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Attributes | |
ACN | 751213 |
Time | |
Date | 200708 |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-700 |
Operating Under FAR Part | Part 121 |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
ASRS Report | 751213 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight attendant : on duty |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : published procedure non adherence : far |
Independent Detector | other flight crewa |
Resolutory Action | other |
Consequence | other |
Factors | |
Maintenance | performance deficiency : installation performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
I was assigned to aircraft X as a maintenance visit check. I had finished the check; and started working on the aft slide. I removed the aft service slide according to the serial number; and installed the one they had on pre-draw not aware that it was not the right one. I knew that I did not check when I was informed what had happened. When I took the used slide out of its case and installed the new slide in the case; and installed it back on the door. I forgot to check to see if the girt bar would fit in the girt bar slots. The crew discovered what had happened; because the girt bar would not fit.
Original NASA ASRS Text
Title: A B737-700 ACFT AFT SERVICE DOOR SLIDE WAS REPLACED. CABIN FLIGHT CREW FOUND GIRT BAR WOULD NOT FIT IN THE FLOOR GIRT BAR FITTINGS.
Narrative: I WAS ASSIGNED TO ACFT X AS A MAINT VISIT CHK. I HAD FINISHED THE CHK; AND STARTED WORKING ON THE AFT SLIDE. I REMOVED THE AFT SVC SLIDE ACCORDING TO THE SERIAL NUMBER; AND INSTALLED THE ONE THEY HAD ON PRE-DRAW NOT AWARE THAT IT WAS NOT THE RIGHT ONE. I KNEW THAT I DID NOT CHK WHEN I WAS INFORMED WHAT HAD HAPPENED. WHEN I TOOK THE USED SLIDE OUT OF ITS CASE AND INSTALLED THE NEW SLIDE IN THE CASE; AND INSTALLED IT BACK ON THE DOOR. I FORGOT TO CHK TO SEE IF THE GIRT BAR WOULD FIT IN THE GIRT BAR SLOTS. THE CREW DISCOVERED WHAT HAD HAPPENED; BECAUSE THE GIRT BAR WOULD NOT FIT.
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.