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|
Attributes | |
ACN | 604486 |
Time | |
Date | 200002 |
Day | Mon |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : inspector |
Qualification | technician : powerplant technician : airframe |
ASRS Report | 604486 |
Person 2 | |
Affiliation | company : air carrier |
Function | other personnel other |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | other other : person 2 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other Other |
Factors | |
Maintenance | contributing factor : work cards performance deficiency : scheduled maintenance performance deficiency : training performance deficiency : logbook entry performance deficiency : inspection |
Supplementary | |
Problem Areas | Chart Or Publication Maintenance Human Performance Aircraft |
Primary Problem | Chart Or Publication |
Situations | |
Publication | NOSE GEAR INSPE JOB CARD |
Narrative:
In 1997 aircraft X sustained damage to nose area of fuselage. Damage at the time was determined minor. No further action taken and damage entered on aircraft damage file. On feb/mon/00, aircraft was in heavy maintenance for quality check. I performed an inspection of aircraft and accomplished job card X (ADF). Step 3 of card asks to rechk damage for further progression, none was noted. It also asks for you to xfer items to X discrepancy cards. My interpretation was for any new damage items which there were none at the time. Recently, air carrier X accomplished a self audit and found that the damage that occurred in 1997 should have had repetitive inspections and not just signed off onto the damage file of the aircraft. They also noted that in feb/00 during quality check, no items were written. They feel that should I have written all damage items that were listed on the aircraft damage file, that the original oversight would have been picked up and corrected. It was brought to my attention that I did not accomplish the intent of the job card. I explained to the chief inspector for air carrier X the reason I did not accomplish this and we both agreed that further clarification was needed to correct any future discrepancies, not only by me but any inspector. At present, the inspection department is looking into clarifying the situation.
Original NASA ASRS Text
Title: A B737-300 INCURRED NOSE GEAR DAMAGE IN 1997 BUT FOLLOW-UP INSPECTIONS DID NOT CARRY FORWARD OLD DAMAGE AS WELL AS NEW DAMAGE FOUND DUE TO JOB CARD INTERP.
Narrative: IN 1997 ACFT X SUSTAINED DAMAGE TO NOSE AREA OF FUSELAGE. DAMAGE AT THE TIME WAS DETERMINED MINOR. NO FURTHER ACTION TAKEN AND DAMAGE ENTERED ON ACFT DAMAGE FILE. ON FEB/MON/00, ACFT WAS IN HVY MAINT FOR QUALITY CHK. I PERFORMED AN INSPECTION OF ACFT AND ACCOMPLISHED JOB CARD X (ADF). STEP 3 OF CARD ASKS TO RECHK DAMAGE FOR FURTHER PROGRESSION, NONE WAS NOTED. IT ALSO ASKS FOR YOU TO XFER ITEMS TO X DISCREPANCY CARDS. MY INTERP WAS FOR ANY NEW DAMAGE ITEMS WHICH THERE WERE NONE AT THE TIME. RECENTLY, ACR X ACCOMPLISHED A SELF AUDIT AND FOUND THAT THE DAMAGE THAT OCCURRED IN 1997 SHOULD HAVE HAD REPETITIVE INSPECTIONS AND NOT JUST SIGNED OFF ONTO THE DAMAGE FILE OF THE ACFT. THEY ALSO NOTED THAT IN FEB/00 DURING QUALITY CHK, NO ITEMS WERE WRITTEN. THEY FEEL THAT SHOULD I HAVE WRITTEN ALL DAMAGE ITEMS THAT WERE LISTED ON THE ACFT DAMAGE FILE, THAT THE ORIGINAL OVERSIGHT WOULD HAVE BEEN PICKED UP AND CORRECTED. IT WAS BROUGHT TO MY ATTN THAT I DID NOT ACCOMPLISH THE INTENT OF THE JOB CARD. I EXPLAINED TO THE CHIEF INSPECTOR FOR ACR X THE REASON I DID NOT ACCOMPLISH THIS AND WE BOTH AGREED THAT FURTHER CLARIFICATION WAS NEEDED TO CORRECT ANY FUTURE DISCREPANCIES, NOT ONLY BY ME BUT ANY INSPECTOR. AT PRESENT, THE INSPECTION DEPT IS LOOKING INTO CLARIFYING THE SIT.
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.