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|
Attributes | |
ACN | 314797 |
Time | |
Date | 199508 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : las |
State Reference | NV |
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 | B737-300 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | climbout : takeoff ground : preflight landing other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 211 flight time total : 10000 flight time type : 5000 |
ASRS Report | 314797 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : far non adherence other other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : anomaly accepted none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Aircraft |
Air Traffic Incident | Pilot Deviation |
Situations | |
Publication | Unspecified |
Narrative:
The #2 'reverser' light overhead, illuminated on our initial taxi for departure. Flight las-lax. We called maintenance control in las vegas and returned to the gate for technicians to investigate problem. According to company MEL manual, the #2 reverser was to be disabled, locked out and placards applied to 'reverser' lights and handle. The technicians performed these operations and a few others stated in the MEL as per 'number XXX of aircraft maintenance manual.' the captain and I had no reference or access to the aircraft manual and assumed the technicians would comply properly. The technicians promptly completed their work and returned to the flight deck with the logbook discrepancy signed off as per 'MEL xyz' our dispatcher called at that time and acknowledged the receipt of the MEL item and stated 'add MEL xyz' to our release. The technician then pulled and collared the circuit breaker for #2 thrust reverser and the #1 thrust reverser, quoting something from his aircraft manual. We flew flight from las to lax, flight lax-las, flight las-lax uneventfully (without any thrust reversers). Through the complexity, and confusion of the MEL wording of the reverser system, we missed the most important phrase '2 are required.'
Original NASA ASRS Text
Title: MEL REQUIREMENTS INTERP ABROGATED BY FLC GND CREW.
Narrative: THE #2 'REVERSER' LIGHT OVERHEAD, ILLUMINATED ON OUR INITIAL TAXI FOR DEP. FLT LAS-LAX. WE CALLED MAINT CTL IN LAS VEGAS AND RETURNED TO THE GATE FOR TECHNICIANS TO INVESTIGATE PROB. ACCORDING TO COMPANY MEL MANUAL, THE #2 REVERSER WAS TO BE DISABLED, LOCKED OUT AND PLACARDS APPLIED TO 'REVERSER' LIGHTS AND HANDLE. THE TECHNICIANS PERFORMED THESE OPS AND A FEW OTHERS STATED IN THE MEL AS PER 'NUMBER XXX OF ACFT MAINT MANUAL.' THE CAPT AND I HAD NO REF OR ACCESS TO THE ACFT MANUAL AND ASSUMED THE TECHNICIANS WOULD COMPLY PROPERLY. THE TECHNICIANS PROMPTLY COMPLETED THEIR WORK AND RETURNED TO THE FLT DECK WITH THE LOGBOOK DISCREPANCY SIGNED OFF AS PER 'MEL XYZ' OUR DISPATCHER CALLED AT THAT TIME AND ACKNOWLEDGED THE RECEIPT OF THE MEL ITEM AND STATED 'ADD MEL XYZ' TO OUR RELEASE. THE TECHNICIAN THEN PULLED AND COLLARED THE CIRCUIT BREAKER FOR #2 THRUST REVERSER AND THE #1 THRUST REVERSER, QUOTING SOMETHING FROM HIS ACFT MANUAL. WE FLEW FLT FROM LAS TO LAX, FLT LAX-LAS, FLT LAS-LAX UNEVENTFULLY (WITHOUT ANY THRUST REVERSERS). THROUGH THE COMPLEXITY, AND CONFUSION OF THE MEL WORDING OF THE REVERSER SYS, WE MISSED THE MOST IMPORTANT PHRASE '2 ARE REQUIRED.'
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.