37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 528422 |
Time | |
Date | 200110 |
Day | Fri |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B747-400 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
Experience | maintenance technician : 20 |
ASRS Report | 528422 |
Person 2 | |
Affiliation | company : air carrier |
Qualification | technician : powerplant technician : airframe |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : company policies non adherence : published procedure non adherence : far |
Independent Detector | other other : person 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : work cards performance deficiency : logbook entry performance deficiency : non compliance with legal requirements performance deficiency : unqualified personnel |
Supplementary | |
Problem Areas | Company Maintenance Human Performance Chart Or Publication |
Primary Problem | Maintenance Human Performance |
Situations | |
Publication | JOBCARDS-NO SIGNOFFS |
Narrative:
Downsized and realigned the crews and disbanded the engine change crew on swing shift. This led to persons that do not have experience on engine changes. When I went through the paper pack, I found a log write-up on aircraft not addressed to the engine run. Paper was not done and engine installation task oriented document not signed off.
Original NASA ASRS Text
Title: A B747-400 WAS DISPATCHED IN NON COMPLIANCE WITH ENG CHANGE JOB CARDS AND 1 LOGBOOK RPT NOT COMPLETE OR ANSWERED.
Narrative: DOWNSIZED AND REALIGNED THE CREWS AND DISBANDED THE ENG CHANGE CREW ON SWING SHIFT. THIS LED TO PERSONS THAT DO NOT HAVE EXPERIENCE ON ENG CHANGES. WHEN I WENT THROUGH THE PAPER PACK, I FOUND A LOG WRITE-UP ON ACFT NOT ADDRESSED TO THE ENG RUN. PAPER WAS NOT DONE AND ENG INSTALLATION TASK ORIENTED DOCUMENT NOT SIGNED OFF.
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.