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|
Attributes | |
ACN | 424465 |
Time | |
Date | 199812 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : den |
State Reference | CO |
Altitude | msl bound lower : 20000 msl bound upper : 20000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | DC-10 10 |
Operating Under FAR Part | Part 121 |
Route In Use | enroute : on vectors enroute airway : zdv |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : instrument pilot : commercial |
Experience | flight time last 90 days : 50 flight time total : 9000 flight time type : 50 |
ASRS Report | 424465 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : published procedure non adherence : far |
Independent Detector | other flight crewa |
Consequence | Other |
Supplementary | |
Air Traffic Incident | other |
Narrative:
Climbing through FL200 out of den, the #2 engine RPM rolled back towards approximately idle RPM. The #2 fuel tank pump switches were checked and placed to the 'on' position which restored fuel flow. The engine stabilized and was returned to normal climb power. Apparently the #2 fuel tank switches had been accidentally turned off by the flight engineer by an unknown means. The wire safety guard over these switches was found to be installed upside down allowing the switches to be bumped off. Callback conversation with reporter revealed the following information: the reporter stated the so inadvertently bumped the switches with an arm or a manual while moving it on the desk. The reporter said the switch guard is about 5 inches in length and normally locks the boost pump switches to the 'on' position. The reporter stated this switch guard was installed improperly and guarded the switches to the 'off' position. The reporter said if the switch guard was installed correctly it would have prevented the switches from moving inadvertently from on to off.
Original NASA ASRS Text
Title: A DC10-10 IN CLB AT FL200 HAD #2 ENG ROLL BACK TO IDLE DUE TO ALL #2 TANK BOOST PUMPS INADVERTENTLY SWITCHED TO OFF POS CAUSED BY AN IMPROPERLY INSTALLED SWITCH GUARD ON THE FUEL PANEL.
Narrative: CLBING THROUGH FL200 OUT OF DEN, THE #2 ENG RPM ROLLED BACK TOWARDS APPROX IDLE RPM. THE #2 FUEL TANK PUMP SWITCHES WERE CHKED AND PLACED TO THE 'ON' POS WHICH RESTORED FUEL FLOW. THE ENG STABILIZED AND WAS RETURNED TO NORMAL CLB PWR. APPARENTLY THE #2 FUEL TANK SWITCHES HAD BEEN ACCIDENTALLY TURNED OFF BY THE FE BY AN UNKNOWN MEANS. THE WIRE SAFETY GUARD OVER THESE SWITCHES WAS FOUND TO BE INSTALLED UPSIDE DOWN ALLOWING THE SWITCHES TO BE BUMPED OFF. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR STATED THE SO INADVERTENTLY BUMPED THE SWITCHES WITH AN ARM OR A MANUAL WHILE MOVING IT ON THE DESK. THE RPTR SAID THE SWITCH GUARD IS ABOUT 5 INCHES IN LENGTH AND NORMALLY LOCKS THE BOOST PUMP SWITCHES TO THE 'ON' POS. THE RPTR STATED THIS SWITCH GUARD WAS INSTALLED IMPROPERLY AND GUARDED THE SWITCHES TO THE 'OFF' POS. THE RPTR SAID IF THE SWITCH GUARD WAS INSTALLED CORRECTLY IT WOULD HAVE PREVENTED THE SWITCHES FROM MOVING INADVERTENTLY FROM ON TO 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.