37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 807464 |
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 | Regional Jet 700 ER&LR |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
ASRS Report | 807464 |
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 : briefing contributing factor : work cards performance deficiency : scheduled maintenance performance deficiency : non compliance with legal requirements performance deficiency : installation |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
I was called to aircraft X for nosewheel shimmy; oil service; and cabin lights inoperative. I went to parts to get aircraft jack; jack kit; torque wrench and nose tires. I printed the nose tire change work card and proceeded to the aircraft. After jacking the aircraft; I could see the nose tires were out of round; and proceeded to change them. I was feeling pressured to complete the job to get the aircraft flight ready and when I took off the right nose tire; the spacer stuck to the old nose tire assembly. When installing the new nosewheel; I failed to check to see if the spacer was in place and installed the nosewheel assembly without it being in place. On pushback; there was a loud noise in the nose; and the plane stopped as soon as the crew heard the noise preventing any additional damage. The plane was towed back to the gate; new nose tires were put on the aircraft; and the flight departed without further incident. I was feeling pressured to complete the job by the 'hard time' and although I had a work card; it is 8 pages long; and more useful if a person has lots of time to read it. There is more information on the work card than is absolutely necessary to do the job; and it's easy to gloss over the information that is critical to doing the job. I think the work card should be simplified to the steps absolutely necessary to complete the job. Being line maintenance; time is always a factor; but sometimes it can cause additional pressure which in turn can cause mistakes. Mechanics could be given more time to adequately perform their jobs.
Original NASA ASRS Text
Title: FEELING PRESSURED TO GET ALL THE ASSIGNED MAINT WORK ACCOMPLISHED ON A CRJ-700 PRIOR TO DEPARTURE; MECHANIC REPORTS HE FAILED TO NOTICED THE R NOSE TIRE WHEEL SPACER REMAINED STUCK TO THE REMOVED TIRE.
Narrative: I WAS CALLED TO ACFT X FOR NOSEWHEEL SHIMMY; OIL SVC; AND CABIN LIGHTS INOP. I WENT TO PARTS TO GET ACFT JACK; JACK KIT; TORQUE WRENCH AND NOSE TIRES. I PRINTED THE NOSE TIRE CHANGE WORK CARD AND PROCEEDED TO THE ACFT. AFTER JACKING THE ACFT; I COULD SEE THE NOSE TIRES WERE OUT OF ROUND; AND PROCEEDED TO CHANGE THEM. I WAS FEELING PRESSURED TO COMPLETE THE JOB TO GET THE ACFT FLT READY AND WHEN I TOOK OFF THE R NOSE TIRE; THE SPACER STUCK TO THE OLD NOSE TIRE ASSEMBLY. WHEN INSTALLING THE NEW NOSEWHEEL; I FAILED TO CHK TO SEE IF THE SPACER WAS IN PLACE AND INSTALLED THE NOSEWHEEL ASSEMBLY WITHOUT IT BEING IN PLACE. ON PUSHBACK; THERE WAS A LOUD NOISE IN THE NOSE; AND THE PLANE STOPPED AS SOON AS THE CREW HEARD THE NOISE PREVENTING ANY ADDITIONAL DAMAGE. THE PLANE WAS TOWED BACK TO THE GATE; NEW NOSE TIRES WERE PUT ON THE ACFT; AND THE FLT DEPARTED WITHOUT FURTHER INCIDENT. I WAS FEELING PRESSURED TO COMPLETE THE JOB BY THE 'HARD TIME' AND ALTHOUGH I HAD A WORK CARD; IT IS 8 PAGES LONG; AND MORE USEFUL IF A PERSON HAS LOTS OF TIME TO READ IT. THERE IS MORE INFO ON THE WORK CARD THAN IS ABSOLUTELY NECESSARY TO DO THE JOB; AND IT'S EASY TO GLOSS OVER THE INFO THAT IS CRITICAL TO DOING THE JOB. I THINK THE WORK CARD SHOULD BE SIMPLIFIED TO THE STEPS ABSOLUTELY NECESSARY TO COMPLETE THE JOB. BEING LINE MAINT; TIME IS ALWAYS A FACTOR; BUT SOMETIMES IT CAN CAUSE ADDITIONAL PRESSURE WHICH IN TURN CAN CAUSE MISTAKES. MECHS COULD BE GIVEN MORE TIME TO ADEQUATELY PERFORM THEIR JOBS.
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.