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NOTE: THIS INSPECTION CHECKLIST MUST BE COMPLETED ANNUALLY, OR EVERY 100

HOURS OF FLIGHT and/or TETHER TIME, WHICHEVER OCCURS FIRST.

Qualification: Inspection must be carried out by an inspector who is approved by the relevant national airworthiness authority,
to inspect the particular type of balloon in the category for intended operation.
Documentation: The aircraft logbook must be present for all inspections. The number of flight hours, any repairs or
modifications made since the last inspection, should be correct and up to date. The entries identifying all components of the
aircraft should be checked to verify agreement with components inspected. Upon completion, inspection must be recorded
showing date, total flight time, maximum temperature indicated on recording (tempil) label.

LINDSTRAND BALLOONS USA- INSPECTION CHECK LIST, ANNUAL/100 HOUR

REG#____________ MODEL________ ENVELOPE SERIAL NO._________ TOTAL ENVELOPE TIME: ________

OWNER_________________________________ DATE STARTED _______ WORK ORDER# _________

INSPECTED IAW LINDSTRAND MANUAL FOR CONTINUED AIRWORTHINESS REVISION NO: ______DATE: _________

BASKET: Part #_______________________ Serial #__________Total Time: ____________(if different from envelope)

BURNER: Part #_______________________ Serial #__________Total Time: ____________(if different from envelope)

INSTRUMENTS: Model#_______ Serial #_____________ Wireless Transmitter #_________

TANKS: (indicate Total Time (TT) if different from envelope)


# 1 S/N___________ PN________________TT_______# 2 S/N___________ PN______________ TT ______
# 3 S/N___________ PN________________TT_______ # 4 S/N___________ PN______________ TT ______
# 5 S/N___________ PN________________TT_______ # 6 S/N___________ PN______________ TT_______

DOCUMENTS & REQUIRED EQUIPMENT


A. LOG BOOK
_________ (Temp) record (Tempil) label reading in log book.
_________ components (part numbers and serial numbers) match aircraft logbook
_________ all repairs/alterations correctly entered
_________ airworthiness directives (A/Ds) complied with, this inspection entered
B. FLIGHT MANUAL
_________ present and correct for this model
C. FAA CERTIFICATE OF AIRWORTHINESS
_________ present and displayed
D. FAA REGISTRATION CERTIFICATE
_________ present
E. STRIKERS
_________ present and functional ( 2, Sources other than the piezo igniters in the burners required)
F. FIRE EXTINGUISHER
_________ present and in good condition
_________ check 5 year certification date

INSPECTION PERFORMED BY:___________________________________________________________

INSPECTION CERTIFIED BY:____________________________________DATE:____________________

This balloon found to be in AIRWORTHY / UN-AIRWORTHY (circle one) condition.

December 1, 2011 Issue 1.8 Appendix A Page 1 of 10


Lindstrand Balloons USA- INSPECTION CHECKLIST, ANNUAL / 100 HOUR

ENVELOPE

_________ A. I.D. PLATE: Present, numbers match logbook

B. FABRIC STRENGTH (perform if over 150 HRS and/or 3 years since


manufacturing date)

Envelope areas:

_________ Parachute areas: (outer edge of parachute overlap)


20 lb., 1" grab test over 3 inch span (1 test, warp & weft in each color )

Parachute areas: (Velcro tabs to center patch)


_________ 30 lbs 1" grab test over 3 inch span (1 test, warp & weft in each color )

_________ 30 lbs., 1" grab test over 3 inch span (1 test, warp & weft in each color ) in
the top panel of the balloon

_________ In balloons built with hyperlast fabric, the first panel below the hyperlast
(1 test, warp & weft in each color )

Turning Vent areas:


_________ panel behind the outer flap, 30 lbs. grab test (1 test, warp & weft)

Special Shapes- Area of internal formers:


_________ 30 lbs 1" grab test over 3 inch span (1 test, warp & weft)

C. RECORDING (tempil) LABEL: (At parachute center)


_________ latest installed: reading ________
_________ If previous indicated temp is 275 or above, install a new dated label, record temp
indicated in aircraft log book, and attach old label to inspection records.

