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A B767-200 was dispatched in non compliance with the left nose tire and wheel assembly replaced without installing the wheel spacer.
| Attributes | |
| ACN | 445062 |
| Time | |
| Date | 199907 |
| Day | Wed |
| 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 | |
| Controlling Facilities | tracon : mlu.tracon |
| Operator | common carrier : air carrier |
| Make Model Name | B767-200 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance ground : parked |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : powerplant technician : fcc technician : airframe |
| Experience | maintenance avionics : 5 maintenance technician : 11 |
| ASRS Report | 445062 |
| 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 : published procedure non adherence : far |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | contributing factor : schedule pressure performance deficiency : training performance deficiency : installation performance deficiency : inspection performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Aircraft Company |
| Primary Problem | Maintenance Human Performance |
Narrative:
On jul/xa/99, while changing the left nosewheel assembly, I inadvertently failed to install the wheel spacer. It was discovered when the wheel was returned to the repair shop. Since then the company has put out a read/sign letter about the installation of the spacers which I have read and understood. Also I am reminded of the use of the maintenance manual for all the procedures while working on the aircraft.
Original NASA ASRS Text
Title: A B767-200 WAS DISPATCHED IN NON COMPLIANCE WITH THE L NOSE TIRE AND WHEEL ASSEMBLY REPLACED WITHOUT INSTALLING THE WHEEL SPACER.
Narrative: ON JUL/XA/99, WHILE CHANGING THE L NOSEWHEEL ASSEMBLY, I INADVERTENTLY FAILED TO INSTALL THE WHEEL SPACER. IT WAS DISCOVERED WHEN THE WHEEL WAS RETURNED TO THE REPAIR SHOP. SINCE THEN THE COMPANY HAS PUT OUT A READ/SIGN LETTER ABOUT THE INSTALLATION OF THE SPACERS WHICH I HAVE READ AND UNDERSTOOD. ALSO I AM REMINDED OF THE USE OF THE MAINT MANUAL FOR ALL THE PROCS WHILE WORKING ON THE ACFT.
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.