37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 429375 |
Time | |
Date | 199902 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B747-400 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : taxi ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | other personnel other oversight : supervisor |
Qualification | technician : airframe technician : powerplant technician : inspection authority |
Experience | maintenance lead technician : 5 maintenance supervisor : 10 maintenance technician : 20 |
ASRS Report | 429375 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : non compliance with mel non adherence : published procedure non adherence : far other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : #2 bleed overheat light other flight crewa other other : mech 1 |
Resolutory Action | other |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
After taxi out, crew reported via satcom radio that they had a #2 bleed overheat. I advised them to secure the bleed closed and proceed without restr. Later discovered that problem was with #2 prv which should have been deferred instead of the prsov which I did defer. Callback conversation with reporter revealed the following information: the reporter stated the reporter did not research the MEL adequately nor did he question the crew thoroughly. The reporter said he did not consider the non icing requirement.
Original NASA ASRS Text
Title: A B747-400 WAS DISPATCHED IN NON COMPLIANCE WITH THE WRONG #2 PNEUMATIC VALVE DEFERRED AS INOP PER THE MEL WHEN IN FACT THE INOP HIGH PRESSURE REGULATOR VALVE REQUIRED A NON ICING CLRNC.
Narrative: AFTER TAXI OUT, CREW RPTED VIA SATCOM RADIO THAT THEY HAD A #2 BLEED OVERHEAT. I ADVISED THEM TO SECURE THE BLEED CLOSED AND PROCEED WITHOUT RESTR. LATER DISCOVERED THAT PROB WAS WITH #2 PRV WHICH SHOULD HAVE BEEN DEFERRED INSTEAD OF THE PRSOV WHICH I DID DEFER. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR STATED THE RPTR DID NOT RESEARCH THE MEL ADEQUATELY NOR DID HE QUESTION THE CREW THOROUGHLY. THE RPTR SAID HE DID NOT CONSIDER THE NON ICING REQUIREMENT.
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.