37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 428408 |
Time | |
Date | 199902 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Fokker 100 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance ground : parked |
Flight Plan | None |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance technician : 10 |
ASRS Report | 428408 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
ASRS Report | 428406 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : published procedure |
Independent Detector | other other : mech 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : manuals performance deficiency : repair |
Supplementary | |
Problem Areas | Chart Or Publication |
Primary Problem | Chart Or Publication |
Situations | |
Publication | Maintenance Manual |
Narrative:
On feb/xz/99 at approximately YZ00 we were made aware of an incident involving aircraft xyz (F100) involving the r-hand gear leg follow-up door that we had installed the night before. That night we installed the door as per my instructions (after checking the logbook). After installing the door, the aircraft was jacked and the gear was raised and lowered several times to adjust the door (using the hydraulic mule for hydraulic pressure). After the adjustments were made, the crew chief came to inspect the installation and adjustment of the door. Then the gear was recycled again to check everything. All this was done in accordance with maintenance manual. When signing off the write-up on the log, we noticed that the original write-up was 'right strut bay door missing,' entered on nov/xa/99, making this incident a repeat write-up. The door was installed on feb/xa/99, and the incident with aircraft xyz was on feb/xb/99. Callback conversation with reporter revealed the following information: the reporter stated the door had been replaced less than 3 months earlier and was lost in-flight and the cause was unknown. The reporter said the door was replaced by the maintenance manual procedures and was tested by retracting the gear numerous times to check fit and clearance. The reporter said it's very possible the rigging and adjustment procedure is wrong. The reporter stated it may well be the hydraulic cart used for the gear retraction could not supply the correct pressure and volume to fully retract the gear for adjustment. The reporter said no information has been available as to the direct cause of the loss of these doors or any corrective action.
Original NASA ASRS Text
Title: A FOKKER 100 EXPERIENCED THE SECOND LOSS IN 3 MONTHS OF THE R MAIN LNDG GEAR STRUT DOOR ON THE FIRST FLT AFTER INSTALLATION.
Narrative: ON FEB/XZ/99 AT APPROX YZ00 WE WERE MADE AWARE OF AN INCIDENT INVOLVING ACFT XYZ (F100) INVOLVING THE R-HAND GEAR LEG FOLLOW-UP DOOR THAT WE HAD INSTALLED THE NIGHT BEFORE. THAT NIGHT WE INSTALLED THE DOOR AS PER MY INSTRUCTIONS (AFTER CHKING THE LOGBOOK). AFTER INSTALLING THE DOOR, THE ACFT WAS JACKED AND THE GEAR WAS RAISED AND LOWERED SEVERAL TIMES TO ADJUST THE DOOR (USING THE HYD MULE FOR HYD PRESSURE). AFTER THE ADJUSTMENTS WERE MADE, THE CREW CHIEF CAME TO INSPECT THE INSTALLATION AND ADJUSTMENT OF THE DOOR. THEN THE GEAR WAS RECYCLED AGAIN TO CHK EVERYTHING. ALL THIS WAS DONE IN ACCORDANCE WITH MAINT MANUAL. WHEN SIGNING OFF THE WRITE-UP ON THE LOG, WE NOTICED THAT THE ORIGINAL WRITE-UP WAS 'R STRUT BAY DOOR MISSING,' ENTERED ON NOV/XA/99, MAKING THIS INCIDENT A REPEAT WRITE-UP. THE DOOR WAS INSTALLED ON FEB/XA/99, AND THE INCIDENT WITH ACFT XYZ WAS ON FEB/XB/99. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR STATED THE DOOR HAD BEEN REPLACED LESS THAN 3 MONTHS EARLIER AND WAS LOST INFLT AND THE CAUSE WAS UNKNOWN. THE RPTR SAID THE DOOR WAS REPLACED BY THE MAINT MANUAL PROCS AND WAS TESTED BY RETRACTING THE GEAR NUMEROUS TIMES TO CHK FIT AND CLRNC. THE RPTR SAID IT'S VERY POSSIBLE THE RIGGING AND ADJUSTMENT PROC IS WRONG. THE RPTR STATED IT MAY WELL BE THE HYD CART USED FOR THE GEAR RETRACTION COULD NOT SUPPLY THE CORRECT PRESSURE AND VOLUME TO FULLY RETRACT THE GEAR FOR ADJUSTMENT. THE RPTR SAID NO INFO HAS BEEN AVAILABLE AS TO THE DIRECT CAUSE OF THE LOSS OF THESE DOORS OR ANY CORRECTIVE ACTION.
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.