AIRWORTHINESS DOCUMENTS SUMMARY CHECKLIST FOR C OF A, AND RML ISSUE/RENEWAL/VALIDATION (Fixed Wing) Name of Operator: Nepal Airlines Aircraft Registration Number: 9N- 1. General Specifcations Total FH Total FC Potentials Cycles/Hours Status Date Next Check 1.1 AIRCRAFT Next Major Check Aircraft Type LH Eng TBO A/C MSN RH Eng TBO Owner NLG Oleo! Date of Manufacture MLG LH TBO Last Operating Country MLG RH TBO Last Check Pro"eller # Category Pro"eller $ Current Location MTO Last weighing Date !aint Last Operator Current Operator !re"ious Acci#ent/$nci#ent AD Co%pliance Status/ S& Co%pliance Status Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*. Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $ '() *N+$N* *N+$N* ,' LH Manufacturer- Mo#el- OH Date Manuf( Date Serial Nu%.er Total Hours Total Cycles TSN TSO CSN CSO !art Nu%.er PT6)7$8 OH M/O M/O0 AMO S& Co%pliance AD Co%pliance Any Deferre# #efects if yes0 %ention the% O1 O1 None 2tili3ation of tolerance4 $s T&O e5cee#e#4 None None *N+$N* ,) /H Manufacturer- Pratt 5 9hitney Mo#el- OH Date Manuf( Date Serial Nu%.er Total Hours Total Cycles !C*678)9: TSN TSO CSN CSO !art Nu%.er OH M/O M/O0 AMO S& Co%pliance AD Co%pliance Any Deferre# #efects if yes0 %ention the% O: O: None 2tili3ation of tolerance4 $s T&O e5cee#e#4 None None '(; A!2 NOT A!!L$CA&L* Manufacturer - Mo#el !art Nu%.er Mfg(Date Serial Nu%.er *C2 !art Nu%.er TSN TSO CSN CSO TSHS$ OH/Date 1.3 LANDING GEARS Main Lan#ing +ear ,' LH Manufacturer- De6Ha"illan# Total Hours Total Cycles OH Date Manuf( Date Since New Since O/H Since New Since O/H !art Nu%.er Serial Nu%.er Main Lan#ing +ear ,) /H Manufacturer- De6Ha"illan# Total Hours Total Cycles OH Date Manuf( Date Since New Since O/H Since New Since O/H !art Nu%.er Serial Nu%.er Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*. Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $ Nose Lan#ing +ear Manufacturer- Total Hours Total Cycles OH Date Manuf( Date Since New Since O/H Since New Since O/H !art Nu%.er Serial Nu%.er '(7 !/O!*LL*/ !ropeller ' Manufacturer- Hart3el Total Hours Total Cycles OH Date Manuf( Date Since New Since O/H Since New Since O/H !art Nu%.er Serial Nu%.er !ropeller ) Manufacturer- Hart3el Total Hours Total Cycles OH Date Manuf( Date Since New Since O/H Since New Since O/H !art Nu%.er Serial Nu%.er N/A OK FINDINGS 2.0 DOCUMENTS INFORMATION !" #$et$er application as per Appen%i& " of N'AR ( been recei)e%* ! Is it signe% b+ aut$ori,e% person* -.S !/ If t$ere is an+ fee $as it been pai% or is t$ere enoug$ cre%it in fa)or of t$e compan+* 0AID !1 #$at 2uantum of 3or4 $as been agree% for rene3al of ' of A ref! 0ara "5!/ of ( !6 Is t$ere a 4no3n $istor+ of t$e aircraft b+ Regn! No! or b+ mo%el* Is t$ere a recommen%ation pen%ing to be complie%* !7 .nsure a)ailabilit+ of Nepalese t+pe certificate an% re)ie3 t+pe certificate %ata s$eet ac2uire t$e current %esign stan%ar% of t$e aircraft* !8 9as t$ere been an+ supplement t+pe certificate been issue%* N/A !: 0$+sical con%ition of submitte% %ocuments e!g ' of A; ' of R; R<= certificate etc! OK !9 .ntr+ of applicable ADs; it compliance as per time frame! Also c$ec4 if repetiti)e ADs are inclu%e% in maintenance sc$e%ule! OK !"5 '$ec4 applicable Ser)ice (ulletin for compliance as per time frame also c$ec4 if repetiti)e S(s are inclu%e% in maintenance OK Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*. Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $ sc$e%ule! !"" '$ec4 entr+ of man%ator+ mo%ification or local mo%ification or c$ange in re)ision if an+* '$ec4 for appro)al an% aut$orit+! OK .