An Inspector reports on events that contributed to his not verifying whether the #1 and #2 main tires that were replaced; had their retaining nut spacer re-installed; during his RII inspection of the wheel nut torques and safety bolt installations. All four main tires on the Gulfstream G-200 were later found without their wheel spacers installed.

Date: 2009-05 · Aircraft: Gulfstream G200 (IAI 1126 Galaxy) · Phase: ground

Anomalies: aircraft-equipment-problem-less-severe|deviation-discrepancy-procedural-far|deviation-discrepancy-procedural-maintenance|deviation-discrepancy-procedural-published-material-policy

Synopsis

An Inspector reports on events that contributed to his not verifying whether the #1 and #2 main tires that were replaced; had their retaining nut spacer re-installed; during his RII inspection of the wheel nut torques and safety bolt installations. All four main tires on the Gulfstream G-200 were later found without their wheel spacers installed.

Narrative

Gulfstream G-200 in for #1 and #2 main tire change due to wear limits. These tire/wheel assemblies were removed; new assemblies installed and axle nut installed; torqued and safetied with screws through nut into axle (done in reverse order of disassembly). I verified (asked the mechanics what torque they need) was told the pre-torque valve; and final torque valve and watched; as nuts were torqued and safetied. Done for double buy back inspection. This is where the spacer was left out. Between the wheel and axle nut. Did not notice this because both wheel/tire assemblies were missing a spacer and the nut torqued down properly. There was no play side to side of wheels and safety screws aligned with holes in axle. It was not noticed until May 2009 at another maintenance base when the #3 and #4 main wheel and tire assemblies were changed that the spacers were missing. Then the #1 and #2 wheels were verified to be missing the spacers. This leads back to January 2009. This aircraft was at another maintenance base where all four wheels were replaced. This is where the spacers were originally left off. As a mechanic; I feel we were set up for failure by the previous vendor. Then the mechanics who replaced #1; 2 MLG wheels only used the manual for torque valves. Third; as Inspector I should have caught the missing spacers. Ways that I should have noticed was by verifying maintenance manual was out and in use. Reading over procedure myself and checking illustrated parts catalog (IPC) for parts breakdown. Not relying on other mechanics to have read procedure. After talking with other mechanics familiar with the G-200 this problem of the spacer missing between the axle nut and wheel assembly is very common. Maybe the manufacturer should look at ways to modify this so it does not happen again.

NASA callback

Reporter stated that all four tires were changed on the same day; by Contract maintenance; back in January. That seems to be the date when the spacers were not re-installed. Reporter stated the spacer does not have a tang and looks like a large plain washer. His company has revised their tire change procedures to specifically identify the spacer during tire installation. They have also issued memos and posted maintenance alerts; to remind mechanics about the spacer sticking to the tire wheel half as a tire is removed.

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