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A B757-200 had the right elevator outboard power control unit replaced but the FAA required inspection was not accomplished.
| Attributes | |
| ACN | 618449 |
| Time | |
| Date | 200405 |
| 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 | B757-200 |
| 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 | 618449 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : powerplant technician : airframe |
| ASRS Report | 618448 |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
| Independent Detector | other other : 969 |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : manuals contributing factor : work cards performance deficiency : non compliance with legal requirements performance deficiency : inspection performance deficiency : logbook entry |
| Supplementary | |
| Problem Areas | Chart Or Publication Maintenance Human Performance Aircraft |
| Primary Problem | Chart Or Publication |
| Situations | |
| Publication | maint. manual proc |
Narrative:
On the morning of may/mon/04, I was given the job of completing the right&right outboard PCU on aircraft. As swing shift was about to go home, myself and another mechanic finished the install leak operation check per the maintenance manual at XA30, at which time the close-up of the access panel was left for dayshift. I then signed off the fmr (flight maintenance report) item, not thinking about the rii requirement, which wasn't circled, as I should have. Callback conversation with reporter revealed the following information: the reporter stated the maintenance manual procedure for replacement and test of the elevator power unit did not indicate or make note that it was a required inspection item. The reporter said everyone involved with the job, including the lead technician and supervisor, did not remember the requirement. The reporter stated at one time the items were posted on a board in the line office.
Original NASA ASRS Text
Title: A B757-200 HAD THE R ELEVATOR OUTBOARD PWR CTL UNIT REPLACED BUT THE FAA REQUIRED INSPECTION WAS NOT ACCOMPLISHED.
Narrative: ON THE MORNING OF MAY/MON/04, I WAS GIVEN THE JOB OF COMPLETING THE R&R OUTBOARD PCU ON ACFT. AS SWING SHIFT WAS ABOUT TO GO HOME, MYSELF AND ANOTHER MECH FINISHED THE INSTALL LEAK OP CHK PER THE MAINT MANUAL AT XA30, AT WHICH TIME THE CLOSE-UP OF THE ACCESS PANEL WAS LEFT FOR DAYSHIFT. I THEN SIGNED OFF THE FMR (FLT MAINT RPT) ITEM, NOT THINKING ABOUT THE RII REQUIREMENT, WHICH WASN'T CIRCLED, AS I SHOULD HAVE. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR STATED THE MAINT MANUAL PROC FOR REPLACEMENT AND TEST OF THE ELEVATOR PWR UNIT DID NOT INDICATE OR MAKE NOTE THAT IT WAS A REQUIRED INSPECTION ITEM. THE RPTR SAID EVERYONE INVOLVED WITH THE JOB, INCLUDING THE LEAD TECHNICIAN AND SUPVR, DID NOT REMEMBER THE REQUIREMENT. THE RPTR STATED AT ONE TIME THE ITEMS WERE POSTED ON A BOARD IN THE LINE OFFICE.
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.