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A dornier 328 flight crew forgot to comply with an airworthiness directive deice check. The flight crew was distracted by a previous write-up, accompanying research required to comply with the MEL, and schedule pressure.
| Attributes | |
| ACN | 304143 |
| Time | |
| Date | 199505 |
| Day | Mon |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : zzz |
| State Reference | US |
| 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 | 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 |
| Experience | flight time last 90 days : 200 flight time total : 5000 flight time type : 500 |
| ASRS Report | 304143 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : commercial pilot : instrument |
| Events | |
| Anomaly | non adherence other other anomaly other |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : detected after the fact |
| Consequence | Other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
On may/mon/95 picked up dornier 328 at maintenance hangar for crew taxi to passenger gate. Forgot to accomplish deice check as required by airworthiness directive and to enter accomplishment of check in maintenance log. Attention to maintenance log was distracted by: previous write-up concerning on board sensors. Maintenance deferred item which required special crew procedures which required referencing flight manual to comply with said procedures. 'Deicing check' is not listed on originating checklist. Checklist states 'logs and manuals -- check' in my mind I had checked the log (reference a and B). But I neglected to enter in writing that deice check was accomplished. Performance of first flight of the day system checks. 'Rushed' atmosphere of getting to gate on time.
Original NASA ASRS Text
Title: A DORNIER 328 FLC FORGOT TO COMPLY WITH AN AIRWORTHINESS DIRECTIVE DEICE CHK. THE FLC WAS DISTRACTED BY A PREVIOUS WRITE-UP, ACCOMPANYING RESEARCH REQUIRED TO COMPLY WITH THE MEL, AND SCHEDULE PRESSURE.
Narrative: ON MAY/MON/95 PICKED UP DORNIER 328 AT MAINT HANGAR FOR CREW TAXI TO PAX GATE. FORGOT TO ACCOMPLISH DEICE CHK AS REQUIRED BY AIRWORTHINESS DIRECTIVE AND TO ENTER ACCOMPLISHMENT OF CHK IN MAINT LOG. ATTN TO MAINT LOG WAS DISTRACTED BY: PREVIOUS WRITE-UP CONCERNING ON BOARD SENSORS. MAINT DEFERRED ITEM WHICH REQUIRED SPECIAL CREW PROCS WHICH REQUIRED REFING FLT MANUAL TO COMPLY WITH SAID PROCS. 'DEICING CHK' IS NOT LISTED ON ORIGINATING CHKLIST. CHKLIST STATES 'LOGS AND MANUALS -- CHK' IN MY MIND I HAD CHKED THE LOG (REF A AND B). BUT I NEGLECTED TO ENTER IN WRITING THAT DEICE CHK WAS ACCOMPLISHED. PERFORMANCE OF FIRST FLT OF THE DAY SYS CHKS. 'RUSHED' ATMOSPHERE OF GETTING TO GATE ON TIME.
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.