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|
Attributes | |
ACN | 487980 |
Time | |
Date | 200010 |
Day | Fri |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : mci.airport |
State Reference | MO |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Weather Elements | Rain Snow |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : msp.tower |
Operator | common carrier : air carrier |
Make Model Name | Beech 1900 |
Operating Under FAR Part | Part 135 |
Navigation In Use | other |
Flight Phase | climbout : takeoff ground : maintenance ground : parked ground : preflight |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : multi engine pilot : commercial |
Experience | flight time last 90 days : 150 flight time total : 730 flight time type : 510 |
ASRS Report | 487980 |
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 non adherence : company policies non adherence : published procedure |
Independent Detector | other other : pax 4 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure contributing factor : lighting contributing factor : weather performance deficiency : inspection performance deficiency : repair |
Supplementary | |
Problem Areas | Environmental Factor Weather Maintenance Human Performance Flight Crew Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
We were supposed to leave kansas city at XA30, but because of maintenance we didn't leave until XB00 which would put us home at XE00. Everyone wanted to get home and the rampers were leaving and the mechanics were having to fix the aircraft. They had been working on the aircraft for several hours and I had been watching them. They were concentrating on the right engine and I hadn't seen them working on any other portion of the aircraft. I performed a preflight of the aircraft while they were still working. When they were done, I inspected the right engine area they had been working on and found everything in order. After landing in ddc, I performed another walkaround although not quite as intense as my first. Finally, after getting home to gck, I performed 1 last walkaround and found nothing. The flight crew the next morning also never found anything and flew to ddc, where a passenger discovered part of the left engine cowl was missing. The part was discovered in kansas city on the mechanic's cart. I believe several factors caused this mishap. We were 1 1/2 hours late leaving, it was my 9TH hour on duty, the aircraft was parked on the far side of the ramp and the temperature was 3 degrees C. When the mechanics were done, we were being pushed to leave so everyone else could go home. The passenger had been loaded on the aircraft and were getting extremely cold. I performed my final inspection on just the right side of the aircraft where they had been working, but did not realize at some point they had removed a piece of the cowl on the left side. Also the position of the missing piece was in a difficult place to see, especially in the dark. I believe it was all these factors combined that caused this situation.
Original NASA ASRS Text
Title: ENG COWLING PANEL RPTED MISSING BY PAX. THE ACFT HAD FLOWN SEVERAL SEGMENTS SINCE IT HAD BEEN REMOVED.
Narrative: WE WERE SUPPOSED TO LEAVE KANSAS CITY AT XA30, BUT BECAUSE OF MAINT WE DIDN'T LEAVE UNTIL XB00 WHICH WOULD PUT US HOME AT XE00. EVERYONE WANTED TO GET HOME AND THE RAMPERS WERE LEAVING AND THE MECHS WERE HAVING TO FIX THE ACFT. THEY HAD BEEN WORKING ON THE ACFT FOR SEVERAL HRS AND I HAD BEEN WATCHING THEM. THEY WERE CONCENTRATING ON THE R ENG AND I HADN'T SEEN THEM WORKING ON ANY OTHER PORTION OF THE ACFT. I PERFORMED A PREFLT OF THE ACFT WHILE THEY WERE STILL WORKING. WHEN THEY WERE DONE, I INSPECTED THE R ENG AREA THEY HAD BEEN WORKING ON AND FOUND EVERYTHING IN ORDER. AFTER LNDG IN DDC, I PERFORMED ANOTHER WALKAROUND ALTHOUGH NOT QUITE AS INTENSE AS MY FIRST. FINALLY, AFTER GETTING HOME TO GCK, I PERFORMED 1 LAST WALKAROUND AND FOUND NOTHING. THE FLC THE NEXT MORNING ALSO NEVER FOUND ANYTHING AND FLEW TO DDC, WHERE A PAX DISCOVERED PART OF THE L ENG COWL WAS MISSING. THE PART WAS DISCOVERED IN KANSAS CITY ON THE MECH'S CART. I BELIEVE SEVERAL FACTORS CAUSED THIS MISHAP. WE WERE 1 1/2 HRS LATE LEAVING, IT WAS MY 9TH HR ON DUTY, THE ACFT WAS PARKED ON THE FAR SIDE OF THE RAMP AND THE TEMP WAS 3 DEGS C. WHEN THE MECHS WERE DONE, WE WERE BEING PUSHED TO LEAVE SO EVERYONE ELSE COULD GO HOME. THE PAX HAD BEEN LOADED ON THE ACFT AND WERE GETTING EXTREMELY COLD. I PERFORMED MY FINAL INSPECTION ON JUST THE R SIDE OF THE ACFT WHERE THEY HAD BEEN WORKING, BUT DID NOT REALIZE AT SOME POINT THEY HAD REMOVED A PIECE OF THE COWL ON THE L SIDE. ALSO THE POS OF THE MISSING PIECE WAS IN A DIFFICULT PLACE TO SEE, ESPECIALLY IN THE DARK. I BELIEVE IT WAS ALL THESE FACTORS COMBINED THAT CAUSED THIS SIT.
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.