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|
Attributes | |
ACN | 517801 |
Time | |
Date | 200107 |
Day | Thu |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : inspector |
Experience | maintenance supervisor : 10 maintenance technician : 9 |
ASRS Report | 517801 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : scheduled maintenance performance deficiency : inspection performance deficiency : testing performance deficiency : fault isolation |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
Jul/thu/01 I was notified that aircraft X after leaving ZZZ on jul/thu/01 at XA30 arrived in dca at approximately XC30, where it was noticed that right engine pylon panel #5829R was missing. The aircraft was released from c-chk in ZZZ on jul/wed/01 at approximately XA30. My involvement with this aircraft was partial accomplishment of the post maintenance check card #XXXX-XXX, which is our final inspection card prior to release from c-chk. I inspected area of missing panel jul/wed/01 at XA00 and panel was definitely there and appeared to be secured. Note: time of inspection was approximately 37 hours before aircraft was released due to other problems. I recommend a new policy be implemented that the post maintenance check card must only be valid if the aircraft is released within 1 hour of completion or the card should be voided and reissued. Also, the post maintenance card plainly states that is only a general visual walkaround. In my opinion this should be changed to a detailed inspection. The missing panel has cam-lock type fasteners. I recommend an airworthiness directive note to require clearly marking and placarding index marks to indicate latched and unlatched condition that can be seen from several ft.
Original NASA ASRS Text
Title: A B737-300 ON FIRST FLT OUT OF A C-CHK THE R PYLON R SIDE ACCESS PANEL WAS FOUND MISSING AFTER LNDG.
Narrative: JUL/THU/01 I WAS NOTIFIED THAT ACFT X AFTER LEAVING ZZZ ON JUL/THU/01 AT XA30 ARRIVED IN DCA AT APPROX XC30, WHERE IT WAS NOTICED THAT R ENG PYLON PANEL #5829R WAS MISSING. THE ACFT WAS RELEASED FROM C-CHK IN ZZZ ON JUL/WED/01 AT APPROX XA30. MY INVOLVEMENT WITH THIS ACFT WAS PARTIAL ACCOMPLISHMENT OF THE POST MAINT CHK CARD #XXXX-XXX, WHICH IS OUR FINAL INSPECTION CARD PRIOR TO RELEASE FROM C-CHK. I INSPECTED AREA OF MISSING PANEL JUL/WED/01 AT XA00 AND PANEL WAS DEFINITELY THERE AND APPEARED TO BE SECURED. NOTE: TIME OF INSPECTION WAS APPROX 37 HRS BEFORE ACFT WAS RELEASED DUE TO OTHER PROBS. I RECOMMEND A NEW POLICY BE IMPLEMENTED THAT THE POST MAINT CHK CARD MUST ONLY BE VALID IF THE ACFT IS RELEASED WITHIN 1 HR OF COMPLETION OR THE CARD SHOULD BE VOIDED AND REISSUED. ALSO, THE POST MAINT CARD PLAINLY STATES THAT IS ONLY A GENERAL VISUAL WALKAROUND. IN MY OPINION THIS SHOULD BE CHANGED TO A DETAILED INSPECTION. THE MISSING PANEL HAS CAM-LOCK TYPE FASTENERS. I RECOMMEND AN AIRWORTHINESS DIRECTIVE NOTE TO REQUIRE CLRLY MARKING AND PLACARDING INDEX MARKS TO INDICATE LATCHED AND UNLATCHED CONDITION THAT CAN BE SEEN FROM SEVERAL FT.
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.