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|
Attributes | |
ACN | 689416 |
Time | |
Date | 200603 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B767-300 and 300 ER |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Qualification | technician : powerplant technician : airframe technician : inspection authority |
Experience | maintenance technician : 39 |
ASRS Report | 689416 |
Person 2 | |
Affiliation | company : air carrier |
Function | oversight : supervisor |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : company policies 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 : schedule pressure contributing factor : work cards contributing factor : manuals performance deficiency : inspection performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance |
Supplementary | |
Problem Areas | Maintenance Human Performance Environmental Factor Aircraft Chart Or Publication |
Primary Problem | Maintenance Human Performance |
Situations | |
Publication | Maint Manual |
Narrative:
We had 3 B767-300 aircraft arrive at ZZZ with line maintenance callout before further flight. Callout is the complete rii inspection of the safety and security of the r-hand and l-hand trailing edge inboard flap installations and also flap installation operations check. I was told by our controller that a total of 10 aircraft were involved. All 10 aircraft had the r-hand and l-hand trailing edge flaps removed and reinstalled at a non-air carrier contract maintenance facility. Contract maintenance job cards for flap replacement did not have a signoff block or blocks for inspection of these flight controls; so inspection of these flap installations were apparently not done. The aircraft had been in service for a considerable length of time (aircraft X; for example; work done may/2005 at contract maintenance) in non compliance to proper maintenance practices. It had just been discovered by air carrier through an audit and air carrier immediately grounded the aircraft until inspections were complete. Remedy: in my opinion; a lack of supervisor accountability and quality control at contract maintenance. Also; supervisors; inspectors and mechanics need (must be) to be familiar with the rii list so this does not happen again.
Original NASA ASRS Text
Title: A PAPERWORK AUDIT BY A CARRIER REVEALED 10 B767-300 ACFT THAT HAD R AND L INBOARD FLAPS REMOVED AND REINSTALLED AT A CONTRACT MAINT FACILITY DID NOT HAVE THE FAA MANDATORY REQUIRED INSPECTION ACCOMPLISHED.
Narrative: WE HAD 3 B767-300 ACFT ARRIVE AT ZZZ WITH LINE MAINT CALLOUT BEFORE FURTHER FLT. CALLOUT IS THE COMPLETE RII INSPECTION OF THE SAFETY AND SECURITY OF THE R-HAND AND L-HAND TRAILING EDGE INBOARD FLAP INSTALLATIONS AND ALSO FLAP INSTALLATION OPS CHK. I WAS TOLD BY OUR CTLR THAT A TOTAL OF 10 ACFT WERE INVOLVED. ALL 10 ACFT HAD THE R-HAND AND L-HAND TRAILING EDGE FLAPS REMOVED AND REINSTALLED AT A NON-ACR CONTRACT MAINT FACILITY. CONTRACT MAINT JOB CARDS FOR FLAP REPLACEMENT DID NOT HAVE A SIGNOFF BLOCK OR BLOCKS FOR INSPECTION OF THESE FLT CTLS; SO INSPECTION OF THESE FLAP INSTALLATIONS WERE APPARENTLY NOT DONE. THE ACFT HAD BEEN IN SVC FOR A CONSIDERABLE LENGTH OF TIME (ACFT X; FOR EXAMPLE; WORK DONE MAY/2005 AT CONTRACT MAINT) IN NON COMPLIANCE TO PROPER MAINT PRACTICES. IT HAD JUST BEEN DISCOVERED BY ACR THROUGH AN AUDIT AND ACR IMMEDIATELY GNDED THE ACFT UNTIL INSPECTIONS WERE COMPLETE. REMEDY: IN MY OPINION; A LACK OF SUPVR ACCOUNTABILITY AND QUALITY CTL AT CONTRACT MAINT. ALSO; SUPVRS; INSPECTORS AND MECHS NEED (MUST BE) TO BE FAMILIAR WITH THE RII LIST SO THIS DOES NOT HAPPEN AGAIN.
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.