D. FABRIC & LOAD TAPE INTEGRITY


_________ gore-by-gore inspection completed, discrepancies recorded
_________ no un-repaired fabric damage.
_________ no damage to vertical load tapes, & all stitching secure
_________ no damage to load tape / envelope cable connection
_________ X series. no damage to internal baffle
_________ special shapes no damage to internal formers

E. CARABINERS (3000 kg or 5000 kg)


_________ free of distortion
_________ no corrosion or rust
_________ locking gates operate freely

F. SCOOP / SKIRT (Damage allowed, recommend repair at anuual/100 hour)


_________ envelope attachments secure and undamaged
_________ lower attachments secure and undamaged
_________ skirt hoop undamaged

G. ENVELOPE CABLES, STAINLESS STEEL


__________ no visible heat damage, no reduction of flexibility
__________ no abrasion damage or kinks
__________ no more than one broken wire strand
__________ no distortion of thimbles or ferrules
__________ cable attachment covers undamaged
__________ cable to envelope attachment links in good condition and tight

December 1, 2011 Issue 1.8 Appendix A Page 2 of 10


Lindstrand Balloons USA- INSPECTION CHECKLIST, ANNUAL / 100 HOUR

ENVELOPE (CONTINUED)

H. ENVELOPE CABLES, NON-METALLIC


_________ outer cover heat damage (cables must be replaced if inner core is visible)
_________ cable must remain flexible, cracking of cover when bent requires
replacement
_________ no abrasion damage (cable must be replaced if inner core is visible)
_________ splice whipping and secure stitching undamaged
_________ cable attachment covers undamaged
_________ cable to envelope attachment links in good condition and tight
_________ thimbles in good condition and secure

I. THERMISTOR WIRE
_________ envelope cable undamaged
_________ all wire connectors undamaged

J. PARACHUTE DEFLATION (RED and WHITE STRIPE) LINE


_________ length correct (must allow envelope to streamer without opening valve)
_________ no melt damage (core not visible, line flexible)
_________ no abrasion damage (core not visible)
_________ lower termination point secure and intact -pulley attachment on double gear
_________ lower pulley / pulleys undamaged, functional, attachment secure
_________ pulley lubricated with silicone spray

K. SUPERCHUTE
_________ If the balloon is equipped with a super chute, contact Lindstrand USA for inspection and repair
procedures.

L. Q - VENT ACTIVATION LINE (Solid red)


_________ length correct (must allow envelope to streamer without opening valve)
_________ no melt or abrasion damage
_________ lower pulley(s) undamaged, functional and secure
_________ pulley lubricated with silicone spray

M. TURNING VENT RIGGING


Black line
_________ no abrasion or melt damage
_________ condition good
_________ pulley in good, functional condition
_________ pulley lubricated with silicone spray

Green line
_________ no abrasion or melt damage
_________ condition good
_________ pulley in good, functional condition
_________ pulley lubricated with silicone spray

Vent flag lines and stainless ring


_________ no twisting or knotting
_________ no abrasion damage or fraying
_________ all knots in good condition

N. CROWN LINE
_________ length correct
_________ no abrasion damage
_________ attachment clip present and in good condition

December 1, 2011 Issue 1.8 Appendix A Page 3 of 10


Lindstrand Balloons USA- INSPECTION CHECKLIST, ANNUAL / 100 HOUR
PARACHUTE
A. CROWN RING
________ no abrasion damage or burrs

B. FREE LOAD TAPES


________ no abrasion damage
_________ stitching secure and in good condition

C. FABRIC INTEGRITY
________ all fabric in good condition
________ no unrepaired damage

D. PARACHUTE CENTERING LINES (Standard Parachute)


________ correct length, no abrasion, all knots secure

E. SHROUD (pull down) LINES & UPPER PULLEY (Standard Parachute)


________ shroud lines in good condition, knots secure
_________ upper pulley in good condition, free running
_________ pulley lubricated with silicone spray

