37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 728062 |
Time | |
Date | 200702 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B757-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Qualification | technician : airframe technician : powerplant |
Experience | maintenance lead technician : 5 maintenance technician : 3 |
ASRS Report | 728062 |
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 : published procedure non adherence : far |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : work cards contributing factor : manuals performance deficiency : inspection performance deficiency : non compliance with legal requirements performance deficiency : installation |
Supplementary | |
Problem Areas | Environmental Factor Chart Or Publication Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On feb/sat/07; I was asked to take aircraft X out for a maintenance run. The engine build up shop had just changed the fuel flow governor on the #2 engine. I walked into XXX to check on the progress of the work. The mechanics that were assigned to aircraft X were changing the #2 brake. They were having difficulties installing the tire; so I helped them install the tire. Once the tire was installed I pointed out that the brace rod need to be installed. That's when I walked away to gather my taxi crew. I did my normal pre-taxi walkaround; and found nothing out of the ordinary. I climb into the cockpit to ride the brakes; and the plane was pushed out of the hangar. We performed a wet motor and an idle leak check of #2 engine. Then the aircraft was pushed into position to taxi out to the run-up blocks. There were no abnormalities on the taxi out to the blocks. We did our maintenance run out at the blocks and everything was normal also. After the maintenance run we had to taxi from run-up blocks at the north end of airport to the hardstand at the south end of the field with no incident. After taxiing the aircraft to the hardstand I did the post-taxi walkaround everything was normal. I removed the logbook and brought it back to the hangar office to finish the paperwork. There was a logbook entry for the #2 brake leaking. None of the mechanics that worked on the #2 brake replacement held an airworthiness release signature authority/authorized for this type aircraft but they had all done work on this type aircraft for several years. Including brake changes. So; one of the mechanics that was assigned to this aircraft signed off the work on the log page as 'work performed by;' and I signed the airworthiness release block for the work that was performed.
Original NASA ASRS Text
Title: IMMEDIATELY AFTER #2 BRAKE WAS REPLACED ON A B757-200; ACFT WAS TAXIED TO A RUNUP PAD FOR #2 ENG RUN. AFTER RUN; ACFT WAS TAXIED TO PARKING AREA. FIRST FLT; #2 BRAKE FAILED ON LANDING. FOUND BRAKE TORQUE ROD NOT CONNECTED.
Narrative: ON FEB/SAT/07; I WAS ASKED TO TAKE ACFT X OUT FOR A MAINT RUN. THE ENG BUILD UP SHOP HAD JUST CHANGED THE FUEL FLOW GOVERNOR ON THE #2 ENG. I WALKED INTO XXX TO CHK ON THE PROGRESS OF THE WORK. THE MECHS THAT WERE ASSIGNED TO ACFT X WERE CHANGING THE #2 BRAKE. THEY WERE HAVING DIFFICULTIES INSTALLING THE TIRE; SO I HELPED THEM INSTALL THE TIRE. ONCE THE TIRE WAS INSTALLED I POINTED OUT THAT THE BRACE ROD NEED TO BE INSTALLED. THAT'S WHEN I WALKED AWAY TO GATHER MY TAXI CREW. I DID MY NORMAL PRE-TAXI WALKAROUND; AND FOUND NOTHING OUT OF THE ORDINARY. I CLB INTO THE COCKPIT TO RIDE THE BRAKES; AND THE PLANE WAS PUSHED OUT OF THE HANGAR. WE PERFORMED A WET MOTOR AND AN IDLE LEAK CHK OF #2 ENG. THEN THE ACFT WAS PUSHED INTO POS TO TAXI OUT TO THE RUN-UP BLOCKS. THERE WERE NO ABNORMALITIES ON THE TAXI OUT TO THE BLOCKS. WE DID OUR MAINT RUN OUT AT THE BLOCKS AND EVERYTHING WAS NORMAL ALSO. AFTER THE MAINT RUN WE HAD TO TAXI FROM RUN-UP BLOCKS AT THE N END OF ARPT TO THE HARDSTAND AT THE S END OF THE FIELD WITH NO INCIDENT. AFTER TAXIING THE ACFT TO THE HARDSTAND I DID THE POST-TAXI WALKAROUND EVERYTHING WAS NORMAL. I REMOVED THE LOGBOOK AND BROUGHT IT BACK TO THE HANGAR OFFICE TO FINISH THE PAPERWORK. THERE WAS A LOGBOOK ENTRY FOR THE #2 BRAKE LEAKING. NONE OF THE MECHS THAT WORKED ON THE #2 BRAKE REPLACEMENT HELD AN AIRWORTHINESS RELEASE SIGNATURE AUTH FOR THIS TYPE ACFT BUT THEY HAD ALL DONE WORK ON THIS TYPE ACFT FOR SEVERAL YEARS. INCLUDING BRAKE CHANGES. SO; ONE OF THE MECHS THAT WAS ASSIGNED TO THIS ACFT SIGNED OFF THE WORK ON THE LOG PAGE AS 'WORK PERFORMED BY;' AND I SIGNED THE AIRWORTHINESS RELEASE BLOCK FOR THE WORK THAT WAS PERFORMED.
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.