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Attributes | |
ACN | 508537 |
Time | |
Date | 200103 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : dsm.airport |
State Reference | IA |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : dsm.tower |
Operator | common carrier : air taxi |
Make Model Name | Cessna 210 Centurion / Turbo Centurion 210C, 210D |
Operating Under FAR Part | Part 135 |
Flight Phase | climbout : takeoff climbout : initial |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air taxi |
Function | flight crew : single pilot |
Qualification | pilot : commercial pilot : instrument pilot : multi engine |
Experience | flight time last 90 days : 278 flight time total : 2000 flight time type : 800 |
ASRS Report | 508537 |
Person 2 | |
Affiliation | government : faa |
Function | controller : local |
Events | |
Anomaly | non adherence : far non adherence : company policies non adherence : published procedure other anomaly other |
Independent Detector | other controllera other flight crewa other other : 3 |
Resolutory Action | controller : provided flight assist controller : issued alert controller : issued new clearance flight crew : declared emergency flight crew : diverted to another airport flight crew : landed in emergency condition none taken : detected after the fact |
Consequence | faa : assigned or threatened penalties faa : investigated faa : reviewed incident with flight crew other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : logbook entry performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft Company |
Primary Problem | Company |
Narrative:
On mar/xa/01, I made an emergency landing at des moines international airport after being informed by the control tower shortly after departure that my engine was smoking. I landed safely back on runway 23. An FAA aircraft safety inspector inspected my aircraft and determined that the reason for the engine failure was the drop of 500 RPM in one of the magnetos. During his inspection, he also found an open discrepancy that had been written up in mar/01 which said 'GS on navigation #1 inoperative.' there was no signature on the discrepancy and by the time of this inspection, 4 other pilots had flown the airplane with the open discrepancy before me. Because there was no signature or initials on the discrepancy, we still do not know who wrote it. It may or may not have been a pilot, and no one had notified company maintenance or dispatch as is required. Also, the discrepancy was written in the middle of the logbook (between pages) where it was difficult to find. This may explain why it had not been noticed by the other 4 pilots or myself until the FAA inspector found it. Upon doing my preflight early that morning. I had not seen any discrepancy, and during flight the GS was working. In this particular airplane there are 2 GS's. Therefore, even if 1 were inoperable, there would still be 1 functioning. However, since our company does not have an MEL, everything in the airplane must work. This is why the FAA wants to issue a violation. At this time, the investigation is still underway.
Original NASA ASRS Text
Title: C210 PLT HAD ENG PROBS DEPARTING DSM. THIS WAS CAUSED BY AN OPEN LOG ITEM.
Narrative: ON MAR/XA/01, I MADE AN EMER LNDG AT DES MOINES INTL ARPT AFTER BEING INFORMED BY THE CTL TWR SHORTLY AFTER DEP THAT MY ENG WAS SMOKING. I LANDED SAFELY BACK ON RWY 23. AN FAA ACFT SAFETY INSPECTOR INSPECTED MY ACFT AND DETERMINED THAT THE REASON FOR THE ENG FAILURE WAS THE DROP OF 500 RPM IN ONE OF THE MAGNETOS. DURING HIS INSPECTION, HE ALSO FOUND AN OPEN DISCREPANCY THAT HAD BEEN WRITTEN UP IN MAR/01 WHICH SAID 'GS ON NAV #1 INOP.' THERE WAS NO SIGNATURE ON THE DISCREPANCY AND BY THE TIME OF THIS INSPECTION, 4 OTHER PLTS HAD FLOWN THE AIRPLANE WITH THE OPEN DISCREPANCY BEFORE ME. BECAUSE THERE WAS NO SIGNATURE OR INITIALS ON THE DISCREPANCY, WE STILL DO NOT KNOW WHO WROTE IT. IT MAY OR MAY NOT HAVE BEEN A PLT, AND NO ONE HAD NOTIFIED COMPANY MAINT OR DISPATCH AS IS REQUIRED. ALSO, THE DISCREPANCY WAS WRITTEN IN THE MIDDLE OF THE LOGBOOK (BTWN PAGES) WHERE IT WAS DIFFICULT TO FIND. THIS MAY EXPLAIN WHY IT HAD NOT BEEN NOTICED BY THE OTHER 4 PLTS OR MYSELF UNTIL THE FAA INSPECTOR FOUND IT. UPON DOING MY PREFLT EARLY THAT MORNING. I HAD NOT SEEN ANY DISCREPANCY, AND DURING FLT THE GS WAS WORKING. IN THIS PARTICULAR AIRPLANE THERE ARE 2 GS'S. THEREFORE, EVEN IF 1 WERE INOPERABLE, THERE WOULD STILL BE 1 FUNCTIONING. HOWEVER, SINCE OUR COMPANY DOES NOT HAVE AN MEL, EVERYTHING IN THE AIRPLANE MUST WORK. THIS IS WHY THE FAA WANTS TO ISSUE A VIOLATION. AT THIS TIME, THE INVESTIGATION IS STILL UNDERWAY.
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.