Template Information
Document review & physical aircraft survey arc check list lsa
Category: general
Template Questions
- • Before starting the airworthiness review, check that ARC has not been issued for more than two cons
- Aircraft Manufacture, Type and Series
- Aircraft Serial Number:
- Aircraft year of Manufacture Date
- Tach:
- Total Hours in Service (TTIS):
- Total Cycles in Service (TCIS):
- Engine manufacture and type:
- Engine Serial Numer:
- Date of Manufacture / Overhaul Date
- Executive Summary
- Total Hours Since Overhaul (TSOH):
- Propeller manufacture and type:
- Propeller Serial number:
- HUB Part number / Serial Number ( if Applicable ):
- Blade Part Number / Serial Number ( if Applicable ):
- Date of Document review Date
- Place of Document Review Address
- Aircraft Documents Note: Perform the annual review of the maintenance programme when both the records and physical review have been performed.
- Date of Issue C of R Date
- Date of Issue C of A Date
- Date of expiry for ANNEX II Aircraft Date
- Airworthiness Review Certificate expiry date. Date
- Radio Licence Expiry Date. Date
- Date of last weighing Date
- Date of Issue of Noise Certificate Date
- Insurance date of Expiry Date
- Aircraft Maintenance Program review Ref / Amendment :
- Date of Issue of AMP Date
- Flight manual / POH issue and revision:
- Copy of Flight manual / POH cover page
- TCDS Airframe:
- TCDS Engine´s:
- TCDS Propeller´s:
- Last issue of status list: Date
- Date of last Transponder Check Date
- List of persons / Organization having carried out Continuing Airworthiness Activities since last review ( Owner / CAMO/ 145)
- List of persons / Organization having carried out Maintenance Tasks since last review ( Name / Licence)
- Date of Physical Survey Date
- Place of Physical Survey Address
- Engines and Cowlings Check ( engine compartment shall be inspected in any case )
- Propeller / Spinner condition
- Propellers
- Cockpit EMERGENCY EQUIPMENT
- Check date of last inspection Date
- Check Expiry date of Life Vest Date
- Cockpit Packard Inspection
- Cockpit General Condition Check
- CO-Detector expiry Date
- Cabin EMERGENCY EQUIPMENT
- First Aid kit next inspection: Date
- Cabin Placards
- Cabin General condition
- Baggage Compartment Placards
- Baggage Compartments
- Recored ELT Model: Record ELT Serial Number: ELT Bat EXP Date: ELT Accoundable Person:
- Wings Physical Survey
- Fuel Physical Survey
- Fuselage Physical Survey
- Empennage Physical Survey
- Landing Gear Physical Survey
- Notes:
- Comments & Findings :
- Select date Date
- Inspector Name:
- Inspector Licence and Approval Number :
- Sign Inspector
- Sign accountable person of Aircraft