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Attributes | |
ACN | 611330 |
Time | |
Date | 200403 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B767-300 and 300 ER |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance ground : preflight ground : parked |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance technician : 24 |
ASRS Report | 611330 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : work cards contributing factor : manuals performance deficiency : scheduled maintenance performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : installation |
Supplementary | |
Problem Areas | Chart Or Publication Maintenance Human Performance Company Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
On mar/thu/04, I was in the process of performing a preflight inspection/walkaround on aircraft at gate. As I walked around the right main landing gear, I observed a deep cut, approximately 2.5 inches in length, that extended into the tire groove. According to limits, the tire needed changing. I looked at the tire's sidewall, which is what I have gotten in the habit of doing and noticed B767ER stenciled on the side. I went to get a tire. There was a B767ER tire there, so I brought it back. Another technician and myself installed the wheel assembly, rotated the tire and torqued the axle nut per manual. The aircraft left. The next morning we were informed of our mistake via e-mail. I feel this incident could have been avoided if it were not for the fact that we have many variations of B767's, different series. Some are international, some domestic, some domestics are used on international rtes, some intls are used on domestic rtes. If we could keep domestic aircraft and tires separate from international aircraft, this occurrence could be avoided.
Original NASA ASRS Text
Title: A B767-300 WAS DISPATCHED IN NON COMPLIANCE WITH AN EXTENDED RANGE ACFT HVY WHEEL AND TIRE INSTALLED ON A DOMESTIC AIRPLANE.
Narrative: ON MAR/THU/04, I WAS IN THE PROCESS OF PERFORMING A PREFLT INSPECTION/WALKAROUND ON ACFT AT GATE. AS I WALKED AROUND THE R MAIN LNDG GEAR, I OBSERVED A DEEP CUT, APPROX 2.5 INCHES IN LENGTH, THAT EXTENDED INTO THE TIRE GROOVE. ACCORDING TO LIMITS, THE TIRE NEEDED CHANGING. I LOOKED AT THE TIRE'S SIDEWALL, WHICH IS WHAT I HAVE GOTTEN IN THE HABIT OF DOING AND NOTICED B767ER STENCILED ON THE SIDE. I WENT TO GET A TIRE. THERE WAS A B767ER TIRE THERE, SO I BROUGHT IT BACK. ANOTHER TECHNICIAN AND MYSELF INSTALLED THE WHEEL ASSEMBLY, ROTATED THE TIRE AND TORQUED THE AXLE NUT PER MANUAL. THE ACFT LEFT. THE NEXT MORNING WE WERE INFORMED OF OUR MISTAKE VIA E-MAIL. I FEEL THIS INCIDENT COULD HAVE BEEN AVOIDED IF IT WERE NOT FOR THE FACT THAT WE HAVE MANY VARIATIONS OF B767'S, DIFFERENT SERIES. SOME ARE INTL, SOME DOMESTIC, SOME DOMESTICS ARE USED ON INTL RTES, SOME INTLS ARE USED ON DOMESTIC RTES. IF WE COULD KEEP DOMESTIC ACFT AND TIRES SEPARATE FROM INTL ACFT, THIS OCCURRENCE COULD BE AVOIDED.
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.