37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 523194 |
Time | |
Date | 200108 |
Day | Wed |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Environment | |
Light | Dawn |
Aircraft 1 | |
Controlling Facilities | artcc : zhu.artcc |
Operator | common carrier : air carrier |
Make Model Name | Fokker 100 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance ground : parked |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance technician : 17 |
ASRS Report | 523194 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance technician : 15 |
ASRS Report | 523195 |
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 : 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : work cards contributing factor : schedule pressure contributing factor : manuals performance deficiency : inspection |
Supplementary | |
Problem Areas | Chart Or Publication Maintenance Human Performance Aircraft |
Primary Problem | Chart Or Publication |
Situations | |
Publication | MAINT. MANUAL-JOB CARDS |
Narrative:
I was involved in the replacement of a shimmy damper on the main landing gear of a fokker F100. The work was down in accordance with the F100 maintenance manual. The task was completed, logbook signed off, and the aircraft returned to service. The aircraft was in service for 2 days when it was discovered that the shimmy damper installation on the F100 is a required inspection item (rii) and this item had not been inspected. The aircraft was removed from service for a short time during which the rii was accomplished and then the aircraft was returned to service. The fokker maintenance manual nor the work release we were issued for the task reflected the need for an inspection. The item is listed in the airline's maintenance practices and polices manual. I know that it is my responsibility to consult the mpp for rii requirements. In the future, the mpp will be reviewed before starting any tasks. There are also steps the company should take to prevent the oversight of required inspection items. Each item on a work release should state that an inspection is required if one is. There should also be a revision to the fokker maintenance manual that the medium large transport shimmy damper is a required inspection item.
Original NASA ASRS Text
Title: A FOKKER 100 WAS DISPATCHED IN NON COMPLIANCE AFTER A MAIN GEAR SHIMMY DAMPER WAS REPLACED PER THE JOB CARD BUT LACKED THE REQUIRED INSPECTION.
Narrative: I WAS INVOLVED IN THE REPLACEMENT OF A SHIMMY DAMPER ON THE MAIN LNDG GEAR OF A FOKKER F100. THE WORK WAS DOWN IN ACCORDANCE WITH THE F100 MAINT MANUAL. THE TASK WAS COMPLETED, LOGBOOK SIGNED OFF, AND THE ACFT RETURNED TO SVC. THE ACFT WAS IN SVC FOR 2 DAYS WHEN IT WAS DISCOVERED THAT THE SHIMMY DAMPER INSTALLATION ON THE F100 IS A REQUIRED INSPECTION ITEM (RII) AND THIS ITEM HAD NOT BEEN INSPECTED. THE ACFT WAS REMOVED FROM SVC FOR A SHORT TIME DURING WHICH THE RII WAS ACCOMPLISHED AND THEN THE ACFT WAS RETURNED TO SVC. THE FOKKER MAINT MANUAL NOR THE WORK RELEASE WE WERE ISSUED FOR THE TASK REFLECTED THE NEED FOR AN INSPECTION. THE ITEM IS LISTED IN THE AIRLINE'S MAINT PRACTICES AND POLICES MANUAL. I KNOW THAT IT IS MY RESPONSIBILITY TO CONSULT THE MPP FOR RII REQUIREMENTS. IN THE FUTURE, THE MPP WILL BE REVIEWED BEFORE STARTING ANY TASKS. THERE ARE ALSO STEPS THE COMPANY SHOULD TAKE TO PREVENT THE OVERSIGHT OF REQUIRED INSPECTION ITEMS. EACH ITEM ON A WORK RELEASE SHOULD STATE THAT AN INSPECTION IS REQUIRED IF ONE IS. THERE SHOULD ALSO BE A REVISION TO THE FOKKER MAINT MANUAL THAT THE MLG SHIMMY DAMPER IS A REQUIRED INSPECTION ITEM.
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.