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An ATR72 was released to service with work accomplished referencing incorrect maintenance documentation. Also included in this release was an MEL deferral placard not properly filled out.
| Attributes | |
| ACN | 729866 |
| Time | |
| Date | 200701 |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Environment | |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | tower : hnl.tower |
| Operator | common carrier : air carrier |
| Make Model Name | ATR 72 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : airframe technician : powerplant |
| ASRS Report | 729866 |
| Person 2 | |
| Affiliation | other |
| Function | maintenance : technician |
| Events | |
| Anomaly | maintenance problem : non compliance with mel 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 contributing factor : work cards performance deficiency : non compliance with legal requirements performance deficiency : training performance deficiency : logbook entry |
| Supplementary | |
| Problem Areas | Aircraft Environmental Factor Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
On jan/thu/07; air carrier X grounded at ZZZ with items: 1) hydraulic filter pop-out indication positive; 2) forward cargo door is not working; and 3) main cabin door emergency light inoperative. This aircraft was grounded. Maintenance control on duty gave the instruction to the mechanic at the station to work the items. For the #1 item was balanced with reset pop-out indication with the wrong job instruction card information; #2 item was deferred on MEL and the MEL placard was not properly filled. #3 item was balanced with repaired loose pin at connector with the wrong job instruction card. This event occurred because maintenance control did not follow the company procedures and gpm procedure; in accordance with gpm section unscheduled maintained non-routine items on company aircraft. These items must be considered simple in nature; and not required complicated action to complete. Maintenance control shall be responsible to coordination with the person performing the maintenance of the required task. Maintenance control through the captain shall ensure the aml is properly signed off.
Original NASA ASRS Text
Title: AN ATR72 WAS RELEASED TO SVC WITH WORK ACCOMPLISHED REFING INCORRECT MAINT DOCUMENTATION. ALSO INCLUDED IN THIS RELEASE WAS AN MEL DEFERRAL PLACARD NOT PROPERLY FILLED OUT.
Narrative: ON JAN/THU/07; ACR X GNDED AT ZZZ WITH ITEMS: 1) HYD FILTER POP-OUT INDICATION POSITIVE; 2) FORWARD CARGO DOOR IS NOT WORKING; AND 3) MAIN CABIN DOOR EMER LIGHT INOP. THIS ACFT WAS GNDED. MAINT CTL ON DUTY GAVE THE INSTRUCTION TO THE MECH AT THE STATION TO WORK THE ITEMS. FOR THE #1 ITEM WAS BALANCED WITH RESET POP-OUT INDICATION WITH THE WRONG JOB INSTRUCTION CARD INFO; #2 ITEM WAS DEFERRED ON MEL AND THE MEL PLACARD WAS NOT PROPERLY FILLED. #3 ITEM WAS BALANCED WITH REPAIRED LOOSE PIN AT CONNECTOR WITH THE WRONG JOB INSTRUCTION CARD. THIS EVENT OCCURRED BECAUSE MAINT CTL DID NOT FOLLOW THE COMPANY PROCS AND GPM PROC; IN ACCORDANCE WITH GPM SECTION UNSCHEDULED MAINTAINED NON-ROUTINE ITEMS ON COMPANY ACFT. THESE ITEMS MUST BE CONSIDERED SIMPLE IN NATURE; AND NOT REQUIRED COMPLICATED ACTION TO COMPLETE. MAINT CTL SHALL BE RESPONSIBLE TO COORD WITH THE PERSON PERFORMING THE MAINT OF THE REQUIRED TASK. MAINT CTL THROUGH THE CAPT SHALL ENSURE THE AML IS PROPERLY SIGNED OFF.
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.