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Two mechanics installed an emergency exit interior wall panel on an emb-145LR aircraft; not realizing the upper exit handle had been installed upside down while in the repair shop.
| Attributes | |
| ACN | 800640 |
| Time | |
| Date | 200807 |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | EMB ERJ 145 ER&LR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : airframe technician : inspection authority technician : powerplant |
| Experience | maintenance lead technician : 1 maintenance technician : 10 |
| ASRS Report | 800640 |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
| Independent Detector | other other : 1 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | performance deficiency : repair performance deficiency : testing performance deficiency : scheduled maintenance performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : installation performance deficiency : inspection |
| Supplementary | |
| Problem Areas | Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
During a heavy maintenance check; the emergency exit wall panel upper handle was installed upside-down by other technicians. Later; myself and another technician installed the exit hatch onto the aircraft and did not see that the handle was mis-installed. Callback conversation with reporter revealed the following information: reporter stated the upside down emergency exit handle was noticed at the gate prior to departure and corrected before flight dispatch.
Original NASA ASRS Text
Title: TWO MECHANICS INSTALLED AN EMERGENCY EXIT INTERIOR WALL PANEL ON AN EMB-145LR ACFT; NOT REALIZING THE UPPER EXIT HANDLE HAD BEEN INSTALLED UPSIDE DOWN WHILE IN THE REPAIR SHOP.
Narrative: DURING A HVY MAINT CHK; THE EMER EXIT WALL PANEL UPPER HANDLE WAS INSTALLED UPSIDE-DOWN BY OTHER TECHNICIANS. LATER; MYSELF AND ANOTHER TECHNICIAN INSTALLED THE EXIT HATCH ONTO THE ACFT AND DID NOT SEE THAT THE HANDLE WAS MIS-INSTALLED. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: REPORTER STATED THE UPSIDE DOWN EMERGENCY EXIT HANDLE WAS NOTICED AT THE GATE PRIOR TO DEPARTURE AND CORRECTED BEFORE FLIGHT DISPATCH.
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.