37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 557044 |
Time | |
Date | 200208 |
Day | Sun |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance technician : 7 |
ASRS Report | 577044 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | performance deficiency : inspection performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
I was sent to work with another crew on aug/sun/02. When I got to the other crew, they wanted me to work engineering order for them. They said they had all the paperwork ready and the engineering order was not online so they called it in. This engineering order involves inspecting the elevator trim tab rod ends. When the engineering order arrived I read over it but I missed the required inspection item. The inspection involved looking at the rod ends to make sure there was a castle nut and cotter pin in them, and gap of greater than .010 inches from one another. Everything was proper, and the rod ends weren't touched. I signed off the engineering order, the aircraft was released that morning. We discovered this event the next night (aug/mon/02) and tried to get coordination to put the engineering order back on the work log, because the rod ends weren't touched, to get it re-inspected with an inspector's signature on it. In the future I will pay better attention to R11 on paperwork.
Original NASA ASRS Text
Title: A B737-300 WAS DISPATCHED IN NON COMPLIANCE WITH ELEVATOR TAB WORK DONE BUT NO FAA REQUIRED INSPECTION ACCOMPLISHED.
Narrative: I WAS SENT TO WORK WITH ANOTHER CREW ON AUG/SUN/02. WHEN I GOT TO THE OTHER CREW, THEY WANTED ME TO WORK ENGINEERING ORDER FOR THEM. THEY SAID THEY HAD ALL THE PAPERWORK READY AND THE ENGINEERING ORDER WAS NOT ONLINE SO THEY CALLED IT IN. THIS ENGINEERING ORDER INVOLVES INSPECTING THE ELEVATOR TRIM TAB ROD ENDS. WHEN THE ENGINEERING ORDER ARRIVED I READ OVER IT BUT I MISSED THE REQUIRED INSPECTION ITEM. THE INSPECTION INVOLVED LOOKING AT THE ROD ENDS TO MAKE SURE THERE WAS A CASTLE NUT AND COTTER PIN IN THEM, AND GAP OF GREATER THAN .010 INCHES FROM ONE ANOTHER. EVERYTHING WAS PROPER, AND THE ROD ENDS WEREN'T TOUCHED. I SIGNED OFF THE ENGINEERING ORDER, THE ACFT WAS RELEASED THAT MORNING. WE DISCOVERED THIS EVENT THE NEXT NIGHT (AUG/MON/02) AND TRIED TO GET COORD TO PUT THE ENGINEERING ORDER BACK ON THE WORK LOG, BECAUSE THE ROD ENDS WEREN'T TOUCHED, TO GET IT RE-INSPECTED WITH AN INSPECTOR'S SIGNATURE ON IT. IN THE FUTURE I WILL PAY BETTER ATTN TO R11 ON PAPERWORK.
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.