Airworthiness review certificate (arc) check list
Document review & physical aircraft survey arc check list lsa
What does this form include?
This form contains 68 sections:
• 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
- Check Engine EASA FORM 1 / FAA 8130
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 )
- Engines / Cylinders / Accessories / Baffles
Propeller / Spinner condition
Propellers
- Oil / Grease Leaks
- Placards / Markings
- General Condition
Cockpit EMERGENCY EQUIPMENT
- Torches (x2) if IFR or VFR Night
Check date of last inspection Date
Check Expiry date of Life Vest Date
Cockpit Packard Inspection
- Registration Markings
- Instrument Panel Markings in accordance with Placards and Markings in POH
- Placards iaw Pilot Operating Handbook
- Weight and balance information on current Weight, Arm &/or Moment
- Standby Compass Cards
Cockpit General Condition Check
- Instrument Panel - Instruments
- Instrument Panel - Avionics
CO-Detector expiry Date
Cabin EMERGENCY EQUIPMENT
- Fire Extinguishers if applicable
First Aid kit next inspection: Date
Cabin Placards
- Exits
- Seats
- Emergency Equipment
Cabin General condition
- Passenger Seat Belts
- Seats
- Linings
- Flooring / Carpets
- General Condition
Baggage Compartment Placards
- Weight Load Limits in each baggage compartment
- Baggage Compartments separation markers / load limits ( if applicable )
Baggage Compartments
Recored ELT Model: Record ELT Serial Number: ELT Bat EXP Date: ELT Accoundable Person:
Wings Physical Survey
- Lift Surfaces
- Flight Controls
- Flaps
- Fuel Leaks
- Static Wicks
- Repairs / Dents / Scratches / Buckles (Recorded in the aircraft's Modifications / Repair list)
- Registration under Left Wing ( 50cm)
- Wings External Placards
- General Condition
Fuel Physical Survey
- Fuel Drain Points
- Over wing Refueling Caps.
- Check fuel placards Min Grade / Mogas STC ( if Applicable )
- Fuel Level Indicator sticks
- Lanyards for Caps
- General Condition
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
Use this template