Aircraft Engine Emissions Examination

Date Examiner Name Location

Aircraft Details Aircraft Model Registration Number Engine Model Engine Serial Number

Emission Parameters

Parameter	Measured Value	Units	Limits	Remarks
CO (Carbon Monoxide)		ppm
NOx (Nitrogen Oxides)		ppm
HC (Hydrocarbons)		ppm
Smoke Number

Operating Conditions Engine Power Setting Ambient Temperature (°C) Pressure Altitude (ft) Humidity (%)

Observations & Notes

Examiner Signature Date