AC 23-21

Advisory circular · Airworthiness Compliance Checklists Used to Substantiate Major Alterations for Small Airplanes

Approved
September 30, 2004
Last reviewed
March 31, 2017
Family
AC 23-21 · 1 version
14 CFR parts
23

Guidance, not mandatory unless a rule or AD requires it. DRS record last changed October 23, 2026.

Show pages 13–24
Page 25OCROpen in PDF

Appendix 1 TABLE 3-1. Relocation of Airplane Storage Batteries- Checklist Qualifications for Approved Data Review (continued) Other Guidance AC 43-13-1B/2A Orders Policy [1] IA should enter initials to indicate items that have been completed. In some cases items may be left open pending final FSDO/ASI signature in Block 3 [2] These findings can be made by a FSDO inspector or DER. When FSDO inpector approves an item they must also sign Block 3 of FAA Form 337. [5] For certification basis other than listed in columns 6 or 7, such as CAR 4 or Bulletin 7, etc., write in this column. For more information see section 7.

DER Authority 13] (ref. 8110.37 Item to Consider or Intent of the regulation • Each electric connecting cable must be of • Any equipment that is associated with any electrical cable installation and that would overheat in the event of circuit overload or fault must be flame resistant. That equipment and the electrical cables must not emit dangerous quantities of • Cables should meet MIL-DTL-27500 or equivalent specification.

adequate capacity. toxic fumes.

3.693 4] The amendment numbers are shown in italics. For more information see section 7.

23.1365 Electric N, 14, Cables and 43, 49 Equipment [3] Or other equivalent authority, as evident on this form per DER.

Planned FAA Approval Method Other 337, Block 3 (AC 43.13 Pick 1, [2 FSDO ASI, DER 8110-3 of FAA Form 337.

Item [1] Completed Initials A1-13

Appendix 1

b. Checklist Table. This checklist is issued for guidance purposes to help show completeness of documentation for the FAA field approval and return to service process. The checklist is intended to provide guidance information during the approval process and then returning the airplane to service. An airplane alteration is eligible to use this checklist when it has met the requirements outlined in paragraph 8 of this AC.

c. Approval. Alterations meeting the scope described in paragraph d may be approved by using this checklist and completing FAA Form 337. The IA can approve this alteration return to service using DER data entirely approved by completing Block 7, “Approval for Return to Service,” of FAA Form 337. The FAA usage of Block 3, “For FAA Use Only,” will not be required to accomplish this checklist for alterations that fall within the scope of paragraph c, providing that no data approval is required by AFS/ASI. Should an IA have any questions about the applicability or use of this checklist, they are encouraged to consult with their local FSDO.

d. Checklist Applicability. This alteration must be in compliance with paragraph 8 of this AC, which outlines all the limitations, restrictions and requirements that are applicable to all checklists. This checklist is to be used only on repairs or alterations to the following:

• Airplanes of 6,000 pounds or less maximum gross weight

• Airplanes having a single, naturally aspirated reciprocating piston engine

• Unpressurized airplanes.

e. Checklist Use. Inspect the alteration and examine its supporting data to verify that they meet the following criteria:

(1) Appropriate operational advisory information should be included in the AFM or FMS.

(2) Installation must comply with installation instructions and limitations of component manufacture and aircraft standards.

(3) Any additional ICAs are properly documented per 14 CFR, part 23, § 23.1529, requirements.

f. Necessary Approvals.

(1) All initials must be complete in column one, with “Planned FAA Approval Method” selected in column 2-4.

(2) If column 3 is selected on any item, Block 3 of the FAA Form 337 must be signed by the ASI.

(3) An ACO engineer or FSDO inspector may sign in place of any DER signature on any data approval.

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Appendix 1

g. Applicable Guidance Material.

h. Evidence of DER Authority to Approve.

i. Complete Checklist Process. Send a copy of the completed checklist and reporting data to the local FSDO office, which will, in turn, forward it to the FAA Aircraft Registration Branch, Oklahoma City, Oklahoma, for inclusion in the aircraft record. Submit originals to the aircraft owner or operator to be kept with the aircraft records.

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Appendix 1 Other Guidance AC 43-13-1B/2A AC Orders Policy TABLE 4-1. Installation of Tail Wheel Springs. - Checklist Qualifications for Approved Data Review DER Authority 13] (ref. 8110.37 AIRWORTHINESS COMPLIANCE CHECKLIST #4: INSTALLATION OF TAIL WHEEL SPRINGS a. I have determined the planned alteration to be in compliance with paragraph d, checklist applicability. DATE MODEL N# Item to Consider or Intent of the regulation • Limit load is maximum in service. • Analysis to LIM must produce no yield. Weight for test = bracket structure + associated hoses + oil in hoses. • Ultimate = Limit load * 1.50 (50 percent margin of safety). • LIM with no yield. • ULT with no failure. • Limit loads are determined by flight manual, gust, and landing loads. For lack of this data the loads from 23.561 may be used (but not required). • All materials must meet approved specifications. • Hoses in fire area per TSO-C53a, type C/D. • All non-standard aircraft hardware to be substantiated. • Baffle material to withstand engine heat (i.e.silicone impregnated fiberglass). • Grommets, firewall bulkhead fittings, etc. Inspection and servicing must be accomplished in an appropriate manner.

