37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 591074 |
Time | |
Date | 200308 |
Day | Sat |
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 : powerplant technician : airframe |
ASRS Report | 591074 |
Person 2 | |
Affiliation | company : air carrier |
Qualification | technician : airframe technician : powerplant |
ASRS Report | 591075 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | other other : person 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : work cards contributing factor : schedule pressure contributing factor : manuals performance deficiency : scheduled maintenance performance deficiency : inspection performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Maintenance Human Performance Chart Or Publication Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
The assignment for aircraft included the following tasks: maintenance service, bird strike borescope inspection, FMC software uploads, cable tension check of the landing gear control cable, a c-chk carryover for the #1 leading edge flap ice seal, and several cabin c-chk carryover items. Another technician and I were in the process of cooling the #1 engine for the bird strike borescope inspection, while addressing some of the other work package items. We opened the E1 outboard fan and core cowls only, for engine cooling purposes. We discussed the need to fully deploy the flaps for the exterior portion of the maintenance walk-around inspection and replacement of the #1 leading edge flap ice-seal. I was to continue the exterior walk-around portion of the maintenance service, while other technicians were loading software in the FMC's. Aircraft: I was lowering the flaps, while at the time, unaware that the #4 leading edge slat would contact the opened outboard core cowl. The #4 slat impacted the outboard core cowl at the slat full exit position. I heard the impact and immediately turned the 'B' hydraulic system emdp off. I inspected the damage and notified my supervisor. The aircraft did not fly under this condition. We towed the aircraft to the hangar. The E1 outboard thrust reverser sleeve was removed and replaced prior to the aircraft returning to service. Supplemental 591075: both mechanics should have followed maintenance manual and air carrier procedures on deployment of flaps with core cowls open -- perceptions -- mechanic #2 thought mechanic # 1 was only going to bring flap down to 1 unit to change ice seal on #1 krugger flap.
Original NASA ASRS Text
Title: A B737-700 INCURRED DAMAGE WHEN LEADING EDGE DEVICES WERE EXTENDED ON #1 ENG INBOARD CORE COWL OPEN FOR BORESCOPE INSPECTION.
Narrative: THE ASSIGNMENT FOR ACFT INCLUDED THE FOLLOWING TASKS: MAINT SVC, BIRD STRIKE BORESCOPE INSPECTION, FMC SOFTWARE UPLOADS, CABLE TENSION CHK OF THE LNDG GEAR CTL CABLE, A C-CHK CARRYOVER FOR THE #1 LEADING EDGE FLAP ICE SEAL, AND SEVERAL CABIN C-CHK CARRYOVER ITEMS. ANOTHER TECHNICIAN AND I WERE IN THE PROCESS OF COOLING THE #1 ENG FOR THE BIRD STRIKE BORESCOPE INSPECTION, WHILE ADDRESSING SOME OF THE OTHER WORK PACKAGE ITEMS. WE OPENED THE E1 OUTBOARD FAN AND CORE COWLS ONLY, FOR ENG COOLING PURPOSES. WE DISCUSSED THE NEED TO FULLY DEPLOY THE FLAPS FOR THE EXTERIOR PORTION OF THE MAINT WALK-AROUND INSPECTION AND REPLACEMENT OF THE #1 LEADING EDGE FLAP ICE-SEAL. I WAS TO CONTINUE THE EXTERIOR WALK-AROUND PORTION OF THE MAINT SVC, WHILE OTHER TECHNICIANS WERE LOADING SOFTWARE IN THE FMC'S. ACFT: I WAS LOWERING THE FLAPS, WHILE AT THE TIME, UNAWARE THAT THE #4 LEADING EDGE SLAT WOULD CONTACT THE OPENED OUTBOARD CORE COWL. THE #4 SLAT IMPACTED THE OUTBOARD CORE COWL AT THE SLAT FULL EXIT POS. I HEARD THE IMPACT AND IMMEDIATELY TURNED THE 'B' HYD SYS EMDP OFF. I INSPECTED THE DAMAGE AND NOTIFIED MY SUPVR. THE ACFT DID NOT FLY UNDER THIS CONDITION. WE TOWED THE ACFT TO THE HANGAR. THE E1 OUTBOARD THRUST REVERSER SLEEVE WAS REMOVED AND REPLACED PRIOR TO THE ACFT RETURNING TO SVC. SUPPLEMENTAL 591075: BOTH MECHS SHOULD HAVE FOLLOWED MAINT MANUAL AND ACR PROCS ON DEPLOYMENT OF FLAPS WITH CORE COWLS OPEN -- PERCEPTIONS -- MECH #2 THOUGHT MECH # 1 WAS ONLY GOING TO BRING FLAP DOWN TO 1 UNIT TO CHANGE ICE SEAL ON #1 KRUGGER FLAP.
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.