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|
Attributes | |
ACN | 814333 |
Time | |
Date | 200808 |
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 200 ER&LR |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
ASRS Report | 814333 |
Person 2 | |
Affiliation | government : faa |
Function | maintenance : inspector observation : air carrier inspector |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | other other : 2 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : briefing contributing factor : engineering procedure contributing factor : work cards performance deficiency : inspection performance deficiency : installation performance deficiency : repair performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft Chart Or Publication |
Primary Problem | Maintenance Human Performance |
Narrative:
In aug/08; aircraft X was in ZZZ for an engine change. Once the engine was hung; we started to do the task card which entails an inspection of the proper installation of clamps and conduit for right engine idg cables. The task card states the need to verify the presence of 2 white 'P' clamps installed on oil line with 3 inches of conduit between the #4 clamp and 2 white 'P' clamps. I then verified along with mechanic; I initialed the rii stating it was in compliance. In dec/08; an FAA inspector noted on a random inspection of aircraft in hangar that he believes the installation was not correct and to doublechk installation. It was then noted by us that the 2 white 'P' clamps were not installed as per the airworthiness directive; however; the 3 inch conduit was present. The only thing needed was to add the clamps and then the aircraft would have been compliant. Maintenance suggestions: this is not relevant to the missing clamps in question but it should be noted that the airworthiness directive; service bulletin; and the air carrier issued task card do not match what is actually on the aircraft. The procedure for the installation of conduit is not correct. It states to remove #1 and #2 clamps from idg and slip conduit over the cables up to the #3 clamp and then to install white 'P' clamps. This is incorrect because the aircraft has 4 clamps and by this I mean that you would have to remove #1; #2; and #3 clamps and slide conduit to the #4 clamp to actually correctly match the illustration on the task card; service bulletin; and the airworthiness directive given unless we are to remove one of the clamps; but I have not seen this in any task or amm reference. Callback conversation with reporter revealed the following information: reporter stated he is a lead mechanic; who was upgraded to an inspector; to signoff required inspection items. The picture used as a guide by mechanics; to implement airworthiness directive 2001-06-07; is not accurate. The ad requires installing a protective sleeve on each engine idg power cable harness and modifying the clamp locations and specific standoff arrangements that secure the CL600-2b19 aircraft engine idg power cables to a fuel line. There are four clamps; numbered #1-2-3-4 referenced in the service bulletin #A601R-24-103; used to implement the ad. But; the picture only shows clamps #2 3 and 4. As a result; the mechanic performing the modification thinks the clamp in the picture starts with clamp #1; when in fact; he is seeing the #2 clamp. Reporter stated his carrier decided not to change the picture; but to add more text to the mechanic's job card explaining what to actually look for. He was recently informed that due to the continuing confusion and incorrect installation of the clamps; along with the multiple; different 'pre' and 'post' production series of crj's affected by the ad; the FAA has decided to 'standardized' the modification in the near future.
Original NASA ASRS Text
Title: A LEAD MECHANIC REPORTS ON THE CONFUSION AND COMPLEXITY OF IMPLEMENTING AN AIRWORTHINESS DIRECTIVE; WHILE USING AN INADEQUATE PICTURE; THAT REQUIRES DIFFERENT CLAMPS TO SECURE THE CL600-2B19 ENGINE IDG HARNESS TO A FUEL LINE.
