37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 724949 |
Time | |
Date | 200701 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | MD-80 Series (DC-9-80) Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
ASRS Report | 724949 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Events | |
Anomaly | maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | other other : 3 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | performance deficiency : non compliance with legal requirements performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Maintenance Human Performance Chart Or Publication Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
After taking over the OTS aircraft from previous shift; I performed actual burn-out portion of work card; burn-out of high pressure pneumatic ducting. Towards the end ot the shift; rushing to sign documents; I have accidentally signed the boxes 34 through 37; which I did not accomplish. I would make sure the boxes to be signed actually performed by following the steps on the work card more carefully and reminding the lead technician to check them. The work card jumps from burn-out engine operations to close-up operations without clear change of job flow.
Original NASA ASRS Text
Title: AN MD80 HAD THE DUCT BURN OUT PROC ACCOMPLISHED. TECHNICIAN THAT RAN ENGS SIGNED OFF ENTIRE CARD IN ERROR.
Narrative: AFTER TAKING OVER THE OTS ACFT FROM PREVIOUS SHIFT; I PERFORMED ACTUAL BURN-OUT PORTION OF WORK CARD; BURN-OUT OF HIGH PRESSURE PNEUMATIC DUCTING. TOWARDS THE END OT THE SHIFT; RUSHING TO SIGN DOCUMENTS; I HAVE ACCIDENTALLY SIGNED THE BOXES 34 THROUGH 37; WHICH I DID NOT ACCOMPLISH. I WOULD MAKE SURE THE BOXES TO BE SIGNED ACTUALLY PERFORMED BY FOLLOWING THE STEPS ON THE WORK CARD MORE CAREFULLY AND REMINDING THE LEAD TECHNICIAN TO CHK THEM. THE WORK CARD JUMPS FROM BURN-OUT ENG OPS TO CLOSE-UP OPS WITHOUT CLR CHANGE OF JOB FLOW.
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.