37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 518648 |
Time | |
Date | 200107 |
Day | Thu |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : zzz.tower |
Operator | common carrier : air carrier |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
ASRS Report | 518648 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | other other : shop technician |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : lighting performance deficiency : inspection performance deficiency : installation |
Supplementary | |
Problem Areas | Chart Or Publication Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
On jul/thu/01, aircraft required both nose tires replaced due to wear limits. I changed both nosewheel assemblies in accordance with the aircraft maintenance manual. During the wheel change, the outer spacer (washer) was inadvertently left off on both nosewheel assemblies due to the grease from the axle holding the washers to the wheels. The new nosewheel assemblies were installed, torqued, and secured, with no indication as to the spacers missing. I was notified when our company wheel and brake shop found the spacers affixed to the old nosewheel assemblies during teardown. No incident arose. Engineering got authority/authorized from boeing to fly the aircraft for a period of 10 days without the spacers.
Original NASA ASRS Text
Title: A B767-400 WAS DISPATCHED IN NON COMPLIANCE WITH THE NOSE GEAR WHEEL SPACERS NOT INSTALLED.
Narrative: ON JUL/THU/01, ACFT REQUIRED BOTH NOSE TIRES REPLACED DUE TO WEAR LIMITS. I CHANGED BOTH NOSEWHEEL ASSEMBLIES IN ACCORDANCE WITH THE ACFT MAINT MANUAL. DURING THE WHEEL CHANGE, THE OUTER SPACER (WASHER) WAS INADVERTENTLY LEFT OFF ON BOTH NOSEWHEEL ASSEMBLIES DUE TO THE GREASE FROM THE AXLE HOLDING THE WASHERS TO THE WHEELS. THE NEW NOSEWHEEL ASSEMBLIES WERE INSTALLED, TORQUED, AND SECURED, WITH NO INDICATION AS TO THE SPACERS MISSING. I WAS NOTIFIED WHEN OUR COMPANY WHEEL AND BRAKE SHOP FOUND THE SPACERS AFFIXED TO THE OLD NOSEWHEEL ASSEMBLIES DURING TEARDOWN. NO INCIDENT AROSE. ENGINEERING GOT AUTH FROM BOEING TO FLY THE ACFT FOR A PERIOD OF 10 DAYS WITHOUT THE SPACERS.
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.