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A B757-200 was released for service from a check with an open work order. Right fuel densitometer connector was not replaced.
| Attributes | |
| ACN | 670831 |
| Time | |
| Date | 200508 |
| Local Time Of Day | 0601 To 1200 |
| 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 : inspector |
| Qualification | technician : powerplant technician : airframe |
| Experience | maintenance lead technician : 5 maintenance supervisor : 5 maintenance technician : 3 |
| ASRS Report | 670831 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : inspector |
| 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 : 4 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : schedule pressure contributing factor : work cards performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance performance deficiency : logbook entry performance deficiency : inspection |
| Supplementary | |
| Problem Areas | Environmental Factor Maintenance Human Performance Aircraft Chart Or Publication |
| Primary Problem | Maintenance Human Performance |
Narrative:
On sep/thu/05 at XD00 I was notified by my manager that a review of records for aircraft X indicated an open work order after the aircraft had been returned to service 4 weeks ago by myself. The chronological order of events concerning return to service are as follows: at XA00 I arrived to work on overtime in anticipation of having to release aircraft X. I tied in with the shift inspector who informed me that the aircraft and paperwork left to be completed looked good for an XB00 return to service release. From XA00-XB00 maintenance personnel finished all work and paperwork on the aircraft (that we were aware of). During this time as the work was being completed; it was going directly to the audit/records technician who was auditing; tallying; and putting the records in binders. Just prior to XB00 the records technician informed me that all paperwork was accounted for and tallies were complete. I then went through the tallies and stamped them as complete (not realizing an open block). I then returned the aircraft to service in the logbook at XB00.
Original NASA ASRS Text
Title: A B757-200 WAS RELEASED FOR SVC FROM A CHK WITH AN OPEN WORK ORDER. R FUEL DENSITOMETER CONNECTOR WAS NOT REPLACED.
Narrative: ON SEP/THU/05 AT XD00 I WAS NOTIFIED BY MY MGR THAT A REVIEW OF RECORDS FOR ACFT X INDICATED AN OPEN WORK ORDER AFTER THE ACFT HAD BEEN RETURNED TO SVC 4 WKS AGO BY MYSELF. THE CHRONOLOGICAL ORDER OF EVENTS CONCERNING RETURN TO SVC ARE AS FOLLOWS: AT XA00 I ARRIVED TO WORK ON OVERTIME IN ANTICIPATION OF HAVING TO RELEASE ACFT X. I TIED IN WITH THE SHIFT INSPECTOR WHO INFORMED ME THAT THE ACFT AND PAPERWORK LEFT TO BE COMPLETED LOOKED GOOD FOR AN XB00 RETURN TO SVC RELEASE. FROM XA00-XB00 MAINT PERSONNEL FINISHED ALL WORK AND PAPERWORK ON THE ACFT (THAT WE WERE AWARE OF). DURING THIS TIME AS THE WORK WAS BEING COMPLETED; IT WAS GOING DIRECTLY TO THE AUDIT/RECORDS TECHNICIAN WHO WAS AUDITING; TALLYING; AND PUTTING THE RECORDS IN BINDERS. JUST PRIOR TO XB00 THE RECORDS TECHNICIAN INFORMED ME THAT ALL PAPERWORK WAS ACCOUNTED FOR AND TALLIES WERE COMPLETE. I THEN WENT THROUGH THE TALLIES AND STAMPED THEM AS COMPLETE (NOT REALIZING AN OPEN BLOCK). I THEN RETURNED THE ACFT TO SVC IN THE LOGBOOK AT XB00.
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.