37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 393620 |
Time | |
Date | 199802 |
Day | Sun |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : obk |
State Reference | IL |
Altitude | msl bound lower : 9000 msl bound upper : 9000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zau |
Operator | common carrier : air carrier |
Make Model Name | ATR 72 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other |
Flight Phase | cruise other |
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 : 11500 flight time type : 7000 |
ASRS Report | 393620 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | other anomaly other other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Aircraft |
Air Traffic Incident | other |
Narrative:
Aircraft was dispatched with automatic and manual pressurization inoperative. MEL required aircraft to be operated in an approved unpressurized confign. Our flight manual gives the specifics on this procedure. The most important being the opening of both outflow valves by maintenance. This was done, and properly signed off by maintenance personnel. The flight crew is also supposed to configure different valves in the cockpit. This was also done correctly. Lastly, the MEL prohibits flight above 10000 ft MSL in this confign, as well as overwater flight beyond the glide distance of the altitude being flown. We picked up the aircraft for the early morning kick-off flight. We saw that we would comply with every MEL proviso, so off we went. Also, we saw that the paperwork indicated that we would swap aircraft for the next leg, which would take us over lake michigan. Arriving in the hub, we found that the swap would not occur, as we thought. We were a little behind, and had a short turn around time, which meant we were hustling to get the flight out. Having checked the MEL earlier, we didn't check it again, completely forgetting the overwater proviso. We took the aircraft overwater not realizing this, until, on our return leg, a dispatch note informed us of our company's pmi, primary maintenance inspector, decision to waive the overwater rule. We decided that we had in fact been technically 'legal' to make the flight, but also technically 'complacent' by not finding the inconsistency sooner, and certainly, before the flight took off.
Original NASA ASRS Text
Title: AN ATR72 DISPATCHED WITH THE CABIN PRESSURIZATION SYS INOP AND DEFERRED DID NOT COMPLY WITH THE OVERWATER RESTRS.
Narrative: ACFT WAS DISPATCHED WITH AUTO AND MANUAL PRESSURIZATION INOP. MEL REQUIRED ACFT TO BE OPERATED IN AN APPROVED UNPRESSURIZED CONFIGN. OUR FLT MANUAL GIVES THE SPECIFICS ON THIS PROC. THE MOST IMPORTANT BEING THE OPENING OF BOTH OUTFLOW VALVES BY MAINT. THIS WAS DONE, AND PROPERLY SIGNED OFF BY MAINT PERSONNEL. THE FLC IS ALSO SUPPOSED TO CONFIGURE DIFFERENT VALVES IN THE COCKPIT. THIS WAS ALSO DONE CORRECTLY. LASTLY, THE MEL PROHIBITS FLT ABOVE 10000 FT MSL IN THIS CONFIGN, AS WELL AS OVERWATER FLT BEYOND THE GLIDE DISTANCE OF THE ALT BEING FLOWN. WE PICKED UP THE ACFT FOR THE EARLY MORNING KICK-OFF FLT. WE SAW THAT WE WOULD COMPLY WITH EVERY MEL PROVISO, SO OFF WE WENT. ALSO, WE SAW THAT THE PAPERWORK INDICATED THAT WE WOULD SWAP ACFT FOR THE NEXT LEG, WHICH WOULD TAKE US OVER LAKE MICHIGAN. ARRIVING IN THE HUB, WE FOUND THAT THE SWAP WOULD NOT OCCUR, AS WE THOUGHT. WE WERE A LITTLE BEHIND, AND HAD A SHORT TURN AROUND TIME, WHICH MEANT WE WERE HUSTLING TO GET THE FLT OUT. HAVING CHKED THE MEL EARLIER, WE DIDN'T CHK IT AGAIN, COMPLETELY FORGETTING THE OVERWATER PROVISO. WE TOOK THE ACFT OVERWATER NOT REALIZING THIS, UNTIL, ON OUR RETURN LEG, A DISPATCH NOTE INFORMED US OF OUR COMPANY'S PMI, PRIMARY MAINT INSPECTOR, DECISION TO WAIVE THE OVERWATER RULE. WE DECIDED THAT WE HAD IN FACT BEEN TECHNICALLY 'LEGAL' TO MAKE THE FLT, BUT ALSO TECHNICALLY 'COMPLACENT' BY NOT FINDING THE INCONSISTENCY SOONER, AND CERTAINLY, BEFORE THE FLT TOOK OFF.
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.