37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 468135 |
Time | |
Date | 200003 |
Day | Sun |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : zny.artcc |
State Reference | NY |
Altitude | msl bound lower : 23000 msl bound upper : 23400 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zny.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737-800 |
Operating Under FAR Part | Part 91 |
Navigation In Use | other |
Flight Phase | cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 60 flight time total : 11000 flight time type : 5000 |
ASRS Report | 468135 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial |
Events | |
Anomaly | aircraft equipment problem : critical altitude deviation : excursion from assigned altitude maintenance problem : improper maintenance non adherence : clearance non adherence : company policies non adherence : far non adherence : published procedure other anomaly other anomaly other |
Independent Detector | aircraft equipment : altitude alert other flight crewa other flight crewb |
Resolutory Action | flight crew : regained aircraft control flight crew : returned to assigned altitude none taken : insufficient time |
Consequence | other other |
Factors | |
Maintenance | contributing factor : work cards contributing factor : schedule pressure contributing factor : tooling performance deficiency : inspection performance deficiency : installation performance deficiency : non compliance with legal requirements performance deficiency : testing |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance Company |
Primary Problem | Company |
Air Traffic Incident | Pilot Deviation |
Narrative:
During a maintenance test hop we were doing a manual reversion at FL230. When hydraulics were turned off, the aircraft pitched up very abruptly and severely. In an attempt to control the aircraft with stabilizer and stabilizer trim we climbed about 400 ft before we could return the hydraulic system to normal power. Callback conversation with reporter revealed the following information: the reporter indicated that maintenance had replaced an elevator control tab. The job card requires the tab push rod be rigged with a special rigging tool that is specific to aircraft model. Air carrier station maintenance was unable to find the correct tool so the maintenance personnel 'just guessed at it.' air carrier flight test has rewritten the test procedure to require block altitude for testing, and require the maximum speed be approached in increments.
Original NASA ASRS Text
Title: B737 FLT TEST CREW HAD THE ACFT PITCH UP WHEN CHKING ELEVATOR PWR OFF REVERSION.
Narrative: DURING A MAINT TEST HOP WE WERE DOING A MANUAL REVERSION AT FL230. WHEN HYDS WERE TURNED OFF, THE ACFT PITCHED UP VERY ABRUPTLY AND SEVERELY. IN AN ATTEMPT TO CTL THE ACFT WITH STABILIZER AND STABILIZER TRIM WE CLBED ABOUT 400 FT BEFORE WE COULD RETURN THE HYD SYS TO NORMAL PWR. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR INDICATED THAT MAINT HAD REPLACED AN ELEVATOR CTL TAB. THE JOB CARD REQUIRES THE TAB PUSH ROD BE RIGGED WITH A SPECIAL RIGGING TOOL THAT IS SPECIFIC TO ACFT MODEL. ACR STATION MAINT WAS UNABLE TO FIND THE CORRECT TOOL SO THE MAINT PERSONNEL 'JUST GUESSED AT IT.' ACR FLT TEST HAS REWRITTEN THE TEST PROC TO REQUIRE BLOCK ALT FOR TESTING, AND REQUIRE THE MAX SPD BE APCHED IN INCREMENTS.
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.