37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 438687 |
Time | |
Date | 199905 |
Day | Mon |
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 | |
Controlling Facilities | tower : pgsn.tower |
Operator | common carrier : air carrier |
Make Model Name | L-1011-500 Series |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Qualification | technician : airframe technician : powerplant |
Experience | maintenance lead technician : 8 maintenance technician : 22 |
ASRS Report | 438687 |
Person 2 | |
Affiliation | company : air carrier |
Function | oversight : coordinator |
Qualification | technician : powerplant technician : airframe |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : engine indications n2 other other : 969 |
Consequence | other |
Factors | |
Maintenance | performance deficiency : scheduled maintenance performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
Aircraft xyz returned to gate, could not start #3 engine. Found starter damaged. Removed and replaced starter. The condition of the starter was not entered into the logbook. This error was discovered when abc maintenance coordinator called to request information on condition of old starter. Aircraft flown ZZZ to abc where gearbox was replaced. Maintenance coordinator called ZZZ approximately 3 hours after flight departure.
Original NASA ASRS Text
Title: AN L1011-500 WAS DISPATCHED AFTER A #3 ENG STARTER CHANGE WITH NO LOGBOOK ENTRY OF REMOVED STARTER CONDITION.
Narrative: ACFT XYZ RETURNED TO GATE, COULD NOT START #3 ENG. FOUND STARTER DAMAGED. REMOVED AND REPLACED STARTER. THE CONDITION OF THE STARTER WAS NOT ENTERED INTO THE LOGBOOK. THIS ERROR WAS DISCOVERED WHEN ABC MAINT COORDINATOR CALLED TO REQUEST INFO ON CONDITION OF OLD STARTER. ACFT FLOWN ZZZ TO ABC WHERE GEARBOX WAS REPLACED. MAINT COORDINATOR CALLED ZZZ APPROX 3 HRS AFTER FLT DEP.
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.