 |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
'Ia' mechanic signed off an aircraft annual inspection when the ELT (emergency locator transmitter) battery was expired.
| Attributes | |
| ACN | 312970 |
| Time | |
| Date | 199311 |
| Day | Mon |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : 5r4 |
| State Reference | AL |
| Altitude | agl bound lower : 0 agl bound upper : 0 |
| Aircraft 1 | |
| Operator | general aviation : personal |
| Make Model Name | Travelair 95 |
| Operating Under FAR Part | Part 91 |
| Flight Phase | ground : parked other |
| Person 1 | |
| Affiliation | Other |
| Function | other personnel other |
| Qualification | other other : other |
| ASRS Report | 312970 |
| Person 2 | |
| Affiliation | Other |
| Function | flight crew : single pilot |
| Events | |
| Anomaly | aircraft equipment problem : less severe non adherence : far non adherence other other anomaly other |
| Independent Detector | other other : unspecified |
| Resolutory Action | none taken : detected after the fact |
| Consequence | faa : investigated faa : assigned or threatened penalties other |
| Supplementary | |
| Primary Problem | Aircraft |
| Air Traffic Incident | other |
Narrative:
On or about nov/xx/93, while performing an annual inspection on beechcraft, a be-95, it was noticed and noted that the ELT battery was out of date. As the ai in charge of the inspection I asked the #1 a and P to remove the ELT and replace the battery. He passed it along to the #2 a and P, who was the son of the owner. Mr X failed to remove the ELT and replace the battery. The aircraft was ferried back to mobile where it was based, after completing the paperwork and signing off the logbooks. A breakdown in the work schedule between the 2 a and P's and my failure to check to see that the work had been complied with is a contributing factor. The incident was discovered because the aircraft was involved in an accident near leakesville, ms. The result was the ELT did not activate. I contacted both a and P's and informed them of their negligence and reminded them of their obligations to carry out their assignments without failure. Human performance considerations: decisions done in corrective actions, in chain of events section. The time of the inspection affected the quality of human performance. Actions described in chain of events section.
Original NASA ASRS Text
Title: 'IA' MECH SIGNED OFF AN ACFT ANNUAL INSPECTION WHEN THE ELT (EMER LOCATOR XMITTER) BATTERY WAS EXPIRED.
Narrative: ON OR ABOUT NOV/XX/93, WHILE PERFORMING AN ANNUAL INSPECTION ON BEECHCRAFT, A BE-95, IT WAS NOTICED AND NOTED THAT THE ELT BATTERY WAS OUT OF DATE. AS THE AI IN CHARGE OF THE INSPECTION I ASKED THE #1 A AND P TO REMOVE THE ELT AND REPLACE THE BATTERY. HE PASSED IT ALONG TO THE #2 A AND P, WHO WAS THE SON OF THE OWNER. MR X FAILED TO REMOVE THE ELT AND REPLACE THE BATTERY. THE ACFT WAS FERRIED BACK TO MOBILE WHERE IT WAS BASED, AFTER COMPLETING THE PAPERWORK AND SIGNING OFF THE LOGBOOKS. A BREAKDOWN IN THE WORK SCHEDULE BTWN THE 2 A AND P'S AND MY FAILURE TO CHK TO SEE THAT THE WORK HAD BEEN COMPLIED WITH IS A CONTRIBUTING FACTOR. THE INCIDENT WAS DISCOVERED BECAUSE THE ACFT WAS INVOLVED IN AN ACCIDENT NEAR LEAKESVILLE, MS. THE RESULT WAS THE ELT DID NOT ACTIVATE. I CONTACTED BOTH A AND P'S AND INFORMED THEM OF THEIR NEGLIGENCE AND REMINDED THEM OF THEIR OBLIGATIONS TO CARRY OUT THEIR ASSIGNMENTS WITHOUT FAILURE. HUMAN PERFORMANCE CONSIDERATIONS: DECISIONS DONE IN CORRECTIVE ACTIONS, IN CHAIN OF EVENTS SECTION. THE TIME OF THE INSPECTION AFFECTED THE QUALITY OF HUMAN PERFORMANCE. ACTIONS DESCRIBED IN CHAIN OF EVENTS SECTION.
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.