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|
Attributes | |
ACN | 628930 |
Time | |
Date | 200408 |
Day | Sat |
Local Time Of Day | 0001 To 0600 |
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 |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : fcc technician : airframe |
Experience | maintenance technician : 17 |
ASRS Report | 628930 |
Person 2 | |
Affiliation | Other |
Function | maintenance : technician |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : published procedure non adherence : far non adherence : company policies |
Independent Detector | other other : 2 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : lighting contributing factor : schedule pressure performance deficiency : inspection performance deficiency : repair performance deficiency : training performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : installation |
Supplementary | |
Problem Areas | FAA Aircraft Company Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On aug/sat/04, while performing layover check found left nose tire worn to limits. Approximately XA30, replaced wheel assembly. Aircraft departed the morning of aug/sun/04 and flew 6 days with no reported nosewheel problems. On aug/fri/04 the wheel overhaul shop discovered the inner wheel spacer and informed the maintenance coordination center which had an immediate inspection for spacer on left nosewheel. The aircraft took a 7 min delay while the spacer was installed. At time of the nosewheel installation I failed to notice that the inner spacer had stuck to the wheel bearing when removing the wheel. Lighting conditions at the time were a factor.
Original NASA ASRS Text
Title: B767-300 MECH LEFT OUT A NOSEWHEEL BEARING SPACER WHEN CHANGING A TIRE.
Narrative: ON AUG/SAT/04, WHILE PERFORMING LAYOVER CHK FOUND L NOSE TIRE WORN TO LIMITS. APPROX XA30, REPLACED WHEEL ASSEMBLY. ACFT DEPARTED THE MORNING OF AUG/SUN/04 AND FLEW 6 DAYS WITH NO RPTED NOSEWHEEL PROBS. ON AUG/FRI/04 THE WHEEL OVERHAUL SHOP DISCOVERED THE INNER WHEEL SPACER AND INFORMED THE MAINT COORD CTR WHICH HAD AN IMMEDIATE INSPECTION FOR SPACER ON L NOSEWHEEL. THE ACFT TOOK A 7 MIN DELAY WHILE THE SPACER WAS INSTALLED. AT TIME OF THE NOSEWHEEL INSTALLATION I FAILED TO NOTICE THAT THE INNER SPACER HAD STUCK TO THE WHEEL BEARING WHEN REMOVING THE WHEEL. LIGHTING CONDITIONS AT THE TIME WERE A FACTOR.
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.