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An engine shop parts cleaner reports mixing up paperwork and putting a JT8D engine high pressure pneumatic duct in an alkaline cleaning tank.
| Attributes | |
| ACN | 656134 |
| Time | |
| Date | 200504 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Flight Phase | ground : maintenance |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | other personnel other |
| ASRS Report | 656134 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | other personnel other |
| Events | |
| Anomaly | maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
| Independent Detector | other other : 1 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | Other |
| Factors | |
| Maintenance | performance deficiency : scheduled maintenance performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Chart Or Publication Environmental Factor |
| Primary Problem | Maintenance Human Performance |
Narrative:
I had checked serial numbers on both ducts (X and Y) but took paperwork off both and got paperwork mixed up and put the Y in the alkaline ab tank #X by mistake. Will be more cautious by doublechking paperwork and leaving paperwork with each part before running part.
Original NASA ASRS Text
Title: AN ENG SHOP PARTS CLEANER RPTS MIXING UP PAPERWORK AND PUTTING A JT8D ENG HIGH PRESSURE PNEUMATIC DUCT IN AN ALKALINE CLEANING TANK.
Narrative: I HAD CHKED SERIAL NUMBERS ON BOTH DUCTS (X AND Y) BUT TOOK PAPERWORK OFF BOTH AND GOT PAPERWORK MIXED UP AND PUT THE Y IN THE ALKALINE AB TANK #X BY MISTAKE. WILL BE MORE CAUTIOUS BY DOUBLECHKING PAPERWORK AND LEAVING PAPERWORK WITH EACH PART BEFORE RUNNING PART.
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.