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A B737-300 was dispatched in non compliance with an airworthiness directive on the rudder front spar accomplished incorrectly due to unclr paperwork.
| Attributes | |
| ACN | 628441 |
| Time | |
| Date | 200402 |
| Day | Sun |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B737-300 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| ASRS Report | 628441 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | oversight : supervisor |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : company policies non adherence : far non adherence : published procedure |
| Independent Detector | other other : 2 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other Other |
| Factors | |
| Maintenance | contributing factor : work cards contributing factor : engineering procedure contributing factor : schedule pressure performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance performance deficiency : inspection |
| Supplementary | |
| Problem Areas | Chart Or Publication Maintenance Human Performance Aircraft |
| Primary Problem | Chart Or Publication |
Narrative:
Problem was brought to my attention by supervisor discovered by maintenance records. Subject was airworthiness directive special inspection. On feb/sun/04, we were issued a new airworthiness directive special inspection. After reading description and inspection instructions and looking at figures on the rudder front spar was idented as aluminum based on what we thought needed to be inspected. Identing it as aluminum we north/a (not applicable) all step following inspection portion, per description on front page as noted. Aircraft X has had special inspection revision #2 accomplished on aug/wed/04. Si has since been revised for clarity and mechanics have been made aware of inspection specifics.
Original NASA ASRS Text
Title: A B737-300 WAS DISPATCHED IN NON COMPLIANCE WITH AN AIRWORTHINESS DIRECTIVE ON THE RUDDER FRONT SPAR ACCOMPLISHED INCORRECTLY DUE TO UNCLR PAPERWORK.
Narrative: PROB WAS BROUGHT TO MY ATTN BY SUPVR DISCOVERED BY MAINT RECORDS. SUBJECT WAS AIRWORTHINESS DIRECTIVE SPECIAL INSPECTION. ON FEB/SUN/04, WE WERE ISSUED A NEW AIRWORTHINESS DIRECTIVE SPECIAL INSPECTION. AFTER READING DESCRIPTION AND INSPECTION INSTRUCTIONS AND LOOKING AT FIGURES ON THE RUDDER FRONT SPAR WAS IDENTED AS ALUMINUM BASED ON WHAT WE THOUGHT NEEDED TO BE INSPECTED. IDENTING IT AS ALUMINUM WE N/A (NOT APPLICABLE) ALL STEP FOLLOWING INSPECTION PORTION, PER DESCRIPTION ON FRONT PAGE AS NOTED. ACFT X HAS HAD SPECIAL INSPECTION REVISION #2 ACCOMPLISHED ON AUG/WED/04. SI HAS SINCE BEEN REVISED FOR CLARITY AND MECHS HAVE BEEN MADE AWARE OF INSPECTION SPECIFICS.
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.