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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 347380 |
| Time | |
| Date | 199609 |
| Day | Sat |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : zzz |
| State Reference | US |
| Altitude | agl bound lower : 0 agl bound upper : 0 |
| Environment | |
| Light | Daylight |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B737-200 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | other |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | other personnel other |
| Qualification | other other : other |
| ASRS Report | 347380 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | other personnel other |
| Qualification | other other : other |
| Events | |
| Anomaly | aircraft equipment problem : critical non adherence : published procedure non adherence : far other anomaly other |
| Independent Detector | other flight crewa other other : unspecified cockpit |
| Resolutory Action | flight crew : overcame equipment problem other |
| Consequence | Other |
| Supplementary | |
| Air Traffic Incident | other |
Narrative:
On sep/sat/96 I was assigned to work on a B737 along with another mechanic. My first job was to replace the hydraulic pump on #1 engine. After going over the paperwork (the write-up and the maintenance manual), I went out to the aircraft and replaced the hydraulic pump. At the same time we were working pneumatic problems on both engines. I wasn't able to complete the installation without air pressure and an engine run. After helping change pneumatic components, I was able to get air on the system, run the engine and complete the pump installation. I read the maintenance manual before doing the job and thought I had followed it. I did not read where I had to replace the case drain filter. It was found later that both #1 and #2 engines hydraulic case drain filters had been installed incorrectly, creating a low pressure situation during a test flight.
Original NASA ASRS Text
Title: A B737-291 HAD #1 AND #2 ENG DRIVEN HYD PUMP CASE DRAIN FILTERS INSTALLED INCORRECTLY.
Narrative: ON SEP/SAT/96 I WAS ASSIGNED TO WORK ON A B737 ALONG WITH ANOTHER MECH. MY FIRST JOB WAS TO REPLACE THE HYD PUMP ON #1 ENG. AFTER GOING OVER THE PAPERWORK (THE WRITE-UP AND THE MAINT MANUAL), I WENT OUT TO THE ACFT AND REPLACED THE HYD PUMP. AT THE SAME TIME WE WERE WORKING PNEUMATIC PROBS ON BOTH ENGS. I WASN'T ABLE TO COMPLETE THE INSTALLATION WITHOUT AIR PRESSURE AND AN ENG RUN. AFTER HELPING CHANGE PNEUMATIC COMPONENTS, I WAS ABLE TO GET AIR ON THE SYS, RUN THE ENG AND COMPLETE THE PUMP INSTALLATION. I READ THE MAINT MANUAL BEFORE DOING THE JOB AND THOUGHT I HAD FOLLOWED IT. I DID NOT READ WHERE I HAD TO REPLACE THE CASE DRAIN FILTER. IT WAS FOUND LATER THAT BOTH #1 AND #2 ENGS HYD CASE DRAIN FILTERS HAD BEEN INSTALLED INCORRECTLY, CREATING A LOW PRESSURE SIT DURING A TEST FLT.
Data retrieved from NASA's ASRS site as of July 2007 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.