| Customer Name | |
|---|---|
| Contact | |
| Date | |
| Repair Order # | |
| Propeller Model | |
| Serial Number | |
| Manufacturer | |
| Aircraft Type | |
| Engine Model |
| Inspection Findings | |
|---|---|
| Required Repairs | |
| Parts Replaced | |
| Service Limits | |
| Balance Performed | |
| Completion Date | |
| Technician | |
| Supervisor/Inspector | |
| Remarks |