37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 549866 |
Time | |
Date | 200205 |
Day | Fri |
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 | |
Operator | common carrier : air carrier |
Make Model Name | DC-9 30 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Qualification | technician : powerplant technician : fcc technician : airframe |
Experience | maintenance technician : 21 |
ASRS Report | 549866 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : logbook entry performance deficiency : scheduled maintenance performance deficiency : inspection performance deficiency : installation |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
I was informed that aircraft X was undergoing an A-2 check when it was discovered that the #2 engine oil filter screen was missing. It was determined that I had performed the last documented maintenance on this item. The following statement is my recollection of that event. On may/fri/02, aircraft X arrived at ZZZ with an advisory notice. Replacement of the #2 engine oil filter element, and the forwarding of the removed filter element to power plant engineering at our maintenance facility in ZZZ1. I removed the 32 engine oil filter and inspected it for carbon. Finding none, I replaced it with a new element and completed the installation. Later, after all engine work was accomplished, I ran both engines to check for leaks. None were noted. I have no explanation as to why there was no filter element installed on #2 engine of aircraft X on jun/tue/02, but I am sure that I replaced the one removed on may/fri/02.
Original NASA ASRS Text
Title: A DC9-30 WAS DISPATCHED AND OPERATED IN NON COMPLIANCE WITH THE R ENG OIL FILTER SCREEN MISSING.
Narrative: I WAS INFORMED THAT ACFT X WAS UNDERGOING AN A-2 CHK WHEN IT WAS DISCOVERED THAT THE #2 ENG OIL FILTER SCREEN WAS MISSING. IT WAS DETERMINED THAT I HAD PERFORMED THE LAST DOCUMENTED MAINT ON THIS ITEM. THE FOLLOWING STATEMENT IS MY RECOLLECTION OF THAT EVENT. ON MAY/FRI/02, ACFT X ARRIVED AT ZZZ WITH AN ADVISORY NOTICE. REPLACEMENT OF THE #2 ENG OIL FILTER ELEMENT, AND THE FORWARDING OF THE REMOVED FILTER ELEMENT TO PWR PLANT ENGINEERING AT OUR MAINT FACILITY IN ZZZ1. I REMOVED THE 32 ENG OIL FILTER AND INSPECTED IT FOR CARBON. FINDING NONE, I REPLACED IT WITH A NEW ELEMENT AND COMPLETED THE INSTALLATION. LATER, AFTER ALL ENG WORK WAS ACCOMPLISHED, I RAN BOTH ENGS TO CHK FOR LEAKS. NONE WERE NOTED. I HAVE NO EXPLANATION AS TO WHY THERE WAS NO FILTER ELEMENT INSTALLED ON #2 ENG OF ACFT X ON JUN/TUE/02, BUT I AM SURE THAT I REPLACED THE ONE REMOVED ON MAY/FRI/02.
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.