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|
Attributes | |
ACN | 488630 |
Time | |
Date | 200010 |
Day | Sun |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : cvg.airport |
State Reference | KY |
Environment | |
Flight Conditions | Mixed |
Light | Dawn |
Aircraft 1 | |
Controlling Facilities | tower : fwa.tower |
Operator | common carrier : air carrier |
Make Model Name | Regional Jet CL65, Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | cruise : level |
Route In Use | arrival star : ns enroute : direct |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : atp pilot : multi engine |
Experience | flight time last 90 days : 110 flight time total : 2400 flight time type : 105 |
ASRS Report | 488630 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | maintenance problem : improper maintenance non adherence : published procedure non adherence : company policies other anomaly other |
Independent Detector | other controllera other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact none taken : anomaly accepted |
Consequence | other |
Factors | |
Maintenance | contributing factor : manuals contributing factor : schedule pressure performance deficiency : fault isolation performance deficiency : non compliance with legal requirements performance deficiency : repair performance deficiency : testing performance deficiency : training performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Maintenance Human Performance Company Aircraft |
Primary Problem | Company |
Narrative:
The following is to describe an improper deviation from maintenance procedures during a scheduled revenue flight on oct/sun/00. When 10 mins from our destination, on a flight from ft wayne, in, to cincinnati, oh, the captain (PNF) received a radio call from company maintenance and was informed that the aircraft was improperly deferred for a lighting problem before flight. After the radio discussion, which I did not monitor, the captain then told me of the new problem. Before flight, he had discovered that the test #1 function of the lamp test warning and caution lights had failed. Through a phone call to maintenance and dispatch, he received instructions to defer the item with an MEL for lamp test switch. The captain questioned if this was the correct deferral and was assured that it was (he had mentioned the deferral to me before the flight and we proceeded). After receiving the new information of the improper discrepancy (should have been a lamp driver unit) he then showed me what the problem was by demonstrating how the lamp test was failing and that it did not appear to be a switch problem. Therefore, the aircraft was dispatched with an improperly deferred aircraft and could not be corrected in-flight (required maintenance personnel to perform action before flight). Although the hazards in this case were minimal, the same errors could have occurred under different circumstances that might contribute to an accident. Also, if an incident occurred, any investigation could have been impeded due to inaccurate maintenance logs and could have resulted in incorrect conclusions.
Original NASA ASRS Text
Title: CL65 CREW HAD AN IMPROPER MEL ITEM THAT MAINT DEFERRED.
Narrative: THE FOLLOWING IS TO DESCRIBE AN IMPROPER DEV FROM MAINT PROCS DURING A SCHEDULED REVENUE FLT ON OCT/SUN/00. WHEN 10 MINS FROM OUR DEST, ON A FLT FROM FT WAYNE, IN, TO CINCINNATI, OH, THE CAPT (PNF) RECEIVED A RADIO CALL FROM COMPANY MAINT AND WAS INFORMED THAT THE ACFT WAS IMPROPERLY DEFERRED FOR A LIGHTING PROB BEFORE FLT. AFTER THE RADIO DISCUSSION, WHICH I DID NOT MONITOR, THE CAPT THEN TOLD ME OF THE NEW PROB. BEFORE FLT, HE HAD DISCOVERED THAT THE TEST #1 FUNCTION OF THE LAMP TEST WARNING AND CAUTION LIGHTS HAD FAILED. THROUGH A PHONE CALL TO MAINT AND DISPATCH, HE RECEIVED INSTRUCTIONS TO DEFER THE ITEM WITH AN MEL FOR LAMP TEST SWITCH. THE CAPT QUESTIONED IF THIS WAS THE CORRECT DEFERRAL AND WAS ASSURED THAT IT WAS (HE HAD MENTIONED THE DEFERRAL TO ME BEFORE THE FLT AND WE PROCEEDED). AFTER RECEIVING THE NEW INFO OF THE IMPROPER DISCREPANCY (SHOULD HAVE BEEN A LAMP DRIVER UNIT) HE THEN SHOWED ME WHAT THE PROB WAS BY DEMONSTRATING HOW THE LAMP TEST WAS FAILING AND THAT IT DID NOT APPEAR TO BE A SWITCH PROB. THEREFORE, THE ACFT WAS DISPATCHED WITH AN IMPROPERLY DEFERRED ACFT AND COULD NOT BE CORRECTED INFLT (REQUIRED MAINT PERSONNEL TO PERFORM ACTION BEFORE FLT). ALTHOUGH THE HAZARDS IN THIS CASE WERE MINIMAL, THE SAME ERRORS COULD HAVE OCCURRED UNDER DIFFERENT CIRCUMSTANCES THAT MIGHT CONTRIBUTE TO AN ACCIDENT. ALSO, IF AN INCIDENT OCCURRED, ANY INVESTIGATION COULD HAVE BEEN IMPEDED DUE TO INACCURATE MAINT LOGS AND COULD HAVE RESULTED IN INCORRECT CONCLUSIONS.
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.