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|
Attributes | |
ACN | 810091 |
Time | |
Date | 200810 |
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 | B737-300 |
Operating Under FAR Part | Part 121 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
ASRS Report | 810091 |
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 other |
Factors | |
Maintenance | contributing factor : briefing performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance performance deficiency : installation performance deficiency : inspection |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
I was changing some acoustic panels on the #2 engine. While installing them; the apex tip I was using to install them broke; so I went to get a new one. I returned with the new tip and continued from where I thought I had left off and finished torquing the panels in place. The aircraft was still in work when my shift was completed. Days later; the engine was run for leak/vibration check. During this check; one of the screws that I had installed to hold the acoustic panel in place had come loose and FOD'ed the engine; damaging the blades and the abrasive shroud. This damage led to the engine being replaced. I take full responsibility for the incident.
Original NASA ASRS Text
Title: MECHANIC IS INFORMED THAT ONE OF THE SCREWS HE USED TO REPLACE THE ACOUSTIC LINER PANELS ON THE NOSE INLET COWL OF THE B737; #2 ENGINE; HAD COME LOOSE DURING AN ENGINE RUN; CAUSING BLADE; SHROUD; AND FOD DAMAGE. ENGINE WAS SUBSEQUENTLY REPLACED.
Narrative: I WAS CHANGING SOME ACOUSTIC PANELS ON THE #2 ENG. WHILE INSTALLING THEM; THE APEX TIP I WAS USING TO INSTALL THEM BROKE; SO I WENT TO GET A NEW ONE. I RETURNED WITH THE NEW TIP AND CONTINUED FROM WHERE I THOUGHT I HAD LEFT OFF AND FINISHED TORQUING THE PANELS IN PLACE. THE ACFT WAS STILL IN WORK WHEN MY SHIFT WAS COMPLETED. DAYS LATER; THE ENG WAS RUN FOR LEAK/VIBRATION CHK. DURING THIS CHK; ONE OF THE SCREWS THAT I HAD INSTALLED TO HOLD THE ACOUSTIC PANEL IN PLACE HAD COME LOOSE AND FOD'ED THE ENG; DAMAGING THE BLADES AND THE ABRASIVE SHROUD. THIS DAMAGE LED TO THE ENG BEING REPLACED. I TAKE FULL RESPONSIBILITY FOR THE INCIDENT.
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.