![]() |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
| Attributes | |
| ACN | 566591 |
| Time | |
| Date | 200211 |
| Day | Tue |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | DC-9 30 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : powerplant technician : airframe |
| Experience | maintenance technician : 6.5 |
| ASRS Report | 566591 |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : non compliance with mel maintenance problem : improper documentation non adherence : far non adherence : published procedure |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : schedule pressure performance deficiency : testing performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : installation performance deficiency : fault isolation |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Company |
| Primary Problem | Maintenance Human Performance |
Narrative:
On tuesday 11/02 I changed the left hand aft strobe light assembly and cleared dms 11-35. The deferred maintenance item 11-35 was for the r-hand aft strobe light assembly. I signed off the logbook and cleared the deferred maintenance item. The following night it was brought to my attention that I had changed the wrong assembly. The deferred maintenance item has subsequently been reopened.
Original NASA ASRS Text
Title: A DC 9-30 WAS DISPATCHED IN NON COMPLIANCE WITH THE INCORRECT WING TIP STROBE LIGHT ASSEMBLY REPLACED. THE DEFERRED ITEM WAS CLRED.
Narrative: ON TUESDAY 11/02 I CHANGED THE L HAND AFT STROBE LIGHT ASSEMBLY AND CLRED DMS 11-35. THE DEFERRED MAINTENANCE ITEM 11-35 WAS FOR THE R-HAND AFT STROBE LIGHT ASSEMBLY. I SIGNED OFF THE LOGBOOK AND CLRED THE DEFERRED MAINT ITEM. THE FOLLOWING NIGHT IT WAS BROUGHT TO MY ATTN THAT I HAD CHANGED THE WRONG ASSEMBLY. THE DEFERRED MAINT ITEM HAS SUBSEQUENTLY BEEN REOPENED.
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.