Oil Burner Worksheet
To request a .pdf version of this form, please email info@aeroverity.com
Project Information
Applicant
*
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Aircraft Make
*
Aircraft Model
*
Aircraft Serial Number
*
Registration Number
*
Project Type
*
Minor Alteration / R&D
Major Alteration
TC/STC/PMA
Other
Aircraft Operating As
*
Part 91/125
Part 135
Due Date
*
 -
Month
 -
Day
Year
Installation Type
*
All Seats Existing
All Seats New
Both Existing and New Seats
Select Existing Seat Type(s) for Project
*
Single
Double
Divan
Lavatory
Jumpseat
Observer Seat
Crew Rest
Other
Select New Seat Type(s) for Project
*
Single
Double
Divan
Lavatory
Jumpseat
Observer Seat
Crew Rest
Other
Modification Type
*
Dress Covers Only (all seats)
Cushion Assembly - Dress Cover and Foam (all seats)
Other
Back
Next
Scope/Configuration #1
Please provide a single configuration for one of the seat types
Select Seat Type(s) for Configuration #1 (check all that apply for this configuration only)
*
Single
Double
Divan
Lavatory
Jumpseat
Observer Seat
Crew Rest
Other
Select Modified Cushions (check all that apply)
*
Bottom Cushion
Backrest Cushion
Headrest Cushion
Legrest Cushion
Jumpseat
Observer Seat
Crew Rest
Other
Dress Cover Material
*
Single Material
Two-Tone Material
Other
Dress Cover Lining/Padding/Quilting
*
Yes
No
Installation of dress cover lining/padding/quilting
*
Placed loosely
Glued to covers
Sewn into covers
Location of dress cover lining/padding/quilting
*
Seating surfaces (top of bottom cushions, front of backrest/headrest)
Seating Surfaces and Sides
Entire foam assembly (encapsulated)
Combination (specify below)
Please upload any sketches or renderings, as required.
Browse Files
Drag and drop files here
Choose a file
Accepts the following file types: .pdf, .jpg, .jpeg, .png
Cancel
of
Dress Cover Closeout
*
Hook/Loop
Glued/Bonded
Sewn
Other
Windowpane style close out uses the same material as main dress cover.
*
Yes
No
N/A (not used)
Windowpane style close out material
*
Please provide description of material as well as part number.
Foam Core Assembly
*
All standard DAX foam, lowest density DAX 26
Other
Acceptable to test with lowest density of each foam type used? If DAX foams, DAX 26 will be used.
*
Yes
No
Fireblocking Layer (if used, FAA requires fireblocking material must fully encapsulate foam core)
*
Yes
No
Fireblocking Layer Details
*
Bonded to foam
Closeout - Sewn
Loosely Installed (not bonded)
Closeout - Bonded
Sewn into Dress Cover Assembly
Closeout - Hook/Loop
Other
Additional Materials (piping, welt, filler, batting, muslin, canvas, etc.)
*
Yes
No
Please describe additional materials used. Include material type, which cushions it is used on, the installation location (for example, face of leg rest), installation method (bonded, sewn, etc.).
*
Add another configuration?
*
Yes
No
Back
Next
Scope/Configuration #2
Please provide a single configuration for one of the seat types
Select Seat Type(s) for Configuration #2 (check all that apply for this configuration only)
*
Single
Double
Divan
Lavatory
Jumpseat
Observer Seat
Crew Rest
Other
Select Modified Cushions (check all that apply)
*
Bottom Cushion
Backrest Cushion
Headrest Cushion
Legrest Cushion
Jumpseat
Observer Seat
Crew Rest
Other
Dress Cover Material
*
Single Material
Two-Tone Material
Other
Dress Cover Lining/Padding/Quilting
*
Yes
No
Installation of dress cover lining/padding/quilting
*
Placed loosely
Glued to covers
Sewn into covers
Location of dress cover lining/padding/quilting
*
Seating surfaces (top of bottom cushions, front of backrest/headrest)
Seating Surfaces and Sides
Entire foam assembly (encapsulated)
Combination (specify below)
Please upload any sketches or renderings, as required.
Browse Files
Drag and drop files here
Choose a file
Accepts the following file types: .pdf, .jpg, .jpeg, .png
Cancel
of
Dress Cover Closeout
*
Hook/Loop
Glued/Bonded
Sewn
Other
Windowpane style close out uses the same material as main dress cover.
*
Yes
No
N/A (not used)
Windowpane style close out material
*
Please provide description of material as well as part number.
Foam Core Assembly
*
All standard DAX foam, lowest density DAX 26
Other
Acceptable to test with lowest density of each foam type used? If DAX foams, DAX 26 will be used.
*
Yes
No
Fireblocking Layer (if used, FAA requires fireblocking material must fully encapsulate foam core)
*
Yes
No
Fireblocking Layer Details
*
Bonded to foam
Closeout - Sewn
Loosely Installed (not bonded)
Closeout - Bonded
Sewn into Dress Cover Assembly
Closeout - Hook/Loop
Other
Additional Materials (piping, welt, filler, batting, muslin, canvas, etc.)
