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Attributes | |
ACN | 717879 |
Time | |
Date | 200611 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant technician : fcc |
Experience | maintenance technician : 17 |
ASRS Report | 717879 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Qualification | technician : powerplant technician : inspection authority technician : airframe |
Experience | maintenance avionics : 30 maintenance lead technician : 16 maintenance technician : 7 |
ASRS Report | 717741 |
Events | |
Anomaly | maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | other other : 4 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure contributing factor : non availability of parts performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance |
Supplementary | |
Problem Areas | Chart Or Publication Company Maintenance Human Performance Aircraft |
Primary Problem | Company |
Situations | |
Publication | Illustrated Parts Catalog |
Narrative:
Removed inoperative/damage panel from aircraft. Ordered part number listed 'as per ipc reference' from maintenance operations part number 311701690. Remarks: air traffic area 30 day activity 4. 01 nov/xa/06; overhead panel first officer pitot. Heat light inoperative. Placard per MEL 30-31-05 needs first officer pitot. Heat checks normal. 03 overhead panel as per ipc 30-31-01-03. Part arrived and manufacturer number stamped on both parts verified in ipc as effective for ship. Installed new serviceable part. Released aircraft for service. The following day I was made aware that the part installed was not effective for the aircraft and was set up to be replaced. 01 nov/xa/06; per replace pilots. Overhead miscellaneous annunciator panel. Part replaced without incident. 02 replaced miscellaneous annunciator panel per amm. Upon further investigation; we found that there were multiple assembly numbers stamped on the part. The assembly number that was stamped on both the removed and installed was for a sub assembly and not for the final assembly. Multiple failures exist. 1) the panel had multiple assembly numbers showing effective for ship X. 2) part number listed as per ipc not effective for aircraft X. 03 overhead panel as per ipc 30-31-01-03. 3) assembly number which was verified with the ipc; was only effective for the final assembly. 4) inadequate parts ordering process and software. Manufacturer part numbers ordered with a ship number should automatically have effectivity displayed during the ordering process. This process should be dynamic as to when the ipc is changed; the change is automatically applied to the parts ordering software. Also having multiple numbers for parts ordering; ie; part numbers and manufacture part numbers. Use one or the other; not both. If using a part number ordering system; then generate a separate part number for each different manufacturer part number.
Original NASA ASRS Text
Title: A B767-300 WAS DISPATCHED WITH THE INCORRECT FO'S PITOT HEAT OVERHEAD PANEL. PARTS ORDERING SYS AND PARTS NUMBERING FOUND FAULTY.
Narrative: REMOVED INOP/DAMAGE PANEL FROM ACFT. ORDERED PART NUMBER LISTED 'AS PER IPC REF' FROM MAINT OPS PART NUMBER 311701690. REMARKS: ATA 30 DAY ACTIVITY 4. 01 NOV/XA/06; OVERHEAD PANEL FO PITOT. HEAT LIGHT INOP. PLACARD PER MEL 30-31-05 NEEDS FO PITOT. HEAT CHKS NORMAL. 03 OVERHEAD PANEL AS PER IPC 30-31-01-03. PART ARRIVED AND MANUFACTURER NUMBER STAMPED ON BOTH PARTS VERIFIED IN IPC AS EFFECTIVE FOR SHIP. INSTALLED NEW SERVICEABLE PART. RELEASED ACFT FOR SVC. THE FOLLOWING DAY I WAS MADE AWARE THAT THE PART INSTALLED WAS NOT EFFECTIVE FOR THE ACFT AND WAS SET UP TO BE REPLACED. 01 NOV/XA/06; PER REPLACE PLTS. OVERHEAD MISC ANNUNCIATOR PANEL. PART REPLACED WITHOUT INCIDENT. 02 REPLACED MISC ANNUNCIATOR PANEL PER AMM. UPON FURTHER INVESTIGATION; WE FOUND THAT THERE WERE MULTIPLE ASSEMBLY NUMBERS STAMPED ON THE PART. THE ASSEMBLY NUMBER THAT WAS STAMPED ON BOTH THE REMOVED AND INSTALLED WAS FOR A SUB ASSEMBLY AND NOT FOR THE FINAL ASSEMBLY. MULTIPLE FAILURES EXIST. 1) THE PANEL HAD MULTIPLE ASSEMBLY NUMBERS SHOWING EFFECTIVE FOR SHIP X. 2) PART NUMBER LISTED AS PER IPC NOT EFFECTIVE FOR ACFT X. 03 OVERHEAD PANEL AS PER IPC 30-31-01-03. 3) ASSEMBLY NUMBER WHICH WAS VERIFIED WITH THE IPC; WAS ONLY EFFECTIVE FOR THE FINAL ASSEMBLY. 4) INADEQUATE PARTS ORDERING PROCESS AND SOFTWARE. MANUFACTURER PART NUMBERS ORDERED WITH A SHIP NUMBER SHOULD AUTOMATICALLY HAVE EFFECTIVITY DISPLAYED DURING THE ORDERING PROCESS. THIS PROCESS SHOULD BE DYNAMIC AS TO WHEN THE IPC IS CHANGED; THE CHANGE IS AUTOMATICALLY APPLIED TO THE PARTS ORDERING SOFTWARE. ALSO HAVING MULTIPLE NUMBERS FOR PARTS ORDERING; IE; PART NUMBERS AND MANUFACTURE PART NUMBERS. USE ONE OR THE OTHER; NOT BOTH. IF USING A PART NUMBER ORDERING SYS; THEN GENERATE A SEPARATE PART NUMBER FOR EACH DIFFERENT MANUFACTURER PART NUMBER.
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.