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|
Attributes | |
ACN | 413442 |
Time | |
Date | 199805 |
Day | Sun |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : zzz |
State Reference | US |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : las |
Operator | common carrier : air carrier |
Make Model Name | B757-200 |
Operating Under FAR Part | other : unknown |
Navigation In Use | Other Other |
Flight Phase | other |
Flight Plan | None |
Person 1 | |
Affiliation | company : air carrier |
Function | other personnel other |
Qualification | other other : other |
ASRS Report | 413442 |
Person 2 | |
Affiliation | company : air carrier |
Function | other personnel other |
Qualification | other other : other |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : published procedure non adherence : far |
Independent Detector | other other : unspecified |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Air Traffic Incident | other |
Narrative:
On may/xa/98 and may/xb/98 I had to verify that air carrier aircraft xyz and zxy had a modified thrust management computer installed. I had to check the data plates on the units and install new computers if the part numbers on them weren't correct. I believed the aircraft were in compliance with my inspection and signed the logbooks to reflect this and that no computer replacement was required. During a company sponsored follow-up inspection, it was determined that both of these thrust management computers were unmodified and needed to be replaced according to their part numbers. These unmodified part numbers were yyzzxx-G2. The modified part numbers are yyzzxx-G3 and yyzzyx-G2, which are very similar to the old number. I must have been confused on the nights in question and misinterped the bad number for a good one. I had performed this inspection many times prior to these incidents without complication. I believe these incidents occurred because I was comfortable with the procedure and perhaps a little complacent. Furthermore, I work shift XA00-XI00 and have trouble staying focused all the time.
Original NASA ASRS Text
Title: 2 B757-200 ACFT WERE DISPATCHED WITH UNMODIFIED THRUST MGMNT COMPUTERS CAUSED BY INSPECTION OVERSIGHT.
Narrative: ON MAY/XA/98 AND MAY/XB/98 I HAD TO VERIFY THAT ACR ACFT XYZ AND ZXY HAD A MODIFIED THRUST MGMNT COMPUTER INSTALLED. I HAD TO CHK THE DATA PLATES ON THE UNITS AND INSTALL NEW COMPUTERS IF THE PART NUMBERS ON THEM WEREN'T CORRECT. I BELIEVED THE ACFT WERE IN COMPLIANCE WITH MY INSPECTION AND SIGNED THE LOGBOOKS TO REFLECT THIS AND THAT NO COMPUTER REPLACEMENT WAS REQUIRED. DURING A COMPANY SPONSORED FOLLOW-UP INSPECTION, IT WAS DETERMINED THAT BOTH OF THESE THRUST MGMNT COMPUTERS WERE UNMODIFIED AND NEEDED TO BE REPLACED ACCORDING TO THEIR PART NUMBERS. THESE UNMODIFIED PART NUMBERS WERE YYZZXX-G2. THE MODIFIED PART NUMBERS ARE YYZZXX-G3 AND YYZZYX-G2, WHICH ARE VERY SIMILAR TO THE OLD NUMBER. I MUST HAVE BEEN CONFUSED ON THE NIGHTS IN QUESTION AND MISINTERPED THE BAD NUMBER FOR A GOOD ONE. I HAD PERFORMED THIS INSPECTION MANY TIMES PRIOR TO THESE INCIDENTS WITHOUT COMPLICATION. I BELIEVE THESE INCIDENTS OCCURRED BECAUSE I WAS COMFORTABLE WITH THE PROC AND PERHAPS A LITTLE COMPLACENT. FURTHERMORE, I WORK SHIFT XA00-XI00 AND HAVE TROUBLE STAYING FOCUSED ALL THE TIME.
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.