 |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
A B737-700 was dispatched in non compliance with a personal breathing equipment kit not installed after the wheelchair closet project.
| Attributes | |
| ACN | 605725 |
| Time | |
| Date | 200401 |
| Day | Tue |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Environment | |
| Light | Daylight |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B737-700 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : powerplant technician : airframe |
| ASRS Report | 605725 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : inspector |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : manuals contributing factor : work cards performance deficiency : logbook entry performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance performance deficiency : installation |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Chart Or Publication Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
I was made aware around XA00 hours on jan/wed/04, that the new wheelchair closet that I had installed the previous night was missing its pbe. This was the first time for aco X to be performed at the station. I believe the oversight occurred when I removed the emergency equipment from the old windscreen. All emergency equipment is installed on the aft side except the pbe. This was compounded on the new closet -- when you open the compartment, there are no inserts installed, they are located on the door to the compartment. Also, this being the first time for this modification in ZZZ, there were a number of 'visits' by other mechanics and inspectors. I believed this to be an oversight both during the removal and installation.
Original NASA ASRS Text
Title: A B737-700 WAS DISPATCHED IN NON COMPLIANCE WITH A PERSONAL BREATHING EQUIP KIT NOT INSTALLED AFTER THE WHEELCHAIR CLOSET PROJECT.
Narrative: I WAS MADE AWARE AROUND XA00 HRS ON JAN/WED/04, THAT THE NEW WHEELCHAIR CLOSET THAT I HAD INSTALLED THE PREVIOUS NIGHT WAS MISSING ITS PBE. THIS WAS THE FIRST TIME FOR ACO X TO BE PERFORMED AT THE STATION. I BELIEVE THE OVERSIGHT OCCURRED WHEN I REMOVED THE EMER EQUIP FROM THE OLD WINDSCREEN. ALL EMER EQUIP IS INSTALLED ON THE AFT SIDE EXCEPT THE PBE. THIS WAS COMPOUNDED ON THE NEW CLOSET -- WHEN YOU OPEN THE COMPARTMENT, THERE ARE NO INSERTS INSTALLED, THEY ARE LOCATED ON THE DOOR TO THE COMPARTMENT. ALSO, THIS BEING THE FIRST TIME FOR THIS MODIFICATION IN ZZZ, THERE WERE A NUMBER OF 'VISITS' BY OTHER MECHS AND INSPECTORS. I BELIEVED THIS TO BE AN OVERSIGHT BOTH DURING THE REMOVAL AND 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.