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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 622664 |
| Time | |
| Date | 200406 |
| 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 | B737 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 : airframe technician : powerplant |
| ASRS Report | 622664 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Events | |
| Anomaly | aircraft equipment problem : less severe maintenance problem : improper documentation non adherence : far non adherence : published procedure |
| Independent Detector | other other : person 3 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : schedule pressure performance deficiency : logbook entry performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Chart Or Publication Maintenance Human Performance Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
Came to the hangar for troubleshooting of wing to body overheat light, MEL #X. Job was assigned because my lead technician decided to work the discrepancy off a job card. I work as an a&P technician at the hangar-line. During the maintenance process I assigned a job card X to a job card Y for partial work accomplished. Dayshift avionics hangar line was involved in the troubleshooting and it was determined it was their discrepancy. I documented the removal of the panels and reinstallation of some of the panels on the job card X and assigned the job card X to a job card Y. At shift tie-in I informed the a&P technician about the job card X and the job card Y. The swing shift lead completed the installation of the panels and gave the job card X to the avionics technician. The avionics technician completed the work they were doing and signed off the MEL on the next job card Y in the logbook failing to see I had already initiated a job card Y on the prior page. The aircraft was made airworthy and departed with the job card Y incomplete.
Original NASA ASRS Text
Title: A B737 WAS DISPATCHED IN NON COMPLIANCE WITH A WING BODY OVERHEAT JOB CARD INCOMPLETE.
Narrative: CAME TO THE HANGAR FOR TROUBLESHOOTING OF WING TO BODY OVERHEAT LIGHT, MEL #X. JOB WAS ASSIGNED BECAUSE MY LEAD TECHNICIAN DECIDED TO WORK THE DISCREPANCY OFF A JOB CARD. I WORK AS AN A&P TECHNICIAN AT THE HANGAR-LINE. DURING THE MAINT PROCESS I ASSIGNED A JOB CARD X TO A JOB CARD Y FOR PARTIAL WORK ACCOMPLISHED. DAYSHIFT AVIONICS HANGAR LINE WAS INVOLVED IN THE TROUBLESHOOTING AND IT WAS DETERMINED IT WAS THEIR DISCREPANCY. I DOCUMENTED THE REMOVAL OF THE PANELS AND REINSTALLATION OF SOME OF THE PANELS ON THE JOB CARD X AND ASSIGNED THE JOB CARD X TO A JOB CARD Y. AT SHIFT TIE-IN I INFORMED THE A&P TECHNICIAN ABOUT THE JOB CARD X AND THE JOB CARD Y. THE SWING SHIFT LEAD COMPLETED THE INSTALLATION OF THE PANELS AND GAVE THE JOB CARD X TO THE AVIONICS TECHNICIAN. THE AVIONICS TECHNICIAN COMPLETED THE WORK THEY WERE DOING AND SIGNED OFF THE MEL ON THE NEXT JOB CARD Y IN THE LOGBOOK FAILING TO SEE I HAD ALREADY INITIATED A JOB CARD Y ON THE PRIOR PAGE. THE ACFT WAS MADE AIRWORTHY AND DEPARTED WITH THE JOB CARD Y INCOMPLETE.
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.