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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 633014 |
| Time | |
| Date | 200409 |
| Day | Sat |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B777-200 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : inspector |
| Qualification | technician : powerplant technician : airframe |
| Experience | maintenance lead technician : 3 maintenance technician : 17 |
| ASRS Report | 633014 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : lead technician |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
| Independent Detector | other other : 5 |
| Resolutory Action | none taken : insufficient time |
| Consequence | other other Other |
| Factors | |
| Maintenance | performance deficiency : scheduled maintenance performance deficiency : logbook entry performance deficiency : installation performance deficiency : inspection |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Chart Or Publication Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
On sep/sat/04, while performing overnight maintenance on aircraft X at ZZZ, technicians found #3 l-hand emergency door slide expiration date due oct/sat/04. The lead technician verified parts availability, door slide was delivered for aircraft X. The lead technician contacted inspection department. I arrived at the aircraft at approximately XA00 hours. I inspected (general visual) the #3 l-hand door structure and slide attach fittings, I inspected (general visual) the serviceable door slide to be installed. I found discrepancies with door structure, attach fittings or door slide to be installed. I verified serviceable parts tag to be complete and correctly filled out. The part number and serial number on the part's tag and door slide to be installed matched. I gave the technician 'ok to install' the #3 l-hand door slide. The door slide fit correct, the girt bar fit correct and the door slide bustle fit correct. On sep/tue/04, the records department discovered that the #3 l-hand door slide installed on the aircraft was the wrong part number. The part number installed on the #3 l-hand door was for the #4 l-hand door. At the time of discovery the aircraft was en route to ZZZZ. While on the ground at ZZZZ technicians were not able to install a serviceable slide due to no part in stock. The technicians placed #3 l-hand door on placard and complied with ddp (deferred item special procedure-MEL) procedures. 117 seats were blocked out, displacing 62 paying passenger. On sep/wed/04, the #3 l-hand door slide was replaced at ZZZ1.
Original NASA ASRS Text
Title: A B777-200 WAS DISPATCHED IN NON COMPLIANCE WITH THE INCORRECT DOOR ESCAPE SLIDE INSTALLED AT DOOR 3L.
Narrative: ON SEP/SAT/04, WHILE PERFORMING OVERNIGHT MAINT ON ACFT X AT ZZZ, TECHNICIANS FOUND #3 L-HAND EMER DOOR SLIDE EXPIRATION DATE DUE OCT/SAT/04. THE LEAD TECHNICIAN VERIFIED PARTS AVAILABILITY, DOOR SLIDE WAS DELIVERED FOR ACFT X. THE LEAD TECHNICIAN CONTACTED INSPECTION DEPT. I ARRIVED AT THE ACFT AT APPROX XA00 HRS. I INSPECTED (GENERAL VISUAL) THE #3 L-HAND DOOR STRUCTURE AND SLIDE ATTACH FITTINGS, I INSPECTED (GENERAL VISUAL) THE SERVICEABLE DOOR SLIDE TO BE INSTALLED. I FOUND DISCREPANCIES WITH DOOR STRUCTURE, ATTACH FITTINGS OR DOOR SLIDE TO BE INSTALLED. I VERIFIED SERVICEABLE PARTS TAG TO BE COMPLETE AND CORRECTLY FILLED OUT. THE PART NUMBER AND SERIAL NUMBER ON THE PART'S TAG AND DOOR SLIDE TO BE INSTALLED MATCHED. I GAVE THE TECHNICIAN 'OK TO INSTALL' THE #3 L-HAND DOOR SLIDE. THE DOOR SLIDE FIT CORRECT, THE GIRT BAR FIT CORRECT AND THE DOOR SLIDE BUSTLE FIT CORRECT. ON SEP/TUE/04, THE RECORDS DEPT DISCOVERED THAT THE #3 L-HAND DOOR SLIDE INSTALLED ON THE ACFT WAS THE WRONG PART NUMBER. THE PART NUMBER INSTALLED ON THE #3 L-HAND DOOR WAS FOR THE #4 L-HAND DOOR. AT THE TIME OF DISCOVERY THE ACFT WAS ENRTE TO ZZZZ. WHILE ON THE GND AT ZZZZ TECHNICIANS WERE NOT ABLE TO INSTALL A SERVICEABLE SLIDE DUE TO NO PART IN STOCK. THE TECHNICIANS PLACED #3 L-HAND DOOR ON PLACARD AND COMPLIED WITH DDP (DEFERRED ITEM SPECIAL PROC-MEL) PROCS. 117 SEATS WERE BLOCKED OUT, DISPLACING 62 PAYING PAX. ON SEP/WED/04, THE #3 L-HAND DOOR SLIDE WAS REPLACED AT ZZZ1.
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.