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|
Attributes | |
ACN | 632589 |
Time | |
Date | 200409 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : zzz.tower |
Make Model Name | B737-800 |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : initial ground : parked |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
Experience | maintenance technician : 5 |
ASRS Report | 632589 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance technician : 15 |
ASRS Report | 632210 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far non adherence : company policies |
Independent Detector | aircraft equipment other aircraft equipment : nose gear position indication other flight crewa other flight crewb |
Resolutory Action | flight crew : diverted to another airport |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : installation performance deficiency : logbook entry performance deficiency : non compliance with legal requirements performance deficiency : inspection |
Supplementary | |
Problem Areas | Maintenance Human Performance Flight Crew Human Performance Environmental Factor Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
I was involved in an incident with air carrier X. The aircraft came in for a quick turn at approximately XA30 local with an inbound write-up for a nosewheel shimmy. It also had several other inbound write-ups in the book. We were short on manpower and on time. A fellow mechanic and I changed the nose gear tires per the maintenance manual. In our rush to get done we did not remove the nose gear pin. The logbook was placed on board the aircraft before the crew arrived. The aircraft left and then promptly returned with a write-up stating 'upon gear retraction, nose gear light illuminated and remained on.' this was a major oversight by me that should not have happened. In my 5 yrs in aviation and with the company, this is the first incident I have had of this type, and it won't happen again. In the future I will be more cautious.
Original NASA ASRS Text
Title: A B737-800 WAS DISPATCHED IN NON COMPLIANCE WITH THE NOSE GEAR PINNED. RETURNED TO THE FIELD.
Narrative: I WAS INVOLVED IN AN INCIDENT WITH ACR X. THE ACFT CAME IN FOR A QUICK TURN AT APPROX XA30 LCL WITH AN INBOUND WRITE-UP FOR A NOSEWHEEL SHIMMY. IT ALSO HAD SEVERAL OTHER INBOUND WRITE-UPS IN THE BOOK. WE WERE SHORT ON MANPOWER AND ON TIME. A FELLOW MECH AND I CHANGED THE NOSE GEAR TIRES PER THE MAINT MANUAL. IN OUR RUSH TO GET DONE WE DID NOT REMOVE THE NOSE GEAR PIN. THE LOGBOOK WAS PLACED ON BOARD THE ACFT BEFORE THE CREW ARRIVED. THE ACFT LEFT AND THEN PROMPTLY RETURNED WITH A WRITE-UP STATING 'UPON GEAR RETRACTION, NOSE GEAR LIGHT ILLUMINATED AND REMAINED ON.' THIS WAS A MAJOR OVERSIGHT BY ME THAT SHOULD NOT HAVE HAPPENED. IN MY 5 YRS IN AVIATION AND WITH THE COMPANY, THIS IS THE FIRST INCIDENT I HAVE HAD OF THIS TYPE, AND IT WON'T HAPPEN AGAIN. IN THE FUTURE I WILL BE MORE CAUTIOUS.
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.