26-Oct-2017 <NAME> <Aircraft Type> Annual CI / Pre-Buy Examination Checklist. Marc J. Zeitlin A&P #

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1 AIRCRAFT INFO Aircraft Serial # Inspection Location Inspection Performed By Airframe Hours (TTAF) Engine Hours (SMOH) Propeller Hours Marc J. Zeitlin A&P # <NAME> <Aircraft Type> Annual CI / Pre-Buy Examination Checklist CONSUMABLES DESCRIPTION Oil Oil Filter Oil Test Sample Kit Wheel Bearing Grease Nose Tire / Tube Main Tires / Tubes Brake Pads Brake Fluid (MIL-H-5606-H, MIL-H-83282, MIL-PRF-87257, or DOT-3, DOT-4, DOT-5) Air Filter / Recharge Kit Spark Plugs - Upper Spark Plugs - Lower Solvent (FI restrictors) Aeroshell 15W-50, Phillips XC 20W-50, Aeroshell 100W or equivalent CH or equivalent Aviation Oil Analysis, Blackstone Oil Analysis or equivalent Any good synthetic wheel bearing grease (Mobil - 1) 2.50/2.80 x 4 or x x 5 or 5.00 x 5 Rapco, Cleveland, Matco, Grove MUST BE SAME AS ALREADY INSTALLED - MIL FLUIDS (all compatible) ARE NOT COMPATIBLE W/DOT-X ; DOT-X NOT INTERCHANGEABLE Hoppes #9 Cleaner / Stoddard Solvent LIFE LIMITED Aircraft Cleanliness Clean aircraft per 14 CFR Part 43 Appendix D(a) - exterior, interior, engine compartment, brakes, wheels, axles, etc. ELT Batteries Per (c) - Check batt. date test - Batt. due <XX/XX> ELT Remote Switch Battery Per (c) - Check batt. date test - Batt. due <XX/XX> 406 MHz ELT Re-registration Check registration date due <XX/XX> FAR Transponder /Encoder Check 2 Years - Comply if necessary - due <XX/XX> FAR Static Check 2 Years - Comply if necessary - due <XX/XX> Left Magneto 500 hr. Inspection/Rebuild - due <XXXX hrs> Right Magneto 500 hr. Inspection/Rebuild - due <XXXX hrs> Nose Wheel Bearing Grease 200 hr. / 2 Year Lifetime - due <XXXX hrs> Main Wheel Bearing Grease 200 hr. / 2 Year Lifetime, or at tire replacement - due <XXXX hrs> Fuel Hoses (if not Teflon/SS) 1000 hr. / 8 Year Lifetime - Replace if necessary - due <XX/XX> Oil Hoses (if not Teflon/SS) 1000 hr. / 8 Year Lifetime - Replace if necessary - due <XX/XX> EI Spark Plug Ignition Wires - Top 500 hr. / 10 Year Lifetime - Replace if necessary - due <XX/XX> EI Spark Plug Ignition Wires - Bottom 500 hr. / 10 Year Lifetime - Replace if necessary - due <XX/XX> Page 1 of 11

