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A B737-800 during a routine slide deployment a pre airworthiness directive note slide latch chain assembly was found still installed. Engineering order issued to check entire fleet.
| Attributes | |
| ACN | 637186 |
| Time | |
| Date | 200312 |
| Day | Thu |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Controlling Facilities | tower : atl.tower |
| Operator | common carrier : air carrier |
| Make Model Name | B737 Undifferentiated or Other Model |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | other personnel other |
| ASRS Report | 637186 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : company policies non adherence : far non adherence : published procedure |
| Independent Detector | other other : 2 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : engineering procedure contributing factor : work cards performance deficiency : inspection performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance |
| Supplementary | |
| Problem Areas | Company Aircraft Maintenance Human Performance Chart Or Publication |
| Primary Problem | Maintenance Human Performance |
| Situations | |
| Publication | Airworthiness Directive |
Narrative:
During a routine slide deployment, it was discovered that a pre airworthiness directive 2001-15-01 slide latch chain assembly had been installed on aircraft X per an inventory search. The suspect part may have also been installed on aircraft Y. An inspection of the aircraft was to be conducted to change the slide latch assembly. If the suspect part was installed due to workload, the inspection has not been accomplished.
Original NASA ASRS Text
Title: A B737-800 DURING A ROUTINE SLIDE DEPLOYMENT A PRE AIRWORTHINESS DIRECTIVE NOTE SLIDE LATCH CHAIN ASSEMBLY WAS FOUND STILL INSTALLED. ENGINEERING ORDER ISSUED TO CHK ENTIRE FLEET.
Narrative: DURING A ROUTINE SLIDE DEPLOYMENT, IT WAS DISCOVERED THAT A PRE AIRWORTHINESS DIRECTIVE 2001-15-01 SLIDE LATCH CHAIN ASSEMBLY HAD BEEN INSTALLED ON ACFT X PER AN INVENTORY SEARCH. THE SUSPECT PART MAY HAVE ALSO BEEN INSTALLED ON ACFT Y. AN INSPECTION OF THE ACFT WAS TO BE CONDUCTED TO CHANGE THE SLIDE LATCH ASSEMBLY. IF THE SUSPECT PART WAS INSTALLED DUE TO WORKLOAD, THE INSPECTION HAS NOT BEEN ACCOMPLISHED.
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.