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|
Attributes | |
ACN | 643367 |
Time | |
Date | 200501 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B747-400 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Qualification | technician : airframe technician : powerplant technician : fcc |
Experience | maintenance technician : 25 |
ASRS Report | 643367 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : non compliance with mel maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : flt management display other other : 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : non availability of parts contributing factor : schedule pressure performance deficiency : fault isolation performance deficiency : logbook entry performance deficiency : non compliance with legal requirements performance deficiency : testing performance deficiency : training performance deficiency : unqualified personnel performance deficiency : installation |
Supplementary | |
Problem Areas | Aircraft Environmental Factor Company Chart Or Publication Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On jan/fri/05 I was assisting another technician who was called out for a problem on a B747-400. The discrepancy was: 'right FMC data out of time.' while in the cockpit looking at this problem; the left FMC 'locked up' and was effectively inoperative. Since this meant that there were 2 FMC's now inoperative; 1 of them had to be fixed; since the MEL will only allow 1 FMC to be inoperative. We attempted to order the left FMC from stock and were informed that there were none in stock. We now had to 'rob' the part from another aircraft since the one we were working on was scheduled to depart for ZZZZ. While removing or robbing the part from another aircraft; I inadvertently removed a flight control computer instead of a flight management computer and installed it on the aircraft we were working on. We then went to load the database on the FMC that we thought we had installed; but really didn't because I had changed the wrong computer. However; we were; after a time; able to load the database and the left FMC started functioning normally and tested normally per the maintenance manual. We then deferred the right FMC per the applicable MEL. While we were completing the logbook entries; we realized that the wrong part had been changed; so we attempted to set up more time to correct the situation when management (line maintenance manager on duty at the time); overrode our decision and called the aircraft good to go and the aircraft departed for ZZZZ. I then generated a non routine work card for the FCC that I changed and deferred it incorrectly to visual check instead of an autoland confign deferral that it should have had; so the aircraft departed without the proper autoland confign chkout that it should have had. To my knowledge; no messages were generated in-flight and the system operated normally. I don't believe that there was any safety of flight issue since the left FMC was operating normally and both left and right FCC's were operating normally. Upon arrival in ZZZZ; the left FCC was replaced and autoland confign qualified; and upon arrival back in ZZZ; the right FMC was replaced per the applicable maintenance manuals.
Original NASA ASRS Text
Title: A B747-400 WAS DISPATCHED WITH THE L FMS INOP DUE TO AN AUTOPLT FLT CTL COMPUTER BEING INADVERTENTLY INSTALLED IN THE FMC POS.
Narrative: ON JAN/FRI/05 I WAS ASSISTING ANOTHER TECHNICIAN WHO WAS CALLED OUT FOR A PROB ON A B747-400. THE DISCREPANCY WAS: 'R FMC DATA OUT OF TIME.' WHILE IN THE COCKPIT LOOKING AT THIS PROB; THE L FMC 'LOCKED UP' AND WAS EFFECTIVELY INOP. SINCE THIS MEANT THAT THERE WERE 2 FMC'S NOW INOP; 1 OF THEM HAD TO BE FIXED; SINCE THE MEL WILL ONLY ALLOW 1 FMC TO BE INOP. WE ATTEMPTED TO ORDER THE L FMC FROM STOCK AND WERE INFORMED THAT THERE WERE NONE IN STOCK. WE NOW HAD TO 'ROB' THE PART FROM ANOTHER ACFT SINCE THE ONE WE WERE WORKING ON WAS SCHEDULED TO DEPART FOR ZZZZ. WHILE REMOVING OR ROBBING THE PART FROM ANOTHER ACFT; I INADVERTENTLY REMOVED A FLT CTL COMPUTER INSTEAD OF A FLT MGMNT COMPUTER AND INSTALLED IT ON THE ACFT WE WERE WORKING ON. WE THEN WENT TO LOAD THE DATABASE ON THE FMC THAT WE THOUGHT WE HAD INSTALLED; BUT REALLY DIDN'T BECAUSE I HAD CHANGED THE WRONG COMPUTER. HOWEVER; WE WERE; AFTER A TIME; ABLE TO LOAD THE DATABASE AND THE L FMC STARTED FUNCTIONING NORMALLY AND TESTED NORMALLY PER THE MAINT MANUAL. WE THEN DEFERRED THE R FMC PER THE APPLICABLE MEL. WHILE WE WERE COMPLETING THE LOGBOOK ENTRIES; WE REALIZED THAT THE WRONG PART HAD BEEN CHANGED; SO WE ATTEMPTED TO SET UP MORE TIME TO CORRECT THE SIT WHEN MGMNT (LINE MAINT MGR ON DUTY AT THE TIME); OVERRODE OUR DECISION AND CALLED THE ACFT GOOD TO GO AND THE ACFT DEPARTED FOR ZZZZ. I THEN GENERATED A NON ROUTINE WORK CARD FOR THE FCC THAT I CHANGED AND DEFERRED IT INCORRECTLY TO VISUAL CHK INSTEAD OF AN AUTOLAND CONFIGN DEFERRAL THAT IT SHOULD HAVE HAD; SO THE ACFT DEPARTED WITHOUT THE PROPER AUTOLAND CONFIGN CHKOUT THAT IT SHOULD HAVE HAD. TO MY KNOWLEDGE; NO MESSAGES WERE GENERATED INFLT AND THE SYS OPERATED NORMALLY. I DON'T BELIEVE THAT THERE WAS ANY SAFETY OF FLT ISSUE SINCE THE L FMC WAS OPERATING NORMALLY AND BOTH L AND R FCC'S WERE OPERATING NORMALLY. UPON ARR IN ZZZZ; THE L FCC WAS REPLACED AND AUTOLAND CONFIGN QUALIFIED; AND UPON ARR BACK IN ZZZ; THE R FMC WAS REPLACED PER THE APPLICABLE MAINT MANUALS.
Data retrieved from NASA's ASRS site as of January 2009 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.