37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 699552 |
Time | |
Date | 200604 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | EMB ERJ 145 ER&LR |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : inspector |
ASRS Report | 699552 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : 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 flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | performance deficiency : testing performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : installation performance deficiency : inspection |
Supplementary | |
Problem Areas | Aircraft Chart Or Publication Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
Left main landing gear brake and anti-skid hoses at the upper trunnion attachment were incorrectly attached; causing the anti-skid system to malfunction. I was the inspector performing rii on the hose connection and in my complacency only looked at the connection; overlooking the crossed hoses. The reason for the left main landing gear remove and install was for the bearing cap inspection; thus the wheels and brakes were never removed causing us to overlook operations checks of the brakes and anti-skid system. We followed gpm 4-00; and completely overlooked gpm 15-07.
Original NASA ASRS Text
Title: AN EMB145 ON LNDG HAD THE ANTI-SKID MALFUNCTION. ACFT LEFT RWY. FOUND INCORRECT L MAIN LNDG GEAR BRAKE LINE CONNECTIONS.
Narrative: L MAIN LNDG GEAR BRAKE AND ANTI-SKID HOSES AT THE UPPER TRUNNION ATTACHMENT WERE INCORRECTLY ATTACHED; CAUSING THE ANTI-SKID SYS TO MALFUNCTION. I WAS THE INSPECTOR PERFORMING RII ON THE HOSE CONNECTION AND IN MY COMPLACENCY ONLY LOOKED AT THE CONNECTION; OVERLOOKING THE CROSSED HOSES. THE REASON FOR THE L MAIN LNDG GEAR REMOVE AND INSTALL WAS FOR THE BEARING CAP INSPECTION; THUS THE WHEELS AND BRAKES WERE NEVER REMOVED CAUSING US TO OVERLOOK OPS CHKS OF THE BRAKES AND ANTI-SKID SYS. WE FOLLOWED GPM 4-00; AND COMPLETELY OVERLOOKED GPM 15-07.
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.