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|
Attributes | |
ACN | 592902 |
Time | |
Date | 200309 |
Day | Thu |
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 : charter |
Make Model Name | Falcon 900 |
Operating Under FAR Part | Part 135 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : charter |
Function | other personnel other |
ASRS Report | 592902 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | other other : 1 |
Resolutory Action | none taken : anomaly accepted |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : testing performance deficiency : logbook entry performance deficiency : scheduled maintenance performance deficiency : repair performance deficiency : non compliance with legal requirements performance deficiency : inspection |
Supplementary | |
Problem Areas | Maintenance Human Performance Company Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
Routine paperwork surveillance noticed that rii inspection sign-off was not completed (per far 135 regulations on a 10 or more seat aircraft). Contacted the repair station that performed the inspections to address the rii inspection status via their work order system. During this follow-up, gained information that the standby altimeter and standby airspeed indicator had failed (out of tolerance) their 24-month calibration check. The repair station informed FBO X that they had presented this information to the maintenance technician representing and responsible for that aircraft. Further investigation revealed that the technician had failed to correct the discrepancies with the standby altimeter and standby airspeed indicator and released the aircraft to service for a part 91 repos flight. FBO X has taken the following action in response to this incident: 1) general maintenance manual is being revised to direct all third party maintenance log entries to be reviewed by either the director of maintenance or director of quality assurance prior to releasing the aircraft to service. 2) the responsible technician was removed from the position of managing that or any other aircraft operated by FBO X.
Original NASA ASRS Text
Title: A FALCON 900EX WAS DISPATCHED ON A POSITIONING FLT IN NON COMPLIANCE WITH A REQUIRED INSPECTION ITEM NOT ACCOMPLISHED AND UNCORRECTED RPTS ON THE STANDBY ALTIMETER AND AIRSPD INDICATOR.
Narrative: ROUTINE PAPERWORK SURVEILLANCE NOTICED THAT RII INSPECTION SIGN-OFF WAS NOT COMPLETED (PER FAR 135 REGS ON A 10 OR MORE SEAT ACFT). CONTACTED THE REPAIR STATION THAT PERFORMED THE INSPECTIONS TO ADDRESS THE RII INSPECTION STATUS VIA THEIR WORK ORDER SYS. DURING THIS FOLLOW-UP, GAINED INFO THAT THE STANDBY ALTIMETER AND STANDBY AIRSPD INDICATOR HAD FAILED (OUT OF TOLERANCE) THEIR 24-MONTH CALIBRATION CHK. THE REPAIR STATION INFORMED FBO X THAT THEY HAD PRESENTED THIS INFO TO THE MAINT TECHNICIAN REPRESENTING AND RESPONSIBLE FOR THAT ACFT. FURTHER INVESTIGATION REVEALED THAT THE TECHNICIAN HAD FAILED TO CORRECT THE DISCREPANCIES WITH THE STANDBY ALTIMETER AND STANDBY AIRSPD INDICATOR AND RELEASED THE ACFT TO SVC FOR A PART 91 REPOS FLT. FBO X HAS TAKEN THE FOLLOWING ACTION IN RESPONSE TO THIS INCIDENT: 1) GENERAL MAINT MANUAL IS BEING REVISED TO DIRECT ALL THIRD PARTY MAINT LOG ENTRIES TO BE REVIEWED BY EITHER THE DIRECTOR OF MAINT OR DIRECTOR OF QUALITY ASSURANCE PRIOR TO RELEASING THE ACFT TO SVC. 2) THE RESPONSIBLE TECHNICIAN WAS REMOVED FROM THE POS OF MANAGING THAT OR ANY OTHER ACFT OPERATED BY FBO X.
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.