1999-09 · NASA ASRS report 449852
A DC9-30 WAS DISPATCHED AND OPERATED IN NON COMPLIANCE WITH THE TAIL CONE ESCAPE SLIDE INSTALLED BUT INSTALLATION WAS NOT INSPECTED.
WHEN ACCOMPLISHING A TIME CHANGE ON A TAIL CONE EVAC SLIDE; AN INSPECTION ITEM WAS INADVERTENTLY OMITTED. REPLACEMENT OF THE TAIL SLIDE WAS ASSIGNED ON SEP/XA/99 AS PART OF A WORK PACKAGE WHICH MADE NO REF TO FOLLOWING A JOB PROC CARD WHICH WAS AVAILABLE; ALTHOUGH AT THE TIME I WAS UNAWARE OF THIS AVAILABILITY. (JOB PROC CARDS ARE REFED AS PART OF WORK PACKAGES ON OTHER ITEMS ON WHICH NO INSPECTION IS REQUIRED; SUCH AS AUTOLAND CHKS; OIL FILTER CHANGES; AND COALESCER BAG REPLACEMENT.) THE LACK OF THIS REF ON THIS ITEM IN THE WORK PACKAGE; COMBINED WITH MY LACK OF KNOWLEDGE THAT SUCH A CARD EXISTED; LED DIRECTLY TO THE INADVERTENT OMISSION OF THE INSPECTION. THE OMISSION WAS DISCOVERED DURING CASUAL CONVERSATION IN THE SHOP AREA; AND LCL MGMNT WAS PROMPTLY NOTIFIED OF THE ERROR/OMISSION. LCL MGMNT INITIATED ACTION TO RECTIFY THE SIT. POSSIBLE STEPS TO PREVENT RECURRENCE OF THE SIT INCLUDE PLACING REF TO JOB CARDS IN ALL WORK ITEMS TO BE ACCOMPLISHED WHEN SUCH CARDS EXIST; AND PLACING NOTES/ALERTS IN WITH PARTS WHEN SHIPPED OUT OF SHOPS.
Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.
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