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|
Attributes | |
ACN | 657909 |
Time | |
Date | 200505 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance technician : 25 |
ASRS Report | 657909 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | other other : 3 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : manuals contributing factor : schedule pressure performance deficiency : inspection performance deficiency : repair performance deficiency : non compliance with legal requirements performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Aircraft Chart Or Publication Environmental Factor Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On sat/may/05; I was the upgrade lead. At shift change; I was informed that aircraft X had a fastener missing from the strut access panel above #2 engine. The previous shift mechanic told me that he had secured the panel and taped over the hole for the missing fastener per our procedures. I was asked to do the carry forward on the item. I did so using the maintenance procedures reference. I later learned that the panel was found missing with the arrival of aircraft X in ZZZ1. I researched the srm for the missing fastener requirements and believe I should have used the repair manual as my carry forward reference.
Original NASA ASRS Text
Title: A B737-300 HAD A R ENG STRUT ACCESS PANEL FASTENER MISSING. ITEM DEFERRED WITH INCORRECT REF AND PROCS. PANEL DEPARTED ACFT INFLT.
Narrative: ON SAT/MAY/05; I WAS THE UPGRADE LEAD. AT SHIFT CHANGE; I WAS INFORMED THAT ACFT X HAD A FASTENER MISSING FROM THE STRUT ACCESS PANEL ABOVE #2 ENG. THE PREVIOUS SHIFT MECH TOLD ME THAT HE HAD SECURED THE PANEL AND TAPED OVER THE HOLE FOR THE MISSING FASTENER PER OUR PROCS. I WAS ASKED TO DO THE CARRY FORWARD ON THE ITEM. I DID SO USING THE MAINT PROCS REF. I LATER LEARNED THAT THE PANEL WAS FOUND MISSING WITH THE ARR OF ACFT X IN ZZZ1. I RESEARCHED THE SRM FOR THE MISSING FASTENER REQUIREMENTS AND BELIEVE I SHOULD HAVE USED THE REPAIR MANUAL AS MY CARRY FORWARD REF.
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.