37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 551732 |
Time | |
Date | 200206 |
Day | Tue |
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 | Dash 8-100 |
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 |
Experience | maintenance supervisor : 23 maintenance technician : 7 |
ASRS Report | 551732 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance technician : 15 |
ASRS Report | 551727 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : gear box chip detector |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : logbook entry performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
I am employed in management. I was called to the gate to advise maintenance control and the mechanic performing the service as to the nature of magnetic chips found on the rgc oil system chip detector. I advised that the chips appeared to be flakes, and since there was no previous history, the aircraft could continue. I failed to advise that additional maintenance procedures (filter inspection) were required. The aircraft departed and flew for several hours without incident. The following day (jun/wed/02) when the incorrect procedures were discovered, the aircraft was 'parked' until the correct procedures were completed.
Original NASA ASRS Text
Title: A DEHAVILLAND DASH 8 WAS DISPATCHED IN NON COMPLIANCE AFTER DISCOVERING METAL FLAKES IN THE GEAR BOX AND WITH NO REQUIRED REPEATED CHKS CALLED OUT.
Narrative: I AM EMPLOYED IN MGMNT. I WAS CALLED TO THE GATE TO ADVISE MAINT CTL AND THE MECH PERFORMING THE SVC AS TO THE NATURE OF MAGNETIC CHIPS FOUND ON THE RGC OIL SYS CHIP DETECTOR. I ADVISED THAT THE CHIPS APPEARED TO BE FLAKES, AND SINCE THERE WAS NO PREVIOUS HISTORY, THE ACFT COULD CONTINUE. I FAILED TO ADVISE THAT ADDITIONAL MAINT PROCS (FILTER INSPECTION) WERE REQUIRED. THE ACFT DEPARTED AND FLEW FOR SEVERAL HRS WITHOUT INCIDENT. THE FOLLOWING DAY (JUN/WED/02) WHEN THE INCORRECT PROCS WERE DISCOVERED, THE ACFT WAS 'PARKED' UNTIL THE CORRECT PROCS WERE COMPLETED.
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.