F. VELCRO TABS
________ clean and free of debris
________ holding force good
_________ stitching intact

G. PARACHUTE FIT (If in question, inflate envelope and check following)


________ overlap equal around circumference
_________ no daylight visible
_________ no excessive tension in centering lines
_________ no excessive stress wrinkles at parachute edge
_________ visible seal between parachute fabric and hole edge

Q - VENT
A. PULLEYS OR RINGS AT PARACHUTE EDGE
________ pulley undamaged, sheave spins freely
_________ pulley lubricate with silicone spray
________ inspect rings for wear
_________ no abrasion on attachment loop
_________ verify presence and condition of line stoppers when pulleys are at end of kevlar centering lines

B. PULLEYS AT END OF CENTERING LINES


________ undamaged, sheave spins freely
_________ lubricate with silicone spray
_________ check condition of centering line and pulley attachment knot

C. PULLEYS OR RINGS AT SIDE of ENVELOPE


________ pulleys undamaged, sheave spins freely
_________ pulleys lubricate with silicone spray
________ inspect rings for wear
_________ check condition of attachment loop

D. INTERNAL LOAD TAPE CROSS ON CENTER PATCH


________ check stitching is secure
_________ check attachment of Q Vent solid red line or bridle lines
_________ check condition of pulley and lubricate (if installed-in larger balloons)
_________ check condition of bridle lines, rings/pulleys, & attachments (if installed-in larger
balloons)

E. COMBINATION CENERING-PULL-DOWN LINES


________ check general condition; no abrasion or heat damage
_________ check knot at parachute edge
_________ check attachment to quicklink at red (or red/white) line pulley (secure, no abrasion)

December 1, 2011 Issue 1.8 Appendix A Page 4 of 10


Lindstrand Balloons USA- INSPECTION CHECKLIST, ANNUAL / 100 HOUR

VELCRO RIP PANELS


A. FABRIC
________ general condition equal to surrounding envelope requirements
_________ free of abrasion at edge of Velcro

B. VELCRO
________ must be clean and have good holding strength

C. PULLEY or PULLEYS AND ATTACHMENT POINTS


________ pulleys in good condition
________ attachment points in good condition
________ lubricated with silicone spray

D. RIP LOCKS
________ in good condition, no abrasion, attachment secure

E. RIP LOCK LOOP TAPE


________ in good condition, no excessive abrasion

F. VENT LINE
________ in good condition, no fraying
_________ length correct (must allow envelope to streamer without opening vent)

G. VENT OVERLYING TAPES


________ tape and stitching in good condition
_________ tapes must be 5% shorter than corresponding panel seam length

INSTRUMENTS

A. BALL 655 and M55


________ temperature display checked @ boiling and ambient temp. (+/- 5 degrees F)
_________ variometer zeroing correct
_________ altimeter reads correct altitude
_________ new batteries installed

B. FLYTEC AND OTHERS


________ temperature display checked @ boiling and ambient temp. (+/- 5 degrees F)
_________ variometer zeroing correct
_________ altimeter reads correct altitude
_________ new batteries installed

December 1, 2011 Issue 1.8 Appendix A Page 5 of 10


Lindstrand Balloons USA- INSPECTION CHECKLIST, ANNUAL / 100 HOUR

BURNER

A. INNER FRAME (Single and Series 1 JetStream Doubles, Triples, Quads)


_________ general condition ok
_________ bolt assemblies, frame to burner
_________ bolt assemblies, inner to outer frame

B. OUTER FRAME
_________ general condition
_________ corner sockets and cable plates in good condition
_________ condition of corner welds

C. CENTER GIMBAL FRAME (Series 2 Burners)


_________ general condition
_________ all bolts secure and in good condition
_________ check gimbal tension in both directions

D. ADJUSTABLE FRAME
_________ general condition
_________ all bolts and locking clasp secure and in good condition
_________ check ease of operation, high-to-low setting

