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|
Attributes | |
ACN | 206686 |
Time | |
Date | 199203 |
Day | Tue |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : day |
State Reference | OH |
Altitude | agl bound lower : 0 agl bound upper : 9000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Light Transport, Low Wing, 2 Turboprop Eng |
Navigation In Use | Other |
Flight Phase | climbout : takeoff cruise other ground : preflight |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 75 flight time total : 5800 flight time type : 350 |
ASRS Report | 206686 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Experience | flight time last 90 days : 85 flight time total : 1523 flight time type : 240 |
ASRS Report | 206685 |
Events | |
Anomaly | aircraft equipment problem : less severe non adherence : far non adherence : published procedure other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Aircraft |
Air Traffic Incident | Pilot Deviation |
Narrative:
While operating an light transport on a scheduled passenger carrying flight, a servicing door for a hydraulic bay underneath the left nacelle was blown off. A thorough preflight was done and no discrepancies were noted. On arrival we left the aircraft and did a walk around post-flight inspection. During this inspection, we failed to notice that the door was missing. There were several factors that contributed. First, the nature of the post-flight inspection is that it is not as detail- oriented as a preflight inspection allowing us to overlook the missing door. Second, the inspection was done before sunrise. I believe the location of the panel and the darkness at the time caused us to overlook it. Also, this flight was the last leg of a 15 hour continuous duty trip with a 5 hour rest at the hotel. I believe that fatigue was also a contributory factor. Supplemental information from acn 206685: a more thorough preflight inspection first officer the service door cover/covers fasteners and hinge could possibly expose worn or loose fasteners, or unsecure panel.
Original NASA ASRS Text
Title: POSTFLT INSPECTION REVEALS MISSING HYD BAY SVC DOOR.
Narrative: WHILE OPERATING AN LTT ON A SCHEDULED PAX CARRYING FLT, A SVCING DOOR FOR A HYD BAY UNDERNEATH THE L NACELLE WAS BLOWN OFF. A THOROUGH PREFLT WAS DONE AND NO DISCREPANCIES WERE NOTED. ON ARR WE LEFT THE ACFT AND DID A WALK AROUND POST-FLT INSPECTION. DURING THIS INSPECTION, WE FAILED TO NOTICE THAT THE DOOR WAS MISSING. THERE WERE SEVERAL FACTORS THAT CONTRIBUTED. FIRST, THE NATURE OF THE POST-FLT INSPECTION IS THAT IT IS NOT AS DETAIL- ORIENTED AS A PREFLT INSPECTION ALLOWING US TO OVERLOOK THE MISSING DOOR. SECOND, THE INSPECTION WAS DONE BEFORE SUNRISE. I BELIEVE THE LOCATION OF THE PANEL AND THE DARKNESS AT THE TIME CAUSED US TO OVERLOOK IT. ALSO, THIS FLT WAS THE LAST LEG OF A 15 HR CONTINUOUS DUTY TRIP WITH A 5 HR REST AT THE HOTEL. I BELIEVE THAT FATIGUE WAS ALSO A CONTRIBUTORY FACTOR. SUPPLEMENTAL INFO FROM ACN 206685: A MORE THOROUGH PREFLT INSPECTION FO THE SVC DOOR COVER/COVERS FASTENERS AND HINGE COULD POSSIBLY EXPOSE WORN OR LOOSE FASTENERS, OR UNSECURE PANEL.
Data retrieved from NASA's ASRS site as of July 2007 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.