3.171 3.172 3.173 3.174 3.292 3.296 ₺I) 23.301 23.303 23.305 23.307 23.603 23.611 Loads Factor of Safety Strength and Deformation Proof of Structure Materials and Workmanship Inspection Provisions CERTIFICATION BASIS DATE ON TDCS _ Planned FAA Approval Method Other 8110-3 337, Block 3 (AC 43.13) Pick 1, [2] FSDO ASI, IA SIGNATURE AIRCRAFT MAKE SERIAL # Item [1] DER Completed Initials A1-16

Page 29OCROpen in PDF

Appendix 1 TABLE 4-1. Installation of Tail Wheel Springs. - Checklist Qualifications for Approved Data Review (continued) Other Guidance AC 43-13-1B/2A AC Orders Policy [1] IA should enter initials to indicate items that have been completed. In some cases items may be left open pending final FSDO/ASI signature in Block 3 [2] These findings can be made by a FSDO inspector or DER. When FSDO inpector approves an item they must also sign Block 3 of FAA Form 337. [5] For certification basis other than listed in columns 6 or 7, such as CAR 4 or Bulletin 7, etc., write in this column. For more information see section 7.

DER Authority [3] (ref. 8110.37 Item to Consider Intent of the regulation • Supplementary conditions for tail wheels. • Suitable design loads must be established for the tail wheel, bumper, or energy absorption device. • Ground load; unsymmetrical loads on multiple-wheel units. • Ground loads general. • One-wheel landing conditions.

₺I) 141 23.497 23.485 23.511 23.471 23.481 [4] The amendment numbers are shown in italics. For more information see section 7.

Supplementary Conditions for Tail Wheels Side Load Conditions Ground Load; Unsymmetrical Loads on Multiple- Wheel Units General Tail Down Landing Conditions [3] Or other equivalent authority, as evident on this form per DER.

Planned FAA Approval Method Other 8110-3 337, Block 3 (AC 43.13) Pick 1, [2] ESDO ASI, DER of FAA Form 337.

Item [1] Completed Initials A1-17

Appendix 1

b. Checklist Table. This checklist is issued for guidance purposes to help show completeness of documentation for the FAA field approval and return to service process. The checklist is intended to provide guidance information during the approval process and then returning the airplane to service. An airplane alteration is eligible to use this checklist when it has met the requirements outlined in paragraph 8 of this AC.

c. Approval. Alterations meeting the scope described in paragraph d may be approved by using this checklist and completing FAA Form 337. The IA can approve this alteration return to service using DER data entirely approved by completing Block 7, “Approval for Return to Service,” of FAA Form 337. The FAA usage of Block 3, “For FAA Use Only,” will not be required to accomplish this checklist for alterations that fall within the scope of paragraph c, providing that no data approval is required by AFS/ASI. Should an IA have any questions about the applicability or use of this checklist, they are encouraged to consult with their local FSDO.

d. Checklist Applicability. This alteration must be in compliance with paragraph 8 of this AC, which outlines all the limitations, restrictions and requirements that are applicable to all checklists. This checklist is to be used only on alterations to the following:

• Airplanes of 12,500 pounds or less maximum gross weight.

e. Checklist Use. Inspect the alteration and examine its supporting data to verify that they meet the following criteria:

(1) Appropriate operational advisory information should be included in the AFM or FMS.

(2) Installation must comply with installation instructions and limitations of component manufacture and aircraft standards.

(3) Any additional ICAs are properly documented per 14 CFR, part 23, § 23.1529, requirements.

f. Necessary Approvals.

(1) All initials must be complete in column one, with “Planned FAA Approval Method” selected in column 2-4.

(2) If column 3 is selected on any item, Block 3 of the FAA Form 337 must be signed by the ASI.

(3) An ACO engineer or FSDO inspector may sign in place of any DER signature on any data approval.

g. Applicable Guidance Material.

h. Evidence of DER Authority to Approve.

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Appendix 1

i. Complete Checklist Process. Send a copy of the completed checklist and reporting data to the local FSDO office, which will, in turn, forward it to the FAA Aircraft Registration Branch, Oklahoma City, Oklahoma, for inclusion in the aircraft record. Submit originals to the aircraft owner or operator to be kept with the aircraft records.

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