2 Brake Fluid (MIL-H-5606-H, MIL-H-83282, MIL-PRF-87257, or DOT-3, DOT-4, DOT-5) Alternator Belt Electric Fuel Pump Filter O2 Tank Recertification 5 Year Lifetime - Flush / Replace if necessary - due <XX/XX> 5 Year Lifetime - Replace if necessary - due <XX/XX> 500 hour / 2 Year Lifetime - due <XX/XX> 5 Year Lifetime - Replace if necessary - due <XX/XX> Documents / Placards Examine Documents / Placards Paperwork Envelope, visibility per (b) Review AC, Registration, Op. Limits Check all in order Review W&B / Equipment list Check and update if necessary Review Airframe / Engine / Prop Logbooks and compliance with FAR Review AD List Comply if deemed necessary Review SB / Plans Changes List Comply if deemed necessary Dataplate and compliance with FAR "Experimental" Placard and compliance with FAR 45.23(b) Instrument / Switch Labeling Passenger Warning and compliance with OL's Registration Markings Check "N" numbers for compliance with FAR Canard Area Static Ports Elevator Torque Tube Attach Bolt Elevator Inner Hinge Elevator Middle Hinge #1 Elevator Middle Hinge #2 Elevator Outer Hinge Elevator Center Hinge Elevator Hinge Pin Set Screw Elevator(s) Top Surface Elevator(s) Bottom Surface Elevator(s) Weight & Balance Elevator Clearance to Fuselage Elevator Clearance to Canard Tip Canard Top Surface Canard Vortex Generators Canard Bottom Surface Canard Cover Canard Torque Tube Weather Seal NACA air inlet Elevator Torque Tube Elevator Torque Tube Offset Elevator Trim Belcrank Elevator Trim Davenport Spring Elevator Inner Counterweight Elevator Outer Counterweight Remove Front / Rear Nose Doors (canard if necessary) L R Check clear all three holes each side Check for rust/corrosion/torque lubricate if necessary Check for corrosion lubricate if necessary Check for corrosion lubricate if necessary Check for corrosion lubricate if necessary Check for corrosion lubricate if necessary Check for corrosion lubricate if necessary Check for rust / corrosion / torque lubricate if necessary Check for delamination / paint condition Check for delamination / paint condition Check for appropriate weight and balance Check for delamination / paint condition Check for delamination / paint condition Check for delamination / paint condition; check fasteners / welds / welds Page 2 of 11

3 Elevator Outer Weight Elevator Down Hard Stop Canard Lift Tabs / F22 Bushing Lift Tab Bolt Alignment Pins / Socket Marker Beacon Antenna Cable VOR Antenna Cable Nose Area Front Nose Door Landing / Taxi Light Lenses Landing / Taxi Lights Ballast Weights and mounting Pitot Tube Nose Bumper Check Remove Front / Rear Nose Doors / ¼ turn fasteners / screws clean / polish Check operation / condition / alignment / bolt torque Rear Nose Door Parking Brake Valve / Actuator Battery Charge Port Piper Battery Jumper Connector Jumper Solenoid and Switch Master Solenoid Starter Solenoid Voltage Regulator VPX Sport / Pro Nose Battery / Charging Cables Ammeter Shunt / Sensor Coil Nose Gear Cover Nose Gear Mechanism Skyvector ADSB Receiver Altitude Encoder Other Antennae / EFIS Boxes GPS Antenna Transponder Antenna APRS / Byonics GPS Antenna Dynon EDC-10A Mag. Compass ELT Mounting ELT Operations Nose Area Wiring Rudder Pedals Rudder Pedal Brake Actuators Rudder Cables Brake Reservoirs Brake Master Cylinders Brake Lines Rudder In-Line Compression Spring / ¼ turn fasteners / screws / fittings / wire connections /operation / wiring / wiring Check attachment / weather seal / operation lubricate / grease if necessary / attachment / cable / attachment / cable Check attachment / cable Check attachment / cable Check attachment / cable Check operation per FAR (d) / tie-wraps lubricate if necessary / geometry / bolt torque / fluid level / fittings / fittings / routing L R Nose Gear Strut Nose Gear Upper Bearings - NG6A / NG6 / side play / lubricate bearings if necessary Page 3 of 11

