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Attributes | |
ACN | 558035 |
Time | |
Date | 200205 |
Day | Mon |
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 | B737-300 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : inspection authority technician : powerplant technician : airframe |
Experience | maintenance supervisor : 26 maintenance technician : 7 |
ASRS Report | 558035 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure contributing factor : manuals performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : inspection performance deficiency : scheduled maintenance |
Supplementary | |
Problem Areas | Aircraft Chart Or Publication Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
Aircraft X was repaired at the ZZZ1 maintenance facility per engineering order no xxxxx. The date of the engineering order was mar/xa/01. At the time the aircraft total was 47122 hours and total cycles of 33516. The engineering authority/authorized called for a repetitive inspection at next 'C' check or 4000 cycles, whichever comes first. The substantiation for the engineering order came from boeing telex. When the aircraft came to ZZZ on or around may/mon/02 for its first 'cx' check after the find the aircraft had flown 1807 cycles. My interpretation of the term 'C' check, as used in the boeing telex, means full 'C' as described in B737 srm 51-10-02 pages 11 and 12. Air carrier X uses a 'cx' check, which is made up of a cx-1 and a cx-2. (See attached air carrier X 'aircraft maintenance programs' dated may/thu/02.) the cx-1 through cx-6 is scheduled each 365 days, or the accumulation of 2530 hours, whichever comes first. The reference 'aircraft maintenance programs' document shows 'full 'C'' at 5060 hours. Using srm 51-10-02 pages 11 and 12, it was determined that the aircraft could continue operation until the next 'cx' or accumulation of 4000 cycles, whichever came first, before the repeat inspection would be due. A deferral was accomplished using air carrier X deferral procedures for base maintenance as described in air carrier X 330-10. That aircraft continued operation until approximately aug/thu/02, when at that time the air carrier X planning department found the item and thought it had been missed during the 'cx' check accomplished may/mon/02. Engineering became involved and because they also believe the item had been missed they obtained another boeing telex which authorized the first or 'initial' repeat inspection to be accomplished prior to the accumulation first officer 4000 cycles, from the find, and dropped the 'C' check requirement. As of this date, the aircraft has accumulated a total of 2787 cycles from find and is scheduled for 'cx' in feb/03. Ironically,, that is most likely when the rechk will be accomplished. This change to the original engineering authority/authorized came about due to a difference of interpretation of the term 'C' check and 'when is a 'C' check item due?'
Original NASA ASRS Text
Title: A B737-300 WING INSPECTION WAS NOT ACCOMPLISHED DUE TO INTERP OF THE ENGINEERING ORDER STATING INSPECTION AT NEXT 'C' CHK OR 4000 CYCLES.
Narrative: ACFT X WAS REPAIRED AT THE ZZZ1 MAINT FACILITY PER ENGINEERING ORDER NO XXXXX. THE DATE OF THE ENGINEERING ORDER WAS MAR/XA/01. AT THE TIME THE ACFT TOTAL WAS 47122 HRS AND TOTAL CYCLES OF 33516. THE ENGINEERING AUTH CALLED FOR A REPETITIVE INSPECTION AT NEXT 'C' CHK OR 4000 CYCLES, WHICHEVER COMES FIRST. THE SUBSTANTIATION FOR THE ENGINEERING ORDER CAME FROM BOEING TELEX. WHEN THE ACFT CAME TO ZZZ ON OR AROUND MAY/MON/02 FOR ITS FIRST 'CX' CHK AFTER THE FIND THE ACFT HAD FLOWN 1807 CYCLES. MY INTERP OF THE TERM 'C' CHK, AS USED IN THE BOEING TELEX, MEANS FULL 'C' AS DESCRIBED IN B737 SRM 51-10-02 PAGES 11 AND 12. ACR X USES A 'CX' CHK, WHICH IS MADE UP OF A CX-1 AND A CX-2. (SEE ATTACHED ACR X 'ACFT MAINT PROGRAMS' DATED MAY/THU/02.) THE CX-1 THROUGH CX-6 IS SCHEDULED EACH 365 DAYS, OR THE ACCUMULATION OF 2530 HRS, WHICHEVER COMES FIRST. THE REF 'ACFT MAINT PROGRAMS' DOCUMENT SHOWS 'FULL 'C'' AT 5060 HRS. USING SRM 51-10-02 PAGES 11 AND 12, IT WAS DETERMINED THAT THE ACFT COULD CONTINUE OP UNTIL THE NEXT 'CX' OR ACCUMULATION OF 4000 CYCLES, WHICHEVER CAME FIRST, BEFORE THE REPEAT INSPECTION WOULD BE DUE. A DEFERRAL WAS ACCOMPLISHED USING ACR X DEFERRAL PROCS FOR BASE MAINT AS DESCRIBED IN ACR X 330-10. THAT ACFT CONTINUED OP UNTIL APPROX AUG/THU/02, WHEN AT THAT TIME THE ACR X PLANNING DEPT FOUND THE ITEM AND THOUGHT IT HAD BEEN MISSED DURING THE 'CX' CHK ACCOMPLISHED MAY/MON/02. ENGINEERING BECAME INVOLVED AND BECAUSE THEY ALSO BELIEVE THE ITEM HAD BEEN MISSED THEY OBTAINED ANOTHER BOEING TELEX WHICH AUTHORIZED THE FIRST OR 'INITIAL' REPEAT INSPECTION TO BE ACCOMPLISHED PRIOR TO THE ACCUMULATION FO 4000 CYCLES, FROM THE FIND, AND DROPPED THE 'C' CHK REQUIREMENT. AS OF THIS DATE, THE ACFT HAS ACCUMULATED A TOTAL OF 2787 CYCLES FROM FIND AND IS SCHEDULED FOR 'CX' IN FEB/03. IRONICALLY,, THAT IS MOST LIKELY WHEN THE RECHK WILL BE ACCOMPLISHED. THIS CHANGE TO THE ORIGINAL ENGINEERING AUTH CAME ABOUT DUE TO A DIFFERENCE OF INTERP OF THE TERM 'C' CHK AND 'WHEN IS A 'C' CHK ITEM DUE?'
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.