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|
Attributes | |
ACN | 253959 |
Time | |
Date | 199310 |
Day | Mon |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : iah |
State Reference | TX |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Large Transport, Low Wing, 3 Turbojet Eng |
Flight Phase | ground : preflight |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : commercial |
Experience | flight time last 90 days : 240 flight time total : 25000 flight time type : 10000 |
ASRS Report | 253959 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | aircraft equipment problem : less severe non adherence : published procedure |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : overcame equipment problem |
Consequence | Other |
Supplementary | |
Primary Problem | Aircraft |
Air Traffic Incident | other |
Narrative:
Maintenance used wrong deviation dispatch procedure (ddp) to correct problem with aircraft fueling system. The correct ddp title doesn't focus on the problem, i.e., failed valves. The ddp procedure used compromised the safety of subsequent flight. Problem started with fueler not being able to fill #2 fuel tank and continuing to fill tanks 1 and 3. Several mechanics did not know where the valve in question was located, so relinquished the crew's only aircraft manual to mechanics. The captain (me) got involved with the fueler and mechanics with regard to locating the valve in question and the proper filling of the #2 tank without automatic shutoff protection. Contributing factors which distracted myself and crew: attempting to coordinate filling #2 tank and subsequent fuel spill at gate, while taxiing and takeoff. Besides the company's push for on-time performance, the flight in question needs to operate within 1 1/2 hours of scheduled departure to be able to return to ewr for passenger to make the last bank of connecting flts. Discovered problem in-flight after some further study of aircraft manual (the placard on the xfeed valve didn't make any sense). Corrected the ddp at the next station.
Original NASA ASRS Text
Title: ACR MECHS SIGNED OFF A FUEL DISCREPANCY USING THE WRONG PROC.
Narrative: MAINT USED WRONG DEV DISPATCH PROC (DDP) TO CORRECT PROB WITH ACFT FUELING SYS. THE CORRECT DDP TITLE DOESN'T FOCUS ON THE PROB, I.E., FAILED VALVES. THE DDP PROC USED COMPROMISED THE SAFETY OF SUBSEQUENT FLT. PROB STARTED WITH FUELER NOT BEING ABLE TO FILL #2 FUEL TANK AND CONTINUING TO FILL TANKS 1 AND 3. SEVERAL MECHS DID NOT KNOW WHERE THE VALVE IN QUESTION WAS LOCATED, SO RELINQUISHED THE CREW'S ONLY ACFT MANUAL TO MECHS. THE CAPT (ME) GOT INVOLVED WITH THE FUELER AND MECHS WITH REGARD TO LOCATING THE VALVE IN QUESTION AND THE PROPER FILLING OF THE #2 TANK WITHOUT AUTOMATIC SHUTOFF PROTECTION. CONTRIBUTING FACTORS WHICH DISTRACTED MYSELF AND CREW: ATTEMPTING TO COORDINATE FILLING #2 TANK AND SUBSEQUENT FUEL SPILL AT GATE, WHILE TAXIING AND TKOF. BESIDES THE COMPANY'S PUSH FOR ON-TIME PERFORMANCE, THE FLT IN QUESTION NEEDS TO OPERATE WITHIN 1 1/2 HRS OF SCHEDULED DEP TO BE ABLE TO RETURN TO EWR FOR PAX TO MAKE THE LAST BANK OF CONNECTING FLTS. DISCOVERED PROB INFLT AFTER SOME FURTHER STUDY OF ACFT MANUAL (THE PLACARD ON THE XFEED VALVE DIDN'T MAKE ANY SENSE). CORRECTED THE DDP AT THE NEXT STATION.
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.