 |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
A B737-400 was dispatched in non compliance after the captain's sliding window was replaced. Did not have required inspection item inspection.
| Attributes | |
| ACN | 617237 |
| Time | |
| Date | 200405 |
| Day | Mon |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B737-400 |
| 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 |
| ASRS Report | 617327 |
| 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 : far non adherence : published procedure |
| Independent Detector | other other : 969 |
| Consequence | other other |
| Factors | |
| Maintenance | performance deficiency : inspection performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Chart Or Publication Maintenance Human Performance Aircraft |
| Primary Problem | Chart Or Publication |
| Situations | |
| Publication | Maintenance Manual |
Narrative:
When I arrived at aircraft, the other mechanic involved was working on the captain's sliding window. He was installing the new window. I began to help the mechanic to install this window. We rigged the window, pull tested handle and measured all gaps. Found to be within limits. The 1 item that was overlooked was the rii buyback as I was unaware that this was required, as no one from supervisor to lead aided in this valuable information. This item was missed. Callback conversation with reporter revealed the following information: the reporter stated the paperwork out of the maintenance manual for replacing the sliding window does not indicate the window is a required inspection item (rii). The reporter said the required inspection item list is in the maintenance procedures manual but this is not read at every maintenance assignment.
Original NASA ASRS Text
Title: A B737-400 WAS DISPATCHED IN NON COMPLIANCE AFTER THE CAPT'S SLIDING WINDOW WAS REPLACED. DID NOT HAVE REQUIRED INSPECTION ITEM INSPECTION.
Narrative: WHEN I ARRIVED AT ACFT, THE OTHER MECH INVOLVED WAS WORKING ON THE CAPT'S SLIDING WINDOW. HE WAS INSTALLING THE NEW WINDOW. I BEGAN TO HELP THE MECH TO INSTALL THIS WINDOW. WE RIGGED THE WINDOW, PULL TESTED HANDLE AND MEASURED ALL GAPS. FOUND TO BE WITHIN LIMITS. THE 1 ITEM THAT WAS OVERLOOKED WAS THE RII BUYBACK AS I WAS UNAWARE THAT THIS WAS REQUIRED, AS NO ONE FROM SUPVR TO LEAD AIDED IN THIS VALUABLE INFO. THIS ITEM WAS MISSED. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR STATED THE PAPERWORK OUT OF THE MAINT MANUAL FOR REPLACING THE SLIDING WINDOW DOES NOT INDICATE THE WINDOW IS A REQUIRED INSPECTION ITEM (RII). THE RPTR SAID THE REQUIRED INSPECTION ITEM LIST IS IN THE MAINT PROCS MANUAL BUT THIS IS NOT READ AT EVERY MAINT ASSIGNMENT.
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.