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|
Attributes | |
ACN | 672332 |
Time | |
Date | 200509 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Controlling Facilities | tower : mdw.tower |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
ASRS Report | 672332 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
ASRS Report | 672506 |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | other other : 3 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : inspection performance deficiency : installation |
Supplementary | |
Problem Areas | Maintenance Human Performance Environmental Factor Chart Or Publication Aircraft Weather |
Primary Problem | Maintenance Human Performance |
Narrative:
On sep/mon/05 we went to ZZZ to replace the #2 slat. After we arrived in ZZZ; we realized we also had to replace the l-hand outboard fore flap also. We right&right'ed slat and flap. I then proceeded to the flight deck to operations check flap and slat. Mechanic on ground verified everything was good. I raised flaps and slats full up and went down to instrument leading edge panels on the wing. The flaps and slats never came down again. Operations came and told us to move airplane to the gate as soon as possible. While we were still installing panels; tug and tow bar were hooked up by rampers. We finished installing panels and towed the airplane to the gate. We flew back to ZZZ2. During flight; we realized none of us installed the slat actuator access panel on the slat. Since the flaps never came down; we did not see that the panel was missing. When we arrived in ZZZ2; we notified maintenance control and entered discrepancy into logbook; where the panel was installed. In my opinion; the contributing factors were maintenance control; operations agents pressuring us to hurry and finish and telling us how many flts the airplane had missed and also unexpected maintenance.
Original NASA ASRS Text
Title: B737-300 WAS DISPATCHED WITH #2 SLAT ACTUATOR ACCESS PANEL NOT INSTALLED.
Narrative: ON SEP/MON/05 WE WENT TO ZZZ TO REPLACE THE #2 SLAT. AFTER WE ARRIVED IN ZZZ; WE REALIZED WE ALSO HAD TO REPLACE THE L-HAND OUTBOARD FORE FLAP ALSO. WE R&R'ED SLAT AND FLAP. I THEN PROCEEDED TO THE FLT DECK TO OPS CHK FLAP AND SLAT. MECH ON GND VERIFIED EVERYTHING WAS GOOD. I RAISED FLAPS AND SLATS FULL UP AND WENT DOWN TO INST LEADING EDGE PANELS ON THE WING. THE FLAPS AND SLATS NEVER CAME DOWN AGAIN. OPS CAME AND TOLD US TO MOVE AIRPLANE TO THE GATE ASAP. WHILE WE WERE STILL INSTALLING PANELS; TUG AND TOW BAR WERE HOOKED UP BY RAMPERS. WE FINISHED INSTALLING PANELS AND TOWED THE AIRPLANE TO THE GATE. WE FLEW BACK TO ZZZ2. DURING FLT; WE REALIZED NONE OF US INSTALLED THE SLAT ACTUATOR ACCESS PANEL ON THE SLAT. SINCE THE FLAPS NEVER CAME DOWN; WE DID NOT SEE THAT THE PANEL WAS MISSING. WHEN WE ARRIVED IN ZZZ2; WE NOTIFIED MAINT CTL AND ENTERED DISCREPANCY INTO LOGBOOK; WHERE THE PANEL WAS INSTALLED. IN MY OPINION; THE CONTRIBUTING FACTORS WERE MAINT CTL; OPS AGENTS PRESSURING US TO HURRY AND FINISH AND TELLING US HOW MANY FLTS THE AIRPLANE HAD MISSED AND ALSO UNEXPECTED MAINT.
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.