37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 569322 |
Time | |
Date | 200009 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | ground : parked |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance technician : 23 |
ASRS Report | 569322 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : inspector |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : published procedure non adherence : company policies non adherence : far |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure contributing factor : work cards performance deficiency : scheduled maintenance performance deficiency : testing performance deficiency : non compliance with legal requirements performance deficiency : installation performance deficiency : inspection |
Supplementary | |
Problem Areas | Aircraft Chart Or Publication Company Environmental Factor Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Situations | |
Publication | Maint Manual- Job Cards |
Narrative:
On dec/mon/02, I received disciplinary action and a letter in my file for unsatisfactory job performance. Here are the contents of that report: 'on sep/tue/00 you signed for work as being accomplished on aircraft which was in ZZZ base for a 'Q' check. Company records indicate that you were the mechanic that accomplished the installation of a right wing inboard flap outboard transmission. A portion of the installation procedure was to install a fire extinguisher agent line. Aircraft recently was inducted into maintenance for a scheduled 'C' check. Upon inspection area that you had previously worked, it was discovered that the fire extinguisher line was disconnected and capped. Further investigation has shown that no additional work has been accomplished in that area since last 'Q' check.' my time spent in that base maintenance facility was approximately 2 yrs. In that span, I changed many flap xmissions, flap tracks and flaps. All in accordance with air carrier X paperwork -- which at the time was very poor. It was a new facility just manned with many new hires, just upgraded leads and inspectors, not to mention with new inexperienced foreman and mgrs. The paperwork and job cards at this time were poor at best. Being performed during this period were also flap track installation and engineering orders being performed where the paperwork was very confusing. Needless to say, I performed the work, therefore, I am responsible. I have yet to see the job card or engineering order that were signed. Therefore, my recollection on that particular aircraft and flap transmission are a blur with all the others I accomplished.
Original NASA ASRS Text
Title: A B737-300 WAS OPERATED IN NON COMPLIANCE WITH THE R ENG FIRE EXTINGUISHING LINE DISCONNECTED AND CAPPED.
Narrative: ON DEC/MON/02, I RECEIVED DISCIPLINARY ACTION AND A LETTER IN MY FILE FOR UNSATISFACTORY JOB PERFORMANCE. HERE ARE THE CONTENTS OF THAT RPT: 'ON SEP/TUE/00 YOU SIGNED FOR WORK AS BEING ACCOMPLISHED ON ACFT WHICH WAS IN ZZZ BASE FOR A 'Q' CHK. COMPANY RECORDS INDICATE THAT YOU WERE THE MECH THAT ACCOMPLISHED THE INSTALLATION OF A R WING INBOARD FLAP OUTBOARD XMISSION. A PORTION OF THE INSTALLATION PROC WAS TO INSTALL A FIRE EXTINGUISHER AGENT LINE. ACFT RECENTLY WAS INDUCTED INTO MAINT FOR A SCHEDULED 'C' CHK. UPON INSPECTION AREA THAT YOU HAD PREVIOUSLY WORKED, IT WAS DISCOVERED THAT THE FIRE EXTINGUISHER LINE WAS DISCONNECTED AND CAPPED. FURTHER INVESTIGATION HAS SHOWN THAT NO ADDITIONAL WORK HAS BEEN ACCOMPLISHED IN THAT AREA SINCE LAST 'Q' CHK.' MY TIME SPENT IN THAT BASE MAINT FACILITY WAS APPROX 2 YRS. IN THAT SPAN, I CHANGED MANY FLAP XMISSIONS, FLAP TRACKS AND FLAPS. ALL IN ACCORDANCE WITH ACR X PAPERWORK -- WHICH AT THE TIME WAS VERY POOR. IT WAS A NEW FACILITY JUST MANNED WITH MANY NEW HIRES, JUST UPGRADED LEADS AND INSPECTORS, NOT TO MENTION WITH NEW INEXPERIENCED FOREMAN AND MGRS. THE PAPERWORK AND JOB CARDS AT THIS TIME WERE POOR AT BEST. BEING PERFORMED DURING THIS PERIOD WERE ALSO FLAP TRACK INSTALLATION AND ENGINEERING ORDERS BEING PERFORMED WHERE THE PAPERWORK WAS VERY CONFUSING. NEEDLESS TO SAY, I PERFORMED THE WORK, THEREFORE, I AM RESPONSIBLE. I HAVE YET TO SEE THE JOB CARD OR ENGINEERING ORDER THAT WERE SIGNED. THEREFORE, MY RECOLLECTION ON THAT PARTICULAR ACFT AND FLAP XMISSION ARE A BLUR WITH ALL THE OTHERS I ACCOMPLISHED.
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.