37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 535310 |
Time | |
Date | 200201 |
Day | Fri |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | A320 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Qualification | technician : fcc technician : inspection authority technician : powerplant technician : airframe |
Experience | maintenance avionics : 2 maintenance lead technician : 2 maintenance technician : 10 |
ASRS Report | 535310 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact |
Factors | |
Maintenance | contributing factor : work cards performance deficiency : scheduled maintenance performance deficiency : inspection performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Maintenance Human Performance Chart Or Publication |
Primary Problem | Maintenance Human Performance |
Narrative:
During routine 'a' check inspection the thrust reverser hydraulic control module safety lockout pin was not removed before flight, thus causing #2 engine reverser not to deploy on landing at next station. After aircraft landed, flight crew notified maintenance which then removed the safety lockout and checked the reverser which worked normally. Due to my fatigue I had missed the item on the job card to remove the pin.
Original NASA ASRS Text
Title: AN AIRBUS 320 WAS DISPATCHED IN NON COMPLIANCE WITH THE #2 ENG THRUST REVERSER LOCK PIN STILL INSTALLED ON #2 ENG.
Narrative: DURING ROUTINE 'A' CHK INSPECTION THE THRUST REVERSER HYD CTL MODULE SAFETY LOCKOUT PIN WAS NOT REMOVED BEFORE FLT, THUS CAUSING #2 ENG REVERSER NOT TO DEPLOY ON LNDG AT NEXT STATION. AFTER ACFT LANDED, FLC NOTIFIED MAINT WHICH THEN REMOVED THE SAFETY LOCKOUT AND CHKED THE REVERSER WHICH WORKED NORMALLY. DUE TO MY FATIGUE I HAD MISSED THE ITEM ON THE JOB CARD TO REMOVE THE PIN.
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.