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| Attributes | |
| ACN | 600555 |
| Time | |
| Date | 200311 |
| Day | Sat |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Environment | |
| Light | Daylight |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | DC-10 Undifferentiated or Other Model |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : powerplant technician : airframe |
| Experience | maintenance technician : 13 |
| ASRS Report | 600555 |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : published procedure |
| Independent Detector | other other : person 1 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | contributing factor : schedule pressure performance deficiency : logbook entry performance deficiency : non compliance with legal requirements performance deficiency : installation performance deficiency : repair performance deficiency : inspection |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
On nov/tue/03, the left forward gear box mount link was removed and replaced for a crack at the lower portion of the link on aircraft X #1 engine. Then on nov/sat/03, it was brought to my attention upon further inspection of the removed link (cracked link) that the bushing installed in the link was not a pressed fit bushing, but indeed a free floating bushing. That's when I realized the newly installed link didn't have a bushing installed in the upper portion of the gear box link. At that time, I notified local management and maintenance control and sent the necessary bushing and tooling to ZZZ for the repair. The repair was accomplished and documented, while the aircraft was on a 3 day layover (previously scheduled).
Original NASA ASRS Text
Title: A DC10-10 WAS DISPATCHED IN NON COMPLIANCE WITH #1 ENG GEAR BOX MOUNT LINK BUSHING MISSING.
Narrative: ON NOV/TUE/03, THE L FORWARD GEAR BOX MOUNT LINK WAS REMOVED AND REPLACED FOR A CRACK AT THE LOWER PORTION OF THE LINK ON ACFT X #1 ENG. THEN ON NOV/SAT/03, IT WAS BROUGHT TO MY ATTN UPON FURTHER INSPECTION OF THE REMOVED LINK (CRACKED LINK) THAT THE BUSHING INSTALLED IN THE LINK WAS NOT A PRESSED FIT BUSHING, BUT INDEED A FREE FLOATING BUSHING. THAT'S WHEN I REALIZED THE NEWLY INSTALLED LINK DIDN'T HAVE A BUSHING INSTALLED IN THE UPPER PORTION OF THE GEAR BOX LINK. AT THAT TIME, I NOTIFIED LCL MGMNT AND MAINT CTL AND SENT THE NECESSARY BUSHING AND TOOLING TO ZZZ FOR THE REPAIR. THE REPAIR WAS ACCOMPLISHED AND DOCUMENTED, WHILE THE ACFT WAS ON A 3 DAY LAYOVER (PREVIOUSLY SCHEDULED).
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.