Form B EX

Form B : Aircraft Weighing Record
Make, Model, SeriesRegistration NumberSerial NumberDate
Bell, 205A -1N12345666669/15/09
Datum isLeveling MeansWeighing Procedures ReferencesScale Location
7.60" aft of cabin nosePlumb line from top of left main door frameCFR, part 29 / OEM Maint. Manual chapter 8 / Type Certificate DSJack points
Scale Readings
ScaleReadingTareNet WeightLong. ArmMomentLat. ArmMoment
Left Front or Nose147801478+ 61.6991177.8- 3044340
Right Front111601116+ 61.6968846.1+ 3033480
Left Aft or Tail121501215+ 211.58257069.7- 3036450
Right Aft197401974+ 211.58417658.9+ 3059220
Basic WeightTotal5783144.46834752.52.0611910
Fluids (Fuel & Oil and Etc) at Time of WeighingNotes
FullDefueledDrainedOil and unusable fule in basic weight
FuelX
Oil EngineX
Oil TransmissionX
Oil Tail GearboxesX
Hydraulic FluidX
Items Weighed not part of Basic WeightItems not Weighed but part of Basic Weight
ItemWeightArmMomentItemWeightArmMoment
Useable fuel (if full)1457.5+ 150.4219208Unusable fuel (if drained)16.5+ 1443276
Total (–)1457.5Total (+)16.5
Adjusted Basic Weight of Aircraft as Weighed
CGMoment
Total Empty Weight of Aircraft as Adjusted5783Longitudinal EW. CG+ 144.46834752.5
Lateral EW CG+ 2.0611910
Aircraft Weighed ByScales
Print Name :Type :
Signature :Serial Number :
Certificate Type and Number :Calibration Date :

Form C EX

Form C : Weight & Balance Running Total
Make, Model, SeriesRegistration NumberSerial NumberPage Number
Bell, 205A -1N12345666661 of ?
Date mm/dd/yyyyDescription of ItemWeight ChangeCurrent Total Equipped Weight
Added (+)Removed (--)
WeightArmMomentWeightArmMomentWeightCGMoment
12/31/09Aircraft as weighed5783+ 144.46834752.5
7/15/10Survival Kit50.5+ 200101005833.5
7/15/10Rappel Mount kit38.2+ 10038205871.7
7/15/10Sorenson Tank and Snorkel389.6+ 125.548894.86261.3+ 143.35897567.3

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