37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 713787 |
Time | |
Date | 200609 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-500 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | observation : air carrier inspector |
ASRS Report | 713787 |
Person 2 | |
Affiliation | government : faa |
Function | maintenance : inspector other personnel other |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | other other : 2 |
Resolutory Action | none taken : detected after the fact |
Consequence | faa : investigated other other |
Factors | |
Maintenance | contributing factor : work cards contributing factor : schedule pressure contributing factor : engineering procedure performance deficiency : scheduled maintenance performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : inspection |
Supplementary | |
Problem Areas | Maintenance Human Performance Environmental Factor Chart Or Publication Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
Item in question was issued on aircraft X. In a review of the engineering authority/authorized it was noted that there were mechanic; and inspection signoffs not signed and I issued an airworthiness signoff on the aircraft not knowing they weren't signed. At shift turn over when I was coming on duty was told that the work cards were complied with down to close up of panels listed on the engineering authority/authorized. I issued the work to close up the panels on the aircraft; upon completion of the task; I verified all documents were accounted for and that the job cards were complied with in the computer; I then issued the airworthiness signoff on the aircraft logbook form XXX; the aircraft was then pushed out of the hangar onto the pad where it was supposedly ready. The next day it was noted that the signoffs in question were not complied with but the task was complied with; the tech and inspector were contacted and asked to comply with the signoffs. This had all taken place before the aircraft was put on a trip. I have since received a letter from mr X of the FAA safety inspection about the matter in question and I am now trying to get in touch with mr X to discuss the incident in question.
Original NASA ASRS Text
Title: A B737-500 HAD THE HORIZ STABILIZER CTR SECTION HINGE PIN ENGINEERING AUTH WORK ACCOMPLISHED. INSPECTOR SIGNED AIRWORTHINESS RELEASE. NEXT DAY FAA DISCOVERED MISSING INSPECTOR AND TECHNICIAN SIGNOFFS.
Narrative: ITEM IN QUESTION WAS ISSUED ON ACFT X. IN A REVIEW OF THE ENGINEERING AUTH IT WAS NOTED THAT THERE WERE MECH; AND INSPECTION SIGNOFFS NOT SIGNED AND I ISSUED AN AIRWORTHINESS SIGNOFF ON THE ACFT NOT KNOWING THEY WEREN'T SIGNED. AT SHIFT TURN OVER WHEN I WAS COMING ON DUTY WAS TOLD THAT THE WORK CARDS WERE COMPLIED WITH DOWN TO CLOSE UP OF PANELS LISTED ON THE ENGINEERING AUTH. I ISSUED THE WORK TO CLOSE UP THE PANELS ON THE ACFT; UPON COMPLETION OF THE TASK; I VERIFIED ALL DOCUMENTS WERE ACCOUNTED FOR AND THAT THE JOB CARDS WERE COMPLIED WITH IN THE COMPUTER; I THEN ISSUED THE AIRWORTHINESS SIGNOFF ON THE ACFT LOGBOOK FORM XXX; THE ACFT WAS THEN PUSHED OUT OF THE HANGAR ONTO THE PAD WHERE IT WAS SUPPOSEDLY READY. THE NEXT DAY IT WAS NOTED THAT THE SIGNOFFS IN QUESTION WERE NOT COMPLIED WITH BUT THE TASK WAS COMPLIED WITH; THE TECH AND INSPECTOR WERE CONTACTED AND ASKED TO COMPLY WITH THE SIGNOFFS. THIS HAD ALL TAKEN PLACE BEFORE THE ACFT WAS PUT ON A TRIP. I HAVE SINCE RECEIVED A LETTER FROM MR X OF THE FAA SAFETY INSPECTION ABOUT THE MATTER IN QUESTION AND I AM NOW TRYING TO GET IN TOUCH WITH MR X TO DISCUSS THE INCIDENT IN QUESTION.
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.