E. CARABINERS (3000 kg or 5000 kg)


_________ free of distortion
_________ no corrosion or rust
_________ locking gates operate freely

F. COIL ASSEMBLY
_________ coils straight, all welds secure
_________ coil support brackets straight and secure (no missing stainless rivets)
_________ check main jets for blockage and tightness
_________ slurper tubes secure and positioned over a jet

G. PILOT LIGHT
_________ pilot control knob turns freely
_________ pilot light cup secure (check set screw) and aligned with piezo ignitor
_________ pilot jet free of obstruction (check fuel flow, sound and flame appearance)
_________ if obstructed, remove and clean jet and both filters in pilot system

H. PIEZO IGNITOR
_________ piezo ignitor electrode in good condition
_________ piezo ignitor actuator button in good condition
_________ piezo ignitor actuator set screw secure
_________ check for strong spark to pilot light cup
________ inspect damage to ceramic tube

I. MAIN AND LIQUID FIRE VALVES (Toggle and Squeeze Trigger)


_________ disassemble, inspect and lubricate and reassemble
_________ check set screws (2) in bottom of handle for security against FLAT side of pivot pin
_________ check for smooth operation and no leaks
_________ perform functional burner test

J. PRESSURE GAUGE
_________ functions correctly
_________ needle zeros

K. CROSS FLOW VALVE (JetStream DOUBLE, TRIPLE & QUAD)


_________ operates smoothly
_________ no leaks

December 1, 2011 Issue 1.8 Appendix A Page 6 of 10


Lindstrand Balloons USA- INSPECTION CHECKLIST, ANNUAL / 100 HOUR

BURNER (Continued)

L. FUEL LINES
_________ no cuts or abrasions
_________ no bulging or swelling

M. ACME (Rego style) HOSE CONNECTOR


_________ good overall condition, no dents or corrosion
_________ threads in good condition
_________ mates to tanks and/or manifolds
_________ functional test for ease of connection and leaks
_________ lubricated with silicone spray

N. TEMA HOSE END CONNECTOR


_________ good overall condition, no dents or corrosion
_________ inner and outer "O" rings in good condition (replace if damaged)
_________ ball bearings free and lubricated
_________ locking ring functional
_________ functional test for ease of connection and leaks
_________ lubricated with silicone spray

O. FUNCTIONAL TEST
_________ burner tested, each valve with each tank (minimum 4 activations)
_________ pilot light / piezo ignitor tested, with each tank (minimum 3 activations)

BASKET
A. I.D. PLATE:
_________ Present, numbers match logbook

B. CUSHION FLOOR
_________ removed for basket inspection
_________ in good condition

C. OUTSIDE SKIDS (PLYWOOD OR WOVENFLOOR)


_________ in good condition and bolts tight
_________ nylon skid protectors intact and secure

D. INSIDE FLOOR (PLYWOOD INSERT ON WOVENFLOORS)


_________ in good condition (only surface cracking permitted)
_________ bolts heads not protruding above top surface

E. CABLES ACROSS BOTTOM (PLYWOOD FLOORS)


_________ leather / rawhide protective covering in good condition
_________ no evidence of corrosion or abrasion of cables

F. PLYWOOD FLOOR (NON-WOVENFLOOR BASKETS)


_________ in good condition (only surface cracking permitted)
_________ attachment to stainless frame secure
_________ check integrity of plywood at skid bolts

G. RAWHIDE OR BOTTOM SCUFF LEATHER


_________ check general condition and lacing secure

December 1, 2011 Issue 1.8 Appendix A Page 7 of 10


Lindstrand Balloons USA- INSPECTION CHECKLIST, ANNUAL / 100 HOUR

BASKET (Continued)

H. CABLES AND COVERING


_________ cables undamaged
_________ thimbles in good condition
_________ vinyl tubing sleeves in good condition
_________ heat shrink @ swaged area intact

