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|
Attributes | |
ACN | 367853 |
Time | |
Date | 199705 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : cmh |
State Reference | OH |
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 | Beech 1900 |
Operating Under FAR Part | Part 135 |
Flight Phase | ground : preflight ground : parked |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | observation : passenger |
Qualification | pilot : commercial pilot : instrument |
Experience | flight time last 90 days : 0 flight time total : 500 flight time type : 0 |
ASRS Report | 367853 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | aircraft equipment problem : less severe other anomaly other |
Independent Detector | other other : unspecified |
Resolutory Action | flight crew : overcame equipment problem |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On a flight from cmh to rdu, just prior to taxi, I glanced out the right window of the aircraft and noticed that the oil access panel on top of the right engine was unfastened. I left my seat and went forward to the cockpit, tapped the first officer on the shoulder, and pointed out the problem. The flight crew shut down both engines, and the first officer went around to the right side of the aircraft and secured the oil access door. On reboarding the aircraft, the first officer thanked me for the help, and made a brief announcement to the passenger explaining what had happened. The explanation given was that 'vibration' had made the door pop open. (The probable cause was inadequate preflight and failure to secure the latches.) this was a minor incident with little adverse safety potential. The most interesting aspect to me, because my job is in aviation safety, was the difficulty I experienced making myself bring the problem to the pilots' attention. I went through a 2 min debate with myself after the initial engine start about whether to 'bother' the flight crew. The possibility of losing engine oil from a loose oil cap and having to shut down the engine is what finally got me moving. I should have acted sooner. Maybe there needs to be CRM for passenger.
Original NASA ASRS Text
Title: A PAX ON A BEECH MODEL 1900 ACR NOTICED THAT THE OIL ACCESS DOOR WAS OPEN ON THE TOP OF THE R ENG JUST PRIOR TO TAXI. WHEN CALLED TO THE FLC'S ATTN, THE ENGS WERE SHUT DOWN AND THE FO DEPLANED THE ACFT AND CLOSED THE DOOR.
Narrative: ON A FLT FROM CMH TO RDU, JUST PRIOR TO TAXI, I GLANCED OUT THE R WINDOW OF THE ACFT AND NOTICED THAT THE OIL ACCESS PANEL ON TOP OF THE R ENG WAS UNFASTENED. I LEFT MY SEAT AND WENT FORWARD TO THE COCKPIT, TAPPED THE FO ON THE SHOULDER, AND POINTED OUT THE PROB. THE FLC SHUT DOWN BOTH ENGS, AND THE FO WENT AROUND TO THE R SIDE OF THE ACFT AND SECURED THE OIL ACCESS DOOR. ON REBOARDING THE ACFT, THE FO THANKED ME FOR THE HELP, AND MADE A BRIEF ANNOUNCEMENT TO THE PAX EXPLAINING WHAT HAD HAPPENED. THE EXPLANATION GIVEN WAS THAT 'VIBRATION' HAD MADE THE DOOR POP OPEN. (THE PROBABLE CAUSE WAS INADEQUATE PREFLT AND FAILURE TO SECURE THE LATCHES.) THIS WAS A MINOR INCIDENT WITH LITTLE ADVERSE SAFETY POTENTIAL. THE MOST INTERESTING ASPECT TO ME, BECAUSE MY JOB IS IN AVIATION SAFETY, WAS THE DIFFICULTY I EXPERIENCED MAKING MYSELF BRING THE PROB TO THE PLTS' ATTN. I WENT THROUGH A 2 MIN DEBATE WITH MYSELF AFTER THE INITIAL ENG START ABOUT WHETHER TO 'BOTHER' THE FLC. THE POSSIBILITY OF LOSING ENG OIL FROM A LOOSE OIL CAP AND HAVING TO SHUT DOWN THE ENG IS WHAT FINALLY GOT ME MOVING. I SHOULD HAVE ACTED SOONER. MAYBE THERE NEEDS TO BE CRM FOR PAX.
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.