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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 439865 |
| Time | |
| Date | 199906 |
| Day | Sun |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Environment | |
| Light | Night |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | Fokker 100 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance ground : parked |
| Flight Plan | None |
| Person 1 | |
| Function | maintenance : technician |
| Qualification | technician : airframe technician : powerplant |
| ASRS Report | 439865 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : powerplant technician : airframe |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
| Independent Detector | aircraft equipment other aircraft equipment : flap indicator |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | performance deficiency : installation performance deficiency : repair |
| Supplementary | |
| Problem Areas | Aircraft Flight Crew Human Performance Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
I was notified by my shop steward that the hydraulic shutoff valve I removed from aircraft xyz was the same serial number on the new parts tag. He said the aircraft had faulted again in dfw with a flap disagreement, which it had a long history of. I removed the valve from the aircraft during which I had gotten skydrol 500 in my eyes and could not see for about 30 mins. I tried to keep working because time was short and I needed to complete the job as soon as possible. I apparently installed the old valve back on the aircraft. I completed a flap test with no faults.
Original NASA ASRS Text
Title: A FOKKER 100 AFTER A FLAP CTL VALVE WAS INSTALLED IT WAS DISCOVERED THE REMOVED VALVE WAS REINSTALLED INADVERTENTLY.
Narrative: I WAS NOTIFIED BY MY SHOP STEWARD THAT THE HYD SHUTOFF VALVE I REMOVED FROM ACFT XYZ WAS THE SAME SERIAL NUMBER ON THE NEW PARTS TAG. HE SAID THE ACFT HAD FAULTED AGAIN IN DFW WITH A FLAP DISAGREEMENT, WHICH IT HAD A LONG HISTORY OF. I REMOVED THE VALVE FROM THE ACFT DURING WHICH I HAD GOTTEN SKYDROL 500 IN MY EYES AND COULD NOT SEE FOR ABOUT 30 MINS. I TRIED TO KEEP WORKING BECAUSE TIME WAS SHORT AND I NEEDED TO COMPLETE THE JOB ASAP. I APPARENTLY INSTALLED THE OLD VALVE BACK ON THE ACFT. I COMPLETED A FLAP TEST WITH NO FAULTS.
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.