 |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
A B767-200 during a maintenance check had a relay installed per an engineering order in a wrong location caused by a job card error.
| Attributes | |
| ACN | 433171 |
| Time | |
| Date | 199903 |
| Day | Sat |
| Local Time Of Day | 1201 To 1800 |
| 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 | B767-200 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance ground : parked |
| Flight Plan | None |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : powerplant technician : airframe technician : fcc |
| Experience | maintenance avionics : 24 maintenance technician : 27 |
| ASRS Report | 433171 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | other personnel other |
| Events | |
| Anomaly | aircraft equipment problem : less severe maintenance problem : improper maintenance other anomaly other |
| Independent Detector | other other : person 2 |
| Resolutory Action | other |
| Consequence | other |
| Factors | |
| Maintenance | contributing factor : engineering procedure contributing factor : work cards performance deficiency : installation |
| Supplementary | |
| Problem Areas | Chart Or Publication Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
After installing relay bracket for relay K2289 in P37 panel, engineering informed a co-worker that the relay was installed in the wrong location and should not be mounted on a plate. One previous aircraft was also done this way. The bracket has since been remounted and engineering is going to modify the engineering order.
Original NASA ASRS Text
Title: A B767-200 DURING A MAINT CHK HAD A RELAY INSTALLED PER AN ENGINEERING ORDER IN A WRONG LOCATION CAUSED BY A JOB CARD ERROR.
Narrative: AFTER INSTALLING RELAY BRACKET FOR RELAY K2289 IN P37 PANEL, ENGINEERING INFORMED A CO-WORKER THAT THE RELAY WAS INSTALLED IN THE WRONG LOCATION AND SHOULD NOT BE MOUNTED ON A PLATE. ONE PREVIOUS ACFT WAS ALSO DONE THIS WAY. THE BRACKET HAS SINCE BEEN REMOUNTED AND ENGINEERING IS GOING TO MODIFY THE ENGINEERING ORDER.
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.