37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 570809 |
Time | |
Date | 200212 |
Day | Tue |
Local Time Of Day | 1801 To 2400 |
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 | B737-700 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
ASRS Report | 570809 |
Person 2 | |
Affiliation | company : air carrier |
Function | other personnel other |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far |
Independent Detector | other other : person 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other Other |
Factors | |
Maintenance | contributing factor : work cards contributing factor : schedule pressure contributing factor : engineering procedure performance deficiency : logbook entry performance deficiency : installation performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Chart Or Publication Maintenance Human Performance Aircraft |
Primary Problem | Chart Or Publication |
Situations | |
Publication | Job Card |
Narrative:
Concerning aircraft change order X dec/tue/02, 3 aircraft involved. Complied with aircraft change order, I was issued module from predraw rack. Step 'D' says to rework and install. I misunderstood and thought rework meant to swap fitting over from old module. I was informed on jan/tue/03 that a kit with new parts was to be installed on all 3 aircraft. I was never issued a kit, only the new module -- all 3 times.
Original NASA ASRS Text
Title: 3 B737-700 ACFT WERE DISPATCHED IN NON COMPLIANCE WITH INCOMPLETE WORK NOT ACCOMPLISHED ON MODIFIED HYD DEPRESSURIZATION MODULES.
Narrative: CONCERNING ACFT CHANGE ORDER X DEC/TUE/02, 3 ACFT INVOLVED. COMPLIED WITH ACFT CHANGE ORDER, I WAS ISSUED MODULE FROM PREDRAW RACK. STEP 'D' SAYS TO REWORK AND INSTALL. I MISUNDERSTOOD AND THOUGHT REWORK MEANT TO SWAP FITTING OVER FROM OLD MODULE. I WAS INFORMED ON JAN/TUE/03 THAT A KIT WITH NEW PARTS WAS TO BE INSTALLED ON ALL 3 ACFT. I WAS NEVER ISSUED A KIT, ONLY THE NEW MODULE -- ALL 3 TIMES.
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.