37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 455481 |
Time | |
Date | 199911 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
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 | B737-300 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | oversight : coordinator |
Qualification | technician : airframe technician : powerplant |
ASRS Report | 455481 |
Person 2 | |
Affiliation | company : air carrier |
Function | oversight : supervisor |
Qualification | technician : airframe technician : powerplant |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : published procedure other anomaly |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Company Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
I was working as an upgrade station maintenance controller, smc, when I received a call from one of our aircraft dispatchers. The dispatch person told me a captain was refusing to take an aircraft because a boost pump low pressure light was deferred inoperative, pump operation was normal. I was instructed by dispatch to tell the technician working the trip to defer the pump completely inoperative and put a boost pump in an area we refer to as the 'lob, leave on board.' deferred item was also updated by someone in abc to do the same, possibly a line maintenance controller. The technician spoke with the captain, and both must have agreed to taking the plane as is because the pump was never deferred inoperative. The pump was put on the plane when it returned from its trip. To prevent a delay or to just keep the captain from not taking the airplane, someone, dispatch, decided to have us put a pump onboard without giving any thought as to it being hazmat. This way it could be replaced later at the end of flying that day. The pump is delivered in a shipping container with no hazmat markings so not being involved in the packing or even shipping of things, technicians would not know if it was properly packaged for shipment. One other was that an FAA inspector was riding along which I feel in some way made the captain nervous about having something wrong with the airplane. Had the inspector not been there it is possible nothing would have ever been said about the pump low pressure light being inoperative. What I know about how it was discovered and even what corrective action taken is limited. After the pump was changed late that night, with a different pump, it was discovered in the lob area. Any corrective actions would be the better marking of hazmat items like fuel or hydraulic components so everyone including the people who load them are sure of what is going on the airplane. The aircraft did make at least 5 trips with a fuel pump onboard and I am not sure if it was packaged properly or not.
Original NASA ASRS Text
Title: A B737-300 WAS DISPATCHED AND OPERATED IN NON COMPLIANCE WITH A SPARE FUEL TANK BOOST PUMP CARRIED IN THE CARGO PIT OVERNIGHT PARTS BIN. A HAZMAT VIOLATION.
Narrative: I WAS WORKING AS AN UPGRADE STATION MAINT CTLR, SMC, WHEN I RECEIVED A CALL FROM ONE OF OUR ACFT DISPATCHERS. THE DISPATCH PERSON TOLD ME A CAPT WAS REFUSING TO TAKE AN ACFT BECAUSE A BOOST PUMP LOW PRESSURE LIGHT WAS DEFERRED INOP, PUMP OP WAS NORMAL. I WAS INSTRUCTED BY DISPATCH TO TELL THE TECHNICIAN WORKING THE TRIP TO DEFER THE PUMP COMPLETELY INOP AND PUT A BOOST PUMP IN AN AREA WE REFER TO AS THE 'LOB, LEAVE ON BOARD.' DEFERRED ITEM WAS ALSO UPDATED BY SOMEONE IN ABC TO DO THE SAME, POSSIBLY A LINE MAINT CTLR. THE TECHNICIAN SPOKE WITH THE CAPT, AND BOTH MUST HAVE AGREED TO TAKING THE PLANE AS IS BECAUSE THE PUMP WAS NEVER DEFERRED INOP. THE PUMP WAS PUT ON THE PLANE WHEN IT RETURNED FROM ITS TRIP. TO PREVENT A DELAY OR TO JUST KEEP THE CAPT FROM NOT TAKING THE AIRPLANE, SOMEONE, DISPATCH, DECIDED TO HAVE US PUT A PUMP ONBOARD WITHOUT GIVING ANY THOUGHT AS TO IT BEING HAZMAT. THIS WAY IT COULD BE REPLACED LATER AT THE END OF FLYING THAT DAY. THE PUMP IS DELIVERED IN A SHIPPING CONTAINER WITH NO HAZMAT MARKINGS SO NOT BEING INVOLVED IN THE PACKING OR EVEN SHIPPING OF THINGS, TECHNICIANS WOULD NOT KNOW IF IT WAS PROPERLY PACKAGED FOR SHIPMENT. ONE OTHER WAS THAT AN FAA INSPECTOR WAS RIDING ALONG WHICH I FEEL IN SOME WAY MADE THE CAPT NERVOUS ABOUT HAVING SOMETHING WRONG WITH THE AIRPLANE. HAD THE INSPECTOR NOT BEEN THERE IT IS POSSIBLE NOTHING WOULD HAVE EVER BEEN SAID ABOUT THE PUMP LOW PRESSURE LIGHT BEING INOP. WHAT I KNOW ABOUT HOW IT WAS DISCOVERED AND EVEN WHAT CORRECTIVE ACTION TAKEN IS LIMITED. AFTER THE PUMP WAS CHANGED LATE THAT NIGHT, WITH A DIFFERENT PUMP, IT WAS DISCOVERED IN THE LOB AREA. ANY CORRECTIVE ACTIONS WOULD BE THE BETTER MARKING OF HAZMAT ITEMS LIKE FUEL OR HYD COMPONENTS SO EVERYONE INCLUDING THE PEOPLE WHO LOAD THEM ARE SURE OF WHAT IS GOING ON THE AIRPLANE. THE ACFT DID MAKE AT LEAST 5 TRIPS WITH A FUEL PUMP ONBOARD AND I AM NOT SURE IF IT WAS PACKAGED PROPERLY OR NOT.
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.