A B727-200 DURING A HVY MAINT VISIT HAD BOTH CTL COLUMNS INSTALLED AND RIGGED INCORRECTLY.

Date: 1998-01 · Aircraft: B727-200

Anomalies: aircraft-equipment-problem-critical|deviation-discrepancy-procedural-far|deviation-discrepancy-procedural-published-material-policy|other-unspecified

Synopsis

A B727-200 DURING A HVY MAINT VISIT HAD BOTH CTL COLUMNS INSTALLED AND RIGGED INCORRECTLY.

Narrative

ON JAN/XX/98 I CHKED INSTALLATION OF CTL COLUMNS ON ACR ACFT XYZ PER ACR INSTALLATION CARD YYXX THEY WERE BOTH NEW CTL COLUMNS. I DID A PARTIAL INSTALLATION AND SIGNED THE PARTIAL MAINT BLOCK AT THE BOTTOM OF THE ACR ROUTINE CARD. THIS IS A 'C' BLOCK BUY BACK PER ACR MAINT POI. THIS STEP MUST BE APPROVED BY AN INSPECTOR BEFORE THE MECH PROCEEDS TO NEXT STEP. INSPECTION RESPONSIBILITY FOR WORK DETAILS ARE SAME AS AN 'I' BLOCK. WORK PROGRESSION DETAILS NOT VISIBLE ONCE AN ITEM IS COMPLETE ARE NOT AN INSPECTION RESPONSIBILITY PER ACR MAINT POI. I DID NOT WITNESS A PROTRACTOR CHK DUE TO THE FACT THAT QUALITY CHK IN PROCESS INVOLVEMENT WAS NOT A REQUIREMENT OF THE ABOVE REFED PROC. UPON DELIVERY OF ACFT TO THE TEST FLC THE CTL COLUMN WAS FOUND TO BE INSTALLED WITH THE GEARED COUPLINGS MISALIGNED BY 1 TOOTH. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR STATED THE CTL COLUMNS WERE INSTALLED USING THE ACR MAINT MANUAL WHICH REQUIRED PROGRESSIVE INSPECTION AS THE JOB MOVED STEP BY STEP. THE RPTR SAID THE COLUMNS WERE INSTALLED BY UNLICENSED AND UNTRAINED TECHNICIANS AND THE COMPANY WAS DEPENDING ON THE INSPECTORS ASSIGNED TO THE WORK TO PREVENT MISTAKES. THE RPTR STATED THE INDEXING OF THE CTL COLUMNS IS ACCOMPLISHED WITH A RIG PIN AND A PROTRACTOR AND IS NOT AN INSPECTION ITEM PER THE MAINT MANUAL. THE RPTR SAID THE RIG PIN WAS NEVER USED TO INDEX THE CTL COLUMNS AND AS A RESULT THE COLUMNS WERE AFT 7 DEGS MORE THAN NORMAL. THE RPTR STATED IT IS COMMON PRACTICE WITH THIS ORGANIZATION TO USE UNLICENSED AND UNTRAINED TECHNICIANS TO ACCOMPLISH THE WORK AND HAVE IT RECHKED BY LICENSED MECHS OR INSPECTORS FOR SIGNOFF. SUPPLEMENTAL INFO FROM ACN 396268: OBVIOUSLY A MISUNDERSTANDING OF THE WORK CARDS AND A LACK OF EXPERIENCE IN PERFORMING THIS PARTICULAR JOB RESULTED IN THE EVENT THAT OCCURRED.

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Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.