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A B737-400 was released for service with the FAA required inspection not accomplished on the re-torquing of #2 engine mount cone bolts.
| Attributes | |
| ACN | 646959 |
| Time | |
| Date | 200502 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B737-400 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| ASRS Report | 646959 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician oversight : supervisor |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
| Independent Detector | other other : 2 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | performance deficiency : testing performance deficiency : scheduled maintenance performance deficiency : inspection performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Aircraft Maintenance Human Performance Chart Or Publication |
| Primary Problem | Maintenance Human Performance |
Narrative:
During review of the overnight package for aircraft X. I missed the lack of all rii buyoff of the torque of the #2 engine cone bolts on the engine install task card. More time is required to review the mass of paper work when there is an engine change or many tasks attached to the overnight package.
Original NASA ASRS Text
Title: A B737-400 WAS RELEASED FOR SVC WITH THE FAA REQUIRED INSPECTION NOT ACCOMPLISHED ON THE RE-TORQUING OF #2 ENG MOUNT CONE BOLTS.
Narrative: DURING REVIEW OF THE OVERNIGHT PACKAGE FOR ACFT X. I MISSED THE LACK OF ALL RII BUYOFF OF THE TORQUE OF THE #2 ENG CONE BOLTS ON THE ENG INSTALL TASK CARD. MORE TIME IS REQUIRED TO REVIEW THE MASS OF PAPER WORK WHEN THERE IS AN ENG CHANGE OR MANY TASKS ATTACHED TO THE OVERNIGHT PACKAGE.
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.