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|
Attributes | |
ACN | 528060 |
Time | |
Date | 200110 |
Day | Sun |
Local Time Of Day | 0001 To 0600 |
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 | 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 avionics : 8 maintenance technician : 14 |
ASRS Report | 528060 |
Person 2 | |
Affiliation | company : air carrier |
Function | other personnel other oversight : supervisor |
Qualification | technician : airframe technician : powerplant |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
Independent Detector | aircraft equipment other aircraft equipment : stores computer other other : person 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : installation performance deficiency : repair |
Supplementary | |
Problem Areas | Company Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On oct/sun/01 at about XA00, advised by crew of aircraft X fokker F100 at ZZZ cur/fdr test switch inoperative. After calling maintenance control foreman, I was told I would have to replace switch panel before dispatch. None was available at ZZZ. I contacted duty manager for rob panel authority/authorized. Duty manager requested a rob from aircraft Y at hangar and received authority/authorized number from maintenance operations control. I removed panel from aircraft Y and installed it on aircraft Z. A test of switches on panel was normal and logbook signed and aircraft dispatched. After receiving replacement panel and attempting to do data entry in maintenance computer, I discovered that the wrong panel had been robbed and installed instead. Also on looking at maintenance test procedures in maintenance manual chapter 34, I discovered I had not done a full test of avionics switch panel. I immediately advised maintenance operations control foreman of my errors and asked him to locate aircraft and correct my errors. I then ordered panel for aircraft Y and sent svcable part to ZZZ for installation on aircraft Z.
Original NASA ASRS Text
Title: A FOKKER 100 WAS DISPATCHED IN NON COMPLIANCE WITH THE INCORRECT VOICE RECORDER AND FLT DATA RECORDER CTL PANEL INSTALLED.
Narrative: ON OCT/SUN/01 AT ABOUT XA00, ADVISED BY CREW OF ACFT X FOKKER F100 AT ZZZ CUR/FDR TEST SWITCH INOP. AFTER CALLING MAINT CTL FOREMAN, I WAS TOLD I WOULD HAVE TO REPLACE SWITCH PANEL BEFORE DISPATCH. NONE WAS AVAILABLE AT ZZZ. I CONTACTED DUTY MGR FOR ROB PANEL AUTH. DUTY MGR REQUESTED A ROB FROM ACFT Y AT HANGAR AND RECEIVED AUTH NUMBER FROM MAINT OPS CTL. I REMOVED PANEL FROM ACFT Y AND INSTALLED IT ON ACFT Z. A TEST OF SWITCHES ON PANEL WAS NORMAL AND LOGBOOK SIGNED AND ACFT DISPATCHED. AFTER RECEIVING REPLACEMENT PANEL AND ATTEMPTING TO DO DATA ENTRY IN MAINT COMPUTER, I DISCOVERED THAT THE WRONG PANEL HAD BEEN ROBBED AND INSTALLED INSTEAD. ALSO ON LOOKING AT MAINT TEST PROCS IN MAINT MANUAL CHAPTER 34, I DISCOVERED I HAD NOT DONE A FULL TEST OF AVIONICS SWITCH PANEL. I IMMEDIATELY ADVISED MAINT OPS CTL FOREMAN OF MY ERRORS AND ASKED HIM TO LOCATE ACFT AND CORRECT MY ERRORS. I THEN ORDERED PANEL FOR ACFT Y AND SENT SVCABLE PART TO ZZZ FOR INSTALLATION ON ACFT Z.
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.