37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 489040 |
Time | |
Date | 200010 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : lax.airport |
State Reference | CA |
Aircraft 1 | |
Controlling Facilities | tower : lax.tower |
Operator | common carrier : air carrier |
Make Model Name | DC-10 30F |
Operating Under FAR Part | Part 91 |
Flight Phase | climbout : initial |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : second officer |
Qualification | pilot : commercial pilot : flight engineer pilot : instrument pilot : multi engine |
ASRS Report | 489040 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure non adherence : company policies other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : fire warning other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : inspection performance deficiency : logbook entry performance deficiency : fault isolation |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft Company Maintenance Human Performance |
Primary Problem | Company |
Narrative:
On departure from lax, ferry flight xx master warning light illuminated on the pilot's glare shield and as it was called out by the captain, I looked up and saw the aft cargo compartment red warning light. It was verified by the captain and he called for the cargo fire checklist and I accomplished the checklist. We returned to lax, advised maintenance we were returning. The fire light went out with completion of the checklist. The rest of the arrival was normal with checklist read. Our mistake was taking off from lax without a new release as the ferry permit doesn't allow redispatch on the second departure. Another mistake is we did not know we were on a ferry permit in the first place. A ball was dropped by dispatch. We will be more vigilant in noting our ferry permit if this arises again. Supplemental information from acn 488017: aircraft yy returned to maintenance at lax after the aft cargo fire light came on in-flight. After aircraft returned, I accessed the aft and mid cargo compartments and found no evidence of a fire or gas from a bottle discharge. Both the aft and mid cargo compartments were clean and empty of any cargo. I called maintenance control and read the logbook entry and log page to maintenance control. After some discussion, decided to placard per MEL 26-17-01 (fire light inoperative). Flight engineer, after reviewing the incident, it may have been appropriate to use MEL 26-19-2 and I should have checked to see if in fact the fire bottle had been fired and taken steps to correct it.
Original NASA ASRS Text
Title: A DC10-30 ON A FERRY PERMIT HAS CARGO FIRE WARNING AFTER TKOF. AFTER RETURN TO DEP ARPT AND A MAINT CHK OF THE SYS, A REDISPATCH IS DONE WITHOUT AN UPDATED FERRY PERMIT AND A POSSIBLE INCORRECT DEFERRAL OF THE FIRE WARNING SYS.
Narrative: ON DEP FROM LAX, FERRY FLT XX MASTER WARNING LIGHT ILLUMINATED ON THE PLT'S GLARE SHIELD AND AS IT WAS CALLED OUT BY THE CAPT, I LOOKED UP AND SAW THE AFT CARGO COMPARTMENT RED WARNING LIGHT. IT WAS VERIFIED BY THE CAPT AND HE CALLED FOR THE CARGO FIRE CHKLIST AND I ACCOMPLISHED THE CHKLIST. WE RETURNED TO LAX, ADVISED MAINT WE WERE RETURNING. THE FIRE LIGHT WENT OUT WITH COMPLETION OF THE CHKLIST. THE REST OF THE ARR WAS NORMAL WITH CHKLIST READ. OUR MISTAKE WAS TAKING OFF FROM LAX WITHOUT A NEW RELEASE AS THE FERRY PERMIT DOESN'T ALLOW REDISPATCH ON THE SECOND DEP. ANOTHER MISTAKE IS WE DID NOT KNOW WE WERE ON A FERRY PERMIT IN THE FIRST PLACE. A BALL WAS DROPPED BY DISPATCH. WE WILL BE MORE VIGILANT IN NOTING OUR FERRY PERMIT IF THIS ARISES AGAIN. SUPPLEMENTAL INFO FROM ACN 488017: ACFT YY RETURNED TO MAINT AT LAX AFTER THE AFT CARGO FIRE LIGHT CAME ON INFLT. AFTER ACFT RETURNED, I ACCESSED THE AFT AND MID CARGO COMPARTMENTS AND FOUND NO EVIDENCE OF A FIRE OR GAS FROM A BOTTLE DISCHARGE. BOTH THE AFT AND MID CARGO COMPARTMENTS WERE CLEAN AND EMPTY OF ANY CARGO. I CALLED MAINT CTL AND READ THE LOGBOOK ENTRY AND LOG PAGE TO MAINT CTL. AFTER SOME DISCUSSION, DECIDED TO PLACARD PER MEL 26-17-01 (FIRE LIGHT INOP). FE, AFTER REVIEWING THE INCIDENT, IT MAY HAVE BEEN APPROPRIATE TO USE MEL 26-19-2 AND I SHOULD HAVE CHKED TO SEE IF IN FACT THE FIRE BOTTLE HAD BEEN FIRED AND TAKEN STEPS TO CORRECT IT.
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.