37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 646794 |
Time | |
Date | 200502 |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Aircraft 1 | |
Controlling Facilities | tower : cmh.tower |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance ground : parked |
Person 1 | |
Affiliation | company : air carrier |
Qualification | technician : airframe technician : powerplant technician : inspection authority technician : fcc |
Experience | maintenance avionics : 18 maintenance supervisor : 28 |
ASRS Report | 646794 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | performance deficiency : non compliance with legal requirements performance deficiency : testing performance deficiency : installation |
Supplementary | |
Problem Areas | Chart Or Publication Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
Pilot reported a bleedover hum in audio system. I checked system (a computer system to verify part number effective for specific aircraft). I took part to plane and installed and checked system -- operation was normal. This happened on feb/wed/05. On feb/mon/05 correct part was installed after a records/logbook check. I had installed the wrong dash number part on aircraft (mpn x-x; the correct part number was x-y). Air carrier has a system that mechanic must check before installing any part on an aircraft. The aircraft involved was aircraft X. I was assigned to work on 2 aircraft that night and helped others with an additional 2 aircraft. I can't remember how I made this mistake; but I remember I checked system so I would know what part to take to the aircraft. I must have typed in the wrong aircraft number either by transposing numbers or typing in one of the other aircraft I worked on that night by mistake. I have no excuses; I just messed up. Work factors were really not an issue; the workload was fairly light and since it was a remain overnight check; there was no time factor involved.
Original NASA ASRS Text
Title: A B737-300 WAS DISPATCHED WITH THE INCORRECT CAPT'S AUDIO PANEL INSTALLED.
Narrative: PLT RPTED A BLEEDOVER HUM IN AUDIO SYS. I CHKED SYS (A COMPUTER SYS TO VERIFY PART NUMBER EFFECTIVE FOR SPECIFIC ACFT). I TOOK PART TO PLANE AND INSTALLED AND CHKED SYS -- OP WAS NORMAL. THIS HAPPENED ON FEB/WED/05. ON FEB/MON/05 CORRECT PART WAS INSTALLED AFTER A RECORDS/LOGBOOK CHK. I HAD INSTALLED THE WRONG DASH NUMBER PART ON ACFT (MPN X-X; THE CORRECT PART NUMBER WAS X-Y). ACR HAS A SYS THAT MECH MUST CHK BEFORE INSTALLING ANY PART ON AN ACFT. THE ACFT INVOLVED WAS ACFT X. I WAS ASSIGNED TO WORK ON 2 ACFT THAT NIGHT AND HELPED OTHERS WITH AN ADDITIONAL 2 ACFT. I CAN'T REMEMBER HOW I MADE THIS MISTAKE; BUT I REMEMBER I CHKED SYS SO I WOULD KNOW WHAT PART TO TAKE TO THE ACFT. I MUST HAVE TYPED IN THE WRONG ACFT NUMBER EITHER BY TRANSPOSING NUMBERS OR TYPING IN ONE OF THE OTHER ACFT I WORKED ON THAT NIGHT BY MISTAKE. I HAVE NO EXCUSES; I JUST MESSED UP. WORK FACTORS WERE REALLY NOT AN ISSUE; THE WORKLOAD WAS FAIRLY LIGHT AND SINCE IT WAS A REMAIN OVERNIGHT CHK; THERE WAS NO TIME FACTOR INVOLVED.
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.