37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 544870 |
Time | |
Date | 200204 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Make Model Name | EMB ERJ 135 ER&LR |
Operating Under FAR Part | Part 135 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance lead technician : 2 maintenance technician : 10 |
ASRS Report | 544870 |
Person 2 | |
Affiliation | company : air taxi |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : cfi pilot : commercial pilot : instrument pilot : multi engine |
Experience | flight time last 90 days : 30 flight time total : 8200 flight time type : 50 |
ASRS Report | 544877 |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | other other : person 2 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Situations | |
Publication | MAINT PROCEDURES MANUAL |
Narrative:
Found crack on preflight of exhaust extractor heat shield attach bracket. Technical support was contacted and part was placed on order. It was determined that the crack on the bracket could not propagate any farther. There was less than 10% of the total area effecting the heat shield. Determined that would not effect airworthiness of aircraft until new part arrived and was installed. Extractor was inspected for condition of extractor heat shield while part was on order and no indication that it still posed an airworthiness risk was determined. Approximately 1 1/2 weeks later, our check airman arrived on site and during his preflight grounded the aircraft. We had not made a write-up concerning this discrepancy prior to the grounding write-up. Due to the nature of the extractor's design, only welding would have been an acceptable repair. There was no provision in our area for welding titanium using acceptable methods -- rivets would have not worked. It was viewed in my opinion and the pilot's on site that this cracked attach bracket posed no threat to safety, and was in no way different than stop drilling a crack in an engine firewall. Our only fault was not 'officially' writing up discrepancy and clearing it. The aircraft MEL does not cover exhaust or cracks in an engine firewall, but since this item still functioned as an extractor and heat shield and was still operational, why would it be MEL'ed? We did not see the problem as an issue to ground the aircraft. In retrospect, it should have been written up and cleared by installing a new extractor. A new extractor has since been installed.
Original NASA ASRS Text
Title: AN EC135 WAS FOUND TO HAVE AN ENG HEAT SHIELD BRACKET CRACKED WITHIN LIMITS BUT WAS NOT DOCUMENTED OR DEFERRED. PARTS WERE ON ORDER.
Narrative: FOUND CRACK ON PREFLT OF EXHAUST EXTRACTOR HEAT SHIELD ATTACH BRACKET. TECHNICAL SUPPORT WAS CONTACTED AND PART WAS PLACED ON ORDER. IT WAS DETERMINED THAT THE CRACK ON THE BRACKET COULD NOT PROPAGATE ANY FARTHER. THERE WAS LESS THAN 10% OF THE TOTAL AREA EFFECTING THE HEAT SHIELD. DETERMINED THAT WOULD NOT EFFECT AIRWORTHINESS OF ACFT UNTIL NEW PART ARRIVED AND WAS INSTALLED. EXTRACTOR WAS INSPECTED FOR CONDITION OF EXTRACTOR HEAT SHIELD WHILE PART WAS ON ORDER AND NO INDICATION THAT IT STILL POSED AN AIRWORTHINESS RISK WAS DETERMINED. APPROX 1 1/2 WKS LATER, OUR CHK AIRMAN ARRIVED ON SITE AND DURING HIS PREFLT GNDED THE ACFT. WE HAD NOT MADE A WRITE-UP CONCERNING THIS DISCREPANCY PRIOR TO THE GNDING WRITE-UP. DUE TO THE NATURE OF THE EXTRACTOR'S DESIGN, ONLY WELDING WOULD HAVE BEEN AN ACCEPTABLE REPAIR. THERE WAS NO PROVISION IN OUR AREA FOR WELDING TITANIUM USING ACCEPTABLE METHODS -- RIVETS WOULD HAVE NOT WORKED. IT WAS VIEWED IN MY OPINION AND THE PLT'S ON SITE THAT THIS CRACKED ATTACH BRACKET POSED NO THREAT TO SAFETY, AND WAS IN NO WAY DIFFERENT THAN STOP DRILLING A CRACK IN AN ENG FIREWALL. OUR ONLY FAULT WAS NOT 'OFFICIALLY' WRITING UP DISCREPANCY AND CLRING IT. THE ACFT MEL DOES NOT COVER EXHAUST OR CRACKS IN AN ENG FIREWALL, BUT SINCE THIS ITEM STILL FUNCTIONED AS AN EXTRACTOR AND HEAT SHIELD AND WAS STILL OPERATIONAL, WHY WOULD IT BE MEL'ED? WE DID NOT SEE THE PROB AS AN ISSUE TO GND THE ACFT. IN RETROSPECT, IT SHOULD HAVE BEEN WRITTEN UP AND CLRED BY INSTALLING A NEW EXTRACTOR. A NEW EXTRACTOR HAS SINCE BEEN INSTALLED.
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.