37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 461915 |
Time | |
Date | 200001 |
Day | Wed |
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 | B727-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked ground : maintenance ground : preflight |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
ASRS Report | 461915 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : non compliance with legal requirements performance deficiency : installation performance deficiency : repair |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
On jan/xa/00 I was assigned to aircraft xyz for a through pre service check and a 4-HAND temperature control problem. I went on board and asked the captain what the problem was. He explained his r-hand temperature control was inoperative in automatic mode and worked normal in manual. I proceeded to placard the r-hand temperature control and performed the pre service check. When I entered the pre service check, I asked the captain if there was anything else that required attention. He replied 'no, we are set to go, thank you.' unfortunately, I -- along with the captain -- missed an open item from the previous log page addressing #3 egt as reading low. The aircraft flew to bwi and then trip abc back to ZZZ on jan/xb/00 without incident, or repeat on #3 engine. That crew also failed to see the open item. The outbound crew on trip abc noticed the discrepancy and brought it to maintenance's attention. The aircraft was found to have a faulty egt gauge. The egt gauge was replaced and operations checked normal.
Original NASA ASRS Text
Title: A B727-200 WAS DISPATCHED IN NON COMPLIANCE WITH AN OPEN UNANSWERED LOGBOOK RPT.
Narrative: ON JAN/XA/00 I WAS ASSIGNED TO ACFT XYZ FOR A THROUGH PRE SVC CHK AND A 4-HAND TEMP CTL PROB. I WENT ON BOARD AND ASKED THE CAPT WHAT THE PROB WAS. HE EXPLAINED HIS R-HAND TEMP CTL WAS INOP IN AUTO MODE AND WORKED NORMAL IN MANUAL. I PROCEEDED TO PLACARD THE R-HAND TEMP CTL AND PERFORMED THE PRE SVC CHK. WHEN I ENTERED THE PRE SVC CHK, I ASKED THE CAPT IF THERE WAS ANYTHING ELSE THAT REQUIRED ATTN. HE REPLIED 'NO, WE ARE SET TO GO, THANK YOU.' UNFORTUNATELY, I -- ALONG WITH THE CAPT -- MISSED AN OPEN ITEM FROM THE PREVIOUS LOG PAGE ADDRESSING #3 EGT AS READING LOW. THE ACFT FLEW TO BWI AND THEN TRIP ABC BACK TO ZZZ ON JAN/XB/00 WITHOUT INCIDENT, OR REPEAT ON #3 ENG. THAT CREW ALSO FAILED TO SEE THE OPEN ITEM. THE OUTBOUND CREW ON TRIP ABC NOTICED THE DISCREPANCY AND BROUGHT IT TO MAINT'S ATTN. THE ACFT WAS FOUND TO HAVE A FAULTY EGT GAUGE. THE EGT GAUGE WAS REPLACED AND OPS CHKED NORMAL.
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.