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|
Attributes | |
ACN | 523967 |
Time | |
Date | 200108 |
Day | Tue |
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 | |
Operator | common carrier : air carrier |
Make Model Name | B727-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance technician : 15 |
ASRS Report | 523967 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : inspector |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure contributing factor : work cards performance deficiency : non compliance with legal requirements performance deficiency : installation |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
I was assigned to a first stage fan change at the midpoint of the job. The fan was ready for installation. Inspection had asked that the #1 bearing be replaced due to suspected wear. The previous mechanics had ordered the bearing and it was delivered during their shift. After installing the fan and case per routine card deck, the bearing was installed at this point. The rii inspector, another mechanic and myself, checked the bearing against the parts tag to ensure serviceability and matching serial number and part number data. Being that I was supplied a new bearing with a serviceable tag by another amt, I did not back track his efforts by researching the ipm to check for correct effectivity and so the wrong part was installed. The bearing shop discovered the discrepancy and the aircraft was grounded until the engine was reworked and the correct bearing installed. These parts that are so closely identical need to have effectivity tags installed or have a better way of identing usage.
Original NASA ASRS Text
Title: A B727-200 WAS DISPATCHED IN NON COMPLIANCE WITH #1 ENG FAN INCORRECT FAN BEARING INSTALLED. BEARING EFFECTIVITY NOT FOR THIS ENG.
Narrative: I WAS ASSIGNED TO A FIRST STAGE FAN CHANGE AT THE MIDPOINT OF THE JOB. THE FAN WAS READY FOR INSTALLATION. INSPECTION HAD ASKED THAT THE #1 BEARING BE REPLACED DUE TO SUSPECTED WEAR. THE PREVIOUS MECHS HAD ORDERED THE BEARING AND IT WAS DELIVERED DURING THEIR SHIFT. AFTER INSTALLING THE FAN AND CASE PER ROUTINE CARD DECK, THE BEARING WAS INSTALLED AT THIS POINT. THE RII INSPECTOR, ANOTHER MECH AND MYSELF, CHKED THE BEARING AGAINST THE PARTS TAG TO ENSURE SERVICEABILITY AND MATCHING SERIAL NUMBER AND PART NUMBER DATA. BEING THAT I WAS SUPPLIED A NEW BEARING WITH A SERVICEABLE TAG BY ANOTHER AMT, I DID NOT BACK TRACK HIS EFFORTS BY RESEARCHING THE IPM TO CHK FOR CORRECT EFFECTIVITY AND SO THE WRONG PART WAS INSTALLED. THE BEARING SHOP DISCOVERED THE DISCREPANCY AND THE ACFT WAS GNDED UNTIL THE ENG WAS REWORKED AND THE CORRECT BEARING INSTALLED. THESE PARTS THAT ARE SO CLOSELY IDENTICAL NEED TO HAVE EFFECTIVITY TAGS INSTALLED OR HAVE A BETTER WAY OF IDENTING USAGE.
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.