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An A330 was dispatched out of an 'a' check with door escape slide safety pins still installed. Discovered on routine overnight check.
| Attributes | |
| ACN | 679927 |
| Time | |
| Date | 200511 |
| Local Time Of Day | 0001 To 0600 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | A330 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : powerplant technician : airframe |
| ASRS Report | 679927 |
| 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 : far non adherence : published procedure |
| Independent Detector | other other : 3 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | contributing factor : work cards performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance performance deficiency : installation performance deficiency : inspection |
| Supplementary | |
| Problem Areas | Chart Or Publication Maintenance Human Performance Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
On nov/fri/05 I was assigned to install the slide covers per 'a' check job card. I installed the slide covers on L1; R1; R2; L2 and R3. The other doors had the slide covers on already; maintenance was being done on the L4 and R4 doors at the time and other doors earlier. The aircraft departed ZZZ and on arrival to its destination (I'm guessing on a daily check) slide pins were found on door or doors. I don't know which. I accepted full responsibility for not checking the doors that had the slide covers on. This could have been prevented by having individual blocks for each door slide cover installation.
Original NASA ASRS Text
Title: AN A330 WAS DISPATCHED OUT OF AN 'A' CHK WITH DOOR ESCAPE SLIDE SAFETY PINS STILL INSTALLED. DISCOVERED ON ROUTINE OVERNIGHT CHK.
Narrative: ON NOV/FRI/05 I WAS ASSIGNED TO INSTALL THE SLIDE COVERS PER 'A' CHK JOB CARD. I INSTALLED THE SLIDE COVERS ON L1; R1; R2; L2 AND R3. THE OTHER DOORS HAD THE SLIDE COVERS ON ALREADY; MAINT WAS BEING DONE ON THE L4 AND R4 DOORS AT THE TIME AND OTHER DOORS EARLIER. THE ACFT DEPARTED ZZZ AND ON ARR TO ITS DEST (I'M GUESSING ON A DAILY CHK) SLIDE PINS WERE FOUND ON DOOR OR DOORS. I DON'T KNOW WHICH. I ACCEPTED FULL RESPONSIBILITY FOR NOT CHKING THE DOORS THAT HAD THE SLIDE COVERS ON. THIS COULD HAVE BEEN PREVENTED BY HAVING INDIVIDUAL BLOCKS FOR EACH DOOR SLIDE COVER INSTALLATION.
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.