37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 540779 |
Time | |
Date | 200107 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-700 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | other personnel other oversight : pic |
ASRS Report | 540779 |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | other other : person 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : inspection performance deficiency : logbook entry performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
Human error was the factor in this case. I simply missed it. I was handling too many jobs at the time. I was the only supervisor at the time as well as the hangar ron planner and handling day to day problems of employees. I missed setting up the back flush on a cycle specification.
Original NASA ASRS Text
Title: A B737-700 ON A SCHEDULED MAINT VISIT DID NOT HAVE THE REQUIRED WATER WASTE BACK FLUSH AND INSPECTION ACCOMPLISHED.
Narrative: HUMAN ERROR WAS THE FACTOR IN THIS CASE. I SIMPLY MISSED IT. I WAS HANDLING TOO MANY JOBS AT THE TIME. I WAS THE ONLY SUPVR AT THE TIME AS WELL AS THE HANGAR RON PLANNER AND HANDLING DAY TO DAY PROBS OF EMPLOYEES. I MISSED SETTING UP THE BACK FLUSH ON A CYCLE SPEC.
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.