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A stores clerk issued a part that was installed on an EMB145. When completing the paperwork it was discovered the part was never inspected when received in stores.
| Attributes | |
| ACN | 663275 |
| 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 | EMB ERJ 145 ER&LR |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : parked |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | other personnel other |
| ASRS Report | 663275 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | other personnel other |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
| Independent Detector | other other : 4 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | performance deficiency : inspection performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Aircraft Chart Or Publication |
| Primary Problem | Maintenance Human Performance |
Narrative:
While working in the hangar on my shift; I received an aircraft on ground request from the storeroom line; terminal satellite. I immediately found; pulled; and sent the part. The stock clerk in the parts room issued this part to aircraft X. Maintenance received and installed the part. Nobody; including me; rechked the paperwork. Maintenance discovered the error after the aircraft left for its destination. They then filled out the paperwork to correct the situation. The company needs to improve the receiving process. The part I found should not have been there because it was not inspected. We are obliged to work in haste. We are short of personnel. Callback conversation with reporter revealed the following information: the reporter stated the parts store room is operating short handed and everything has sped up and people in stores and on the line are being pushed. This part should have been inspected and signed off as svcable but was not.
Original NASA ASRS Text
Title: A STORES CLERK ISSUED A PART THAT WAS INSTALLED ON AN EMB145. WHEN COMPLETING THE PAPERWORK IT WAS DISCOVERED THE PART WAS NEVER INSPECTED WHEN RECEIVED IN STORES.
Narrative: WHILE WORKING IN THE HANGAR ON MY SHIFT; I RECEIVED AN ACFT ON GND REQUEST FROM THE STOREROOM LINE; TERMINAL SATELLITE. I IMMEDIATELY FOUND; PULLED; AND SENT THE PART. THE STOCK CLERK IN THE PARTS ROOM ISSUED THIS PART TO ACFT X. MAINT RECEIVED AND INSTALLED THE PART. NOBODY; INCLUDING ME; RECHKED THE PAPERWORK. MAINT DISCOVERED THE ERROR AFTER THE ACFT LEFT FOR ITS DEST. THEY THEN FILLED OUT THE PAPERWORK TO CORRECT THE SIT. THE COMPANY NEEDS TO IMPROVE THE RECEIVING PROCESS. THE PART I FOUND SHOULD NOT HAVE BEEN THERE BECAUSE IT WAS NOT INSPECTED. WE ARE OBLIGED TO WORK IN HASTE. WE ARE SHORT OF PERSONNEL. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR STATED THE PARTS STORE ROOM IS OPERATING SHORT HANDED AND EVERYTHING HAS SPED UP AND PEOPLE IN STORES AND ON THE LINE ARE BEING PUSHED. THIS PART SHOULD HAVE BEEN INSPECTED AND SIGNED OFF AS SVCABLE BUT WAS NOT.
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.