37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 667150 |
Time | |
Date | 200507 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | A320 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
Experience | maintenance technician : 29 |
ASRS Report | 667150 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : published procedure non adherence : far |
Independent Detector | aircraft equipment other aircraft equipment : ecam - flt ctl warning other flight crewa other flight crewb |
Resolutory Action | flight crew : diverted to another airport flight crew : overcame equipment problem |
Factors | |
Maintenance | contributing factor : manuals performance deficiency : installation performance deficiency : inspection performance deficiency : logbook entry performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance |
Supplementary | |
Problem Areas | Chart Or Publication Aircraft Maintenance Human Performance Company |
Primary Problem | Maintenance Human Performance |
Narrative:
The only explanation I have is that it was an oversight/mistake on my part. It appears that somehow when I installed the bolt and safetied it; I did not get the bolt through the rod end. I did run flaps up and down and no faults were noted and system worked normal. Contributing factors that possibly could have helped prevent this; are that in the past; 2 men have always been assigned to accomplish this task; but recently due to lack of manpwr only one has been assigned. Since the incident; my lead technician has initiated a form to have inspection do a final buy-back. As of now; they only inspect the strut. As per my lead technician; he recommended this to our manager a couple of months ago due to other incidents. With inspection buy-back this would prevent this from happening in the future. I personally believe that any flight control should be even an rii item.
Original NASA ASRS Text
Title: AN AIRBUS 320 FLAP DRIVE STRUT ROD END WAS NOT CONNECTED PROPERLY CAUSING AN AIR RETURN.
Narrative: THE ONLY EXPLANATION I HAVE IS THAT IT WAS AN OVERSIGHT/MISTAKE ON MY PART. IT APPEARS THAT SOMEHOW WHEN I INSTALLED THE BOLT AND SAFETIED IT; I DID NOT GET THE BOLT THROUGH THE ROD END. I DID RUN FLAPS UP AND DOWN AND NO FAULTS WERE NOTED AND SYS WORKED NORMAL. CONTRIBUTING FACTORS THAT POSSIBLY COULD HAVE HELPED PREVENT THIS; ARE THAT IN THE PAST; 2 MEN HAVE ALWAYS BEEN ASSIGNED TO ACCOMPLISH THIS TASK; BUT RECENTLY DUE TO LACK OF MANPWR ONLY ONE HAS BEEN ASSIGNED. SINCE THE INCIDENT; MY LEAD TECHNICIAN HAS INITIATED A FORM TO HAVE INSPECTION DO A FINAL BUY-BACK. AS OF NOW; THEY ONLY INSPECT THE STRUT. AS PER MY LEAD TECHNICIAN; HE RECOMMENDED THIS TO OUR MGR A COUPLE OF MONTHS AGO DUE TO OTHER INCIDENTS. WITH INSPECTION BUY-BACK THIS WOULD PREVENT THIS FROM HAPPENING IN THE FUTURE. I PERSONALLY BELIEVE THAT ANY FLT CTL SHOULD BE EVEN AN RII ITEM.
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.