=> >SO "7- complie%! !" '$ec4 )ali%it+ of e&port certificate of air3ort$iness* '$ec4 if an+ Remar4s! N/A !"/ =ife =imit 'omponent Recor%! Is an+ component o)er%ue; if +es; mention! OK !"1 9as t$e engine parameters been monitore%* Is t$e compan+ follo3ing an appro)e% .'>< programme* Is t$e in%i)i%ual traine% an% appro)e%* For small aircraft are t$e engine parameters perio%icall+ recor%e%* N/A !"6 Fuel an% Oil consumption register if an+ is it being 4ept up%ate%* On large aircraft is t$ere an+ performance assessment carrie% out* #$o certifies it* Is $e traine% an% appro)e% for t$e purpose* OK !"7 Recor% of 'ompass s3inging/c$ec4 s3inging! Is it being carrie% out as per N'AR or 'ompan+ appro)e% manual! OK !"8 #eig$t ? (alance Recor%! =ast c$ec4 %ate! Is ma@or mo%ification recor%e%* OK !": Is t$ere an appro)e% >ime (et3een O)er$aul %ocument in place in respect to t$e 'ompan+; <a4e an% <o%el of t$e Aircraft* Are all components 3it$in t$e appro)e% >!(!O 'ross c$ec4 3it$ <0D an% '$apter 6 of Aircraft <anual* Is t$ere an+ item/s $a)ing life limitation or Retirement life* Is t$ere a control on suc$ items A'$ec4 at least t3o items for complianceB! Refer to N'AR section D c$apter D6 OK !"9 Scrutin+ of >ec$nical =og (oo4 for page totaling signature on e)er+ entr+ b+ t$e pilot! Obser)ation entere% if an+* !5 '$ec4 ot$er logboo4s for o)er3riting mutilation of entr+! 'orrectness of $ours in relation to >ec$nical =og (oo4; page totaling correlating maintenance 3it$ obser)ation in >ec$nical =og (oo4! !" '$ec4 appropriate %ocuments for entr+ of %efects an% t$eir rectification! 9as t$e rectification certifie% b+ appropriatel+ 2ualifie% person* ! 9as t$e repetiti)e %efects been $an%le% as per compan+ proce%ure* !/ '$ec4 maintenance sc$e%ule/<0D re)ision status! '$ec4 for completion of all perio%ic routine sc$e%ules as per programme! Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*. Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $ 9a)e all columns been signe% b+ >ec$nicians an% A<>* Is t$ere a pro)ision of putting %ate in t$e signature column* Is it being follo3e%* Is t$ere an+ recor% of consumption of spares* '$ec4 for maintenance release note of aircraft! !1 '$ec4 for maintenance release note of rotable items! '$ec4 release note Ai!e! .ASA Form-"; FAA :"/5B or e2ui)alent %ocuments issue% or Not* '$ec4 Nepalese appro)al/Cali%ation status of t$e A<O! !6 '$ec4 up%ate% maintenance manual; SR<; 3iring %iagram manual I0' a)ailabilit+* OK '$ec4 re)ision status compare 3it$ manufacturer status! OK !7 '$ec4 <.= items an% its proper proce%ure entr+ an% closing! OK !8 '$ec4 if an+ concession item an% t$eir status !: Is t$ere a certification from t$e c$ief of DA or Operations Department t$at all t$e %ocuments $el% to support t$e continue% air3ort$iness of aircraft an% t$e flig$t manual are current an% upto %ate* -.S !9 Is t$ere a certification from t$e appro)e% c$ief of DA confirming t$at t$e ' of A is currentl+ in force 3it$ applicable N'AR an% t$at all ot$er re2uirements of t$e N'AR applicable to air3ort$iness of t$e aircraft are met* -.S <aintaine% ? insp! accor%ance 3it$ t$e re2uirements of N'AR ? app-e% <aint! Sc$e%ule%! .ligible for ' of A rene3al! !/5 Is t$ere a certification t$at operational c$ec4 of ra%io communication; na)igation an% ra%io e2uipment on boar% t$e aircraft $a)e been carrie% out in presence of an aut$ori,e% person from Air3ort$iness Inspection Di)ision %uring t$e test flig$t* !/" '$ec4 for )ali%it+ of certificate for First Ai% Kit an% 0$+sician 4it! Does t$e %octor certif+ t$e in)entor+ or refer to N'AR onl+* Is t$e N'AR being referre% current* AAppen%i& to '-"" States t$at contents are as per Flig$t stan%ar% Instruction No! 8 3$ereas t$e contents are gi)en in Section ' '$apter '""B !