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|
Attributes | |
ACN | 709275 |
Time | |
Date | 200609 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B757-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : takeoff |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : fcc technician : powerplant |
ASRS Report | 709275 |
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 : 4 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : repair performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : inspection |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft Chart Or Publication Environmental Factor |
Primary Problem | Maintenance Human Performance |
Narrative:
I am a line mechanic for air carrier X and am now stationed at ZZZ. We had an aircraft blow a re-tread tire; on takeoff in ZZZ1 and then landed in ZZZ3. I was then called out to ZZZ3 to assess damage. #5 tire had shed its re-tread; yet the core remained inflated. The #1 brake line had gotten bent/cracked and was leaking hydraulic fluid; and I also found 2 holes in 2 different composite panels just outboard and aft of left main landing gear. At this point; the aircraft logbook had 4 separate discrepancies listed: 1) #5 tire blown re-tread. 2) #1 brake line hydraulic leak. 3&4) 2 separate holes in composite structure. Now I am working/talking to 4 different connections: 1) ZZZ3 station manager; 2) ZZZ1 B757 maintenance control; 3) ZZZ1 engineering and 4) ZZZ lead and during this; I locked out the #1 brake per MEL and also replaced the #5 tire assembly; while engineering was working a possible permanent repair. At approximately XA00 sep/tue/06 engineering decided to go with 2 temporary/ferry flight repairs; in which were complete around XC00. At that time I contacted the B757 coordinator and asked him how we were going to sign off the 2 open write-ups in logbook. That's when I was told we were going to leave those write-up open; and to just make sure I got 2; X forms and the ferry flight paperwork into the logbook. This being where the ball was dropped; and I never made a final log into the aircraft logbook. I'd never dealt with a ferry flight and assumed the ferry flight sheet/paperwork (facsimile'ed to ZZZ3) and the 2 X forms that were discussed with pilots' B757 coordinator and slid into the book; was all the paperwork needed for release. I'm now totally aware of the final step/logbook entry which was required; and am very confident to make my next road trip; which may result in a ferry flight.
Original NASA ASRS Text
Title: A B757-200 WAS DAMAGED FROM A THROWN TIRE TREAD. COMPOSITE PANEL AND HYD LINE DAMAGE WAS INCURRED. ROUTED FOR A MAINT FERRY FOR REPAIR. THE REQUIRED FLT LOGBOOK ENTRY FOR MAINT FERRY NOT COMPLETED.
Narrative: I AM A LINE MECH FOR ACR X AND AM NOW STATIONED AT ZZZ. WE HAD AN ACFT BLOW A RE-TREAD TIRE; ON TKOF IN ZZZ1 AND THEN LANDED IN ZZZ3. I WAS THEN CALLED OUT TO ZZZ3 TO ASSESS DAMAGE. #5 TIRE HAD SHED ITS RE-TREAD; YET THE CORE REMAINED INFLATED. THE #1 BRAKE LINE HAD GOTTEN BENT/CRACKED AND WAS LEAKING HYD FLUID; AND I ALSO FOUND 2 HOLES IN 2 DIFFERENT COMPOSITE PANELS JUST OUTBOARD AND AFT OF L MAIN LNDG GEAR. AT THIS POINT; THE ACFT LOGBOOK HAD 4 SEPARATE DISCREPANCIES LISTED: 1) #5 TIRE BLOWN RE-TREAD. 2) #1 BRAKE LINE HYD LEAK. 3&4) 2 SEPARATE HOLES IN COMPOSITE STRUCTURE. NOW I AM WORKING/TALKING TO 4 DIFFERENT CONNECTIONS: 1) ZZZ3 STATION MGR; 2) ZZZ1 B757 MAINT CTL; 3) ZZZ1 ENGINEERING AND 4) ZZZ LEAD AND DURING THIS; I LOCKED OUT THE #1 BRAKE PER MEL AND ALSO REPLACED THE #5 TIRE ASSEMBLY; WHILE ENGINEERING WAS WORKING A POSSIBLE PERMANENT REPAIR. AT APPROX XA00 SEP/TUE/06 ENGINEERING DECIDED TO GO WITH 2 TEMPORARY/FERRY FLT REPAIRS; IN WHICH WERE COMPLETE AROUND XC00. AT THAT TIME I CONTACTED THE B757 COORDINATOR AND ASKED HIM HOW WE WERE GOING TO SIGN OFF THE 2 OPEN WRITE-UPS IN LOGBOOK. THAT'S WHEN I WAS TOLD WE WERE GOING TO LEAVE THOSE WRITE-UP OPEN; AND TO JUST MAKE SURE I GOT 2; X FORMS AND THE FERRY FLT PAPERWORK INTO THE LOGBOOK. THIS BEING WHERE THE BALL WAS DROPPED; AND I NEVER MADE A FINAL LOG INTO THE ACFT LOGBOOK. I'D NEVER DEALT WITH A FERRY FLT AND ASSUMED THE FERRY FLT SHEET/PAPERWORK (FAX'ED TO ZZZ3) AND THE 2 X FORMS THAT WERE DISCUSSED WITH PLTS' B757 COORDINATOR AND SLID INTO THE BOOK; WAS ALL THE PAPERWORK NEEDED FOR RELEASE. I'M NOW TOTALLY AWARE OF THE FINAL STEP/LOGBOOK ENTRY WHICH WAS REQUIRED; AND AM VERY CONFIDENT TO MAKE MY NEXT ROAD TRIP; WHICH MAY RESULT IN A FERRY FLT.
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.