37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 1260909 |
Time | |
Date | 201505 |
Local Time Of Day | 0601-1200 |
Place | |
Locale Reference | ZZZZ.Airport |
State Reference | FO |
Environment | |
Light | Daylight |
Aircraft 1 | |
Make Model Name | B747-400 |
Operating Under FAR Part | Part 121 |
Flight Phase | Parked |
Component | |
Aircraft Component | Fuel Line Fittings & Connectors |
Person 1 | |
Function | Technician |
Qualification | Maintenance Airframe Maintenance Powerplant |
Experience | Maintenance Technician 30 |
Events | |
Anomaly | Aircraft Equipment Problem Less Severe Deviation - Procedural Published Material / Policy |
Narrative:
During the walk around inspection of a routine line maintenance turnaround; a fuel leak was observed at the number-3 engine pylon. After trouble shooting & investigation it was determined that a replacement fuel line was required & the flight was cancelled. The unserviceable fuel line was removed by the afternoon shift who wrote a comprehensive turnover. The new line was ordered from the manufacturer with all supporting hardware & arrived the next day. During the installation of the new fuel line; the aircraft was moved from the remote stand to the departure gate & maintenance was informed that the scheduled departure time had been moved up by [two hours]. The interruption & time pressure resulted in distractions; although the new fuel line was fully installed with it's couplings tightened & leak tested as per aircraft maintenance manual (amm) procedures; I failed to install the safety wire lock on the fuel line coupling. After the flight departed I was reviewing the amm procedures & discovered that the fuel line required a safety wire lock. I immediately informed the downline station where the aircraft was stopped & the safety wire lock was installed. I have no excuses for not completing the safety wire task but feel the distraction of moving the aircraft; the rescheduling of the ready time & not being involved with the removal of the unserviceable line the day before; all contributed to my mistake. After the aircraft was moved I should have reviewed the amm tasks from the beginning & should not have been distracted by external factors.
Original NASA ASRS Text
Title: A Line Aircraft Maintenance Technician (AMT) realizes he had not installed a required safety wire lock on a fuel line coupling that was replaced in a Number-3 Engine pylon prior to departure of a B747-400 aircraft. Technician noted how distraction of moving the aircraft; rescheduling departure two hours sooner and not being involved with the removal of the unserviceable line the day before all contributed to his error.
Narrative: During the walk around inspection of a routine line maintenance turnaround; a fuel leak was observed at the Number-3 Engine pylon. After trouble shooting & investigation it was determined that a replacement fuel line was required & the flight was cancelled. The unserviceable fuel line was removed by the afternoon shift who wrote a comprehensive turnover. The new line was ordered from the manufacturer with all supporting hardware & arrived the next day. During the installation of the new fuel line; the aircraft was moved from the remote stand to the departure gate & Maintenance was informed that the scheduled departure time had been moved up by [two hours]. The interruption & time pressure resulted in distractions; although the new fuel line was fully installed with it's couplings tightened & leak tested as per Aircraft Maintenance Manual (AMM) procedures; I failed to install the safety wire lock on the fuel line coupling. After the flight departed I was reviewing the AMM procedures & discovered that the fuel line required a safety wire lock. I immediately informed the downline station where the aircraft was stopped & the safety wire lock was installed. I have no excuses for not completing the safety wire task but feel the distraction of moving the aircraft; the rescheduling of the ready time & not being involved with the removal of the unserviceable line the day before; all contributed to my mistake. After the aircraft was moved I should have reviewed the AMM tasks from the beginning & should not have been distracted by external factors.
Data retrieved from NASA's ASRS site and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.