37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 737429 |
Time | |
Date | 200704 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Make Model Name | EMB ERJ 135 ER&LR |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
ASRS Report | 737429 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
ASRS Report | 739063 |
Events | |
Anomaly | maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | other other : 3 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : work cards performance deficiency : inspection performance deficiency : non compliance with legal requirements performance deficiency : training |
Supplementary | |
Problem Areas | Maintenance Human Performance Chart Or Publication Company |
Primary Problem | Chart Or Publication |
Situations | |
Publication | Job Card |
Narrative:
The training I was given for step 12A led me to believe that it was a visual inspection. It is of the opinion of FAA inspector mr X the step is a torque check of each screw. When performing maintenance check on aircraft X I was performing item X on page X and misinterped the task to be performed. The task states to check for loose or missing screws on wing to fuselage panel. I interpreted the inspection to be a visual inspection of screws and FAA inspector mr X is of the opinion that it is a torque check of each screw. The aircraft had not been released for flight. ZZZ overnight maintenance on aircraft X apr/xa/07. Myself and FAA inspector mr X were involved. FAA inspector mr X requested that another mechanic perform a check and more loose screws were found. Had a meeting with the FAA. Informed me that I would receive an loi. I think that it would be helpful to add text in step X that would leave no questions. It would help to add that there must be a physical application of a screwdriver to these screws. The way it is stated now is mislead and there is a grey area.
Original NASA ASRS Text
Title: AN EMB-135 WING TO FUSELAGE BODY PANEL FASTENER CHECK JOB CARD WAS INTERPRETED TO BE A VISUAL INSPECTION. FAA REP ON SITE SAYS TORQUE CHECK.
Narrative: THE TRAINING I WAS GIVEN FOR STEP 12A LED ME TO BELIEVE THAT IT WAS A VISUAL INSPECTION. IT IS OF THE OPINION OF FAA INSPECTOR MR X THE STEP IS A TORQUE CHK OF EACH SCREW. WHEN PERFORMING MAINT CHK ON ACFT X I WAS PERFORMING ITEM X ON PAGE X AND MISINTERPED THE TASK TO BE PERFORMED. THE TASK STATES TO CHK FOR LOOSE OR MISSING SCREWS ON WING TO FUSELAGE PANEL. I INTERPED THE INSPECTION TO BE A VISUAL INSPECTION OF SCREWS AND FAA INSPECTOR MR X IS OF THE OPINION THAT IT IS A TORQUE CHK OF EACH SCREW. THE ACFT HAD NOT BEEN RELEASED FOR FLT. ZZZ OVERNIGHT MAINT ON ACFT X APR/XA/07. MYSELF AND FAA INSPECTOR MR X WERE INVOLVED. FAA INSPECTOR MR X REQUESTED THAT ANOTHER MECH PERFORM A CHK AND MORE LOOSE SCREWS WERE FOUND. HAD A MEETING WITH THE FAA. INFORMED ME THAT I WOULD RECEIVE AN LOI. I THINK THAT IT WOULD BE HELPFUL TO ADD TEXT IN STEP X THAT WOULD LEAVE NO QUESTIONS. IT WOULD HELP TO ADD THAT THERE MUST BE A PHYSICAL APPLICATION OF A SCREWDRIVER TO THESE SCREWS. THE WAY IT IS STATED NOW IS MISLEAD AND THERE IS A GREY AREA.
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.