Weight & Balance and
Performance Worksheet
Item
Weight (lbs)
ARM (inches)
Moment (in-lbs)
Basic Empty Weight
Pilot and Co-Pilot
Rear Passengers
Baggage Area 1 (limitations [ ])*
Baggage Area 2 (limitations [ ])*
Zero Fuel Weight
Within operating limits: Yes or No
Fuel in Gallons [ ] x6 lbs per gallon
Ramp Weight
Within operating limits: Yes or No
Start and Taxi Fuel Burn
Take-Off Weight
Within operating limits: Yes or No
(CG)
Less Enroute Fuel
Landing Weight
Within operating limits: Yes or No
(CG)
*The weight for both baggage area 1 and 2 shall not exceed _______lbs.
Departure
Runway Length
Take-off Distance
Landing Distance
Over 50’ obstacle
Departure
Arrival
Take-off Distance
Landing Distance
Climb Performance ft/min__________
Departure
Pressure Altitude
Density Altitude
IMSAFE CHECKLIST: I AM SAFE TO FLY! Y or N
Items to be verified prior to flight
NOTAMs at arrival/departure/enroute
Weather at arrival/departure/enroute
Known traffic delays checked
Alternates and Fuel Requirements
Special use airspace (TFRs, MOAs)