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An MD80 was dispatched in non compliance after a repetitive #1 engine #7 nozzle inspection. Later discovered #4 nozzle was inspected in error.
| Attributes | |
| ACN | 450238 |
| Time | |
| Date | 199909 |
| Day | Wed |
| Local Time Of Day | 0001 To 0600 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Environment | |
| Light | Night |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | MD-80 Series (DC-9-80) Undifferentiated or Other Model |
| 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 : powerplant technician : airframe |
| ASRS Report | 450238 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : airframe technician : powerplant |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : published procedure |
| Resolutory Action | none taken : unable |
| Consequence | other |
| Factors | |
| Maintenance | performance deficiency : inspection |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
On sep/xa/99 I was sent to do a job card repetitive inspection of #7 fuel nozzle on #1 (l-hand) engine on aircraft xyz. Because I had not done this inspection before, I was assisted by a former air carrier mechanic who had done several of these borescopes before. On sep/xe/99 when I arrived at work, our department was meeting with air carrier wxxw air carrier quality assurance supervisor. After he left, while reviewing some paperwork he left behind, I realized I had inspected #4 not #7 fuel nozzle.
Original NASA ASRS Text
Title: AN MD80 WAS DISPATCHED IN NON COMPLIANCE AFTER A REPETITIVE #1 ENG #7 NOZZLE INSPECTION. LATER DISCOVERED #4 NOZZLE WAS INSPECTED IN ERROR.
Narrative: ON SEP/XA/99 I WAS SENT TO DO A JOB CARD REPETITIVE INSPECTION OF #7 FUEL NOZZLE ON #1 (L-HAND) ENG ON ACFT XYZ. BECAUSE I HAD NOT DONE THIS INSPECTION BEFORE, I WAS ASSISTED BY A FORMER ACR MECH WHO HAD DONE SEVERAL OF THESE BORESCOPES BEFORE. ON SEP/XE/99 WHEN I ARRIVED AT WORK, OUR DEPT WAS MEETING WITH ACR WXXW ACR QUALITY ASSURANCE SUPVR. AFTER HE LEFT, WHILE REVIEWING SOME PAPERWORK HE LEFT BEHIND, I REALIZED I HAD INSPECTED #4 NOT #7 FUEL NOZZLE.
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.