Pre Inspections for Export Please, check all itens Fill All colums

DATE ITEM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 IF TSO PN/MODEL 172RG N/A 4371 4371 N/A N/A N/A N/A N/A N/A DOFF10300J DUKES N/A N/A N/A N/A SERIAL N/A TSN N/A TSO N/A REPAIR STATION FORM 337 OK Y N N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A FORM 8130 OK Y N LOG Y

DESCRIPTION
Airframe Flexixible Fluid Hoses Replacement Lh Magneto Overhaul Replacement Rh Magneto Overhaul/Replacement Air Filter Replacement Gyros Central Air Filter Replacement Batery - Replacement Exhaust System Inspection Replacement Vacuum Relief Valve Filter Replacement Engine Controls (3ea) Replacement Alternator Overhaul/Replacement Electrical Auxiliary Fuel Pump Replacement Hydraulic Contamination Check Five Years Hydr Sys Revision Restraint Assy. Front & Rear Seats Replacement Vacuum System Hoses Replacement Pitot And Static System Hoses Replacement Vacuum Relief/Regulator Replacement Engine Air Filter Replacement Vacuum Pump Replacement Landing & Taxi Switch Replacement Elt 406 Br New Installation Engine Overhaul Propeller Overhaul Propeller Governor Overhaul Altimeter Certification Transponder Certification Encoder - Certification Carburator - Overhau/ Replacement H-6 Fuel Pump Starter - Overhaul/Replacement Seat Rail - Replacement AD2011-10-09 Stormscope if installed Electronic EGT/CHT if installed TCAS if installed GNS-430/530/ & others if installed Auto-Pilot if installed STC modifications if installed ALL

Replac/ovhl

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

O-360-F1A6 B2D34C220 C290D3/T18 N/A N/A N/A 10-5219/31 LW-15472 MHB-4016 N/A

N/A

N/A N/A N/A N/A N/A N/A N/A N/A

38 POH Last Revision 39 Last 200 hrs Inspection 40 Last 100 hrs Inspection 41 Last 50 hrs Inspection

42 Weight & Ballance forms 43 Placards 44 General Repairs & Replacements

N/A N/A

N/A N/A

45 Compliance whith the following AD AIRFRAME a 2011-10-09 Standard Practices Structures b 2008-26-10 Alternate static air source selector valve c 2008-10-02 Part number identification placard d 2006-03-08 Vacuum pumps e 2001-23-03 Forward Door Post f 2001-06-06 Main Landing Gear Pivot Assemblies g 2000-06-01 Fuel Strainer Assembly h 98-14-03 Transponders i 97-01-13 Fuel, Oil and Hydraulic Hoses j 90-06-03 R1Exhaust Heater/Muffler Assembly k 85-20-01 Cabin Heat Deactivated l 83-22-06 Aileron Hinge Pin m 83-14-04 Cabin Heater Shroud Modification n 81-16-09 Elevator Control System o 81-14-06 Rudder Trim/Nose Gear Steering Bungee p 81-05-01 Fuel Tank Capacity q 80-19-08 Fuel/Air Mixture r 80-01-06 Flap Actuator Assembly 46 ENGINE a 2009-26-12 Cylinder assemblies b 2007-04-19R1 SAP cylinder assemblies c 2006-20-09 Certain crankshafts replacing d 2006-12-07 ECi cylinder assemblies e 2006-06-16 Crankshaft f 2005-19-11 Crankshafts g 2004-10-14 Crankshaft gear h 98-17-11 Crankshafts i 98-02-08 Crankshaft j 96-09-10 Oil pump k 95-26-02 Aviation Gasoline l 95-07-01 Connecting Rod Bolt m 87-10-06 R1 Rocker Arm Assembly 47 PROPELLER a 2006-24-07 Propeller blades b 2005-14-11 Failed propeller blade c 2003-13-17 Propeller blade d 91-15-04 Hub e 82-27-02 R1 Shank 70-04-01 Blades 48 CARBURATOR

DATE

HRS

RECUR.

a b c d

79-08-06 Carburetors 77-13-16 Carburetors 94-25-04 Carburetors 72-06-05R2 Carburators

LOG N