######## GLIDER PREFLIGHT SAFETY INSPECTION GUIDE

**Date:** \_\_\_\_\_\_\_\_\_\_\_\_\_ **Mission Code:** (exp.
B15)\_\_\_\_\_\_\_\_\_\_\_ **N#:** N403BA

**Type:** L-23 Super Blanik **Year Built**: 2002 **Total Useful Load:**
440 LBS

**Safety Inspector\'s Name\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
CAPID**:\_\_\_\_\_\_\_\_\_\_\_

**Weight and Balance with in limits for This Flight?** Yes\_\_\_\_\_\_
No\_\_\_\_\_\_\_

+-----------------------------+----+----------------------------+-----+
| ***ITEMS***                 | *  | ***ITEMS***                | *   |
|                             | *S |                            | *S/ |
|                             | /U |                            | U** |
|                             | ** |                            |     |
+-----------------------------+----+----------------------------+-----+
| **COCKPIT**                 |    | **RIGHT WING**             |     |
+-----------------------------+----+----------------------------+-----+
| Airworthiness Certificate   |    | ######### Le               |     |
|                             |    | ading Edge, Top and Bottom |     |
+-----------------------------+----+----------------------------+-----+
| Registration                |    | Tip Wheel & Trailing Edge  |     |
+-----------------------------+----+----------------------------+-----+
| Operating Limits            |    | Aileron Gust Block Removal |     |
+-----------------------------+----+----------------------------+-----+
| Weight & Balance Data       |    | Right Aileron Piano Hinge  |     |
|                             |    | pins                       |     |
+-----------------------------+----+----------------------------+-----+
| Aircraft Flight Manual      |    | Spoilers - Linkage/Hinges  |     |
+-----------------------------+----+----------------------------+-----+
| Flight Checklists on Panel  |    | **RIGHT WING ROOT COVER**  |     |
+-----------------------------+----+----------------------------+-----+
| Radio Operable              |    | Remove & Check Bolts       |     |
+-----------------------------+----+----------------------------+-----+
| Controls Free and Correct   |    | #########                  |     |
|                             |    | Check Control Surface Rods |     |
+-----------------------------+----+----------------------------+-----+
| Rudder Pedal Adjustment     |    | #                          |     |
|                             |    | ######## Secured/Condition |     |
+-----------------------------+----+----------------------------+-----+
| Cable Release Tested        |    | **TAIL**                   |     |
+-----------------------------+----+----------------------------+-----+
| Ballast \[In or Out as      |    | Rudder Gust Block Removal  |     |
| Needed\]                    |    |                            |     |
+-----------------------------+----+----------------------------+-----+
| Trim Tested and Set         |    | Fin/Stabilizer Condition   |     |
+-----------------------------+----+----------------------------+-----+
| Open/Close Spoilers         |    | Elevator Hinge Pins        |     |
+-----------------------------+----+----------------------------+-----+
| Brake Check                 |    | Rudder Hinges              |     |
+-----------------------------+----+----------------------------+-----+
| Check all Belts             |    | Horizontal Stabilizer Bolt |     |
+-----------------------------+----+----------------------------+-----+
| ######### Tr                |    | Tail Wheel Attachment      |     |
| ash or \"Critters\" Inside? |    |                            |     |
+-----------------------------+----+----------------------------+-----+
| **BEHIND REAR PANEL**       |    | **LEFT WING ROOT COVER**   |     |
+-----------------------------+----+----------------------------+-----+
| Baggage secured?            |    | Remove & Check Bolts       |     |
+-----------------------------+----+----------------------------+-----+
| Trash or \"critters\"       |    | #########                  |     |
| inside?                     |    | Check Control Surface Rods |     |
+-----------------------------+----+----------------------------+-----+
| **NOSE AREA**               |    | #                          |     |
|                             |    | ######## Secured/Condition |     |
+-----------------------------+----+----------------------------+-----+
| Pitot Tube Condition        |    | **LEFT WING**              |     |
+-----------------------------+----+----------------------------+-----+
| Static Ports                |    | ######### Tra              |     |
|                             |    | iling Edge, Top and Bottom |     |
+-----------------------------+----+----------------------------+-----+
| Vents                       |    | Aileron Gust Block Removal |     |
+-----------------------------+----+----------------------------+-----+
| Cable Tow Hook & CG Hook    |    | Right Aileron Piano Hinge  |     |
|                             |    | pins                       |     |
+-----------------------------+----+----------------------------+-----+
| Tire & Axle                 |    | Spoilers - Linkage/Hinges  |     |
+-----------------------------+----+----------------------------+-----+
| ######### Skid Plate        |    | Tip Wheel & Leading Edge   |     |
+-----------------------------+----+----------------------------+-----+
| **FUSELAGE**                |    | **POSITIVE CONTROL CHECK** |     |
+-----------------------------+----+----------------------------+-----+
| General Condition All       |    | All Control Surfaces       |     |
| Around                      |    | (**takes two**)            |     |
+-----------------------------+----+----------------------------+-----+

**Note:** Do you have a flight release for Glider and Tow Plane?

**Note:** Any discrepancies should be noted and fixed before flight OR
DON'T FLY.

**Note:** Panel take off and landing checklists must be used.