Airworthiness Review Certificate (ARC) Check List

• Aircraft Registration & Registration number:

• Aircraft Maximum Take-Off Weight:

• Client

• Name of M.A.901(g) Certifying staff:

• Approval reference:

• Personnel / Accountable Person

• Contact Email:

• Contact Phone Number:

• Report reference: "TF-XXX/ DD.MM.YYYY" ( date started )

NOTE

• • Before starting the airworthiness review, check that ARC has not been issued for more than two consecutive years after recommendation made by certifying staff approved in accordance with M.A.901(g).
  
  • Check MTOW of ELA1 Aircraft - max 1200 kgs.
  
  • Before filling out form and LHD-1 & LHD-2 ELA, make sure to use latest revision from ICETRA website.
  
  • The airworthiness review sampling shall not be limited to the period since the last airworthiness review.
  
  • If the result of the full airworthiness review is unsatisfactory or inconclusive then the Certifying Staff shall send this form, along with all necessary supporting data to ICETRA as soon as practicable but in any case within 72 hours from the moment the certifying staff identifying the condition to which the review relates in order to satisfy the requirements of point M.A.710(h).
  
  • An airworthiness review is considered inconclusive when an issue is identified but;
  > a clear decision cannot be made regarding the acceptability of the issue, or
  > the corrective action required cannot be defined.
  
  • When performing an airworthiness review there is a possibility that issues will be identified that cannot be immediately resolved which will require further investigation and possible corrective action before recommendation for Airworthiness Review Certificate can be issued. When this situation occurs, the airworthiness review should be considered to be incomplete, until such time as the identified corrective actions have been taken.
  
  • All findings must be closed before recommendation can be made.
  
  • Aircraft for which the aircraft maintenance programme has been established in accordance with point M.A.302(h), the aircraft maintenance programme must be reviewed in conjunction with the airworthiness review. This review shall be accomplished by the certifying staff who performed the airworthiness review. If the review shows discrepancies on the aircraft linked to deficiencies in the content of the maintenance programme, the certifying staff performing the review must inform ICETRA within 72 hours from the time the condition is identified.
  
  • The provision of point M.A.710(d) allows a 90 days´ anticipation by maximum 90 days without loss of continuity of the airworthiness review pattern.
  
  • A copy of this report along with form LHD-1 ELA should be retained in the aircraft records.

Executive Summary

• 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

• Check Engine EASA FORM 1 / FAA 8130

• Total Hours in Service (TTIS):

• Total Hours Since Overhaul (TSOH):

• Propeller manufacture and type:

• Propeller Serial number:

• Date of Manufacture / Overhaul

  Date

• HUB Part number / Serial Number ( if Applicable ):

• Blade Part Number / Serial Number ( if Applicable ):

• Check Propeller EASA FORM 1 / FAA 8130

• Total Hours in Service (TTIS):

• Total Hours Since Overhaul (TSOH):

Aircraft Documents Note: Perform the annual review of the maintenance programme when both the records and physical review have been performed.

• Date of Document review

  Date
• Place of Document Review
  Address

• Copy of C of R

  Compliant

  Non-Compliant

  N/A

• Date of Issue C of R

  Date

• Copy of C of A

  Compliant

  Non-Compliant

  N/A

• Date of Issue C of A

  Date

• Date of expiry for ANNEX II Aircraft

  Date

• Copy of ARC

  Compliant

  Non-Compliant

  N/A

• Airworthiness Review Certificate expiry date.

  Date

• Copy of Radio Station License

  Compliant

  Non-Compliant

  N/A

• Note ELT on Radio Licence

• Radio Licence Expiry Date.

  Date

• Aircraft Weight and Balance Load Data Sheet

  Yes

  No

  N/A

• Date of last weighing

  Date

• Check W&B Visible in cockpit

• Copy of Noise Certificate

  Yes

  No

  N/A

• Date of Issue of Noise Certificate

  Date

• Copy of valid Insurance Certificate<br>

  Yes

  No

  N/A

• Insurance date of Expiry

  Date

• Aircraft Journey Log

  Yes

  No

  N/A

• Aircraft Maintenance Program review Ref / Amendment :

• Date of Issue of AMP

  Date

• Is the AMP Current and has it been revised

  Yes

  No

  N/A

• Flight manual / POH issue and revision:

