37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 665525 |
Time | |
Date | 200505 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : takeoff ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
ASRS Report | 665525 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation non adherence : published procedure non adherence : far non adherence : company policies |
Independent Detector | aircraft equipment other aircraft equipment : nose gear unsafe light other flight crewa other flight crewb |
Resolutory Action | flight crew : overcame equipment problem other |
Consequence | other other |
Factors | |
Maintenance | contributing factor : work cards contributing factor : schedule pressure performance deficiency : inspection performance deficiency : non compliance with legal requirements performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft Chart Or Publication Flight Crew Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On may/mon/05; aircraft X came in with a pilot write-up on the nose gear making noise when taxiing. The nose gear was inspected and it was decided to change the steering collar due to being worn. I was asked to stay over on overtime to work on removing the collar with another technician. The aircraft was taken to the hangar. Working with task card X; step #1 has you install the gear ground lock; which I did and then I signed the task card step #1. Company policy in accordance with the gpm has you make a logbook entry whenever you install gear ground locks. I was going to do this; but the book was not at the work site. I decided I would make the entry later. After removing the collar; I turned over my part of the job to another technician who came in early to take over for me. The following morning when I came to work; I was informed aircraft X made an air turn-back and it was discovered the ground was still installed and I had not made a log entry. I admitted I had forgot to make the entry. I take full responsibility for it. I talked with the supervisor about the incident. He told me he was going to submit changes to the task card to the problem doesn't happen again. I had thought the incident was taken care of until a couple days ago when I received a call from mr X telling me the FAA was looking into the turn-back. I have since pulled up the task card and there have been revisions made to it addressing the above matter.
Original NASA ASRS Text
Title: A B737-200 RETURNED TO THE FIELD DUE TO UNABLE TO RETRACT THE LNDG GEAR. FOUND ;GEAR GND LOCK STILL INSTALLED.
Narrative: ON MAY/MON/05; ACFT X CAME IN WITH A PLT WRITE-UP ON THE NOSE GEAR MAKING NOISE WHEN TAXIING. THE NOSE GEAR WAS INSPECTED AND IT WAS DECIDED TO CHANGE THE STEERING COLLAR DUE TO BEING WORN. I WAS ASKED TO STAY OVER ON OVERTIME TO WORK ON REMOVING THE COLLAR WITH ANOTHER TECHNICIAN. THE ACFT WAS TAKEN TO THE HANGAR. WORKING WITH TASK CARD X; STEP #1 HAS YOU INSTALL THE GEAR GND LOCK; WHICH I DID AND THEN I SIGNED THE TASK CARD STEP #1. COMPANY POLICY IN ACCORDANCE WITH THE GPM HAS YOU MAKE A LOGBOOK ENTRY WHENEVER YOU INSTALL GEAR GND LOCKS. I WAS GOING TO DO THIS; BUT THE BOOK WAS NOT AT THE WORK SITE. I DECIDED I WOULD MAKE THE ENTRY LATER. AFTER REMOVING THE COLLAR; I TURNED OVER MY PART OF THE JOB TO ANOTHER TECHNICIAN WHO CAME IN EARLY TO TAKE OVER FOR ME. THE FOLLOWING MORNING WHEN I CAME TO WORK; I WAS INFORMED ACFT X MADE AN AIR TURN-BACK AND IT WAS DISCOVERED THE GND WAS STILL INSTALLED AND I HAD NOT MADE A LOG ENTRY. I ADMITTED I HAD FORGOT TO MAKE THE ENTRY. I TAKE FULL RESPONSIBILITY FOR IT. I TALKED WITH THE SUPVR ABOUT THE INCIDENT. HE TOLD ME HE WAS GOING TO SUBMIT CHANGES TO THE TASK CARD TO THE PROB DOESN'T HAPPEN AGAIN. I HAD THOUGHT THE INCIDENT WAS TAKEN CARE OF UNTIL A COUPLE DAYS AGO WHEN I RECEIVED A CALL FROM MR X TELLING ME THE FAA WAS LOOKING INTO THE TURN-BACK. I HAVE SINCE PULLED UP THE TASK CARD AND THERE HAVE BEEN REVISIONS MADE TO IT ADDRESSING THE ABOVE MATTER.
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.