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After replacing the #2 engine fuel oil heat exchanger on a B757-200 aircraft; mechanic failed to have a required inspection item (rii) accomplished before signing for completion of work and release of aircraft.
| Attributes | |
| ACN | 801724 |
| Time | |
| Date | 200806 |
| 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 | B757-200 |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| ASRS Report | 801724 |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
| Independent Detector | other other : 1 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | contributing factor : briefing performance deficiency : non compliance with legal requirements performance deficiency : installation |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
We replaced the #2 engine fuel oil heat exchanger on aircraft X; I signed off the job task and failed to flag an rii. We came in the following day and the aircraft was flying to ZZZ. I notified maintenance control to flag the procedure there.
Original NASA ASRS Text
Title: AFTER REPLACING THE #2 ENG FUEL OIL HEAT EXCHANGER ON A B757-200 ACFT; MECHANIC FAILED TO HAVE A REQUIRED INSPECTION ITEM (RII) ACCOMPLISHED BEFORE SIGNING FOR COMPLETION OF WORK AND RELEASE OF ACFT.
Narrative: WE REPLACED THE #2 ENG FUEL OIL HEAT EXCHANGER ON ACFT X; I SIGNED OFF THE JOB TASK AND FAILED TO FLAG AN RII. WE CAME IN THE FOLLOWING DAY AND THE ACFT WAS FLYING TO ZZZ. I NOTIFIED MAINT CTL TO FLAG THE PROC THERE.
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.