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|
Attributes | |
ACN | 523488 |
Time | |
Date | 200108 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : lfpg.tower |
Operator | common carrier : air carrier |
Make Model Name | B757-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance ground : pushback |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : fcc technician : powerplant |
Experience | maintenance technician : 27 |
ASRS Report | 523488 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
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 me technician |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : inspection performance deficiency : installation |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On aug/thu/01 at XA45, technician #1 and technician #2 commenced departure pushback of aircraft abc at air carrier X gate, ZZZ, us, international airport. Immediately, as the forward aircraft tires rotated, technician #1 noted a silver spot on the left nose tire and stopped the pushback of aircraft abc to investigate. Both technician #2 and technician #1 determined that there was a nail in the tire and when the nail was removed air escaped. The aircraft was pulled back in to the gate and the wheel and tire change procedure was begun with urgency, considering the flight departure time had already expired. The new wheel and tire assembly was placed on the axle and the nut torqued and secured by technician #1 and technician #2 with the assistance of technician #3 rotating the wheel assembly for a good spin check. Apparently technician #1 and technician #2 forgot to place a washer behind the axle nut, because a washer was found attached to the old wheel when it was delivered to the wheel shop in xx. A follow-up inspection to aircraft abc on aug/wed/01 found the washer missing from behind the axle nut but no other defects were noted. There were no reported problems with the aircraft nosewheel and tire assembly during the 27 day period between aug/thu/01 through aug/wed/01, when the washer was then reattached. The wheel and tire assembly was also changed aug/wed/01 as a precaution.
Original NASA ASRS Text
Title: A B757-200 WAS DISPATCHED IN NON COMPLIANCE WITH THE L NOSE TIRE AND WHEEL ASSEMBLY INSTALLED INCORRECTLY. WHEEL SPACER NOT INSTALLED.
Narrative: ON AUG/THU/01 AT XA45, TECHNICIAN #1 AND TECHNICIAN #2 COMMENCED DEP PUSHBACK OF ACFT ABC AT ACR X GATE, ZZZ, US, INTL ARPT. IMMEDIATELY, AS THE FORWARD ACFT TIRES ROTATED, TECHNICIAN #1 NOTED A SILVER SPOT ON THE L NOSE TIRE AND STOPPED THE PUSHBACK OF ACFT ABC TO INVESTIGATE. BOTH TECHNICIAN #2 AND TECHNICIAN #1 DETERMINED THAT THERE WAS A NAIL IN THE TIRE AND WHEN THE NAIL WAS REMOVED AIR ESCAPED. THE ACFT WAS PULLED BACK IN TO THE GATE AND THE WHEEL AND TIRE CHANGE PROC WAS BEGUN WITH URGENCY, CONSIDERING THE FLT DEP TIME HAD ALREADY EXPIRED. THE NEW WHEEL AND TIRE ASSEMBLY WAS PLACED ON THE AXLE AND THE NUT TORQUED AND SECURED BY TECHNICIAN #1 AND TECHNICIAN #2 WITH THE ASSISTANCE OF TECHNICIAN #3 ROTATING THE WHEEL ASSEMBLY FOR A GOOD SPIN CHK. APPARENTLY TECHNICIAN #1 AND TECHNICIAN #2 FORGOT TO PLACE A WASHER BEHIND THE AXLE NUT, BECAUSE A WASHER WAS FOUND ATTACHED TO THE OLD WHEEL WHEN IT WAS DELIVERED TO THE WHEEL SHOP IN XX. A FOLLOW-UP INSPECTION TO ACFT ABC ON AUG/WED/01 FOUND THE WASHER MISSING FROM BEHIND THE AXLE NUT BUT NO OTHER DEFECTS WERE NOTED. THERE WERE NO RPTED PROBS WITH THE ACFT NOSEWHEEL AND TIRE ASSEMBLY DURING THE 27 DAY PERIOD BTWN AUG/THU/01 THROUGH AUG/WED/01, WHEN THE WASHER WAS THEN REATTACHED. THE WHEEL AND TIRE ASSEMBLY WAS ALSO CHANGED AUG/WED/01 AS A PRECAUTION.
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.