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|
Attributes | |
ACN | 442636 |
Time | |
Date | 199906 |
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 | B727-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance ground : parked |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : inspector |
Qualification | technician : inspection authority technician : airframe technician : powerplant |
Experience | maintenance technician : 29 |
ASRS Report | 442636 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : #2 engine oil oty indicator |
Resolutory Action | flight crew : landed in emergency condition flight crew : declared emergency |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : inspection performance deficiency : testing performance deficiency : installation |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On jun/xa/99 I was assigned to do a final inspection of the installation of the engine driven fuel pump. I witnessed all seals installed prior to the mechanic installing the pump also. After pump was replaced and inspected, engine was run for several mins at idle and high power with no leaks detected. Aircraft was returned to service. Aircraft was dispatched on a ferry flight to XXX. 1 hour 20 mins after departing, the engine had a loss of oil and the crew did an in-flight shutdown of that engine (#2). On later removal of the replaced pump, the removing mechanics claimed that no pump driven shaft o-rings were noticed.
Original NASA ASRS Text
Title: A B727-200 IN CRUISE DECLARED AN EMER DUE TO LOSS OF #2 ENG OIL QUANTITY AND PRESSURE CAUSED BY THE ENG DRIVEN FUEL PUMP DRIVE SEALS NOT INSTALLED DURING PUMP REPLACEMENT.
Narrative: ON JUN/XA/99 I WAS ASSIGNED TO DO A FINAL INSPECTION OF THE INSTALLATION OF THE ENG DRIVEN FUEL PUMP. I WITNESSED ALL SEALS INSTALLED PRIOR TO THE MECH INSTALLING THE PUMP ALSO. AFTER PUMP WAS REPLACED AND INSPECTED, ENG WAS RUN FOR SEVERAL MINS AT IDLE AND HIGH PWR WITH NO LEAKS DETECTED. ACFT WAS RETURNED TO SVC. ACFT WAS DISPATCHED ON A FERRY FLT TO XXX. 1 HR 20 MINS AFTER DEPARTING, THE ENG HAD A LOSS OF OIL AND THE CREW DID AN INFLT SHUTDOWN OF THAT ENG (#2). ON LATER REMOVAL OF THE REPLACED PUMP, THE REMOVING MECHS CLAIMED THAT NO PUMP DRIVEN SHAFT O-RINGS WERE NOTICED.
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.