Textron Aviation

One Cessna Blvd.

Maintenance Transaction Record Wichita, KS 67215 U.S.A
This Maintenance Transaction Report Is To Be Solely For: Phone: +1(316)517-5800
Aircraft Identification and Status
Airframe Eng. #1 Eng. #2 APU

Serial No. _____________________ Serial No. _____________________ Serial No. _____________________

Aircraft Identification and Status
A/C A/C A/C Total Total Eng. Ttl Hrs Eng. Ttl Cycles APU APU Freon
Serial # Unit # Registration # Date City ID A/C Hours A/C Landings #1 #2 #1 #2 Hrs Events Hrs

Component Changes, Inspections, Service Bulletins, or Airworthiness Directives Accomplished

Transaction
TASK/ Part Number/ Mod Part Removal TSN/TSO/
ITEM No. Type Item Name Position Alternate Part Level Serial Reason Status TSR

Transaction Type: 1. Component Change, 2. Inspection Accomplished, 3. Service Bulletin Accomplished, 4. Airworthiness Directive Accomplished, - Miscellaneous Removal Reasons: WO - Worn To Limits, SC - Scheduled, UN - Unscheduled, CO - Convenience, N - Other
Installed Part Status: N - New, R-Repaired, S - Serviceable, O - Overhauled, T-Tested, M - Modified, I - Inspected

REF NO This Space For Other Maintenance Comments Including, Test Or Calibration Dates, Removed Serial Numbers, Etc.

Repair Facility: ___________________________________ Certified Repair Station No: ___________________________ Work Order #: _____________________ Maintenance Log:
Section Page
Work Performed By: ___________________________________ Certificate No. ________________________ DATE: _______________

I CERTIFY THAT THE ABOVE MAINTENANCE & INFORMATION CONTAINED IN THE LISTED WORK ORDER WAS PERFORMED IN
ACCORDANCE WITH THE CURRENT REGULATIONS OF THE
FAA Other (Specify) ________________ RESET
Permanent Aircraft Record
AND THE AIRCRAFT/COMPONENT IDENTIFIED ABOVE IS PRESENTLY AIRWORTHY AND APPROVED FOR RETURN TO SERVICE. File in the Appropriate Maintenance Log Section

Revision 1
Work Inspected By: ____________________________________________________________________________________________ Certificate No. _______________________ DATE: ______________
TxtAvJetMTR Additional Forms Available: https://ww2.txtav.com/TechnicalPublications/ 01/30/2020