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An airbus 330 during a cockpit window shade modification, the engineering order had unnecessary steps for the shade installation not accomplished.
| Attributes | |
| ACN | 541951 |
| Time | |
| Date | 200203 |
| Day | Fri |
| 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 | |
| Operator | common carrier : air carrier |
| Make Model Name | A330 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : airframe technician : powerplant |
| ASRS Report | 541951 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | oversight : supervisor |
| Events | |
| Anomaly | aircraft equipment problem : less severe maintenance problem : improper documentation non adherence : published procedure non adherence : far |
| Independent Detector | other other : person 1 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : schedule pressure contributing factor : engineering procedure performance deficiency : logbook entry |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Chart Or Publication |
| Primary Problem | Chart Or Publication |
Narrative:
Worked part of engineering order XXX -- install improved sliding window shade. Steps have you remove window shroud to change shades. Shroud removal not required -- plenty of access. Was advised by the forman to 'north/a' steps [not applicable]. Found out later that we needed an 'ok' on any change. Engineering was notified for this and next aircraft to change any steps. Also, the engineering order that was worked.
Original NASA ASRS Text
Title: AN AIRBUS 330 DURING A COCKPIT WINDOW SHADE MODIFICATION, THE ENGINEERING ORDER HAD UNNECESSARY STEPS FOR THE SHADE INSTALLATION NOT ACCOMPLISHED.
Narrative: WORKED PART OF ENGINEERING ORDER XXX -- INSTALL IMPROVED SLIDING WINDOW SHADE. STEPS HAVE YOU REMOVE WINDOW SHROUD TO CHANGE SHADES. SHROUD REMOVAL NOT REQUIRED -- PLENTY OF ACCESS. WAS ADVISED BY THE FORMAN TO 'N/A' STEPS [NOT APPLICABLE]. FOUND OUT LATER THAT WE NEEDED AN 'OK' ON ANY CHANGE. ENGINEERING WAS NOTIFIED FOR THIS AND NEXT ACFT TO CHANGE ANY STEPS. ALSO, THE ENGINEERING ORDER THAT WAS WORKED.
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.