37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 498423 |
Time | |
Date | 200101 |
Day | Fri |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : zzz.airport |
Altitude | agl single value : 0 |
Environment | |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : iah.tower |
Operator | common carrier : air carrier |
Make Model Name | B727-100 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance lead technician : 12 |
ASRS Report | 498423 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
Experience | maintenance technician : 11 |
ASRS Report | 498419 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : published procedure non adherence : far |
Independent Detector | aircraft equipment other aircraft equipment : airspeed indicator other other : 969 |
Consequence | other other |
Factors | |
Maintenance | contributing factor : manuals performance deficiency : logbook entry performance deficiency : testing performance deficiency : fault isolation performance deficiency : inspection performance deficiency : installation |
Supplementary | |
Problem Areas | Company Maintenance Human Performance Chart Or Publication Aircraft |
Primary Problem | Chart Or Publication |
Situations | |
Publication | MAINT. MANUAL - WIRE DIAG. MANUAL |
Narrative:
On jan/xa/01, aircraft xyz arrived in ZZZ with a repeat write-up concerning its mach warning system: log # yvx item 1P: 'during descent clackers sounded at 310 KTS. Red line flag was at 330 KTS altitude was FL330. Reference log page wxo.' corrective action reads as follows: 'performed mach warning check per maintenance manual, found both switches going off at 350 KTS. Inspected switch pins and found an abcd-3 installed in the 'B' mode (#2 switch) position. Per maintenance manual, a switch abcd-5 required. Returned switch, reperformed test. Both switches still going off at 350 KTS. Suggest right ring 'a' mode (#1 switch). A mode switch deferred per MEL dmi #YYY. Required inspection item and airworthiness signed off. Upon return to work on the evening of jan/xd/01 I found that it had been determined that per the master equipment list and wiring diagrams, the switch part numbers required for aircraft xyz are both part number abcd-3. However, I checked in both the air carrier boeing 727 maintenance manual and the original boeing maintenance manual which come with aircraft xyz and per maintenance manual the mach airspeed switch #1 pins part #abcd-3 and the mach airspeed switch #2 is pin abcd-5. The outstation removed and replaced the #2 mach warning switch part #abcd-5 which had been installed and reinstalled on part #abcd-3 in that position. I signed off the airworthiness and required inspection item while another mechanic signed off the actual item. My concern is that we followed the maintenance manual for switch part number but the ipc and wiring diagram called for a different number. This is a continual problem with our manuals due to the many different variations of B727 air carrier aircraft. The aircraft deviate from what the maintenance manual calls out and the wiring diagrams differ from the maintenance manuals.
Original NASA ASRS Text
Title: A B727 FREIGHTER WAS DISPATCHED IN NON COMPLIANCE WITH THE INCORRECT AIRSPD WARNING SWITCHES INSTALLED DUE TO MAINT MANUAL AND WIRE DIAGRAM MANUAL CONFLICT.
Narrative: ON JAN/XA/01, ACFT XYZ ARRIVED IN ZZZ WITH A REPEAT WRITE-UP CONCERNING ITS MACH WARNING SYS: LOG # YVX ITEM 1P: 'DURING DSCNT CLACKERS SOUNDED AT 310 KTS. RED LINE FLAG WAS AT 330 KTS ALT WAS FL330. REF LOG PAGE WXO.' CORRECTIVE ACTION READS AS FOLLOWS: 'PERFORMED MACH WARNING CHK PER MAINT MANUAL, FOUND BOTH SWITCHES GOING OFF AT 350 KTS. INSPECTED SWITCH PINS AND FOUND AN ABCD-3 INSTALLED IN THE 'B' MODE (#2 SWITCH) POS. PER MAINT MANUAL, A SWITCH ABCD-5 REQUIRED. RETURNED SWITCH, REPERFORMED TEST. BOTH SWITCHES STILL GOING OFF AT 350 KTS. SUGGEST R RING 'A' MODE (#1 SWITCH). A MODE SWITCH DEFERRED PER MEL DMI #YYY. REQUIRED INSPECTION ITEM AND AIRWORTHINESS SIGNED OFF. UPON RETURN TO WORK ON THE EVENING OF JAN/XD/01 I FOUND THAT IT HAD BEEN DETERMINED THAT PER THE MASTER EQUIP LIST AND WIRING DIAGRAMS, THE SWITCH PART NUMBERS REQUIRED FOR ACFT XYZ ARE BOTH PART NUMBER ABCD-3. HOWEVER, I CHKED IN BOTH THE ACR BOEING 727 MAINT MANUAL AND THE ORIGINAL BOEING MAINT MANUAL WHICH COME WITH ACFT XYZ AND PER MAINT MANUAL THE MACH AIRSPD SWITCH #1 PINS PART #ABCD-3 AND THE MACH AIRSPD SWITCH #2 IS PIN ABCD-5. THE OUTSTATION REMOVED AND REPLACED THE #2 MACH WARNING SWITCH PART #ABCD-5 WHICH HAD BEEN INSTALLED AND REINSTALLED ON PART #ABCD-3 IN THAT POS. I SIGNED OFF THE AIRWORTHINESS AND REQUIRED INSPECTION ITEM WHILE ANOTHER MECH SIGNED OFF THE ACTUAL ITEM. MY CONCERN IS THAT WE FOLLOWED THE MAINT MANUAL FOR SWITCH PART NUMBER BUT THE IPC AND WIRING DIAGRAM CALLED FOR A DIFFERENT NUMBER. THIS IS A CONTINUAL PROB WITH OUR MANUALS DUE TO THE MANY DIFFERENT VARIATIONS OF B727 ACR ACFT. THE ACFT DEVIATE FROM WHAT THE MAINT MANUAL CALLS OUT AND THE WIRING DIAGRAMS DIFFER FROM THE MAINT MANUALS.
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.