,-
ro
.....
SAMPLE WEIGHT AND BALANCE RECORD
;x>
(Continuous History of Changes in Structure or Equipment Affecting Weight and Balance)
Otl
c
C
AIRPLM: .
'ODEL
I
SERIAL NUMBER
I
PAG
WE IGHT CHANGE
ITEM NO .
r - - -
ADDED 1+)
REMOVED (-)
DATE
DESCRIPTION
OF ARTICLE OR MODIFICATION
WI.
Arm
Moment
WI.
Arm
Moment
In
Out
(lb.)
(In.)
11000
(lb.)
(In.)
11000
As Delivered
rJl
c+
.....
<D
00
.....
~
&1
Figure 6-2. Sample Weight and Balance Record