Date: 201401
Local time of day: 0001-0600
Location: ZZZ.Airport, US
Aircraft: EMB ERJ 145 ER/LR
Operator: Air Carrier
Operating under: Part 121
Flight phase: Parked
Reporter organization: Air Carrier
Reporter function: Technician
Reporter qualification: Maintenance Powerplant; Maintenance Airframe
Human factors: Communication Breakdown; Situational Awareness; Distraction; Workload
Second reporter function: Technician
Anomaly: Aircraft Equipment Problem Less Severe; Deviation / Discrepancy - Procedural Published Material / Policy
Detector: Person Maintenance
When detected: Other Post Maintenance
Result: General Maintenance Action
Contributing factors: Incorrect / Not Installed / Unavailable Part; Human Factors; Procedure
Primary problem: Human Factors

Narrative: At about XA:30 AM [early] morning during the installation of the thermocouple harnesses for the left engine of an EMB-145 aircraft; my coworkers; Aircraft Maintenance Technicians (AMTs) Y and Z; and I; Technician X; decided to ask an Inspector to look inside the engine before we started the closing procedures even though this was not required by the task we were accomplishing. At the time; I was on top of the engine pylon and verified that all the bolts on the top thermocouples and harness supports had been tightened. The Inspector looked inside and noted that the harness Cannon plugs had not been secured; but verified that all the leads had been correctly installed. At this time the only remaining work to be done was to connect the Cannon plugs; seal them with heat shrink and connect three harness supports just aft of the Cannon plugs. We decided that I would close the upper; outer bypass panels while Technicians Y and Z readied the upper cowling. After that we would finish the job from the bottom. After the upper cowling was in place; I connected the outboard Cannon plug from the bottom and asked coworker Y to shrink the heat shrink covering with a heat gun. Technician Y shrunk the heat shrink and I installed the inboard [Cannon] plug. At this point we were interrupted by a Lead Mechanic who informed us of the need to move our plane so the other planes in the hangar could go out. I asked Technician Y to verify that the inboard plug was tight since it was difficult to install and he checked it. While other mechanics were moving our airplane; Technician Y mentioned that he was unable to verify that the [inboard] plug was tight because he couldn't get access to the plug. I made a mental note to check the plug again after the aircraft was back in the hangar. After the aircraft returned to the hangar I double checked that the inboard Cannon plug was tight. I was satisfied with it and slid the heat shrink over the plug. Technician Y applied heat to it and I moved to the outboard side to take a last visual look that everything was in place. My visual scan was not in depth; mostly because I felt confident that Inspector X had already looked at all the bolts and nuts. I verified that both Cannon plugs were installed and sealed properly and looked for tools that might have been left behind. I did not notice at that time that the [harness] supports 6-10 inches aft of the Cannon plugs were not secured. Technician Z followed close behind me to close up the outer bypass panels. We finished closing the engine and reinstalled the cowling. The rest of my shift was occupied with finishing paperwork; cleaning my workspace; helping to relocate the airplane to the gate; and returning tools to the Parts Department. I had only a few minutes to relax before leaving work. I returned home and immediately went to sleep. Later in the day I awoke with a sudden realization that I never secured the three harness supports (two inboard and one outboard) closest to the Cannon plugs. The supports that were not connected had to remain disconnected so the Cannon plugs could be maneuvered into position. After the Inspector had look in the engine; Technician Y suggested that I close the top outer bypass panels and then we could install the top cowling before hooking up the Cannon plugs. At the time I had a desire to finish the installation of the harnesses before starting to close the panels; but I decided to go ahead with the suggestion because I needed one of my coworkers to operate the forklift to raise the upper cowling. I might have exercised more assertiveness since I was the Mechanic taking responsibility for this Task. The Maintenance Manual (M/M) reference for this task says to install and torque all the bolts for the harness supports and then to install the Cannon plugs. This only possible if the Cannon plugs are maneuvered into the space close to their installed position before installing the supports; but it would be difficult with a new piece of heat shrink over the harness. Moving the plane caused an interruption in the work flow and left my mind focused on making sure the Left Cannon plug was tight. My visual inspection later was incomplete because I felt confident that the Inspector had already looked at all the bolts; even though I had noted earlier that these bolts were not installed because I had needed to slide the heat shrink tubing over the support to get everything in place. [Recommend] we should have waited till everything was secured before asking for an Inspector to look at our work. This means I ought to have insisted that we finish all tasks related to securing the harnesses before starting to close any panels. I should have communicated clearly to my coworkers when our work was interrupted so that all of us would have known what was left to be completed and who would accomplish the remaining tasks when the airplane returned to the hangar. A change in the Rolls Royce [Maintenance] Manual (M/M) having the Mechanic install the Cannon plugs and heat shrink them before securing the last three supports would be helpful; but I don't think it would have prevented this incident. Graveyard shift. Memory-remembered later that bolts were not tightened.


Second narrative: January night 2014; I was assigned to an EMB-145 aircraft. After completing three tire changes on the aircraft that were found during the Periodic Service (PS-1) Inspection; I proceeded to assist Technician X; who was working the Short Dispatch MEL that was documented against the aircraft. After coordinating the course of action that was taking place to determine where my assistance would be needed. The first course of action was to remove the engine cowling to enable the Maintenance action of Removing and Replacing (R/R) the thermocouple harnesses. After the cowlings were removed; the outer bypass panels were removed and the action of disconnecting the thermocouple harness began. I worked the lower half of the engines for removing the old harnesses and subsequently installing the new thermocouple harnesses. At first the thermocouple harnesses were loosely installed until the orientation and spacing were verified after which time the main mounting hardware and the thermocouple leads were properly torqued. The thermocouple harness Cannon-plug leads were not installed at this time; because we had not arrived to the point of reconnecting and heat shrinking the Cannon-plugs. At this point I turned the finishing portion of the installation over to Technician X as I helped with upper cowling installation. Once the upper cowling was installed; Technician X asked if I could heat the heat shrink up to shrink it around the Cannon-plugs to aid in keeping moisture out of the connections. As I was heating the heat shrink; I did not notice whether the thermocouple lead was; or was not; clamped down to the bracket. After I completed the heat shrink I proceeded back to help with the installation of the lower cowling as individuals closed-up the lower outer bypass panels. Completed cowling installation and closed-up the engine and proceeded to complete paperwork for the completion of all Maintenance actions on the aircraft prior to taxiing the aircraft back to the Terminal in the morning.[Contributing factors were] technicians performing multiple tasks and moving from job to job to get a variety of tasks completed in an expedited manner; to get aircraft completed and put on gate and having aircraft ready for flight on the morning schedule. [Recommend] technicians stay on task until completion; or ensure that a full verbal turn-over is accomplished when tasks cross from one technician to another and a simple thorough visual verification of all task completion; prior to panel installation and area close up. Aircraft Mechanic-Avionics. Graveyard.


Synopsis: Three Aircraft Maintenance Technicians (AMTs) report about their involvement installing thermocouple harnesses on Number 1 Engine after being informed that three harness supports were found not secured on an EMB-145 aircraft.