Narrative: IN AUG/08; ACFT X WAS IN ZZZ FOR AN ENG CHANGE. ONCE THE ENG WAS HUNG; WE STARTED TO DO THE TASK CARD WHICH ENTAILS AN INSPECTION OF THE PROPER INSTALLATION OF CLAMPS AND CONDUIT FOR R ENG IDG CABLES. THE TASK CARD STATES THE NEED TO VERIFY THE PRESENCE OF 2 WHITE 'P' CLAMPS INSTALLED ON OIL LINE WITH 3 INCHES OF CONDUIT BTWN THE #4 CLAMP AND 2 WHITE 'P' CLAMPS. I THEN VERIFIED ALONG WITH MECH; I INITIALED THE RII STATING IT WAS IN COMPLIANCE. IN DEC/08; AN FAA INSPECTOR NOTED ON A RANDOM INSPECTION OF ACFT IN HANGAR THAT HE BELIEVES THE INSTALLATION WAS NOT CORRECT AND TO DOUBLECHK INSTALLATION. IT WAS THEN NOTED BY US THAT THE 2 WHITE 'P' CLAMPS WERE NOT INSTALLED AS PER THE AIRWORTHINESS DIRECTIVE; HOWEVER; THE 3 INCH CONDUIT WAS PRESENT. THE ONLY THING NEEDED WAS TO ADD THE CLAMPS AND THEN THE ACFT WOULD HAVE BEEN COMPLIANT. MAINT SUGGESTIONS: THIS IS NOT RELEVANT TO THE MISSING CLAMPS IN QUESTION BUT IT SHOULD BE NOTED THAT THE AIRWORTHINESS DIRECTIVE; SVC BULLETIN; AND THE ACR ISSUED TASK CARD DO NOT MATCH WHAT IS ACTUALLY ON THE ACFT. THE PROC FOR THE INSTALLATION OF CONDUIT IS NOT CORRECT. IT STATES TO REMOVE #1 AND #2 CLAMPS FROM IDG AND SLIP CONDUIT OVER THE CABLES UP TO THE #3 CLAMP AND THEN TO INSTALL WHITE 'P' CLAMPS. THIS IS INCORRECT BECAUSE THE ACFT HAS 4 CLAMPS AND BY THIS I MEAN THAT YOU WOULD HAVE TO REMOVE #1; #2; AND #3 CLAMPS AND SLIDE CONDUIT TO THE #4 CLAMP TO ACTUALLY CORRECTLY MATCH THE ILLUSTRATION ON THE TASK CARD; SVC BULLETIN; AND THE AIRWORTHINESS DIRECTIVE GIVEN UNLESS WE ARE TO REMOVE ONE OF THE CLAMPS; BUT I HAVE NOT SEEN THIS IN ANY TASK OR AMM REF. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: REPORTER STATED HE IS A LEAD MECHANIC; WHO WAS UPGRADED TO AN INSPECTOR; TO SIGNOFF REQUIRED INSPECTION ITEMS. THE PICTURE USED AS A GUIDE BY MECHANICS; TO IMPLEMENT AIRWORTHINESS DIRECTIVE 2001-06-07; IS NOT ACCURATE. THE AD REQUIRES INSTALLING A PROTECTIVE SLEEVE ON EACH ENGINE IDG POWER CABLE HARNESS AND MODIFYING THE CLAMP LOCATIONS AND SPECIFIC STANDOFF ARRANGEMENTS THAT SECURE THE CL600-2B19 AIRCRAFT ENGINE IDG POWER CABLES TO A FUEL LINE. THERE ARE FOUR CLAMPS; NUMBERED #1-2-3-4 REFERENCED IN THE SERVICE BULLETIN #A601R-24-103; USED TO IMPLEMENT THE AD. BUT; THE PICTURE ONLY SHOWS CLAMPS #2 3 AND 4. AS A RESULT; THE MECHANIC PERFORMING THE MODIFICATION THINKS THE CLAMP IN THE PICTURE STARTS WITH CLAMP #1; WHEN IN FACT; HE IS SEEING THE #2 CLAMP. REPORTER STATED HIS CARRIER DECIDED NOT TO CHANGE THE PICTURE; BUT TO ADD MORE TEXT TO THE MECHANIC'S JOB CARD EXPLAINING WHAT TO ACTUALLY LOOK FOR. HE WAS RECENTLY INFORMED THAT DUE TO THE CONTINUING CONFUSION AND INCORRECT INSTALLATION OF THE CLAMPS; ALONG WITH THE MULTIPLE; DIFFERENT 'PRE' AND 'POST' PRODUCTION SERIES OF CRJ'S AFFECTED BY THE AD; THE FAA HAS DECIDED TO 'STANDARDIZED' THE MODIFICATION IN THE NEAR FUTURE.
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.