37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 629979 |
Time | |
Date | 200409 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
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 | DC-9 50 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant |
Experience | maintenance technician : 42 |
ASRS Report | 629979 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Experience | maintenance technician : 41 |
ASRS Report | 629980 |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | other other : 3 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : installation performance deficiency : logbook entry performance deficiency : scheduled maintenance performance deficiency : inspection |
Supplementary | |
Problem Areas | Chart Or Publication Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
I performed a procedure which did not follow established maintenance procedures. This happened on approximately 9 engines. When questioned by management on our procedures, we determined that our process was not in strict compliance with written procedures. The procedure involved a torque and stretch method process. After many tests, we established that the torque and stretch method resulted in a final torque of 275 inch pounds, and therefore believed that the required torque of 275 inch pounds could be attained without going through the stretching procedure. I now realize that I deviated from the established procedures and in the future, I will abide by standard practices.
Original NASA ASRS Text
Title: DC9-50 JT8D-219 LOW PRESSURE COMPRESSOR ASSEMBLY BOLTS WERE IMPROPERLY TORQUED USING THE BOLT STRETCH PROC.
Narrative: I PERFORMED A PROC WHICH DID NOT FOLLOW ESTABLISHED MAINT PROCS. THIS HAPPENED ON APPROX 9 ENGS. WHEN QUESTIONED BY MGMNT ON OUR PROCS, WE DETERMINED THAT OUR PROCESS WAS NOT IN STRICT COMPLIANCE WITH WRITTEN PROCS. THE PROC INVOLVED A TORQUE AND STRETCH METHOD PROCESS. AFTER MANY TESTS, WE ESTABLISHED THAT THE TORQUE AND STRETCH METHOD RESULTED IN A FINAL TORQUE OF 275 INCH LBS, AND THEREFORE BELIEVED THAT THE REQUIRED TORQUE OF 275 INCH LBS COULD BE ATTAINED WITHOUT GOING THROUGH THE STRETCHING PROC. I NOW REALIZE THAT I DEVIATED FROM THE ESTABLISHED PROCS AND IN THE FUTURE, I WILL ABIDE BY STANDARD PRACTICES.
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.