• Copy of Flight manual / POH cover page

  Media

• TCDS Airframe:

• TCDS Engine´s:

• TCDS Propeller´s:

• Logbooks for Air-frame, Engine´s & Propellers Sign Off

  Compliant

  Non-Compliant

  N/A

• Modification logbook sign off ( If Applicable)

  Yes

  No

  N/A

• AD notes listed and reviewed

  Yes

  No

  N/A

• Status list up to date and in accordance with Aircraft´s AMP

  Yes

  No

  N/A

• Last issue of status list:

  Date

• Modification List

  Yes

  No

  N/A

• Repair list

  Yes

  No

  N/A

• Service Bulletins Check possible Mandatory SD ( Can be connected to AD)

  Yes

  No

  N/A

• MEL if Applicable ( Check approval)

  Yes

  No

  N/A

• Extension of TBO approved by Authority (if Applicable)

  Yes

  No

  N/A

• Check Transponder check performed in case of MIP every 100Hr / Annual or in case of AIC B 005/2017 for IFR or VFR Night every 24 MTH

• Date of last Transponder Check

  Date

• Check applicable EASA FORM 1 / FAA 8130

  Yes

  No

  N/A

• Check applicable EASA Form 123 on CS-STAN equipment installation

  Yes

  No

  N/A

• 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)

PHYSICAL INSPECTION All findings/defects must be rectified ( Closed ) before a recommendation can be made.

• 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

  Compliant

  Non-Compliant

  N/A

• Engine Plackard and Serial Number-s

  Yes

  No

  N/A

• Magnetos Part number and Serial number

  Yes

  No

  N/A

• Starter Part Number and Serial number

  Yes

  No

  N/A

• Altenator / Generator Part Number and Serial number

  Yes

  No

  N/A

• Carburetor / Fuel Control Unit Part number and serial number

  Yes

  No

  N/A

• Check oil Cooler Part Number / Serial Number and flexible Oil Hoses

  Compliant

  Non-Compliant

  N/A

• Cowls & Latches

  Yes

  No

  N/A

• Engine Cowlings External Placards

  Yes

  No

  Not Installed

  N/A

• General Condition

  Compliant

  Non-Compliant

  N/A

Propellers

• Propeller / Spinner condition

• Oil / Grease Leaks

  Compliant

  Non-Compliant

  N/A

• Placards / Markings

  Compliant

  Non-Compliant

  N/A

• General Condition

  Compliant

  Non-Compliant

  N/A

Cockpit Physical Survey Check

Cockpit EMERGENCY EQUIPMENT

• Torches (x2) if IFR or VFR Night

  Yes

  No

  Not Installed

  N/A

• Fire Extinguisher

  Yes

  No

  N/A

• Check date of last inspection

  Date

• Life Vest

  Yes

  No

  N/A

• Check Expiry date of Life Vest

  Date

Cockpit Packard Inspection

• Registration Markings

  Yes

  No

  N/A

• Instrument Panel Markings in accordance with Placards and Markings in POH

  Yes

  No

  N/A

• Placards iaw Pilot Operating Handbook<br>

  Yes

  No

  N/A

• Weight and balance information on current Weight, Arm &/or Moment

  Yes

  No

  N/A

• Standby Compass Cards

  Yes

  No

  N/A

• Cockpit Emergency Exits ( sliding windows)

  Yes

  No

  Not Installed

  N/A

• Cockpit Doors

  Yes

  No

  N/A

Cockpit General Condition Check

• Instrument Panel - Instruments

  Yes

  No

  N/A

• Instrument Panel - Avionics

  Yes

  No

  N/A

• Check Radios in liaison to Aircraft´s Radio Licence

• Crew Seat belts

  Yes

  No

  N/A

• Seats

  Yes

  No

  N/A

• Windows/Emergency Exits

  Yes

  No

  N/A

• Flooring / carpets

  Yes

  No

  N/A

• Stainless Steel Fireproof Plate (Location)

  Yes

  No

  N/A

• CO-Detector

  Yes

  No

  N/A

• CO-Detector expiry

  Date

• General Condition

  Yes

  No

  N/A

Cabin Physical Survey

Cabin EMERGENCY EQUIPMENT

• Fire Extinguishers if applicable

  Yes

  No

  Not Installed

  N/A

• Life Vest´s

  Yes

  No

  N/A

• Check Expiry date of Life Vest

  Date

• First Aid Kit

  Yes

  No

  N/A

• First Aid kit next inspection:

