Electronic Aircraft Description Form.doc
DOC document 201 KB Posted
- Attached to
- FFP Initial Attack Helicopter-Eastern PA
- Solicitation number
- 6100054072
- Issued by
- Carbon County, Jenkintown Borough, Pennsylvania
About this file
This document is an Electronic Aircraft Description Form from the Pennsylvania Department of Conservation & Natural Resources Bureau of Forestry. The form is used to collect information about an aircraft, including the make, model, registration number, useful load, seats, fuel capacity, engine details, instrumentation, condition of various components, electrical systems, lights, radios, avionics, and any additional systems. The form is used to document the details and airworthiness of an aircraft that may be utilized by the Bureau of Forestry.
The form does not appear to be related to a specific state or local contract opportunity. It is a standard document used to gather information about aircraft that may be contracted for use by the agency. The form does not contain any details about a solicitation, bid response requirements, award process, contract term, pricing, or funding sources.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| DCNR-Small Business Initiative.pdf | ||
| Statement of Work_Eastern_Initial Attack Helicoptor_09-29-21_lmc.pdf | ||
| Airplane Data Record_Electronic.xls | XLS spreadsheet | |
| Electronic Pilot Approval Form.doc | DOC document | |
| Terms & Conditions.pdf |
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Text version
PA Dept. of Conservation & Natural Resources
| Name of Contractor: |
| Check Appropriate Box: |
| Bureau of Forestry |
| Airplane |
| FORMCHECKBOX |
| Aircraft Description & Inspection |
| Mailing Address: |
| Form |
| Air tanker |
| FORMCHECKBOX |
City, State, Zip:
| Helicopter |
| FORMCHECKBOX |
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 |
| MPH |
| FORMCHECKBOX |
| KIAS |
| FORMCHECKBOX |
| Useful Load (lbs.) |
| Seats |
| License Date |
| Registration Cert. |
| Airworth Cert Date |
| Basic Empty Weight |
| Fuel (HH+MM) |
| Max. Cert. Takeoff Weight |
| Date of Last Annual Insp. |
| Accident History |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
Aircraft and Equipment
| 1. Airframe |
| Total Hours |
| TSOH (hrs) |
| Gear |
| No. of Engines |
| Tank Capacity |
| Fixed |
| FORMCHECKBOX |
| Ret. |
| FORMCHECKBOX |
| 2. Engine(s) |
| Make & Model |
| HP |
| Fuel |
| Turbine |
| Recip |
| TBO (hrs) |
| FORMCHECKBOX |
FORMCHECKBOX
| Hours since New or TBO |
| Number 1 (L) |
| Number 2 (R) |
| Number 3 |
| Number 4 |
| Hours since 100 hour Inspection |
| Number 1 (L) |
| Number 2 (R) |
| Number 3 |
| Number 4 |
| 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 |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| Compass |
| Turn & Bank |
| Directional Gyro |
| Artificial Horizon |
| Baro. Altimeter |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| Rate of Climb Ind. |
| Glass Cockpit |
| Standby Vac. Sys. |
| Radar Altimeter |
| Date of Last Pilot Static |
Test:
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| 5. Condition of: |
| Glass |
| Fabric |
| Tires |
| Paint |
| Aircraft Skin |
| 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 |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| lith |
| FORMCHECKBOX |
| lead |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| 7. Lights |
| Beacon |
| Taxi/Landing |
| Cockpit Lighting |
| Position Lights |
| Strobes |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| 8. Radios |
| Bonded |
| Shielded |
| Trans. Freq. |
| Rec. Freq. |
| Multi. Prog. |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| ADF |
| Radio Installation and Performance Checked by: |
| Date: |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| 9. Avionics |
| GPS Equipped |
| IFR Equipped |
| Manufacturer of GPS |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| Autopilot |
| DB updated |
| Moving Map |
| Misc. |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| yes |
| FORMCHECKBOX |
| no |
| FORMCHECKBOX |
| 10. Misc Systems |
| Detail Additional Systems Unique to the Aircraft or That Have Been Installed Under a STC. |
Information Provided and Attested to by:
(Signature Required)
| Date: |
1 Jan 2009 Edition
BoF Aircraft Description & Approval Form 09 � EMBED WangImage.Document ���
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