 |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Two mechanics are informed they did not reinstall the right nose tire axle spacer during their tire change on a B767-300ER aircraft.
| Attributes | |
| ACN | 788920 |
| Time | |
| Date | 200805 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B767-300 and 300 ER |
| Operating Under FAR Part | Part 121 |
| Person 1 | |
| Affiliation | other |
| Function | maintenance : technician |
| ASRS Report | 788920 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| ASRS Report | 786755 |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
| Independent Detector | other other : 2 other other : 1 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | contributing factor : briefing performance deficiency : inspection performance deficiency : installation performance deficiency : scheduled maintenance performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
I was told that the right nose tire that we changed on aircraft X was found to not have the spacer. Nose axle nut locking feature old type. Supplemental information from acn 786755: with multiple configns this item should be an rii so that the inspection/verification is separate from the maintenance process.
Original NASA ASRS Text
Title: TWO MECHANICS ARE INFORMED THEY DID NOT REINSTALL THE RIGHT NOSE TIRE AXLE SPACER DURING THEIR TIRE CHANGE ON A B767-300ER ACFT.
Narrative: I WAS TOLD THAT THE R NOSE TIRE THAT WE CHANGED ON ACFT X WAS FOUND TO NOT HAVE THE SPACER. NOSE AXLE NUT LOCKING FEATURE OLD TYPE. SUPPLEMENTAL INFO FROM ACN 786755: WITH MULTIPLE CONFIGNS THIS ITEM SHOULD BE AN RII SO THAT THE INSPECTION/VERIFICATION IS SEPARATE FROM THE MAINT PROCESS.
Data retrieved from NASA's ASRS site as of May 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.