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B737 crew was informed by the flight attendant that the emergency escape slide girt bar was not attached to the door frame properly. They were informed after the aircraft was airborne.
| Attributes | |
| ACN | 550723 |
| Time | |
| Date | 200206 |
| Day | Fri |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | airport : ord.airport |
| State Reference | IL |
| Aircraft 1 | |
| Controlling Facilities | artcc : zzz.artcc |
| Operator | common carrier : air carrier |
| Make Model Name | B737-600, -700, -800 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | cruise : level |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 206 flight time total : 23000 flight time type : 3000 |
| ASRS Report | 550723 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure non adherence : company policies other anomaly other |
| Independent Detector | other other : 3-4 |
| Resolutory Action | none taken : detected after the fact other |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : schedule pressure performance deficiency : inspection performance deficiency : installation performance deficiency : non compliance with legal requirements performance deficiency : repair performance deficiency : training |
| Supplementary | |
| Problem Areas | Aircraft Cabin Crew Human Performance Company Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
Maintenance installed wrong girt bar aft door. Flight attendants called 1 hour into flight. Flight attendant #2 and flight attendant #1 did not really check L2 girt bar locked in place. Maintenance installed wrong size girt bar on slide pack change. Flight attendants thought girt bar was locked, sounded locked but was not. Girt bar stayed in bracket which made bar look locked. Pressure from slide pack was enough to hold bar into bracket. Recommended improvements: maintenance quality assurance has to actually check girt bar locked -- don't change girt bars on slide pack change. Flight attendants have to be hands on check and xchk of girt bars. Last min rush before push is a real zoo!
Original NASA ASRS Text
Title: B737 CREW WAS INFORMED BY THE FLT ATTENDANT THAT THE EMER ESCAPE SLIDE GIRT BAR WAS NOT ATTACHED TO THE DOOR FRAME PROPERLY. THEY WERE INFORMED AFTER THE ACFT WAS AIRBORNE.
Narrative: MAINT INSTALLED WRONG GIRT BAR AFT DOOR. FLT ATTENDANTS CALLED 1 HR INTO FLT. FLT ATTENDANT #2 AND FLT ATTENDANT #1 DID NOT REALLY CHK L2 GIRT BAR LOCKED IN PLACE. MAINT INSTALLED WRONG SIZE GIRT BAR ON SLIDE PACK CHANGE. FLT ATTENDANTS THOUGHT GIRT BAR WAS LOCKED, SOUNDED LOCKED BUT WAS NOT. GIRT BAR STAYED IN BRACKET WHICH MADE BAR LOOK LOCKED. PRESSURE FROM SLIDE PACK WAS ENOUGH TO HOLD BAR INTO BRACKET. RECOMMENDED IMPROVEMENTS: MAINT QUALITY ASSURANCE HAS TO ACTUALLY CHK GIRT BAR LOCKED -- DON'T CHANGE GIRT BARS ON SLIDE PACK CHANGE. FLT ATTENDANTS HAVE TO BE HANDS ON CHK AND XCHK OF GIRT BARS. LAST MIN RUSH BEFORE PUSH IS A REAL ZOO!
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.