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|
Attributes | |
ACN | 276243 |
Time | |
Date | 199407 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : lny |
State Reference | HI |
Altitude | msl bound lower : 26000 msl bound upper : 26000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zhn tower : clt |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude cruise other |
Route In Use | enroute other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : cfi pilot : atp |
Experience | flight time last 90 days : 75 flight time total : 13200 flight time type : 3000 |
ASRS Report | 276243 |
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 : clearance other anomaly |
Independent Detector | other flight crewa |
Resolutory Action | none taken : unable other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Second leg in a newly purchased (used) and overhauled aircraft. First time aircraft used 'on line' with this airline. Numerous problems and log entries with maintenance trying to get aircraft on line for busy passenger loads. 4 MEL's carried. 1 (leading edge slat indicator) requiring operations limit of 300 KTS, .65 mach. Nearly empty aircraft, climbing through 2000 ft MSL at departure airport. 'Pack trip' annunciator. Duct pressure at normal psi. Mechanical anomaly. One of these indicators was wrong. Followed checklist. First item: 'select warmer temperature.' no control over mixing valve -- won't respond in 'manual' or 'automatic.' second item: 'push reset.' did this and 'pack trip' light extinguished. No change in psi -- still normal!? Back to mix valve problem. Changed from PNF to PF. Had first officer locate 'mix valve' breaker. Hard to find. Not discretely marked. Circuit breaker 'in.' we pulled and reset it anyway. Mix valve now functional. By this time we were level at FL260 at .65 mach. Exchanged controls back to first officer. Center inquired about airspeed. We had neglected to advise controller of mach .65 change as opposed to our 'canned' standard flight plan of .72 mach. Contributing factors: increased workload with 4 MEL's, then additional distrs compounding workload. New captain -- approximately 220 hours PIC in type. Rushed and pressured maintenance to get aircraft on line without adequate system checks for reliability. Solution: fly aircraft first -- including notifying center of airspeed changes. Be late. Take the time to thoroughly go over flight plan and 'file' amended airspeed.
Original NASA ASRS Text
Title: MLG HAS SPD RESTR DUE TO MEL'ED EQUIP, NEGLECTS TO INFORM ATC.
Narrative: SECOND LEG IN A NEWLY PURCHASED (USED) AND OVERHAULED ACFT. FIRST TIME ACFT USED 'ON LINE' WITH THIS AIRLINE. NUMEROUS PROBS AND LOG ENTRIES WITH MAINT TRYING TO GET ACFT ON LINE FOR BUSY PAX LOADS. 4 MEL'S CARRIED. 1 (LEADING EDGE SLAT INDICATOR) REQUIRING OPS LIMIT OF 300 KTS, .65 MACH. NEARLY EMPTY ACFT, CLBING THROUGH 2000 FT MSL AT DEP ARPT. 'PACK TRIP' ANNUNCIATOR. DUCT PRESSURE AT NORMAL PSI. MECHANICAL ANOMALY. ONE OF THESE INDICATORS WAS WRONG. FOLLOWED CHKLIST. FIRST ITEM: 'SELECT WARMER TEMP.' NO CTL OVER MIXING VALVE -- WON'T RESPOND IN 'MANUAL' OR 'AUTO.' SECOND ITEM: 'PUSH RESET.' DID THIS AND 'PACK TRIP' LIGHT EXTINGUISHED. NO CHANGE IN PSI -- STILL NORMAL!? BACK TO MIX VALVE PROB. CHANGED FROM PNF TO PF. HAD FO LOCATE 'MIX VALVE' BREAKER. HARD TO FIND. NOT DISCRETELY MARKED. CIRCUIT BREAKER 'IN.' WE PULLED AND RESET IT ANYWAY. MIX VALVE NOW FUNCTIONAL. BY THIS TIME WE WERE LEVEL AT FL260 AT .65 MACH. EXCHANGED CTLS BACK TO FO. CTR INQUIRED ABOUT AIRSPD. WE HAD NEGLECTED TO ADVISE CTLR OF MACH .65 CHANGE AS OPPOSED TO OUR 'CANNED' STANDARD FLT PLAN OF .72 MACH. CONTRIBUTING FACTORS: INCREASED WORKLOAD WITH 4 MEL'S, THEN ADDITIONAL DISTRS COMPOUNDING WORKLOAD. NEW CAPT -- APPROX 220 HRS PIC IN TYPE. RUSHED AND PRESSURED MAINT TO GET ACFT ON LINE WITHOUT ADEQUATE SYS CHKS FOR RELIABILITY. SOLUTION: FLY ACFT FIRST -- INCLUDING NOTIFYING CTR OF AIRSPD CHANGES. BE LATE. TAKE THE TIME TO THOROUGHLY GO OVER FLT PLAN AND 'FILE' AMENDED AIRSPD.
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.