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|
Attributes | |
ACN | 508929 |
Time | |
Date | 200104 |
Day | Thu |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | A320 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time type : 386 |
ASRS Report | 508929 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
ASRS Report | 508930 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : testing performance deficiency : repair performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
The aircraft arrived at the gate with several write-ups -- with the 2 most significant being right wing a/I valve failure to close and left pack valve fail open. Maintenance indicated the fix would not be long, so the passenger were boarded on schedule. Shortly afterward, they said the left air conditioning pack would be inoperative and wing a/I valve deferred open. They went to work on the wing and the airplane was getting hot. After 10 more mins, 5 more mins, etc, they finished working on the wing and said it was ok to open the APU bleed and operate the right air conditioning pack. (The left pack was supposed to be deferred with the pack valve closed.) when they came up to finish the paperwork, it was discovered that the valve was not closed (that would take an additional 50 mins and it was shift change). I decided to order more fuel and after a conference with the agent and zone, the passenger were deplaned. Unfortunately, the APU was feeding the right wing a/I and had been for approximately 35 mins. The fueler arrived and from what I understand burned his hand. The new shift (maintenance) said they were going to start all over and the trip was canceled. It is worthy to note that during this whole process, which lasted approximately 1 1/2 hours, the whole lavatory system went inoperative and was repaired. Additionally, 2 maintenance crews were involved, with one thinking the other was performing different tasks.
Original NASA ASRS Text
Title: AN AIRBUS 320 FLT WAS CANCELED DUE TO FAILURE OF MAINT TO PROPERLY LOCK THE L PACK VALVE CLOSED PER MEL REQUIREMENTS.
Narrative: THE ACFT ARRIVED AT THE GATE WITH SEVERAL WRITE-UPS -- WITH THE 2 MOST SIGNIFICANT BEING R WING A/I VALVE FAILURE TO CLOSE AND L PACK VALVE FAIL OPEN. MAINT INDICATED THE FIX WOULD NOT BE LONG, SO THE PAX WERE BOARDED ON SCHEDULE. SHORTLY AFTERWARD, THEY SAID THE L AIR CONDITIONING PACK WOULD BE INOP AND WING A/I VALVE DEFERRED OPEN. THEY WENT TO WORK ON THE WING AND THE AIRPLANE WAS GETTING HOT. AFTER 10 MORE MINS, 5 MORE MINS, ETC, THEY FINISHED WORKING ON THE WING AND SAID IT WAS OK TO OPEN THE APU BLEED AND OPERATE THE R AIR CONDITIONING PACK. (THE L PACK WAS SUPPOSED TO BE DEFERRED WITH THE PACK VALVE CLOSED.) WHEN THEY CAME UP TO FINISH THE PAPERWORK, IT WAS DISCOVERED THAT THE VALVE WAS NOT CLOSED (THAT WOULD TAKE AN ADDITIONAL 50 MINS AND IT WAS SHIFT CHANGE). I DECIDED TO ORDER MORE FUEL AND AFTER A CONFERENCE WITH THE AGENT AND ZONE, THE PAX WERE DEPLANED. UNFORTUNATELY, THE APU WAS FEEDING THE R WING A/I AND HAD BEEN FOR APPROX 35 MINS. THE FUELER ARRIVED AND FROM WHAT I UNDERSTAND BURNED HIS HAND. THE NEW SHIFT (MAINT) SAID THEY WERE GOING TO START ALL OVER AND THE TRIP WAS CANCELED. IT IS WORTHY TO NOTE THAT DURING THIS WHOLE PROCESS, WHICH LASTED APPROX 1 1/2 HRS, THE WHOLE LAVATORY SYS WENT INOP AND WAS REPAIRED. ADDITIONALLY, 2 MAINT CREWS WERE INVOLVED, WITH ONE THINKING THE OTHER WAS PERFORMING DIFFERENT TASKS.
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.