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A B767-800 had #1 engine fan blade damage blended out per the maintenance manual and was released for service without the required fluorescent penetrant inspection.
| Attributes | |
| ACN | 601914 |
| Time | |
| Date | 200311 |
| Day | Fri |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B737-800 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : lead technician |
| ASRS Report | 601914 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : company policies non adherence : far non adherence : published procedure |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : schedule pressure contributing factor : manuals performance deficiency : logbook entry performance deficiency : inspection performance deficiency : repair performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Chart Or Publication Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
Air carrier aircraft arrived approximately XA00 nov/fri/03. ZZZ captain reported damage. 1 each compressor blade, #1 engine blade was blended and inspected per maintenance manual 72-21-02-8. During engine review technical services ________ no accomplishment of fluorescent penetrant inspection was found. A change order was built to perform a fpi (fluorescent penetrant inspection -- dye check) and no crack was found. Air carrier engineering is reviewing in future. Aircraft will not be released with fpi accomplished or maintenance manual revised to allow fly-back inspection. ZZZ does not have capability for fluorescent penetrant inspection.
Original NASA ASRS Text
Title: A B767-800 HAD #1 ENG FAN BLADE DAMAGE BLENDED OUT PER THE MAINT MANUAL AND WAS RELEASED FOR SVC WITHOUT THE REQUIRED FLUORESCENT PENETRANT INSPECTION.
Narrative: ACR ACFT ARRIVED APPROX XA00 NOV/FRI/03. ZZZ CAPT RPTED DAMAGE. 1 EACH COMPRESSOR BLADE, #1 ENG BLADE WAS BLENDED AND INSPECTED PER MAINT MANUAL 72-21-02-8. DURING ENG REVIEW TECHNICAL SVCS ________ NO ACCOMPLISHMENT OF FLUORESCENT PENETRANT INSPECTION WAS FOUND. A CHANGE ORDER WAS BUILT TO PERFORM A FPI (FLUORESCENT PENETRANT INSPECTION -- DYE CHK) AND NO CRACK WAS FOUND. ACR ENGINEERING IS REVIEWING IN FUTURE. ACFT WILL NOT BE RELEASED WITH FPI ACCOMPLISHED OR MAINT MANUAL REVISED TO ALLOW FLY-BACK INSPECTION. ZZZ DOES NOT HAVE CAPABILITY FOR FLUORESCENT PENETRANT INSPECTION.
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.