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|
Attributes | |
ACN | 739245 |
Time | |
Date | 200705 |
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 | A319 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : inspector |
Qualification | technician : inspection authority technician : airframe technician : powerplant |
Experience | maintenance technician : 10 |
ASRS Report | 739245 |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : drain mast missing |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : briefing performance deficiency : inspection performance deficiency : non compliance with legal requirements performance deficiency : installation |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
Engine change was accomplished at ZZZ. Aircraft first morning flight was to ZZZ1. At ZZZ1 during pilot's preflight walkaround it was discovered that the #2 engine drain mast was not installed. The outcome was that the aircraft took a delay out of ZZZ1 and local ZZZ mechanics were flown in to install the drain mast. The installed engine was given a local abbreviated c-chk prior to installation; drain mast was removed without local inspection department notified; serviceable tag was issued to engine with drain mast not installed. The engine shop performing the maintenance on the engine created a write-up that the drain mast was removed but failed to flag said write-up as an rii. The write-up generated by the engine shop was signed off by a mechanic as; found drain mast installed. Callback conversation with reporter revealed the following information: the location of the drain mast was; in fact; attached to the lower section of the fan case. Reporter also stated he could not explain why a mechanic signed-off a write-up with the statement of found drain mast installed when; in fact; there was not one attached to the fan case.
Original NASA ASRS Text
Title: AN AIRBUS A319 ACFT WAS FOUND TO HAVE THE # 2 ENG DRAIN MAST MISSING FROM THE LOWER SIDE OF THE ENGINE FAN CASE.
Narrative: ENG CHANGE WAS ACCOMPLISHED AT ZZZ. ACFT FIRST MORNING FLT WAS TO ZZZ1. AT ZZZ1 DURING PLT'S PREFLT WALKAROUND IT WAS DISCOVERED THAT THE #2 ENG DRAIN MAST WAS NOT INSTALLED. THE OUTCOME WAS THAT THE ACFT TOOK A DELAY OUT OF ZZZ1 AND LCL ZZZ MECHS WERE FLOWN IN TO INSTALL THE DRAIN MAST. THE INSTALLED ENG WAS GIVEN A LCL ABBREVIATED C-CHK PRIOR TO INSTALLATION; DRAIN MAST WAS REMOVED WITHOUT LCL INSPECTION DEPT NOTIFIED; SERVICEABLE TAG WAS ISSUED TO ENG WITH DRAIN MAST NOT INSTALLED. THE ENG SHOP PERFORMING THE MAINT ON THE ENG CREATED A WRITE-UP THAT THE DRAIN MAST WAS REMOVED BUT FAILED TO FLAG SAID WRITE-UP AS AN RII. THE WRITE-UP GENERATED BY THE ENG SHOP WAS SIGNED OFF BY A MECH AS; FOUND DRAIN MAST INSTALLED. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE LOCATION OF THE DRAIN MAST WAS; IN FACT; ATTACHED TO THE LOWER SECTION OF THE FAN CASE. REPORTER ALSO STATED HE COULD NOT EXPLAIN WHY A MECHANIC SIGNED-OFF A WRITE-UP WITH THE STATEMENT OF FOUND DRAIN MAST INSTALLED WHEN; IN FACT; THERE WAS NOT ONE ATTACHED TO THE FAN CASE.
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.