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|
Attributes | |
ACN | 1739951 |
Time | |
Date | 202004 |
Local Time Of Day | 0601-1200 |
Place | |
Locale Reference | ZZZ.Airport |
State Reference | US |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Make Model Name | EMB ERJ 170/175 ER/LR |
Operating Under FAR Part | Part 121 |
Flight Phase | Parked |
Flight Plan | IFR |
Component | |
Aircraft Component | Fan Reverser |
Person 1 | |
Function | Technician |
Qualification | Maintenance Airframe Maintenance Powerplant |
Events | |
Anomaly | Aircraft Equipment Problem Critical Deviation - Procedural FAR Deviation - Procedural MEL Deviation - Procedural Published Material / Policy |
Narrative:
We had a situation for aircraft X due to and engine 2 no dispatch message due to ignition channel B fault. When troubleshooting maintenance found the connector/switch to the ehcl (electro-hydraulic cowl lock) broken. The MEL was applied for the engine 2 thrust reversers. At this time there were no maintenance personnel available to due an engine run after they swapped E2 igniter plugs from channel a to B and B to a in accordance with the MEL. The mechanics turned over the aircraft to the next shift to complete the engine runs. I arrived and retrieved the logbook and went with another mechanic to complete the engine runs. We performed the engine runs and called aircraft back into service approximately 30 mins prior to first departure of the day. We then recieved a call from [maintenance control] approximately 10 minutes prior to departure saying the pilot is reporting engine 2 rev inhibit message not being displayed on EICAS in accordance with MEL. Instead engine 2 rev prot fault displayed. The MEL that was signed off as previously c/w referenced amm so we started there and found that it referenced amm deactivation of the icu(isolation control unit). While following the amm for deactivating the icu I saw that it said open circuit breaker and install a circuit breaker ring on E2 reverser circuit breaker as well as making sure the icu inhibition lever was in the inhibit position with the quick release pin installed to make sure the lever is making contact with the micro switches. The lever was in the inhibit position but the quick release pin was not in the correct position. I moved the pin to the correct position and followed the last step of the deactivation process which was to make sure the E2 rev inhibit message is shown on EICAS which it was. At this point I did not see in the icu deactivation procedures of closing the circuit breaker and removing the ring as it was not in that part of the amm. Instead of going back and referencing the amm section the MEL had me go to and discussing with the other mechanic of whether or not we should close the circuit breaker we determined that it was not in the deactivation procedures so we should leave it open since the discrepancy was corrected. I should of referenced back the original amm to make sure I followed the job close up section as this would of told me to remove the circuit breaker ring and close it upon completion of deactivating the TR. Since the MEL was done by the prior shift I did not think to go back to that reference as I only performed the icu deactivation even though I know that all amm sections have a job close up section. I also think the several human factors played a role in my error. The stress and pressure of the plane being delayed after being [on ground] for a long period of time distracted me from being focused on reviewing my work and the amm. I also had a lack of awareness to realize the icu deactivation did not have a job close up section. I think it would be helpful to add this section to the icu deactivation part of the amm to state if no other maintenance is being performed to complete this section.
Original NASA ASRS Text
Title: Technician reported misreading MEL procedures and not correctly accomplishing MEL procedures when deactivating a thrust reverser.
Narrative: We had a situation for Aircraft X due to and ENG 2 no dispatch message due to Ignition Channel B fault. When troubleshooting Maintenance found the connector/switch to the EHCL (Electro-Hydraulic cowl lock) broken. The MEL was applied for the ENG 2 Thrust Reversers. At this time there were no Maintenance personnel available to due an ENGINE run after they swapped E2 igniter plugs from channel A to B and B to A IAW the MEL. The Mechanics turned over the aircraft to the next shift to complete the Engine Runs. I arrived and retrieved the logbook and went with another mechanic to complete the Engine Runs. We performed the engine runs and called aircraft back into service approximately 30 mins prior to first departure of the day. We then recieved a call from [Maintenance Control] approximately 10 minutes prior to departure saying the pilot is reporting ENG 2 Rev INHIBIT message not being displayed on EICAS IAW MEL. Instead ENG 2 REV PROT FAULT displayed. The MEL that was signed off as previously c/w referenced AMM so we started there and found that it referenced AMM deactivation of the ICU(Isolation Control Unit). While following the AMM for Deactivating the ICU I saw that it said open Circuit Breaker and install a CB ring on E2 REVERSER CB as well as making sure the ICU inhibition lever was in the inhibit position with the quick release pin installed to make sure the lever is making contact with the micro switches. The lever was in the inhibit position but the quick release pin was not in the correct position. I moved the pin to the correct position and followed the last step of the deactivation process which was to make sure the E2 REV INHIBIT MESSAGE is shown on EICAS which it was. At this point I did not see in the ICU deactivation procedures of closing the CB and removing the ring as it was not in that part of the AMM. Instead of going back and referencing the AMM section the MEL had me go to and discussing with the other mechanic of whether or not we should close the CB we determined that it was not in the DEACTIVATION procedures so we should leave it open since the discrepancy was corrected. I should of referenced back the original AMM to make sure I followed the JOB CLOSE UP section as this would of told me to remove the CB ring and close it upon completion of deactivating the TR. Since the MEL was done by the prior shift I did not think to go back to that reference as I only performed the ICU deactivation even though I know that all AMM sections have a JOB CLOSE UP section. I also think the several Human Factors played a role in my error. The STRESS and PRESSURE of the plane being delayed after being [on ground] for a long period of time DISTRACTED me from being focused on reviewing my work and the AMM. I also had a LACK OF AWARENESS to realize the ICU deactivation did not have a JOB CLOSE UP SECTION. I think it would be helpful to add this section to the ICU deactivation part of the AMM to state if no other Maintenance is being performed to complete this section.
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.