37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 695313 |
Time | |
Date | 200604 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B767-400 and 400 ER |
Operating Under FAR Part | Part 121 |
Aircraft 2 | |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : fcc technician : powerplant technician : airframe |
ASRS Report | 695313 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : improper documentation maintenance problem : improper maintenance 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 : schedule pressure contributing factor : work cards performance deficiency : scheduled maintenance performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : installation performance deficiency : inspection |
Supplementary | |
Problem Areas | Maintenance Human Performance Chart Or Publication Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
I reported to work and was assigned to perform maintenance on a B767-400 that had a #12 service check already in work. Some line replaceable units that are routinely replaced during the check are pre-pulled by stores/supply. The ship's main and APU batteries were due replacement. When I arrived at the aircraft the batteries (quantity 2) were already delivered to the aircraft. I installed the batteries. The batteries did have an 8130 tag attached which denoted svcability. A few days later I was reviewing the log history of the aircraft and saw an entry that 'wrong batteries were installed in main and APU position.' the batteries I installed were not the correct part number. The correct part numbers were installed subsequently. The incorrect part number and the correct part number are similar in size; shape; function; and connection. In the future; I will verify all part numbers in the aircraft ipc; irregardless if part is pre-pulled or not.
Original NASA ASRS Text
Title: A B767-400 WAS DISPATCHED WITH THE INCORRECT BATTERIES INSTALLED IN THE MAIN BATTERY AND THE APU POS.
Narrative: I RPTED TO WORK AND WAS ASSIGNED TO PERFORM MAINT ON A B767-400 THAT HAD A #12 SVC CHK ALREADY IN WORK. SOME LINE REPLACEABLE UNITS THAT ARE ROUTINELY REPLACED DURING THE CHK ARE PRE-PULLED BY STORES/SUPPLY. THE SHIP'S MAIN AND APU BATTERIES WERE DUE REPLACEMENT. WHEN I ARRIVED AT THE ACFT THE BATTERIES (QUANTITY 2) WERE ALREADY DELIVERED TO THE ACFT. I INSTALLED THE BATTERIES. THE BATTERIES DID HAVE AN 8130 TAG ATTACHED WHICH DENOTED SVCABILITY. A FEW DAYS LATER I WAS REVIEWING THE LOG HISTORY OF THE ACFT AND SAW AN ENTRY THAT 'WRONG BATTERIES WERE INSTALLED IN MAIN AND APU POS.' THE BATTERIES I INSTALLED WERE NOT THE CORRECT PART NUMBER. THE CORRECT PART NUMBERS WERE INSTALLED SUBSEQUENTLY. THE INCORRECT PART NUMBER AND THE CORRECT PART NUMBER ARE SIMILAR IN SIZE; SHAPE; FUNCTION; AND CONNECTION. IN THE FUTURE; I WILL VERIFY ALL PART NUMBERS IN THE ACFT IPC; IRREGARDLESS IF PART IS PRE-PULLED OR NOT.
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.