Condition Inspection Form

Make / Model:           _________________________________      Serial No.:      _______________________

Engine Model:           _________________________________      Serial No.:      _______________________

Date Inspected:         _______________________ TT Airframe:  ____________ TT Engine: ____________

Each person performing an annual or 100-hour inspection shall, before that inspection, remove or open all necessary inspection plates, access doors, fairing, and cowling.  He shall thoroughly clean the aircraft and aircraft engine.

Each person performing a Condition Inspection shall inspect (where applicable) the following components:

Fuselage and Hull Group:

Pass   Fail    N/A          Fabric and skin—for deterioration, distortion, other evidence of failure, and defective

or insecure attachment of fittings.

Pass   Fail    N/A          Systems and components—for improper installation, apparent defects, and unsatisfactory operation.

Pass   Fail    N/A          Envelope, gas bags, ballast tanks, and related parts—for poor condition.

Pass   Fail    N/A          Each person performing an annual or 100-hour inspection shall inspect (where applicable) the following components of                                     the cabin and cockpit group:

Pass   Fail    N/A          Generally—for un-cleanliness and loose equipment that might foul the controls.

Pass   Fail    N/A          Seats and safety belts—for poor condition and apparent defects.

Pass   Fail    N/A          Windows and windshields—for deterioration and breakage.

Pass   Fail    N/A          Instruments—for poor condition, mounting, marking, and (where practicable)

                                    improper operation.

Pass   Fail    N/A          Flight and engine controls—for improper installation and improper operation.

Pass   Fail    N/A          Batteries—for improper installation and improper charge.

Pass   Fail    N/A          All systems—for improper installation, poor general condition, apparent and obvious

                                    defects, and insecurity of attachment.

Engine and Nacelle Group:

Pass   Fail    N/A          Engine section—for visual evidence of excessive oil, fuel, or hydraulic leaks, and

                                    sources of such leaks.

Pass   Fail    N/A          Studs and nuts—for improper torquing and obvious defects.

Pass   Fail    N/A          Internal engine—for cylinder compression and for metal particles or foreign matter

                                    on screens and sump drain plugs. If there is weak cylinder compression, for improper

                                    internal condition and improper internal tolerances.

Pass   Fail    N/A          Engine mount—for cracks, looseness of mounting, and looseness of engine to mount.

Pass   Fail    N/A          Flexible vibration dampeners—for poor condition and deterioration.

Pass   Fail    N/A          Engine controls—for defects, improper travel, and improper safetying.

Pass   Fail    N/A          Lines, hoses, and clamps—for leaks, improper condition and looseness.

Pass   Fail    N/A          Exhaust stacks—for cracks, defects, and improper attachment.

Pass   Fail    N/A          Accessories—for apparent defects in security of mounting.

Pass   Fail    N/A          All systems—for improper installation, poor general condition, defects, and insecure

                                    attachment.

Pass   Fail    N/A          Cowling—for cracks, and defects.

Landing Gear Group:

Pass   Fail    N/A          All units—for poor condition and insecurity of attachment.

Pass   Fail    N/A          Shock absorbing devices—for improper oleo fluid level.

Pass   Fail    N/A          Linkages, trusses, and members—for undue or excessive wear fatigue, and distortion.

Pass   Fail    N/A          Retracting and locking mechanism—for improper operation.

Pass   Fail    N/A          Hydraulic lines—for leakage.

Pass   Fail    N/A          Electrical system—for chafing and improper operation of switches.

Pass   Fail    N/A          Wheels—for cracks, defects, and condition of bearings.

Pass   Fail    N/A          Tires—for wear and cuts.

Pass   Fail    N/A          Brakes—for improper adjustment.

Pass   Fail    N/A          Floats and skis—for insecure attachment and obvious or apparent defects.

Wing and Center Section Assembly:

Pass   Fail    N/A          For poor general condition, fabric or skin deterioration, distortion, evidence of failure,  and insecurity of attachment.

Empennage Assembly:

Pass   Fail    N/A          For poor general condition, fabric or skin deterioration, distortion, evidence of failure,

                                    insecure attachment, improper component installation, and improper component                                                             operation.

Propeller Group:

Pass   Fail    N/A          Propeller assembly—for cracks, nicks, binds, and oil leakage.

Pass   Fail    N/A          Bolts—for improper torquing and lack of safetying.

Pass   Fail    N/A          Control mechanisms—for improper operation, insecure mounting, and restricted

                                    travel.

Radio Group:

Pass   Fail    N/A          Radio and electronic equipment—for improper installation and insecure mounting.

Pass   Fail    N/A          Wiring and conduits—for improper routing, insecure mounting, and obvious defects.

Pass   Fail    N/A          Bonding and shielding—for improper installation and poor condition.

Pass   Fail    N/A          Antenna including trailing antenna—for poor condition, insecure mounting, and improper                                    operation.

 

Each Installed Miscellaneous Item That Is Not Otherwise Covered By This Listing for:

Pass   Fail    N/A          Proper installation and improper operation.

Inspected By:

_______________________________________                             

Signature