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|
Attributes | |
ACN | 602557 |
Time | |
Date | 200311 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-400 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
Experience | maintenance technician : 50 |
ASRS Report | 602557 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation non adherence : published procedure non adherence : far other anomaly other |
Independent Detector | other other : person 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure contributing factor : briefing contributing factor : work cards performance deficiency : installation |
Supplementary | |
Problem Areas | Aircraft Chart Or Publication Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On nov/thu/03 myself and another technician installed a flap control unit using maintenance manual. A couple weeks later the technician that removed the unit questioned me about input crank bolt being difficult to access. On dec/sun/03, I discussed this with the other technician that assisted on installation and we could not remember tightening the bolt in question. On dec/sun/03, we contacted our maintenance control to request a technical service item against aircraft to rechk security of bolt in question. Maintenance manual abc sub task 123, step #8. It was determined on the night of dec/sun/03 that bolt was tight. I fault myself for not signing turn-over report up to the step I completed instead of signing off complete installation.
Original NASA ASRS Text
Title: A B737-400 WAS DISPATCHED AFTER A FLAP CTL UNIT WAS REPLACED. TECHNICIANS WHO REPLACED UNIT QUESTION WHETHER THE INPUT CRANK NUT WAS TORQUED.
Narrative: ON NOV/THU/03 MYSELF AND ANOTHER TECHNICIAN INSTALLED A FLAP CTL UNIT USING MAINT MANUAL. A COUPLE WKS LATER THE TECHNICIAN THAT REMOVED THE UNIT QUESTIONED ME ABOUT INPUT CRANK BOLT BEING DIFFICULT TO ACCESS. ON DEC/SUN/03, I DISCUSSED THIS WITH THE OTHER TECHNICIAN THAT ASSISTED ON INSTALLATION AND WE COULD NOT REMEMBER TIGHTENING THE BOLT IN QUESTION. ON DEC/SUN/03, WE CONTACTED OUR MAINT CTL TO REQUEST A TECHNICAL SVC ITEM AGAINST ACFT TO RECHK SECURITY OF BOLT IN QUESTION. MAINT MANUAL ABC SUB TASK 123, STEP #8. IT WAS DETERMINED ON THE NIGHT OF DEC/SUN/03 THAT BOLT WAS TIGHT. I FAULT MYSELF FOR NOT SIGNING TURN-OVER RPT UP TO THE STEP I COMPLETED INSTEAD OF SIGNING OFF COMPLETE INSTALLATION.
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.