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|
Attributes | |
ACN | 271279 |
Time | |
Date | 199405 |
Day | Sun |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : ord |
State Reference | IL |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B757 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | ground : preflight |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | other personnel other |
Qualification | other other : other |
ASRS Report | 271279 |
Person 2 | |
Affiliation | company : air carrier |
Function | other personnel other |
Qualification | other other : other |
ASRS Report | 271027 |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : published procedure |
Independent Detector | other other : unspecified |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Chart Or Publication |
Air Traffic Incident | other |
Situations | |
Publication | Unspecified |
Narrative:
On may/xx/94, airlines aircraft required the left engine thrust reverser be deactivated per the 757 MEL account of hydraulic fluid leakage on 1 actuator. Step 11 of MEL reference 7831C required the pulling and safetying of the appropriate circuit breaker. Subsequently, it was discovered that the wrong breaker had been pulled. MEL 7831C specifies 6j17 be pulled, and I pulled a thrust reverser primary control breaker, located, to be later ascertained, the 6TH breaker in row K of a different circuit breaker panel. This was discovered during a return to the gate on the following day (may/yy/94). I pulled the breaker which later proved to be the wrong breaker to pull. I believe the MEL specification is somewhat vague, particularly the panel and circuit breaker location and identify. I wish to point out that a crew of 3 men were involved in the deferral procedure, and that I was responsible for the pulling and safetying of the above mentioned circuit breaker. Finally, I wish to point out that this occurred during a routine #1 service check (through trip) with minimal ground time available, and several individuals in the cockpit throughout the procedure. Although not offered as an excuse, I view these as contributing factors leading up to this situation as described.
Original NASA ASRS Text
Title: WRONG CIRCUIT BREAKER PULLED ON B-757 BY ALL 3 MECHS WHO WORKED THE ACFT.
Narrative: ON MAY/XX/94, AIRLINES ACFT REQUIRED THE L ENG THRUST REVERSER BE DEACTIVATED PER THE 757 MEL ACCOUNT OF HYD FLUID LEAKAGE ON 1 ACTUATOR. STEP 11 OF MEL REF 7831C REQUIRED THE PULLING AND SAFETYING OF THE APPROPRIATE CIRCUIT BREAKER. SUBSEQUENTLY, IT WAS DISCOVERED THAT THE WRONG BREAKER HAD BEEN PULLED. MEL 7831C SPECIFIES 6J17 BE PULLED, AND I PULLED A THRUST REVERSER PRIMARY CTL BREAKER, LOCATED, TO BE LATER ASCERTAINED, THE 6TH BREAKER IN ROW K OF A DIFFERENT CIRCUIT BREAKER PANEL. THIS WAS DISCOVERED DURING A RETURN TO THE GATE ON THE FOLLOWING DAY (MAY/YY/94). I PULLED THE BREAKER WHICH LATER PROVED TO BE THE WRONG BREAKER TO PULL. I BELIEVE THE MEL SPEC IS SOMEWHAT VAGUE, PARTICULARLY THE PANEL AND CIRCUIT BREAKER LOCATION AND IDENT. I WISH TO POINT OUT THAT A CREW OF 3 MEN WERE INVOLVED IN THE DEFERRAL PROC, AND THAT I WAS RESPONSIBLE FOR THE PULLING AND SAFETYING OF THE ABOVE MENTIONED CIRCUIT BREAKER. FINALLY, I WISH TO POINT OUT THAT THIS OCCURRED DURING A ROUTINE #1 SVC CHK (THROUGH TRIP) WITH MINIMAL GND TIME AVAILABLE, AND SEVERAL INDIVIDUALS IN THE COCKPIT THROUGHOUT THE PROC. ALTHOUGH NOT OFFERED AS AN EXCUSE, I VIEW THESE AS CONTRIBUTING FACTORS LEADING UP TO THIS SIT AS DESCRIBED.
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.