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|
Attributes | |
ACN | 589964 |
Time | |
Date | 200308 |
Day | Wed |
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 | MD-88 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance technician : 14 |
ASRS Report | 589964 |
Person 2 | |
Affiliation | company : air carrier |
Function | other personnel other |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : probe heat inop light other other : person 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : manuals contributing factor : schedule pressure performance deficiency : logbook entry performance deficiency : testing |
Supplementary | |
Problem Areas | Chart Or Publication Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On aug/wed/03, aircraft X on flight abcd ZZZ1-ZZZ experienced problems with the rudder limiter probe heat. Maintenance control controller notified ZZZ line maintenance by teletype that the plane was on the way. I called and discussed it with maintenance control controller. He checked to see if the probe could be put on maintenance carryover and sent back to ZZZ1. It was decided that it could not due to forecasted storms. The part was ordered from ZZZ2 and shipped on an air carrier Y flight. When the plane arrived the flight crew was checked with to make sure the aircraft still had the fault. It still had the fault so procedures for replacement of the probe in accordance with maintenance manual was started. It was discovered that the maintenance manual check out for the probe was not appropriate for the probe being changed. I refused to sign off the change without the proper paperwork from engineering or otherwise. The station manager discussed the matter with maintenance control controller and decided to do a check out not authority/authorized by any paperwork. The check out was completed according to an agreement between maintenance control controller and the station manager and the logbook was signed off according to a specific maintenance manual reference. The check out was not performed in accordance with maintenance manual or any other document.
Original NASA ASRS Text
Title: AN MD88 WAS DISPATCHED IN NON COMPLIANCE WITH THE RUDDER LIMITER PROBE REPLACED, BUT NOT CHKED, PER APPROVED MAINT MANUAL PROCS.
Narrative: ON AUG/WED/03, ACFT X ON FLT ABCD ZZZ1-ZZZ EXPERIENCED PROBS WITH THE RUDDER LIMITER PROBE HEAT. MAINT CTL CTLR NOTIFIED ZZZ LINE MAINT BY TELETYPE THAT THE PLANE WAS ON THE WAY. I CALLED AND DISCUSSED IT WITH MAINT CTL CTLR. HE CHKED TO SEE IF THE PROBE COULD BE PUT ON MAINT CARRYOVER AND SENT BACK TO ZZZ1. IT WAS DECIDED THAT IT COULD NOT DUE TO FORECASTED STORMS. THE PART WAS ORDERED FROM ZZZ2 AND SHIPPED ON AN ACR Y FLT. WHEN THE PLANE ARRIVED THE FLT CREW WAS CHKED WITH TO MAKE SURE THE ACFT STILL HAD THE FAULT. IT STILL HAD THE FAULT SO PROCS FOR REPLACEMENT OF THE PROBE IN ACCORDANCE WITH MAINT MANUAL WAS STARTED. IT WAS DISCOVERED THAT THE MAINT MANUAL CHK OUT FOR THE PROBE WAS NOT APPROPRIATE FOR THE PROBE BEING CHANGED. I REFUSED TO SIGN OFF THE CHANGE WITHOUT THE PROPER PAPERWORK FROM ENGINEERING OR OTHERWISE. THE STATION MGR DISCUSSED THE MATTER WITH MAINT CTL CTLR AND DECIDED TO DO A CHK OUT NOT AUTH BY ANY PAPERWORK. THE CHK OUT WAS COMPLETED ACCORDING TO AN AGREEMENT BTWN MAINT CTL CTLR AND THE STATION MGR AND THE LOGBOOK WAS SIGNED OFF ACCORDING TO A SPECIFIC MAINT MANUAL REF. THE CHK OUT WAS NOT PERFORMED IN ACCORDANCE WITH MAINT MANUAL OR ANY OTHER DOCUMENT.
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.