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|
Attributes | |
ACN | 577624 |
Time | |
Date | 200303 |
Day | Wed |
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 | B737-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
ASRS Report | 577624 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
ASRS Report | 577675 |
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 : a hydraulic indications |
Resolutory Action | flight crew : declared emergency flight crew : landed in emergency condition |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure contributing factor : non availability of parts performance deficiency : non compliance with legal requirements performance deficiency : testing performance deficiency : logbook entry performance deficiency : inspection performance deficiency : installation |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance Environmental Factor |
Primary Problem | Maintenance Human Performance |
Narrative:
Arrived ZZZ1 about XA30. Aircraft hydraulic fluid was leaking from the left wheel well area. Found 'a' system pressure return line worn through from a broken clamp. No new line was available. We had the down line host kit with us. Removed the damaged line and then proceeded to connect 2 lines together to get the proper length for a temporary line replacement. We borrowed 3 ms-8 union fittings. Hooked the lines together with ms fittings at each end. Installed line and tightened all 'B' nuts to the original ends of the hard lines. Svced the hydraulic system with hydraulic fluid. I went upstairs and ran the #1 engine for 2-3 mins, working the aileron and elevator control surfaces. Leak checked all the fittings during engine run and no leaks were found. Again, svced the hydraulic reservoir for low quantity. The aircraft departed to ZZZ. About 20 mins after takeoff, the pilots noticed that the hydraulic quantity was low. By the time we were in the area, the low pressure lights came on. The 'a' system had failed due to no hydraulic fluid. Landing was normal and the aircraft was towed off the runway. Upon my inspection, I found the upper union 'B' nut leaking. I tightened the 'B' nut about 1 flat more and the leak stopped.
Original NASA ASRS Text
Title: A B737-200 ON A MAINT FERRY DECLARED AN EMER DUE LOSS OF 'A' SYS HYD PRESSURE AND QUANTITY. CAUSED BY LOOSE 'B' NUT ON INTERIM REPAIR.
Narrative: ARRIVED ZZZ1 ABOUT XA30. ACFT HYD FLUID WAS LEAKING FROM THE L WHEEL WELL AREA. FOUND 'A' SYS PRESSURE RETURN LINE WORN THROUGH FROM A BROKEN CLAMP. NO NEW LINE WAS AVAILABLE. WE HAD THE DOWN LINE HOST KIT WITH US. REMOVED THE DAMAGED LINE AND THEN PROCEEDED TO CONNECT 2 LINES TOGETHER TO GET THE PROPER LENGTH FOR A TEMPORARY LINE REPLACEMENT. WE BORROWED 3 MS-8 UNION FITTINGS. HOOKED THE LINES TOGETHER WITH MS FITTINGS AT EACH END. INSTALLED LINE AND TIGHTENED ALL 'B' NUTS TO THE ORIGINAL ENDS OF THE HARD LINES. SVCED THE HYD SYS WITH HYD FLUID. I WENT UPSTAIRS AND RAN THE #1 ENG FOR 2-3 MINS, WORKING THE AILERON AND ELEVATOR CTL SURFACES. LEAK CHKED ALL THE FITTINGS DURING ENG RUN AND NO LEAKS WERE FOUND. AGAIN, SVCED THE HYD RESERVOIR FOR LOW QUANTITY. THE ACFT DEPARTED TO ZZZ. ABOUT 20 MINS AFTER TKOF, THE PLTS NOTICED THAT THE HYD QUANTITY WAS LOW. BY THE TIME WE WERE IN THE AREA, THE LOW PRESSURE LIGHTS CAME ON. THE 'A' SYS HAD FAILED DUE TO NO HYD FLUID. LNDG WAS NORMAL AND THE ACFT WAS TOWED OFF THE RWY. UPON MY INSPECTION, I FOUND THE UPPER UNION 'B' NUT LEAKING. I TIGHTENED THE 'B' NUT ABOUT 1 FLAT MORE AND THE LEAK STOPPED.
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.