37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 648793 |
Time | |
Date | 200502 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B757-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
Experience | maintenance technician : 22 |
ASRS Report | 648793 |
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 : 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 contributing factor : engineering procedure performance deficiency : repair performance deficiency : non compliance with legal requirements performance deficiency : inspection performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Environmental Factor Company Chart Or Publication Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
Nose cowl came into shop because of acoustic panel damage. Due to cowl history; an inspection and repair form was developed to encompass problem areas on the cowl. After inspection was complete; air carrier chose to disregard certain items because the repair time would take too long. 1) corrosion found in cowl mount holes. Management signed off write-up even though corrosion existed. Maintenance insisted on removing corrosion per the maintenance manual. 1 hole was so badly corroded it went from .375 to .500 before corrosion was removed. Even after holes were repaired; the alodine and prime step was still not completed to prevent future corrosion in a known corrosion area. 2) the fan case abutment groove on the aft edge of the cowl (entire circumference) ahd 50% of its flame spray missing and wear into the 'V' groove. After wear was blended and ready for flame spray; the decision was made to not flame spray; but to apply moly coat anti-abrasion. Then made the signoff using an unrelated engineering authority/authorized. This will result in premature failure of abutment face. Moly coat requires heat to cure. No heat was used -- moly is basically ineffective. Problem brought to management -- no results. Problem brought to management completing work -- no results. Problem brought to union standards committee -- no results. Problem being brought to FAA.
Original NASA ASRS Text
Title: A B757-200 ENG INLET COWLING SHOP TECHNICIAN ALLEGES IMPROPER REPAIR PROCS BEING PRACTICED WITH UNRELATED ENGINEERING AUTHS.
Narrative: NOSE COWL CAME INTO SHOP BECAUSE OF ACOUSTIC PANEL DAMAGE. DUE TO COWL HISTORY; AN INSPECTION AND REPAIR FORM WAS DEVELOPED TO ENCOMPASS PROB AREAS ON THE COWL. AFTER INSPECTION WAS COMPLETE; ACR CHOSE TO DISREGARD CERTAIN ITEMS BECAUSE THE REPAIR TIME WOULD TAKE TOO LONG. 1) CORROSION FOUND IN COWL MOUNT HOLES. MGMNT SIGNED OFF WRITE-UP EVEN THOUGH CORROSION EXISTED. MAINT INSISTED ON REMOVING CORROSION PER THE MAINT MANUAL. 1 HOLE WAS SO BADLY CORRODED IT WENT FROM .375 TO .500 BEFORE CORROSION WAS REMOVED. EVEN AFTER HOLES WERE REPAIRED; THE ALODINE AND PRIME STEP WAS STILL NOT COMPLETED TO PREVENT FUTURE CORROSION IN A KNOWN CORROSION AREA. 2) THE FAN CASE ABUTMENT GROOVE ON THE AFT EDGE OF THE COWL (ENTIRE CIRCUMFERENCE) AHD 50% OF ITS FLAME SPRAY MISSING AND WEAR INTO THE 'V' GROOVE. AFTER WEAR WAS BLENDED AND READY FOR FLAME SPRAY; THE DECISION WAS MADE TO NOT FLAME SPRAY; BUT TO APPLY MOLY COAT ANTI-ABRASION. THEN MADE THE SIGNOFF USING AN UNRELATED ENGINEERING AUTH. THIS WILL RESULT IN PREMATURE FAILURE OF ABUTMENT FACE. MOLY COAT REQUIRES HEAT TO CURE. NO HEAT WAS USED -- MOLY IS BASICALLY INEFFECTIVE. PROB BROUGHT TO MGMNT -- NO RESULTS. PROB BROUGHT TO MGMNT COMPLETING WORK -- NO RESULTS. PROB BROUGHT TO UNION STANDARDS COMMITTEE -- NO RESULTS. PROB BEING BROUGHT TO FAA.
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.