Aircraft Make/Model:_______________________ S/N:____________

Aircraft Make/Model:_______________________ S/N:_____________

Engine Make/Model:________________________ S/N:_____________

Date of Inspection:_______________ TT Airframe:___________

TT Engine:___________

Appendix D-Scope and Detail of Items (As Applicable to the Particular Aircraft) to be Included in Annual and 100-Hour Inspections

(a) 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.

(b) Each person performing an annual or 100-hour inspection shall

inspect (where applicable) the following components of the

fuselage and hull group:

__Pass __Fail(1) Fabric and skin-for deterioration, distortion, other evidence

of failure, and defective or insecure attachment of fittings.

__Pass __Fail (2) Systems and components-for improper installation, apparent

defects, and unsatisfactory operation.

__Pass __Fail (3) Envelope, gas bags, ballast tanks, and related parts-for poor

condition.

inspect (where applicable) the following components of the cabin

and cockpit group:

__Pass __Fail (1) Generally\for uncleanliness and loose equipment that might

foul the controls.

__Pass __Fail (2) Seats and safety belts\for poor condition and apparent

defects.

__Pass __Fail (3) Windows and windshields\for deterioration and breakage.

__Pass __Fail (4) Instruments\for poor condition, mounting, marking, and (where

practicable) improper operation.

__Pass __Fail (5) Flight and engine controls\for improper installation and

improper operation.

__Pass __Fail (6) Batteries\for improper installation and improper charge.

__Pass __Fail (7) All systems\for improper installation, poor general

condition, apparent and obvious defects, and insecurity of

attachment.

(d) Each person performing an annual or 100-hour inspection shall

inspect (where applicable) components of the engine and nacelle

group as follows:

__Pass __Fail (1) Engine section\for visual evidence of excessive oil, fuel, or

hydraulic leaks, and sources of such leaks.

__Pass __Fail (2) Studs and nuts\for improper torquing and obvious defects.

__Pass __Fail (3) 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 (4) Engine mount\for cracks, looseness of mounting, and looseness

of engine to mount.

__Pass __Fail (5) Flexible vibration dampeners\for poor condition and

deterioration.

__Pass __Fail (6) Engine controls\for defects, improper travel, and improper

safetying.

__Pass __Fail (7) Lines, hoses, and clamps-for leaks, improper condition and

looseness.

__Pass __Fail (8) Exhaust stacks\for cracks, defects, and improper attachment.

__Pass __Fail (9) Accessories\for apparent defects in security of mounting.

__Pass __Fail (10) All systems\for improper installation, poor general

condition, defects, and insecure attachment.

__Pass __Fail (11) Cowling\for cracks, and defects.

(e) Each person performing an annual or 100-hour inspection shall

inspect (where applicable) the following components of the

landing gear group:

__Pass __Fail (1) All units\for poor condition and insecurity of attachment.

__Pass __Fail (2) Shock absorbing devices\for improper oleo fluid level.

__Pass __Fail (3) Linkages, trusses, and members\for undue or excessive wear

fatigue, and distortion.

__Pass __Fail (4) Retracting and locking mechanism\for improper operation.

__Pass __Fail (5) Hydraulic lines\for leakage.

__Pass __Fail (6) Electrical system\for chafing and improper operation of

switches.

__Pass __Fail (7) Wheels\for cracks, defects, and condition of bearings.

__Pass __Fail (8) Tires\for wear and cuts.

__Pass __Fail (9) Brakes\for improper adjustment.

__Pass __Fail (10) Floats and skis\for insecure attachment and obvious or

apparent defects.

__Pass __Fail (f) Each person performing an annual or 100-hour inspection shall

inspect (where applicable) all components of the wing and center

section assembly for poor general condition, fabric or skin

deterioration, distortion, evidence of failure, and insecurity of

attachment.

__Pass __Fail (g) Each person performing an annual or 100-hour inspection shall

inspect (where applicable) all components and systems that make

up the complete empennage assembly for poor general condition,

fabric or skin deterioration, distortion, evidence of failure,

insecure attachment, improper component installation, and

improper component operation.

(h) Each person performing an annual or 100-hour inspection shall

inspect (where applicable) the following components of the

propeller group:

__Pass __Fail (1) Propeller assembly\for cracks, nicks, binds, and oil leakage.

__Pass __Fail (2) Bolts\for improper torquing and lack of safetying.

__Pass __Fail (3) Anti-icing devices\for improper operations and obvious

defects.

__Pass __Fail (4) Control mechanism\for improper operation, insecure mounting,

and restricted travel.

(i) Each person performing an annual or 100-hour inspection shall

inspect (where applicable) the following components of the radio

group:

__Pass __Fail (1) Radio and electronic equipment\for improper installation and

insecure mounting.

__Pass __Fail (2) Wiring and conduits\for improper routing, insecure mounting,

and obvious defects.

__Pass __Fail (3) Bonding and shielding\for improper installation and poor

condition.

__Pass __Fail (4) Antenna including trailing antenna\for poor condition,

insecure mounting, and improper operation.

__Pass __Fail (j) Each person performing an annual or 100-hour inspection shall

inspect (where applicable) each installed miscellaneous item that

is not otherwise covered by this listing for improper

installation and improper operation.

Notes and explanation of unairworthy items found:

________________________________________________________________________

_________________________ _______________ ____________

Inspector Name Cert. # Date