  Date

Cabin Placards

• Exits

  Yes

  No

  N/A

• Seats

  Yes

  No

  N/A

• Emergency Equipment

  Yes

  No

  N/A

Cabin General condition

• Passenger Seat Belts

  Yes

  No

  N/A

• Seats

  Yes

  No

  N/A

• Linings

  Yes

  No

  N/A

• Flooring / Carpets

  Yes

  No

  N/A

• General Condition

  Yes

  No

  N/A

Baggage Compartments Physical Survey

Baggage Compartment Placards

• Weight Load Limits in each baggage compartment

  Yes

  No

  N/A

• Baggage Compartments separation markers / load limits ( if applicable )

  Yes

  No

  N/A

Baggage Compartments

• Liners

  Yes

  No

  N/A

• Baggage Restraints

  Yes

  No

  Not Installed

  N/A

• Tie Downs

  Yes

  No

  Not Installed

  N/A

• Check ELT 406 installed

  Yes

  No

  N/A

• Recored ELT Model: Record ELT Serial Number: ELT Bat EXP Date: ELT Accoundable Person:

• General Condition

  Yes

  No

  N/A

Wings Physical Survey

• Lift Surfaces

  Yes

  No

  N/A

• Flight Controls

  Yes

  No

  N/A

• Flaps

  Yes

  No

  N/A

• Fuel Leaks

  Yes

  No

  N/A

• Static Wicks

  Yes

  No

  N/A

• Repairs / Dents / Scratches / Buckles (Recorded in the aircraft's Modifications / Repair list)

  Yes

  No

  N/A

• Registration under Left Wing ( 50cm)

  Yes

  No

  N/A

• Wings External Placards

  Yes

  No

  N/A

• General Condition

  Yes

  No

  N/A

Fuel Physical Survey

• Fuel Drain Points

  Yes

  No

  N/A

• Over wing Refueling Caps.

  Yes

  No

  N/A

• Check fuel placards Min Grade / Mogas STC ( if Applicable )

  Yes

  No

  N/A

• Fuel Level Indicator sticks

  Yes

  No

  N/A

• Lanyards for Caps

  Yes

  No

  N/A

• General Condition

  Yes

  No

  N/A

Fuselage Physical Survey

• Doors

  Yes

  No

  N/A

• Exits External Placards

  Yes

  No

  Not Installed

  N/A

• Windows

  Yes

  No

  N/A

• Panels

  Yes

  No

  N/A

• Fuel leaks

  Yes

  No

  N/A

• Hydraulic Leaks

  Yes

  No

  N/A

• Repairs / Dents / Scratches / Buckles (Recorded in the aircraft's Modifications / Repair list)

  Yes

  No

  N/A

• Fuselage External Placards

  Yes

  No

  Not Installed

  N/A

• General Condition

  Yes

  No

  N/A

Empennage Physical Survey

• Lift Surfaces

  Yes

  No

  N/A

• Static Wicks

  Yes

  No

  Not Installed

  N/A

• Doors / Panels

  Yes

  No

  N/A

• Flight Controls

  Yes

  No

  N/A

• Repairs / Dents / Scratches / Buckles ( Recorded in the aircraft's Modifications / Repair list)

  Yes

  No

  N/A

• Side Registration Markings (30cm)

  Yes

  No

  N/A

• Empennage External Placards

  Yes

  No

  N/A

• Manufacturers Data Plate

  Yes

  No

  N/A

• General Condition

  Yes

  No

  N/A

Landing Gear Physical Survey

• Wheels, Tyres and Brakes

  Yes

  No

  N/A

• Wheel pants

  Yes

  No

  Not Installed

  N/A

• Fairings

  Yes

  No

  Not Installed

  N/A

• Fluid Lines

  Yes

  No

  N/A

• Landing Gear External Placards

  Yes

  No

  Not Installed

  N/A

• Shimmy Dampers

  Yes

  No

  Not Installed

  N/A

• General Condition

  Yes

  No

  N/A

Additional Information

• Notes:

Comment & Sign

• Comments & Findings :

• Select date

  Date

• Inspector Name:

• Inspector Licence and Approval Number :

• Sign Inspector

  Sign

• Sign accountable person of Aircraft

  Sign