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|
Attributes | |
ACN | 711875 |
Time | |
Date | 200610 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-400 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
ASRS Report | 711875 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : far non adherence : published procedure other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : logbook entry performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance performance deficiency : inspection |
Supplementary | |
Problem Areas | Aircraft Chart Or Publication Environmental Factor Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
During an 'a' check I was doing the external portion of the inspection for the check. While I was inspecting the wheel well I placed a tire pressure gauge I was carrying in the wheel well. I forgot it sitting there and continued the walkaround. I had some nose gear tires to change and I went to the shop to get the tires. Returning to the aircraft; I was looking for the gauge I had. I thought I had carried the gauge into the shop when I was inside to get the tires. I returned to the shop and was looking for the gauge. I did not see it sitting around; I checked the tool board; 1 spot was open so I knew it was still out. I returned to the aircraft and saw that the mechanic helping me with the nose tires had the gauge. I assumed that was the gauge and I continued working. When the job ended I returned to the shop and looked on the tool board where the tire gauges are shadowed out on hooks. All tire gauges were present on the board. I assumed the mechanic helping me returned the gauge to the board.
Original NASA ASRS Text
Title: A B737-400 DURING AN 'A' CHK THE TECHNICIAN WORKING TIRES AND BRAKES LEFT A TIRE PRESSURE GAUGE IN THE WHEEL WELL. FOUND BY FO ON WALKAROUND INSPECTION.
Narrative: DURING AN 'A' CHK I WAS DOING THE EXTERNAL PORTION OF THE INSPECTION FOR THE CHK. WHILE I WAS INSPECTING THE WHEEL WELL I PLACED A TIRE PRESSURE GAUGE I WAS CARRYING IN THE WHEEL WELL. I FORGOT IT SITTING THERE AND CONTINUED THE WALKAROUND. I HAD SOME NOSE GEAR TIRES TO CHANGE AND I WENT TO THE SHOP TO GET THE TIRES. RETURNING TO THE ACFT; I WAS LOOKING FOR THE GAUGE I HAD. I THOUGHT I HAD CARRIED THE GAUGE INTO THE SHOP WHEN I WAS INSIDE TO GET THE TIRES. I RETURNED TO THE SHOP AND WAS LOOKING FOR THE GAUGE. I DID NOT SEE IT SITTING AROUND; I CHKED THE TOOL BOARD; 1 SPOT WAS OPEN SO I KNEW IT WAS STILL OUT. I RETURNED TO THE ACFT AND SAW THAT THE MECH HELPING ME WITH THE NOSE TIRES HAD THE GAUGE. I ASSUMED THAT WAS THE GAUGE AND I CONTINUED WORKING. WHEN THE JOB ENDED I RETURNED TO THE SHOP AND LOOKED ON THE TOOL BOARD WHERE THE TIRE GAUGES ARE SHADOWED OUT ON HOOKS. ALL TIRE GAUGES WERE PRESENT ON THE BOARD. I ASSUMED THE MECH HELPING ME RETURNED THE GAUGE TO THE BOARD.
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.