37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 545291 |
Time | |
Date | 200204 |
Day | Mon |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | other |
Make Model Name | Skywagon 185 |
Operating Under FAR Part | Part 91 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | other |
Person 2 | |
Affiliation | other |
Function | maintenance : technician oversight : supervisor |
Qualification | technician : powerplant technician : airframe technician : inspection authority |
ASRS Report | 545291 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
Independent Detector | other other : gnd 2 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : inspection performance deficiency : unqualified personnel performance deficiency : non compliance with legal requirements performance deficiency : repair performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Situations | |
Publication | ANNUAL INSPECTION MANUAL |
Narrative:
Performed annual on aircraft X. Missed several items while doing inspection: 1 exhaust nut missing, broken ground wire on alternator filter, cracked fuel flow divider bracket. Failed to remove wheel assemblies for wheel bearing inspection. Inspected wheel assemblies on aircraft -- determined airworthy. Failed to remove engine fuel injectors. I inspected injectors on aircraft, found no signs of clogging on exterior or signs of leaks. Failed to see chaffed hydraulic line on landing gear assembly (for hydraulic wheel skis). Missed several other miscellaneous items. Time constraints were factored in, exhaustion. Aircraft didn't fly. Discrepancies were found prior to flight by others.
Original NASA ASRS Text
Title: A C185 AFTER AN ANNUAL INSPECTION WAS FOUND TO HAVE 7 DEFECTS, 4 OF WHICH WERE MAJOR INSPECTION AND REPAIR ITEMS NOT ACCOMPLISHED.
Narrative: PERFORMED ANNUAL ON ACFT X. MISSED SEVERAL ITEMS WHILE DOING INSPECTION: 1 EXHAUST NUT MISSING, BROKEN GND WIRE ON ALTERNATOR FILTER, CRACKED FUEL FLOW DIVIDER BRACKET. FAILED TO REMOVE WHEEL ASSEMBLIES FOR WHEEL BEARING INSPECTION. INSPECTED WHEEL ASSEMBLIES ON ACFT -- DETERMINED AIRWORTHY. FAILED TO REMOVE ENG FUEL INJECTORS. I INSPECTED INJECTORS ON ACFT, FOUND NO SIGNS OF CLOGGING ON EXTERIOR OR SIGNS OF LEAKS. FAILED TO SEE CHAFFED HYD LINE ON LNDG GEAR ASSEMBLY (FOR HYD WHEEL SKIS). MISSED SEVERAL OTHER MISC ITEMS. TIME CONSTRAINTS WERE FACTORED IN, EXHAUSTION. ACFT DIDN'T FLY. DISCREPANCIES WERE FOUND PRIOR TO FLT BY OTHERS.
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.