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A B737-500 was dispatched in non compliance with an improper cover latch installed on the right aft entry door emergency slide.
| Attributes | |
| ACN | 624767 |
| Time | |
| Date | 200407 |
| Day | Tue |
| Local Time Of Day | 0001 To 0600 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Environment | |
| Light | Night |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B737-500 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance ground : parked |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : airframe technician : powerplant |
| ASRS Report | 624767 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician other personnel other |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
| Independent Detector | other other : 969 |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : non availability of parts contributing factor : work cards contributing factor : manuals performance deficiency : non compliance with legal requirements performance deficiency : installation performance deficiency : logbook entry |
| Supplementary | |
| Problem Areas | Aircraft Chart Or Publication Company Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
I had to change the right aft slide for a time change. I took the part from pre-draw and, upon installation, the hardware was missing for the latch that holds the cover shut. So I removed the parts from the old slide and installed on the new slide and installed on the aircraft. When the part got back to the slide shop without the hardware, the shop had the aircraft checked and the new hardware installed. That's when I was notified, that there was an eco (engineering change order) to replace the hardware. I didn't know that at the time.
Original NASA ASRS Text
Title: A B737-500 WAS DISPATCHED IN NON COMPLIANCE WITH AN IMPROPER COVER LATCH INSTALLED ON THE R AFT ENTRY DOOR EMER SLIDE.
Narrative: I HAD TO CHANGE THE R AFT SLIDE FOR A TIME CHANGE. I TOOK THE PART FROM PRE-DRAW AND, UPON INSTALLATION, THE HARDWARE WAS MISSING FOR THE LATCH THAT HOLDS THE COVER SHUT. SO I REMOVED THE PARTS FROM THE OLD SLIDE AND INSTALLED ON THE NEW SLIDE AND INSTALLED ON THE ACFT. WHEN THE PART GOT BACK TO THE SLIDE SHOP WITHOUT THE HARDWARE, THE SHOP HAD THE ACFT CHKED AND THE NEW HARDWARE INSTALLED. THAT'S WHEN I WAS NOTIFIED, THAT THERE WAS AN ECO (ENGINEERING CHANGE ORDER) TO REPLACE THE HARDWARE. I DIDN'T KNOW THAT AT THE TIME.
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.