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|
Attributes | |
ACN | 382781 |
Time | |
Date | 199710 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : ulw |
State Reference | NY |
Altitude | msl bound lower : 37000 msl bound upper : 37000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zob |
Operator | general aviation : corporate |
Make Model Name | Gulfstream III |
Operating Under FAR Part | Part 135 |
Navigation In Use | Other |
Flight Phase | cruise other |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : first officer |
Experience | flight time last 90 days : 140 flight time total : 7200 flight time type : 465 |
ASRS Report | 382781 |
Person 2 | |
Affiliation | Other |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : cfi |
Experience | flight time last 90 days : 200 flight time total : 16000 flight time type : 175 |
ASRS Report | 382789 |
Events | |
Anomaly | aircraft equipment problem : critical other anomaly other |
Independent Detector | other other : unspecified |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Aircraft |
Air Traffic Incident | other |
Narrative:
Prior to departure we, the flight crew, were informed by company maintenance personnel that they had installed a special cable between the fuel probes and indicators in an effort to troubleshoot a fuel quantity indication problem that we had been experiencing. We fueled our aircraft at det for a flight to mmu and departed at approximately XA45. While in cruise flight at FL370 the low fuel annunciator for the right engine illuminated. We still had an indication of approximately 6000 pounds of fuel left in each tank. While our initial reaction was that this was a false indication, we conferred and decided that the safest course of action was to land as soon as possible. We notified ZOB of the potential problem and landed at elm. The low fuel indicator went on and off and then stayed on as we entered the pattern to land. We added additional fuel, called our maintenance department to discuss the situation, and since the low fuel light was out and no other problem was indicated we completed the mission without further incident. In fact, after our return to home base it was discovered that the installed special cable was the wrong one and caused our fuel gauges to read 5000 pounds high on each tank. Therefore, we really did have a low fuel situation. I believe 3 things conspired to cause this problem: 1) the cable came from the gulfstream factory with next to no directions on its use and the ramifications of its use. 2) our maintenance people did an inadequate job of familiarizing themselves with the product and did not properly check the fuel system and all its indications after cable installation. 3) we, the pilots, should have taken a more critical look at the situation considering the critical nature of this aircraft system. All parties concerned needed to pay attention to the details and communicate more effectively.
Original NASA ASRS Text
Title: A GULFSTREAM 111 WAS DISPATCHED WITH AN INCORRECT FUEL QUANTITY TEST CABLE INSTALLED THAT ALLOWED BOTH FUEL QUANTITY INDICATORS TO READ 5000 LBS HIGHER IN EACH TANK.
Narrative: PRIOR TO DEP WE, THE FLC, WERE INFORMED BY COMPANY MAINT PERSONNEL THAT THEY HAD INSTALLED A SPECIAL CABLE BTWN THE FUEL PROBES AND INDICATORS IN AN EFFORT TO TROUBLESHOOT A FUEL QUANTITY INDICATION PROB THAT WE HAD BEEN EXPERIENCING. WE FUELED OUR ACFT AT DET FOR A FLT TO MMU AND DEPARTED AT APPROX XA45. WHILE IN CRUISE FLT AT FL370 THE LOW FUEL ANNUNCIATOR FOR THE R ENG ILLUMINATED. WE STILL HAD AN INDICATION OF APPROX 6000 LBS OF FUEL LEFT IN EACH TANK. WHILE OUR INITIAL REACTION WAS THAT THIS WAS A FALSE INDICATION, WE CONFERRED AND DECIDED THAT THE SAFEST COURSE OF ACTION WAS TO LAND ASAP. WE NOTIFIED ZOB OF THE POTENTIAL PROB AND LANDED AT ELM. THE LOW FUEL INDICATOR WENT ON AND OFF AND THEN STAYED ON AS WE ENTERED THE PATTERN TO LAND. WE ADDED ADDITIONAL FUEL, CALLED OUR MAINT DEPT TO DISCUSS THE SIT, AND SINCE THE LOW FUEL LIGHT WAS OUT AND NO OTHER PROB WAS INDICATED WE COMPLETED THE MISSION WITHOUT FURTHER INCIDENT. IN FACT, AFTER OUR RETURN TO HOME BASE IT WAS DISCOVERED THAT THE INSTALLED SPECIAL CABLE WAS THE WRONG ONE AND CAUSED OUR FUEL GAUGES TO READ 5000 LBS HIGH ON EACH TANK. THEREFORE, WE REALLY DID HAVE A LOW FUEL SIT. I BELIEVE 3 THINGS CONSPIRED TO CAUSE THIS PROB: 1) THE CABLE CAME FROM THE GULFSTREAM FACTORY WITH NEXT TO NO DIRECTIONS ON ITS USE AND THE RAMIFICATIONS OF ITS USE. 2) OUR MAINT PEOPLE DID AN INADEQUATE JOB OF FAMILIARIZING THEMSELVES WITH THE PRODUCT AND DID NOT PROPERLY CHK THE FUEL SYS AND ALL ITS INDICATIONS AFTER CABLE INSTALLATION. 3) WE, THE PLTS, SHOULD HAVE TAKEN A MORE CRITICAL LOOK AT THE SIT CONSIDERING THE CRITICAL NATURE OF THIS ACFT SYS. ALL PARTIES CONCERNED NEEDED TO PAY ATTN TO THE DETAILS AND COMMUNICATE MORE EFFECTIVELY.
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.