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|
Attributes | |
ACN | 711774 |
Time | |
Date | 200609 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-700 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : inspector |
ASRS Report | 711774 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Events | |
Anomaly | aircraft equipment problem : less severe 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 | performance deficiency : logbook entry 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 sep/xa/06 at around XA30; I was assigned to conduct engine inlet and blade inspection on aircraft X at gate X; as I have previously done many times in the past. I notice there was spinner cone white stripe missing. At the same time that moment; I was called on radio to conduct another plane inspection located at freight cargo that have avionics rii requirement with priority departure. Before I leave the area; I tried to locate the technician that was assigned on aircraft X but was unable to. I proceeded to my new assignment; among one of a half dozen aircraft I was assigned on. I was the only inspector working at flight line that night covering 3 gates. As the night progressed; I was more occupied with more added unscheduled work calls requiring rii attention. This continued till XF30; and with late in paperwork closure; at some point I forgot all about the spinner where I was going to inform the technician; went back to hangar office; and later home around XG00 am exhausted and never thought of the spinner missing stripe until I was informed. It was never my intention to neglect such event as I have always maintained a vigilant way of doing my job in many yrs; quality and safety was always my priority. Somehow this one slipped on me.
Original NASA ASRS Text
Title: A B737-700 HAD 1 ENG SPINNER MISSING A SAFETY STRIPE. DISCOVERED BY INSPECTOR BUT DUE TO WORKLOAD AND DISTRS WAS NOT RPTED.
Narrative: ON SEP/XA/06 AT AROUND XA30; I WAS ASSIGNED TO CONDUCT ENG INLET AND BLADE INSPECTION ON ACFT X AT GATE X; AS I HAVE PREVIOUSLY DONE MANY TIMES IN THE PAST. I NOTICE THERE WAS SPINNER CONE WHITE STRIPE MISSING. AT THE SAME TIME THAT MOMENT; I WAS CALLED ON RADIO TO CONDUCT ANOTHER PLANE INSPECTION LOCATED AT FREIGHT CARGO THAT HAVE AVIONICS RII REQUIREMENT WITH PRIORITY DEP. BEFORE I LEAVE THE AREA; I TRIED TO LOCATE THE TECHNICIAN THAT WAS ASSIGNED ON ACFT X BUT WAS UNABLE TO. I PROCEEDED TO MY NEW ASSIGNMENT; AMONG ONE OF A HALF DOZEN ACFT I WAS ASSIGNED ON. I WAS THE ONLY INSPECTOR WORKING AT FLT LINE THAT NIGHT COVERING 3 GATES. AS THE NIGHT PROGRESSED; I WAS MORE OCCUPIED WITH MORE ADDED UNSCHEDULED WORK CALLS REQUIRING RII ATTN. THIS CONTINUED TILL XF30; AND WITH LATE IN PAPERWORK CLOSURE; AT SOME POINT I FORGOT ALL ABOUT THE SPINNER WHERE I WAS GOING TO INFORM THE TECHNICIAN; WENT BACK TO HANGAR OFFICE; AND LATER HOME AROUND XG00 AM EXHAUSTED AND NEVER THOUGHT OF THE SPINNER MISSING STRIPE UNTIL I WAS INFORMED. IT WAS NEVER MY INTENTION TO NEGLECT SUCH EVENT AS I HAVE ALWAYS MAINTAINED A VIGILANT WAY OF DOING MY JOB IN MANY YRS; QUALITY AND SAFETY WAS ALWAYS MY PRIORITY. SOMEHOW THIS ONE SLIPPED ON ME.
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.