/ 9as t$e test flig$t report as per N'AR ( $as been submitte%! '$ec4 all aspects of t$e report been complete%! aB 9as t$e test flig$t sc$e%ule been appro)e% -.S bB 9as t$e test flig$t report been complete% in all Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*. Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $ respect i!e $as all rele)ant column been fille% up! Outsi%e Air >emp; Fiel% (arometric pressure; Rate of climb; IAS at cruise etc! A'ompare %ata 3it$ pre)ious test flig$t report;B cB Is t$e pilot meeting t$e re2uirement of carr+ing out test flig$t on t$at t+pe of aircraft* A'$ec4 for $is currenc+ on t+peB %B 9as t$e performance been assesse% an% compare% 3it$ pre)ious report eB Is t$ere an+ %egra%ation* If so is it 3it$in limit! fB Is t$e certificate of maintenance issue% before test flig$t as per N'AR section ' c$apter '* gB Are t$e maintenance release an% certificate of fitness for flig$t issue% as per N'AR* !// Is t$ere a report of satisfactor+ perio%ic test of fuel in tan4 of t$e aircraft* Are reports a)ailable* !/1 '$ec4 acceptable insurance polic+ an% its )ali%it+ OK !/6 '$ec4 all placar%s as per applicable '$apter of A<<! 3.0 INTERIOR INSPECTION N/A OK FINDINGS /!" Air3ort$iness ' of A an% registration certificates! .nsure t$e follo3ing: aB Air3ort$iness an% registration certificates are current an% )ali% OK ' of A e&pire% on 6-Oct-57 bB (ot$ certificates contain t$e same mo%el; serial an% registration numbers -.S cB >emporar+ registration is current N/A %B Signatures are in permanent-t+pe in4 OK /! Flig$t Dec4 Inspection aB Instrument securit+ an% range mar4ings bB #in%o3s A%elimitation; scratc$es; cra,ing an% general )isibilit+B cB .mergenc+ e2uipment %B Seal on me%ical 4it Aif locate% on flig$t %ec4B eB Seat belts an% s$oul%er $arnesses A>ec$nical Stan%ar% Or%er mar4ing; metal to metal latc$ing an% general con%itionB fB '$ec4 t$e follo3ing if using coc4pit @ump Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*. Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $ seat: Eump seat o&+gen s+stem - turn regulator on an% select "55F o&+gen Interp$one s+stem - select 'omm! " an% 'omm! to ensure s+stems are 3or4ing gB #$en t$e most for3ar% @ump seat is in t$e cabin; co-or%inate 3it$ t$e cre3 for connecting t$e $ea%set an% a%apter cables! /!/ 'abin Inspection! Inspect t$e cabin to inclu%e t$e follo3ing: aB =a)ator+! .nsure t$e follo3ing: Fire e&tinguis$er s+stem is installe% in seale% tras$ containers! Smo4e %etection s+stem is installe% >ras$ containers are seale% accor%ing to applicable Air3ort$iness Directi)eAsB GNo Smo4ingG placar%s are poste% As$tra+s are a)ailable outsi%e t$e la)ator+ N/A bB Flig$t atten%ant seats! 0ull t$e @ump seat %o3n to ensure seat retracts At$ose in t$e pat$ of e&itsB Inspect seat belts for >ec$nical Stan%ar% Or%er mar4ing metal to metal latc$ing an% general con%ition! N/A cB 'abin emergenc+ e2uipment! All e2uipment re2uiring perio%ic inspections s$oul% $a)e an inspection %ate mar4e% on it! Inspect t$e follo3ing: Flig$t atten%ant flas$lig$t $ol%er Sli%e containers; to ensure containers eit$er properl+ mar4e% for content or not! '$ec4 pressure of sli%e inflation bottle Aif )isibleB! <e%ical 4it Aif not c$ec4e% on flig$t %ec4B First ai% 4it .mergenc+ o&+gen Aproper pressure an% securit+B <egap$oneAsB Asecurit+ an% general con%itionB Fire e&tinguis$ers Asecurit+; pressure; sealB =ife raft storage mar4ings Aif raft is All applicable e2uipment are un%erline%! Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*. Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $ re2uire%B .mergenc+ briefing car%s Aran%om sampleB General con%ition of emergenc+ floor pat$ lig$ting s+stemB 0lacement of all G.mergenc+ .&itG signs 0resence an% =egibilit+ of G.mergenc+ .&itG operation instructions 0lacar%ing for location of all emergenc+ e2uipment =ife preser)ers A)estsB %B 0assenger seats! .nsure t$e follo3ing: Seats a%@acent to emergenc+ e&its %o not bloc4 pat$ Seat brea4 o)er pressure is in accor%ance 3it$ operatorHs maintenance program Aran%om sampleB GFasten Seat (elt During Flig$tG placar%s are in )ie3 from all seats Seat belts $a)e metal to metal latc$es an% are in goo% general con%ition Aran%om sampleB eB Galle+s/ser)ice centers! Inspect t$e follo3ing: >ras$ bin li%s for fit Storage compartment restraints Stationar+ cart tie%o3ns =o3er lobe e2uipment/restraints =ift operation Galle+ suppl+ sto3age N/A fB O)er$ea% baggage compartments! '$ec4 for 3eig$t restriction placar%s an% t$e %oors for proper latc$ing; 3$en applicable! N/A /!1 Inspect cargo compartment aB .nsure t$e follo3ing: 'argo compartment fire protection is appropriate for its classification! 'argo liner is free from tears an%/or punctures! If t$ese are note%; inspect be$in% liner for %amage; e!g! stringers; circumferential! etc! .nsure sealing tape is proper t+pe an% in goo% con%ition! 'argo %oor is free of flui% lea4s an% Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*. Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $ structural %amage Fuselage %oor structure an% sill are free of %amage Smo4e %etectors are in satisfactor+ con%ition =ig$ting is operable an% protecti)e grill are installe% 'argo flooring is free from structural or ot$er %amage 0allet positions/compartments are placar%e% for position i%entification an% 3eig$t limitations bB Inspect pallet s+stem; if applicable! .nsure t$e follo3ing: (all mats are ser)iceable; e!g!; no bro4en or missing balls For3ar%; aft; an% si%e restraints are ser)iceable Roller assemblies are secure an% $a)e no missing or bro4en rollers N/A cB .nsure t$e 9 g for3ar% restraint net is ser)iceable; if applicable! N/A %B .nsure t$at cargo restraints for bul4-loa%e% cargo are a%e2uate; if applicable! eB Inspect cabin mounte% e2uipment! N/A fB Inspect fire e&tinguis$ers for inspection %ue %ates an% pressure! gB Inspect loa% manifest for 9a,ar%ous <aterial! If present; %etermine cre3 4no3le%ge of t$e follo3ing: =ocation an% labeling of $a,ar%ous materials Special re2uirements; if re2uire% If proper paper3or4 is on boar% $B .nsure captain is a3are of t$e follo3ing responsibilities: Inspection of cargo to ensure proper loa% %istribution .nsuring loa%s %o not e&cee% compartment or position limits .nsuring loa%s are being properl+ restraine%! Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*. Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $ 4.0 EXTERIOR INSPECTION : N/A OK FINDINGS 1!" =an%ing gear an% 3$eel areas! '$ec4 for t$e follo3ing: An+ in%ication of 3ear; c$afing lines; c$afing 3ires; crac4s; %ents or ot$er %amage Structural integrit+ of gear an% %oors Acrac4s; %ents or ot$er %amageB 9+%raulic lea4s Agear struts; actuators; steering )al)es etc!B >+re con%ition >+re pressure Aif pressure in%icators are installe%B #$eel installation an% safet+ loc4ing %e)ices #ear; line securit+; lea4s an% installation of bra4es 'orrosion 1! Fuselage an% p+lons! Inspect t$e follo3ing: Structure for crac4s; corrosion; %ents or ot$er %amage Fasteners Aloose; improper; missingB 'on%ition of ra%ome 'on%ition of pilot tubes Static ports Acleanliness an% obstructionsB Stall 3arning %e)ices an% ot$er sensors Antennas Asecurit+ an% in%ications of corrosionB =a)ator+ ser)icing areas Ae)i%ence of fres$ blue 3ater strea4sB 'argo compartments for integrit+ of fire protecti)e liners Ano $oles or unappro)e% tape use% for repairsB .mergenc+ e&it i%entification/mar4ings Registration mar4ing Alegibilit+B All lig$ts Ageneral con%ition; bro4en lenses etc!B 1!