37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 804310 |
Time | |
Date | 200809 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Controlling Facilities | tower : zzz.tower |
Operator | common carrier : air carrier |
Make Model Name | Regional Jet 700 ER&LR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
ASRS Report | 804310 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | other other : 1 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : work cards contributing factor : briefing performance deficiency : scheduled maintenance performance deficiency : installation performance deficiency : inspection performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Chart Or Publication Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
Improper part; realization of incorrect cap installed on accessory gear box (agb) of engine reported to supervisor. Supervisor informed gate maintenance to inquire about location of aircraft X. It was at the gate and ready to depart. Supervisor made arrangements with gate maintenance for engine shop to fix the problem prior to aircraft departure. Problem fixed and aircraft departed on time with no delays. During qec of the engine for aircraft X which was aog; the incorrect cap was not discovered during our inspection and/or the receiving inspections by our inspection department. Callback conversation with reporter revealed the following information: reporter stated there are other aluminum caps installed on their ge-CF34 engines which are color coded blue. But the oil cap on the accessory gear box is stainless steel and not color coded. Reporter stated the vendor has shipped these engines with the blue aluminum caps installed. He has also seen plastic caps where the stainless steel type should be. Reporter stated his carrier has added a maintenance item to their maintenance task cards to specifically check for correct cap installation; especially during engine changes.
Original NASA ASRS Text
Title: AFTER A QEC OF A GE-CF34 ENGINE; ON A CL-600 (CRJ-700); MECHANIC REALIZES AN ALUMINUM CAP WAS STILL INSTALLED ON THE ACCESSORY GEAR BOX (AGB); INSTEAD OF THE REQUIRED STAINLESS STEEL TYPE.
Narrative: IMPROPER PART; REALIZATION OF INCORRECT CAP INSTALLED ON ACCESSORY GEAR BOX (AGB) OF ENG RPTED TO SUPVR. SUPVR INFORMED GATE MAINT TO INQUIRE ABOUT LOCATION OF ACFT X. IT WAS AT THE GATE AND READY TO DEPART. SUPVR MADE ARRANGEMENTS WITH GATE MAINT FOR ENG SHOP TO FIX THE PROB PRIOR TO ACFT DEP. PROB FIXED AND ACFT DEPARTED ON TIME WITH NO DELAYS. DURING QEC OF THE ENG FOR ACFT X WHICH WAS AOG; THE INCORRECT CAP WAS NOT DISCOVERED DURING OUR INSPECTION AND/OR THE RECEIVING INSPECTIONS BY OUR INSPECTION DEPT. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: REPORTER STATED THERE ARE OTHER ALUMINUM CAPS INSTALLED ON THEIR GE-CF34 ENGINES WHICH ARE COLOR CODED BLUE. BUT THE OIL CAP ON THE ACCESSORY GEAR BOX IS STAINLESS STEEL AND NOT COLOR CODED. REPORTER STATED THE VENDOR HAS SHIPPED THESE ENGINES WITH THE BLUE ALUMINUM CAPS INSTALLED. HE HAS ALSO SEEN PLASTIC CAPS WHERE THE STAINLESS STEEL TYPE SHOULD BE. REPORTER STATED HIS CARRIER HAS ADDED A MAINT ITEM TO THEIR MAINT TASK CARDS TO SPECIFICALLY CHECK FOR CORRECT CAP INSTALLATION; ESPECIALLY DURING ENGINE CHANGES.
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.