ANNUAL CONDITION INSPECTION REPORT


AIRCRAFT:
REGISTRATION:
AIRFRAME SERIAL #:
ENGINE TYPE:
ENGINE SERIAL
TT AIRFRAME:
TT ENGINE
TSOH ENGINE

       

LARTIN-DRAKE CII STANDARD
N333JN
CH2-1193-1921
ROTAX 503 DCDI
M532 3662
__________
__________
__________



SECTION 1: DOCUMENTATION
1.1 Ensure airworthiness certificate, operating limitations, aircraft registration,
      and weight and balance documents are aboard aircraft, are current, and are valid.
1.2 Ensure aircraft, engine, and propeller logs are available and current.
1:3 Confirm all required placards, labels, and data plates are installed and legible.





SECTION 2: ENGINE
2.1 Inspect engine log for completion of periodic maintenance per
      Rotax Maintenance Manual p.10-2 section 10.2 2.2 Inspect engine for leaks at
     all seals, sensors, and gaskets.
2.3 Inspect all engine and accessory mounting bolts for security and integrity.
2.4 Inspect all wiring, harnesses, and connectors for chafing, security, and integrity.
2.5 Inspect engine mounts for condition, security, and integrity.
2.6 Inspect carburetor intake boots and clamps for security and integrity.
2.7 Inspect fuel lines, fuel filter, fuel pump, and fuel pump mounts
      for chafing, security, and integrity. 2.8 Inspect fan belt for time in service,
      condition, and tension.
2.9 Inspect muffler, muffler mount, and bolts for wear, security, and integrity.
2.10 Inspect exhaust ball-joints, springs, and retainers for wear,
      security, lubrication, and integrity.
2.11 Inspect condition and security of air cleaner
2.12 Inspect float bowls and floats for condition, adjustment, and contamination.
2.13 Inspect carburetor main jet needles for wear at clips.
2.14 Inspect throttle and choke cables, adjusters, and splitters
      for wear, cleanliness, lubrication, and smooth operation.
2.15 Inspect fuel tank and fuel tank mounts for condition and security.
2.16 Drain and inspect fuel tank for contamination.
2.17 Inspect fuel filler cap, hose, clamps, and fittings for leaks, condition, and security.
2.18 Inspect fuel tank cap seal and vent for function and security.
2.19 Inspect engine controls and cables for condition, security, and lubrication.
























SECTION 3: REDUCTION DRIVE AND PROPELLER
3.1 Inspect drive belt for time in service and condition.
3.2 Inspect top sprocket and bearings for condition.
3.3 Inspect top sprocket nut for torque and security.
3.4 Inspect lower sprocket for security and condition.
3.5 Inspect belt and sprockets for wear, alignment, and tracking.
3.6 Inspect propellor for condition.
3.7 Inspect propellor bolts for torque and security.
3.8 Inspect spinner for condition and security.
3.9 Check propellor tracking.		 










SECTION 4: AIRFRAME AND COVERING
4.1 Inspect all tubing for corrosion, bends, cracks, dents,
     scratches, elongated fastener holes, and distortion of the surface.
4.2 Inspect all gussets for cracks, distortion, enlarged or
     distorted holes, and loose fasteners.
4.3 Inspect all bolts and fasteners for wear, corrosion, damaged
     threads, correct installation/orientation and security.
4.4 Inspect all structural connecting brackets and weldments for wear,
     cracks, corrosion, distortion, and elongated fastener holes.
4.5 Inspect all plastic parts including bushings, saddles, washers spacers etc.
     for wear, distortion, and elongated holes.
4.6 Inspect fabric for condition, strength, chafe, tears, punctures, and
     seperation from airframe.
4.7 Inspect all seam tapes for chafe and adhesion.
4.8 Inspect all caulking, sealants, rubber moldings, grommets, etc. for wear,
     security, integrity, and chafe.

















