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|
Attributes | |
ACN | 289329 |
Time | |
Date | 199411 |
Day | Mon |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : bos |
State Reference | MA |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : anc |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
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 | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 160 flight time total : 8000 flight time type : 3000 |
ASRS Report | 289329 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial pilot : atp |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : far non adherence : published procedure |
Independent Detector | other other : unspecified |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On a scheduled air carrier, part 121, flight from bos to ord we pushed back from the gate and we were cleared to start both engines. As per SOP we started the #1 engine on the right ignitor. The engine would not 'lite off.' we selected the left ignitor and the start was normal. #2 engine started normally, and we taxied out and departed bos. En route, while writing up and calling in the faulty right ignitor to maintenance, discovered that this problem was not deferrable and must be fixed before we took off. Landed at ord, maintenance checked the right ignitor and found it to work ok. Pushed back for next leg. Ord-geg, and the same right ignitor failed to start engine. Maintenance replaced right ignitor, rest of flight normal. No ignition on engine start is an emergency procedure. Referring to the 'no start' emergency checklist, there is no mention of the fact that an inoperative right ignitor must be fixed prior to departure. A small note added to this checklist might help others not to make this mistake.
Original NASA ASRS Text
Title: MLG DEPARTS WITH FAULTY IGNITOR. IT IS NOT A DEFERRABLE ITEM.
Narrative: ON A SCHEDULED AIR CARRIER, PART 121, FLT FROM BOS TO ORD WE PUSHED BACK FROM THE GATE AND WE WERE CLRED TO START BOTH ENGS. AS PER SOP WE STARTED THE #1 ENG ON THE R IGNITOR. THE ENG WOULD NOT 'LITE OFF.' WE SELECTED THE L IGNITOR AND THE START WAS NORMAL. #2 ENG STARTED NORMALLY, AND WE TAXIED OUT AND DEPARTED BOS. ENRTE, WHILE WRITING UP AND CALLING IN THE FAULTY R IGNITOR TO MAINT, DISCOVERED THAT THIS PROB WAS NOT DEFERRABLE AND MUST BE FIXED BEFORE WE TOOK OFF. LANDED AT ORD, MAINT CHKED THE R IGNITOR AND FOUND IT TO WORK OK. PUSHED BACK FOR NEXT LEG. ORD-GEG, AND THE SAME R IGNITOR FAILED TO START ENG. MAINT REPLACED R IGNITOR, REST OF FLT NORMAL. NO IGNITION ON ENG START IS AN EMER PROC. REFERRING TO THE 'NO START' EMER CHKLIST, THERE IS NO MENTION OF THE FACT THAT AN INOP R IGNITOR MUST BE FIXED PRIOR TO DEP. A SMALL NOTE ADDED TO THIS CHKLIST MIGHT HELP OTHERS NOT TO MAKE THIS MISTAKE.
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.