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|
Attributes | |
ACN | 538108 |
Time | |
Date | 200201 |
Day | Sat |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Dash 8-100 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Qualification | technician : powerplant technician : airframe |
ASRS Report | 538108 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Qualification | technician : airframe technician : powerplant |
Experience | maintenance technician : 13 |
ASRS Report | 538190 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : company policies non adherence : far |
Independent Detector | other other : person 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : scheduled maintenance performance deficiency : non compliance with legal requirements performance deficiency : inspection performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Situations | |
Publication | INSPECTION WORK CARD |
Narrative:
While performing a scheduled inspection, work card W57-30-15I, a mechanic asked what I was looking for. The inspection is a detailed visual inspection of the lower wing skin doubler outboard of the nacelle along the leading edge for debonding and missing sealant. I informed the mechanic about debonding and informed him that the debonding usually occurs around the water drains. I looked at the water drain outboard of the collector bay, wing stabilizer YW191 and noticed that it appeared to be debonded. A quick tap test of the area confirmed the debond. Another mechanic then came up to me and asked me to inspect another area of the aircraft. I forgot to write up the discrepancy and did not realize this until feb/thu/02, when I brought it to the attention of my supervisor. A write-up was then generated to have the area re-inspected and repaired. In the company computer maintenance tracking program, there are 2 modifications listed to perform the repair to prevent this type of debonding, but have not yet been accomplished.
Original NASA ASRS Text
Title: A DEHAVILLAND -8 WAS DISPATCHED IN NON COMPLIANCE WITH A SCHEDULED MAINT INSPECTION CARD INCOMPLETE DUE TO A DISCREPANCY NOT ENTERED.
Narrative: WHILE PERFORMING A SCHEDULED INSPECTION, WORK CARD W57-30-15I, A MECH ASKED WHAT I WAS LOOKING FOR. THE INSPECTION IS A DETAILED VISUAL INSPECTION OF THE LOWER WING SKIN DOUBLER OUTBOARD OF THE NACELLE ALONG THE LEADING EDGE FOR DEBONDING AND MISSING SEALANT. I INFORMED THE MECH ABOUT DEBONDING AND INFORMED HIM THAT THE DEBONDING USUALLY OCCURS AROUND THE WATER DRAINS. I LOOKED AT THE WATER DRAIN OUTBOARD OF THE COLLECTOR BAY, WING STABILIZER YW191 AND NOTICED THAT IT APPEARED TO BE DEBONDED. A QUICK TAP TEST OF THE AREA CONFIRMED THE DEBOND. ANOTHER MECH THEN CAME UP TO ME AND ASKED ME TO INSPECT ANOTHER AREA OF THE ACFT. I FORGOT TO WRITE UP THE DISCREPANCY AND DID NOT REALIZE THIS UNTIL FEB/THU/02, WHEN I BROUGHT IT TO THE ATTN OF MY SUPVR. A WRITE-UP WAS THEN GENERATED TO HAVE THE AREA RE-INSPECTED AND REPAIRED. IN THE COMPANY COMPUTER MAINT TRACKING PROGRAM, THERE ARE 2 MODIFICATIONS LISTED TO PERFORM THE REPAIR TO PREVENT THIS TYPE OF DEBONDING, BUT HAVE NOT YET BEEN ACCOMPLISHED.
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.