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|
Attributes | |
ACN | 686451 |
Time | |
Date | 200602 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B757-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance technician : 29 |
ASRS Report | 686451 |
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 : published procedure non adherence : far |
Independent Detector | other other : 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : work cards contributing factor : manuals performance deficiency : installation performance deficiency : non compliance with legal requirements performance deficiency : inspection |
Supplementary | |
Problem Areas | Chart Or Publication Maintenance Human Performance Aircraft Environmental Factor |
Primary Problem | Maintenance Human Performance |
Narrative:
2 other mechanics and I were assigned to install #1 engine fan assembly back together that was removed on previous shift on a B757. It was a maintenance turnover. It was quite apparent from the very start of putting this aircraft engine back together -- that the fan blades and the annulus fillings that go between the blades were marked wrong by previous shift mechanics while/during removal of the blades/fillers on #1 engine. Paperwork/turnover was the worst I've seen on this type of job. I asked one of the mechanics who worked the job and even he said it was a screw-up turnover and wished us 'good luck' putting it all back together correctly. As he punched out at the time clock; I confirmed with powerplant engineer; my foreman; and my lead mechanic about this horrible turnover and they all told me and my fellow mechanics to 'do your best to make it all right!' I did just that. We did our best to reinstall the engine fan assembly correctly. I felt very uncomfortable about being put in this position. It wasn't right for me to have to clean up this mess.
Original NASA ASRS Text
Title: A B757-200 #1 ENG FAN ASSEMBLY INSTALLATION TURNOVER TO NEXT SHIFT WAS POOR TO WORTHLESS AS BLADES AND ANNULUS PARTS WERE MARKED INCORRECTLY.
Narrative: 2 OTHER MECHS AND I WERE ASSIGNED TO INSTALL #1 ENG FAN ASSEMBLY BACK TOGETHER THAT WAS REMOVED ON PREVIOUS SHIFT ON A B757. IT WAS A MAINT TURNOVER. IT WAS QUITE APPARENT FROM THE VERY START OF PUTTING THIS ACFT ENG BACK TOGETHER -- THAT THE FAN BLADES AND THE ANNULUS FILLINGS THAT GO BTWN THE BLADES WERE MARKED WRONG BY PREVIOUS SHIFT MECHS WHILE/DURING REMOVAL OF THE BLADES/FILLERS ON #1 ENG. PAPERWORK/TURNOVER WAS THE WORST I'VE SEEN ON THIS TYPE OF JOB. I ASKED ONE OF THE MECHS WHO WORKED THE JOB AND EVEN HE SAID IT WAS A SCREW-UP TURNOVER AND WISHED US 'GOOD LUCK' PUTTING IT ALL BACK TOGETHER CORRECTLY. AS HE PUNCHED OUT AT THE TIME CLOCK; I CONFIRMED WITH POWERPLANT ENGINEER; MY FOREMAN; AND MY LEAD MECH ABOUT THIS HORRIBLE TURNOVER AND THEY ALL TOLD ME AND MY FELLOW MECHS TO 'DO YOUR BEST TO MAKE IT ALL RIGHT!' I DID JUST THAT. WE DID OUR BEST TO REINSTALL THE ENG FAN ASSEMBLY CORRECTLY. I FELT VERY UNCOMFORTABLE ABOUT BEING PUT IN THIS POS. IT WASN'T RIGHT FOR ME TO HAVE TO CLEAN UP THIS MESS.
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.