37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 634629 |
Time | |
Date | 200409 |
Day | Sun |
Local Time Of Day | 1801 To 2400 |
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 | B757-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance technician : 7 |
ASRS Report | 634629 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
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 |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : scheduled maintenance performance deficiency : installation |
Supplementary | |
Problem Areas | Chart Or Publication Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
After clearing the deferrals for the APU battery charger using the appropriate fault isolation manual reference, I was instructed by my supervisor and maintenance control to proceed with a battery change which I argued as being unnecessary, being that the battery charger I had installed had fixed the problem and the aircraft was scheduled to depart in approximately 1 hour. The lead man had picked the parts and when they were brought down by the store's personnel, they accidentally brought the wrong battery, and we were unaware of the mistake. The batteries looked the same and all hook-ups and mounting bolts matched, the part numbers were not easily identifiable. The lead man was helping me by filling out the paperwork and I thought he was checking the parts information to make sure the part was good. The supervisor did not take a proactive approach after being informed of the problem and the fact that the aircraft had just pushed back. He delayed calling the aircraft and did not inform them of the pending situation. He never contacted the aircraft, and the aircraft departed.
Original NASA ASRS Text
Title: A B757-200 WAS DISPATCHED IN NON COMPLIANCE WITH THE INCORRECT APU BATTERY INSTALLED.
Narrative: AFTER CLRING THE DEFERRALS FOR THE APU BATTERY CHARGER USING THE APPROPRIATE FAULT ISOLATION MANUAL REF, I WAS INSTRUCTED BY MY SUPVR AND MAINT CTL TO PROCEED WITH A BATTERY CHANGE WHICH I ARGUED AS BEING UNNECESSARY, BEING THAT THE BATTERY CHARGER I HAD INSTALLED HAD FIXED THE PROB AND THE ACFT WAS SCHEDULED TO DEPART IN APPROX 1 HR. THE LEAD MAN HAD PICKED THE PARTS AND WHEN THEY WERE BROUGHT DOWN BY THE STORE'S PERSONNEL, THEY ACCIDENTALLY BROUGHT THE WRONG BATTERY, AND WE WERE UNAWARE OF THE MISTAKE. THE BATTERIES LOOKED THE SAME AND ALL HOOK-UPS AND MOUNTING BOLTS MATCHED, THE PART NUMBERS WERE NOT EASILY IDENTIFIABLE. THE LEAD MAN WAS HELPING ME BY FILLING OUT THE PAPERWORK AND I THOUGHT HE WAS CHKING THE PARTS INFO TO MAKE SURE THE PART WAS GOOD. THE SUPVR DID NOT TAKE A PROACTIVE APCH AFTER BEING INFORMED OF THE PROB AND THE FACT THAT THE ACFT HAD JUST PUSHED BACK. HE DELAYED CALLING THE ACFT AND DID NOT INFORM THEM OF THE PENDING SIT. HE NEVER CONTACTED THE ACFT, AND THE ACFT DEPARTED.
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.