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|
Attributes | |
ACN | 1456176 |
Time | |
Date | 201706 |
Local Time Of Day | 0601-1200 |
Place | |
Locale Reference | ZZZ.Airport |
State Reference | US |
Environment | |
Light | Daylight |
Aircraft 1 | |
Make Model Name | B737-700 |
Operating Under FAR Part | Part 121 |
Flight Phase | Parked |
Flight Plan | IFR |
Component | |
Aircraft Component | Oxygen System/Crew |
Person 1 | |
Function | Pilot Flying Captain |
Qualification | Flight Crew Air Transport Pilot (ATP) |
Person 2 | |
Function | Pilot Not Flying First Officer |
Qualification | Flight Crew Air Transport Pilot (ATP) |
Events | |
Anomaly | Aircraft Equipment Problem Less Severe Deviation - Procedural Maintenance Deviation - Procedural Published Material / Policy Flight Deck / Cabin / Aircraft Event Other / Unknown |
Narrative:
During preflight I performed the crew oxygen test in accordance with the aom. During the test; I observed a noticeable drop in oxygen pressure. The aom crew oxygen test description states; 'if there is a drop in oxygen pressure during the test; corrective maintenance action must be performed prior to flight.' I made a logbook entry and contacted mx control through my dispatcher. The first mx controller instructed me to order contract mx; and we hung up to wait. Not long afterwards; I received a message to contact mx control. When I reestablished contact; a different mx controller insisted that the test was normal; and the system was functioning normally.he stated that his manual described the test to be successful only if there was a pressure drop. He went on to explain if the valve was closed; the pressure would drop to zero. When I asked about a partially closed valve; he said the system was operating normally. When I told him I had never in my experience seen an O2 pressure drop like the one on the aircraft today; he told me I should pay closer attention. We got the chief pilot on call on the line; but the mx controller would not let us have a conversion without constant interruptions. He continued to the point of berating me; mentioned about how long it would take to check the valve; all the time getting more agitated and emotional. He then stated when the contract mechanic arrived; nothing would change; and he would write in the logbook that the system was normal. When the contract mechanic arrived; I watched him inspect the valve on the O2 tank installed forward of the forward bulkhead in the forward cargo compartment. He removed the safety wire; and turned the valve handle counter clockwise; and reinstalled the safety wire.I returned to the cockpit; and again performed the crew oxygen test. The pressure indicator did not move; indicating normal system operation. When the contract mechanic returned with the logbook; I checked it to make sure the discrepancy was signed off. The entry was to the effect that the valve was in the full open position; and the system was normal. I asked the mechanic why he had not written that he fully opened the valve. He said the mx controller told him to clear the discrepancy as if the system had operated normally the whole time.upon arrival; the flight delay report [included] the explanation: 'upon boarding completion captain called mx control after cleared by mx control captain still wanted to call contract mx.' the agents comment demonstrates a fundamental lack of understanding of the pre-flight procedures; the details of the event itself; and more worrisome a focus on blame for the late departure without any concern for the safety aspect of the flight. 1. Check to see if the aom and mx manuals agree about the details of what constitutes a successful or failed crew oxygen test. 2. Remove the pressure on ground operations and technical operations (mx) to push on time at all costs. 3. Change the metrics so the sole focus by which stations and departments are evaluated is not on time performance. 4. Re-emphasize to all operational departments that safety is our number one priority. 5. Treat all employees with respect; and recognize that pilots are professional observers with valuable inputs that can help resolve problems.
Original NASA ASRS Text
Title: B737-700 flight crew reported the crew oxygen pressure dropped significantly during the preflight procedure. The valve was found to not be fully open; however the signoff did not indicate so; and the delay was charged to the crew.
Narrative: During preflight I performed the Crew Oxygen Test in accordance with the AOM. During the test; I observed a noticeable drop in oxygen pressure. The AOM Crew Oxygen Test description states; 'If there is a drop in oxygen pressure during the test; corrective Maintenance action must be performed prior to flight.' I made a logbook entry and contacted MX Control through my Dispatcher. The first MX Controller instructed me to order Contract MX; and we hung up to wait. Not long afterwards; I received a message to Contact MX Control. When I reestablished contact; a different MX Controller insisted that the test was normal; and the system was functioning normally.He stated that his manual described the test to be successful only if there was a pressure drop. He went on to explain if the valve was closed; the pressure would drop to zero. When I asked about a partially closed valve; he said the system was operating normally. When I told him I had never in my experience seen an O2 pressure drop like the one on the aircraft today; he told me I should pay closer attention. We got the Chief Pilot on Call on the line; but the MX Controller would not let us have a conversion without constant interruptions. He continued to the point of berating me; mentioned about how long it would take to check the valve; all the time getting more agitated and emotional. He then stated when the Contract Mechanic arrived; nothing would change; and he would write in the logbook that the system was normal. When the Contract Mechanic arrived; I watched him inspect the valve on the O2 tank installed forward of the forward bulkhead in the forward cargo compartment. He removed the Safety wire; and turned the valve handle counter clockwise; and reinstalled the Safety wire.I returned to the cockpit; and again performed the Crew Oxygen Test. The pressure indicator did not move; indicating normal system operation. When the Contract Mechanic returned with the logbook; I checked it to make sure the discrepancy was signed off. The entry was to the effect that the valve was in the full open position; and the system was normal. I asked the Mechanic why he had not written that he fully opened the valve. He said the MX Controller told him to clear the discrepancy as if the system had operated normally the whole time.Upon arrival; the flight delay report [included] the explanation: 'UPON BOARDING COMPLETION CAPT CALLED MX CONTROL AFTER CLEARED BY MX CONTROL CAPT STILL WANTED TO CALL CONTRACT MX.' The Agents comment demonstrates a fundamental lack of understanding of the pre-flight procedures; the details of the event itself; and more worrisome a focus on blame for the late departure without any concern for the Safety aspect of the flight. 1. Check to see if the AOM and MX manuals agree about the details of what constitutes a successful or failed Crew Oxygen Test. 2. Remove the pressure on Ground Operations and Technical Operations (MX) to push on time at all costs. 3. Change the metrics so the sole focus by which Stations and Departments are evaluated is not on time performance. 4. Re-emphasize to all Operational Departments that SAFETY is our number one priority. 5. Treat all Employees with respect; and recognize that Pilots are professional observers with valuable inputs that can help resolve problems.
Data retrieved from NASA's ASRS site and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.