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|
Attributes | |
ACN | 417119 |
Time | |
Date | 199810 |
Day | Wed |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : mia airport : mia |
State Reference | FL |
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 | Widebody, Low Wing, 4 Turbojet Eng |
Navigation In Use | Other |
Flight Phase | climbout : takeoff ground : preflight ground other : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : commercial pilot : cfi pilot : atp pilot : instrument |
Experience | flight time last 90 days : 115 flight time total : 9800 flight time type : 185 |
ASRS Report | 417119 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : published procedure non adherence : far 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 | Pilot Deviation |
Narrative:
Subject: failure to follow MEL procedures. Crew reported for duty at miami operations. While the first officer and I were going over the paperwork in operations, the flight engineer was checking on the aircraft status with miami maintenance. When the flight engineer was finished in maintenance he came up to operations where the first officer and I were going over the paperwork. He reported to me that there were 3 dmi's on the aircraft. 2 of the dmi's were inconsequential, one was a #4 main tank refueling valve. I asked the flight engineer if there were any special procedures and he said no. This took place in the miami operations office. In the cockpit I asked again if there were any special procedures -- once again I was told no. I took his word without checking myself. A round trip flight was conducted without incident. The flight was from miami to bogota back to miami. The MEL item that required a special procedure was a #4 main tank refueling valve. I believe that miami maintenance misled the flight engineer who in turn told me what maintenance had said without really checking. He never indicated to me that he wasn't sure or had not looked it up. Had he, we all could have gone over it together. Miami maintenance said that one jettison pump was to be considered inoperative (which is not the case). The MEL procedure should have limited our takeoff weight to maximum zero fuel weight of 590000 pounds. Because with the #4 main tank refueling valve dmi'ed opened, the fuel jettison system must be considered inoperative, not just one jettison pump inoperative, but the whole system! Therefore, both takeoffs -- one at 714000 pounds and the other at 639000 pounds -- were not legal. As always, the captain is responsible. I should have checked the MEL manual myself.
Original NASA ASRS Text
Title: A B747 FLC FLIES THEIR ACFT WITH AN INOP FUEL DUMP SYS OVER THE ACFT GROSS WT ALLOWED AS PER THE MEL ON 2 SEPARATE LEGS.
Narrative: SUBJECT: FAILURE TO FOLLOW MEL PROCS. CREW RPTED FOR DUTY AT MIAMI OPS. WHILE THE FO AND I WERE GOING OVER THE PAPERWORK IN OPS, THE FE WAS CHKING ON THE ACFT STATUS WITH MIAMI MAINT. WHEN THE FE WAS FINISHED IN MAINT HE CAME UP TO OPS WHERE THE FO AND I WERE GOING OVER THE PAPERWORK. HE RPTED TO ME THAT THERE WERE 3 DMI'S ON THE ACFT. 2 OF THE DMI'S WERE INCONSEQUENTIAL, ONE WAS A #4 MAIN TANK REFUELING VALVE. I ASKED THE FE IF THERE WERE ANY SPECIAL PROCS AND HE SAID NO. THIS TOOK PLACE IN THE MIAMI OPS OFFICE. IN THE COCKPIT I ASKED AGAIN IF THERE WERE ANY SPECIAL PROCS -- ONCE AGAIN I WAS TOLD NO. I TOOK HIS WORD WITHOUT CHKING MYSELF. A ROUND TRIP FLT WAS CONDUCTED WITHOUT INCIDENT. THE FLT WAS FROM MIAMI TO BOGOTA BACK TO MIAMI. THE MEL ITEM THAT REQUIRED A SPECIAL PROC WAS A #4 MAIN TANK REFUELING VALVE. I BELIEVE THAT MIAMI MAINT MISLED THE FE WHO IN TURN TOLD ME WHAT MAINT HAD SAID WITHOUT REALLY CHKING. HE NEVER INDICATED TO ME THAT HE WASN'T SURE OR HAD NOT LOOKED IT UP. HAD HE, WE ALL COULD HAVE GONE OVER IT TOGETHER. MIAMI MAINT SAID THAT ONE JETTISON PUMP WAS TO BE CONSIDERED INOP (WHICH IS NOT THE CASE). THE MEL PROC SHOULD HAVE LIMITED OUR TKOF WT TO MAX ZERO FUEL WT OF 590000 LBS. BECAUSE WITH THE #4 MAIN TANK REFUELING VALVE DMI'ED OPENED, THE FUEL JETTISON SYS MUST BE CONSIDERED INOP, NOT JUST ONE JETTISON PUMP INOP, BUT THE WHOLE SYS! THEREFORE, BOTH TKOFS -- ONE AT 714000 LBS AND THE OTHER AT 639000 LBS -- WERE NOT LEGAL. AS ALWAYS, THE CAPT IS RESPONSIBLE. I SHOULD HAVE CHKED THE MEL MANUAL MYSELF.
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.