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An MD80 was dispatched in non compliance with incomplete job card for replacement of #2 engine accessory gear box.
| Attributes | |
| ACN | 624310 |
| Time | |
| Date | 200407 |
| Day | Wed |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | MD-80 Series (DC-9-80) Undifferentiated or Other Model |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : lead technician |
| ASRS Report | 624310 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| ASRS Report | 624311 |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation non adherence : published procedure non adherence : far |
| Independent Detector | other other : 5 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : schedule pressure contributing factor : work cards performance deficiency : non compliance with legal requirements performance deficiency : logbook entry |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Chart Or Publication |
| Primary Problem | Maintenance Human Performance |
Narrative:
On jul/wed/04 my crew tied in a 'gear box' installation on aircraft X on #2 engine. I assigned 2 technicians to finish the installation. We accomplished a leak check. Myself, an inspector, and mr X were involved during this leak check. To my best knowledge everything was hooked up except 1 line which was connected later, on step #18. Unfortunately a signature was missing on step 11E. I overlooked during my reviewing of the whole task card. On thursday in the morning it was brought to my attention that the signature was missing on step 11E. After conversing with all those involved, I signed the step since I believed that step mentioned above was accomplished but was forgotten to be signed.
Original NASA ASRS Text
Title: AN MD80 WAS DISPATCHED IN NON COMPLIANCE WITH INCOMPLETE JOB CARD FOR REPLACEMENT OF #2 ENG ACCESSORY GEAR BOX.
Narrative: ON JUL/WED/04 MY CREW TIED IN A 'GEAR BOX' INSTALLATION ON ACFT X ON #2 ENG. I ASSIGNED 2 TECHNICIANS TO FINISH THE INSTALLATION. WE ACCOMPLISHED A LEAK CHK. MYSELF, AN INSPECTOR, AND MR X WERE INVOLVED DURING THIS LEAK CHK. TO MY BEST KNOWLEDGE EVERYTHING WAS HOOKED UP EXCEPT 1 LINE WHICH WAS CONNECTED LATER, ON STEP #18. UNFORTUNATELY A SIGNATURE WAS MISSING ON STEP 11E. I OVERLOOKED DURING MY REVIEWING OF THE WHOLE TASK CARD. ON THURSDAY IN THE MORNING IT WAS BROUGHT TO MY ATTN THAT THE SIGNATURE WAS MISSING ON STEP 11E. AFTER CONVERSING WITH ALL THOSE INVOLVED, I SIGNED THE STEP SINCE I BELIEVED THAT STEP MENTIONED ABOVE WAS ACCOMPLISHED BUT WAS FORGOTTEN TO BE SIGNED.
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.