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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 540779 |
| Time | |
| Date | 200107 |
| Day | Fri |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B737-700 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | other personnel other oversight : pic |
| ASRS Report | 540779 |
| Events | |
| Anomaly | aircraft equipment problem : less severe maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
| Independent Detector | other other : person 1 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : schedule pressure performance deficiency : inspection performance deficiency : logbook entry performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
Human error was the factor in this case. I simply missed it. I was handling too many jobs at the time. I was the only supervisor at the time as well as the hangar ron planner and handling day to day problems of employees. I missed setting up the back flush on a cycle specification.
Original NASA ASRS Text
Title: A B737-700 ON A SCHEDULED MAINT VISIT DID NOT HAVE THE REQUIRED WATER WASTE BACK FLUSH AND INSPECTION ACCOMPLISHED.
Narrative: HUMAN ERROR WAS THE FACTOR IN THIS CASE. I SIMPLY MISSED IT. I WAS HANDLING TOO MANY JOBS AT THE TIME. I WAS THE ONLY SUPVR AT THE TIME AS WELL AS THE HANGAR RON PLANNER AND HANDLING DAY TO DAY PROBS OF EMPLOYEES. I MISSED SETTING UP THE BACK FLUSH ON A CYCLE SPEC.
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.