37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 658507 |
Time | |
Date | 200505 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-800 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance technician : 20 |
ASRS Report | 658507 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Qualification | technician : airframe technician : powerplant |
Experience | maintenance technician : 25 |
ASRS Report | 658508 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
Independent Detector | other other : 3 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure contributing factor : engineering procedure performance deficiency : non compliance with legal requirements performance deficiency : repair performance deficiency : logbook entry performance deficiency : inspection |
Supplementary | |
Problem Areas | Chart Or Publication Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
I was called to the aircraft. I measured the dent dimensions; got paperwork from the mechanic; checked limits; it was out of limits; so I gave it to the lead technician to defer. Dent fell within all general conditions. Since the dent was already out of limits; I knew it would have to be deferred to continue service. In reading over the zones to get the proper inspection requirements; I failed to recognize that the dent also was out of limits per another paragraph which signifies a repair must be made or engineering must be involved.
Original NASA ASRS Text
Title: A B737-800 ON A ROUTINE GATE INSPECTION FOUND HORIZ STABILIZER DENT. DENT EVALUATED PER THE SRM. DENT DEFERRED. LATER FOUND DENT OUT OF DEFERRAL LIMITS AND REQUIRED ENGINEERING APPROVAL.
Narrative: I WAS CALLED TO THE ACFT. I MEASURED THE DENT DIMENSIONS; GOT PAPERWORK FROM THE MECH; CHKED LIMITS; IT WAS OUT OF LIMITS; SO I GAVE IT TO THE LEAD TECHNICIAN TO DEFER. DENT FELL WITHIN ALL GENERAL CONDITIONS. SINCE THE DENT WAS ALREADY OUT OF LIMITS; I KNEW IT WOULD HAVE TO BE DEFERRED TO CONTINUE SVC. IN READING OVER THE ZONES TO GET THE PROPER INSPECTION REQUIREMENTS; I FAILED TO RECOGNIZE THAT THE DENT ALSO WAS OUT OF LIMITS PER ANOTHER PARAGRAPH WHICH SIGNIFIES A REPAIR MUST BE MADE OR ENGINEERING MUST BE INVOLVED.
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.