AI RCRAFT COMPATABI LI TY ANALYSI S CHECKLI STS

FOR MODI FI CATI ON OR REPAI R

Please consolidate all data required, analyze the data, and return it to the DOA office in
a usable form.
Description
Yes /
No
Remarks
Is there any Airworthiness
Notice (AD) on the area of
work, or surrounding which
may affect by the
modification?

Is there any any repair have
been done or recorded on the
area of work, or surrounding
which may affect by the
modification?

Is there any modification have
been done or recorded on the
area of work, or surrounding
which may affect by the
modification?

Is there any access panel
installed adjacent to the work
area? If any, please describe
and determine the adequate
clearances.

Addition Notes / Remarks



Organization/Company: ___________________________________
LAME Name: ___________________________________
License no : ___________________________________
Signature ___________________________________
Date ____________________