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|
Attributes | |
ACN | 712868 |
Time | |
Date | 200610 |
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 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : inspector |
ASRS Report | 712868 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : inspector oversight : supervisor |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : far |
Independent Detector | other other : 1 |
Resolutory Action | none taken : unable |
Consequence | other other |
Factors | |
Maintenance | contributing factor : work cards contributing factor : engineering procedure performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance performance deficiency : inspection |
Supplementary | |
Problem Areas | Chart Or Publication Company Maintenance Human Performance Aircraft |
Primary Problem | Chart Or Publication |
Situations | |
Publication | door inspection job card |
Narrative:
On sep/fri/06; I worked the noted task cards on aircraft X. The technician asked me what needed to be opened up for the inspection on the L1 door. After reading the entire task card it seemed like we should open the structure surround panels and remove the liner. I called my lead and the inspection trainer was on duty that night also. We all agreed that the liners and panels covering the surrounding structure should be removed. The following day I came on duty and job inspection X was posted on the bulletin board. Shift had a verbal message for me from management that no panel were supposed to be opened. I sent the following message to supervisor. I arrived on shift and found that there was some discussion regarding the removal of panels and liners from the entry door areas on aircraft X. Job inspection X was posted on the bulletin board. Shift lead brought this to my attention when I arrived. Per the job inspection there was no panels listed on task card Y therefore no panels should have been opened. My first call of the night last night was from the technician working task card Y step 1C. His question was; 'what needs to be opened to prepare for the inspection?' the note at the top of the task card refers to Z. I called my lead and our ojti was here also so we looked at all the information and even went to the corrosion prevention manual and found it would be impossible to buy step 1D per the graphics without opening the panels. There will be more of these in the future so we need some help on interpretation. His reply was: 'inspection area is defined by the access provided. All panel access requirements are defined in the task card header. Panel removal is not required if there are no panel listed in the header.' tonight I did the inspection as directed by my manager; but I was not comfortable doing it.
Original NASA ASRS Text
Title: A B737-400 IN A MAINT CHK AN INSPECTOR RPTS BEING UNABLE TO PERFORM REQUIRED INSPECTION OF DOOR 1L. INSPECTION CARD DOES NOT ALLOW PANEL OR DOOR LINER REMOVAL.
Narrative: ON SEP/FRI/06; I WORKED THE NOTED TASK CARDS ON ACFT X. THE TECHNICIAN ASKED ME WHAT NEEDED TO BE OPENED UP FOR THE INSPECTION ON THE L1 DOOR. AFTER READING THE ENTIRE TASK CARD IT SEEMED LIKE WE SHOULD OPEN THE STRUCTURE SURROUND PANELS AND REMOVE THE LINER. I CALLED MY LEAD AND THE INSPECTION TRAINER WAS ON DUTY THAT NIGHT ALSO. WE ALL AGREED THAT THE LINERS AND PANELS COVERING THE SURROUNDING STRUCTURE SHOULD BE REMOVED. THE FOLLOWING DAY I CAME ON DUTY AND JOB INSPECTION X WAS POSTED ON THE BULLETIN BOARD. SHIFT HAD A VERBAL MESSAGE FOR ME FROM MGMNT THAT NO PANEL WERE SUPPOSED TO BE OPENED. I SENT THE FOLLOWING MESSAGE TO SUPVR. I ARRIVED ON SHIFT AND FOUND THAT THERE WAS SOME DISCUSSION REGARDING THE REMOVAL OF PANELS AND LINERS FROM THE ENTRY DOOR AREAS ON ACFT X. JOB INSPECTION X WAS POSTED ON THE BULLETIN BOARD. SHIFT LEAD BROUGHT THIS TO MY ATTN WHEN I ARRIVED. PER THE JOB INSPECTION THERE WAS NO PANELS LISTED ON TASK CARD Y THEREFORE NO PANELS SHOULD HAVE BEEN OPENED. MY FIRST CALL OF THE NIGHT LAST NIGHT WAS FROM THE TECHNICIAN WORKING TASK CARD Y STEP 1C. HIS QUESTION WAS; 'WHAT NEEDS TO BE OPENED TO PREPARE FOR THE INSPECTION?' THE NOTE AT THE TOP OF THE TASK CARD REFERS TO Z. I CALLED MY LEAD AND OUR OJTI WAS HERE ALSO SO WE LOOKED AT ALL THE INFO AND EVEN WENT TO THE CORROSION PREVENTION MANUAL AND FOUND IT WOULD BE IMPOSSIBLE TO BUY STEP 1D PER THE GRAPHICS WITHOUT OPENING THE PANELS. THERE WILL BE MORE OF THESE IN THE FUTURE SO WE NEED SOME HELP ON INTERP. HIS REPLY WAS: 'INSPECTION AREA IS DEFINED BY THE ACCESS PROVIDED. ALL PANEL ACCESS REQUIREMENTS ARE DEFINED IN THE TASK CARD HEADER. PANEL REMOVAL IS NOT REQUIRED IF THERE ARE NO PANEL LISTED IN THE HEADER.' TONIGHT I DID THE INSPECTION AS DIRECTED BY MY MGR; BUT I WAS NOT COMFORTABLE DOING IT.
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.