 |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
A B737-300 was dispatched in non compliance with right engine borescope plug S17 removed and not replaced. Incurred damage to core cowling.
| Attributes | |
| ACN | 592562 |
| Time | |
| Date | 200307 |
| Day | Thu |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B737-300 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance ground : parked |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| ASRS Report | 592562 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| ASRS Report | 593379 |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : published procedure |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other other |
| Factors | |
| Maintenance | contributing factor : schedule pressure performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : inspection performance deficiency : scheduled maintenance |
| Supplementary | |
| Problem Areas | Aircraft Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
As per the fleet status morning report dated jul/thu/03, aircraft noted: aircraft damage, states, found #2 engine outboard core cowl had damage caused by borescope plug S17 missing. Please be advised that borescope plug S20 was only plug to be removed for that inspection on that side of #2 engine. We had no reason to remove S17 'exempt' seized plug S20 then S17 would be removed and an nrc would be generated for S20 and noted in the borescope paperwork. To the best of my knowledge, I do not nor did I have any reason to remove or inspect plug S17 on that day.
Original NASA ASRS Text
Title: A B737-300 WAS DISPATCHED IN NON COMPLIANCE WITH R ENG BORESCOPE PLUG S17 REMOVED AND NOT REPLACED. INCURRED DAMAGE TO CORE COWLING.
Narrative: AS PER THE FLEET STATUS MORNING RPT DATED JUL/THU/03, ACFT NOTED: ACFT DAMAGE, STATES, FOUND #2 ENG OUTBOARD CORE COWL HAD DAMAGE CAUSED BY BORESCOPE PLUG S17 MISSING. PLEASE BE ADVISED THAT BORESCOPE PLUG S20 WAS ONLY PLUG TO BE REMOVED FOR THAT INSPECTION ON THAT SIDE OF #2 ENG. WE HAD NO REASON TO REMOVE S17 'EXEMPT' SEIZED PLUG S20 THEN S17 WOULD BE REMOVED AND AN NRC WOULD BE GENERATED FOR S20 AND NOTED IN THE BORESCOPE PAPERWORK. TO THE BEST OF MY KNOWLEDGE, I DO NOT NOR DID I HAVE ANY REASON TO REMOVE OR INSPECT PLUG S17 ON THAT DAY.
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.