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A BAE146 was dispatched in non compliance with the forward passenger door pivot arm repaired in an unapproved and undocumented method.
| Attributes | |
| ACN | 441426 |
| Time | |
| Date | 199906 |
| Day | Wed |
| 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 | BAe 146 Undifferentiated or Other Model |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : parked ground : maintenance |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : airframe technician : powerplant |
| Experience | maintenance technician : 4 |
| ASRS Report | 4421426 |
| Events | |
| Anomaly | aircraft equipment problem : less severe maintenance problem : improper maintenance non adherence : published procedure |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : schedule pressure contributing factor : tooling performance deficiency : unqualified personnel performance deficiency : training performance deficiency : repair |
| Supplementary | |
| Problem Areas | Aircraft Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
Aircraft xyz forward passenger door indication loom cable is routed along the door pivot arm. During removing and replacing the door loom, one of the clamps that hold loom cable on pivot arm, the screw threads were messed up so I tried taking a tap to fix it but broke the tap, then tried to see if screw would go in, it did but broke off. Tried to take the broken screw out with easy out, but only got half of the screw. Finally, put clamp in with counter sink sheet metal screw with a washer, grabbing part of screw, broke off in screw hole, with pk screw because hole in center of broken off screw, because of prior attempting with easy out.
Original NASA ASRS Text
Title: A BAE146 WAS DISPATCHED IN NON COMPLIANCE WITH THE FORWARD PAX DOOR PIVOT ARM REPAIRED IN AN UNAPPROVED AND UNDOCUMENTED METHOD.
Narrative: ACFT XYZ FORWARD PAX DOOR INDICATION LOOM CABLE IS ROUTED ALONG THE DOOR PIVOT ARM. DURING REMOVING AND REPLACING THE DOOR LOOM, ONE OF THE CLAMPS THAT HOLD LOOM CABLE ON PIVOT ARM, THE SCREW THREADS WERE MESSED UP SO I TRIED TAKING A TAP TO FIX IT BUT BROKE THE TAP, THEN TRIED TO SEE IF SCREW WOULD GO IN, IT DID BUT BROKE OFF. TRIED TO TAKE THE BROKEN SCREW OUT WITH EASY OUT, BUT ONLY GOT HALF OF THE SCREW. FINALLY, PUT CLAMP IN WITH COUNTER SINK SHEET METAL SCREW WITH A WASHER, GRABBING PART OF SCREW, BROKE OFF IN SCREW HOLE, WITH PK SCREW BECAUSE HOLE IN CTR OF BROKEN OFF SCREW, BECAUSE OF PRIOR ATTEMPTING WITH EASY OUT.
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.