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|
Attributes | |
ACN | 777274 |
Time | |
Date | 200711 |
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 | A330 |
Operating Under FAR Part | Part 121 |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
ASRS Report | 777274 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Events | |
Anomaly | maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | other other : 2 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : briefing contributing factor : schedule pressure performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
Found seal block and 2 rivets missing on #1 engine inboard thrust reverser upper fairing on ETOPS check. Installed seal block with correct bolts and nuts and secured fairing with 2 screws and clip nuts. The upper fairing was programmed for replacement maintenance routine overnight with no reinspection or terminating action date. Due to this item having no terminating date assigned it was determined that tracking was not required. The notification by my lead mechanic from the supervisor that the proper paperwork and procedures were not complied with and documented correctly. The 2 screws and clip nuts were removed and replaced with blind rivets per amm to be re-inspected every 2500 cycles and replaced with solid rivets no later than 20000 cycles. The failure to properly research and document the paperwork and computer entries necessary for a final terminating action led to this event. Through correct research; documentation and computer entries this would help eliminate and avoid events like this.
Original NASA ASRS Text
Title: AN AIRBUS A330 #1 ENG INBOARD THRUST REVERSER UPPER FAIRING WAS FOUND WITH SEAL BLOCK AND TWO RIVETS MISSING. AFTER REPAIRS; NO RE-INSPECTION OR TERMINATING ACTION DATE RECORDED OR TRACKING PROCEDURE ESTABLISHED.
Narrative: FOUND SEAL BLOCK AND 2 RIVETS MISSING ON #1 ENG INBOARD THRUST REVERSER UPPER FAIRING ON ETOPS CHK. INSTALLED SEAL BLOCK WITH CORRECT BOLTS AND NUTS AND SECURED FAIRING WITH 2 SCREWS AND CLIP NUTS. THE UPPER FAIRING WAS PROGRAMMED FOR REPLACEMENT MAINT ROUTINE OVERNIGHT WITH NO REINSPECTION OR TERMINATING ACTION DATE. DUE TO THIS ITEM HAVING NO TERMINATING DATE ASSIGNED IT WAS DETERMINED THAT TRACKING WAS NOT REQUIRED. THE NOTIFICATION BY MY LEAD MECH FROM THE SUPVR THAT THE PROPER PAPERWORK AND PROCS WERE NOT COMPLIED WITH AND DOCUMENTED CORRECTLY. THE 2 SCREWS AND CLIP NUTS WERE REMOVED AND REPLACED WITH BLIND RIVETS PER AMM TO BE RE-INSPECTED EVERY 2500 CYCLES AND REPLACED WITH SOLID RIVETS NO LATER THAN 20000 CYCLES. THE FAILURE TO PROPERLY RESEARCH AND DOCUMENT THE PAPERWORK AND COMPUTER ENTRIES NECESSARY FOR A FINAL TERMINATING ACTION LED TO THIS EVENT. THROUGH CORRECT RESEARCH; DOCUMENTATION AND COMPUTER ENTRIES THIS WOULD HELP ELIMINATE AND AVOID EVENTS LIKE THIS.
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.