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|
Attributes | |
ACN | 801406 |
Time | |
Date | 200808 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-400 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
ASRS Report | 801406 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician oversight : supervisor |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : published procedure non adherence : far |
Independent Detector | other other : 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : inspection performance deficiency : installation performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance |
Supplementary | |
Problem Areas | Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
Replaced the standby altimeter -- time unit change. There was no leak check required due quick disconnects on the pitot/static lines. The chkout procedure was not complicated. It was an oversight on my part not getting an inspector to inspect the quick disconnects. I replaced the indicator and then went on to the other tasks. There was a fairly heavy workload that night. I never realized there was a problem with this altimeter change until my supervisor brought it to my attention on aug/xa/08. He verbally counseled me on what I did wrong and said he would discuss it at the next crew meeting in a few days. I plan on scrutinizing the jobs I do more carefully so a mistake like this won't happen in the future.
Original NASA ASRS Text
Title: AFTER REPLACING A STANDBY ALTIMETER ON A B737-400; A MECHANIC IS INFORMED HE DID NOT HAVE AN INSPECTOR PERFORM THE REQUIRED RII INSPECTION OF THE ALTIMETER QUICK DISCONNECT LINES.
Narrative: REPLACED THE STANDBY ALTIMETER -- TIME UNIT CHANGE. THERE WAS NO LEAK CHK REQUIRED DUE QUICK DISCONNECTS ON THE PITOT/STATIC LINES. THE CHKOUT PROC WAS NOT COMPLICATED. IT WAS AN OVERSIGHT ON MY PART NOT GETTING AN INSPECTOR TO INSPECT THE QUICK DISCONNECTS. I REPLACED THE INDICATOR AND THEN WENT ON TO THE OTHER TASKS. THERE WAS A FAIRLY HVY WORKLOAD THAT NIGHT. I NEVER REALIZED THERE WAS A PROB WITH THIS ALTIMETER CHANGE UNTIL MY SUPVR BROUGHT IT TO MY ATTN ON AUG/XA/08. HE VERBALLY COUNSELED ME ON WHAT I DID WRONG AND SAID HE WOULD DISCUSS IT AT THE NEXT CREW MEETING IN A FEW DAYS. I PLAN ON SCRUTINIZING THE JOBS I DO MORE CAREFULLY SO A MISTAKE LIKE THIS WON'T HAPPEN IN THE FUTURE.
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.