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An A319 during an aft entry door slide deployment test the slide failed to deploy due to incorrect installation of slide. Pull handles were found not connected.
| Attributes | |
| ACN | 657636 |
| Time | |
| Date | 200502 |
| Local Time Of Day | 0001 To 0600 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | A319 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : airframe technician : powerplant |
| Experience | maintenance technician : 25 |
| ASRS Report | 657636 |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : far non adherence : published procedure non adherence : company policies |
| Independent Detector | other other : 2 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : work cards performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : installation performance deficiency : inspection |
| Supplementary | |
| Problem Areas | Aircraft Chart Or Publication Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
I received a letter of investigation from my foreman. The letter of investigation content entailed issues involving aircraft X and the non deployment of aft entry door slide during a deployment test. It also states 'slide failed to deploy due to the fact that the quick disconnect was missing.' I remember; before installation of new pack onto door; I had to remove the old pack board from door (old chute had deployment test or blown at gate -- can't remember for sure). I removed the 2 bolts (hex head) from old pack board and used same bolts to install new pack -- assuming they were correct. Upon review of letter of investigation report and airbus maintenance manual 25-62-44; I realize these were not the correct bolts. Since they were the incorrect bolts; I didn't realize the pull handles needed to be attached to them; so the pull handles were never connected.
Original NASA ASRS Text
Title: AN A319 DURING AN AFT ENTRY DOOR SLIDE DEPLOYMENT TEST THE SLIDE FAILED TO DEPLOY DUE TO INCORRECT INSTALLATION OF SLIDE. PULL HANDLES WERE FOUND NOT CONNECTED.
Narrative: I RECEIVED A LETTER OF INVESTIGATION FROM MY FOREMAN. THE LETTER OF INVESTIGATION CONTENT ENTAILED ISSUES INVOLVING ACFT X AND THE NON DEPLOYMENT OF AFT ENTRY DOOR SLIDE DURING A DEPLOYMENT TEST. IT ALSO STATES 'SLIDE FAILED TO DEPLOY DUE TO THE FACT THAT THE QUICK DISCONNECT WAS MISSING.' I REMEMBER; BEFORE INSTALLATION OF NEW PACK ONTO DOOR; I HAD TO REMOVE THE OLD PACK BOARD FROM DOOR (OLD CHUTE HAD DEPLOYMENT TEST OR BLOWN AT GATE -- CAN'T REMEMBER FOR SURE). I REMOVED THE 2 BOLTS (HEX HEAD) FROM OLD PACK BOARD AND USED SAME BOLTS TO INSTALL NEW PACK -- ASSUMING THEY WERE CORRECT. UPON REVIEW OF LETTER OF INVESTIGATION RPT AND AIRBUS MAINT MANUAL 25-62-44; I REALIZE THESE WERE NOT THE CORRECT BOLTS. SINCE THEY WERE THE INCORRECT BOLTS; I DIDN'T REALIZE THE PULL HANDLES NEEDED TO BE ATTACHED TO THEM; SO THE PULL HANDLES WERE NEVER CONNECTED.
Data retrieved from NASA's ASRS site as of January 2009 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.