37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 359402 |
Time | |
Date | 199701 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : zzz |
State Reference | US |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : sdf |
Operator | common carrier : air carrier |
Make Model Name | DC-9 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | other |
Flight Plan | None |
Person 1 | |
Affiliation | company : air carrier |
Function | other personnel other |
Qualification | other other : other |
ASRS Report | 359402 |
Person 2 | |
Affiliation | company : air carrier |
Function | other personnel other |
Qualification | other other : other |
Events | |
Anomaly | aircraft equipment problem : less severe non adherence : far non adherence : published procedure other anomaly other |
Independent Detector | other flight crewa other other : unspecified cockpit |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Air Traffic Incident | other |
Narrative:
DC9 aircraft arrived at gate with following write-up. Computer flag, first officer ADI. Found first officer steering computer missing from rack. Checked aircraft compartment to locate missing part. Could not be found. Installed svcable part, operations checked normal. After this event, I found out aircraft had been in heavy maintenance and flown 1 leg. Upon discussion with tech center, I found out the serial number of the part that was supposed to be in the aircraft. After talking with tech center. I used this serial number on aircraft log sheet to make it easier to enter into direct data entry on company computer system. Please note I had no intention of dispatching the aircraft with this part missing. My mistake was using the serial number of the part that was supposed to be in the aircraft on the log sheet. I'm so used to writing 'removed and replaced' in the log sheet sign-offs that it trapped me. Thinking back, I should have slowed down and assessed the situation. The proper way to do it would be to just install the part only and leave the off serial number block on log sheet blank.
Original NASA ASRS Text
Title: A DC9 WAS REPAIRED BUT WRONG PART NUMBER ENTERED IN LOG SIGNOFF.
Narrative: DC9 ACFT ARRIVED AT GATE WITH FOLLOWING WRITE-UP. COMPUTER FLAG, FO ADI. FOUND FO STEERING COMPUTER MISSING FROM RACK. CHKED ACFT COMPARTMENT TO LOCATE MISSING PART. COULD NOT BE FOUND. INSTALLED SVCABLE PART, OPS CHKED NORMAL. AFTER THIS EVENT, I FOUND OUT ACFT HAD BEEN IN HVY MAINT AND FLOWN 1 LEG. UPON DISCUSSION WITH TECH CTR, I FOUND OUT THE SERIAL NUMBER OF THE PART THAT WAS SUPPOSED TO BE IN THE ACFT. AFTER TALKING WITH TECH CTR. I USED THIS SERIAL NUMBER ON ACFT LOG SHEET TO MAKE IT EASIER TO ENTER INTO DIRECT DATA ENTRY ON COMPANY COMPUTER SYS. PLEASE NOTE I HAD NO INTENTION OF DISPATCHING THE ACFT WITH THIS PART MISSING. MY MISTAKE WAS USING THE SERIAL NUMBER OF THE PART THAT WAS SUPPOSED TO BE IN THE ACFT ON THE LOG SHEET. I'M SO USED TO WRITING 'REMOVED AND REPLACED' IN THE LOG SHEET SIGN-OFFS THAT IT TRAPPED ME. THINKING BACK, I SHOULD HAVE SLOWED DOWN AND ASSESSED THE SIT. THE PROPER WAY TO DO IT WOULD BE TO JUST INSTALL THE PART ONLY AND LEAVE THE OFF SERIAL NUMBER BLOCK ON LOG SHEET BLANK.
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.