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|
Attributes | |
ACN | 178401 |
Time | |
Date | 199105 |
Day | Thu |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : avo |
State Reference | FL |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | general aviation : personal |
Make Model Name | Small Aircraft, Low Wing, 1 Eng, Retractable Gear |
Flight Phase | ground : preflight landing other other |
Flight Plan | None |
Person 1 | |
Affiliation | Other |
Function | flight crew : single pilot |
Qualification | pilot : instrument pilot : flight engineer pilot : commercial pilot : atp pilot : private |
Experience | flight time last 90 days : 234 flight time total : 12000 flight time type : 10 |
ASRS Report | 178401 |
Events | |
Anomaly | aircraft equipment problem : critical |
Independent Detector | other flight crewa |
Resolutory Action | none taken : unable |
Consequence | other |
Supplementary | |
Air Traffic Incident | other |
Narrative:
After preforming maintenance on aircraft and replacing cowling, I apparently forgot to insert bolt that attaches nose gear door pushrods to brackets on nose gear. During pleasure flight following this, the nose gear failed to fully extend. After 3 1/2 hours of efforts to extend the nose gear, a landing was made on 2 mains and partial nose gear resulting in minimal damage to the aircraft. The cause of this incident was that the pushrod bolt was not installed after the cowling was replaced. If I had followed my normal maintenance SOP of putting up my tools and closing the too chest after working on the aircraft, I would have noticed the bolt (uninstalled) laying in the parts bin. The nose gear door appearance is identical whether the pushrod is attached or not. This leaves it undetectable during a walk-around inspection unless the door is physically handled by the person doing inspection. Also, SOP's should be strictly adhered to in maintenance activities.
Original NASA ASRS Text
Title: MECHANIC FAILS TO INSTALL NOSE GEAR DOOR ATTACHMENT BOLT WHILE PERFORMING MAINT ON OWN ACFT AND DISCOVERS THE ERROR DURING THE SUBSEQUENT GEAR UP LNDG.
Narrative: AFTER PREFORMING MAINT ON ACFT AND REPLACING COWLING, I APPARENTLY FORGOT TO INSERT BOLT THAT ATTACHES NOSE GEAR DOOR PUSHRODS TO BRACKETS ON NOSE GEAR. DURING PLEASURE FLT FOLLOWING THIS, THE NOSE GEAR FAILED TO FULLY EXTEND. AFTER 3 1/2 HRS OF EFFORTS TO EXTEND THE NOSE GEAR, A LNDG WAS MADE ON 2 MAINS AND PARTIAL NOSE GEAR RESULTING IN MINIMAL DAMAGE TO THE ACFT. THE CAUSE OF THIS INCIDENT WAS THAT THE PUSHROD BOLT WAS NOT INSTALLED AFTER THE COWLING WAS REPLACED. IF I HAD FOLLOWED MY NORMAL MAINT SOP OF PUTTING UP MY TOOLS AND CLOSING THE TOO CHEST AFTER WORKING ON THE ACFT, I WOULD HAVE NOTICED THE BOLT (UNINSTALLED) LAYING IN THE PARTS BIN. THE NOSE GEAR DOOR APPEARANCE IS IDENTICAL WHETHER THE PUSHROD IS ATTACHED OR NOT. THIS LEAVES IT UNDETECTABLE DURING A WALK-AROUND INSPECTION UNLESS THE DOOR IS PHYSICALLY HANDLED BY THE PERSON DOING INSPECTION. ALSO, SOP'S SHOULD BE STRICTLY ADHERED TO IN MAINT ACTIVITIES.
Data retrieved from NASA's ASRS site as of July 2007 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.