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|
Attributes | |
ACN | 527488 |
Time | |
Date | 200110 |
Day | Tue |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B767-300 and 300 ER |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : inspector |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance lead technician : 16 |
ASRS Report | 527488 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
ASRS Report | 527490 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence other |
Resolutory Action | none taken : detected after the fact |
Consequence | other other Other |
Factors | |
Maintenance | contributing factor : work cards performance deficiency : scheduled maintenance performance deficiency : training performance deficiency : logbook entry performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Maintenance Human Performance Chart Or Publication Aircraft |
Primary Problem | Chart Or Publication |
Situations | |
Publication | JOB CARD INCORRECT |
Narrative:
During back check of oxygen generators pin's and south/north's per job card ceiling panels with oxygen generators at seats rows 21, 27, 32, and 36 were not open and was indicated to me no oxygen generators were installed at these positions. I had north/a these rows by mistake. The jobcard is not clear about locations and generators are not accessible as all others on aic. Callback conversation with reporter revealed the following information: the reporter stated the job card was for a B767-300 but did not apply to the seating configuration in this airplane. The reporter said the inspection was to find some suspected defective passenger oxygen canisters. The reporter stated the canisters are normally located above overhead access panels secured with cam lock fasteners for easy access. The reporter said the job card made no mention of these added canisters and the fact they were located above access panels that were fastened with screws and were not visible with the overhead panel down. The reporter stated the job card was wrong. Callback from acn 527490: the reporter stated the job card for canister inspection did not give the correct location of the center aisle canisters. The reporter said in row 27 the in-flight entertainment projector conceals the canisters and is not noted on the job card.
Original NASA ASRS Text
Title: A B767-300 WAS DISPATCHED IN NON COMPLIANCE WITH POSSIBLE DEFECTIVE PAX OXYGEN CANISTERS DUE TO NO INSPECTION. CAUSED BY JOB CARD DEFICIENCY.
Narrative: DURING BACK CHECK OF OXYGEN GENERATORS PIN'S AND S/N'S PER JOB CARD CEILING PANELS WITH OXYGEN GENERATORS AT SEATS ROWS 21, 27, 32, AND 36 WERE NOT OPEN AND WAS INDICATED TO ME NO OXYGEN GENERATORS WERE INSTALLED AT THESE POSITIONS. I HAD N/A THESE ROWS BY MISTAKE. THE JOBCARD IS NOT CLEAR ABOUT LOCATIONS AND GENERATORS ARE NOT ACCESSIBLE AS ALL OTHERS ON AIC. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR STATED THE JOB CARD WAS FOR A B767-300 BUT DID NOT APPLY TO THE SEATING CONFIGURATION IN THIS AIRPLANE. THE RPTR SAID THE INSPECTION WAS TO FIND SOME SUSPECTED DEFECTIVE PAX OXYGEN CANISTERS. THE RPTR STATED THE CANISTERS ARE NORMALLY LOCATED ABOVE OVERHEAD ACCESS PANELS SECURED WITH CAM LOCK FASTENERS FOR EASY ACCESS. THE RPTR SAID THE JOB CARD MADE NO MENTION OF THESE ADDED CANISTERS AND THE FACT THEY WERE LOCATED ABOVE ACCESS PANELS THAT WERE FASTENED WITH SCREWS AND WERE NOT VISIBLE WITH THE OVERHEAD PANEL DOWN. THE RPTR STATED THE JOB CARD WAS WRONG. CALLBACK FROM ACN 527490: THE RPTR STATED THE JOB CARD FOR CANISTER INSPECTION DID NOT GIVE THE CORRECT LOCATION OF THE CENTER AISLE CANISTERS. THE RPTR SAID IN ROW 27 THE INFLT ENTERTAINMENT PROJECTOR CONCEALS THE CANISTERS AND IS NOT NOTED ON THE JOB CARD.
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.