/ #ings an% p+lons! Inspect t$e follo3ing: Structure for crac4s; corrosion; %ents or ot$er %amage Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*. Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $ =ea%ing e%ge A%ents an%/or %amage in line 3it$ engine inletsB =ea%ing e%ge %e)ices A3$en open; actuator lea4s; general con%ition of lines; 3ires an% plumbingB All lig$ts Ageneral con%ition; bro4en lenses etc!B Flaps Acrac4s; corrosion; %ents an% %elimitationB Flap 3ells Acrac4s; corrosion; 3ires an% plumbingB Static eliminators Anumber missingBI Ailerons an% aileron tabs Acrac4s; corrosion; %ents an% %elimitationB <issing; loose or improperl+ secure% access %oor/inspection panels an% blo3out panels 1!1 .ngines! Inspect t$e follo3ing: Inta4e for fan bla%e %amage an% oil lea4s Ring co3l for missing or loose fasteners 'o3ling %oors for securit+ an% proper fit =o3er co3ling for e)i%ence of flui% lea4s .&$aust for turbine an% tailpipe %amage an% e)i%ence of flui%s Re)erser %oors for sto3age an% securit+ an% e)i%ence of lea4s Access %oors for securit+ 1!6 0ropellers! Inspect t$e follo3ing: =ea%ing e%ge of propeller for crac4s; corrosion; %ents or ot$er %amage Deicer boots for signs of %eterioration an% securit+ Spinners for securit+; crac4s an% e)i%ence of flui% lea4s 1!7 .mpennage! Inspect t$e follo3ing: =ea%ing e%ge for %ents All lig$ts Ageneral con%ition; bro4en lenses etc!B <issing static %isc$arge eliminators .le)ator; ru%%er an% tabs Acrac4s; corrosion; %ents an% %elimitationB Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*. Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $ .le)ator an% ru%%er po3er unit for e)i%ence of $+%raulic lea4s 1!8 Groun% safet+! Inspect t$e follo3ing: aB 0ositioning of support )e$icles bB Fueling of aircraft to inclu%e t$e follo3ing: Refueling pressure 'on%ition of refueling unit Alea4s; filter c$ange %ates; e&$aust s+stem etc!B Groun%ing Fire protection General fueling proce%ures cB General con%ition of ramp to inclu%e t$e follo3ing: 0ro)isions for groun%ing Foreign ob@ects on ramp Fuel spills General $ouse4eeping/cleanliness 0assenger control Fire protection 1!: (aggage! Obser)e loa%ing an% unloa%ing of baggage compartments to inclu%e t$e follo3ing: (aggage restraining s+stem =oa% %istribution 5.0 MANDATORY EQUIPMENT DETAIL Ref! N/A OK <a4e <o%el Serial Number 6!" 9!F! 6! C9F 6!/ .nco%ing Altimeter 6!1 'ompass S+stem 6!6 <ar4er (eacon 6!7 ADF 6!8 R<I 6!: 9SI 6!9 #& Ra%ar N/A 6!"5 G0S >SO '"9a 6!"" RCS< N/A 6!" .=> >SO "7 6!"/ A>' >ranspon%er 6!"1 G0#S/.G0#S N/A 6!"6 FDR N/A 6!"7 >'AS N/A 6!"8 'CR 6!": Operation of all lig$ts Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*. Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $ 6!"9 COR/D<. Aif applicableB 6!5 F<S N/A 6!" .FIS N/A Inspecte% b+ Secon% Inspecte% b+ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJ Signature of Inspector Name: Designation: Date: 0lace: Signature of Inspector Name : Designation: Date: 0lace: Re%erence &aterial' Ci(il )(iation Rule $*+,- National Ci(il )(iation Policy $*+*. Ne"alese Ci(il )ir/orthiness Re0uire&ent- 1ns"ector2 Han3 Book 4ol. $ cha"ter #+ )""en3ix # 5 $