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An airbus 320 escape slide assembly was reworked in a shop with a document that was no longer effective. Aircraft was grounded.
| Attributes | |
| ACN | 609781 |
| Time | |
| Date | 200402 |
| Day | Tue |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Controlling Facilities | tower : zzz.tower |
| Operator | common carrier : air carrier |
| Make Model Name | A320 |
| 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 : 27 |
| ASRS Report | 609781 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : lead technician |
| Qualification | technician : airframe technician : powerplant |
| Experience | maintenance lead technician : 14 maintenance technician : 25 |
| ASRS Report | 609641 |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : published procedure non adherence : company policies non adherence : far |
| Independent Detector | other other : person 2 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : manuals performance deficiency : scheduled maintenance performance deficiency : repair performance deficiency : non compliance with legal requirements performance deficiency : installation |
| Supplementary | |
| Problem Areas | Company Maintenance Human Performance Chart Or Publication |
| Primary Problem | Chart Or Publication |
| Situations | |
| Publication | COMPONENT MAINT MANUAL |
Narrative:
I was just notified that an aircruiser's packboard that I recently worked on was reworked with a component maintenance manual supplement that was no longer effective. My lead, mr X, informed me that it was installed and as a result the aircraft was grounded and needed to be ferried home. The reason I used this outdated document was I was told by my lead it was going to be put in the cmm (component maintenance manual). Mr X was associated with the safety and standards committee for yrs so I was confident in his information.
Original NASA ASRS Text
Title: AN AIRBUS 320 ESCAPE SLIDE ASSEMBLY WAS REWORKED IN A SHOP WITH A DOCUMENT THAT WAS NO LONGER EFFECTIVE. ACFT WAS GNDED.
Narrative: I WAS JUST NOTIFIED THAT AN AIRCRUISER'S PACKBOARD THAT I RECENTLY WORKED ON WAS REWORKED WITH A COMPONENT MAINT MANUAL SUPPLEMENT THAT WAS NO LONGER EFFECTIVE. MY LEAD, MR X, INFORMED ME THAT IT WAS INSTALLED AND AS A RESULT THE ACFT WAS GNDED AND NEEDED TO BE FERRIED HOME. THE REASON I USED THIS OUTDATED DOCUMENT WAS I WAS TOLD BY MY LEAD IT WAS GOING TO BE PUT IN THE CMM (COMPONENT MAINT MANUAL). MR X WAS ASSOCIATED WITH THE SAFETY AND STANDARDS COMMITTEE FOR YRS SO I WAS CONFIDENT IN HIS INFO.
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.