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After installing the right emergency exit door on an EMB145LR; mechanic is later informed the flight crew had reported the upper handle was not properly installed.
| Attributes | |
| ACN | 793906 |
| Time | |
| Date | 200807 |
| 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 | EMB ERJ 145 ER&LR |
| Operating Under FAR Part | Part 121 |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| ASRS Report | 793906 |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : published procedure non adherence : far |
| Independent Detector | other other : 1 & 2 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance performance deficiency : installation performance deficiency : inspection |
| Supplementary | |
| Problem Areas | Aircraft Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
Installed right emergency exit door to fuselage on jul/xa/08 around XA30 after clearance to close by P1. Signed install block; and gave re-panel checklist to P2 for inspection signoff. Was informed by my supervisor that aircraft X had a maintenance log entry about the event and it was fixed during ron maintenance. Upper handle was repositioned during ron maintenance before the next flight. Did not notice the upper plastic handle on door liner had been installed incorrectly during installation. Would be possible to reconfigure installation of upper handle without much expense; so it could only fit one way. Supplemental information from acn 793907: on jul/xa/08 I was asked by P1 to do a clearance to close for the 2 overwing emergency exits. I inspected the exit door frames; and made sure that the panels were secured properly; and signed the clearance to close block on the de-panel list. Prior to flight; the pilot reported that one of the upper handles on an emergency exit was not installed properly.
Original NASA ASRS Text
Title: AFTER INSTALLING THE RIGHT EMERGENCY EXIT DOOR ON AN EMB145LR; MECHANIC IS LATER INFORMED THE FLIGHT CREW HAD REPORTED THE UPPER HANDLE WAS NOT PROPERLY INSTALLED.
Narrative: INSTALLED R EMER EXIT DOOR TO FUSELAGE ON JUL/XA/08 AROUND XA30 AFTER CLRNC TO CLOSE BY P1. SIGNED INSTALL BLOCK; AND GAVE RE-PANEL CHKLIST TO P2 FOR INSPECTION SIGNOFF. WAS INFORMED BY MY SUPVR THAT ACFT X HAD A MAINT LOG ENTRY ABOUT THE EVENT AND IT WAS FIXED DURING RON MAINT. UPPER HANDLE WAS REPOSITIONED DURING RON MAINT BEFORE THE NEXT FLT. DID NOT NOTICE THE UPPER PLASTIC HANDLE ON DOOR LINER HAD BEEN INSTALLED INCORRECTLY DURING INSTALLATION. WOULD BE POSSIBLE TO RECONFIGURE INSTALLATION OF UPPER HANDLE WITHOUT MUCH EXPENSE; SO IT COULD ONLY FIT ONE WAY. SUPPLEMENTAL INFO FROM ACN 793907: ON JUL/XA/08 I WAS ASKED BY P1 TO DO A CLRNC TO CLOSE FOR THE 2 OVERWING EMER EXITS. I INSPECTED THE EXIT DOOR FRAMES; AND MADE SURE THAT THE PANELS WERE SECURED PROPERLY; AND SIGNED THE CLRNC TO CLOSE BLOCK ON THE DE-PANEL LIST. PRIOR TO FLT; THE PLT RPTED THAT ONE OF THE UPPER HANDLES ON AN EMER EXIT WAS NOT INSTALLED PROPERLY.
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.