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|
Attributes | |
ACN | 733332 |
Time | |
Date | 200703 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B757-200 |
Operating Under FAR Part | Part 121 |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Qualification | technician : powerplant technician : airframe |
ASRS Report | 733332 |
Person 2 | |
Affiliation | company : air carrier |
Function | oversight : supervisor |
Events | |
Anomaly | maintenance problem : improper maintenance maintenance problem : non compliance with mel non adherence : far non adherence : published procedure |
Independent Detector | other other : 2 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : briefing performance deficiency : logbook entry performance deficiency : non compliance with legal requirements performance deficiency : inspection |
Supplementary | |
Problem Areas | Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
I checked on his progress before the meeting; he said the check was about done and the chip detectors was done. I asked about the log item and he said it was being troubleshot. I assigned mechanic X to aircraft X. The assignment was a check; chip detectors and log item; 'left gen inoperative.' ZZZ1 reviewed the logbook and discovered it. Upon my first day back to work from my days off; I was handed a discipline form and told I was being suspended for 1 day starting the next day. Putting colored tags on rii components when they go through receiving inspection; so the installing mechanic will know this is rii item. Callback conversation with reporter revealed the following information: engine idg was replaced on prior shift. The maintenance turnover to the oncoming shift stated that only the chip detectors needed to be checked; all other work was completed. This reporter was part of the oncoming shift and notified later he had not called out for a required inspection item. The rii for the idg was accomplished at another station. No flight discrepancies as a result of the idg change.
Original NASA ASRS Text
Title: A B757-225 HAD AN ENGINE IDG REPLACED WITHOUT THE REQUIRED INSPECTION CHECK ACCOMPLISHED PRIOR TO DISPATCH.
Narrative: I CHKED ON HIS PROGRESS BEFORE THE MEETING; HE SAID THE CHK WAS ABOUT DONE AND THE CHIP DETECTORS WAS DONE. I ASKED ABOUT THE LOG ITEM AND HE SAID IT WAS BEING TROUBLESHOT. I ASSIGNED MECH X TO ACFT X. THE ASSIGNMENT WAS A CHK; CHIP DETECTORS AND LOG ITEM; 'L GEN INOP.' ZZZ1 REVIEWED THE LOGBOOK AND DISCOVERED IT. UPON MY FIRST DAY BACK TO WORK FROM MY DAYS OFF; I WAS HANDED A DISCIPLINE FORM AND TOLD I WAS BEING SUSPENDED FOR 1 DAY STARTING THE NEXT DAY. PUTTING COLORED TAGS ON RII COMPONENTS WHEN THEY GO THROUGH RECEIVING INSPECTION; SO THE INSTALLING MECH WILL KNOW THIS IS RII ITEM. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: ENGINE IDG WAS REPLACED ON PRIOR SHIFT. THE MAINTENANCE TURNOVER TO THE ONCOMING SHIFT STATED THAT ONLY THE CHIP DETECTORS NEEDED TO BE CHECKED; ALL OTHER WORK WAS COMPLETED. THIS REPORTER WAS PART OF THE ONCOMING SHIFT AND NOTIFIED LATER HE HAD NOT CALLED OUT FOR A REQUIRED INSPECTION ITEM. THE RII FOR THE IDG WAS ACCOMPLISHED AT ANOTHER STATION. NO FLIGHT DISCREPANCIES AS A RESULT OF THE IDG CHANGE.
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.