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An escape slide shop technician reports not doing a procedure on the engineering service order requiring the folding and mating of a velcro tab. Total of 19 slides were idented as incorrect and repaired.
| Attributes | |
| ACN | 708129 |
| Time | |
| Date | 20060804 |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| ASRS Report | 708129 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
| Independent Detector | other other : 3 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | contributing factor : work cards performance deficiency : non compliance with legal requirements performance deficiency : scheduled maintenance performance deficiency : logbook entry performance deficiency : training performance deficiency : installation |
| Supplementary | |
| Problem Areas | Chart Or Publication Environmental Factor Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
Started working sli jun/xa/06. I was training with a co-worker for the following procedure. He did not show me the procedure to fold and mate velcro tab; and clamp; and bake. I also read engineering service order X to familiarize myself with the slide. I overlooked paragraph B on the page for a folding procedure. So I was not doing the procedure. I did 19 slides I did not do the procedure on. Brought the page to me on aug/xa/06. I stopped doing the procedure. I just overlooked part of the procedure on the page. It kind of ran on with the rest of the procedure. Starting to do procedure on page. Engineering service order is unclr.
Original NASA ASRS Text
Title: AN ESCAPE SLIDE SHOP TECHNICIAN RPTS NOT DOING A PROC ON THE ENGINEERING SVC ORDER REQUIRING THE FOLDING AND MATING OF A VELCRO TAB. TOTAL OF 19 SLIDES WERE IDENTED AS INCORRECT AND REPAIRED.
Narrative: STARTED WORKING SLI JUN/XA/06. I WAS TRAINING WITH A CO-WORKER FOR THE FOLLOWING PROC. HE DID NOT SHOW ME THE PROC TO FOLD AND MATE VELCRO TAB; AND CLAMP; AND BAKE. I ALSO READ ENGINEERING SVC ORDER X TO FAMILIARIZE MYSELF WITH THE SLIDE. I OVERLOOKED PARAGRAPH B ON THE PAGE FOR A FOLDING PROC. SO I WAS NOT DOING THE PROC. I DID 19 SLIDES I DID NOT DO THE PROC ON. BROUGHT THE PAGE TO ME ON AUG/XA/06. I STOPPED DOING THE PROC. I JUST OVERLOOKED PART OF THE PROC ON THE PAGE. IT KIND OF RAN ON WITH THE REST OF THE PROC. STARTING TO DO PROC ON PAGE. ENGINEERING SVC ORDER IS UNCLR.
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.