*
Yes
No
Please describe additional materials used. Include material type, which cushions it is used on, the installation location (for example, face of leg rest), installation method (bonded, sewn, etc.).
*
Add another configuration?
*
Yes
No
Back
Next
Scope/Configuration #3
Please provide a single configuration for one of the seat types
Select Seat Type(s) for Configuration #3 (check all that apply for this configuration only)
*
Single
Double
Divan
Lavatory
Jumpseat
Observer Seat
Crew Rest
Other
Select Modified Cushions (check all that apply)
*
Bottom Cushion
Backrest Cushion
Headrest Cushion
Legrest Cushion
Jumpseat
Observer Seat
Crew Rest
Other
Dress Cover Material
*
Single Material
Two-Tone Material
Other
Dress Cover Lining/Padding/Quilting
*
Yes
No
Installation of dress cover lining/padding/quilting
*
Placed loosely
Glued to covers
Sewn into covers
Location of dress cover lining/padding/quilting
*
Seating surfaces (top of bottom cushions, front of backrest/headrest)
Seating Surfaces and Sides
Entire foam assembly (encapsulated)
Combination (specify below)
Please upload any sketches or renderings, as required.
Browse Files
Drag and drop files here
Choose a file
Accepts the following file types: .pdf, .jpg, .jpeg, .png
Cancel
of
Dress Cover Closeout
*
Hook/Loop
Glued/Bonded
Sewn
Other
Windowpane style close out uses the same material as main dress cover.
*
Yes
No
N/A (not used)
Windowpane style close out material
*
Please provide description of material as well as part number.
Foam Core Assembly
*
All standard DAX foam, lowest density DAX 26
Other
Acceptable to test with lowest density of each foam type used? If DAX foams, DAX 26 will be used.
*
Yes
No
Fireblocking Layer (if used, FAA requires fireblocking material must fully encapsulate foam core)
*
Yes
No
Fireblocking Layer Details
*
Bonded to foam
Closeout - Sewn
Loosely Installed (not bonded)
Closeout - Bonded
Sewn into Dress Cover Assembly
Closeout - Hook/Loop
Other
Additional Materials (piping, welt, filler, batting, muslin, canvas, etc.)
*
Yes
No
Please describe additional materials used. Include material type, which cushions it is used on, the installation location (for example, face of leg rest), installation method (bonded, sewn, etc.).
*
Add another configuration?
*
Yes
No
Back
Next
Scope/Configuration #4
Please provide a single configuration for one of the seat types
Select Seat Type(s) for Configuration #4 (check all that apply for this configuration only)
*
Single
Double
Divan
Lavatory
Jumpseat
Observer Seat
Crew Rest
Other
Select Modified Cushions (check all that apply)
*
Bottom Cushion
Backrest Cushion
Headrest Cushion
Legrest Cushion
Jumpseat
Observer Seat
Crew Rest
Other
Dress Cover Material
*
Single Material
Two-Tone Material
Other
Dress Cover Lining/Padding/Quilting
*
Yes
No
Installation of dress cover lining/padding/quilting
*
Placed loosely
Glued to covers
Sewn into covers
Location of dress cover lining/padding/quilting
*
Seating surfaces (top of bottom cushions, front of backrest/headrest)
Seating Surfaces and Sides
Entire foam assembly (encapsulated)
Combination (specify below)
Please upload any sketches or renderings, as required.
Browse Files
Drag and drop files here
Choose a file
Accepts the following file types: .pdf, .jpg, .jpeg, .png
Cancel
of
Dress Cover Closeout
*
Hook/Loop
Glued/Bonded
Sewn
Other
Windowpane style close out uses the same material as main dress cover.
*
Yes
No
N/A (not used)
Windowpane style close out material
*
Please provide description of material as well as part number.
Foam Core Assembly
*
All standard DAX foam, lowest density DAX 26
Other
Acceptable to test with lowest density of each foam type used? If DAX foams, DAX 26 will be used.
*
Yes
No
Fireblocking Layer (if used, FAA requires fireblocking material must fully encapsulate foam core)
*
Yes
No
Fireblocking Layer Details
*
Bonded to foam
Closeout - Sewn
Loosely Installed (not bonded)
Closeout - Bonded
Sewn into Dress Cover Assembly
Closeout - Hook/Loop
Other
Additional Materials (piping, welt, filler, batting, muslin, canvas, etc.)
*
Yes
No
Please describe additional materials used. Include material type, which cushions it is used on, the installation location (for example, face of leg rest), installation method (bonded, sewn, etc.).
*
If additional configurations are needed, please submit an additional form, or email us at info@aeroverity.com.
Back
Next
Materials Used
*
Please attach material traceability for materials provided to the lab, for test specimen fabrication. Alternatively, these can be emailed to info@aeroverity.com. Please reference the aircraft make/model & serial number in your email.
Browse Files
Drag and drop files here
Choose a file
Accepts the following file types: .pdf, .doc, .docx, .xls, .xlsx, .jpg, .jpeg, .png
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of
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