4 Nose Gear Mechanism Spring Upper Nose Gear Bolts (Attach Plate) NG-3 / NG-4 Brackets Nose Gear Lower Casting / Geometry Nose Gear Wheel / Tire Nose Gear Rotation Nose Gear Relays / Electrics External Temperature Probe Nose Gear Doors Nose Gear Wheel Well / Windows / compression / bolt torque / bolt torque / bolt torque / flox fill inflate to 60 to 70 psi - grease wheel bearings if necessary / rotation force level set to 2-4 lb. at axle / wiring and hinge/spring operation Top Fuselage / Front of Instrument Panel Left / Right Elevator Pushrods Left / Right Air Vents All Side Wiring Elevator Pushrod Fuse / Ground Buses Alarm Relay Piezo Alarm Buzzer Dimmer Circuitry Manifold Pressure Sensor Pitch Trim Motor / Extension Screw / Relay Manual Pitch Trim AP Pitch Servo Nose Gear Emergency Extend Mechanism Circuit Breakers Power Panel Ammeter Shunt / Sensor Coil Switch Wiring Instrument Wiring Strobe Power Supply Altitude Encoder FWD side of all EFIS / EMS / Instruments Top Fuselage Drain Line Floor Water Drain Holes Heat Duct Instrument Screws Hobbs Air Pressure Switch Vacuum Filter Vacuum Regulator Vacuum Hoses Pitot / Static lines Fuselage Top Hinges Fuselage Top Screws Instrument Panel Access Cover Remove Fuselage Top and Instrument Panel Cover (canard if necessary) L R / play / QD's / clean / tie wraps / play / QD's / clean and lubricate per manual / wiring / wiring / wiring / wiring / Clear through / torque / hose clamps / hose clamps / hose clamps / hose clamps / lubricate if necessary Page 4 of 11

5 Fuselage Bottom Landing Gear Strut Landing Gear Strut Attach Points Gear Leg / Fuselage Fairings Gear Leg Fairings Wheel / Brake / Brake Pads Tires Axle Bolts / Nuts Brake Lines Brake Line Bulkhead Fittings Heat Shield / Gear Leg Insulation Wheel Pants Rear Seat NACA air intake - exterior Landing Brake Surfaces Landing Brake Mechanism COM Antenna NACA Scoop Hellhole Access Panel External Temperature Probe Landing Gear Cover Remove Landing Gear Cover, Extend Landing Brake, Remove Wheel Pants; Aircraft on Jacks L R - replace pads / grease bearings as necessary - inflate to psi lubricate inside and out if necessary / wiring Front Cockpit Remove Front Seats, Front Armrests, Front Center Console Cover, Fuel Valve Cover, All Access Panels L R Fuselage Side Access Door N/A Seatbelts Electric Seat Heaters / operation Control Sticks lubricate if necessary PTT / Control Stick wiring Torque Tubes/ Bearings Seatbelts Electric Seat Heater / operation Control Stick lubricate if necessary PTT / Control Stick wiring Torque Tubes/ Bearings Front Pushrod Belcrank Front / Rear Stick Connecting Pushrod Circuit Breakers Fuse / Ground Buses Front Cockpit Wiring / Conduits / tie wraps IP Operation - all switches, instruments, avionics operational Primer / Primer Lines Fixed Step Retractable Step lubricate if necessary Retractable Landing Light / operation lubricate if necessary Altitude Encoder Page 5 of 11

6 ELT Mounting ELT Operations EFIS ADHRS EFIS Magnetometer Manual Landing Brake Handle / Mechanism Parking Brake Actuator Manual Roll Trim Electric Roll Trim Throttle / Mixture / Carb Heat Quadrant Throttle / Mixture / Carb Heat Verniers Hobbs Meter Fire Extinguisher O2 Tank Mounting / Lines / QD's O2 Tank Canopy Frame / Transparency / Windows NACA Air Intake / Shutoff Canopy Hold Mechanism Canopy Gas Spring / Lock Canopy Latch / Safety Catch Mechanism Canopy Seal Canopy / Gear / Throttle Warning Circuit Canopy Hinges / Screws Fuel Valve Fuel Valve Handle / Torque Tube Heat Cable Actuator Check operation per FAR (d) / wiring / wiring lubricate inside and out if necessary lubricate if necessary lubricate if necessary adjust/lubricate if necessary adjust/lubricate if necessary / wiring / date / gauge / (>XX g/oz weight) / date - adjust if necessary Check operation/condition - lubricate if necessary - lubricate if necessary - lubricate if necessary Rear Cockpit Fuel Sight Gauges - Strakes Underseat Area Fuel Senders Torque Tubes / Bearings Seatbelts Seatback Seat Bottom Air Vents Torque Tubes / Bearings AP Roll Servo Pitch Trim Motor / Extension Screw / Relay Control Stick PTT / Control Stick wiring Throttle Quadrant Seatbelts Seatback Seat Bottom Fire Extinguisher Fuel Sight Gauge - Fuselage Tank Gas Cap / Grounding Strap - Fuselage Tank Fuel Sump Remove Rear Seats, Landing Brake Mechanism Cover, Rear Firewall Cover, Rear Armrests, Rear Center Console Covers, All Access Panels L R - recalibrate if necessary / Clean / wiring / clean and lubricate per manual lubricate if necessary / date (>XX g/oz weight) Page 6 of 11

