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|
Attributes | |
ACN | 604307 |
Time | |
Date | 200401 |
Day | Wed |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | DC-9 30 |
Person 1 | |
Affiliation | company : air carrier |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance repairman : 24 |
ASRS Report | 604307 |
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 non adherence : company policies |
Independent Detector | aircraft equipment other aircraft equipment : r engine oil quantity ind. |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure contributing factor : tooling performance deficiency : scheduled maintenance performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : installation performance deficiency : inspection |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft Weather |
Primary Problem | Maintenance Human Performance |
Narrative:
After changing the #1 engine main oil filter, I did the filter leak check. The wind was blowing upwards of 20 mph. The temperature was below zero with the wind chill. I installed the cowling support struts to keep from damaging the cowling and aircraft. I then removed the engine oil cap, svced the engine. I heard mechanic trying to close his cowling. I got off my ladder to give him a hand. It took a couple of mins, had a problem with a latch and wind. We then came over to my side, secured the struts. The wind was bad on my side, we fought to close the cowling. The next day, I came to work and found out an oil cap was left off an engine on aircraft. I was sure I installed mine. I then found out it was the engine I worked. I then thought of all that took place, getting off the ladder, helping mechanic fighting the WX. I can honestly say, I can't say one way or the other if I installed the cap for sure.
Original NASA ASRS Text
Title: A DC9-30 WAS DISPATCHED IN NON COMPLIANCE WITH THE R ENG OIL FILLER CAP NOT INSTALLED.
Narrative: AFTER CHANGING THE #1 ENG MAIN OIL FILTER, I DID THE FILTER LEAK CHK. THE WIND WAS BLOWING UPWARDS OF 20 MPH. THE TEMP WAS BELOW ZERO WITH THE WIND CHILL. I INSTALLED THE COWLING SUPPORT STRUTS TO KEEP FROM DAMAGING THE COWLING AND ACFT. I THEN REMOVED THE ENG OIL CAP, SVCED THE ENG. I HEARD MECH TRYING TO CLOSE HIS COWLING. I GOT OFF MY LADDER TO GIVE HIM A HAND. IT TOOK A COUPLE OF MINS, HAD A PROB WITH A LATCH AND WIND. WE THEN CAME OVER TO MY SIDE, SECURED THE STRUTS. THE WIND WAS BAD ON MY SIDE, WE FOUGHT TO CLOSE THE COWLING. THE NEXT DAY, I CAME TO WORK AND FOUND OUT AN OIL CAP WAS LEFT OFF AN ENG ON ACFT. I WAS SURE I INSTALLED MINE. I THEN FOUND OUT IT WAS THE ENG I WORKED. I THEN THOUGHT OF ALL THAT TOOK PLACE, GETTING OFF THE LADDER, HELPING MECH FIGHTING THE WX. I CAN HONESTLY SAY, I CAN'T SAY ONE WAY OR THE OTHER IF I INSTALLED THE CAP FOR SURE.
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.