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A DC9-30 was dispatched in non compliance with #2 engine oil filler cap not installed after oil servicing.
| Attributes | |
| ACN | 503604 |
| Time | |
| Date | 200103 |
| Day | Tue |
| Local Time Of Day | 0001 To 0600 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Environment | |
| Weather Elements | Snow |
| Light | Night |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | DC-9 30 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : fcc technician : powerplant technician : airframe |
| Experience | maintenance technician : 17 |
| ASRS Report | 503604 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : published procedure non adherence : company policies |
| Independent Detector | aircraft equipment other aircraft equipment : #2 oil quantity indicator other flight crewa other other : gnd 3 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : lighting contributing factor : weather performance deficiency : inspection performance deficiency : installation performance deficiency : scheduled maintenance |
| Supplementary | |
| Problem Areas | Weather Aircraft Environmental Factor Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
On early morning of mar/xa/01, I was assigned an overnight check on a DC9. At about XA00 the WX was around -10 degrees wind chill and snow was heavy. I was having problems servicing the engine oil with an oil service cart. I needed 4-5 quarts per engine and after about 200 pumps I still didn't have 1 engine svced so I grabbed a golf cart and got 6 1-QUART cans. Returned and finished servicing 1 engine and went to #2 engine open service panel and removed cap. Placed cap on cart. Svced oil and closed panel. Flew from ZZZ to xyz. Pilot wrote up #2 oil being low by 10 quarts (it holds 16 quarts). Contract maintenance in xyz reported cap missing. They replaced cap and svced oil and sent it to ZZZ. I was informed by the lead who had that airplane the next night. I went to the golf cart I had the night before and found the oil cap. I feel that the WX and the head cold I had at the time were the biggest causes. It was an accident I regret and am very glad nobody was hurt. I have been working line maintenance for 15 ys and this was the first time it's happened to me.
Original NASA ASRS Text
Title: A DC9-30 WAS DISPATCHED IN NON COMPLIANCE WITH #2 ENG OIL FILLER CAP NOT INSTALLED AFTER OIL SVCING.
Narrative: ON EARLY MORNING OF MAR/XA/01, I WAS ASSIGNED AN OVERNIGHT CHK ON A DC9. AT ABOUT XA00 THE WX WAS AROUND -10 DEGS WIND CHILL AND SNOW WAS HVY. I WAS HAVING PROBS SVCING THE ENG OIL WITH AN OIL SVC CART. I NEEDED 4-5 QUARTS PER ENG AND AFTER ABOUT 200 PUMPS I STILL DIDN'T HAVE 1 ENG SVCED SO I GRABBED A GOLF CART AND GOT 6 1-QUART CANS. RETURNED AND FINISHED SVCING 1 ENG AND WENT TO #2 ENG OPEN SVC PANEL AND REMOVED CAP. PLACED CAP ON CART. SVCED OIL AND CLOSED PANEL. FLEW FROM ZZZ TO XYZ. PLT WROTE UP #2 OIL BEING LOW BY 10 QUARTS (IT HOLDS 16 QUARTS). CONTRACT MAINT IN XYZ RPTED CAP MISSING. THEY REPLACED CAP AND SVCED OIL AND SENT IT TO ZZZ. I WAS INFORMED BY THE LEAD WHO HAD THAT AIRPLANE THE NEXT NIGHT. I WENT TO THE GOLF CART I HAD THE NIGHT BEFORE AND FOUND THE OIL CAP. I FEEL THAT THE WX AND THE HEAD COLD I HAD AT THE TIME WERE THE BIGGEST CAUSES. IT WAS AN ACCIDENT I REGRET AND AM VERY GLAD NOBODY WAS HURT. I HAVE BEEN WORKING LINE MAINT FOR 15 YS AND THIS WAS THE FIRST TIME IT'S HAPPENED TO ME.
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.