7 Manual Landing Brake Mechanism Electric Landing Brake Actuator and Relay Dynon EDC-10A Mag. Compass Primer Lines Side Fuel Lines ELT Mounting ELT Operations Rear Cockpit Wiring / Conduits Actuator Cables / Fuel Lines Left / Right Landing Gear Attach Bolts Main Spar Condition EI Backup Battery Brake Lines / Bulkhead Fittings Cabin Heat Valve Firewall Through Holes Manifold Pressure Sensor Rear Ground Bus Rear Essential Bus Master Solenoid Starter Solenoid Voltage Regulator Dynon Engine Monitor / wiring GRT Engine Monitor / wiring CGR Engine Monitor / wiring Hobbs Meter Battery Ammeter Shunt / Sensor Coil Strobe Power Supply Wiring / Antennae Electroair EI Control Box(es) EFII EI Control Box(es) Lightspeed EI Control Box(es) Fuel Valve / Fuel Lines Fuel Flow Sender Electric Fuel Pump tubing / wiring Electric Fuel Pump Filter - lubricate if necessary / wiring - lubricate if necessary Check operation per FAR (d) / clean contacts if required / wiring / clean contacts if required - timing if required - timing if required - timing if required - lubricate if necessary / wires / lines - Clean if required Strake / Wing / Winglet Tie Down Anchor / Through Hole Wing Top Surface Wing Vortex Generators Strake Top Surface Wing Bottom Surface Strake Bottom Surface Gas Cap / Retention & Grounding Strap LE Gas Drain Aileron Top Surface Aileron Bottom Surface Remove Wing Bolt Covers, Wing Root Heat Shields, Aileron Hinge Screws (if required), Top Cowling L R delamination tap delamination tap delamination tap delamination tap fuel flow delamination tap delamination tap Page 7 of 11

8 Aileron Cove Clearance Aileron Tip Clearance Aileron Root Clearance Aileron Hinges / Screws / Studs-Nuts Aileron Weight and Balance Aileron Deflection Gurney Flap Trim Tab Three Vortilons Trailing Edge Fences Wing Attach Fittings / Taper Pins / Bolts Wing Bolts Wing Retention Pin System Winglet Outer Surface Winglet Inner Surface Rudder Outer Surface Rudder Inner Surface Rudder Tip Clearance Rudder Root Clearance Rudder Deflection Internal Rudder Belhorn / Cable Attach External Rudder Belhorn / Cable Attach Rudder Return Spring Rudder Hard Stop Rudder Hinges / Screws / Studs-Nuts Baggage Pods Baggage Pod Mounting Points Wing Root Heat Shields Aileron Torque Tube / U-joint Aileron WR Torque Tube Bushing / Bearing Aileron Torque Tube Belcrank Aileron Pushrod - Wing Root Aileron Pushrod Belcrank / Hard Stops Nav. / Strobe Light Rudder Cable Nylaflow Entrance Engine Compartment Engine Mount Engine Mount / Firewall Attach Bolts Conical Mounts / Attach Bolts Dynafocal Mounts / Attach Bolts Firewall Insulation / Metal Cover Firewall Through Holes Engine Case Bolts Brake Reservoirs Brake Master Cylinders AP Roll Servo Check aileron weight and balance Check aileron deflection / alignment / alignment lubricate if necessary lubricate if necessary lubricate if necessary delamination tap delamination tap delamination tap delamination tap Check for XXX" deflection at full rudder pedal throw lubricate if necessary lubricate if necessary lubricate if necessary lubricate if necessary Remove Upper and Lower Cowling, Spinner / examine for cracks - torque - tighten if necessary - tighten if necessary - torque / bolt torque / fluid level / fittings / wiring Page 8 of 11