SECTION 5: CONTROLS AND CONTROL SURFACES
5.1 Inspect stick and fittings for condition, security, and lubrication.
5.2 Inspect elevator push-pull tube and fittings for condition,
     security, and lubrication.
5.3 Inspect elevator bellcrank, pushrods, and control horns for condition,
     security, and lubrication.
5.4 Inspect elevator hinges for condition, security, and lubrication.
5.5 Inspect aileron turnbuckles, fittings, and cables for adjustment, security,
     wear, and lubrication.
5.6 Inspect aileron cable pulleys and bellcranks for condition, wear, and lubrication.
5.7 Inspect flaperon mechanism for condition, lubrication, and operation.
5.8 Inspect aileron pushrods and fittings for wear, security, and lubrication.
5.9 Inspect aileron hinges for wear, security, and lubrication.
5.10 Inspect aileron gap seals for condition, adhesion and chafe.
5.11 Inspect rudder pedal pivot bolts and bearings for wear, security, and lubrication.
5.12 Inspect rudder pedal linkage for wear, adjustment, security, and lubrication.
5.13 Inspect rudder cable attachment fittings and turnbuckles for wear, security,
     and lubrication.
5.14 Inspect inspect rudder cables for wear, condition, security, and lubrication.
5.15 Inspect rudder control horns and hinges for wear, security, and lubrication.
5.16 Inspect rudder gap seals for condition, adhesion and chafe.
5.17 Check for proper control function. 		






















SECTION 6: LANDING GEAR, STEERING, AND BRAKES
6.1 Inspect main gear legs for cracks, bends, and elongated holes.
6.2 Inspect main gear leg sockets and axle weldments for corrosion, cracks,
      bends, distortion, and elongated holes.
6.3 Inspect nose gear shaft and fork for straightness and integrity.
6.4 Inspect nose gear shaft bearing for wear, excessive play, and lubrication.
6.5 Inspect nose gear steering linkage for wear, play, lubrication.
6.6 Inspect all wheel bearings for condition.
6.7 Inspect wheel studs and axle bolts for condition.
6.8 Inspect all tires for condition, wear, pressure, and balance.
6.9 Inspect brake pads for wear.
6.10 Inspect brake lines for chafe, security, and integrity.
6.11 Inspect brake main cylinders for condition, and security.
6.12 Inspect brake fluid for service life and air entrainment.
6.13 Check brake function. 		
















SECTION 7: ELECTRICAL, INSTRUMENTS, AND AVIONICS
7.1 Inspect all wiring, connectors, and harnesses for chafe, corrosion,
      security, and integrity.
7.2 Inspect battery and battery mount for security, corrosion, and integrity.
7.3 Inspect all fuses for correct amperage and installation.
7.4 Confirm spare fuses available.
7.5 Test all switches for correct function.
7.6 Test navigation lights for operation.
7.7 Test anti-collision strobes for operation.
7.8 Test multifunction display for operation.
7.9 Confirm current compass correction data displayed.
7.10 Test ELT function.
7.11 Inspect ELT batteries for service life.
7.12 Inspect transponder/encoder for current inspection and calibration.
7.13 Inspect pitot/static system for obstructions, security, and integrity
7.14 Verify all inoperative or unusable equipment is placarded.

















SECTION 8: FLIGHT TEST
8.2 Verify aircraft is fueled and fuel system function is normal.
8.2 Verify engine start and functions normal.
8.3 Full power static run-up; verify temps and functions within parameters .
8.4 Verify controls free and correct.
8.5 Radio check.
8.6 Verify all aircraft functions normal and correct in all phases of flight.








SECTION 9: SIGN-OFF AND RETURN TO SERVICE
9.1 Record inspection and certification in Aircraft Log
9.2 Copy of inspection in Aircraft Maintenance Manual




REMARKS:













I hereby certify that all requirements in this engineering and inspection report have been met, and I have determined the aircraft to be airworthy.

Signature ______________________
Inspection Authorization # ___________________________


Back To The Index