37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 705101 |
Time | |
Date | 200605 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
ASRS Report | 705101 |
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 performance deficiency : inspection performance deficiency : scheduled maintenance performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft Chart Or Publication Environmental Factor |
Primary Problem | Maintenance Human Performance |
Narrative:
On may/sun/06; a B737-200 lower nlg torsion link was installed. The incorrect part may have been issued because: 1) I entered the incorrect manufacturer dash number when ordering (both -200 and -400 share the same basic part number). 2) the wrong part was pulled from stores. As the person signing off the initial paperwork I did not confirm the manufacturer part number against the illustrated parts catalog. The assumption that the correct part was issued/installed; is the ultimate reason this event occurred.
Original NASA ASRS Text
Title: A B737-200 HAD THE INCORRECT NOSE LNDG GEAR LOWER TORSION LINK INSTALLED. TECHNICIAN DID NOT CHK PART RECEIVED FROM STORES WITH ILLUSTRATED PARTS CATALOG PRIOR TO INSTALLATION.
Narrative: ON MAY/SUN/06; A B737-200 LOWER NLG TORSION LINK WAS INSTALLED. THE INCORRECT PART MAY HAVE BEEN ISSUED BECAUSE: 1) I ENTERED THE INCORRECT MANUFACTURER DASH NUMBER WHEN ORDERING (BOTH -200 AND -400 SHARE THE SAME BASIC PART NUMBER). 2) THE WRONG PART WAS PULLED FROM STORES. AS THE PERSON SIGNING OFF THE INITIAL PAPERWORK I DID NOT CONFIRM THE MANUFACTURER PART NUMBER AGAINST THE ILLUSTRATED PARTS CATALOG. THE ASSUMPTION THAT THE CORRECT PART WAS ISSUED/INSTALLED; IS THE ULTIMATE REASON THIS EVENT OCCURRED.
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.