9 Electric Wright-Hanka Roll Trim System Vacuum Pump / Hoses Firewall Ground Bus Voltage Regulator Alternator Mounting Starter Mounting / Flywheel & Gear Teeth Alternator / Starter Wiring Magneto / Wiring Tachometer Cable Lightspeed EI Coils Electroair EI System / Coils EFII EI Coils Ammeter Shunt / Sensor Coil Ignition Wires EGT Probes / Wires CHT Probes / Wires Starter Solenoid Fuel Hoses Primer Lines Fuel Valve Gascolator Fuel Flow Sender Fuel Pressure Sender Electric Fuel Pump tubing / wiring Electric Fuel Pump Filter Fuel Pump - Engine Fuel Injector Servo Inlet Screen Spider Fuel Lines / Fittings / Manifold Purge Valve Sniffle Valve Fuel Injectors Fuel Injector Restrictors Fuel Injector Drain Lines Bendix Servo Precision Airmotive Servo Airflow Performance Servo Ellison Throttle Body MS Carburetor MS Carburetor Temperature Sender / wiring / timing - lubricate if necessary check fittings / wires / lines / wires / lines - clean if required clean if required check fittings check fittings check fittings braze joints, clamps Remove / clean at 500 hrs & every 100 hours or CI thereafter check fittings check fittings check fittings check fittings check fittings / wires / lines Oil Cooler Oil Cooler Louvers / Cable Oil Filter / Screen Oil Hoses Oil Pump Intake Screen - clean if necessary Oil Pressure Switch - Hobbs Oil Pressure Sender / Wires Oil Temperature Sender / Wires Oil Quick Drain Check for leaks Oil Level Check level Valve Cover Gaskets Valve Lash Check / Adjust O-235 to 0.010" Cold (0.006" ") Valve Cover Screws Check torque Crankcase Vent Line Page 9 of 11

10 Crankcase Vent Line PCV Valve Oil Separator / Collector Throttle Actuator Cable Mixture Actuator Cable Purge Valve Actuator Cable Prop Actuator Cable Carb Heat Actuator Cable - disassemble and clean through hole / drain oil if necessary lubricate if necessary lubricate if necessary lubricate if necessary lubricate if necessary lubricate if necessary Engine Compartment, Continued Exhaust System Heat Muff / SCAT Tubing Manifold Pressure Sensor Tubing Air Filter Box Air Filter Aluminum Baffling Soft Baffling Spark Plugs Engine Cylinder Compression & Borescope Notes - Patch as necessary - Patch as necessary Remove - - clean, measure resistance and gap to XXX as required or replace Cylinder Borescope Notes: Compression 1) 1 XX/80 2) 2 XX/80 3) 3 XX/80 4) 4 XX/80 Alternator / Belt / tension Prop Extension Bolts Prop Bolts - torque - re-safety wire if necessary Propeller fill nicks w/jb Weld Propeller Tracking Check track within ± 1/16" Propeller Balance Dynamic Balance if necessary Spinner alignment marks Top Cowl Bottom Cowl Aileron Torque Tubes / Belcranks / Firewall Bushings Aileron Firewall Pushrods / Quick Aileron Pushrod Belcrank / Hard Stops Rudder Cable Rudder Belcrank to Brake MC Cable Rudder In-Line Compression Spring Rudder Pulleys / Cable Keepers Rudder Cable Belcranks lubricate if necessary lubricate if necessary lubricate if necessary lubricate if necessary L R Page 10 of 11

11 Operation Inspection Panels / Fairings Brake System Oil Temperature / Pressure Aux. Fuel Pump Ignition Switch(es) Magnetos / EI's Alternator Fuel Level / Flow Gauges Static Runup Idle RPM Shutoff RPM Fuel Selector Engine Area Cowling Check security Check operation Check within limits Check pressure within limits Magneto / EI grounding check Check operation Check voltage / amperage Check operation Check RPM Check RPM Check for rise on leaning before cutoff Check for engine cutoff in OFF position Check for fuel, oil, hydraulic leaks after shutdown Reinstall - check security Page 11 of 11