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|
Attributes | |
ACN | 502425 |
Time | |
Date | 200012 |
Day | Tue |
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 | B757-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
ASRS Report | 502425 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : airframe technician : powerplant |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
Independent Detector | aircraft equipment other aircraft equipment : #2 oil quantity indicator other other : person 2 |
Resolutory Action | flight crew : diverted to another airport |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : installation performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On dec/tue/00, I removed and replaced the #2 engine oil cap after servicing in accordance with job card paperwork. On feb/wed/01, I was informed that, upon takeoff at ZZZ on dec/wed/00, the r-hand engine lost all oil. ZZZ maintenance reported oil cap missing. They replaced oil cap, svced oil tank, inspected chip detectors, performed pwrplant inspection in accordance with maintenance manual operations normal (log page attached). The float valve in the oil tank failed to close due to oil cap missing or incorrectly installed (reference maintenance manual 79-11-00-0 2(4) attached). The float valve was not checked or documented in ZZZ. To this date, the engine still remains on aircraft. The incident is under investigation.
Original NASA ASRS Text
Title: A B757-200 ON TKOF LOST ALL #2 ENG OIL CAUSED BY THE OIL CAP NOT REPLACED AFTER SVCING.
Narrative: ON DEC/TUE/00, I REMOVED AND REPLACED THE #2 ENG OIL CAP AFTER SVCING IN ACCORDANCE WITH JOB CARD PAPERWORK. ON FEB/WED/01, I WAS INFORMED THAT, UPON TKOF AT ZZZ ON DEC/WED/00, THE R-HAND ENG LOST ALL OIL. ZZZ MAINT RPTED OIL CAP MISSING. THEY REPLACED OIL CAP, SVCED OIL TANK, INSPECTED CHIP DETECTORS, PERFORMED PWRPLANT INSPECTION IN ACCORDANCE WITH MAINT MANUAL OPS NORMAL (LOG PAGE ATTACHED). THE FLOAT VALVE IN THE OIL TANK FAILED TO CLOSE DUE TO OIL CAP MISSING OR INCORRECTLY INSTALLED (REF MAINT MANUAL 79-11-00-0 2(4) ATTACHED). THE FLOAT VALVE WAS NOT CHKED OR DOCUMENTED IN ZZZ. TO THIS DATE, THE ENG STILL REMAINS ON ACFT. THE INCIDENT IS UNDER INVESTIGATION.
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.