![]() |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
| Attributes | |
| ACN | 527522 |
| Time | |
| Date | 200110 |
| Day | Mon |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B757-200 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : parked ground : maintenance |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : powerplant technician : airframe |
| ASRS Report | 527522 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : powerplant technician : airframe |
| ASRS Report | 527523 |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
| Independent Detector | other other : 969 |
| Consequence | other |
| Factors | |
| Maintenance | contributing factor : schedule pressure contributing factor : engineering procedure performance deficiency : installation performance deficiency : training |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
While changing leading edge slat actuators, it was brought to my attention that a spacer had to be installed on the pinion gear shaft by a fellow co-worker who had done the opposite wing I had completed on aircraft. The spacer in concern was overlooked by me because I thought it was part of the actuator housing and I misread manual concerning installation -- I thought it was referring to another spacer installed on opposite side of pinion gear. The installation of these actuators and engineering service order is a first time job on the B757, which is a new aircraft to our dock and crew.
Original NASA ASRS Text
Title: A B757-200 WAS RETURNED TO SVC IN NON COMPLIANCE WITH 2 LEADING EDGE SLAT ROTARY ACTUATORS THAT WERE INSTALLED INCORRECTLY.
Narrative: WHILE CHANGING LEADING EDGE SLAT ACTUATORS, IT WAS BROUGHT TO MY ATTN THAT A SPACER HAD TO BE INSTALLED ON THE PINION GEAR SHAFT BY A FELLOW CO-WORKER WHO HAD DONE THE OPPOSITE WING I HAD COMPLETED ON ACFT. THE SPACER IN CONCERN WAS OVERLOOKED BY ME BECAUSE I THOUGHT IT WAS PART OF THE ACTUATOR HOUSING AND I MISREAD MANUAL CONCERNING INSTALLATION -- I THOUGHT IT WAS REFERRING TO ANOTHER SPACER INSTALLED ON OPPOSITE SIDE OF PINION GEAR. THE INSTALLATION OF THESE ACTUATORS AND ENGINEERING SVC ORDER IS A FIRST TIME JOB ON THE B757, WHICH IS A NEW ACFT TO OUR DOCK AND CREW.
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.