37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 490143 |
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 | B747 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance ground : parked |
Flight Plan | None |
Person 1 | |
Affiliation | company : air carrier |
Function | instruction : trainee maintenance : technician |
Qualification | technician : powerplant technician : airframe technician : fcc |
Experience | maintenance repairman : 13 maintenance technician : 0.1 |
ASRS Report | 490143 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
ASRS Report | 490576 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
Independent Detector | other other : ns |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : lighting contributing factor : schedule pressure performance deficiency : repair performance deficiency : testing performance deficiency : training performance deficiency : inspection performance deficiency : installation performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Chart Or Publication Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On oct/thu/00, XA00, myself and my trainer were assigned to aircraft xyz for engine change preparation on #2 engine. Part of the preparation work involved changing the eec (electronic engine control) programming plug. Keeping in mind I am new to this work (1 1/2 months), I have been with air carrier in a repair shop for 13 years though. An air carrier inspector gave my trainer an eec plug and said that according to the engine data plate, that plug was the correct plug. My trainer gave me the plug and I installed it and signed it off. The aircraft made a static run(south) with the new engine, then went on to make 3 or 4 revenue flts before the pilot squawked it, saying #2 engine needed the throttles advanced more than the others. Air carrier in taipei found the plug I installed was the incorrect plug. The correct plug was installed and the aircraft is still in service.
Original NASA ASRS Text
Title: A B747-400 WAS DISPATCHED IN NON COMPLIANCE WITH #2 ENG ELECTRONIC ENG CTL INCORRECT PROGRAMMING PLUG INSTALLED.
Narrative: ON OCT/THU/00, XA00, MYSELF AND MY TRAINER WERE ASSIGNED TO ACFT XYZ FOR ENG CHANGE PREPARATION ON #2 ENG. PART OF THE PREPARATION WORK INVOLVED CHANGING THE EEC (ELECTRONIC ENG CTL) PROGRAMMING PLUG. KEEPING IN MIND I AM NEW TO THIS WORK (1 1/2 MONTHS), I HAVE BEEN WITH ACR IN A REPAIR SHOP FOR 13 YEARS THOUGH. AN ACR INSPECTOR GAVE MY TRAINER AN EEC PLUG AND SAID THAT ACCORDING TO THE ENG DATA PLATE, THAT PLUG WAS THE CORRECT PLUG. MY TRAINER GAVE ME THE PLUG AND I INSTALLED IT AND SIGNED IT OFF. THE ACFT MADE A STATIC RUN(S) WITH THE NEW ENG, THEN WENT ON TO MAKE 3 OR 4 REVENUE FLTS BEFORE THE PLT SQUAWKED IT, SAYING #2 ENG NEEDED THE THROTTLES ADVANCED MORE THAN THE OTHERS. ACR IN TAIPEI FOUND THE PLUG I INSTALLED WAS THE INCORRECT PLUG. THE CORRECT PLUG WAS INSTALLED AND THE ACFT IS STILL IN SVC.
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.