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A spare svcable rolls royce engine had parts and hardware removed to repair an in service engine with no documentation of the parts removed and no write-ups to replace and inspect hardware, parts and fittings.
| Attributes | |
| ACN | 431850 |
| Time | |
| Date | 199903 |
| Day | Tue |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Environment | |
| Light | Daylight |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | Commercial Fixed Wing |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : parked |
| Flight Plan | None |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : powerplant technician : airframe |
| ASRS Report | 431850 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : airframe technician : powerplant |
| ASRS Report | 431845 |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : published procedure non adherence : far non adherence : company policies |
| Independent Detector | other other : person 1 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | contributing factor : non availability of parts contributing factor : schedule pressure performance deficiency : installation performance deficiency : repair performance deficiency : non compliance with legal requirements performance deficiency : inspection |
| Supplementary | |
| Problem Areas | Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
On feb/xa/99, I was assigned to a job (hangar xx) to go help the guys reassembling the rotor spinner and the nose cone fairing on aircraft xyz engine #2. The hardwares were all mixed together, but somehow we thought we were missing some bolts and found them later. When I got back to the shop, we had a spare rb-211 engine serial number abcd. Someone took the parts off from that engine, there were no 'robbed parts tag,' no 'non routine' attached to the engine. I was just doing my job by reassembling all 18 bolts/washers to the rotor spinner and torqued the bolts and all 6 bolts/weight and balance washers to the nose cone fairing and torqued them.
Original NASA ASRS Text
Title: A SPARE SVCABLE ROLLS ROYCE ENG HAD PARTS AND HARDWARE REMOVED TO REPAIR AN IN SVC ENG WITH NO DOCUMENTATION OF THE PARTS REMOVED AND NO WRITE-UPS TO REPLACE AND INSPECT HARDWARE, PARTS AND FITTINGS.
Narrative: ON FEB/XA/99, I WAS ASSIGNED TO A JOB (HANGAR XX) TO GO HELP THE GUYS REASSEMBLING THE ROTOR SPINNER AND THE NOSE CONE FAIRING ON ACFT XYZ ENG #2. THE HARDWARES WERE ALL MIXED TOGETHER, BUT SOMEHOW WE THOUGHT WE WERE MISSING SOME BOLTS AND FOUND THEM LATER. WHEN I GOT BACK TO THE SHOP, WE HAD A SPARE RB-211 ENG SERIAL NUMBER ABCD. SOMEONE TOOK THE PARTS OFF FROM THAT ENG, THERE WERE NO 'ROBBED PARTS TAG,' NO 'NON ROUTINE' ATTACHED TO THE ENG. I WAS JUST DOING MY JOB BY REASSEMBLING ALL 18 BOLTS/WASHERS TO THE ROTOR SPINNER AND TORQUED THE BOLTS AND ALL 6 BOLTS/WT AND BAL WASHERS TO THE NOSE CONE FAIRING AND TORQUED THEM.
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.