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Attributes | |
ACN | 959409 |
Time | |
Date | 201101 |
Local Time Of Day | 0001-0600 |
Place | |
Locale Reference | ZZZ.Airport |
State Reference | US |
Environment | |
Light | Night |
Aircraft 1 | |
Make Model Name | B737-900 |
Operating Under FAR Part | Part 121 |
Flight Phase | Parked |
Component | |
Aircraft Component | Fan Blade |
Person 1 | |
Function | Technician |
Qualification | Maintenance Airframe Maintenance Powerplant |
Events | |
Anomaly | Aircraft Equipment Problem Critical Deviation - Procedural Published Material / Policy |
Narrative:
January 2011; reference jobcard 78-xx-xx; step 49. During the fan blade spacer installation; # 3 and # 4 spacers were inadvertently switched; with the # 3 spacer under the # 4 blade and the # 4 spacer under the # 3 blade. Upon [reaching] 1500 hours of service and 570 cycles; an engineering write-up was created june 2011 [to address] a sudden increase in low pressure rotor vibration levels. Upon disassembly of the fan rotor section it was discovered the # 3 and # 4 spacers were reversed. Typically we run an assembly line; a mechanic would pull the previously numbered shim; blade or platform from the corresponding slot on the control stand; hand the part to another mechanic or directly to the mechanic installing the part. Handing the spacer to me; I installed the spacers; although the step involved does not detail the shim installation in sequential order as removed. I did so. The # 3 and # 4 spacers were inadvertently installed in reverse; as numbered. The fan was also re lubed [during re-assembly] and a new vibration survey and solution was performed. I suggest better cognition of sequential event [installation].
Original NASA ASRS Text
Title: A Mechanic reports about a CFM-56 engine on a company B737-900 aircraft that incurred a sudden increase in low pressure rotor vibration levels after only 1500 hours of service. Upon dis-assembly of the Fan Rotor section; mechanics discovered the # 3 and # 4 blade spacers had been reversed. Reporter had inadvertently switched spacers during previous re-assembly.
Narrative: January 2011; reference Jobcard 78-XX-XX; Step 49. During the Fan Blade Spacer installation; # 3 and # 4 spacers were inadvertently switched; with the # 3 spacer under the # 4 blade and the # 4 spacer under the # 3 blade. Upon [reaching] 1500 Hours of service and 570 Cycles; an Engineering write-up was created June 2011 [to address] a sudden increase in low pressure rotor vibration levels. Upon disassembly of the Fan Rotor Section it was discovered the # 3 and # 4 spacers were reversed. Typically we run an assembly line; a Mechanic would pull the previously numbered shim; blade or platform from the corresponding slot on the Control Stand; hand the part to another Mechanic or directly to the Mechanic installing the part. Handing the spacer to me; I installed the spacers; although the Step involved does not detail the shim installation in sequential order as removed. I did so. The # 3 and # 4 spacers were inadvertently installed in reverse; as numbered. The fan was also re lubed [during re-assembly] and a new Vibration Survey and Solution was performed. I suggest better cognition of sequential event [installation].
Data retrieved from NASA's ASRS site as of April 2012 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.