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A B767-200ER was dispatched on an extended range overwater flight with a required inspection item not accomplished.
| Attributes | |
| ACN | 462777 |
| Time | |
| Date | 200002 |
| Day | Mon |
| 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 | B767-200 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : parked ground : maintenance |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : airframe technician : powerplant |
| Experience | maintenance lead technician : 10 maintenance technician : 15 |
| ASRS Report | 462777 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : airframe technician : powerplant |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : work cards contributing factor : schedule pressure performance deficiency : inspection performance deficiency : logbook entry |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
On feb/mon/00, I was assigned to aircraft xyz. I was told to splice a feeder cable to #2 internal drive generator. I was also told that the previous shift changed the internal drive generator and that it was complete. In a rush perhaps, to get the aircraft to the gate I signed the airworthiness. I completed all my XXX's (turnovers). The turnovers did not indicate that the rii (required inspection item) for the internal drive generator needed to be done, nor was there an item in the logbook. Lack of communication was perhaps the problem with the proper paperwork not being accomplished. On aircraft such as the B767, ETOPS, it is mandatory that we have direct communication on these items. An rii (required inspection item) such as an internal drive generator change is required and we should have caught it.
Original NASA ASRS Text
Title: A B767-200ER WAS DISPATCHED ON AN EXTENDED RANGE OVERWATER FLT WITH A REQUIRED INSPECTION ITEM NOT ACCOMPLISHED.
Narrative: ON FEB/MON/00, I WAS ASSIGNED TO ACFT XYZ. I WAS TOLD TO SPLICE A FEEDER CABLE TO #2 INTERNAL DRIVE GENERATOR. I WAS ALSO TOLD THAT THE PREVIOUS SHIFT CHANGED THE INTERNAL DRIVE GENERATOR AND THAT IT WAS COMPLETE. IN A RUSH PERHAPS, TO GET THE ACFT TO THE GATE I SIGNED THE AIRWORTHINESS. I COMPLETED ALL MY XXX'S (TURNOVERS). THE TURNOVERS DID NOT INDICATE THAT THE RII (REQUIRED INSPECTION ITEM) FOR THE INTERNAL DRIVE GENERATOR NEEDED TO BE DONE, NOR WAS THERE AN ITEM IN THE LOGBOOK. LACK OF COM WAS PERHAPS THE PROB WITH THE PROPER PAPERWORK NOT BEING ACCOMPLISHED. ON ACFT SUCH AS THE B767, ETOPS, IT IS MANDATORY THAT WE HAVE DIRECT COM ON THESE ITEMS. AN RII (REQUIRED INSPECTION ITEM) SUCH AS AN INTERNAL DRIVE GENERATOR CHANGE IS REQUIRED AND WE SHOULD HAVE CAUGHT IT.
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.