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|
Attributes | |
ACN | 488246 |
Time | |
Date | 200010 |
Day | Thu |
Local Time Of Day | 1801 To 2400 |
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 | B767-300 and 300 ER |
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 : powerplant technician : airframe |
Experience | maintenance technician : 9 |
ASRS Report | 488246 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | other other : person 1 |
Resolutory Action | none taken : unable |
Consequence | other |
Factors | |
Maintenance | contributing factor : manuals contributing factor : schedule pressure performance deficiency : inspection performance deficiency : installation performance deficiency : scheduled maintenance |
Supplementary | |
Problem Areas | Aircraft Chart Or Publication Company Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On oct/thu/00, during a routine inspection, the #8 main tire was found wtl (worn to limits). During this down time, the wheel assembly was changed and replaced with a B767-300ER wheel assembly (part number dcba) instead of a domestic wheel assembly (part number abcd). Noticing the difference before installation, the tire part numbers and ply rating was compared with the opposite and corresponding tires on the aircraft and found to be the same. The wheel assemblies were swapped at this time again noting the difference in assembly part numbers. The maintenance manual was the reference of choice and only the difference in brakes and their inspection was part of the main gear wheel and tire removal/installation. The aircraft left ZZZ on oct/fri/00, meanwhile a setup was installed in the computer by maintenance control to rechange the #8 main wheel assembly at the next stop in salt lake city, in which the aircraft took no delay, no cancellation, and no accident was reported. Aircraft ship #xyz.
Original NASA ASRS Text
Title: A B767-300 WAS DISPATCHED IN NON COMPLIANCE WITH A B767-300ER TIRE AND WHEEL ASSEMBLY INSTALLED IN THE #8 POS.
Narrative: ON OCT/THU/00, DURING A ROUTINE INSPECTION, THE #8 MAIN TIRE WAS FOUND WTL (WORN TO LIMITS). DURING THIS DOWN TIME, THE WHEEL ASSEMBLY WAS CHANGED AND REPLACED WITH A B767-300ER WHEEL ASSEMBLY (PART NUMBER DCBA) INSTEAD OF A DOMESTIC WHEEL ASSEMBLY (PART NUMBER ABCD). NOTICING THE DIFFERENCE BEFORE INSTALLATION, THE TIRE PART NUMBERS AND PLY RATING WAS COMPARED WITH THE OPPOSITE AND CORRESPONDING TIRES ON THE ACFT AND FOUND TO BE THE SAME. THE WHEEL ASSEMBLIES WERE SWAPPED AT THIS TIME AGAIN NOTING THE DIFFERENCE IN ASSEMBLY PART NUMBERS. THE MAINT MANUAL WAS THE REF OF CHOICE AND ONLY THE DIFFERENCE IN BRAKES AND THEIR INSPECTION WAS PART OF THE MAIN GEAR WHEEL AND TIRE REMOVAL/INSTALLATION. THE ACFT LEFT ZZZ ON OCT/FRI/00, MEANWHILE A SETUP WAS INSTALLED IN THE COMPUTER BY MAINT CTL TO RECHANGE THE #8 MAIN WHEEL ASSEMBLY AT THE NEXT STOP IN SALT LAKE CITY, IN WHICH THE ACFT TOOK NO DELAY, NO CANCELLATION, AND NO ACCIDENT WAS RPTED. ACFT SHIP #XYZ.
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.