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|
Attributes | |
ACN | 453270 |
Time | |
Date | 199910 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Dawn |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B767-300 and 300 ER |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance ground : parked |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
ASRS Report | 453270 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
Experience | maintenance technician : 16 |
ASRS Report | 453275 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : brake tempature indication |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : scheduled maintenance performance deficiency : repair performance deficiency : non compliance with legal requirements performance deficiency : installation |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On oct/xa/99, my partner and I changed a B767 #1 main tire and rim assembly that was deferred from south america to be done prior to departure. It was XA15, still dark out, and clear WX, 53 degree temperature. We changed the tire and wheel assembly according to maintenance manual. No difficulty in removing or installing the assembly. We finished at XA40. The aircraft took off and reported a brake temperature rise on that axle assembly or that wheel assembly. Aircraft arrived at xyz and a&P's removed tire and wheel assembly to find rear axle spacer missing. They replaced the spacer, did an axle damage check inspection, found no damage and replaced the tire and wheel assembly. Aircraft incurred a delay at abc. In our procedure of changing the tire and wheel assembly, the rear spacer had been stuck to the old wheel assembly we removed. We installed new wheel without the rear spacer.
Original NASA ASRS Text
Title: A B767-300 WAS DISPATCHED IN NON COMPLIANCE WITH THE #1 MAIN TIRE INSTALLED IMPROPERLY. WHEEL SPACER MISSING FROM AXLE.
Narrative: ON OCT/XA/99, MY PARTNER AND I CHANGED A B767 #1 MAIN TIRE AND RIM ASSEMBLY THAT WAS DEFERRED FROM SOUTH AMERICA TO BE DONE PRIOR TO DEP. IT WAS XA15, STILL DARK OUT, AND CLR WX, 53 DEG TEMP. WE CHANGED THE TIRE AND WHEEL ASSEMBLY ACCORDING TO MAINT MANUAL. NO DIFFICULTY IN REMOVING OR INSTALLING THE ASSEMBLY. WE FINISHED AT XA40. THE ACFT TOOK OFF AND RPTED A BRAKE TEMP RISE ON THAT AXLE ASSEMBLY OR THAT WHEEL ASSEMBLY. ACFT ARRIVED AT XYZ AND A&P'S REMOVED TIRE AND WHEEL ASSEMBLY TO FIND REAR AXLE SPACER MISSING. THEY REPLACED THE SPACER, DID AN AXLE DAMAGE CHK INSPECTION, FOUND NO DAMAGE AND REPLACED THE TIRE AND WHEEL ASSEMBLY. ACFT INCURRED A DELAY AT ABC. IN OUR PROC OF CHANGING THE TIRE AND WHEEL ASSEMBLY, THE REAR SPACER HAD BEEN STUCK TO THE OLD WHEEL ASSEMBLY WE REMOVED. WE INSTALLED NEW WHEEL WITHOUT THE REAR SPACER.
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.