2000-09 · NASA ASRS report 486196
A DORNIER 328 DURING CREW PRFLIGHT CHK WAS FOUND TO HAVE THE FO'S RUDDER CABLES CONNECTED AND RIGGED INCORRECTLY.
ON THE NIGHT OF 00/09/THU DURING SCHEDULED INSPECTION THE PLT AND COPLT RUDDER CABLES WERE FOUND TO BE WORN BEYOND LIMITS. THE PLTS RUDDER CABLES WERE REPLACED; INSPECTED AND OPERATIONALLY CHKED WITH NO DISCREPANCIES NOTED. THE COPLTS RUDDER CABLES WERE INSTALLED; FOUND TO BE THE WRONG LENGTH. THE CABLES WERE THEN REMOVED; THE POS WERE SWAPPED (RH INBOARD. RH OUTBOARD) THEN REINSTALLED. THE INSTALLATION WAS THEN COMPLETED WITHOUT ANY FURTHER PROBS. I PERFORMED THE INSPECTION OF THE CABLE RUNS FOR PROPER ROUTING AND SAFETIES WITH NO DEFECTS NOTED. I PERFORMED THE OPS CHK OF THE PLTS SYS WITH NO DEFECTS NOTED. THE PAPERWORK WAS THEN COMPLETED AND THE ACFT WAS CLOSED UP. THE ACFT WAS THEN TAKEN BY CREW FROM THE HANGAR. AS CREW PREFLIGHTED THE ACFT THEY NOTICED THAT WHEN THE CAPT PUSHED THE L RUDDER PEDAL THE COPLT R RUDDER PEDAL MOVED FORWARD. CREW IMMEDIATELY RETURNED ACFT TO MAINT HANGAR; AT WHICH TIME IT WAS DISCOVERED THAT COPLT RUDDER CABLES WERE IMPROPERLY ROUTED IN TAIL SECTION OF ACFT (RUDDER BELLCRANK). THIS PROB WAS CORRECTED IMMEDIATELY BY MAINT PERSONNEL. ACFT WAS THEN TEST FLOWN WITHOUT INCIDENT. THERE WAS NO DAMAGE TO ACFT AND NO INJURIES TO CREW; AS THE ACFT HAD NOT FLOWN BEFORE THE PROB WAS CORRECTED. OTHER FACTORS: THE FACT THE COPLT CABLES CAN BE IMPROPERLY ROUTED; CONNECTED NORMALLY AND THE PLTS SYS STILL FUNCTIONS NORMALLY; INDICATES A POTENTIALLY PROBLEMATIC DESIGN. HOWEVER THE MAINT MANUAL COVERS THIS POSSIBILITY BY STATING THAT AN OPS CHK OF THE AFFECTED SYS IS REQUIRED. FATIGUE WAS A FACTOR; THE INITIAL WORK WAS COMPLETED AS I WENT INTO THE 16TH HR OF MY SHIFT. NO OPERATIONAL CHK OF THE COPLT SYS WAS PERFORMED. SUMMARY: THE PROC IS INTENDED TO HAVE A MECH PERFORM THE OPERATIONAL CHK WHILE THE INSPECTOR (SELF); OBSERVES AND VERIFIES THAT THE WORK WAS CORRECTLY PERFORMED. THIS FAILED TO OCCUR BECAUSE I PUT TOO MUCH TRUST IN THE ABILITY OF THE MECH AND DID NOT CORRECTLY READ; INTERPRET AND APPLY THE INSTRUCTIONS IN THE ACFT MAINT MANUAL OR COMPANY MAINT MANUAL. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR STATED THE ONLY INSPECTION ACCOMPLISHED WAS FROM THE L SEAT AND EVERYTHING CHKED OK. THE RPTR SAID THE OPERATIONAL CHK WAS MADE IN DARKNESS AND THE FO'S RUDDER PEDALS WERE NOT OBSERVED. THE RPTR STATED THE R RUDDER PEDALS AND RUDDER OPERATIONAL CHK WERE NEVER CHKED FROM THE R SEAT. THE RPTR SAID THE MAINT MANUAL DID REQUIRE A OPERATIONAL CHK FROM BOTH SEATS WITH AN INSPECTOR OBSERVING THE ACTUAL RUDDER MOVEMENT. THE RPTR SAID IN FACT NO ACTUAL FINAL CHK WAS MADE PER THE MAINT MANUAL.
Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.
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