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Mechanic reports an md-80 slide reservoir safety pin was not installed when slide was removed from aircraft. Failure to follow slide removal procedures has been an ongoing problem.
| Attributes | |
| ACN | 807351 |
| Time | |
| Date | 200810 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | MD-80 Series (DC-9-80) Undifferentiated or Other Model |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| ASRS Report | 807351 |
| Events | |
| Anomaly | 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 : briefing performance deficiency : scheduled maintenance performance deficiency : installation performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Company Aircraft Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
The slide reservoir safety pin was not installed in reservoir when slide was removed from aircraft for time constraints servicing. This could cause slide to deploy at any time causing injury or even death. These slides are shipped via truck or air freight depending on the circumstances. There should be training specifically focused on this problem. This has been an ongoing issue that must be finally dealt with before injury/death occurs. The cover of the slide clearly informs servicing requires pin installation. Slide reservoir safety pin not installed when removed from aircraft.
Original NASA ASRS Text
Title: MECHANIC REPORTS AN MD-80 SLIDE RESERVOIR SAFETY PIN WAS NOT INSTALLED WHEN SLIDE WAS REMOVED FROM ACFT. FAILURE TO FOLLOW SLIDE REMOVAL PROCEDURES HAS BEEN AN ONGOING PROBLEM.
Narrative: THE SLIDE RESERVOIR SAFETY PIN WAS NOT INSTALLED IN RESERVOIR WHEN SLIDE WAS REMOVED FROM ACFT FOR TIME CONSTRAINTS SVCING. THIS COULD CAUSE SLIDE TO DEPLOY AT ANY TIME CAUSING INJURY OR EVEN DEATH. THESE SLIDES ARE SHIPPED VIA TRUCK OR AIR FREIGHT DEPENDING ON THE CIRCUMSTANCES. THERE SHOULD BE TRAINING SPECIFICALLY FOCUSED ON THIS PROB. THIS HAS BEEN AN ONGOING ISSUE THAT MUST BE FINALLY DEALT WITH BEFORE INJURY/DEATH OCCURS. THE COVER OF THE SLIDE CLRLY INFORMS SVCING REQUIRES PIN INSTALLATION. SLIDE RESERVOIR SAFETY PIN NOT INSTALLED WHEN REMOVED FROM ACFT.
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.