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|
Attributes | |
ACN | 511617 |
Time | |
Date | 200105 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : sfo.airport |
State Reference | CA |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : pit.tracon |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
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 : multi engine pilot : atp pilot : cfi |
Experience | flight time last 90 days : 150 flight time total : 6500 flight time type : 1700 |
ASRS Report | 511617 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : improper maintenance maintenance problem : non compliance with mel maintenance problem : improper documentation non adherence : company policies non adherence : far non adherence : published procedure |
Independent Detector | other other : disp 3 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : unqualified personnel performance deficiency : inspection performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Company Flight Crew Human Performance Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
Prior to pushback, we received a new maintenance release document. It had a new deferred item on it, '#2 engine upper pylon fastener missing.' due to the short turn time, I assumed it was merely a cowling fastener. Therefore, I did not question the mechanic. In cruise, the dispatcher ACARS'ed me and asked for me to call him on the ground. When I spoke to him, he informed me that the airplane had been dispatched with an illegal deferral. Per the write-up, the fastener required an eddy current inspection prior to release. It later turned out it was just a cowling fastener, due to the poor write-up. The airplane was illegally dispatched.
Original NASA ASRS Text
Title: A B737-300 FLC ACCEPTS THEIR ACFT WITH A MISIDENTED PART THAT WAS NOT AN MEL ITEM BUT LATER THOUGHT TO BE AT SFO, CA.
Narrative: PRIOR TO PUSHBACK, WE RECEIVED A NEW MAINT RELEASE DOCUMENT. IT HAD A NEW DEFERRED ITEM ON IT, '#2 ENG UPPER PYLON FASTENER MISSING.' DUE TO THE SHORT TURN TIME, I ASSUMED IT WAS MERELY A COWLING FASTENER. THEREFORE, I DID NOT QUESTION THE MECH. IN CRUISE, THE DISPATCHER ACARS'ED ME AND ASKED FOR ME TO CALL HIM ON THE GND. WHEN I SPOKE TO HIM, HE INFORMED ME THAT THE AIRPLANE HAD BEEN DISPATCHED WITH AN ILLEGAL DEFERRAL. PER THE WRITE-UP, THE FASTENER REQUIRED AN EDDY CURRENT INSPECTION PRIOR TO RELEASE. IT LATER TURNED OUT IT WAS JUST A COWLING FASTENER, DUE TO THE POOR WRITE-UP. THE AIRPLANE WAS ILLEGALLY DISPATCHED.
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.