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A dehavilland dash 8-100 was dispatched in non compliance with an unsecured upper fuselage panel which departed the aircraft on taxi out.
| Attributes | |
| ACN | 545413 |
| Time | |
| Date | 200204 |
| Day | Wed |
| Local Time Of Day | 0601 To 1200 |
| 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 | Dash 8-100 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Person 1 | |
| Affiliation | company : air carrier |
| Qualification | technician : airframe technician : powerplant |
| ASRS Report | 545413 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : inspector |
| Qualification | technician : inspection authority |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other other other |
| Factors | |
| Maintenance | contributing factor : schedule pressure performance deficiency : inspection performance deficiency : installation performance deficiency : non compliance with legal requirements performance deficiency : testing |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Flight Crew Human Performance Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
I was working on aircraft X and I had an inspector inspect the work that I had done on inside panel on top of the aircraft. He notified me that my work was alright and that he put the panel in place for me. When I went up to tighten the panel's camlocks, I noticed that all the screw heads were aligned like they had been tightened already. I checked a couple of camlocks and came to the conclusion that the panel was secure. But I was wrong.
Original NASA ASRS Text
Title: A DEHAVILLAND DASH 8-100 WAS DISPATCHED IN NON COMPLIANCE WITH AN UNSECURED UPPER FUSELAGE PANEL WHICH DEPARTED THE ACFT ON TAXI OUT.
Narrative: I WAS WORKING ON ACFT X AND I HAD AN INSPECTOR INSPECT THE WORK THAT I HAD DONE ON INSIDE PANEL ON TOP OF THE ACFT. HE NOTIFIED ME THAT MY WORK WAS ALRIGHT AND THAT HE PUT THE PANEL IN PLACE FOR ME. WHEN I WENT UP TO TIGHTEN THE PANEL'S CAMLOCKS, I NOTICED THAT ALL THE SCREW HEADS WERE ALIGNED LIKE THEY HAD BEEN TIGHTENED ALREADY. I CHKED A COUPLE OF CAMLOCKS AND CAME TO THE CONCLUSION THAT THE PANEL WAS SECURE. BUT I WAS WRONG.
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.