37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 736882 |
Time | |
Date | 200704 |
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 | Dash 8-400 |
Operating Under FAR Part | Part 121 |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
ASRS Report | 736882 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
Independent Detector | other other : 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : work cards contributing factor : engineering procedure contributing factor : briefing performance deficiency : logbook entry performance deficiency : installation performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Aircraft Company Maintenance Human Performance Chart Or Publication |
Primary Problem | Maintenance Human Performance |
Narrative:
Incorrect task card signed for right&right of nosewheel assembly. While performing daily inspection on aircraft X at approximately XA00 on apr/thu/07; the mechanic found the #2 nose tire cut beyond limits. While he proceeded with the daily check; the lead mechanic prepared and delivered the nosewheel tire assembly removal/installation card. The mechanic removed and replaced the #2 nosewheel in accordance with provided task card and signed for work performed on the job card and log page. The next day ZZZ was notified that the incorrect task card had been used to change the nosewheel. A task card for a dash-8 200 nosewheel had been used instead of a dash-8 400 job card. Aircraft X returned to ZZZ and the #2 nosewheel was removed and replaced in accordance with correct task card. Due to job cards no longer have aircraft type in heading/title. Initiated crew briefings regarding task card situation. Initiated job card change request to have aircraft type replaced in header/title of company job cards.
Original NASA ASRS Text
Title: A DHC-8-400 ACFT NOSEWHEEL TIRE WAS REMOVED/REPLACED AND SIGNED FOR USING A JOB CARD FOR A DASH-8-200 TYPE ACFT.
Narrative: INCORRECT TASK CARD SIGNED FOR R&R OF NOSEWHEEL ASSEMBLY. WHILE PERFORMING DAILY INSPECTION ON ACFT X AT APPROX XA00 ON APR/THU/07; THE MECH FOUND THE #2 NOSE TIRE CUT BEYOND LIMITS. WHILE HE PROCEEDED WITH THE DAILY CHK; THE LEAD MECH PREPARED AND DELIVERED THE NOSEWHEEL TIRE ASSEMBLY REMOVAL/INSTALLATION CARD. THE MECH REMOVED AND REPLACED THE #2 NOSEWHEEL IN ACCORDANCE WITH PROVIDED TASK CARD AND SIGNED FOR WORK PERFORMED ON THE JOB CARD AND LOG PAGE. THE NEXT DAY ZZZ WAS NOTIFIED THAT THE INCORRECT TASK CARD HAD BEEN USED TO CHANGE THE NOSEWHEEL. A TASK CARD FOR A DASH-8 200 NOSEWHEEL HAD BEEN USED INSTEAD OF A DASH-8 400 JOB CARD. ACFT X RETURNED TO ZZZ AND THE #2 NOSEWHEEL WAS REMOVED AND REPLACED IN ACCORDANCE WITH CORRECT TASK CARD. DUE TO JOB CARDS NO LONGER HAVE ACFT TYPE IN HEADING/TITLE. INITIATED CREW BRIEFINGS REGARDING TASK CARD SITUATION. INITIATED JOB CARD CHANGE REQUEST TO HAVE ACFT TYPE REPLACED IN HEADER/TITLE OF COMPANY JOB CARDS.
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.