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|
Attributes | |
ACN | 577901 |
Time | |
Date | 200303 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
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 | 577901 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
ASRS Report | 576577 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
Independent Detector | other other : person 2 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : briefing contributing factor : schedule pressure contributing factor : work cards performance deficiency : non compliance with legal requirements performance deficiency : repair performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Aircraft Chart Or Publication Company Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
Received a turnover from a mechanic on second shift for repair in the forward cargo bay. 2 shifts had worked the repair. The turnover was predrilled parts that needed to be trimmed and drilled to full size. I trimmed the parts and drilled them up to size, alodined the parts and primed the parts, and then started to install them. During the rush, I forgot to get an inspector to inspect the parts that I had already began to install. During my turnover, day shift, I realized that none of the paperwork for the repair had been done. It was brought to my attention by the day shift mechanics. I believe that the company needs to spend more time on the paperwork procedures for air carrier X airlines with its new mechanics. Supplemental information from acn 576577: I noticed that the stringer repair had been partly installed, but had no signoffs for damage removal or treat and prime. The parts were made and drilled (fabricated) without any signoff either. I can't believe there were no signoffs. When I confronted my turnover guy, he said that was the way he was told to do it in the new hire training class. I had to remove the repair and clean up the parts and get the damage removal signoff.
Original NASA ASRS Text
Title: A B737-200 UNDERGOING A FUSELAGE STRINGER REPAIR WAS WORKED FOR 6 SHIFTS WITH NO PROGRESSIVE SIGNOFFS ON WORK ACCOMPLISHED.
Narrative: RECEIVED A TURNOVER FROM A MECH ON SECOND SHIFT FOR REPAIR IN THE FORWARD CARGO BAY. 2 SHIFTS HAD WORKED THE REPAIR. THE TURNOVER WAS PREDRILLED PARTS THAT NEEDED TO BE TRIMMED AND DRILLED TO FULL SIZE. I TRIMMED THE PARTS AND DRILLED THEM UP TO SIZE, ALODINED THE PARTS AND PRIMED THE PARTS, AND THEN STARTED TO INSTALL THEM. DURING THE RUSH, I FORGOT TO GET AN INSPECTOR TO INSPECT THE PARTS THAT I HAD ALREADY BEGAN TO INSTALL. DURING MY TURNOVER, DAY SHIFT, I REALIZED THAT NONE OF THE PAPERWORK FOR THE REPAIR HAD BEEN DONE. IT WAS BROUGHT TO MY ATTN BY THE DAY SHIFT MECHS. I BELIEVE THAT THE COMPANY NEEDS TO SPEND MORE TIME ON THE PAPERWORK PROCS FOR ACR X AIRLINES WITH ITS NEW MECHS. SUPPLEMENTAL INFO FROM ACN 576577: I NOTICED THAT THE STRINGER REPAIR HAD BEEN PARTLY INSTALLED, BUT HAD NO SIGNOFFS FOR DAMAGE REMOVAL OR TREAT AND PRIME. THE PARTS WERE MADE AND DRILLED (FABRICATED) WITHOUT ANY SIGNOFF EITHER. I CAN'T BELIEVE THERE WERE NO SIGNOFFS. WHEN I CONFRONTED MY TURNOVER GUY, HE SAID THAT WAS THE WAY HE WAS TOLD TO DO IT IN THE NEW HIRE TRAINING CLASS. I HAD TO REMOVE THE REPAIR AND CLEAN UP THE PARTS AND GET THE DAMAGE REMOVAL SIGNOFF.
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.