37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 669103 |
Time | |
Date | 200508 |
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 | 669103 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | other other : 2 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : work cards performance deficiency : testing performance deficiency : fault isolation performance deficiency : logbook entry performance deficiency : non compliance with legal requirements performance deficiency : installation performance deficiency : training |
Supplementary | |
Problem Areas | Maintenance Human Performance Chart Or Publication Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
Aircraft X arrived for overnight work to be performed. #1 thrust reverser on MEL. I troubleshot system by unpinning thrust reverser and cutting safety wire on handle so I could slide the sleeve back in order to reset engine assembly unit. When the bite was completed and parts were not available; I rewired reverser handle and pinned thrust reverser. I did not pull any breakers for the system. I looked at the MEL book and did not see on the maintenance procedures to pull any breakers. I saw on the other dash number aircraft to pull breakers but not on the new gen which is why none were pulled. I've reviewed the MEL procedure since this incident occurred and am aware that pulling of the breakers are in the maintenance manual procedures.
Original NASA ASRS Text
Title: A B737-700 WAS BEING TROUBLESHOT FOR A THRUST REVERSER RPT. CIRCUIT BREAKERS WERE NOT PULLED.
Narrative: ACFT X ARRIVED FOR OVERNIGHT WORK TO BE PERFORMED. #1 THRUST REVERSER ON MEL. I TROUBLESHOT SYS BY UNPINNING THRUST REVERSER AND CUTTING SAFETY WIRE ON HANDLE SO I COULD SLIDE THE SLEEVE BACK IN ORDER TO RESET ENG ASSEMBLY UNIT. WHEN THE BITE WAS COMPLETED AND PARTS WERE NOT AVAILABLE; I REWIRED REVERSER HANDLE AND PINNED THRUST REVERSER. I DID NOT PULL ANY BREAKERS FOR THE SYS. I LOOKED AT THE MEL BOOK AND DID NOT SEE ON THE MAINT PROCS TO PULL ANY BREAKERS. I SAW ON THE OTHER DASH NUMBER ACFT TO PULL BREAKERS BUT NOT ON THE NEW GEN WHICH IS WHY NONE WERE PULLED. I'VE REVIEWED THE MEL PROC SINCE THIS INCIDENT OCCURRED AND AM AWARE THAT PULLING OF THE BREAKERS ARE IN THE MAINT MANUAL PROCS.
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.