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|
Attributes | |
ACN | 654541 |
Time | |
Date | 200504 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-400 |
Operating Under FAR Part | Part 121 |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
ASRS Report | 654541 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : company policies 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 | contributing factor : work cards contributing factor : schedule pressure performance deficiency : scheduled maintenance performance deficiency : inspection |
Supplementary | |
Problem Areas | Chart Or Publication Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On apr/tue/05 I worked on aircraft X. I did a service check. The aircraft was located at the cargo area. I opened the cowls to check starter level and perform a visual check of the engine. Engine #2 starter oil was low and I svced. I latched all the latches on both engines. In the morning; aircraft X had to be towed to the gate and I did a walkaround and did not notice the latches being open. I rode brakes during the towing and secured the aircraft upon arrival to the gate.
Original NASA ASRS Text
Title: A B737-400 WAS DELIVERED TO THE GATE AFTER A SVC CHK WITH ENG COWLING LATCHES UNLOCKED.
Narrative: ON APR/TUE/05 I WORKED ON ACFT X. I DID A SVC CHK. THE ACFT WAS LOCATED AT THE CARGO AREA. I OPENED THE COWLS TO CHK STARTER LEVEL AND PERFORM A VISUAL CHK OF THE ENG. ENG #2 STARTER OIL WAS LOW AND I SVCED. I LATCHED ALL THE LATCHES ON BOTH ENGS. IN THE MORNING; ACFT X HAD TO BE TOWED TO THE GATE AND I DID A WALKAROUND AND DID NOT NOTICE THE LATCHES BEING OPEN. I RODE BRAKES DURING THE TOWING AND SECURED THE ACFT UPON ARR TO THE GATE.
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.