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|
Attributes | |
ACN | 550148 |
Time | |
Date | 200110 |
Day | Mon |
Local Time Of Day | 0601 To 1200 |
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 | MD-80 Series (DC-9-80) Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
ASRS Report | 550148 |
Person 2 | |
Affiliation | company : air carrier |
Function | oversight : supervisor |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation 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 contributing factor : engineering procedure performance deficiency : installation performance deficiency : inspection performance deficiency : testing |
Supplementary | |
Problem Areas | Chart Or Publication Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Situations | |
Publication | CARGO COMPT JOB CARD |
Narrative:
The aircraft came in with a misrouted cargo smoke and fire harness. To rerte this harness, it was necessary to unpin all the plugs going to the diverter valves. They were labeled and put into parts bags and repinned after the harness was rerted. Upon reconnecting, 2 of the plugs were found going to the wrong diverter valves. Thinking that the plugs somehow got labeled or repinned wrong, I repinned it to fit the diverter valves. Aircraft X came in with all 3 diverter valco plugs going to the wrong position on the diverter valves. That diverter had the receptacles in the wrong position which caused the plugs to hook up in the wrong position. Now I would like to make sure the other aircraft was not repinned to fit a wrong diverter valve.
Original NASA ASRS Text
Title: AN MD80 WAS DISPATCHED IN NON COMPLIANCE WITH ALL 3 DIVERTER VALVES ELECTRICAL CONNECTORS CONNECTED TO THE WRONG VALVES.
Narrative: THE ACFT CAME IN WITH A MISROUTED CARGO SMOKE AND FIRE HARNESS. TO RERTE THIS HARNESS, IT WAS NECESSARY TO UNPIN ALL THE PLUGS GOING TO THE DIVERTER VALVES. THEY WERE LABELED AND PUT INTO PARTS BAGS AND REPINNED AFTER THE HARNESS WAS RERTED. UPON RECONNECTING, 2 OF THE PLUGS WERE FOUND GOING TO THE WRONG DIVERTER VALVES. THINKING THAT THE PLUGS SOMEHOW GOT LABELED OR REPINNED WRONG, I REPINNED IT TO FIT THE DIVERTER VALVES. ACFT X CAME IN WITH ALL 3 DIVERTER VALCO PLUGS GOING TO THE WRONG POS ON THE DIVERTER VALVES. THAT DIVERTER HAD THE RECEPTACLES IN THE WRONG POS WHICH CAUSED THE PLUGS TO HOOK UP IN THE WRONG POS. NOW I WOULD LIKE TO MAKE SURE THE OTHER ACFT WAS NOT REPINNED TO FIT A WRONG DIVERTER VALVE.
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.