37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 808390 |
Time | |
Date | 200809 |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance technician : 9.5 |
ASRS Report | 808390 |
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 : manuals contributing factor : briefing performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft Chart Or Publication |
Primary Problem | Maintenance Human Performance |
Narrative:
Bulletin about aircraft (737ER) was posted on the website. I read it the same day it came out. I had never changed a tire on this particular airplane. I got my work assignment on the night of sep/xa/08. I was working overtime that night. The assignment was to perform a service check on this plane (737ER). Found that #1 tire needed to be replaced. Several months had past by and did not realize about the bulletin on the website. I looked through the maintenance manual and for some reason I did not come across it. I finished my assignment without knowing that this particular tire for this particular plane had the 2 letters ('er') at the end. I have svced this plane in the past for other reasons but this was my first time changing a tire on this particular plane. It was brought up to my attention on the night of oct/xa/08; that this had been reported on the discrepancy detailed report. I looked it up on the website and read the report; noticing that this was corrected by another maintenance mechanic. Tire was replaced on oct/xa/08 at another station.
Original NASA ASRS Text
Title: MECHANIC CHANGING A #1 MAIN TIRE ON A B737ER; FAILS TO NOTICE THE TWO LETTER DESIGNATOR 'ER' ON THE REMOVED TIRE; WAS A SPECIAL TYPE REQUIRED FOR THIS PARTICULAR AIRPLANE. CORRECT TIRE WAS INSTALLED APPROXIMATELY TWENTY DAYS LATER.
Narrative: BULLETIN ABOUT ACFT (737ER) WAS POSTED ON THE WEBSITE. I READ IT THE SAME DAY IT CAME OUT. I HAD NEVER CHANGED A TIRE ON THIS PARTICULAR AIRPLANE. I GOT MY WORK ASSIGNMENT ON THE NIGHT OF SEP/XA/08. I WAS WORKING OVERTIME THAT NIGHT. THE ASSIGNMENT WAS TO PERFORM A SVC CHK ON THIS PLANE (737ER). FOUND THAT #1 TIRE NEEDED TO BE REPLACED. SEVERAL MONTHS HAD PAST BY AND DID NOT REALIZE ABOUT THE BULLETIN ON THE WEBSITE. I LOOKED THROUGH THE MAINT MANUAL AND FOR SOME REASON I DID NOT COME ACROSS IT. I FINISHED MY ASSIGNMENT WITHOUT KNOWING THAT THIS PARTICULAR TIRE FOR THIS PARTICULAR PLANE HAD THE 2 LETTERS ('ER') AT THE END. I HAVE SVCED THIS PLANE IN THE PAST FOR OTHER REASONS BUT THIS WAS MY FIRST TIME CHANGING A TIRE ON THIS PARTICULAR PLANE. IT WAS BROUGHT UP TO MY ATTN ON THE NIGHT OF OCT/XA/08; THAT THIS HAD BEEN RPTED ON THE DISCREPANCY DETAILED RPT. I LOOKED IT UP ON THE WEBSITE AND READ THE RPT; NOTICING THAT THIS WAS CORRECTED BY ANOTHER MAINT MECH. TIRE WAS REPLACED ON OCT/XA/08 AT ANOTHER STATION.
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.