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|
Attributes | |
ACN | 503669 |
Time | |
Date | 200103 |
Day | Wed |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B727-200 |
Operating Under FAR Part | Part 121 |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : repairman |
ASRS Report | 503669 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : published procedure non adherence : far |
Independent Detector | other other : person 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : testing performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : installation performance deficiency : inspection performance deficiency : fault isolation performance deficiency : unqualified personnel |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
The deferral was for the autoplt. I pulled the maintenance manual, chapter 22, and it called for the left side of the tail. Working with a fellow co-worker, I showed him the maintenance manual and 'he blew a gasket' -- putting it mildly. At the removal of the component, we didn't make the connection with maintenance manual 22 against mr #27 on the component. The computer accepted it, inspection bought it. The plane did not fly and the autoplt servo was removed and new installed. It fixed all trim problems. We ended up on the right side replacing the main servo. It was fixed, but for the mr numbers. A card was made to inspect installation of main servo.
Original NASA ASRS Text
Title: A B727-200 WITH AN AUTOPLT STABILIZER TRIM RPT HAD THE TECHNICIANS INADVERTENTLY REPLACE THE STABILIZER MAIN ELECTRIC TRIM ACTUATOR.
Narrative: THE DEFERRAL WAS FOR THE AUTOPLT. I PULLED THE MAINT MANUAL, CHAPTER 22, AND IT CALLED FOR THE L SIDE OF THE TAIL. WORKING WITH A FELLOW CO-WORKER, I SHOWED HIM THE MAINT MANUAL AND 'HE BLEW A GASKET' -- PUTTING IT MILDLY. AT THE REMOVAL OF THE COMPONENT, WE DIDN'T MAKE THE CONNECTION WITH MAINT MANUAL 22 AGAINST MR #27 ON THE COMPONENT. THE COMPUTER ACCEPTED IT, INSPECTION BOUGHT IT. THE PLANE DID NOT FLY AND THE AUTOPLT SERVO WAS REMOVED AND NEW INSTALLED. IT FIXED ALL TRIM PROBS. WE ENDED UP ON THE R SIDE REPLACING THE MAIN SERVO. IT WAS FIXED, BUT FOR THE MR NUMBERS. A CARD WAS MADE TO INSPECT INSTALLATION OF MAIN SERVO.
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.