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A B767 was dispatched in non compliance with the left ILS-VOR receiver replaced but not tested and the standby horizon ILS function inoperative and the aircraft not placarded and no logbook entry made.
| Attributes | |
| ACN | 459382 |
| Time | |
| Date | 200001 |
| Day | Sun |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | FO |
| Altitude | agl single value : 0 |
| Environment | |
| Light | Daylight |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B767 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 : lead technician |
| Qualification | technician : powerplant technician : airframe |
| ASRS Report | 459382 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | other personnel other oversight : supervisor |
| Qualification | technician : powerplant technician : airframe |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : non compliance with mel maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
| Independent Detector | aircraft equipment other aircraft equipment : l. h. ils indication |
| Resolutory Action | none taken : anomaly accepted |
| Consequence | other |
| Factors | |
| Maintenance | contributing factor : schedule pressure performance deficiency : non compliance with legal requirements performance deficiency : repair performance deficiency : unqualified personnel performance deficiency : logbook entry |
| Supplementary | |
| Problem Areas | Aircraft Maintenance Human Performance Company |
| Primary Problem | Maintenance Human Performance |
Narrative:
On arrival at ZZZ, aircraft xyz arrived with a l-hand ILS problem. Being well aware that I am not lower minimum performance qualified, I replaced the ILS and requested MEL 22-89. I then had a problem with the standby horizon ILS indication, which I replaced. The standby indicator no help. I then requested MEL 34-19B for ILS indication on standby indicator. Over the phone I was given the authority/authorized number. I asked for the lower minimum performance number/downgrade, but was told there was none. I asked again and was told there was none. When I made it back to the office, I called technical services to clarify. Apparently, technical services thought I was talking about the ILS indicator on the standby horizon thinking I already had the lower minimum performance downgrade MEL 22-89. I had downgraded the aircraft and put the lower minimum performance indicator to its correct position but had not made either the aircraft log entry or placard installation and advised technical services for correction at next station.
Original NASA ASRS Text
Title: A B767 WAS DISPATCHED IN NON COMPLIANCE WITH THE L ILS-VOR RECEIVER REPLACED BUT NOT TESTED AND THE STANDBY HORIZON ILS FUNCTION INOP AND THE ACFT NOT PLACARDED AND NO LOGBOOK ENTRY MADE.
Narrative: ON ARR AT ZZZ, ACFT XYZ ARRIVED WITH A L-HAND ILS PROB. BEING WELL AWARE THAT I AM NOT LOWER MINIMUM PERFORMANCE QUALIFIED, I REPLACED THE ILS AND REQUESTED MEL 22-89. I THEN HAD A PROB WITH THE STANDBY HORIZON ILS INDICATION, WHICH I REPLACED. THE STANDBY INDICATOR NO HELP. I THEN REQUESTED MEL 34-19B FOR ILS INDICATION ON STANDBY INDICATOR. OVER THE PHONE I WAS GIVEN THE AUTH NUMBER. I ASKED FOR THE LOWER MINIMUM PERFORMANCE NUMBER/DOWNGRADE, BUT WAS TOLD THERE WAS NONE. I ASKED AGAIN AND WAS TOLD THERE WAS NONE. WHEN I MADE IT BACK TO THE OFFICE, I CALLED TECHNICAL SVCS TO CLARIFY. APPARENTLY, TECHNICAL SVCS THOUGHT I WAS TALKING ABOUT THE ILS INDICATOR ON THE STANDBY HORIZON THINKING I ALREADY HAD THE LOWER MINIMUM PERFORMANCE DOWNGRADE MEL 22-89. I HAD DOWNGRADED THE ACFT AND PUT THE LOWER MINIMUM PERFORMANCE INDICATOR TO ITS CORRECT POS BUT HAD NOT MADE EITHER THE ACFT LOG ENTRY OR PLACARD INSTALLATION AND ADVISED TECHNICAL SVCS FOR CORRECTION AT NEXT STATION.
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.