37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 669001 |
Time | |
Date | 200508 |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-700 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
ASRS Report | 669001 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : inspector |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : low press warning light other flight crewa other flight crewb |
Resolutory Action | other |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure contributing factor : work cards performance deficiency : non compliance with legal requirements performance deficiency : testing performance deficiency : logbook entry performance deficiency : installation performance deficiency : inspection |
Supplementary | |
Problem Areas | Chart Or Publication Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
I was assigned to an engine change on a B737-700 aircraft with 3 other guys that had never performed this task before. During installation; a hydraulic line for the case drain was overlooked. It was tucked under a filter housing. It was overlooked by the mechanics and inspection and no indication was found on engine leak check or engine run-up. The aircraft was released and returned with a flickering low pressure light. The line found the hydraulic line disconnected and reconnected it. A new hydraulic pump was installed due to overtemp. I signed off work that I had not completed.
Original NASA ASRS Text
Title: A B737-700 RETURNED WITH A FLICKERING HYD LOW PRESSURE LIGHT. THIS ENG WAS REPLACED PRIOR TO RELEASE. FOUND THE CASE DRAIN LINE NOT CONNECTED DURING THE ENG CHANGE.
Narrative: I WAS ASSIGNED TO AN ENG CHANGE ON A B737-700 ACFT WITH 3 OTHER GUYS THAT HAD NEVER PERFORMED THIS TASK BEFORE. DURING INSTALLATION; A HYD LINE FOR THE CASE DRAIN WAS OVERLOOKED. IT WAS TUCKED UNDER A FILTER HOUSING. IT WAS OVERLOOKED BY THE MECHS AND INSPECTION AND NO INDICATION WAS FOUND ON ENG LEAK CHK OR ENG RUN-UP. THE ACFT WAS RELEASED AND RETURNED WITH A FLICKERING LOW PRESSURE LIGHT. THE LINE FOUND THE HYD LINE DISCONNECTED AND RECONNECTED IT. A NEW HYD PUMP WAS INSTALLED DUE TO OVERTEMP. I SIGNED OFF WORK THAT I HAD NOT COMPLETED.
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.