37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 708666 |
Time | |
Date | 200608 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B757 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
ASRS Report | 708666 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : inspector |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | other other : 2 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure contributing factor : work cards performance deficiency : inspection performance deficiency : scheduled maintenance performance deficiency : non compliance with legal requirements performance deficiency : installation |
Supplementary | |
Problem Areas | Aircraft Chart Or Publication Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On aug/xa/06 I was assigned to work on aircraft X to help with the center automatic fuel boost pump shutoff modification. I am an a&P; not an right&east. Very little instruction was given. Work was done with reference to the available work package. Inadvertently a pin connector was installed where a receptacle should have been installed. The same problem has been discovered on other aircraft as well. I have been informed that a 'caution' has been added to the work package at the step for the receptacle installation to help clarify this part of the modification.
Original NASA ASRS Text
Title: DURING A CTR FUEL TANK BOOST PUMP MODIFICATION ON A B757; IT WAS DISCOVERED AN IMPROPER ELECTRICAL CONNECTOR WAS INSTALLED. JOB CARD CHANGED TO PREVENT REPEATING ERROR.
Narrative: ON AUG/XA/06 I WAS ASSIGNED TO WORK ON ACFT X TO HELP WITH THE CTR AUTOMATIC FUEL BOOST PUMP SHUTOFF MODIFICATION. I AM AN A&P; NOT AN R&E. VERY LITTLE INSTRUCTION WAS GIVEN. WORK WAS DONE WITH REF TO THE AVAILABLE WORK PACKAGE. INADVERTENTLY A PIN CONNECTOR WAS INSTALLED WHERE A RECEPTACLE SHOULD HAVE BEEN INSTALLED. THE SAME PROB HAS BEEN DISCOVERED ON OTHER ACFT AS WELL. I HAVE BEEN INFORMED THAT A 'CAUTION' HAS BEEN ADDED TO THE WORK PACKAGE AT THE STEP FOR THE RECEPTACLE INSTALLATION TO HELP CLARIFY THIS PART OF THE MODIFICATION.
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.