WEIGHT AND BALANCE FORM

    Aircraft Name ___________________________ Serial # _________ Registration # __________

    Owner’s Name _________________________________

    Address _________________________________ City _______________ State ____ Zip ______

    Datum location _______________________ Leveling means _____________________________

    EMPTY WEIGHT CALCULATIONS

    Item

    Scale reading

    Tare

    Net weight

    Arm (inches)

    Moment (Inch lbs)

    Left wheel

             

    Right wheel

             

    Aux. wheel

             

    Less Oil

             

    Fixed Ballast

             

    Empty weight ______________ Total Moment _____________

    EMPTY WEIGHT C.G. LOCATION: ______________ inches.

    Total moment

    Empty weight c.g. = Empty weight = = inches

    EQUIPMENT LIST INSTALLED AT TIME OF WEIGHING:

    Item

    Type

    Weight

    Arm

    Moment

             
             
             
             

    FORWARD AND REARWARD C.G. EXTREMES

    Most Forward C.G. loading Most Rearward C.G. loading

    Item

    Weight

    Arm

    Moment

     

    Weight

    Arm

    Moment

    A/C Empty Weight

                 

    Oil

                 

    Pilot

                 

    Passenger

                 

    Fuel

                 

    Baggage

                 

    Totals

     

    N/A

         

    N/A

     

    Forward C.G. ___________ inches Rearward C.G. _____________ inches

    Total Moment Total Moment

    CGf= Total Weight CGr= Total Weight

    C.G. Limits: Forward limit is ______ inches ______% Rearward limit is ________inches ________%

    Maximum Loading:

    Pilot & Passenger

    Lbs

    Baggage, maximum

    Lbs

    Fuel, maximum

    Lbs

    TOTAL:

    Lbs

    Maximum allowable weight is: _____________________ lbs.

    Cockpit Placards: Required only if weight limitations are necessary.

    Aircraft Weighed By: _______________________

    Date of weighing: _________ 20____


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