37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 633898 |
Time | |
Date | 200410 |
Day | Thu |
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 | B767-300 and 300 ER |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Qualification | technician : airframe technician : powerplant |
Experience | maintenance lead technician : 5 maintenance technician : 16 |
ASRS Report | 633898 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
Experience | maintenance technician : 16 |
ASRS Report | 633548 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
Independent Detector | other other : 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : work cards performance deficiency : inspection performance deficiency : logbook entry performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance |
Supplementary | |
Problem Areas | Aircraft Chart Or Publication Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
Engineering authority/authorized rev B me-02 was set-up for ZZZ to rework the bonding capability of a ground stud bracket for the dc generator tru (transformer rectifier unit). Only part of the entire procedure was printed up when I worked the engineering authority/authorized on air carrier X oct/thu/04 and air carrier Y oct/fri/04 and I failed to read through the engineering authority/authorized paperwork completely. It was my interpretation at the time that we were just supposed to do the bonding/resistance check when in fact the ground bracket needed to be removed, cleaned, and reinstalled. This resulted in the engineering authority/authorized having to be reworked on these 2 aircraft.
Original NASA ASRS Text
Title: 2 B767-300 ACFT WERE DISPATCHED IN NON COMPLIANCE WITH PARTIALLY ACCOMPLISHED ENGINEERING AUTH PROJECTS.
Narrative: ENGINEERING AUTH REV B ME-02 WAS SET-UP FOR ZZZ TO REWORK THE BONDING CAPABILITY OF A GND STUD BRACKET FOR THE DC GENERATOR TRU (TRANSFORMER RECTIFIER UNIT). ONLY PART OF THE ENTIRE PROC WAS PRINTED UP WHEN I WORKED THE ENGINEERING AUTH ON ACR X OCT/THU/04 AND ACR Y OCT/FRI/04 AND I FAILED TO READ THROUGH THE ENGINEERING AUTH PAPERWORK COMPLETELY. IT WAS MY INTERP AT THE TIME THAT WE WERE JUST SUPPOSED TO DO THE BONDING/RESISTANCE CHK WHEN IN FACT THE GND BRACKET NEEDED TO BE REMOVED, CLEANED, AND REINSTALLED. THIS RESULTED IN THE ENGINEERING AUTH HAVING TO BE REWORKED ON THESE 2 ACFT.
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.