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An aircraft mechanic realizes the following day; the main landing gear actuator rod end he helped replaced on a bombardier-dehavilland dhc-8-400; did not have grease added to the zurk fitting.
| Attributes | |
| ACN | 785889 |
| Time | |
| Date | 200805 |
| 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 | Q400 (Formerly Dash 8-400) |
| Operating Under FAR Part | Part 121 |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| ASRS Report | 785889 |
| Events | |
| Anomaly | maintenance problem : improper documentation maintenance problem : improper maintenance |
| Independent Detector | other other : 1 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | contributing factor : engineering procedure contributing factor : work cards contributing factor : briefing performance deficiency : scheduled maintenance |
| Supplementary | |
| Problem Areas | Chart Or Publication Maintenance Human Performance Aircraft |
| Primary Problem | Chart Or Publication |
Narrative:
Worked on aircraft X; changed rod end per task card (remove and replace main landing gear actuator rod end). The next day when on shift; I remembered that no one had added grease to 'zurk' fitting on new rod end. Looked over task card; found out that task card did not address doing that procedure. Boxes for that task card did not direct you to amm to lube the rod end. I had experience in changing out whole retract actuator assembly; and we always performed lube. The task card for just replacing rod end should have this procedure included.
Original NASA ASRS Text
Title: AN ACFT MECHANIC REALIZES THE FOLLOWING DAY; THE MAIN LANDING GEAR ACTUATOR ROD END HE HELPED REPLACED ON A BOMBARDIER-DEHAVILLAND DHC-8-400; DID NOT HAVE GREASE ADDED TO THE ZURK FITTING.
Narrative: WORKED ON ACFT X; CHANGED ROD END PER TASK CARD (REMOVE AND REPLACE MAIN LNDG GEAR ACTUATOR ROD END). THE NEXT DAY WHEN ON SHIFT; I REMEMBERED THAT NO ONE HAD ADDED GREASE TO 'ZURK' FITTING ON NEW ROD END. LOOKED OVER TASK CARD; FOUND OUT THAT TASK CARD DID NOT ADDRESS DOING THAT PROC. BOXES FOR THAT TASK CARD DID NOT DIRECT YOU TO AMM TO LUBE THE ROD END. I HAD EXPERIENCE IN CHANGING OUT WHOLE RETRACT ACTUATOR ASSEMBLY; AND WE ALWAYS PERFORMED LUBE. THE TASK CARD FOR JUST REPLACING ROD END SHOULD HAVE THIS PROC INCLUDED.
Data retrieved from NASA's ASRS site as of May 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.