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|
Attributes | |
ACN | 787085 |
Time | |
Date | 200805 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked ground : preflight |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Experience | flight time last 90 days : 257 |
ASRS Report | 787085 |
Events | |
Anomaly | maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : work cards contributing factor : manuals contributing factor : briefing performance deficiency : scheduled maintenance performance deficiency : inspection performance deficiency : installation performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
During preflight operations on flight from ZZZ; we discovered the right air conditioning access panel near the right main wheel well hanging open. We immediately called maintenance. The door was hinged on one side and had 4 fastener holes on the other side. We discovered 1 fastener lying on the pavement. The other 3 fasteners were never installed following maintenance and aircraft repainting. It was evident by the paint overspray that only the trailing edge fastener had been installed; not the other 3 fasteners. Upon inspecting the adjacent panel; it was apparent that other fasteners were not installed properly either (missing or loose fasteners). The captain; first officer; and maintenance man inspected every panel which was visible to ensure all other panels and fasteners were secure. The maintenance man installed fasteners where fasteners were missing and tightened existing loose fasteners before making the maintenance logbook entry. The right air conditioning access door would have likely been damaged or torn off the aircraft if it had come open during flight resulting in 'things falling off aircraft' it appeared that everything on the aircraft had been repainted; but the elevator surface had not been painted. When an aircraft has been taken out of flying status for maintenance and/or repaint; all panels need to be inspected for proper security prior to being returned to flying status.
Original NASA ASRS Text
Title: A B737-300 PILOT REPORTS ON FINDING THE RIGHT AIR CONDITIONING ACCESS PANEL NEAR THE RIGHT MAIN WHEEL WELL HANGING OPEN.
Narrative: DURING PREFLT OPS ON FLT FROM ZZZ; WE DISCOVERED THE R AIR CONDITIONING ACCESS PANEL NEAR THE R MAIN WHEEL WELL HANGING OPEN. WE IMMEDIATELY CALLED MAINT. THE DOOR WAS HINGED ON ONE SIDE AND HAD 4 FASTENER HOLES ON THE OTHER SIDE. WE DISCOVERED 1 FASTENER LYING ON THE PAVEMENT. THE OTHER 3 FASTENERS WERE NEVER INSTALLED FOLLOWING MAINT AND ACFT REPAINTING. IT WAS EVIDENT BY THE PAINT OVERSPRAY THAT ONLY THE TRAILING EDGE FASTENER HAD BEEN INSTALLED; NOT THE OTHER 3 FASTENERS. UPON INSPECTING THE ADJACENT PANEL; IT WAS APPARENT THAT OTHER FASTENERS WERE NOT INSTALLED PROPERLY EITHER (MISSING OR LOOSE FASTENERS). THE CAPT; FO; AND MAINT MAN INSPECTED EVERY PANEL WHICH WAS VISIBLE TO ENSURE ALL OTHER PANELS AND FASTENERS WERE SECURE. THE MAINT MAN INSTALLED FASTENERS WHERE FASTENERS WERE MISSING AND TIGHTENED EXISTING LOOSE FASTENERS BEFORE MAKING THE MAINT LOGBOOK ENTRY. THE R AIR CONDITIONING ACCESS DOOR WOULD HAVE LIKELY BEEN DAMAGED OR TORN OFF THE ACFT IF IT HAD COME OPEN DURING FLT RESULTING IN 'THINGS FALLING OFF ACFT' IT APPEARED THAT EVERYTHING ON THE ACFT HAD BEEN REPAINTED; BUT THE ELEVATOR SURFACE HAD NOT BEEN PAINTED. WHEN AN ACFT HAS BEEN TAKEN OUT OF FLYING STATUS FOR MAINT AND/OR REPAINT; ALL PANELS NEED TO BE INSPECTED FOR PROPER SECURITY PRIOR TO BEING RETURNED TO FLYING STATUS.
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.