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A B757-200 had the incorrect emergency door assist bottle installed at door L1.
| Attributes | |
| ACN | 662305 |
| Time | |
| Date | 200506 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B757-200 |
| 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 avionics : 18 maintenance technician : 1 |
| ASRS Report | 662305 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : inspector |
| Qualification | technician : powerplant technician : airframe |
| ASRS Report | 622304 |
| 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 : 1 |
| Resolutory Action | none taken : detected after the fact |
| Factors | |
| Maintenance | contributing factor : schedule pressure performance deficiency : inspection performance deficiency : logbook entry performance deficiency : repair performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Aircraft Chart Or Publication |
| Primary Problem | Maintenance Human Performance |
Narrative:
We removed a bottle that had the pressure sight (gauge) facing down. The bottle we received from stores had the sight (gauge) facing up (toward the ceiling). We showed it to the lead and he went to stores and grabbed another bottle with the sight (gauge) facing down. This turned out to be an incorrect part number. A door assist bottle part number for an L2 door position was installed at the L1 door position.
Original NASA ASRS Text
Title: A B757-200 HAD THE INCORRECT EMER DOOR ASSIST BOTTLE INSTALLED AT DOOR L1.
Narrative: WE REMOVED A BOTTLE THAT HAD THE PRESSURE SIGHT (GAUGE) FACING DOWN. THE BOTTLE WE RECEIVED FROM STORES HAD THE SIGHT (GAUGE) FACING UP (TOWARD THE CEILING). WE SHOWED IT TO THE LEAD AND HE WENT TO STORES AND GRABBED ANOTHER BOTTLE WITH THE SIGHT (GAUGE) FACING DOWN. THIS TURNED OUT TO BE AN INCORRECT PART NUMBER. A DOOR ASSIST BOTTLE PART NUMBER FOR AN L2 DOOR POS WAS INSTALLED AT THE L1 DOOR POS.
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.