37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 705011 |
Time | |
Date | 200607 |
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 | B767-300 and 300 ER |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
ASRS Report | 705011 |
Person 2 | |
Affiliation | company : air carrier |
Function | other personnel other |
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 : 2 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure contributing factor : lighting performance deficiency : inspection performance deficiency : non compliance with legal requirements performance deficiency : installation |
Supplementary | |
Problem Areas | Chart Or Publication Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
While changing right nose tire; the spacer got stuck on the bearing on the removed tire and I did not notice that the spacer was missing from the axle. The tire was installed on the aircraft without the spacer for the new tire. The spacer was found to be missing. Aircraft nose gear was inspected; axle spacer was re-installed and aircraft was returned to service without incident. I was assigned a callout; plus #3 service check. With the items found during the check; I had a heavy workload that evening; which required many extra man hours. Due to lack of man power it caused me to be preoccupied and fatigued at various times in the evening.
Original NASA ASRS Text
Title: B767-300 INNER AXLE WHEEL SPACER WAS NOT INSTALLED AND FOUND ON REMOVED TIRE AND WHEEL ASSEMBLY.
Narrative: WHILE CHANGING R NOSE TIRE; THE SPACER GOT STUCK ON THE BEARING ON THE REMOVED TIRE AND I DID NOT NOTICE THAT THE SPACER WAS MISSING FROM THE AXLE. THE TIRE WAS INSTALLED ON THE ACFT WITHOUT THE SPACER FOR THE NEW TIRE. THE SPACER WAS FOUND TO BE MISSING. ACFT NOSE GEAR WAS INSPECTED; AXLE SPACER WAS RE-INSTALLED AND ACFT WAS RETURNED TO SVC WITHOUT INCIDENT. I WAS ASSIGNED A CALLOUT; PLUS #3 SVC CHK. WITH THE ITEMS FOUND DURING THE CHK; I HAD A HVY WORKLOAD THAT EVENING; WHICH REQUIRED MANY EXTRA MAN HRS. DUE TO LACK OF MAN PWR IT CAUSED ME TO BE PREOCCUPIED AND FATIGUED AT VARIOUS TIMES IN THE EVENING.
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.