37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 734759 |
Time | |
Date | 200704 |
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 | EMB ERJ 145 ER&LR |
Operating Under FAR Part | Part 121 |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
ASRS Report | 734759 |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | other other : 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : work cards contributing factor : schedule pressure contributing factor : briefing performance deficiency : repair performance deficiency : training performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Company Maintenance Human Performance Aircraft Chart Or Publication |
Primary Problem | Chart Or Publication |
Situations | |
Publication | S/B And Engnr Order |
Narrative:
Maintenance heavy modification required rivets were not installed. While working an engineering order; service bulletin X figure 2 detail; frame 41&42 between stringers 10&11 l-hand side rivets were not installed to the reinforcement. The service bulletin states to xfer the existing rivet holes to the reinforcement. There are no rivets installed in the skin at this location. The service bulletin is incorrect and conflictive. Having improper reference material and lack of experience and the conflictive diagram to statement; the rivets were not installed.
Original NASA ASRS Text
Title: EMB-145 SERVICE BULLETIN TO REMOVE/REPLACE SPECIFIC FUSE FRAME FASTENERS. FASTENERS NOT INSTALLED.
Narrative: MAINT HVY MODIFICATION REQUIRED RIVETS WERE NOT INSTALLED. WHILE WORKING AN ENGINEERING ORDER; SVC BULLETIN X FIGURE 2 DETAIL; FRAME 41&42 BTWN STRINGERS 10&11 L-HAND SIDE RIVETS WERE NOT INSTALLED TO THE REINFORCEMENT. THE SVC BULLETIN STATES TO XFER THE EXISTING RIVET HOLES TO THE REINFORCEMENT. THERE ARE NO RIVETS INSTALLED IN THE SKIN AT THIS LOCATION. THE SVC BULLETIN IS INCORRECT AND CONFLICTIVE. HAVING IMPROPER REF MATERIAL AND LACK OF EXPERIENCE AND THE CONFLICTIVE DIAGRAM TO STATEMENT; THE RIVETS WERE NOT INSTALLED.
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.