37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 816382 |
Time | |
Date | 200812 |
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 | B757-200 |
Operating Under FAR Part | Part 121 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance avionics : 6 maintenance technician : 22 |
ASRS Report | 816382 |
Person 2 | |
Affiliation | company : air carrier |
Function | other personnel other |
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 : manuals performance deficiency : testing performance deficiency : logbook entry performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance |
Supplementary | |
Problem Areas | Maintenance Human Performance Chart Or Publication |
Primary Problem | Maintenance Human Performance |
Narrative:
I am a long time amt with my airline. In the morning I installed an APU start panel in aircraft X. Everything operated normal and no aircraft incidences occurred. But; the manufacturer's part number I installed was not effective for that aircraft; even though it was the same carrier part number. I used the ipc manual to verify that the manufacturer's part number I installed would cross to the same carrier part number as what the ipc correct effectivity showed. I failed to see the manufacturer's part number I installed was not effective for my aircraft. The ipc is correct and I should have looked at the manufacturer's part number instead of the carrier part number for the correct effectivity. The serial number I entered in the aircraft logbook was detected by carrier's parts system as being incorrect effectivity for that aircraft. 2 days later; the APU panel I installed was removed and the correct effectivity part number APU panel was installed without incident. I was made aware of this mistake by my manager. Paying more attention to the ipc would have prevented this incident.
Original NASA ASRS Text
Title: AFTER INSTALLING A COCKPIT APU START PANEL ON A B757-200; A MECHANIC IS LATER INFORMED BY HIS MANAGER; THE START PANEL WAS NOT EFFECTIVE FOR THAT AIRCRAFT.
Narrative: I AM A LONG TIME AMT WITH MY AIRLINE. IN THE MORNING I INSTALLED AN APU START PANEL IN ACFT X. EVERYTHING OPERATED NORMAL AND NO ACFT INCIDENCES OCCURRED. BUT; THE MANUFACTURER'S PART NUMBER I INSTALLED WAS NOT EFFECTIVE FOR THAT ACFT; EVEN THOUGH IT WAS THE SAME CARRIER PART NUMBER. I USED THE IPC MANUAL TO VERIFY THAT THE MANUFACTURER'S PART NUMBER I INSTALLED WOULD CROSS TO THE SAME CARRIER PART NUMBER AS WHAT THE IPC CORRECT EFFECTIVITY SHOWED. I FAILED TO SEE THE MANUFACTURER'S PART NUMBER I INSTALLED WAS NOT EFFECTIVE FOR MY ACFT. THE IPC IS CORRECT AND I SHOULD HAVE LOOKED AT THE MANUFACTURER'S PART NUMBER INSTEAD OF THE CARRIER PART NUMBER FOR THE CORRECT EFFECTIVITY. THE SERIAL NUMBER I ENTERED IN THE ACFT LOGBOOK WAS DETECTED BY CARRIER'S PARTS SYSTEM AS BEING INCORRECT EFFECTIVITY FOR THAT ACFT. 2 DAYS LATER; THE APU PANEL I INSTALLED WAS REMOVED AND THE CORRECT EFFECTIVITY PART NUMBER APU PANEL WAS INSTALLED WITHOUT INCIDENT. I WAS MADE AWARE OF THIS MISTAKE BY MY MGR. PAYING MORE ATTN TO THE IPC WOULD HAVE PREVENTED THIS 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.