The passing of the shift in aircraft maintenance - a task that produces deaths
Abstract
Maintenance tasks, especially in heavy maintenance, may not be completed in a single shift. Aircraft maintenance technicians often take work in progress by colleagues, and spend the incomplete work for a change of team. The need for accuracy and efficiency of information transfer in many cases, without having time to have a meeting to pass the service is a crucial aspect of maintenance work. The ideal shift change can occur normally before delivery and continues to proceed normally after delivery. Although a shift change create challenges for communication, they also offer opportunities to detect and correct errors, where the task of delivery is an opportunity to identify the problem and fix it. In this case, the task was done correctly the first round, however, a problem began when the second round took. One example is a case in which the first round have removed a defective part for replacement and let the component of aircraft at end of turn with problems. Instead of ordering and installation of an operational component, the second round was then reinstall the faulty component, not realizing he had information about the problem attached.