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|
Attributes | |
ACN | 455478 |
Time | |
Date | 199911 |
Day | Thu |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-700 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance ground : parked |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | oversight : supervisor |
Qualification | technician : airframe technician : powerplant |
Experience | maintenance lead technician : 2 maintenance supervisor : 9 maintenance technician : 14 |
ASRS Report | 455478 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Qualification | technician : airframe technician : powerplant |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : cabin pressure indication |
Resolutory Action | flight crew : diverted to another airport none taken : detected after the fact |
Consequence | faa : assigned or threatened penalties other |
Factors | |
Maintenance | performance deficiency : non compliance with legal requirements performance deficiency : inspection performance deficiency : testing |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On nov/thu/99, aircraft xyz arrived at ZZZ maintenance for regular overnight service. A service check and 2 deferred items were scheduled, passenger address system and entertainment system inoperative. I pulled the circuit breakers for the PA and entertainment system and entered the east&east compartment door to inspect the components. I left the door open so I could return and verify the indicator light operation after resetting the circuit breakers. As I was leaving the east&east compartment I saw the assistant supervisor and updated him. We found the cockpit hand microphone inoperative, right&right it and operations checked PA system at each flight attendant location, all functions, and entertainment system. All operated normal. I then proceeded to maintenance office to complete the paperwork to clear the deferred items. There was no need to reenter the east&east compartment again due to all system operational checked normal, thus forgetting to close the access door. The aircraft departed ZZZ bound for houston, could not pressurize and diverted to abc for maintenance. Callback conversation with reporter revealed the following information: the reporter stated the door was left open and not discovered by the gate mechanic or the so on the walkaround inspections. The reporter said after the aircraft diverted with an 'unable to pressurize' report it was found the door warning system for this door was inoperative. The reporter stated he was interviewed by the FAA and given a letter or reprimand.
Original NASA ASRS Text
Title: A B737-700 WAS DISPATCHED IN NON COMPLIANCE WITH THE ELECTRONICS AND ELECTRICAL COMPARTMENT ACCESS DOOR OPEN. FLT DIVERTED WHERE MAINT FOUND DOOR OPEN AND DOOR WARNING SYS INOP.
Narrative: ON NOV/THU/99, ACFT XYZ ARRIVED AT ZZZ MAINT FOR REGULAR OVERNIGHT SVC. A SVC CHK AND 2 DEFERRED ITEMS WERE SCHEDULED, PAX ADDRESS SYS AND ENTERTAINMENT SYS INOP. I PULLED THE CIRCUIT BREAKERS FOR THE PA AND ENTERTAINMENT SYS AND ENTERED THE E&E COMPARTMENT DOOR TO INSPECT THE COMPONENTS. I LEFT THE DOOR OPEN SO I COULD RETURN AND VERIFY THE INDICATOR LIGHT OP AFTER RESETTING THE CIRCUIT BREAKERS. AS I WAS LEAVING THE E&E COMPARTMENT I SAW THE ASSISTANT SUPVR AND UPDATED HIM. WE FOUND THE COCKPIT HAND MIKE INOP, R&R IT AND OPS CHKED PA SYS AT EACH FLT ATTENDANT LOCATION, ALL FUNCTIONS, AND ENTERTAINMENT SYS. ALL OPERATED NORMAL. I THEN PROCEEDED TO MAINT OFFICE TO COMPLETE THE PAPERWORK TO CLR THE DEFERRED ITEMS. THERE WAS NO NEED TO REENTER THE E&E COMPARTMENT AGAIN DUE TO ALL SYS OPERATIONAL CHKED NORMAL, THUS FORGETTING TO CLOSE THE ACCESS DOOR. THE ACFT DEPARTED ZZZ BOUND FOR HOUSTON, COULD NOT PRESSURIZE AND DIVERTED TO ABC FOR MAINT. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR STATED THE DOOR WAS LEFT OPEN AND NOT DISCOVERED BY THE GATE MECH OR THE SO ON THE WALKAROUND INSPECTIONS. THE RPTR SAID AFTER THE ACFT DIVERTED WITH AN 'UNABLE TO PRESSURIZE' RPT IT WAS FOUND THE DOOR WARNING SYS FOR THIS DOOR WAS INOP. THE RPTR STATED HE WAS INTERVIEWED BY THE FAA AND GIVEN A LETTER OR REPRIMAND.
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.