I. STAINLESS STEEL TOP AND / OR BOTTOM FRAME


_________ shape correct (not bent)

J. TOP BOLSTER, PADDING & LEATHER/SUEDE


_________ leather or suede, general condition & lacing secure
_________ foam padding general condition, upright socket covers, general condition & lacing secure

K. RATTAN
_________ no broken primary rattan (approx. 3/4) supports in wovenfloor
_________ no holes in excess of 2.5" at the widest dimension
_________ no more than 4 broken vertical strands out of 12 consecutive vertical strands
_________ no more than 12 broken horizontal strands in a 24" by 24" area
_________ no excessive breakage of wicker at belt or step holes

L. FLEXI POLES
_________ intact

M. CYLINDER STRAPS
_________ all present and in good condition
_________ clasps fully functional
_________ Installed correctly (upper tank strap over top shoulder of tank)

N ROPE HANDLES
_________ Check for Excessive wear

O. MANIFOLDS ACME (Rego style) HOSE CONNECTOR


_________ correctly installed, no overly sharp bends in hoses,
_________ no conflict with other equipment
_________ fuel lines in good condition. no cuts or abrasions. no bulging or swelling
_________ hose end fittings in good overall condition, no dents or corrosion
threads in good condition
_________ mates to tanks and burner fuel line
_________ "O" rings undamaged (If damaged replace)
_________ functional test for ease of connection and leaks
_________ lubricated with silicone spray

P. MANIFOLDS TEMA HOSE CONNECTOR


_________ correctly installed, no overly sharp bends in hoses,
_________ no conflict with other equipment
_________ fuel lines in good condition. no cuts or abrasions. no bulging or swelling
_________ hose end fittings in good overall condition, no dents or corrosion
_________ inner and outer "O" rings in good condition (replace if damaged)
_________ ball bearings free and lubricated
_________ locking ring functional
_________ mates to tanks and burner fuel line
_________ functional test for ease of connection and leaks
_________ lubricate with silicone spray

Q. DOCUMENT DISPLAY CASE


_________ attachment secure
_________ in good condition

December 1, 2011 Issue 1.8 Appendix A Page 8 of 10


Lindstrand Balloons USA- INSPECTION CHECKLIST, ANNUAL / 100 HOUR

FUEL TANKS:

#1 S/N _____________ #2 S/N ___________________ #3 S/N _________________

#4 S/N _____________ #5 S/N ___________________ #6 S/N _________________

#1 #2 #3 #4 #5 #6

_____ ______ _____ _____ ______ ______A. check valve handle for tightness

_____ ______ _____ _____ ______ ______B. "O" rings on ACME (Rego style) valve checked for damage

_____ ______ _____ _____ ______ ______C. test ACME (Rego style) / TEMA fittings for self seal

_____ ______ _____ _____ ______ ______D. test QSO valve with burner connected to assure function

_____ ______ _____ _____ ______ ______E. protective caps present and in good condition

_____ ______ _____ _____ ______ ______F. pressure relief valve clean and covered

_____ ______ _____ _____ ______ ______G. 15% valve operation checked

_____ ______ _____ _____ ______ ______H. tightness of (4) fuel quantity gauge screws checked

_____ ______ _____ _____ ______ ______ I. slow flow checked with tank upright

_____ ______ _____ _____ ______ ______J. slow flow checked with tank inverted

_____ ______ _____ _____ ______ ______K. tank body free of dents or gouges

_____ ______ _____ _____ ______ ______L. tank welds in good condition

_____ ______ _____ _____ ______ ______M. heat tapes installed correctly and in good condition

_____ ______ _____ _____ ______ ______N. tank covers in good condition

_____ ______ _____ _____ ______ ______O. re-certification status checked

December 1, 2011 Issue 1.8 Appendix A Page 9 of 10


Lindstrand Balloons USA- INSPECTION CHECKLIST, ANNUAL / 100 HOUR

DAMAGE and REPAIR LOG

DAMAGE AREA or COMPONENT REPAIR METHOD REPAIRED BY

December 1, 2011 Issue 1.8 Appendix A Page 10 of 10

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