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|
Attributes | |
ACN | 609790 |
Time | |
Date | 200402 |
Day | Wed |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | general aviation : corporate |
Make Model Name | Citation III, VI, VII |
Operating Under FAR Part | Part 91 |
Flight Phase | ground : parked |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 270 flight time total : 12500 flight time type : 1100 |
ASRS Report | 609790 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 50 flight time total : 18800 flight time type : 1500 |
ASRS Report | 609791 |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : company policies non adherence : published procedure non adherence : far |
Independent Detector | other other : 6 |
Resolutory Action | none taken : detected after the fact other |
Consequence | faa : investigated other other |
Factors | |
Maintenance | contributing factor : schedule pressure contributing factor : work cards contributing factor : manuals performance deficiency : inspection performance deficiency : installation performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance |
Supplementary | |
Problem Areas | Aircraft Chart Or Publication Company FAA Flight Crew Human Performance Maintenance Human Performance |
Primary Problem | Company |
Situations | |
Publication | Job Cards |
Narrative:
The aircraft came out of a maintenance inspection, was flown 30 mins and went for an FAA part 135 ramp inspection by 3 FAA maintenance personnel and 4 company maintenance personnel. The aircraft then flew 6 legs and 6 hours when we received a call from the maintenance facility saying that they had forgotten to replace 2 panels, 2 ft by 4 ft in size on the belly of aircraft. The aircraft flew 7 legs without incident and went unnoticed by 3 pilots, 4 maintenance personnel, 3 FAA maintenance personnel, 1 FAA operations inspector, the maintenance facility a&P and inspector. Panels were shipped and replaced with no damage or incident. Supplemental information from acn 609791: plane went through a phase inspection and was released back into service. I preflight inspected the aircraft and did not find anything out of the ordinary, airplane performed flawlessly. The aircraft was subsequently involved in a part 135.299 ride with the FAA and a preflight inspection which involved several FAA and our own maintenance personnel. Airplane flew a total of 7 legs until we were informed by the maintenance facility that they had neglected to reinstall 2 large (approximately 2 ft by 4 ft) panels on the underside of the aircraft. Aircraft was grounded and panels were reinstalled. There was no damage nor was there any difference in the way aircraft handled. Panels are almost impossible to see unless you get on the ground directly below the aircraft center section. Next time I'll be more observant on a preflight, specifically in unexpected problem areas.
Original NASA ASRS Text
Title: C650. AFTER A PHASE MAINT INSPECTION OF THE ACFT, 2 PANELS ABOUT 2 FT BY 4 FT WERE LEFT OFF THE ACFT. AFTER MAINT, 3 FAA MAINT INSPECTORS, 4 COMPANY MAINT INSPECTORS AND 8 PLTS DID NOT DETECT THE MISSING PANELS.
Narrative: THE ACFT CAME OUT OF A MAINT INSPECTION, WAS FLOWN 30 MINS AND WENT FOR AN FAA PART 135 RAMP INSPECTION BY 3 FAA MAINT PERSONNEL AND 4 COMPANY MAINT PERSONNEL. THE ACFT THEN FLEW 6 LEGS AND 6 HRS WHEN WE RECEIVED A CALL FROM THE MAINT FACILITY SAYING THAT THEY HAD FORGOTTEN TO REPLACE 2 PANELS, 2 FT BY 4 FT IN SIZE ON THE BELLY OF ACFT. THE ACFT FLEW 7 LEGS WITHOUT INCIDENT AND WENT UNNOTICED BY 3 PLTS, 4 MAINT PERSONNEL, 3 FAA MAINT PERSONNEL, 1 FAA OPS INSPECTOR, THE MAINT FACILITY A&P AND INSPECTOR. PANELS WERE SHIPPED AND REPLACED WITH NO DAMAGE OR INCIDENT. SUPPLEMENTAL INFO FROM ACN 609791: PLANE WENT THROUGH A PHASE INSPECTION AND WAS RELEASED BACK INTO SVC. I PREFLT INSPECTED THE ACFT AND DID NOT FIND ANYTHING OUT OF THE ORDINARY, AIRPLANE PERFORMED FLAWLESSLY. THE ACFT WAS SUBSEQUENTLY INVOLVED IN A PART 135.299 RIDE WITH THE FAA AND A PREFLT INSPECTION WHICH INVOLVED SEVERAL FAA AND OUR OWN MAINT PERSONNEL. AIRPLANE FLEW A TOTAL OF 7 LEGS UNTIL WE WERE INFORMED BY THE MAINT FACILITY THAT THEY HAD NEGLECTED TO REINSTALL 2 LARGE (APPROX 2 FT BY 4 FT) PANELS ON THE UNDERSIDE OF THE ACFT. ACFT WAS GNDED AND PANELS WERE REINSTALLED. THERE WAS NO DAMAGE NOR WAS THERE ANY DIFFERENCE IN THE WAY ACFT HANDLED. PANELS ARE ALMOST IMPOSSIBLE TO SEE UNLESS YOU GET ON THE GND DIRECTLY BELOW THE ACFT CTR SECTION. NEXT TIME I'LL BE MORE OBSERVANT ON A PREFLT, SPECIFICALLY IN UNEXPECTED PROB AREAS.
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.